In order to provide comprehensive and holistic care to each man and woman who comes to us for treatment, Four Circles offers a variety of group therapies. All of the programs at Four Circles include some form of an adventure-based component, and we offer gender-specific programs to provide tailored treatment tracks based on the unique needs of men and women.
In the morning group, clients identify their current state of being, mentally, emotionally, spiritually, and physically (MEPS). They set their goals for the day (healthy living skills) and will be held accountable by their group to meet those goals. The group reads from one of the meditation books made available – for example, Just For Today or 24 Hours a Day (recovery skills) – and shares their thoughts on the topic. This group session takes place for one hour each day and is led by the direct care staff.
Clients are held accountable for taking their medication. They have the opportunity to ask any questions about their medicine, discuss any side effects of their medication, and give and receive feedback from peers and staff regarding whether their medication is addressing their needs. Additionally, clients learn how to identify if their medications are helping with the symptoms of any co-occurring mood or psychological concerns. Medication management occurs for 15 minutes each day and is led by the direct care staff, who pass on pertinent information to the nurse practitioner as needed.
Daily Recovery Check-In (DRP)
The daily recovery check-in (DRP) is a time for clients to work on specific assignments given by their therapist. For example, they may be asked to complete a reading assignment and provide written feedback about the reading, or they may be asked to write a letter to a family member that is expected to elicit an emotional response. This could also be a time that the client works on a workbook about their addiction, the 12-Steps of recovery, and new coping skills. DRP occurs for one hour each day and is led by the direct care staff under clinical supervision as outlined in “Outcomes for the Week.”
During the didactic, a rotation of topics is presented: addiction, the mindfulness practice, coping skills, and family dynamics and relationships. Clients learn communication skills, basic life skills (cooking and laundry), and relationship skills, all within the milieu. This session occurs one hour per week and is led by our staff.
Mindfulness & Meditation Group
During this group, clients practice the skills of mindfulness, including breathing exercises, meditation, movement, and stretching. This session occurs for one hour and is led by a clinician.
The initiatives group includes a challenge course where clients are given the opportunity to push themselves past their comfort zone and physically challenge themselves. They participate in activities that will cause them to experience emotions such as fear, anxiety, and frustration, and then they have the opportunity to practice new skills to manage them. This session occurs for two hours and is led by a clinician.
Relapse Prevention Group
The relapse prevention group consists of an orientation to recovery meetings and includes the traditional 12-Step Model of Recovery, Refuge Recovery, Smart Recovery, Al-Anon, Co-Dependents Anonymous, and Celebrate Recovery. Clients are exposed to Gorski relapse prevention work and create a written relapse prevention plan prior to discharge. This session occurs three times per week and is led by our staff with clinical supervision.
Health & Wellness Checks/Group
Someone from our medical team assesses and refers clients to the doctor or nurse practitioner as needed. The health and wellness checks, which occur once per week, consist of reviewing post-acute withdrawal symptoms, weight management, and other physical issues that might interfere with engagement in treatment. The group topics differ from week to week, but can include the importance of personal hygiene, the importance of staying hydrated, or wound care.
During the evening group, clients check in again on their mental, emotional, physical, and spiritual states. They also identify if they have achieved their goals for the day. This is also a time for clients to give each other encouragement and feedback. This session occurs once per day and is led by our direct care staff.
Other Therapy Sessions
Individual therapy, group therapy, and family therapy all occur once per week and are facilitated by a master’s-level clinician.