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 for our clients. All of the programs at Four Circles include some form of an adventure-based therapy component, and we offer gender-specific programs to provide tailored treatment tracks as drug addiction affects men and women differently.
Clients identify their current state of being, mentally, emotionally, spiritually, and physically (MEPS). They set their goals for the day (healthy living skill) and are held accountable by their group to the goals set. The group reads from one of the Meditation books made available – for example, Just For Today or 24 Hours a Day (recovery skill) – 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 psychotropic medication. They have the opportunity to inquire about the efficacy of their medication, discuss any side effects of their medication, and give and receive feedback from peers and staff regarding whether their medication is addressing their needs. Clients learn how to identify if their co-occurring mood or psychological issues are being stabilized with medication. Pharmalogical 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)
This is a time when clients are working 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 is a time that the client would have to work on a workbook about their addiction, the 12-steps of recovery, and new coping skills. The 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 this group session, a rotation of topics is presented: addiction, the mindfulness practice, coping skills, and family dynamics and relationships. We teach 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
This group practices the skills of mindfulness, including breathing exercises, meditation practices, movement, and stretching. This session occurs for one hour and is led by a clinician.
This session includes but is not limited to 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
This group consists of an orientation to recovery meetings and includes but is not limited to traditional 12-step recovery, refuge recovery, smart recovery, Alanon, co-dependents anonymous, and celebrate recovery. Clients are exposed to Gorski relapse prevention work and have 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 checks 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. This session occurs one time per week and is led by a Wilderness First Responder.
Clients check in again on their mental, emotional, physical, and spiritual states at the end of the day. They identify if they have achieved their goals for the day. Clients give each other feedback based on the outcome of the day. 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 Masters-level clinician.