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TREATMENT COMPONENTS
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The following treatment modalities or methods, are used to identify clinical problems requiring inpatient treatment. They are also used to develop and execute the patient's individualized treatment plan.

1. Bio-Psychosocial Assessment
Upon the patient's arrival, our Admissions Department begins a comprehensive bio psycho-social assessment to identify clinical problems that must be addressed during inpatient treatment. This assessment is used to form the basis of a carefully designed plan of effective treatment that focuses on the patient's sick relationship with mood-altering chemicals or behaviors. This assessment also helps to identify problems which do not require immediate intervention, but which should be addressed during the aftercare treatment period.

Calling on expertise from a variety of professional disciplines, the assessment is accomplished in stages:

a.	Medical Assessment — A Rimrock Foundation physician conducts a comprehensive medical examination on each patient within 24 hours of the patient's admission. The patient receives primary medical care for problems associated with the dependency and other health care problems as they may affect the patient's ability to achieve or maintain recovery.
b.	Nursing Care — Nursing staff members obtain a comprehensive medical history of the patient, ensure that all required laboratory tests and immunizations are carried out, and develop nursing care plans in conjunction with the physician's directives.
c.	Social Assessment — Our admissions staff (certified chemical dependency counselors) assemble an in-depth patient history and a social history on each patient. From this information, we prepare a diagnostic summary that integrates all the findings collected so far and identifies the patient's needs and problems. The assessment findings are then presented during a meeting of the clinical (treatment) staff.
d.	Psychological Assessment — A psychological assessment of each patient includes both an assessment of cognitive functioning and psychiatric screening.A significant number of patients experience complicating symptoms such as depression. Our psychologist works with our psychiatrist to assure accurate diagnosis and treatment planning for any patient needing psychiatric services in addition to chemical dependency treatment.
3.	Patient Care Monitoring — Our psychiatrist evaluates patients whose assessments or treatment progress indicate there are psychiatric complications present. Subsequent treatment planning and care for these patients is supervised by the Patient Care Monitoring Team that is comprised of all staff disciplines; psychiatry, nursing, psychology, social work, and addiction specialists. The team meets at least weekly with the patient's primary counselor to review treatment plans and progress, provide supervision, and make recommendations for treatment modifications unique to the patient's condition.

More on Assessments & Evaluations

2. Group Therapy
Each patient participates in group therapy sessions twice daily throughout each week in the program. The patient's primary counselor, a certified chemical dependency counselor, manages these sessions.

Group therapy is the primary modality (method) for addiction treatment. It has, perhaps, the greatest significance for our adolescent patients who have as an integral part of their development, a need to relate to a peer system while in the process of becoming independent and separating from their family systems.

3. Individual Therapy
Each patient has at least one individual therapy session with their primary counselor each week. More individual sessions are held as needed depending on the patient's treatment plan or the issues that surface during treatment.

4. Special Topic Group
Because adolescents need help in accomplishing their developmental tasks and in overcoming impulsive behaviors, our program utilizes a key treatment component that provides skill-building, problem-solving, decision-making, and resisting peer pressure.

The component we use are sessions we call Special Topic Group. Topics are introduced which have special significance for adolescents. Sexuality, values and choices, peer pressure and decision-making are areas explored and around which new coping skills are taught by our staff teacher.

5. Activities Therapy Program
Our professional recreation therapy staff conducts an extensive program of therapeutic activities in four sessions weekly.

Foundation-owned vans transport patients to planned activities, including at least weekly visits to the Montana State University-Billings physical education facility where patients work on their individualized fitness plans.

Our philosophy guides an activities therapy program that must approximate the real world and patients' life situations. Therefore, patients are actively involved in activities common to their age group. Patients make choices and help plan the activities program each week.

Supervised daily exercise outings, games, and activities supplement our recreation therapy program to give patients time to experience the outdoors, exercise, and have addiction-free fun.

6. Education Program
Each adolescent participates in the education program, an individualized program of tutoring and group learning designed to assure each adolescent's intellectual development and progress throughout the course of Inpatient treatment. This is accomplished by a state-certified teacher who is a member of the Rimrock Foundation staff.

7. Educational Presentations
All patients participate in educational lectures and films each week. The presentations are designed to teach the nature of the illness, and help them identify symptoms in themselves.

8. Twelve Step Program
Rimrock Foundation believes the Twelve Step Programs of Alcoholics Anonymous and similar Anonymous groups provide the optimum support-group for patients following treatment.

Patients are introduced while in treatment to the first five steps of Alcoholics Anonymous, and are given the opportunity to participate in step discussion groups, Big Book Study Group, and an open AA Speakers Group meeting in the Rimrock Foundation facility. In addition, patients are taken by Foundation staff members to community-based meetings twice each week to become familiar with these community resources.

9. Aftercare
Discharge planning includes a conference held with the patient and his or her parents, if appropriate, during family week. An aftercare plan is designed to support gains the patient has made while in treatment. This plan includes aftercare sessions for the patient, plus family aftercare to continue building a healthier family system.

Services needed by the patient which are not directly provided in the Rimrock Foundation aftercare program are planned for the patient and provided by referral agreements in the patient's home community.