The document outlines the purpose and services provided by an online substance abuse treatment program. The program aims to provide behavioral health services to those unable to access traditional treatment due to remote locations, travel schedules, or health issues. It offers a multi-modality approach including in-person, phone, and online therapy. The initial clinical assessment must be done in-person, but ongoing treatment involves intensive outpatient programming, continuing care, family support programs, and individual counseling - combining in-person, phone, and secure online sessions. The program provides 24/7 support and aims to create a supportive recovery community through collaboration with outside resources.

2. PURPOSE
 Provide services to those who could not access traditional
treatment
 Remote locations
 Areas where behavioral health services is poor
 Travel schedules for employer
 Those with health conditions that prohibit traditional face-to-face car
 Unique circumstances

3. CLINICAL ASSESSMENT ASSESSMENT FOR
 The clinical intake, AC/ESS
assessment, and initial
interview must be
 Assessment of level of
conducted in person. motivation
 AC/ESS assessment for
 Access to a computer
appropriateness - in and availability to
person complete program
 Treatment planning is
requirements
conducted in person
 Cognitive functioning
 Log in to the therapy
(reading and writing)
room for the first time is
 Assessment of
conducted in person psychological issues
with the patient (high risk)

4.  What it is:
 Multi-modality approach to outpatient substance
abuse treatment
 In person sessions, phone conferencing, and online
therapy combined
 Individualized treatment
 Treatment Plan
 Facilitator led

5.  What it is NOT:
 Chat room
 Unsupervised conversation

6.  Intensive Outpatient Programming (IOP)
 10 hours per week of therapy to include one
individual session per week (face to face/phone)
 Daily group discussion online in the therapy room
 3 weekly discussion topics and assignments (M-W-F)
 Journal assignments weekly
 18 modules identical to on ground IOP (Individual)
 6 sessions offered during IOP for individual, marital,
family, or chaplain sessions.
 2 of the 6 sessions have to be conducted face to face
 Completion of 5th Step encouraged
 Family program attached to IOP

7.  Family program attached to IOP is one hour
per week
 Al-anon at least twice per week
 Sponsorship is encouraged
 Family own therapy room with other families
 Group discussions
 Assignments to complete
 Higher percentage of family involved –
eliminates barriers

8.  Three week intensive program
 Offered to family members even if patient not
involved in treatment
 11 modules
 3 individual sessions offered
 1 of the 3 sessions must be conducted in person
 Al-anon and sponsorship also encouraged

9.  One hour per week for one year
 group therapy and individual therapy
 Meetings and sponsorship are strongly
encouraged
 Option of being a Concurrent patient
 Patients attend on ground and online simultaneously

10.  All outpatient services can include marital,
family, chaplain, and individual counseling
 Alumni attendance is also strongly encouraged

11.  AC/ESS Counselors collaborate with outside
resources to ensure a solid recovery support
group for each patient.
 Monitoring of the therapy rooms (5 daily)
 Help keep patients accountable in the program
by involving outside resources and family.
 If IOP patients do not participate in the therapy
room daily a phone call is placed to the patient.
 If Continuing Care patients do not participate
for 1 hour each week a call is placed to the
patient and information documented in chart.

12.  Secure Website
 All inclusive program no outside email
 3 levels of security to enter the online therapy
room.
 24 hour access to secure network 7 days a week
 24 hour technical support -7days a week
 24 hour access to clinical support – 7days a
week
 Facilitated referrals if not appropriate for
program (IOP – 1st week- CC -1st month for
appropriateness of the program)

13.  Counselor has closest mental health/emergency
information on each patient –information
available in the online room so any supervisor
can access the information
 Program can be accessed from any computer
anywhere.
 Time out security feature.
 Patients are provided packet of information
before entering the program (informed consent,
access to program information, patient
requirements, counselor responsibility, log in,
contact numbers, step forms, books needed).