Adult Residential Treatment Services  

Adult Residential Site:       Fayette Street Campus, 1321 S. Fayette, Saginaw , MI 48602

            Phone: 989.792.8000 / Facsimile: 989.792.8445  

Note:    Intensive Outpatient substance abuse treatment services are also delivered from our Fayette Street Campus. Outpatient substance abuse treatment services are delivered from our Family Care Center in Bridgeport (989.777.4357) and our Beecher Road Clinic in Flint (810.720.4357)  

Contacts  

Asst. Director of Residential Services:     Donovan Jones, LMSWdjones@kairoshealthcare.com     

Asst. Director of Behavioral Healthcare: Will Volesky , MA , LLP wvolesky@kairoshealthcare.com 

CEO: Frederick E. Wigen Jr.  fwigen@kairoshealthcare.com 

Director Of Behavioral Healthcare: Wendell J. Montney, Ph.D. wmontney@kairoshealthcare.com   

Corporate Offices

Kairos Healthcare, Inc., 6379 Dixie Highway , Bridgeport , MI 48722   

Phone: 989.777.4357 B Facsimile: 989.777.7257

Accreditation

Kairos Healthcare, Inc. was fully accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). The current accreditation includes adult, adolescent and child mental health and substance abuse treatment. Kairos is fully accredited for both outpatient and residential services.

Licensure

Kairos Healthcare possesses a standard licenses as a Residential and Outpatient Substance Abuse Program. Our current licenses (#750157, 730174 & 250251) were issued by the Michigan Department of Consumer and Industry Services, Bureau of Health Systems. 

Insurances Accepted

Private Sector - Kairos currently accepts most commercial insurances. Since health insurance contract benefits vary, please contact Kairos with the insurance information. We will verify benefits and explain the patient’s coverage to the referral source and the patient’s family.  

Public Sector – Kairos is contracted with various Coordinating Agencies throughout the State of Michigan to provide substance abuse treatment services to Medicaid recipients. We also have contracts in place to assist un-insured and under-insured consumers.  

Provider Experience  

Kairos opened outpatient clinics in Saginaw and Flint in May of 1997.  Our adult residential facility was opened in 1999. From it=s inception, the agency has provided both substance abuse and mental health treatment services to adults, adolescents and their families.

 Public Sector - Substance Abuse: Kairos has a background of treating Medicaid recipients, un-insured and under insured consumers. Kairos is currently funded by and contracted as a Block Grant and Medicaid provider with the following Coordinating Agencies covering over 60 Michigan counties:  

  Saginaw County Department of Public Health          Genesee County Health Department

  St. Clair County Health Department                       Southeast Michigan Community Alliance

  Northern Michigan Substance Abuse Services       Oakland County Office of Substance Abuse Services   

Mid-South Substance Abuse Services                        Washtenaw Community Mental Health

  Riverhaven Coordinating Agency                            Kalamazoo Community Mental Health

  Lakeshore Coordinating Council                                                 

Public Sector - Mental Health: Kairos is experienced in providing mental health services to consumers funded by public sector organizations. We are contracted with the Family Independence Agency to provide mental health services at our outpatient sites. Kairos is also contracted with HMO=s such as HealthPlus and Community Choice to provide outpatient mental health services to Medicaid recipients enrolled with these HMO's.  

Private Sector: Kairos is experienced in the private sector managed care environment. The following private sector insurers/managed care organizations are some of the organizations contracted with Kairos Healthcare for both mental health and substance abuse treatment services:

 

Blue Cross Blue Shield of Michigan           Blue Care Network of MI            Wausau               CIGNA            

HealthPlus of Michigan                           Community Choice                    M-Care              MESSA

Magellan Behavioral                               Connect Care                            Value Options               

Health Mgt. Systems                              Health Alliance Plan                   Physician=s Health Plan  

Note: Kairos Healthcare will negotiate with other carriers to deliver residential and/or outpatient substance abuse treatment for patients who have other commercial insurances. Prior to making the referral, please contact Kairos staff with the insurance information and we will contact the insurance carrier to make arrangements.  

Staffing  

Residential: All Therapists providing therapy at Kairos are Master’s prepared or higher. Therapists are supported by Residential Counselors who are Bachelor’s prepared or higher. Residential Counselors assist Therapists as they focus on skill development and case management. Residential Technicians support clinical staff and assist patients on a daily basis.  

Dual Diagnosis Focus  

Kairos Healthcare has built a statewide reputation as a provider who meets the needs of adults suffering from co-morbid substance abuse and mental health issues. Our agency has been recognized by the Michigan Department of Community Health as a “Dual Diagnosis Specialty Provider”.  

Experience, education and competency of clinical staff is critical when providing treatment services to dually diagnosed patients. All Kairos Therapists are Master’s prepared or higher. These clinicians are experienced in both substance abuse and mental health treatment.  

Effective treatment for patients suffering from co-morbid substance abuse and mental health issues begins at assessment. All patient assessments are performed by Kairos clinicians who are Master’s prepared or higher.  

The research clearly indicates that a simultaneous model is effective in treating dually diagnosed populations. Kairos concurs with the research. When a dually diagnosed consumer enters treatment at Kairos, both substance abuse and mental health issues are treated in a simultaneous fashion.  

Kairos is also experienced in providing residential treatment services to dually diagnosed patients.  We are experienced in delivering skill development and case management services that are critical components to positive patient outcomes.  Residential Counselors assist Kairos Therapists as we focus on AXIS IV issues and case management issues.  

Kairos therapists are experienced in delivering our proprietary Intensive Crisis Treatment services to dually diagnosed patients in crisis and at imminent risk of psychiatric hospitalization. This expertise allows our staff to utilize crisis stabilization strategies in a residential setting. 

Kairos Healthcare will accept dually diagnosed patients who are stable on their medication(s). We ask that patients present with a thirty (30) day supply of medications.  

The research clearly indicates that confrontational approaches are not effective with dually diagnosed patients.  Kairos concurs with this research and does not utilize confrontation with this population.  

A continuum of care in tandem with active case management is critical to positive patient outcomes. Kairos Therapist and Counselors work closely with referral sources and outpatient providers to insure that dually diagnosed patients transition into their home community with supports in place.  

Please See Page 7 For Additional Information On Kairos Assessment and Treatment Policies For Dually Diagnosed Patients.  

The research is clear that patients present at various levels of motivation. Kairos utilizes Motivational Interviewing and Motivational Enhancement Therapies to assist patients in becoming motivated for change. The Transtheoretical Model of Change is a critical component of the Kairos concept-based  adult residential model.

Transtheoretical Model of Change  

Level I:            Pre-Contemplative to Contemplative  

Ø       Consumers explore what makes up who they are at this point in time

Ø       Functionality in core groups i.e. family, social, friendships

Ø       What is working and what is not working?

Ø       Consideration of change

Ø       What would change look and be like and what skills are needed to make change happen?

Ø       Consumer explores their skills to determine what skills can be used and what skills must be learned or developed

Ø       Cost benefit relationship to dysfunctional behavior

Ø       Pathological relationship to mood altering substances with expectation of a rewarding experience  

Level II:           Preparation  

Ø       Identify skills to be obtained

Ø       Recognize precipitous events

Ø       Understand patterns of precipitous event to dysfunctional behavior

Ø       Recognize the relationship between dysfunctional behavior and consequences 

Ø       Develop skills necessary to facilitate change behavior  

Level III:          Action  

Ø       Practice using target behaviors

Ø       Solicit feedback regarding target behaviors

Ø       Identify success target behavior

Ø       Identify lapses into dysfunctional behavior

Ø       Develop relapse prevention strategies

Ø       Understand decompensation signs

Ø       Repeated use of target behaviors

Ø       Habituation to use of target behavior  

Level IV:         Maintenance  

Ø       Develop a pattern of self initiated use of target behaviors

Ø       Readily identify with relapse triggers

Ø       Self initiate use of relapse prevention plan

Ø       Self awareness of decompensation signs and symptoms

Ø       Accountability structures intact for feedback and support

 

Level V:          Alumni  

Ø       Open forum for friendship, support, conversation and community

Ø       Available to all alumni  

This model allows for clinical judgment to be exercised upon admission. By identifying the stage at which a patient may be, the clinical team can utilize various interventions specific to increasing motivation or addressing individual needs.

If an adult patient is willing to participate in the processes of residential treatment but is in the pre-contemplative stage of change, the clinical team has the opportunity to shape intervention strategies designed to increase motivation for change.  In conjunction with motivational interviewing, these opportunities create an atmosphere conducive to change.  

While exploring the possibilities of change, consumers are able to begin risk reduction and protective factor development within the context of the individual and their environment. The stages of change are continuously monitored to shape the type of intervention strategy and approach. This allows clinical time to be optimized toward the appropriate type of intervention.  

Some patients enter treatment at the contemplative stage of change. This suggests the consumer is aware of the need to change or at least change is desired. This is a factor influencing the length of treatment and directly relates to treatment response by the consumer. It also translates into ASAM placement criteria relative to several domains. 

Gender Specific Treatment  

Our Fayette Street Campus has two dormitory/treatment buildings. This allows Kairos to segregate the male and female populations. Patients sleep in separate buildings. While patients may come together for meals and other programming, the majority of their time is spent in separate building.  

The research is clear that many women come to treatment with sexual and physical abuse issues. Our model allows Kairos to focus on gender-specific treatment in a safe environment for our female patients.  

While most people think of women when they think of gender-specific treatment, men also have issues that are best treated in same-sex groups. The Kairos model also allows us to focus on these issues.  

Motivational Interviewing: Kairos therapists, counselors and direct care staff use principles of motivational interviewing in relating to consumers at all levels in the program. The application of motivational interviewing in this project is a primary intervention that helps the clinical team in avoiding confrontational styles of treatment. It forms the basis of a treatment approach guided by five principles: (1) express empathy, (2) develop discrepancy, (3) avoiding argumentation, (4) roll with resistance and (5) support self efficacy.   

Family Support:  Identifying and including supportive family participation in the process of treatment is essential to success with this population. This is also an element necessary to sustain through transitions such as movement from one treatment modality to another, transitions in relationships, academic or work situations.  

Dialectic Approach: The Kairos model utilizes the dialectic approach which considers not only the interactions of the constituent parts but also the relationship between the individual and all other aspects of the individual=s context. The dialectic approach forces us to consider the dynamic interactions between aspects of the individual (his or her biological, psychological, historical and socio-cultural influences) and the continual changes that occur within and around the individual.  

Community Linkages: Linkage to community supports and outpatient services are essential following residential treatment. The integration into services and supports may include Intensive Outpatient therapy, individual counseling/therapy and Twelve Step participation.  

Relapse Prevention Strategies: Numerous strategies are interwoven throughout the program to optimize each patient’s opportunities for success following discharge.  

Treatment Strategies: Various treatment strategies are utilized during the length of stay:  

·         Intensive Group Therapy (Daily 3 hr. group therapeutic process)

·         Focus Group (2 hr. group counseling emphasizing skill development)

·         Individual Therapy (45-60 minute session with Therapist -minimum 1x weekly)

·         Individual Counseling (20-30 minute session with Residential Counselor)  

Length of Stay: The length of stay in based on the needs of the patient. Our current average length of stay for adult residential patients is 15.6 days.  

Program Admission Criteria  

When referrals are made to Kairos Healthcare, an inquiry is completed identifying the patient, the potential need for services, referral source information and insurance information along with demographic information. It is Kairos= expectation to meet access to care criteria that adheres to emergent, urgent and routine standard time lines.

The intake assessment is then scheduled. At the time of the initial assessment, information is gathered by interview and solicitation of information from previous treatment episodes. Information is also solicited from referral sources and significant others including family members. Initial diagnostic impressions will be represented and if ASAM PPC-II criteria for level III.1, III.5 or III.7 are met, the patient is admitted for treatment. Instruments such as BASIS-32 are administered.

The following ASAM Domains are project indicators for initial and continuing care placement for adult residential care: (1) Intoxication/withdrawal, (2) Treatment acceptance/resistance,(3) Biological/medical, (4) Relapse potential, (5) Emotional/mental and (6) Recovery environment. The initial assessment must and does include:  

Data Collection- interview; self completed questionnaires/forms; referral source information; prior treatment record; input from significant others; Clinical impression of reporter reliability.   

Comprehensive in Scope Background- (family, genetic, cultural, ethnic/race, significant life events); education; employment; relationships; history of abuse; health history; nutritional history; leisure; ATOD history; and a mental status examination.  

Diagnostics- encompasses the full constellation of symptoms; be represented in DSM IV multi-axis diagnostic categories; and represent the influence of one axis on the other.  

Formulation - clinical evaluation of the data; problems identified in context; development of a clinical hypothesis (alternative hypothesis); recommended intervention; assure admission criteria (medical necessity) and (least restrictive) are met; represent the interrelationship between problems; prioritization of problems; establish realistic prognosis; and adherence to ASAM PPC-II criteria for Levels III.1, III.5 and III.7.  

The treatment plan utilized must and will:  

_    Be comprehensive in scope;

_    Make use of person-centered planning;

_    Be realistic; be achievable with available resources;

_    Be measurable - Behavioral, scaleable and observable.

_    Include objectives when achieved satisfies the respective treatment goal which in turn resolves or contributes to the resolution the problem addressed.                     

_    Include discharge criteria:

Establish measures to identify specific achievement precipitating discharge,

Expectation of progress, and