Adult Outpatient Treatment

SATUCI is licensed by the Iowa Department of Public Health to provide several levels of outpatient treatment activities for adults. Services are for individuals, couples, families and groups and vary in the number and length of meetings, depending on clients’ needs. SATUCI follows a model developed by the American Society of Addiction Medicine.

When co-occurring disorders exist, such as substance-related disorders and mental health conditions, SATUCI will provide services to best meet the needs of our clients. Whenever possible, all services should be provided in coordination with other health and human services providers including self-help groups such as Alcoholics Anonymous.

Because substance abuse issues affect the whole family, involvement of family members and concerned persons in the treatment process is encouraged whenever possible. If the client’s evaluation results in a recommendation for residential treatment, SATUCI can refer the client to those services.

Here are the treatment services SATUCI provides:

Early intervention

Healthcare professionals at an office meeting

This level of care is offered through our prevention education department and provides insight-based education for clients. The group uses the Prevention Research Institute’s risk-reduction curriculum called Prime for Life and is offered for adults in Marshall, Tama, Hardin and Poweshiek counties.

The Early Intervention services are:

  • Early Intervention -Prevention – This service is offered through our prevention education department and provides insight-based education for clients. The group uses the Prevention Research Institute’s risk-reduction curriculum for adults and juveniles. When people are charged with Operating Under the Influence or in other states or a Driving Under the Influence charge, they are required to participate in the DUI/OWI class.
  • Early Intervention -Treatment – Early intervention services can also be provided by a SATUCI counselor to assist individuals in learning more about their substance use and how it might be impacting his/her life. There is no charge for individual or group Early Intervention sessions.

Family Support Group

The Family Support Group meets Wednesdays from 5:30 to 6:30 p.m. to provide education and support to individuals who may have concerns about a family member’s substance usage. This is an open group and will have a new topic each week. The group is free and open to the public. Participants don’t have to have a family member in treatment to attend.

Extended Outpatient

If this level of care is determined by the client and his or her counselor, the client will be involved in the individual and/or group counseling that can be between one and nine hours of contact per week. When clients are ready and the risk of returning to using is less, they may move toward Continuing Care, a less involved form of treatment to help you maintain the gains you have made.

The Extended Outpatient groups available are:

  • Adolescent Recovery Group – This group is designed to give adolescents the knowledge, structure and support to help them evaluate the significance of their substance use, move them to a place of abstinence and provide a supportive environment for sustained recovery. This group meets Mondays from 4 to 5 p.m. Group contains information and group discussion/therapy. The length of involvement varies with each client with the basic program being eight to 10 weeks. Juvenile Probation and SATUCI staff provide case management for youth involved in the program. Some youth are involved with Drug Court as appropriate. The group uses the Matrix curriculum from Hazelton.
  • Early Recovery Group – This group is for individuals identified to be in the early stages of the recovery process. These may be individuals identified as needing Extended Outpatient Treatment or those who have completed Intensive Outpatient Treatment and are transitioning to a less intensive level of services. The group is designed to provide information, work on early recovery skills, support and camaraderie to clients as they proceed through the recovery process. Each group is organized around a topic and teaches a skill. The group is intended to help clients create a program of recovery for themselves. It meets on Thursdays from 5:30 to 7 p.m.
  • Anxiety/Depression Group – This group is designed for individuals who have identified issues with anxiety or depression. The group is intended to provide clients with a safe and supportive environment to address co-occurring issues and begin to gain a better understanding of the relationship between their substance usage and mental health issues. This group meets Fridays from 10 to 11 a.m. for clients in Early Recovery and from 11 a.m. to noon for clients in later recovery.
  • Choice and Change Group – This group is a cognitive behavioral group that looks at the connection between thinking and behaviors. The group assists clients to prepare for change, work on and develop early recovery skills, examine relapse dynamics and work on reducing the risk for relapse, group participants and other issues that can be part of ongoing recovery. This group helps clients explore their thoughts and feelings in relationship to the choice they are making primarily regarding substance use. The group is comprised of four sections: preparing for change, early recovery skills, relapse prevention and ongoing recovery issues. Two different sections are offered: Mondays from 8:30 to 10 a.m. and Tuesdays from 5:30 to 7 p.m. Clients can choose times that best fit their schedule. There are approximately 14 sections to this group and this can be completed in 12-14 weeks. Clients may be in the group for the whole series or may be transitioned from the group, depending on progress and need.
  • Recovery Group – This group provides a wide range of information on recovery related topics including recovery skills, relapse prevention, motivation, the connection between thoughts and behaviors, gender specific and co-occurring issues. Group topics will be based on the needs of the group. Clients living in the outreach office areas many times do not have access to transportation, so group cover topics from all groups offered in the main office. In Marshalltown, this group meets Tuesdays from 5:30 to 7 p.m. In Eldora, the group meets Thursdays from 5 to 6 p.m. In Grinnell, it meets Wednesdays from 11 a.m. to noon. In Toledo it meets Fridays from 1 to 2:30 p.m.
  • Relapse Prevention Group – This group provides information, support and camaraderie to clients as they proceed through the recovery process. Each group is organized around a topic and teaches a skill. The group helps clients create a program of recovery for themselves and avoiding relapse. The group meets Wednesdays from 5:30 to 7 p.m. that focuses on relapse prevention and exercises are used from evidence-based curriculum to help group members reduce the risk for relapse. The group may also include clients who directly enter through an EOP. The group may also include clients who directly enter through an EOP admission and my be Continuing Care clients depending on their needs and the progression of their progress.
  • Talking About Change Group – The TAC group assists clients in working through ambivalence about making changes. It provides information about alcohol, marijuana, methamphetamines and the effects of those substances and guides the client through self-analysis regarding their substances use. The group meets Tuesdays from 4 to 5:30 p.m. and is a four-week closed group designed to assist clients to learn more about substance abuse, evaluate the pros and cons of continued use and explore their motivation for change. At the close of the four-week, each client meets with his/her counselor to evaluate motivation to continue with treatment. The group meets every other month in the Marshalltown office.
  • Women’s Group – This group is for women in treatment for substance use disorders along with some kind of trauma. Research shows that the rate of post-traumatic stress disorder for women in treatment for substance use treatment is 30 to 95 percent. For this reason, we focus on a treatment curriculum that incorporates substance abuse treatment and PTSD. The group meets Mondays from 10:30 a.m. to noon in the Marshalltown office. Clients in this group have achieved some sobriety and are motivated for change. The group is open and length of stay is driven by clients’ needs. The group uses the Seeking Safety curriculum and the Matrix for Women.
  • Men’s Group – This group provides an opportunity for men in recovery to address issues they face in sobriety. Men who participate will examine what it means to be a man and to look at societal norms and expectations. It meets Wednesdays from 5:30 to 7 p.m. The group uses the Helping Men Recover curriculum.

Intensive Outpatient

Clients in IOP receive nine hours of group and/or individual contact each week. Family members are encouraged to participate in treatment activities as appropriate. During this level of care, clients work on a variety of introspective assignments matching their current level of motivation and receive information on substance abuse and problem gambling and life area topics. Time is allowed in each group to work on current lie issues. Clients who are receiving this level of care will be seen on an individual basis as appropriate.

The Matrix model for the IOP group sessions along with DBT concepts is used. The group provides clients with early recovery skills to assist them in establishing abstinence from drugs and alcohol. The techniques used focus on behaviors. The group is structured and has a clear and definable routine. Clients are asked to work on scheduling their time and marking their progress. The group meets Mondays, Wednesdays and Fridays from 9 a.m. to noon in our Marshalltown office.

Continuing Care

This level of service is normally indicated to assist clients as they gain support for recovery. Intensity of service varies with individual client needs and motivation.

  • Continuing Care Group – Clients eligible for this group are those who have attained stable recovery and have completed a period of more intensive treatment such as the Intensive Outpatient Treatment Program along with several weeks of group following completion of this and/or who have completed residential treatment and several weeks of group or who have experienced a recent relapse and are in need of treatment involvement again. The group helps members learn resocialization skills in a familiar, safe environment. This group meets in our Marshalltown office on Thursdays from 5 to 7 p.m. Clients can be involved in this group as long as clinically appropriate.

Special Needs

We will make every effort to meet the special needs of each client. Intake staff and clinical staff will inquire about any possible special accommodations, including a language interpreter, Braille documents, assistance in reading, writing and/or understanding or other physical or intellectual disability accommodations. SATUCI will work with every individual regardless of their abilities or limitations.