Because many problematic and addictive behaviors can come at great risk to a client’s health, a safe environment is extremely important. The following are safety measures Evo takes to ensure high quality, individualized care.
Full Medical Evaluation
Upon entering Evo’s treatment program, each client undergoes a full medical evaluation. It’s important for the clinical team to understand the full scope of any major medical concerns that each client has and also identify any other health issues that the client may not have been aware of. Evo works with a physician who administers an exam specially designed for Evo’s clients that can flag any potential health concerns. Our physician is also a certified Vivitrol (anti-craving medication) provider and can work with clients who are interested in this approach.
Full Psychiatric Evaluation
Each client also undergoes a full psychiatric evaluation. Evo works with a psychiatrist who helps identify any psychiatric concerns that each client and the clinical team should know before the program begins. The psychiatrist can also help clients manage their current medications or prescribe them a regimen of medications that support the challenging work that the client does in the program. If a client already has their own psychiatrist, Evo will also work in partnership with their provider.
Unlike many treatment centers, we do not kick clients out of the program if they drink or use. Instead, we do the difficult one-on-one work of supporting clients to delve into the drivers of episodes that cause them to deviate from their goals. However, clients also must be able to participate meaningfully in individual sessions and group work. If a client is unable to participate in group work, Evo clinicians ensure they get home safely and then follow up with in-depth discussion with clients about next steps.
Accountability to Client Goals
Clients in Evo’s program work with clinicians to set their own goals around a variety of aspects in their lives, including substance use, problematic behaviors, relationships, and their engagement with the world. Evo takes a firm stand against policing clients: research has shown that this type of “tough love” approach just doesn’t work. However, the team does work closely with each client to hold them accountable to the goals that they set. Clinicians stand firmly on the side of each client as they do this work, with the conviction that each client has the abilities and skills they need to make progress toward the life they desire.
Clear Communication with Family and Loved Ones (If Applicable)
In particular, when Evo works with young people and their families, we maintain clear and regular contact with family members. The clinical team keeps parents informed on a regular basis on the progress their child is making toward their goals. We also regularly assess if each client needs additional customized support or if they might need different kinds of care.
Ongoing Assessment of Appropriate Level of Care
Evo does not have a residential or detox component to its program. For this reason, the clinical team works with each client on an ongoing basis to assess the level of care that is appropriate for each client’s needs. We refer out if we see that the client needs a different kind of care.
Atmosphere of Transparency and Trust
Perhaps the most important safety mechanism Evo has in place is a tireless commitment to create an atmosphere of transparency and trust. In many treatment centers, particularly those with a “tough love” approach, when clients relapse, they do not feel comfortable to share this information with their clinical team. In fact, many treatment centers actually kick clients out of the program who end up using.
At Evo, we collaborate with each client to identify goals that make sense for their life. Because we work side by side with clients and operate in a “no judgment” atmosphere, clients are much more likely to be honest about their challenges and we have a greater ability to support them as they wrestle through the difficult process of renegotiating their relationship to substances or other addictive behaviors.