compulsive nature of a behavior often pinpoints to an addiction. When the term
addiction is mentioned, some people think of dependence on a drug or substance.
Addiction comes in numerous forms. In addition to substances, a person can
become addicted to eating, shopping, gambling, sex, etc. When compulsive
behaviors twirl out of control, causing social and occupational
impairment, treatment should be sought. The state of Louisiana face significant
issues related to drug use. According to the Substance Abuse and Mental Health
Services Administration (SAMHSA), in Louisiana, about 228,000 individuals 12
years and older were dependent on or abused alcohol in 2013 to 2014. In
addition, about 112,000 individuals 12 years and older were dependent on or
abused illicit drugs the same year. Louisiana percentage of alcohol and illicit
drugs dependence or abuse was similar to the national percentage in 2013 to
2014 (Substance Abuse and Mental Health Services Administration, 2015).
is critical to helping individuals with substance use problems identify the
severity of their dependence or abuse. The need for rehabilitation centers,
such as the Council on Alcoholism and Drug Abuse of Northwest Louisiana (CADA),
the Center for Behavioral Health Louisiana, the Caddo and Bossier Center and
others are in high demand to combat the battle on substance use disorders.
These facilities provide inpatient and outpatient care to their clients. CADA
has four facilities throughout the state of Louisiana. This paper will explore
an overview of CADA, their treatment framework, and the advantages and
disadvantages of their treatment approach.
Overview of CADA
The Council on
Alcoholism and Drug Abuse of Northwest Louisiana (CADA) is a non-profit,
private health organization providing substance abuse services. CADA was
founded on October 1, 1958, and has been providing addiction treatment services
for the residents of Louisiana since that time. CADA is one of 100 partners of
the National Council on Alcoholism and Drug Dependence. Nearly 50 years ago,
individuals that sought treatment were only provided with information and
referrals in the cities of Shreveport and Bossier City. CADA began providing
addiction treatment services in 1986 (Council on Alcoholism and Drug Abuse of
Northwest Louisiana, 2017).
has four treatment facilities in the Shreveport-Bossier area and a total of 14
programs throughout the state of Louisiana. CADA provides addiction treatment
services for adults, teens, families, and veterans. Treatment approaches
include but not limited to individual counseling, group counseling, family
counseling, 12-Step programs, brief intervention approach, motivational
interviewing, and relapse prevention. Payment for services is affordable and
options include: Medicaid, private insurance, self-pay, and, in some cases,
state funding (CADA, 2017).
CADA’S Treatment Framework
Treatment at any establishment varies according to the
availability of resources i.e. medical monitoring availability or type of
services and therapy provided. CADA provides evidence-based treatment for
adults, teens, families, and veterans who battle with alcohol and other addictive
diseases. Their preferred treatment methodology follows the rational emotive
behavior therapy approach. Admission for treatment is determined by a screening
process for medical necessity and eligibility. CADA’s treatment center in
northwest Louisiana provides the following services for eligible individuals:
detoxification, residential treatment (high and low intensity) for adults,
residential treatment for teens, family residential treatment for mothers, and
a veterans housing program (CADA, 2017).
supported detox entails CADA’s doctors and nurses assessing an individual to
determine if he or she meets the criterion for detox. The purpose of medical
detox is for professionals to safely manage the physical symptoms of
withdrawal. Detox is the beginning phase of rehabilitation (CADA, 2017).
alone seldom achieve sobriety for an addict. Once physiological dependence upon
substances comes to an end, individual and group intervention can began to help
clients identify the basis for their addiction. CADA offers high-intensity and
low-intensity residential programs for adults. The high-intensity program
offers care 24 hours each day. Clients are able to partake in individual
counseling, 12-Step support groups, group, group therapy, exercise and/or
recreation, etc. (CADA, 2017). The low-intensity program is a residential
halfway house. It is common for clients to shift from the high-intensity to the
low-intensity program. Clients receive weekly group therapy and individual
counseling as needed. Also, clients can look for employment or receive
educational and/or vocational training (CADA, 2017).
treatment for teens provides care for 12 to 17 years of age 24 hours each day.
Services include: medical and psychiatric evaluation, group therapy,
substance/addiction education, 12-Step and spirituality education,
consultations, physical fitness, etc. Each child will obtain formal education
from a certified teacher while in treatment (CADA, 2017).
is pertinent to helping them identify factors that contribute to their
addiction. It is also beneficial to have the client’s family involved in their
treatment. Irving (2015) states family involvement is an important element of
providing individualized care to clients in residential treatment. Family
members can offer vital insight about the client’s personality, choices, and
past events. Research suggests that miscommunication is reduced, interaction
between family and staff increase, and overall approval of care improve when
family members are involved (Irving, 2015, pg. 166).
treatment is suitable for individuals whose addiction is adequately stable,
have moderate symptoms, and ready to partake in their treatment plan.
Outpatient treatment programs can include private practices, substance abuse
centers or mental health clinics. CADA provides intensive outpatient (IOP) and
outpatient group programs for individuals battling an addiction. The focal
points of these programs are the client’s behavior, internal and external
triggers, thoughts, feelings, recovery skills, sobriety motivation, and
recovery goals (CADA, 2017). Outpatient treatment is designed to enhance a
client’s involvement in treatment and self-efficacy concerning the reduction of
substance use (American Psychiatric Association, 2010). CADA’s clients are able
to reside in their own home and treatment is cost effective.
treatment program is tailored for women only. Services are provided for
pregnant women and women who have children age 12 and younger. The focal point
of treatment is the client’s physical, mental, and emotional rehabilitation.
Care is provided 24 hours each day for up to three months. Kim et al. (2015)
states that women account for 30 percent of substance use disorders treatment.
Women in residential treatment have a tendency to be younger, have inferior
levels of education and employment, more involvement with criminal justice
system, and have prior treatment for substance use when compared to women
coming into outpatient (Kim et al., 2015, pg. 404).
individual and group therapy for the women. Their children also partake in
group therapy for children that entail play and art therapy, anger management,
conflict resolution, family relationship skills, and communication. School-aged
children must attend school. Children and their mothers both receive individual
counseling during treatment (CADA, 2017).
into CADA’s housing program receive treatment at their local VA Medical Center.
CADA veterans program provides clients with a dorm type room, meals, individual
counseling on a need basis, and transportation to support group (CADA, 2017).
Ellerbe et al. (2017) states the importance of residential treatment programs
for veterans continuum of care is an essential part of treatment for substance
use disorder. Effectiveness of treatment research suggest that residential
treatment is a valuable choice for veterans who require substance use treatment
and support 24 hours each day (Ellerbe et al., 2017, pg.2). CADA give priority
to veterans residing in the state of Louisiana, although out-of-state veterans
can also receive services. The goal of CADA’s veteran recovery center is to
ensure clients have sufficient support and a pleasant environment to help them
build the basis in their recovery process (CADA, 2017).
Strengths and Weaknesses to Treatment
CADA primary focus
is to help individuals recover from substance and alcohol abuse. The goal of
treatment is to obtain abstinence. CADA utilize an array of treatment
approaches in rehabilitating their clients. Every method of treatment has its
advantages and disadvantages. One of CADA’s biggest strengths is their
methodology for treatment. CADA utilize Rational Emotive Behavior Therapy
(REBT). The focal point of this treatment approach is to help clients
comprehend how negative thoughts and beliefs generate distress which leads to
unhealthy behaviors. Clients in recovery from substance abuse, REBT will
examine their beliefs that influenced their use in the beginning and the
factors that contribute to their current cravings. REBT works effectively with
maladaptive behaviors such as substance abuse. Turner (2016) states REBT holds
that it is not the incident that directly cause feelings and actions. Rather,
it is the individual beliefs about the incident that lead to their response
Another advantage to CADA’s
treatment approach is the utilization of motivational interviewing.
Motivational interviewing can assist clients in their efforts to aid in change.
This approach is designed to have the client mutually invested in the change
process along with their treatment team.
A disadvantage to CADA’s treatment
approach lies in their aftercare approach. While utilizing a 12-Step program
has proven effective for a multitude of clients, there is a downside to this
type of treatment. Such programs do not support dual diagnosis. Many people
that are battling an addiction also have a mental health disorder. Most 12-Step
programs focus on the 12 stages in the recovery process from an addiction. When
an individual have a dual diagnosis such as a substance use disorder and a
psychiatric disorder, they must be integrated into the client’s treatment plan.
People with substance use disorders have
an intense drive and focus to keep using a substance until it impairs their
social and occupational functioning. Changes in their brain mechanism cause
irrational thinking, behavior, and feelings. Seeking treatment is a viable
solution for addicts who desire to change. In the state of Louisiana, the
prevalence of drugs continues to plague teens as well as adults. Treatment
centers are pivotal to fight against substance use addiction. CADA treatment
programs offer an array of services for a diverse population. Their staff is
committed to providing the highest quality of care at affordable rates to the client’s
road to recovery.
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