Detailed Description of Current Programs and Activities With Demographics
ORCA House has two residential treatment programs:
ORCA Men’s Residential Program: consists of 16 treatment beds for indigent, chemically dependent males. This program provides alcohol, tobacco and other drug (ATOD) assessments and a minimum of 30 hours of alcohol and drug treatment services weekly that includes: Individual/group therapy, job development classes, HIV/AIDSeducation, recreation therapy, life skills, anger management, nutrition, daily 12-step group involvement and random urinalysis. Treatment duration is based on successful completion of the treatment plan, usually up to 30 days.
During Fiscal Year 2011, there were 160 men admitted to ORCA House’s Men’s Residential Program and another 11 carried over from the previous year. The consumer population served in the agency’s Men’s Residential Program can be described as follows: all were adults, 85% were African American, 14% were Caucasian and 1% were from other racial groups. 38% had involvement in the criminal justice system, all were medically indigent, 43% dropped out of high school, 84% were between the ages of 18 and 40, many suffered from chronic medical conditions and lacked medical coverage and also had a mental health diagnosis. Crack cocaine, alcohol, marijuana, heroin and PCP were the most frequently abused drugs prior to admission to the program. ORCA House continued to serve a younger population in its men’s residential program in Fiscal Year 2011 than in prior years. 62% of the clients discharged during the year successfully completed treatment.
ORCA Women’s Residential Program: consists of 12treatment beds for indigent chemically dependent females. The program also provides ATOD assessment services and a minimum of 30 hours of drug and alcohol treatment services a week. Gender specific issues e.g., domestic violence, sexual abuse, separation from children, dangers of substance abuse to the unborn fetus and prenatal health/ nutrition are integrated into the treatment regimen. Urinalysis is requested regularly and randomly. Treatment duration is based on successful completion of the treatment plan, usually up to 30 days.
In Fiscal Year 2011, there were 105 women admitted into the ORCA House Women’s Residential Program another 5 carried over from the previous year. The consumer population served in ORCA House’s Women’s Residential Program can be described as follows: all were adults, 82% were African American, 17% Caucasian and 1% from other races. 31% had involvement in the Criminal Justice System, all were medically indigent, 43% dropped out of high school, 88% were between the ages of 18 and 40, many have been the victim of violence and most suffer from chronic medical conditions and lack medical coverage. Crack cocaine was the most commonly abused drug followed by alcohol, marijuana and heroin. Many also had a mental heath diagnosis. ORCA House continued to serve a younger female population in FY’11. 67% of the clients discharged during the year successfully completed treatment.
To complement the residential services, ORCA House also provides weekly, individual family group sessions for families of the residential treatment program participants. This is an integral part of the treatment process. To facilitate family participation, supervised child care services are provided.
Throughout the recovery process, ORCA staff provides case management services to coordinate the client’s total care. Staff has regular contacts with staff from other organizations, such as mental health agencies, who are also involved with ORCA clients.
ORCA provides two outpatient treatment programs:
1.) The Intensive Outpatient Program is a highly structured treatment program that targets both male and females with chemical dependency problems who also have stable sober living environments and/or viable employment. The treatment services consist of individual/group counseling, case management, recreational therapy, vocational/educational counseling, parenting sessions, legal/social service consultation, AIDS/HIV education, transportation support and crises intervention. This program focuses on topics and issues such as relapse prevention, healthy relationship building, life skills, money management, job retention, conflict management, open communication and effective use of the 12-step principles. Intensive Outpatient services are provided in five (5) week blocks for three (3) hours Tuesday through Friday with individual counseling and case management, by appointment each Monday. The program requires random urine screenings to ensure optimum service utilization and the most effective treatment delivery.
In Fiscal Year 2011, there were 81 consumers admitted into IOP during the year and 8 carried over from the previous year. Many “stepped down” from residential services. 78% of ORCA IOP clients were African American and 22% were Caucasian. 63% were males, 37% were female and all were indigent. 49% of the clients were involved in the criminal justice system, 52% did not have a high school education. 89% of those served were between 18 and 40 years of age. 71% of the clients discharged during the year successfully completed treatment.
2.) ORCA’s Aftercare Programprovides extended outpatient services, at a lesser intensity than Intensive Outpatient, to chemically dependent individuals for three (3) months. Group counseling is provided once a week with individual sessions scheduled based on needs identified in the individual’s treatment plan. Group counseling focuses on relapse prevention and addresses issues pertinent to achieving quality, continuous sobriety. Focus is on same issues as Intensive Outpatient e.g., healthy relationships building, life skills, money management, job retention, but at a lesser intensity of service provision. Individual counseling is also provided and addresses needs identified in the client’s treatment plan.
Outpatient services provide a continuum of care for recovering individuals. Many residential clients, as well as residential clients from other agencies, “step down” first to the Intensive Outpatient Program, and then to the Aftercare Program.
There were 39 admissions to Aftercare during Fiscal Year 2011 and 7 carried over from the previous fiscal year. Most of the consumers in the NIOP program have “stepped down” from ORCA House’s IOP services. Their demographics were similar to the consumers in the Intensive Outpatient Program. They were primarily African American (84%) and were indigent. They live either independently or with friends/ relatives. Most have involvement with the criminal justice system and have an incomplete education. Some were working or going to school. Most were between the ages of 20 and 40. 63% were females, 37% were males Because of their involvement with more intensive treatment services just prior to entering NIOP, consumers in this program have progressed further in their treatment, have a longer period of sobriety, have more advanced life skills, are more cognizant of relapse triggers and have more refined relapse prevention skills. They still are in need of ongoing treatment to assist them to attain a successful recovery from addiction to alcohol and/or other drugs. 59% of the clients discharged from NIOP during the year successfully completed treatment.