Extended treatment has historically been identified with high-functioning professionals struggling with substance use disorders, career licensing issues, and/or dual diagnosis. Over the last 15 years, The Farley Center has broadened its extended care treatment to motivated individuals, not just professionals, who may struggle with chronic relapse, dual diagnosis, chronic pain, or unresolved issues such as trauma.
Patients are identified for the extended program with the help of a multidisciplinary team consisting of our physicians, therapists, and nurses. Patients build on a therapeutic community model by residing in The Villages at Williamsburg Place, a sober-living community.
Pain Management Path
The Farley Center's pain management path is intended for adults 18 years and older who are experiencing chronic, nonmalignant pain and are looking for an alternative to habit-forming medications. The program emphasizes the discontinuation of pain medications and focuses on a self-management approach to control and reduce chronic pain. Examples of individuals that have done well with this path present with the following:
- headaches and migraines
- opiate hyperalgesia
- chronic neck and back pain
- complex regional pain syndrome
- neuropathic pain
- generalized pain and chronic fatigue
For those who struggle with chronic pain, it is not surprising to find other mental health disorders such as depression, anxiety, and addiction associated with pain. For this reason, our extended program provides a setting that is specifically suited to manage these coexisting psychiatric conditions.
On top of the comprehensive extended treatment components, participants in the pain management path will have a medication evaluation and safe detoxification with physicians who specialize in addiction, neuropsychiatry, and internal medicine. Additionally, a chronic pain psychotherapy group, mindfulness and relaxation training, acupuncture, osteopathic manipulation, appropriate activity therapy, and individual psychotherapy that will focus on acceptance and commitment are integrated.
Participants in this path will be educated in what influences their pain and will have been able to practice the new skills learned in treatment to improve their relationship with their pain and improve their overall functioning in life.
THE VILLAGES AT WILLIAMSBURG PLACE
The therapeutic community of The Farley Center at Williamsburg Place is designed to offer each professional patient an atmosphere conducive to learning how to apply recovery-based living in a real-life environment. Living with other recovering patients offers a setting that engenders peer support, encouraging each patient to begin assuming personal responsibilities and developing the skills necessary for recovery.
The Villages offer:
- semiprivate accommodations in comfortable two-bedroom apartments
- a location on the Farley campus
- a washer/dryer and fully equipped kitchen in each apartment
Each patient's treatment program is specifically crafted for him or her and is designed to address addiction as a primary illness. Additionally, adjunctive issues that sabotage addiction recovery (e.g., early childhood trauma, co-occurring process addictions, marital conflict, relational issues) are addressed intensively.
It is the focus of The Farley Center to treat substance use disorders as a primary illness while recognizing and treating each issue in the patient's life that causes pain and avoidance. Our approach has enabled alumni to assume healthy and functional lives.
At The Farley Center at Williamsburg Place, the intensive 12-step focus on recovery and cognitive behavioral therapy is reinforced by a commitment to experiential therapies that deepen the psychological and spiritual journey of recovery. Brain research reinforces the effectiveness of this approach, which not only aids the patient cognitively but also stimulates different areas of the brain and enables the patient to more effectively “inhabit” their bodies and minds unaffected by chemicals. Some of the experiential therapies offered at The Farley Center include activity therapy, equine therapy, mandala therapy, and music therapy.
Activity therapy, long a staple at The Farley Center, remains a major therapeutic modality. Low-ropes activities, intensive processing in an outdoor setting, and identification of personality tendencies that enhance recovery are central to this experiential therapy.
The Farley Center is fortunate to be located close to Dreamcatchers, an equine therapy center. The equine therapists—working with the licensed professionals at The Farley Center—utilize grooming and developing relationships with an assigned horse during the equine therapy experience. Issues of surrender, confidence, and empathy as well as the richness of the metaphors that emerge from this type of therapy are all processed during the equine therapy and later in small recovery groups.
Several of our therapists are trained in the Mandala Assessment Research Instrument (MARI). The Sanskrit word mandala is loosely translated as “circle” but is far more than a simple circular shape. The mandala is used as a tool to help patients realize that addiction is a "feeling" disease. By participating in mandala journaling, they can associate these new feelings with recovery.
Music in Recovery
Music is a universal language, and The Farley Center utilizes specific music in recovery groups that enable patients to experience both lyrics and instrumentals that “speak” to them emotionally. Many of our therapists are students of the Bonny Method of Guided Imagery in Music, a system designed to utilize specific sequences of classical music as a “co-therapist” in accessing non-ordinary states. Recognizing addictive processes that are triggered by music is also a focus.
To learn more about our Extended Program, please contact admissions at 800.582.6066.
Justin Mangold, LPC, NCC
Philippa Matheson, LPC, CSAC, NCC
Matthew Markowitz, CSAC
Shahana Kiesler, LCSW
Pamela Kayanan, LPC, LMFT, LSATP
Nathan Ocegueda, CSAC
Carli Papas-Pasco, LCSW
Garry Spain, CSAC
Bianca Waechter, MEd, CSAC, NCC
Roland Kimbrough, MA, CSAC
Gary Loyd, LPC, MDiv
Our Care Managers
Dan Perry, MEd, CSAC
Andreas Bienert, MA, NCC
Kathryn Meier, MSW
Robert Dice, MEd
Joan Farr, MS, RT
Cheryl Pharr, MEd, CT