1. At Scienza addiction is seen as a human rights issue and everybody is treated with utmost respect and compassion. "I have a disease, but am I am not a bad person" is the slogan that supports this philosophy. In treatment it is important to label some of the negative feelings that arise in recovery as being related to behaviour, and not to personal identity. Therefore there is a difference between engaging in bad behaviour and being a bad person. The behaviour happened as a direct result of substance abuse and not because of being a bad person. Addiction is a chronic disease like any other chronic disease i.e. Diabetes or asthma and deserve likewise respect and non-discrimination.

2. Confidentiality: All services delivered with high priority on utmost confidentiality in a safe and private environment.

3. Lapse or relapse is part of treatment. If someone have an accidental lapse or relapse during treatment, they are not expelled from treatment or refused further help. Addiction is a chronic, relapsing brain disease and in many cases relapse is part of treatment. Relapse analysis and adjustment in behaviour and coping will prevent ongoing relapse.

4. Treatment format.Treatment consists of:
  • Individual / conjoint sessions
  • Early recovery skills group sessions
  • Relapse prevention group sessions
All sessions after hours with 60 to 90 minutes duration.

5. Urine analysis. Regular weekly random urine drug testing or alcohol saliva testing is a critical tool as part of outpatient treatment. This is not presented or employed as a monitoring measure or as a statement of mistrust regarding a person's honesty. Urine testing helps the therapist and patient keep the patient's behaviour in line with the recovery process.

6. Family involvement in education sessions is very important. Why?

  • Family involvement is associated with better treatment compliance and outcome.
  • Family members have clearer understanding of the roadmap for recovery. Thus understanding what to expect and anticipate.
  • Patients and family members understand their respective goals and roles in recovery.
  • Family members and patients get support in the recovery process.
  • Education and understanding helps in addressing stigma and acceptance
7. 4 month duration. Acceptance and life style and behaviour change takes time and therefore initial treatment period is 16 weeks. It takes time to realize the disadvantages of drinking and using and to experience the advantages of a sober life. Moreover it takes time for the brain chemistry changes to be restored and obsessive thoughts and compulsive behaviours to be brought under control.

8. Support group involvement. The program support and advocate participation in any form of support structure outside of treatment. This includes support through 12 step groups like AA (Alcoholics Anonymous) or NA (Narcotics Anonymous) or support at church based cell groups or other spiritual based groups.

9. Counselling style is at all times non-confrontational, client centred and respectful of individual's autonomy and self-efficacy. Treatment plans are individualized and based on client specific needs.

10. Supportive of professional involvement for co-occurring disorders. Many individuals in need of alcohol and drug treatment also have some form of underlying (many times untreated or undiagnosed) co-occurring psychiatric disorders such as depression, anxiety disorder, bipolar disorder, or other ailments that require treatment. At Scienza we work closely with psychiatrists and psychologists to incorporate medication or additional psychological support into the treatment plan when appropriate and coordinate any additional patient care. These efforts allow for the highest level of clinical excellence during treatment and provide additional support for those struggling with dual diagnosis mental health problems.

11. Medication Assisted Treatment. Medication Assisted Treatment (MAT) has been proven to improve outcomes for patients in alcohol and drug treatment. A number of different appropriate and well researched medications are currently available to assist individuals with their withdrawal from alcohol and drug use and management of their recovery. Medication management can be coordinated with prescribing professionals when appropriate and necessary. Additionally a representative family shared care person can assist in supervised consumption.

This can include:
  • Antidepressant, Antipsychotic, Anxiety disorder or mood stabilizer medication
  • Suboxone and Subutex (buprenorphine) - for opioid dependence
  • Acamprosate (Campral / Besobrial) - for alcohol dependence
  • Disulfiram (Antabuse) -for alcohol dependence
12. Ongoing social support. This program offers ongoing social support group on a weekly basis after completion of the 4 month program.

13. Individual Therapy. Ongoing monthly individual sessions after treatment completion.

14. The focus of session topics and counselling is more on new behaviour and advantages of change. Consequences and destructive substance induced addictive behaviour is therefore not used as a stick to hit or to humiliate and to force people to change, but just as a reminder of the disadvantages of the status quo.

15. Treatment outcome and results are the same for alcohol, methamphetamine ("Tik"), cocaine, opiate (heroin or narcotic pain medication), marijuana ("dagga"), prescription drugs (sedatives) or over the counter medication dependence".

16. Treatment model also very successful as an early intervention program. Research has shown that successful early intervention increases chances of preventing potential addiction. With proper screening and assessment outpatient treatment as an intervention program is often more appropriate than inpatient residential treatment.

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