THE OAKS AT LA PALOMAA REFUGE OF HEALING IN THE HEART OF MEMPHIS

726-6053: TELEPHONE969-5559: FAX(901)

2009 Lamar Ave.MEMPHIS, TENNESSEE

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WELCOME FROM THE OAKS CEO,PAIGE BOTTOMWhen you or a loved one is suffering from an addiction or mental health condition, you want to know who you can trust to facilitate the healing process. You want a place where you feel comfortable and safe, a place where you believe you can start over and begin a new life with dignity, peace and renewed motivation.

The Oaks at La Paloma is that kind of place.

We believe in listening to you. We believe in finding the solutions for your specific issues. We are also equipped to address those issues with clinical and therapeutic expertise. Research shows that many people with substance use disorders also have mental health disorders. While most treatment centers cater to either the addiction or the mental health condition, we address both simultaneously in order to treat the whole you.

We believe that this is the only way to achieve full recovery.

Our staff members at The Oaks are specially trained to treat co-occurring disorders and are committed to seeing you or your loved one through this process for mind, body and spirit healing. We focus on the individual, helping each person achieve his or her own recovery goals. Our purpose is to create lifetime relationships for long-term recovery.

I promise that as soon as you enter our doors, you will find compassion, support and acceptance. Let us walk with you on the path to a transformed life.

Sincerely,Paige BottomChief Executive Officer

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AREwho we The Oaks at La Paloma is a place of hope and restoration. We believe that every person has the ability to change and heal. Our attitude is one of acceptance and nonjudgment; we recognize addiction as a disease and know that it takes important steps to be able to manage a mental health condition well. We are here to offer you the opportunity and tools you need to rebuild your life and keep yourself healthy and free. Your life is valuable. Your life is worth living well, and we want you to rediscover your identity in a brand new way. We will teach you about the psychological and physiological aspects of your addiction and mental health conditions. We will teach you positive coping skills, how to heal your relationships and make new ones, how to free yourself from negative thinking, how to care for your mind, body and spirit, and how to find motivation for a better future. At The Oaks, we believe in you. We will treat you as an individual and make sure that you have what you need to achieve and sustain recovery.

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CORE ELEMENTSof our program➢ integrated treatment for co-occurring disorders

➢ Basketball andvolleyball courts and a weight room for recreation & exercise

➢ comprehensive assessments

➢ Acceptance& commitment therapy

➢ Holistic options, suchas music therapy, yoga, creative arts & massage therapy

➢ individual and group therapy

➢ Eye Movement Desensitization and Reprocessing

➢ CognitiveProcessing Therapy

➢ DialecticalBehavior Therapy Skills, Cognitive Behavioral Therapy & Motivational Interviewing

➢ Family therapy, includingmonthly family weekend events and educational healing programs

➢ Diverse educational &process groups, including trauma resolution, healthy boundaries, codepen-dency, spirituality, anger management & Family Systems

➢ Relapseprevention education

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OUR TREATMENT PROGRAMtherapeutic features of

Group and Individual Therapy

Using group as well as individual therapy, we work with you to identify and focus on specific co-occurring disorders and treat them with appropriate, evidence-based treatments. This therapy incorporates cognitive, behavioral, and dynamic elements to provide you with new information and perspectives on addiction, new coping strategies for dealing with external and internal triggers, and practice in applying those tools.

Creative Arts

Artistic expression as a therapeutic exercise has its origins in both art and psychotherapy. Creative arts help individuals of all ages deal with emotional, behavioral or mental health problems, learning or physical disabilities, brain injury, neurological conditions and physical illness. Through creating art and reflecting on the art products and processes, patients in recovery can increase their awareness of self and others, helping them to better cope with emotional highs and lows, stress and traumatic experiences.

Trauma Recovery

Because statistics tell us that a majority of people affected by addiction and mental health conditions have experienced a trauma-related history, our services

routinely incorporate trauma therapy within your individualized treatment program. Trauma therapy includes comprehensive recovery treatment for survivors of childhood and/or adult trauma of all types, with our approach individually determined to meet each person’s needs.

Family Program

We believe in the healing of the whole family. Through educational & group sharing sessions, loved ones can develop new perspectives that will help them find personal healing and define their roles in the recovery process. Our goal is to help families cultivate positive coping skills, communication & behaviors that promote renewal and healthy interaction.

Music Therapy

Our innovative music program emphasizes healing through creative expression. Proficiency is not required; patients can make music with all kinds of instruments, and our music therapist will help them process their experiences and the work of treatment through music. With our Blue Door Recording Studio, patients can even record their own

songs and take the recording home with them after they leave treatment.

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At The Oaks, we believe that creative arts can be a unique and powerful part of the over-all healing experience. In the context of co-occurring disorders treatment, these exercises can increase a patient’s creativity through art interactions, helping to build self-esteem and enhance the individual’s strengths while exploring issues that may not be as easy to address in traditional therapy sessions. Methods may include collage, painting, draw-ing and other forms of art, each of which can help teach different lessons and enhance different areas of creativity. Since so much of treatment is verbal—discussing issues and talking through problems and barriers to sobriety—a non-verbal option like creative arts can provide a welcomed break and allow patients to explore themselves in a new way, often leading to fresh insights and a new perspective.

CREATIVE ARTS AT THE OAKSspecial feature

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At our Blue Door Recording Stuido, The Oaks’ music therapist, Rachel Pinter, leads thera-peutic songwriting workshops and creative arts groups. She is trained in music education and music therapy and is board certified as a music therapist, so she brings a great deal of expertise with her. We also have a “visiting musician” program that takes advantage of the national and international talent that passes through Memphis on a regular basis. Tying music into treatment and the therapeutic process makes perfect sense because it helps to solidify the important work a patient is doing. It can also provide a future touch-stone. During a rough period in recovery, patients can return to recordings made during a time of tremendous growth and be reminded of the deep work they did and all they’re capable of.

BLUE DOOR RECORDING STUDIOspecial feature

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In 2015, the Oaks underwent some new developments in recreation, including the ad-dition of a scenic nature trail, a sport court for basketball and volleyball, shuffleboard, and new equipment and curriculum for the in-house gym. At the gym, there are plenty of exercises available, from rowing and stationary bikes to elliptical machines and tread-mills, providing low-stress workouts that deliver tangible results. The Oaks’ outdoor programs include a scenic nature trail at the back of the campus. This quarter-mile loop is a meditation path, but it also does double duty as a fitness course. Stations are located throughout the path that can be done at a leisurely pace as a mindfulness exercise or as a timed obstacle course. We believe that engaging in exercise and activity is healthy for mind, body and spirit healing, and it can help patients develop new, positive habits as they pursue a life in recovery.

EXERCISE AND RECREATIONspecial feature

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Trauma can affect anyone. At The Oaks, we know the importance of resolving the effects of trauma, which often contribute to substance use and mental health issues. We utilize a number of effective modalties to help patients process pain, negative thoughts, depres-sion and anxiety. Healing from trauma paves the path to long-lasting recovery.

We use three therapies specifically in regard to trauma issues: Eye Movement Desensi-tization and Reprocessing (EMDR), Acceptance and Commitment Therapy (ACT) and Cognitive Processing Therapy (CPT). EMDR disarms past experiences that have set the groundwork for patients’ thinking and feeling patterns. It resets the path of dysfunctional emotions, beliefs and sensations while instilling a positive experience that is needed to enhance future adaptive behaviors and mental health. ACT helps patients take control of their lives and determine how much importance negative thought patterns and habits will receive. And CPT includes written or conversational exercises where the patient learns to take into account the context of the event, why it happened, his or her real role in the event and what is stopping the emotional processing from achieving natural closure.

At The Oaks, we use these approaches and others to help each patient discover his or her most precious values and act on them. By learning to notice and accept unpleasant thoughts or feelings without giving them the power to control behaviors and attitudes, a person can once again enjoy a meaningful life.

TRAUMA RESOLUTION

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FAMILY PROGRAMweekendsThe Oaks at LA Paloma believes in the healing of family relationships.

We recognize the importance and need for family involvement (whenever possible) in the recovery process, because family support can be key to an individual's long-term success. At The Oaks, we provide education about the impact of addictive behavior and mental health issues on the family as well as the challenges that arise for the family when a patient begins the recovery process. We work toward making family therapy a significant part of each individual's treatment experience. We believe that in order to provide the best treatment possible for each patient, we need to make decisions about family therapy on a case-by-case basis following discussion with treatment teams and each individual.

We believe that The Oaks provides many opportunities for patients to work on family issues in group and individual therapy as well as our Intensive Family Program, which takes place over a weekend. During that weekend, our sessions and groups provide an examination of the characteristics, histories, experiences and dreams of our families with a particular eye toward each individual’s role and responsibility in the family system.

Consultation with your assigned primary therapist may result in an invitation to family members or significant others to attend our family program. Together we establish a safe and trusting environment in which members share their individual experiences. We observe the commonalities and learn from the differences. Teaching is provided that explores recovery, family and group dynamics, and the successful as well as destructive ways we cope as human beings. Finally, facilitated experiential work helps participants break down the barriers that separate us from the deeper family connections we have lost or longed for. A follow-up plan, which may include families returning for additional in person meetings, is developed and agreed upon. Follow-up telephone consultation and support may also be arranged.

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Saturday9:00 AM - Welcome/Breakfast; Introductions9:30 AM - Mississippi Mud: The Problem of Treating Co-occurring Disorders10:30 AM - Break10:40 AM - Video: Pleasure Unwoven (Biological/Disease Model of Addiction)12:00 PM - Lunch/Welcome Patients1:00 PM - Introduction to Family Systems/Family Roles1:50 PM - Break2:00 PM - Effective Communication/Group Processing3:00 PM - Adjourn; Visiting Until 5 pm

Sunday9:00 AM - Welcome/Breakfast9:15 AM - Family Process Group – When the Whale Came to My Town10:15 AM - Break/ Welcome Patients10:30 AM - Boundaries/Exercise on Boundaries12:00 PM - Lunch1:00 PM - Relapse Prevention Planning1:50 PM - Break2:00 PM - Creating Family Agreements/Gratitude2:45 PM - Wrap-Up/Evaluation3:00 PM - Adjourn; Visiting Until 5 pm

The above agenda is meant to be a general guideline. Keep in mind that times may varydepending on factors such as the needs of the group, level of participation, group discussion and other variables. Also, please dress in layers to accommodate variations in temperature.Family weekend provides an opportunity for personal growth as well as the opportunity to gain insight and knowledge into family systems and the impact each individual has on that system. We encourage all who plan on attending family weekend to attend in full so that the maximum benefit will be achieved. In addition, we encourage all who come to our family weekend to come with an open mind and an open heart in an effort to create the best learning environment possible. All of us at The Oaks look forward to a wonderful weekend with you and your family!

FAMILY PROGRAMweekend schedule

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Financial/Medical• A valid photo ID (government

issued ID, driver’s license, passport, etc.)

• A valid credit card formedical copayments, prescriptions and any other ancillary expenses

• Your current health insuranceand pharmacy benefit cards; prescriptions and any diagnostic lab work may be billed directly

• Your current medicationsin their original prescribed/labeled containers. Also bring any over-the-counter medications you may be taking

• Any medical equipmentneeded (cane, wheelchair, CPAP, nebulizer, etc.)

• Any relevant medical recordsfrom current or previous treatments

• Contact information forpersonal physician, psychiatrist, psychologist, therapist, personalcontacts and emergency contacts

What NOT to Bring• Cell phones, iPods, iPads,

CD/DVD players, video games, cameras, PDAs and/or computers/laptops

• Weapons of any kind

• Alcohol, illicit drugs,energy bars/drinks

• Mouthwash, perfume orother personal care items that contain alcohol

• Magazines or newspapersthat contain pornographic or other inappropriate material

• Clothing that is revealing orwith alcohol, sexual, derogatory or drug messages/logos

• There is NO need to bringcash. All meals and other necessities are provided to you by The Oaks.

Clothing/Personal Items• There are distinct seasons in

Memphis; please pack with this in mind

• Plan for indoor and outdooractivities

• Recommended clothingincludes: casual slacks, jeans, shorts, sweatshirts, t-shirts, sweaters, outerwear (including a jacket or coat/rain coat), underwear, socks, comfortable athletic shoes, loafers and/or sandals. These will vary depending on season.

• All patients must wearnightwear to bed.

• Personal hygiene productsincluding hair dryer and curling irons are welcome, toothbrush, toothpaste, bath soap, shampoo/conditioner and deodorant

• Address book with phonenumbers and/or addresses

• Hard or soft cover books arepermitted and are used only during designated times

• If you smoke, bring enoughcigarettes for 35 days.

Here are some guidelines to follow when

packing for your time at The Oakswhat toBRING

Laundry machines are located on-site, and detergent and bleach are provided; however, if youneed specific detergents/softeners/bleach, please bring these. All bedding, towels, etc. are providedand cared for by The Oaks staff. If you have a special comfort like a small blanket, stuffed animal orpillow that gives you a sense of home, please bring it along! Pictures of your loved ones are welcome.

The treatment team reserves the right to prohibit, on an individual basis, items that have a strong potential of interfering with recovery. All personal items will be subject to search by agency staff at admission, randomly and following passes from therapeutic off-campus outings.

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STAYING CONNECTED

Continuing CareOur outpatient programs are designed for a balance of structure and convenience. For us, providing quality outpatient treatment means offering support and expert guidance through each step of recovery, which includes the post-treatment experience. Your treatment team will make recommendations for continuing care that will provide support for your ongoing recovery process.

Heroes in RecoveryHeroes in Recovery celebrates the heroic effort it takes to stay clean and sober each day. This grassroots movement is dedicated to creating supportive sober communities & eliminating the social stigma associated with treatment and recovery. We partner with Heroes to engage our alumni and their loved ones through 6K races and events that bring people together. At HeroesinRecovery.com, people can share their stories of healing and encourage others to find treatment or stay on the recovery journey.

Alumni ActivitiesWe organize an annual alumni reunion as well as bimonthly events that range from twilight bike rides, guided painting parties, all-day yoga retreats and picnics at local parks to art shows, food drives, swim parties and homeless outreach. These varied activities appeal to diverse interests and include a mix of fun, social interaction and service that reinforces recovery principles.

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Sending MailMail sent to patients should be addressed with the patient's name in care of our facility’s office address: The Oaks at La Paloma, 2009 Lamar Ave, Memphis, TN 38114.If patients need to receive an overnight package, they can contact the office to set up delivery during office hours.We will not open the patient's mail, but our staff will need to be present as envelopes are opened, as well as when any wrapped packages or boxes are brought in or delivered by mail. Inappropriate items will be held in a locked area and returned upon discharge (unless they are illegal substances).Signatures are required when packages are received/accepted by the patient.

Phone Access Policy The Oaks provides patients with access to an in-house phone and allows them to make calls during designated times. Each treatment level has corresponding phone privileges: In the residential units, phones are available from the hours of 12:00 pm - 10:00 pm during the week and 10:30 am - 10:30 pm on the weekends—during free time only. Phone use is not permitted during group/meeting times.• Pre-contemplation level: 10 minutes a day • Contemplation level: 10 minute limit a day• Preparation level: 20 minute limit a day• Action level: 30 minute limit a day Patients must sign a list to use the phone and all calls must be limited to the allotted time. Patients may use their allotted time in segments, but they are not allowed to use the phones during scheduled group/meeting times.Cell phones: Patients are not allowed to keep or use their cell phones while at The Oaks.

Contact UsFor business questions: Please email Memphis.business.office@frnmail.com.

For general admission questions: Please email Memphis.intake@frnmail.com or call 866.491.6548.

For comments or general questions: Please call 901.969.5530 or email Memphis.intake@frnmail.com.

GENERAL INFORMATION

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What Does Research Say About Staying in Treatment Longer?Research from a variety of sources confirms that length of stay in substance abuse treatment is a strong predictor of treatment outcomes, with longer lengths of stay in treatment associated with lower post-treatment substance use rates. (1) In addition, longer periods of treatment engagement are associated with lower readmission rates. (2)

In the 90s, the National Institute on Drug Abuse (NIDA) initiated a series of Drug Abuse Treatment Outcomes Studies (DATOS) to track treatment outcomes in the US. In 1997, one DATOS evaluation, “Treatment Retention and Follow-Up Outcomes,”(3) revealed the following:

• “The length of time clients stayed in treatment was directly related to improvements infollow-up outcomes, replicating findings from previous national treatment evaluations (DARP and TOPS).” (4)

• In long-term residential treatment, patients who stayed in treatment for 90 days orlonger had “significantly better follow-up outcomes on a variety of criteria” than those who stayed for less than 90 days.

• In long-term residential treatment, those who had stayed in treatment for 90 days ormore had “statistically significant” differences in outcomes than those who stayed for shorter periods of time. In the study, these differences were seen in “weekly cocaine use (36% vs 14%), heavy alcohol use (31% vs 11%), predatory illegal acts (23% vs 12%), sex-related HIV/AIDS risks (33% vs 26%), and unemployment on a full-time job (86% vs 71%).”

The Oaks provides an evidence-based rehabilitation program that is focused on motivation, engagement and effective therapies for sustainable recovery.(1) (DeLeon & Schwartz, 1984; Greenfield, Burgdorf, Chen, Porowski, Roberts, & Herrell, 2003; Simpson, Joe & Rowan-Szal, 1997). DeLeon, G. & Schwartz, S. (1984). Therapeutic communities: What are the retention rates? American Journal of Drug and alcohol Abuse, 10, 267-284. Greenfield. L., Burgdorf, K., Chen, X., Porowski, A., Roberts, T., & Herrell, J. (2003). Effectiveness of long-term residential substance abuse treatment for women: Findings from three national studies. American Journal of Drug and Alcohol Abuse, 30, 537-550. Simpson, D. D., Joe, G. W., & Rowan-Szal, R. G. (1997). Drug abuse treatment retention and process effects on follow-up outcomes. Drug and Alcohol Dependence, 47(3), 227-235. doi: 10.1016/S0376-8716(97)00099-9

(2) Moos R.H. and Moos B.S. (1995). Stay in residential facilities and mental health care as predictors of readmission for patients with substance use disorders. Psychiatric Services 46(1):66-72.

(3) www.datos.org/adults/adults-retention.html. Last Revised: 14 December 2001.

(4) Hubbard, R. L., Craddock, S. G., Flynn, P. M., Anderson, J., & Etheridge, R. M. (1997). Overview of 1-year follow-up outcomes in the Drug Abuse Treatment Outcome Study (DATOS). Psychology of Addictive Behaviors, 11(4), 261-278.

The Oaks has a commitment to long-term recovery, which is why we encourage patients to stay with us for 90 days or more. Research has shown that programs with longer lengths of stay produce better treatment outcomes than those with shorter lengths of stay. We also provide continuing care through our nationwide outpatient programs. Nearby Foundations Memphis is the ideal place to transition out of residential treatment while continuing the work of recovery in a holistic, restorative outpatient setting.

EVIDENCE-BASED90 DAY TREATMENT

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Discharge SupportIn preparation for your discharge, you will meet privately with your primary therapist and the care manager to prepare your individualized continuing care plan. This will include goals for living in transition, sources of support, travel and living plans. This be-comes part of your discharge summary report that may be shared in the future with other professionals of your choosing.

Crossroads “Parting” CeremonyAs you transition from The Oaks, we will celebrate your journey with a special ceremony that provides the opportunity to reflect on your progress as we embrace the courageous work that you and your treatment team have done.

Additional InformationYou will be asked to complete an exit interview form. Honest feedback on how we can improve our program, as well as any positive comments, help us to change, grow and get better all the time—just like the recovery process for an individual. A discharge summary and the return of all personal items and medications will complete your departure.

We wish you well on your path to a full and healthy life in recovery.

SUCCESSFUL DISCHARGEplanning for your