GENERAL PROGRAM QUESTIONS
Many things separate us from other programs. Our level of care and attentiveness is unsurpassed in the Southern California outpatient care continuum. First, we only admit a small number of clients to ensure that each client gets the full attention, care, and resources of our staff. We do not have beds to fill or an arbitrary census quota to meet. Secondly, all client care is provided “one-to-one” with a clinical professional. There are no groups. This model allows us to truly customize and individualize treatment to each client’s needs in a way that is impossible for other group-based outpatient and residential facilities. Lastly, all of our primary clinicians are licensed professionals and specialize in specific areas of expertise. We do not employ interns as many local, “high end” facilities do. We are not a therapist-training site and believe you should receive what you pay for: a highly experienced and seasoned team of clinicians that provide you with the strongest curriculum possible. This team may include drug and alcohol counselors (who are not licensed therapists) with 10+ years of experience in the treatment of addiction.
All of our primary clinicians are licensed psychotherapists with graduate degrees in Clinical Psychology. They also have advanced training and expertise in specific interventions and modalities. All clinicians have 5+ years experience in a dual diagnosis inpatient and/or outpatient treatment facility. Our non-licensed drug and alcohol counselors have 10+ years of experience in the treatment of addiction. Please refer to our staff page to learn about each of our clinical team members..
We choose to provide care on a one-to-one basis for a number of reasons. Most importantly, it allows us to truly customize and individualize treatment without the limitations of a shared treatment experience. You are paying a premium for quality treatment, so why should you share the attention of your clinical team? Additionally, our treatment model eliminates the common distractions and challenges of a group-based program. This means a One to One Treatment client receives the undivided attention of the clinical team at all times, allowing the staff to provide support and education directly and based solely on the issues and needs at hand. This also allows staff to track and monitor client progress more closely and accurately than a professional responsible for 10-20 people at a time. We have also found that much of our clientele has had extensive experience with group treatment and desires a more comprehensive and connected experience. Finally, group treatment can be a challenge for a great number of people and conditions. Our one-to-one approach allows us to effectively “meet the client where they are at” by providing the safest and most confidential environment available.
Group therapy can be effective for many people and conditions. We are not opposed to group treatment and never encourage a client or prospective client to avoid groups. Group therapy can be an amazing experience full of connection and peer support. This is why we offer an in-office assessment to determine if our model works for you at this time. It is not uncommon for us to determine a prospective client would be better served in a group-based program. We have strong relationships with local group-based services and can easily help you find a program that fits your needs. With that said, we find that our treatment is extremely effective and beneficial for those who are appropriate. Many of our referral sources and colleagues have been impressed with our methods and successes (see professional testimonials here).
Programs vary by person and are based on the recommendations of the One to One Treatment clinical team. The team will discuss a client’s case post-assessment and determine what the appropriate intensity level and which modalities will be utilized. These recommendations, while reflecting our opinion on the best course of action, are considered our minimum level of care. This means that our recommendations are what we believe are required for success at the outpatient level. While we do tailor programs to the clinical needs of the individual, we do not compromise or negotiate when it comes to treatment recommendations. We are not a concierge, luxury-based service, but rather a professional team that is committed to creating the treatment plan with the best chances of success. We maintain our integrity and approach even when treating a high profile, celebrity, or “VIP” clientele.
Programs can range anywhere from 3 hours a week to 10+ hours a week depending on individual needs. With that said, here are two examples of what a program might look like.
Example of a 6-hour program for addiction:
- 2 sessions per week of Primary Therapy and Education
- 2 sessions per week of Relapse Prevention
- 2 sessions per week of Cognitive Behavioral Therapy or 12-Step Education & Counseling
Example of an 8-hour program for dual diagnosis:
- 2 sessions per week of Primary Therapy and Education
- 2 sessions per week of Relapse Prevention
- 2 sessions per week of Somatic Experiencing or Trauma Resiliency Model
- 2 session per week of Dialectical Behavioral Therapy or Cognitive Behavioral Therapy.
Every program is designed with a 4-week minimum. Research has shown that a client’s potential for success increases the longer they stay in treatment. As such, we will always recommend some form of aftercare once the initial 4-week program is complete. Aftercare may include an extension of services, a titration of services over a longer period of time, or appropriate services outside of One to One Treatment. We work in 4-week increments as a way to monitor a client in real time, allowing us to make the necessary recommendations that can only be determined closer to discharge. Also, we are very sensitive to the fact that treatment is a substantial time and financial commitment; the kind of commitment that deserves our respect and integrity. As such, we will never “up-sell” you on treatment that we have not determined is necessary. Because of our ethical approach to aftercare, along with the specialized and intimate environment, it is very common for a One to One Treatment client to voluntarily participate in treatment for 3 to 6 months.
The One to One Treatment program prides itself on offering highly effective treatment plans that include evidence-based interventions and a highly structured curriculum, much like you would expect from the most respected residential facilities nationwide. Situations exist, however, where a client’s level of acuity requires the monitoring and containment of an inpatient setting. Our in-office assessment will determine if a client would be bettered served by an outpatient or inpatient level of care. Our clinical staff will only admit prospective clients that are deemed stable and functional enough to succeed at the outpatient level. In the event that an inpatient level of care is clinically indicated, we have strong relationships with a number of residential facilities and will assist a client in finding the appropriate fit.
Where a client resides during outpatient treatment is dependent on their specific needs. Some people may remain in their homes while participating in an outpatient program if the environment is stable and supportive. Others may require the structure and assistance of a transitional or sober living facility. For reasons of clinical necessity and/or confidentiality, some people may benefit from the in-home assistance of a live in companion that works in tandem with the One to One Treatment clinical team. A professional companion might live with a client 24/7 for a specified amount of time to provide accountability, structure, and real time support and guidance. Companions can also support a client for a portion of the day, such as the times that are most challenging for a person’s diagnosis. We work extremely close with the best local sober and transitional living facilities, as well as the most respected professional companion companies. Please see our Resources page for preferred providers.
We treat a very diverse population with varying diagnoses. Our clients come from a wide range of ethnicities, religions, sexual orientations, careers, and geographic locations. Generally, our program is designed for adults 18 years and over. In rare cases we will admit an adolescent to our program if they are motivated and developmentally appropriate for this model of treatment. We prefer if adolescents utilize our services after they have already completed an adolescent treatment program. One to One Treatment has treated people between the ages of 16 and 70. Many clients who do not require residential treatment utilize our services as their first treatment experience due to our strong “nuts and bolts” curriculum, providing everything you would expect from a respected residential facility. Many other clients have had several group-based treatment experiences (residential or outpatient) and utilize our services to “try something different” after a relapse or challenging period in their life. It is also very common for client’s to enter One to One Treatment as aftercare from a residential facility to provide structure and support for the transition back into “real life.” Lastly, many clients utilize our services for maximum confidentiality and anonymity, such as local business people, celebrities, and other “high profile” individuals.
Then we just might be the right place for you. Many people enter our program due to substance abuse and dependency issues, but just as many do not. Most outpatient facilities focus solely on addiction and dual diagnosis. All local facilities are group-based and will admit people for mental health issues and have them participate in treatment with others who are there for addiction. While we believe in the power of similarities rather than differences, it is our experience that it can be challenging for a non-addict to identify with their substance dependent peers. The one-to-one approach eliminates this challenge by focusing on one person at a time. As such, we treat a wide range of illnesses and maladaptive behaviors. Please see our About Us and Program Info pages to find out more about what we treat.
We require urinary analysis for anyone participating in a program for substance abuse or dependency. The testing is designed to maintain the integrity of our program by keeping our clients accountable to their treatment commitment. Drug tests are randomly administered once a week (at minimum) at our facility. All samples are sent to a toxicology lab for an in-depth analysis designed to detect a wide variety of substances. Those who enter treatment for issues other than substances will not be tested unless deemed necessary by the clinical team.
We expect clients to respect the One to One Treatment staff at all times. We expect our clients to respect the program by making all of their scheduled sessions and participating fully. We expect clients to respect other One to One Treatment clients they may encounter. We expect clients to respect the confidentiality of other clients they may see while at our facility. We also expect clients participating in a substance program to maintain their abstinence from all mind-altering chemicals while in treatment with us. These are the minimum guidelines we require to maintain the integrity and safety of our program. Any additional guidelines are at the discretion of the clinical team and will be designed to specifically aid a person within their customized treatment plan.
No, we are a private pay company and do not accept insurance in any form. We will, however, provide a “super-bill” at the conclusion of treatment that will contain all the appropriate insurance and diagnostic codes for the entire course of treatment. This bill can then be submitted to an insurance company for reimbursement. One to One Treatment does not guarantee reimbursement by your insurance company. Reimbursement is at the discretion of your insurance company and is based on the benefits of your particular insurance plan. If insurance coverage is a vital piece of your decision to enter treatment we will gladly assist you in finding the appropriate facility.
Our mission is always to provide top level, professional care for people in our program. We have found that being a private pay company allows us to effectively accomplish our mission by attracting the best and brightest clinicians and paying them what their specialties deserve, not what a third party company states is acceptable. Our experience is that most insurance providers are stuck “in the box” of what they consider appropriate care as opposed to following the recommendations of licensed clinicians committed to providing the best treatment plan possible.
Because our program is so unique and every client’s treatment plan is different, there are no fixed prices. Feel free to give us a call and we would be more than happy to discuss a treatment plan that is right for you and your family’s budget. We can also give you an idea of some common programs and their varying price ranges. If the cost is prohibitive we will gladly assist you in finding the appropriate facility that meets your financial needs.
We do offer refunds in the event a client does not complete the program. Any unused credit will be returned minus an administrative fee outlined in a client’s original treatment contract.
Our therapists are highly trained and experienced clinicians, much like we expect yours is. Our team of clinicians is able to employ a broad range of interventions tailored specifically to your individual needs. They are able to concentrate on specific areas all while integrating the treatment into a cohesive and comprehensive curriculum containing process, experiential, somatic, and didactic interventions. The structure and intensity of our program provides a level of care that is rarely seen in general, multi-session psychotherapy. Please see our Services and Staff pages to learn more about our team and their specialties.
Yes, and we highly encourage it in most cases. We prefer to work with outside providers that have known the client longer and more intimately than we do. This allows us to gain invaluable information that will aid in creating an individualized treatment plan. Continuing with an outside therapist is also necessary to maintain the client’s primary mode of support. It is a relationship that will exist after discharge from treatment and it is our goal to foster it while helping the client and therapist with the transition back to it being a primary mode of support. When working with outside therapists we may provide weekly updates and high-level coordination to provide the most effective clinical experience possible.
We do not keep a psychiatrist or any medical doctor on staff. We have found that there are a number of excellent doctors in the Los Angeles area with a wide range of personalities, specialties, and approaches. In the spirit of individualized and customized care, we prefer to stay away from the “one-size-fits-all” concept and refer clients to a doctor in the community that will best meets their needs. We have strong relationships with many seasoned and well-respected medical doctors in the area and will gladly assist a client in finding the right fit. It is important to note that psychiatry, other medical practices, and medication are not included in the cost of any One to One Treatment program. Clients will be responsible for all fees incurred when referred to a medical professional.
If a detoxification is required we will immediately refer a client to one of our preferred medical doctors. Our preferred doctors will determine the severity of the detox and the ensuing medical protocols. The doctor will then alert the One to One Treatment team regarding the appropriateness of the client for our level of outpatient care. We will never admit a detoxifying client unless they are first medically approved for outpatient care by one of our preferred doctors. Some people are approved to enter treatment in conjunction with their detox. Others might require a stay in a detox facility for a specified time due to the specific drug, abuse history, and current acuity. There are also times when a client might choose to detox at home while being monitored by a professional companion or nurse (please see our Resources page for providers that offer these services). Finally, it may be medically required that a person seek a residential treatment program. One to One Treatment will always follow the recommendations of our preferred medical doctors.
We do not treat eating disorders as a primary diagnosis. There are a number of excellent therapists and treatment programs that specialize in this specific diagnosis. It is very common to enter treatment for addiction, mental illness, and other maladaptive behaviors with a co-occurring eating disorder. In cases such as these we may admit a client who has a secondary or tertiary eating disorder diagnosis that is either stabilized or non-acute. If a client requires more immediate and specialized care we will refer them to one of our colleagues in the community or the appropriate treatment facility.
One to One Treatment sees these as two separate addictions that can require different approaches.
We do not treat sex addiction as an acute primary diagnosis. There are a number of excellent therapists and treatment programs that specialize in this specific diagnosis. Sex addiction or sexual compulsivity can co-occur with a number of other diagnoses. In cases such as these we may admit a client who has a secondary or tertiary sex addiction (or sexually compulsive behavior) that is either stabilized or not at the point of crisis. If a client requires more immediate and specialized care we will refer them to one of our colleagues in the community or the appropriate treatment facility. We do have a sex addiction specialist on staff available to those clients that enter our program with a co-occurring diagnosis of sexual compulsivity or addiction.
We do treat Love Addiction as well as Love Avoidance. These two issues are often addressed as part of our trauma, codependency, and family of origin curriculum. We have several Love Addiction/Love Avoidance specialists on staff.