Substance use disorder is known to be a developmental, chronic, and fatal illness that manifests itself through all parts of an individual’s life. Research has consistently proven that long term treatment services produce improved outcomes and sustainable changes in the person with substance use disorder. Advances in brain science technology display that an addicted brain is clearly impaired and often leads to chronic maladaptive behavioral patterns. Brain scans reveal that it takes a minimum of 1 year for an addicted person’s brain to begin to function normally, as illustrated below. The Revolution in Counseling knows both medically and through years of treatment experience that structured long term treatment works and is necessary for many persistent substance addictions.
The purpose of long-term residential treatment is to not only allow the person to safely detox from the physical symptoms of dependence related to their substance use disorder but also to address the maladaptive behavioral patterns and unresolved trauma that accompany the addiction. The modern treatment continuum in the United States today can often lack the necessary time, access to therapeutic community, accountability, and prolonged trauma-focused therapeutic services that consumers need to achieve long-term abstinence and emotional wellbeing. The vast therapeutic work that leads toward brain healing and long-term recovery is the primary focus of our program.
Stage One: Initial Consultation and Assessment
We begin with an initial consult with client, concerned persons, and/or legal team. The client and family will meet with the owner, David Tarullo, to assess the client’s current situation, substance use history, and other relevant clinical factors. Mr. Tarullo will clinically assess the client and determine the appropriate level of care, recommended treatment length, and additional aspects of the treatment plan. The Revolution in Counseling staff will collaborate with family, attorneys, judges, and health care professionals throughout each step of the recovery process. Many clients have an array of legal problems, child protective services involvement, and health concerns that require case management. Our long-term recovery program is well known and highly regarded within the criminal justice system both in Louisville and surrounding counties. Our staff coordinates with the client’s attorney and represents the client at every court appearance, reporting progress, and advocating for the client. The Revolution in Counseling has a history of success with achieving diversions in even some of the most serious felony cases. The early stages of case management can be extremely stressful for the family and we work to provide expert counsel and guidance through this process.
Stage Two: Detoxification and Acute Residential Services
After the initial consultation we move into the detoxification and acute residential portion of our program. The Revolution in Counseling’s recovery program does not provide detox services in-house. Staff will utilize partnering detox centers to coordinate admission and treatment at this stage. Client’s will either use their own health insurance for these services at an appropriate facility or staff will coordinate the client to detox at a local community detox center at no cost. The staff will provide case management and coordinate each step of the detox stage with the partnering agency.
Stage Three: Entering the Therapeutic Community
Upon successful completion of detox, the client will immediately enter into our long-term recovery housing where our primary treatment services will take place. Our continuing care facilities provide a safe and transformational living environment for men participating in long term treatment services. The two houses, Ignatius Hall and The McKiernan House, function as a therapeutic community where a high level of responsibility, structure, accountability, and therapeutic interventions are implemented to promote sustainable long-term change. Staff will coordinate employment for the client with one of our partnering employers that work directly with our treatment program. Clients will be supported in gaining employment with a partnering company to integrate this key element of functioning into the treatment experience. This also serves a unique role in teaching our clients financial responsibility and a skilled trade.
Stage Four: Immersion into Therapeutic Work
Therapeutic activities are facilitated daily by The Revolution in Counseling’s clinicians and staff. Our model understands that addiction cultivates and manifests in all parts of the human experience: Body, Mind, Social, and Spirit. Our treatment focuses on identifying the key developments of personality structure, trauma compensation, and psychological adaptations that make up the client’s addiction. David Tarullo and his staff work intensively with all clientele in the program providing the most up-to-date information and effective therapeutic techniques. We are specifically trained in direct trauma therapy and have several certifications in trauma specific modalities. Clients will participate in intensive trauma groups, accountability groups, psychoeducation classes, mandatory budgeting activities, yoga, meditation classes, and regular 12 step meetings. Our staff will use a variety of behavioral interventions that emphasize wholeness and transformation. Staff monitors the change process with each client along the way, creating individualized therapies, assignments, and activities based on the client’s barriers and needs. All staff at The Revolution in Counseling are members of the recovery community and have both lived experience with the interventions utilized and clinical training. A unique component of our program is the provision of therapeutic services at varying levels of intensity throughout the entire 1-2 year span of the program. It is supported through recent developments in neuroscience that an addicted brain is highly impaired during the initial months of recovery. The research supports the reality that sustainable and structural changes to the brain occur after the 6 month and 1-year point in the recovery process; our program provides the necessary structure, emotional safety, and therapeutic intervention to facilitate these changes successfully.
Stage Five: Integration, Transition, and Discharge
Clients will have acquired leadership roles within the therapeutic community and have begun to integrate and apply the healing and skills developed throughout their treatment process. During this phase clients will maintain a structured budgeting plan including debts paid to their family, legal system, etc. This includes the cost of the program if paid by anyone other than the client. Staff will assist and evaluate clients at this stage at their ability to integrate both treatment and life responsibilities. Clients and staff will develop an ongoing care and discharge plan that is conducive to long term recovery. Clients will develop and present their discharge plan prior to their completion to make necessary adjustments and receive community and clinical feedback. Clients will have the option to remain in our transitional housing after completing the treatment program as they continue to integrate and transition into their post-treatment life of recovery. Our clients typically complete the program with a structured budget in place, a minimum of $2,000 in savings, stable employment, and a skilled trade. Many alumni choose to remain involved with program after completion by teaching classes, mentoring their peers, and contributing to ongoing groups.
- Family Consultation, Family Intervention, Family Counseling
- Legal Case Management
- Residential Sober Living for 12-24 months
- Individualized Therapy Interventions
- Trauma Focused Group Therapy
- Experiential Psychodrama Therapies
- Psychoeducation Classes
- Accountability Groups
- Staff Monitored Employment
- Case Management (assisting with health concerns, child services involvement, etc.)
- Budgeting and Debt Payback (including cost of treatment)
- Yoga, Meditation, and additional Holistic Practices
- Regular Attendance of 12 Step Meetings
- Community Service