The Promesa approach respects the individual and his/her particular dependency and strongly believes that in order for clients to become productive members of society, they must learn to combat their addiction in an atmosphere of acceptance and support.
The Promesa staff is culturally, socially and racially diverse, in order to better understand the needs of its clients.
• Drug Free Ambulatory Substance Abuse Treatment Program
• Drug Free Adult Residential Program
• Methadone To Abstinence Residential Program
• Methadone Out-Patient Program
Drug Free Ambulatory Substance Abuse Treatment Program
The Drug Free Ambulatory Substance Abuse Treatment Program is a medically supervised program providing services to males and females from the ages of 18 and older.
Operated by a bilingual staff, the program offers a safe and nurturing environment where substance abusers/addicts benefit from diverse services that addresses the complex problem of chemical dependence and abuse.
Promesa's services include individual and group counseling, psychiatric services, primary health care (including HIV counseling, testing and AIDS treatment therapies), and vocational counseling and training. Under Promesa's care, each client receives individual and group counseling in combination with other services.
Admission to Promesa requires an initial interview in which the client’s abuse and psychosocial history is assessed and documented. Following the initial assessment, a client undergoes a physical examination, conducted by the health care unit, to determine whether he/she is a candidate for the intensive program.
Upon admission to the program, the client is assigned a Primary Counselor who will schedule individual and group counseling sessions and work together with the client to develop a customized treatment plan.
The counseling sessions are an important part of each client’s treatment. Groups are structured in three phases: I. Early Recovery, II. Middle Recovery, and III. Advanced Recovery.
Session topics include: Education on Drugs and Alcohol, Identification of Usage Triggers, Anger Management, Coping Strategies, HIV/AIDS, STD's and Sexual Responsibility and Relapse Prevention. Individual sessions are held concurrently. Phase I requires weekly individual sessions; Phase II requires 2 sessions per month; and Phase III requires 1 individual session per month.
Random testing is an integral component of the program and all participants are expected to submit to the supervised collection of urine samples. Completion of the program can vary from 1 year and up depending on the client's needs and progress.
Drug Free Adult Residential Program
At any one time, 234 men and women reside in both units of Promesa’s Adult Residential Program. There are 110 beds in DFAR, and 124 in MTAR. Services are provided by bilingual professionals.
The residents are representative of New York City’s diverse neighborhoods. Addiction spares no community or group, not surprisingly Promesa’s resident population is comprised of people from varied backgrounds. Some clients have good academic and vocational skills, while others lack education and training. Some residents have the added pressure of familial problems and others come from well-adjusted, functional homes. Some resident clients come from prison; others from their family’s homes; and others directly from the streets. Mental health problems, physical difficulties and serious illnesses are other issues many residents face. Promesa understands the diverse psychological, medical and emotional profiles of its residents and seeks to create customized and comprehensive treatment plans that address these issues.
Promesa also understands that familial alienation; need for reconciliation and forgiveness; a feeling of remorse and guilt; a sense of lost time and opportunity; and a need to develop a personal identity are all significant issues that must be addressed in a thoughtful manner.
The Promesa approach respects the individual and his/her particular dependency and strongly believes that in order for residents to become productive members of society, they must learn to combat their addiction in an atmosphere of acceptance and support. The Promesa staff is culturally, socially and racially diverse, in order to better understand the needs of its resident population.
Eligibility Requirements:
- Males and females over the age of 21
- Prior history of chemical dependency
- If coming from another program must bring previous medical evaluation and psycho-social report
Services Provided:
- Individual counseling
- Group counseling
- Family counseling
- Crisis intervention
- A treatment plan based on individual needs is carefully developed and implemented
- Medical services
- Mental/Health services
- Psychiatric and psychologist services
- Vocation/Educational services
- Assistance with acquiring housing upon completion of services
- Harm reduction education and assessment
- AIDS/Health education
- After completion of services referral to Alumni program for aftercare services
Methadone To Abstinence Residential Program
Promesa uses the conventional and unconventional in theory, technique, and research to treat substance and alcohol dependency and abuse.
Methadone maintenance and detoxification plans are developed in consultation with each resident according to his/her needs. Community therapy is complemented by individual and group sessions that employ motivational enhancement theories and techniques. In later stages, the client's progress is refined by cognitive-behavioral and 12-step facilitation therapy. The treatments are always tailored to the individual.
Special problems in mental health are addressed through psychiatric consultation, counseling and medication, as well as individual psychotherapy. Family interventions and couples counseling are offered to help residents reconcile and regain supportive relationships. Psycho-analytic and interpersonal formulations as well as behavioral approaches inform interventions.
Promesa’s approach to the work of substance abuse treatment is based on collaboration between staff and clients. All decisions — from admission, the formulation of treatment plans, clinical and behavioral intervention, educational and vocational planning and implementation, to questions related to finances, housing, pre-discharge and discharge planning — are made by multi-lingual staff of all professions. Program staff are encouraged to solicit input from the client/patient/resident.
Promesa's Methadone to Abstinence Program provides direct services to 110 adults. The most intensive of the organization’s programs, it employs methadone as an opiate agonist. This modality is based on constant engagement of the client and proper referrals to supportive services. If the clinical status permits, and the client continues to be functional despite decreases in methadone dosages, a patient may be brought to complete cessation.
Eligibility Requirements:
- Males and females over the age of 21
- Prior history of opiate use
- If coming from another program must bring previous medical evaluation and psycho-social report
Services Provided:
- Individual counseling
- Group counseling
- Family counseling
- Crisis intervention
- A treatment plan based on individual needs is carefully developed and implemented
- Medical services
- Mental/Health services
- Psychiatric and psychologist services
- Vocation/Educational services
- Assistance with acquiring housing upon completion of services
- Harm reduction education and assessment
- AIDS/Health education
- After completion of services referral to Alumni program for aftercare services
The Methadone Out-Patient Program has helped a great number of men and women combat addiction. Today, former Promesa clients are living as productive members of society and greatly improving the quality of life in our community.
Individuals that have successfully completed the program have also often resolved other personal/family issues. Many have completed probation or parole and have been reunited with their children.
A competent and fully bilingual staff oversees the progress of our clients as they work toward recovery. A treatment plan based on individual needs is carefully developed and implemented by clinical staff. As treatment progresses, the plan of care is amended to fit specific needs. The ultimate goal is to re-insert the client into society as a functioning and newly motivated member.
The Methadone Out-Patient Program provides medical services on site at Promesa’s Clay Avenue headquarters and has a physician and qualified nursing staff on the premises 6 days per week.
Mental health services are available, with a mental health team that assesses newly admitted clients to determine any existing mental condition. A psychologist and psychiatrist are also available to clients 6 days a week.
As part of treatment we offer Educational/Vocational Services, individual counseling and group therapy, family counseling, recreational services, AIDS/Health education, HIV counseling, testing and case management, and referral to alternate modalities such as residential treatment.
As additional services our program offers referral to detoxification centers, if needed, as well as harm reduction education.
Eligibility Requirements:
- Males and females from the ages of 18 and up
- Current chemical dependency (with the exception of heroin)
Services Provided:
- Individual and group counseling
- Psychiatric services
- Medical services
- Primary Health Care (including HIV Counseling, testing and AIDS treatment therapies)
- Vocational counseling and training
