Addiction Institute at Mount Sinai

Outpatient Services

Not all patients require the intensity of inpatient services. For those who can continue to live at home and/or maintain their employment, the Addiction Institute at Mount Sinai offers innovative outpatient programs. One of the advantages of our outpatient program is its flexibility. With a full range of programs at various times of the day, people can receive treatment that works around their work schedule and/or child care needs.

Ambulatory detoxification

Ambulatory detoxification is available for patients with Opioid dependency only. Patients are treated with methadone or Suboxone for the detoxification process. Patients must be medically and clinically evaluated for this service and are seen daily by nursing and counseling staff during the course of their detoxification.

Outpatient day and evening services

Our outpatient programs at the Addiction Institute at Mount Sinai – Beth Israel support the necessary behavioral changes needed to gain and maintain chemical abstinence. As a patient’s treatment progresses we continuously re-evaluate and adjust the intensity, scheduling and duration of services.

Treatment planning may include the following:

  • Group Therapy is the primary mode of treatment offered. Group therapy includes all aspects of education and the recovery process.
  • Individual Counseling - Upon entering treatment, patients are assigned a primary counselor whom they will meet with throughout their treatment process in a one on one setting.
  • Psychiatric Services – Referrals for psychiatric assessment and treatment are available if deemed necessary by an individual’s treatment team. Psychiatric consultation and ongoing psychiatric treatment will be provided as needed.
  • Substance Use Disorder Education focuses on understanding addiction as a disease, the chemical and behavioral effects of addiction and the coping strategies needed for the recovery process to begin
  • Psychopharmacologic/Medication Assisted Treatment (MAT) for Substance Use Disorders. Medications which can assist in the treatment of Substance Use Disorders may be used as clinically indicated.
  • Health Education Lectures are conducted by the nursing and medical staff focusing on the medical, health and nutrition needs of the patient in treatment.
  • Vocational Preparation – A vocational counselor is available to all our patients to assist in career exploration, work readiness, resume preparation, job search and to provide referrals to appropriate training programs and employment interviews.
  • Family Therapy is offered both as individual and group counseling sessions. These sessions focus on the family dynamic and the effects of addiction on all members of the family system.
  • Co-Dependency Groups help patients identify and change enabling behaviors that have developed as a result of their historical development, addictions, family dynamics and relationships with others.
  • Stress Management is an important technique utilized in relapse prevention. Stress management groups focus on corrective breathing, exercise, guided imagery and meditation.
  • Parenting Group focuses on improving the patient’s parenting skills through education and a safe forum to process the complexities of parenthood.
  • The Anger Management Group is where the patient will develop an anger control plan, in addition to assertiveness and cognitive restructuring skills.
  • Dual Focus Group provides patients who have an addiction and a psychiatric diagnosis the opportunity to explore the impact that their addiction has had on their psychiatric disorder and the impact their disorder may have on their addiction. Education and coping strategies are also incorporated into the group process.
  • Domestic Violence Groups are available to provide prevention education on issues of domestic violence. Safety planning and referrals to additional services are available for patients currently experiencing domestic violence issues.
  • Gender-specific Groups center on the specific needs of the male and female patients.
    • The Women’s Group provides education, support and discussion of issues that women face in their recovery process such as relationships, trauma, setting acceptable limits and building self-esteem.
    • The Men’s Group provided education, support and discussion of issues that men experience in their recovery process such as dealing with resentments, getting respect, being valued and establishing healthy relationships in recovery.
  • Lesbian Gay Bisexual Transgender (LGBT) Group focuses on the specific issues LGBT patients experience during their recovery process.
  • Boomer’s Group (addressing issues for those patients 50+) is offered for those patients who are 50 years of age or older. The group provides education, support and a forum for discussion on the more mature patient experiences during recovery.
  • Spanish Speaking Relapse Prevention Group is set up for patients who feel more comfortable having a discussion in Spanish. The Spanish Speaking Relapse Prevention Group has the same curriculum as the other relapse prevention group.
  • DWI screening, assessment, and referral
    DWI screening, assessment and referral services are available for any patient who is mandated by the court system after an arrest for DWI. Please bring all court issued documents to the session. Any required documents will be faxed to the courts after completion of the evaluation. If a diagnosis of substance abuse is indicated, a referral to a DWI specific program will be provided.

Brief therapy

Brief therapy consists of 10 sessions in a 10-week period. It is designed to assist those patients seeking solution-focused chemical dependency treatment and education.In each individual session, the patient and counselor work on relapse prevention skills and techniques, coping strategies, self-help and community resources. Homework assignments are completed weekly by the patient and discussed with their primary counselor. Telephone case management support is provided throughout the 10-week cycle.To qualify for brief therapy, an individual must be medically and psychiatrically stabilized and motivated to engage in individual chemical dependency treatment. Random urine testing is a requirement.

The Outpatient Addiction Services are fully integrated with the Outpatient and Inpatient Psychiatric Services.  Patients are evaluated and treated for Co-Occurring disorders by Board Certified Psychiatrists as needed.

Outpatient Medication Assisted Treatment

The Addiction Institute at Mount Sinai Beth Israel offers outpatient pharmacologic treatment to assist patients in maintaining sobriety.  We offer medication management for opioids, alcohol, tobacco and other illicit substances. The service offers office-based prescription buprenorphine (Suboxone) induction and maintenance for opioid dependency, and medication management for co-occurring psychiatric disorders with individual counseling and therapy, including: cognitive behavioral therapy (CBT) and motivational interviewing.

The Opioid Treatment Program

The Opioid Treatment Program at the Addiction Institute at Mount Sinai Beth Israel, formerly known as the Methadone Maintenance Treatment Program, is the oldest and largest program in the nation. It offers visually observed maintenance treatment with either Methadone or Suboxone, coupled with individual and group counseling, and occupational therapy. Please call 212-256-2963 for more information.

Comprehensive Addiction Treatment Program (CATP)

At the Addiction Institute of at Mount Sinai – St. Luke’s, the CATP Outpatient Treatment Program is tailored to meet the specific needs of the individual patient. We offer evening group and individual counseling services for employed individuals, as well as an intensive day treatment program for people who can benefit from a highly structured treatment experience. All the core services are focused on relapse prevention. Patients involved in the CATP outpatient department are also eligible to receive other supportive services such as assertiveness training, vocational and college counseling, as well as case management services.

Primary Goals of the Program

  • Become free of all drugs and alcohol
  • Develop a clean and sober support network
  • Develop constructive coping skills to prevent relapse
  • Develop and improve life skills such as: 
    • Parenting skills
    • Educational skills
    • Vocational skills
  • Assume responsibility for one’s self and children

To Achieve These Goals, Patients Receive the Following Services

  • Individual Counseling
  • Substance Abuse Group Therapy
  • Prevocational Counseling
  • Basic Education
  • High School Equivalency Preparation
  • Psychiatric Evaluation & Treatment
  • Milieu Therapy to Develop a Strong, Sober Recovery Network
  • Self-Help Groups
  • Psychiatrist
  • Counselors
  • Social Workers
  • Vocational Counselors
  • Board of Education Teachers
  • Occupational Therapists

The CATP Program has a highly experienced, interdisciplinary treatment team consisting of:

  • Psychiatrist
  • Counselors
  • Social Workers
  • Vocational Counselors
  • Board of Education Teachers
  • Occupational Therapists

For Appointments and Insurance information please call 212-280-0100.
For Program Information, please contact Gina Moffa at gina.moffa@mountsinai.org.

Connect

Women who struggle with substance use disorders who are either pregnant or have young children are at extremely high risk for many types of problems affecting not only themselves, but also future generations. Unless steps are taken to intervene in the affected woman's life, her children and subsequent generations will experience the effects of her substance use problem. The CONNECT Program at The Addiction Institute at Mount Sinai – St. Luke’s offers substance abuse treatment to pregnant women and mothers of young children. The program is designed to meet the multiple personal and family needs of mothers and mothers-to-be in recovery.

Primary Goals of Treatment

  • Become free of all drugs and alcohol
  • Develop a clean and sober support network
  • Develop constructive coping skills to prevent relapse
  • Achieve economic self-sufficiency
  • Upgrade academic skills
  • Obtain marketable skills for employment
  • Achieve family stabilization and reunification from foster care

To Achieve These Goals, Patients Receive the Following Services

  • Individual counseling
  • Substance Abuse Group Therapy
  • Parenting Skills Workshops
  • Child Care (while mom is in session)
  • Life Skills and Arts / Crafts
  • Vocational Counseling
  • High School Equivalency Preparation
  • Basic Education
  • Regular Toxicology Testing
  • Case Management Services
  • Domestic Violence Counseling
  • Milieu Therapy to Develop a Recovery Network

The CONNECT Program has a highly experienced, interdisciplinary treatment team consisting of:

  • Psychiatrist
  • Counselor
  • Social Worker
  • Child Care Workers
  • Occupational Therapist

For Appointments and Insurance information please call 212-280-0100.
For Program Information, please contact Gina Moffa at gina.moffa@mountsinai.org.

Crystal Clear Project (Methamphetamine)

In January 2005, The Addiction Institute at Mount Sinai - West created the Crystal Clear Project with the support of the Council of the City of New York in order to address the burgeoning problem of crystal methamphetamine use and its link to unsafe sexual practices in the gay and bisexual male community.

Today the groups have been incorporated into our intensive day programs so that these patients can also access services that specifically look at crystal methamphetamine use/abuse. Since then, the program has expanded to include gay men struggling with other substances as well.

The Addiction Institute at Mount Sinai - West provides a safe environment where men can discuss drug and alcohol use, sexual behaviors, homophobia, and intimacy. By creating these environments, we feel that men can make changes in their use and can feel better about themselves as gay men. We have also provided education throughout the city in order to increase the awareness about methamphetamine and to provide greater sensitivity to clinicians working with LGBT clients. 

Naturally, all Crystal Clear Project patients can access the full range of services provided at The Addiction Institute at Mount Sinai - West, as well as the extensive medical and psychiatric services of Mount Sinai St. Luke's and Mount Sinai West hospitals.

The program includes:

  • Group and individual therapy
  • Comprehensive assessment
  • Psychopharmacological evaluations

First Step (FTP)

First Step (FTP) is a program designed to meet the needs of individuals seeking outpatient treatment and support in order to deal with their alcohol and drug use as well as addressing co-occurring mental health issues.

College Outreach Prevention Education (C.O.P.E.)

The abuse of alcohol and other drugs is a problem affecting all colleges and universities. For many students, being away from home for the first time provides an opportunity to experiment with new behaviors in a relatively unregulated atmosphere. The combination of increased freedom from parental control, the social acceptability of chemical use and the availability and access to substances of abuse, produces a volatile and dangerous ground for addictive disorders. The C.O.P.E. Program is designed to assist colleges and universities in identifying, assessing and treating graduate and undergraduate students with chemical abuse problems. The Addiction Institute at Mount Sinai - West has designed an intervention program that gives colleges and universities the following services

  • Rapid access to addiction specialists to evaluate students with substance use problems:
  • The ability to provide the appropriate recommendations for ongoing care
  • Professional consultation for university counseling center clinicians on addiction related issues
  • The program includes:
    • On-site assessment
    • Comprehensive evaluation
    • Motivation enhancement counseling
    • Group therapy for substance abuse
    • Inpatient and outpatient addiction treatment
    • Training of university staff

Nurses Helping Nurses

Chemical dependency among health care workers is one of the most serious problems in health care today. Nurses, like everyone else, are not immune to becoming chemically dependent themselves, yet tragically they are often ignored or punished. Rarely impaired nurses receive appropriate assessment, intervention and treatment.

The Addiction Institute at Mount Sinai - West's Nurses Helping Nurses Program is unique in that it is

  • Nurse designed
  • Nurse structured
  • Nurse facilitated

Nurses are not unique in being chemically dependent but they do have special problems
resulting from access to potent narcotic medications

  • Relating to assessment and referral
  • Regarding their ability to accept themselves as a caregiver in need of care themselves
  • Regarding re-entry back into the workplace after treatment stabilization
  • Regarding the legal and financial consequences of their chemical dependency

Basic Program

  • Complete evaluation
  • Assignment to the appropriate level of care
  • Group therapy with other nurses in recovery
  • Additional group therapy and/or individual psychotherapy as needed

Psychiatric services

  • Complete liaison services with all state regulatory agencies
  • Urine tests and other monitoring required by state regulatory agencies and/or employers
  • Referrals for financial assistance
  • Immediate access to all medical and psychiatric services at Mount Sinai St. Luke's  and Mount Sinai West

Opioid Treatment Program

More information on our Opioid Treatment Program at the Addiction Institute at Mount Sinai is available here. Please call 212-523-6166 for more information.

Comprehensive Addiction Program for Adolescents (CAPA)

Teenagers are most impressionable and vulnerable to substance use problems. Once they begin using substances, their risk for serious problems, as well as the cost to them, their families and their community increases dramatically. 

The Addiction Institute at Mount Sinai - West in collaboration with the Division of Child and Adolescent Psychiatry provides an alternative for New York City teenagers who have just started abusing substances or who have already been in significant substance-related trouble. These problems may include: depression and other mood-related disorders, mild to moderate behavior problems (angry outbursts, disrespect, breaking family rules, lying, truancy, early run-ins with the police), school problems and/or legal problems. We help teenagers become motivated, examine and change their destructive behaviors, learn to cope effectively with life stresses, and become abstinent from mood-altering substances. Based upon the needs of the teenager and her or his family, we provide an intensive day-treatment program in combination with on-site New York City Department of Education educational services.

On-Site High School
In conjunction with the New York City Board of Education, CAPA provides an on-site high school for teenagers in recovery from substance abuse. Certified teachers are provided by the New York City Board of Education. Classes lead to either a Regents Diploma or General Equivalency Diploma (GED).

After School Program
We provide after school services that include relapse prevention and coping-skills training for teens, ages 14-18, who have started abusing substances, but are still functioning relatively well at school, at home and in the community.

Many patients come from families where another member is also struggling with addiction or where there are other serious problems. At the same time, teens need the support of their families to remain drug-free. CAPA provides family education services, family therapy, and crisis intervention for the entire family.

Intensive Day Program
CAPA offers an intensive, five-day-a-week treatment program for teens who need a significant level of structure to turn their lives around. The intensive day program offers the following services:

  • Treatment Readiness Groups
  • Recovery Skills Groups
  • Drug Screening
  • Alcoholics Anonymous Meetings (AA)
  • Psychiatric Services
  • Individual & Group Therapy

For evaluation appointments and/or additional information, please call the Intake Coordinator at The Child and Family Institute: (212) 523-3083.

Family Program

The effects of addiction on patients are obvious. Less obvious, but just as devastating, are the effects of addiction on those individuals who care about someone with a substance use disorder. This includes parents, children, spouses, siblings, partners, friends, co-workers, etc. Substance abuse can have serious consequences to everyone involved. Family members may experience financial problems, social isolation, stress-related illnesses, depression, poor job performance, etc.

We know that providing information about addiction and support to family members not only improves the quality of their lives, but also can be one of the greatest predictors of a positive outcome for patients. Family members can get help at the Addiction Institute whether or not the patients in treatment. Frequently when the family members seek help for themselves, it becomes the beginning of the process of helping the family work on recovery in a meaningful way.

Goals of Treatment:

  • Learn about addiction and recovery
  • Develop constructive coping skills
  • Improve overall family functioning
  • Support the recovery process of the patient

To achieve these goals, family members receive the following services:

  • Individual counseling
  • Couples counseling
  • Family counseling
  • Family support group
  • Educational Seminars about families and addiction

Addiction Medicine Service

The Addiction Institute’s Addiction Medicine Service is an office based program led by  a board certified Addiction Medicine physician and a board certified Addiction Psychiatrist .We conduct in- depth assessment of each individual’s unique situation to develop a comprehensive personalized treatment plan. We specialize in treating patients with an array of substance abuse disorders who are employed, attending school, and/or maintaining a level of functioning that does not require the intensity of residential, inpatient, or day treatment.

The Addiction Medicine Service offers medication management for opioids, alcohol, tobacco and other illicit substances. The service offers office-based prescription buprenorphine (Suboxone) induction and maintenance for opioid dependency; medication management for co-occurring psychiatric disorders; individual counseling and psychotherapy including: cognitive behavioral therapy (CBT) and motivational interviewing.

Buprenorphine

Buprenorphine is an FDA-approved medication for the treatment of opioid dependence. It is the only opioid that can be prescribed for the outpatient treatment of addiction outside of the setting of a traditional Methadone Maintenance Program, (Opioid Treatment Program.) It can be used for detoxification (inpatient or outpatient) as well as maintenance (short or long-term).

Core Program

  • Induction: The conversion from another opioid to buprenorphine. This is a complex procedure that can be done as an inpatient or as an outpatient under a physician’s guidance.
  • Stabilization: Establishing a buprenorphine dose that prevents withdrawal symptoms to allow participation in therapy and return to work. This can be done over weeks to months.
  • Naltrexone: Naltrexone is an opioid antagonist that blocks the effects of opioids. We offer a robust naltrexone program for patients that are interested.