Pathways Substance Abuse Services

See Locations for addresses of all Pathways' offices and the specific services available.

Pathways Behavioral Services believes that alcoholism and other chemical dependencies are primary, progressive, chronic, and fatal diseases. This concept of chemical dependency as a disease means the individual is a victim of the illness just like an individual with cancer or diabetes. Chemical dependency adversely affects individuals in mental, physical, emotional, spiritual, social, and decision making areas of life. Chemical dependency is characterized by loss of control, recurring problems in major life areas, and changing priorities. The denial and delusion that is characteristic of chemical dependency means that often the chemically dependent individual is the last to recognize the problem with chemicals.

Assessment/Evaluation

Pathways treatment begins with an assessment/evaluation. A certified counselor evaluates each client. During the evaluation, the counselor gathers information from the client and uses standardized tools to help determine which level of care and types of services would be appropriate for the client. Based on the client's individual needs, the counselor may recommend that he or she becomes involved in one of our prevention programs, or one of our following listed treatment programs:

OWI /DUI Screening

Pathways offers substance abuse screenings for those picked up for Operating While Intoxicated. There is a set fee for OWI/DUI Screenings that is consistent with fees state-wide. Locations

OWI / DUI Education Class

Pathways offers DUI classes for those picked up for Operating While Intoxicated. The fee for these classes is consistent with fees sate-wide. Locations

Outpatient Treatment

The least intensive level of care is outpatient counseling. It is recommended for the majority of our clients allowing the client to stay in their home and attend work or school.

Intensive Outpatient Programming (Level 2.1)

Most intense level of outpatient counseling that we provide. It’s a combination of group and individual counseling, for a total of nine or more hours per week. Intensive Outpatient works to stabilize the client and to begin teaching the tools of recovery. In order to better accommodate the needs of the client, Intensive Outpatient groups are offered in the morning and the evening. This allows the client to access treatment while still maintaining family and work schedules and meeting obligations that solidify behavior change, thus breaking the cycle of substance abuse.

Extended Outpatient Programming (Level 1)

This is the next step in Pathways' continuum of care. Extended Outpatient services are provided in regularly scheduled sessions which do not exceed nine treatment hours a week. This programming is also offered at a variety of times, demonstrating Pathways' responsiveness to clients' needs.

Continuing Care Programming (Level 1)

This is the lowest step in Pathways' continuum of care. Continuing Care treatment provides one hour of treatment per week. Continuing Care works to strengthen the client's understanding and use of the tools of recovery and provides the client with relapse information. This program is also offered at a variety of times to best suit clients' needs.

Pathways Level 1- Adolescent

The adolescent program offers a mixture of group and individual counseling with the focus on values, relationships, phases of addiction, choices, emotions, relapse, responsibility, friends, goals, self-image, attitudes, independence, violence, and problem solving. Some adolescent services take place on site at area high schools. On-site programming addresses the problems of transportation and scheduling which are common for adolescents.

Residential Treatment

For clients in need of more intense and structured treatment services, Pathways offers residential treatment. Pathways' residential 24-hour treatment program is an 18-bed, male/female unit that serves clients 18 and older. Before a client is admitted to this residential care level, a comprehensive assessment and plan of care is developed. Each client is evaluated using an assessment instrument developed by the American Society of Addictive Medicine (ASAM). The residential unit consists of the following three levels of care:

Level 3.5 Residential Program

This is a structured, high-intensity, daily program targeted at clients with the demonstrated inability to maintain sobriety without a structured environment. Level 3.5 requires 50 hours of treatment activities per week and addresses all aspects of chemical dependency. This level of care, through education, self-disclosure, and problem solving, seeks to create awareness in the individual, implement tools of recovery and foster change that leads to a substance-free way of life.

Level 3.3 Residential Program

This is of medium intensity and requires 30 hours of treatment activities per week. The client requires less supervision and begins to strengthen living skills and reintegration into the community. The client must have established 14 to 21 days of being substance-free before he or she can be admitted to this level of care.

Level 3.1 Residential Program

This is a lower level of intensity that requires five hours of treatment activities per week that is included in a weekly, 32-hour activity plan. The client must have established 21 to 30 days of being substance-free and display a need to remain in a structured setting before full integration into the community can be established. Strong emphasis is placed on creating financial, environmental, and social stability to increase the probability of long-term recovery.

Junkman/Knoebel Center

Transitional Housing-the Junkman-Knoebel Center is a 25-bed men's and women's transitional housing unit developed by Pathways Behavioral Services. Located in Waterloo, Black Hawk County, the Junkman-Knoebel Center is the only transitional living program specifically designed for persons in recovery from alcohol and/or drug addiction residing in northeast Iowa. The Junkman-Knoebel Center provides supervised transitional housing for offenders with alcohol and/or drug addictions utilizing collaborative efforts of the medical, social service and law enforcement community. The Center also offers a structured environment where residents of the program develop living skills needed to independently maintain their sobriety. The program requires that residents: commit to sobriety (as monitored by random urinalysis), demonstrate employment, and meet financial obligations (i.e., court costs, fines, restitution, child support and transitional living fees).

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