Substance Abuse Treatment Services
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.
Pathways offers several levels of treatment care for substance use disorders. Following are those levels of care:
Intensive Outpatient Programming
Intensive Outpatient Programming (Level 2.1)
This is the 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
Extended Outpatient Programming (Level 1)
Most of Pathways clients are extended outpatient clients. 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
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.
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).
For additional admission information click here: Residential-Admisson-Guide-2022.pdf
For information on the Residential Family Group program click here: Family Group Meetings
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.
The Junkman-Knoebel Center is a 15-bed men’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).
Pathways now has a Detoxification Unit at our 3362 University Avenue- Waterloo, Iowa location. This is our highest level of care offered. Detoxification seeks to minimize the physical harm caused by the abuse of substances. This is a 24 hour, 7 day a week facility with 24 hour nursing care. A physician/practitioner comes daily to meet with patients. Walk-ins to our detox unit are welcome; calling ahead is strongly recommended to confirm availability. To contact our Detox Unit call 319-235-4498.
Pathways offers gambling treatment, prevention and recovery support services in Black Hawk, Bremer, Buchanan, Butler, Chickasaw, and Grundy, Counties in Iowa.
Our services include:
Assessment & Evalution
Each situation is unique and deserves individual attention. To ensure appropriate and effective services, we provide a thorough evaluation of each individual requesting our services.
Individual & Group Counseling
Counseling sessions are designed to meet the specific needs of each client. The frequency and number of sessions are determined on a case-by-case basis, and may include individual, group, and/or family sessions. A crisis hotline is available 24/7. Call 1-800-BETS OFF
Distance treatment services are available for those who qualify. This service allows individuals to participate in gambling treatment services from a remote location.
Many problem gamblers find themselves in desperate financial situations by the time they choose to seek services. Financial counseling is available to help clients evaluate finances, create a budget, and discuss money management options. Those seeking help with more extensive financial situations will be referred to a financial services professional for further assistance.
Family & Concerned Persons Counseling
It is important for family members and concerned persons to be involved in treatment and receive adequate support during and after the treatment process. Assistance to concerned persons is available, even if the problem gambler is not involved in treatment.