Program and Services

In recognition of SUDs being a brain-based disease, MWRC utilizes an integrated medical model to treat its clients.  The model starts with each client being provided a “medical status” examination, which includes (a) a physical health Evaluation and Management assessment of a new patient, denoted by CPT 99205; and (b) a psychiatric diagnostic assessment (including ASAM criteria) denoted by CPT 90791.  Based on the foregoing, a plan of care is developed for each client based on their individualized needs.  

The physical health assessment may require referral and transportation for the services of a primary care or other specialty physicians, as may be needed, provided onsite via telehealth or offsite via transportation to outpatient clinics; and further transportation to diagnostic radiology or lab services as may be needed.

The psychiatric diagnostic assessment results in a plan of care that includes individual and group counseling, medication therapy, recreation therapy, vocational counseling, and peer support services.

The length of stay of the client will depend on the severity of the crisis and the pace at which the client is able to absorb the services provided and modify their behavior.  The first 30 days will provide high-intensity treatment services of at least 20 hours per week for each client, consistent with American Society of Addiction Medicine (ASAM) 3.5 criteria.  Depending on the progress made by the client, after the first 30 days services may drop to the ASAM 3.1 criteria, requiring between 6 and 19 hours of services.  Because of the sex and gender specific characteristics of the treatment needed by women, as described above, it is anticipated a high degree of women will continue to require ASAM 3.5 high intensity services after the first 30 days.  In any event, it is not anticipated that the client stay will extend beyond 90 days of residential treatment.  

Specific services to be provided shall include:

  1. Assessment and Treatment Planning: A comprehensive assessment will be completed no more than 30 days prior to or within four days of admission. Ongoing reassessment and treatment plan updates will be completed as required by Wis. Admin. Code DHS 75. 
  2. Individual counseling/therapy.
  3. Group counseling/therapy. 
  4. Family counseling/therapy. 
  5. Psychoeducation. 
  6. Medication management. 
  7. Nursing services.
  8. Case management. 
  9. Peer support services. 
  10. Recovery coaching. 

Employing the medical model, clients will be transported to outside providers such as physicians (primary care and specialists), imaging centers and diagnostic chemistry labs, in order to address the client’s medical (physical health) problems.