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Evidence-Based Treatment Model

Gateway Rehab believes that addiction is a treatable BIO-PSYCHO-SOCIAL-SPIRITUAL disease and effective treatment addresses all four of these facets through a long-term continuum of care. However, we realize that no single approach to recovery is always successful or best for each person; therefore, we offer individualized and multiple treatment options and plans involving evidenced-based practices to foster improved results for our patients. Some of these evidenced-based practices include:

  • Individual, family and group counseling
  • Cognitive–behavioral therapy (CBT), based on principles of cognitive psychology and social learning theory, which teaches patients to develop new cognitive and coping skills for substance use behaviors and relapse prevention
  • Twelve-step Facilitation (TSF), a manual-guided therapy based upon the 12-step model outlined in Alcoholics Anonymous, Narcotics Anonymous and other 12-step fellowships. The involvement focuses on the patient’s acceptance of his/her drug use as a disease, using 12-step tools, and connecting with recovering persons in 12-step fellowships.
  • Pharmacotherapies, or medicated assisted treatment (MAT) for opioid use disorders such as Suboxone/Zubsolv (sublingual buprenorphine/naloxone) and Vivitrol/Revia (Naltrexone), in conjunction with therapy, counseling and 12-step programs.

Beginning with screening, diagnosis and assessment, then active treatment and continuing engagement in recovery-support activities as part of a long-term chronic care plan, there is a gradual realization and acceptance by the individual that recovery is a life-long process that demands ongoing commitment to achieve complete abstinence from all drugs.

Ultimately, for all patients, we provide structured guidance toward significant behavior changes, self-acceptance, the tools for personal growth, and a beginning experience in achieving health in mind, body and spirit.

Gateway Rehab’s position on the use of medication as a treatment adjunct for opioid dependence

With the United States in the midst of an opioid misuse epidemic, the federal government, medical experts, and public health leaders are urging substance use treatment providers to offer a spectrum of services offering comprehensive care of addiction.  According to the Centers for Disease Control and Prevention, 47,000 people died from drug overdoses in 2014, more than in any year on record.  In Pennsylvania alone, nearly 2,500 people died of fatal overdose in that same year.  

At Gateway Rehab, we believe that recovery from the disease of addiction involves a process of healing all dimensions of a person: physical, emotional, social, and spiritual.  We recognize that there are many pathways to recovery and, with abstinence as the primary goal, we strive to individualize treatment so that each person has an opportunity for sustainable recovery.  To meet this goal, we utilize evidence based practices, which are rigorous, scientifically supported treatment approaches including Twelve Step Facilitation (TSF; connecting people to Alcoholics Anonymous, Narcotics Anonymous) and Medication Assisted Treatment (MAT). 

We define MAT as the use of medications that benefit treatment goals when used in conjunction with behavioral therapy combined with psychosocial services.  Because of our multifaceted continuum of care, Gateway is in the unique position to provide contemporary therapy services with physician monitored, adjunctive MAT while integrating non-biological approaches consistent with the Twelve Step tradition.  Under physician guidance, our MAT program offers medications including naltrexone (Vivitrol®, ReVia®) as well as closely managed and monitored buprenorphine/naloxone (Suboxone®).  Research shows better outcomes when these medications are combined with other scientifically supported therapeutic approaches.

Ultimately, our mission is to help all affected by addictive diseases to be healthy in body, mind and spirit.  Addressing the biological aspects of addiction is one essential component to restoring health, engaging people in treatment, and increasing every person’s ability to achieve long-term recovery.