Programs 

• Detoxification Services

• Adult Intensive Outpatient Program (IOP)

• Adult Relapse Prevention Program (RPP)

• Adolescent Intensive Outpatient Program

• Adolescent Relapse Prevention Program

• Family Program

• DWI Programs

• Alcohol and Drug Education Programs

Detoxification Services

Ambulatory or outpatient detoxification is a program by which individuals are taken off their drugs of choice under medical supervision without needing inpatient hospitalization. Each individual who is a candidate for ambulatory detoxification goes through the following sequence:

• a comprehensive assessment that establishes drug usage and history.
• a medical history and physical examination by a physician
• an assessment of the individual's support systems and living situation
• agreement to enter outpatient treatment

If the individual is deemed appropriate for ambulatory detoxification, the physician will administer medication at Crossroads Centers. The individual will be required to return to Crossroads Centers daily to see the physician (or nurse)  until the physician releases him or her as safely detoxified. 

The most common drugs appropriate for ambulatory detoxification are opiates (heroin, opiate pain medications), alcohol, and low doses of methadone.  For the detoxification regimens or additional information, call 410.752.6505.

It is Crossroads Centers' express policy that only those individuals who are willing to enter outpatient intensive treatment will be accepted for the ambulatory detoxification program.  

Please Note: Any individual who has a scheduled appointment with the physician must call at least 24 hours prior to cancel. A charge of $50.00 will be incurred for all missed appointments.

 Adult Intensive Outpatient Program (IOP)

IOP is the heart of the Crossroads Centers treatment regimen.  Groups are on-going, limited generally to no more than fifteen clients and are three hours in duration.  Day and evening sessions are available .  

During the first half of group, clients are taught about the disease of addiction, how drugs/alcohol affect their bodies, why people use drugs, the genetic component to the disease, how drugs affect every area of the addict’s life, physical, social, spiritual, vocational.  Each client will complete a First Step which helps them to identify how and when they used drugs and how drugs affected their own lives.  

The second half of group comprises group therapy where clients learn to discuss their use and their response to stress and to listen and provide feedback to their peers.  They learn to listen to input from others and respond appropriately. 

IOP concludes when the client completes a Relapse Prevention Plan for him/herself which identifies the changes she/he needs to make in major areas of life to maintain sobriety. 

IOP is structured around 24 sessions, each devoted to a single topic that explores the nature of addiction and provides tools for learning to live a clean, sober, health life.  Individual sessions during IOP are designed to give each client private time with the counselor to discuss private issues and to get input into the development of the First Step and Relapse Prevention Plan.  Urine drug screens are collected weekly on a random basis.  

Finally the core of recovery is a strong 12 step program.  Clients are required to attend two twelve step meetings weekly, join a home group and obtain a sponsor who will serve as a guide as they develop a strong recovery program.

Adult Relapse Prevention Program (RPP)

RPP picks up from IOP using the Relapse Prevention Plan as the road map for the remainder of treatment.  RPP meets weekly for 90 minutes.  During this part of treatment, clients practice using the tools provided during IOP.  The group provides opportunities to talk about daily stresses, ways of responding to them and allows group members to provide support and feedback to one another. 

During the 18 weeks of RPP, clients are required to increase their meeting attendance and strengthen their 12 step recovery programs.  We continue to collect urines on a random basis.

Outpatient Program for Health Care Professionals (PROP)

PROP is a long-term relapse prevention program for licensed professionals with alcohol and/or drug problems.  Most complete IOP after their initial evaluation and move to PROP for ongoing group sessions weekly.  PROP clients generally are physicians, licensed nurses (RNs, LPNs, CNAs), dentists, physical therapists, pharmacists or attorneys.    Crossroads staff in this program closely coordinate treatment with referring community professionals and with appropriate licensing boards.  Reports are sent quarterly to the boards, as required.  Urines are taken on a random basis. 

Clients in the PROP program work in groups on relationship issues, responding appropriately to job pressures, providing and receiving peer feedback, guilt and shame surrounding their addiction, among others.  They attend twelve step groups twice weekly and work to develop strong recovery programs with their sponsors.  Individual sessions are conducted regularly; families are involved as needed.

Adolescent Intensive Outpatient Program

In our Frederick center Crossroads Centers runs an IOP for adolescents between the ages of 13 and 18.  Many clients are referred through the school system or through local professionals.  After a comprehensive evaluation, teenagers are assigned to after school groups where they are involved in structured therapy groups that focus on recovery from addiction as well as developmental issues neglected while they were using.   Groups are held three times weekly.  Therapy includes a focus on the here and now and involves group process as well as art, writing assignments, and other modalities.  Parents are required to attend a family program  (see below).

Adolescent Relapse Prevention Program

Following completion of the Adolescent IOP, teenagers move to a relapse prevention program focused on their specific needs in recovery.  Groups are provided on a decreasing frequency; attendance at twelve step meetings is required.

Family Program

Because families are significantly affected by an addicted member, work with families is instrumental in recovery.  Crossroads Centers staff attempts to complete evaluations on spouses, parents, or other significant involved parties to establish how the life of the family has been altered by the individual's struggle with addiction.  In Frederick, parents are required to attend individual sessions with the therapist and to complete an education program.  In Baltimore and Owings Mills, family members are referred to the Sheppard Pratt family education series and conjoint sessions are scheduled as required.  Families that appear to need ongoing therapy are referred to community professionals.

DWI Programs

Each Crossroads Centers location offers both 12 hour social drinker education groups and 26 week problem drinker treatment programs that meet the requirements of the State of Maryland for arrests for Driving While Intoxicated (DWI) and Driving Under the Influence (DUI).   Groups meet weekly and meet all State and DHMH requirements.

Alcohol and Drug Education Programs

Each Crossroads Centers location offers special six-week education programs for individuals who have been identified by their worksites as needing education as a result of positive urinalysis on the job.  These individuals are carefully assessed to ascertain that they do not have an addiction program before being assigned to the education program.  Regular reports are submitted to the workplace (with proper releases) as required.