Services

• Confidential Assessment and Evaluations
• Urine Toxicology Screening
• Appropriate Referrals When Needed
• Interventions
• Public Education Programs
• Individual Counseling
• Supervisor Training
• SAP Services for Department of Transportation (DOT) Cases
• Court appearances
• Clinical Training
• Conferences for Professionals
• Yoga and Recovery Groups
• Women's Groups

CONFIDENTIAL ASSESSMENT AND EVALUATION

Each individual referred to Crossroads Centers is fully evaluated by a licensed or certified professional in a comfortable, confidential environment.  Our assessment process involves a comprehensive evaluation:

• Complete biopsychosocial assessment through a one-hour personal interview process that covers drug use and history, medical, education, employment, legal, family (of origin and nuclear), psychiatric/psychological, leisure, spiritual, and sexual issues as well as a mental status examination
• Addiction Severity Index
• Nutrition Screen
• Chronic Pain Screen
• Tuberculosis Screen
• HIV Screen
• Urinalysis  (as appropriate)
• Recommendations for treatment and diagnoses along the five DSM-IV axes

If the individual was referred to Crossroads Centers by a community professional (and we have a valid release of information) our professional will contact the referral source after the evaluation to review recommendations and obtain additional information as appropriate.

Each individual admitted to a Crossroads Centers program is asked to sign releases of information for work site professionals (supervisors/EAPs/HR), family members, and physicians and/or other treating medical professionals as deemed appropriate.  Our staff maintains meticulous communication with as many community professionals as need to be kept informed for each case we treat.

URINE TOXICOLOGY SCREENING

Crossroads Centers staff are rigorously trained to collect urines from clients discretely and professionally.  All client urinalyses are observed by same-sex staff to assure that samples are not contaminated.  Clients are trained to observe staff package, seal, and place urine samples in our locked storage units for collection by the laboratory.  Results are available within 24 hours for all routine urinalyses.  Where we have appropriate releases of information, results are forwarded to referral sources as appropriate.

Our laboratory is highly professional and nationally accredited.  heir toxicologists are always available to answer questions and provide professional guidance on interpreting test results.

Crossroads Centers also conducts routine urinalyses for area businesses for pre-employment screening and for-cause screening.  The same rigorous procedures are followed for these cases.

APPROPRIATE REFERRALS

Occasionally a client is evaluated at Crossroads Centers who requires a level of care not offered by our programs.  In that case, our staff will obtain appropriate authorization from the managed care company (or other insurance group) and will make arrangements for admission to the appropriate program whenever possible:

• Inpatient treatment
• Inpatient detoxification
• Residential treatment
• Half-way house
• Psychiatric hospitalization
• Long term treatment program

During treatment clients often need services not provided by Crossroads Centers staff.  In that case client are referred to appropriate clinicians:

• Psychiatrists or psychologists for testing and/or medication evaluation
• Social Workers or Licensed Clinical Professionals
• Physicians for History and Physical Evaluations or special treatment needs
• Pain Management Specialists
• Nutritionists
• Reading or Vocation Specialists

INTERVENTIONS

Crossroads Centers has several interventionists and has a list of additional professionals who specialize in helping families get loved ones to accept treatment for their alcohol or drug problems.  Interventions involve several meetings with family members (or others who care) to develop a plan for confronting some one with an addiction problem who has been resistant to suggestion for treatment.  For more information, call  410.752.6505.

PUBLIC EDUCATION PROGRAMS

Professional staff at Crossroads Centers are available to provide education about alcohol and drugs, family issues in addiction, supervisor training, and any number of topics in the field for schools, organizations, churches, companies, and other community groups.  For additional information, call 410.752.6505.

INDIVIDUAL COUNSELING

Crossroads Centers staff provide individual counseling for all clients involved in its treatment programs on a scheduled basis and as requested by clients.   Counseling is also available for family members on a limited basis.  Ongoing need for family therapy requires referral to community professionals.  Since individual counseling  in addiction treatment is most effective in conjunction with a group-based treatment program, it is only provided on a limited basis to those not enrolled in a program.

SUPERVISOR TRAINING

Crossroads Centers has several staff who are trained and certified as Employee Assistance Professionals (EAPs) and Substance Abuse Professionals (SAPs).  They are available to area businesses for training of supervisory personnel in how to identify employees who may have a problem with alcohol and/or drugs on the basis of workplace performance issues and how to make certain that those employees are assessed appropriately.   For more information about worksite training, call  410.752.6505.

Because Crossroads Centers has a specialty in providing treatment for licensed professionals (nurses, physicians, dentists, pharmacists, physical therapists, attorneys), staff can also work with professional boards and work sites to assist them in how to identify and refer their professionals into treatment.  Our staff have made presentations to hospitals, the Maryland Board of Nursing, the Maryland Bar Association, and nursing homes in the area.

For more information about training for professionals, call  410.752.6505.

SUBSTANCE ABUSE PROFESSIONAL (SAP) SERVICES

The requirements for Department of Transportation  (DOT) substance abuse cases are detailed and stringent and require the services of a certified SAP.  We provide evaluations, referrals and follow up work for all DOT cases including specialized urinalyses required by the DOT.  We accept referrals from SAP evaluators who have determined the treatment needs required by their clients and provide careful and detailed reports as required.

For additional information, contact 410.752.6505.

COURT APPEARANCES

There are times when clients require the expert testimony of a certified or licensed addictions professional for their legal situations.  Crossroads Centers provides those services.  The fee is $200.00 per hour plus the cost of chart copies when required.

CLINICAL TRAINING

Several times each year Crossroads Centers holds professional training sessions at one of its locations.  Topics are relevant to addictions professionals and those in related fields.  CEUs are available for addictions, social work, and nursing professionals.  Check our Events section for up to date information or call one of our centers for information.

CONFERENCES FOR PROFESSIONALS

Every year Crossroads Centers is a sponsor of the Tuerk Conference on Addictions held at the Baltimore Convention Center.  The event is open to professionals in all fields and is sponsored by the Maryland Chapter of the National Council on Alcohol and Drug Dependence.

Crossroads Centers also sponsors an annual spirituality conference in the Frederick area, generally in concert with one or two addiction centers in Western Maryland.  This year's conference will be held in May in Frederick.  See our events calendar for additional information or call one of our centers for more information.

YOGA AND RECOVERY GROUPS

In 2005 Crossroads Centers in Baltimore experimented with incorporating the practice of yoga into its treatment program.  Currently all clients in the Intensive Outpatient Program in Baltimore attend a weekly yoga group led by Laura Hardesty, a yoga instructor as well as a CSC-AD.  Laura uses yoga to teach relaxation techniques and as another approach to helping clients integrate the twelve-step recovery program into their daily lives.

Laura is starting a new yoga class at the Baltimore center for those in recovery.  Participants do not have to be in any Crossroads Centers program nor do they have to be graduates of Crossroads Centers.  For more information, call 410.752.6505 and leave a message  for her.

WOMEN'S GROUPS

All three centers are in the early stages of introducing outpatient groups for women in early recovery.  Through the group process women will begin to address issues of self esteem, abuse, empowerment that will help them maintain and strengthen their recovery.  Groups will be led by certified and/or licensed addictions professionals.  Call for more information.