ARCH Treatment Model

ARCH Out-Patient Model

Stay-At-Home & Heal

Out Patient Bldg - shutterstock_59699860Outpatient treatment refers to those programs where the individual attends appointments and/or meetings during the course of the day with no stay at a facility overnight.  This allows the individual to maintain the normal “flow” of their daily lives in work, family, and friends.

ARCH is a medical model under the direction of Addiction Doctors who use Science based evidence to make clinical decisions for outpatient care:  from evaluation-  to treatment –  to aftercare.  Effective, accessible and proven medicine associated with sustained recovery is ARCH’s cornerstone.

The ARCH Treatment Model is Out-Patient

Advantages of ARCH Outpatient

Close to Your Doctor –Your doctor is essential to your recovery and close by when you are in need.  Call when you need us or make an apt and be seen right away.  Out-of-state programs lack this type of care causing problems for its patients.

Doctor Kittay is a phone call away: Dr Kittay maintains a 24/7 Emergency Phone line to his patients so that he is always available for your calls.  This type of commitment is highly regarded by our patients and we believe aids them in their success.

Continuity of Care – Close To Your Treatment Team:   An outpatient setting allows you to maintain the same treatment team throughout your recovery…during treatment and in continuing care.  Patients need their Addiction Recovery Support Team close to home.

Ability to Stay In Work:    An outpatient setting is the best way to get care while maintaining one’s normal career routine.  Keeping up a presence at work prevents long unexplained absences which could bring unwanted attention to a very private situation.  In-other-words, Outpatient Care ensures your privacy.

Affordability:    Outpatient care costs less than residential treatment counterparts. For properly placed patients, this is NOT due to the level of care, but rather the simple fact that there are less costs associated with running an outpatient program.

Less Social Stigma:    A long stay at a residential treatment center means a prolonged absence from work. Explaining this to employers, co-workers, or friends may prove embarrassing.

Be Closer to Your Support Structure:    Many individuals need the support of friends and family during recovery care. For these individuals, outpatient care provides a way to go through all the necessary medical and counseling sessions during the day, but then return to supportive, caring arms of their family in the evening.

Head-Of Household Responsibilities Can Be Maintained:   Residential treatment offers individuals a chance to focus solely on their recovery, but those people who have a families cannot simply up-and-leave for an extended period of time. Outpatient care is a chance to take care of your loved ones while also recovering from addiction.

Reduction of Relapse:  Outpatient programs provide a continuum of care from evaluation to treatment to  continuing care is effective, accessible and associated with sustained recovery.

Triggers Are At Home and Work:  Patients insulated from the demands and stresses of their everyday life while staying “In-Residence”; don’t learn how to manage; their “everyday life”—which is usually where their triggers for relapse are!  Therefore it is best to be in your everyday life, exposed to your triggers, and your Treatment Care Team close by to help you handle them.

Out-Patient Program vs. Residential

  • Comparisons of out-patient treatment vs. residential treatment show no differences in outcome but the most severe cases…as long as the total length of treatment and after care is the same.
  • Treatment Outcome Prospective Study (TOPS); Drug Abuse Treatment Outcome Study (DATOS); Addiction, 2007 Mar; 102(3):432-40.
  • While residential treatment advocates “can be fervent, and persuasive, in their enthusiasm”… scientific comparisons of out-patient treatment vs. residential treatment show no differences in outcome for all but the most severe cases….   Treatment Outcome Prospective Study (TOPS); Drug Abuse Treatment Outcome Study (DATOS); Addiction, 2007 Mar; 102(3):432-40.

Failure To Use An Evidenced Based Addiction Care Model
“Most residential treatment therapy revolves around individual and group counseling by psychologists, not M.D.s or prescribing psychiatrists.  It is shocking to learn, that clinical psychologists in many addiction programs do not necessarily use “the interventions for which there is the strongest evidence of efficacy!”

Sharon Begley, NEWSWEEK’s science editor Oct, 2009; Dirk Hanson. The Science of Addiction Oct, 2009.

The Problem With Residential Programs:  Failure of Aftercare Resulting in High Relapse Rates

  • “In a national epidemiological study of 802 discharges from 14 residential or inpatient programs, only 14% reported attending outpatient programs in the community in the first year after discharge”. Am J Drug Alcohol Abuse. 2008; 34(1): 47–59.
  • The failure of residential programs to provide effective aftercare/follow-up after discharge results in high relapse rates particularly in the first months after discharge. Am J Drug Alcohol Abuse. 2008; 34(1): 47–59.
  • When patients receive treatment in one location followed by aftercare in another location it reduces recovery adherence and increases the risk of relapse.
  • When a person leaves a Residential Facility and their case worker tries to set up care somewhere else, quality of care is greatly reduced; hence the 86% no compliance in follow-up care.

Please call us in Danvers:

(978) 820-5500

Dr. Michael J. Kittay, M.D.
160 Sylvan Street, Danvers, MA 01923
Phone. (978) 820-5500
Fax. 978-820-5502

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