Therapeutic Outpatient Services are designed to address behavioral and emotional concerns that individuals experience throughout their lifetime which may include depression, anxiety, post-traumatic stress, substance use disorders, and attention deficit disorder among others. Horizon offers specialized program options for clients across the lifespan and their families.
In addition to the more traditional outpatient therapies, we offer community based outpatient options to meet the individual needs of our clients. We deliver a broad range of programming with clinical staff who have specialized training to meet the unique needs of their clients.
Staff are equipped with a Trauma Informed Care perspective and evidence based treatment programs to meet the needs of our clients in both a 1:1 and group format. Group therapies are led by specialized clinicians and provide opportunities for in-depth discussions around the complexity of addiction, its underlying causes, and the essential elements to maintaining sobriety. Peer support is essential to recovery so we offer individual and group counseling sessions facilitated by Peer Recovery Support Specialists (PRSS) who have completed their peer certification.
Individual, family and group therapies are offered at Horizon’s Wellness Centers in the City of Lynchburg and Amherst, Appomattox, Bedford and Campbell Counties. These therapies address a wide range of challenging mental health and substance use issues across the lifespan. Professionals who provide this service are Licensed or Licensed Eligible Clinicians.
Peer Recovery Support Specialists are embedded in our substance use and/or mental health treatment programming. Peers are individuals with lived substance use and/or mental health experience who serve as role models, advocates, and support to those in treatment. Peers encourage pro-social behaviors and activities and assist clients with linkages to recovery resources.
Sweet Briar College partners with Horizon to offer office-based therapy and support on the campus of Sweet Briar College. The students have access to mental health care via daily walk-in crisis support and individual counseling. Educational groups are provided that may include topics such as mindfulness, expressing emotions through art, managing stress and the Evidence Based practice of Seeking Safety through Emotional Wellness.
Specialized Substance Use Disorder treatment track is determined based on an initial and ongoing assessment to determine the level of care an individual needs. Based on level of care services may include a combination of: Intensive Outpatient (three meetings per week for three hours), Outpatient Group (1 hour per week), and Individual and Family Treatment. Within this programming a specialized women’s program is available. Ancillary services include Motivational enhancement, early recovery and relapse prevention skills, family education and support for ongoing recovery. Clinicians who provide this service are Licensed, Licensed Eligible, or Certified Substance Use Clinicians.
Criteria for admission into office-based outpatient treatment is based on an assessment that is completed by Horizon’s Admissions Team. This assessment identifies mental health and substance use needs of the individual and makes a recommendation for the most appropriate service to meet their needs.
Adult Drug Court (ADC) is an empirically supported treatment approach for adults in the City of Lynchburg with substance use disorders and legal involvement. Drug court is an alternative to punishment for offenders by coupling evidence-based treatment with the accountability of the court system. Drug court teams consist of the judge, probation officers, and treatment providers working in conjunction with the client to achieve and maintain an abstinent and healthy lifestyle in recovery.
Family Treatment Drug Court (FTDC) is an evidence-based model designed to restore, reunite, and strengthen families to ensure optimal health and safety of all members. The goal of the program is to reunite children with parents in Bedford county who have lost or are in danger of losing custody as a result of opioid/ substance use. This voluntary program consists of five phases of tapered intensity in which individuals attend counseling services, support groups, drug screenings, and inpatient care over a period of 12 to 18 months. FTDC teams consist of the judge, social services caseworkers, CASA advocates, treatment providers, and peer recovery specialists who make it possible for children in foster care to return to their families and a safe home environment quicker.
Multisystemic Therapy (MST) is an evidence-based treatment program for adolescents age 12-17 and their caregivers. The model focuses on equipping caregivers with the tools and resources to address antisocial/delinquent behavior in youth. These behaviors include but are not limited to stealing, verbal and or physical aggression, property destruction, substance use and truancy. MST is provided in the client home or in the community. The average treatment duration is 3-5 months. MST clinicians are “on call” 24/7 365 days a year for families on their caseload.
Project LINK Program exists to support women and their children whose lives have been affected by substance use. This program provides intensive outreach case management, home visitation and support services to pregnant and parenting women who are “at risk” or are diagnosed with a substance use disorder. An emphasis is placed on providing wrap-around services for the entire family with the goal of keeping the family healthy and together. Participants are also linked to substance use treatment, mental health, medical and other social services available in the community. The goal of this program is to establish of a Coordinated System of Care (CSoC) for women and their families in their natural environment by improving their access to needed services.
Assertive Community Treatment (ACT) Program provides long-term needed
treatment, rehabilitation, and support services to identified individuals with severe and
persistent mental illness. This evidence-based service delivery model is designed to help
individuals optimize their personal, social, and vocational competency to live successfully and independently in their community. Individuals served through this evidence-based program are primarily those diagnosed with schizophrenia spectrum disorders, other psychosis, and bipolar I disorder with significant functional impairments, and continuous high service needs.
In this evidence-based service delivery model, an interdisciplinary team provides assessment and evaluation, health literacy counseling, medication management assistance, treatment planning including integrated dual disorders treatment for co-occurring substance use, skills restoration/development to strengthen social skills, wellness self-management and prevention, and symptom management using empirically supported therapeutic interventions & therapies.
Care coordination is also offered to clients by facilitating access to employment and vocational services as well as housing access & supportive services to instill skills learned from experience that are necessary for activities of daily and community living.
Criteria for Admission: The person must be 18 year old or older at high risk for psychiatric hospitalization or for becoming or remaining homeless due to mental illness. The client might also require intervention by the mental health or criminal justice system due to inappropriate social behavior. In addition, a client in need of ACT services will have a history (three months or more) of a need for intensive mental health treatment or treatment for co-occurring disorders (serious mental illness and substance use disorders and is resistant to seeking out and utilizing appropriate treatment options.
Office-Based Addiction Treatment (OBAT) is a substance use treatment model designed to be integrated with psychosocial and/or behavioral health services. Horizon is able to serve up to 50-60 individuals at any given time through this evidence-based program. In this program, individuals receive opioid assistive treatment with suboxone on a weekly basis for the first three months of the program. The interdisciplinary OBAT team consists of a prescriber, case manager, medical assistant and an outpatient therapist who, together, help their clients fully-reintegrate into their community.