Safe Care Program

Safecare is an evidence-based program of an educational nature based at home, intended for families in which one or more of the possible child protection situations have been observed.

It is developed through teaching-modeling sessions by a family educator at the family’s home, where she works with parents and sons and daughters on specific parenting skills. For this, the family educator uses a structured manual divided into three modules that are taught in their entirety during the duration of the program: health care module, home safety module, and parent/child interaction module.

The families targeted by the program are those that meet the following inclusion criteria:

  • Age of the boy or girl 0-5 years
  • Current presence or risk of physical and emotional neglect toward the child
  • The boy or girl lives in the family home, and the objective of the intervention is family preservation
  • The family voluntarily accepts the intervention

The program is being implemented within the framework of a collaboration agreement with the University of the Basque Country and the Donostia City Council.

Incredible Years Program

Incredible Years is an evidence-based, early intervention program for preventing behavior problems and promoting social and emotional competence.

The group intervention program isogram is aimed at families with children with behavioral problems and parents with difficulties managing such issues.

It simultaneously focuses on teaching parenting skills and group therapeutic care for boys and girls. The central objectives of the program are:

  • Strengthen the parent-child relationship
  • Strengthen interpersonal skills and the support network of parents
  • Establish routines, limits, and norms in a non-punitive way and learn to solve problems

It has modules for different ages. The duration of the program is about 22-24 sessions. These are weekly.

Treatment for substance use disorders

It is difficult to receive treatment for substance use disorder. It isn’t easy regardless of whether it is a personal decision or whether it is recommended or required by the court system, family, or an employer. The first step to receiving the whole treatment is a thorough evaluation. This includes the following:

  • A complete assessment of the person’s recent use.
  • An evaluation of the person’s social situation.
  • Identification of treatment goals.

After this evaluation, you will receive a treatment recommendation. Recommended treatment will be provided on an inpatient or outpatient basis. This is known as the level of care (LOC).

ambulatory care

Outpatient care may include 12-step programs, therapy, support groups, and partial hospitalization.

  • Usually, these programs are community-based and accessible.
  • They include programs like Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, and Ala-Teen.
  • They can be accommodating for patients trying to recover. They can also help family members affected by substance use.
  • The programs allow you to connect with other people who are in recovery.
  • They offer support and strategies for you to achieve a successful recovery.

Routine Outpatient Care (Roc):

  • The ROC includes individual counseling with trained therapists.
  • It may also include visits to a psychiatrist or an addictologist. These professionals can help decide if medicines would help.
  • The ROC does not include medical treatments for complicated withdrawal symptoms.

Intensive Outpatient Care Program (IOP) For Substance Use Disorders:

  • The IOP is a structured treatment that teaches about addiction and recovery.
  • In general, it encourages participation in 12-step programs.
  • The program connects frequent visits (usually three to five days per week) and requires three to four hours of treatment daily.
  • It is structured so patients can continue working and maintain their usual routine.

Partial Hospitalization For Substance Use Disorders:

  • It is a structured treatment.
  • Partial hospitalization can help patients who continue to have difficulties after completing lower levels of care.
  • It connects treatment five to seven days weekly for six to eight hours daily.
  • You can offer a drug and alcohol-free housing solution while attending the program.

Outpatient Detox

  • They are offered on an outpatient basis. It is intended for people who are highly motivated to recover but need medical treatment due to withdrawal symptoms.
  • It can work when medical professionals can supervise the patient.

Inpatient care

Inpatient Detox

  • It is suitable for people who necessary 24-hour intensive medical care.
  • It may be crucial for people dependent on certain drugs. This includes alcohol, sedatives, and some opioids, such as pain relievers or heroin.
  • It is intended for people whose medical situation is complicated.

Acute Inpatient Care

  • They may be needed after inpatient detoxification once withdrawal symptoms have subsided. If the patient has medical or psychiatric symptoms, they may need 24-hour care and daily visits to the doctor.
  • In general, they are short-term treatments.

Inpatient Residential Facilities:

  • This method is tried after having failed several times at other levels of care.
  • They are intended for people who do not need medical supervision.
  • They can last 28 days or more.
  • They are unsuitable for people who are not motivated to change or recover.
  • They are only as effective as other types of care in achieving long-term sobriety.
  • They should include weekly family therapy.