What is detox like?
In the sub-acute detox stage of the program clients are closely monitored by nursing staff. Their symptoms are treated, and we strive to keep the atmosphere calm, quiet and comfortable for our clients. Clients are encouraged to fellowship with the rest of the community members and partake in meals in the dining hall if able. This helps facilitate their integration into the community and gives the clients a chance to become oriented with the grounds of the facility.
What is the medical protocol?
Upon initial intake into the Detox unit all medical/substance usage history is recorded and a full nursing assessment is completed including vital signs and any current medications the client may be taking. While in the Detox unit the client’s vital signs and progression through the stages of detox are monitored and treated by nursing staff. When a client has successfully completed the detox program the treatment team will facilitate his transition into the community. This generally takes place within 3-7 days from arrival at the facility.
What times our medication administrations?
Medication administration times are 7am, 1pm, 6pm and 9pm (except on weekends 10pm). The medical staff administers all medications ordered for the client as well as any over-the-counter medications the client may need. All refill needs are addressed by the RN each day.
Modes of Treatment
What is the therapeutic treatment plan?
Each client’s treatment plan includes: group counseling 5x/week , individual counseling 1x/week, Chemical Dependency education 5x/week, Big Book Study 5x/week; meditation 7x/week, yoga 1x/week, weight room, jogging trail, Equine-Assisted Therapy, and Braveheart experience.
Each client is assigned a counselor, peer big brother, and a Recovery Specialist to help him through the work as well as acclimate in the community.
Individual Marriage and Family therapy sessions and EMDR Trauma Informed treatment sessions can be arranged for clients needing these services.
What therapies are involved?
CBT (Cognitive Behavioral Therapy), 12 Step Alcoholics Anonymous program, Trauma-Informed therapy, EMDR, Mindfulness, Experiential therapies such as Equine-Assisted Therapy and Braveheart.
Equine-Assisted Therapy is utilized to help clients find emotional and physical balance and regulation. Clients build a relationship and connection with a horse of their choosing and work through underlying issues of addiction in a nonjudgmental, but challenging way. Ground and mounted exercises with horse, therapist and equine professional provide a unique and profound experience that impacts the client’s relationships with themselves and others.
Braveheart is an intensive two-day experience for men who are ready to confront core psychological fears and wounds and to create deeper internalization of 12-step work. This is offered on-site once per month by trained therapists who guide clients through a variety of powerful action methods, visualizations, and rituals of transformation to support long term recovery.
Communication With Your Loved One
Who will contact family to introduce themselves and answer questions?
Initially, you will be contacted in the first week by someone from our clinical team to give you an update on your loved one and his status in treatment. If a client is admitted over the weekend, the call may not be made until the following Monday or Tuesday.
Thereafter, the client’s counselor will contact the designated family members regarding the client’s progress. The Family Liaison will also be in communication with family in regard to TLR Family Program and other needs or resources for support.
If more than one family member or blended family wants updates, will his counselor call each member?
The client’s counselor will consult with the primary caregiver/family member who has the client’s consent on how to relay information through phone or email. Should more family members desire information, that is up to counselor and client discretion. All family members need client consent for Release of Information on file in order to receive any information.
When can family expect calls/emails?
Once the client is in regular programming, the primary counselor will contact family an average of once per week. You may leave a message for a counselor, but please be patient and do not call repeatedly.
What if there is an emergency?
Counselors and other TLR staff will contact family immediately if there is an emergency.
Can family write letters and when will clients receive them? What is the address?
Yes, the mail comes in and is given to clients. Because TLR is in a rural setting, the mail service can be slow and unpredictable at times, but we do our best to get personal mail to clients as soon as they arrive. Clients can write letters and are mailed out weekly.
1620 FM 535 Suite D, Smithville, TX 78957
What else can family send?
Clients can receive clothes, cigarettes, toiletries (without alcohol content); no books or magazines. Tobacco should only be mailed by a family member. Due to State Regulations, the Staff at Last Resort is unable to provide residents with tobacco.
What if the client has court dates and legal issues during his treatment stay?
Staff will notify appropriate legal authorities and work with client regarding court dates and procedures necessary. We will also provide detailed documentation for his attorney and the courts.
How often is family allowed to visit? When is Visitation Day?
Family is allowed to visit after the client has been in treatment for 2-4 weeks and is approved by his counselor. Visitation day is held once per month on the 2nd Saturday of the month from 12:00noon-4:00 pm. The list of dates for the year can be found on the TLR website. Please inform the client’s counselor ahead of time who will be attending. A signed consent is necessary before entering campus. Other visits to campus outside of visitation day must be arranged through the client’s counselor.
Who is allowed to visit?
Family members or close friends are allowed to visit as long as they are approved by client and counselor. Children are welcome, but must be supervised at all times.If any issues come up during visitation, please let a staff member know.
Can we bring food, cookies, cigarettes, clothes?
Please do not bring food/drink to clients. Please do not give items directly to clients, as these items must be turned into a staff member for review before being placed in a client’s possession. Tobacco products can only be sent/ given to client by a family member. Staff reserves the right to inspect your personal belongings if there is a safety concern.
How is the discharge plan handled?
We do not use a “one size fits all” approach, but as the client progresses through TLR program we evaluate what level of care will best be suited when they discharge. TLR has developed relationships with trusted Aftercare providers and considers finances, location, vocation, and individual client and family needs to alleviate worry and stress for families.
How is an extension of stay handled?
Men are often admitted to our facility for less than the full 90 days of treatment. If needed or appropriate, the extension will typically be brought up by a counselor. An extension does not necessarily mean that a resident is doing poorly but that there has been a clinical observation that more time under our care would benefit the individual.
What happens next?
The discharge plan will be discussed with family during the last part of the client’s stay by his counselor and TLR Discharge Coordinator. Our goal is to support healthy, continuous sobriety.
What is the Alumni Network?
TLR Alumni program allows clients to stay involved after discharging from our facility. There are weekly, monthly and yearly recovery-related activities to continue to be a part of TLR community and brotherhood. We offer weekly Zoom aftercare meetings for all of our clients, which enable them to stay connected and have additional support in their recovery process. Alumni activities include trampoline dodgeball, softball and volleyball tournaments, TLR teaching opportunities, alumni 12 step meetings, and service opportunities throughout Austin. We have found that clients who stay involved with their brothers from TLR have had the best chance of recovery success.
Family Support and Resources
What is the Family Program?
TLR Family Program is an intense 2 1/2 day program offered once per month, and is typically the 2nd weekend of the month. The goal is to bring clients and their families together to understand addiction and to provide support and resources. The program is held in small, intimate groups, is interactional with time for individual questions, is experiential (family sculpting and equine therapy experiences), and provides group and individual family therapy by licensed professional therapists. It is highly recommended that families attend as we believe that families are key to helping their loved one in the recovery process.
What should family do while your loved one is in treatment?
The most important thing for family members to do is to attend to their own self-care while their loved one is in treatment. Please attend Al-Anon meetings (go to at least 6 meetings, try different ones, and find one you like), get an Al-Anon sponsor and begin to work the 12 steps yourself, and educate yourself on addiction (see attachment of resources).
What is Al-Anon?
Al-Anon is an organization offering free group meetings for family and friends of alcoholics and addicts. Their philosophy is based in the 12 Steps and 12 Traditions of Alcoholics Anonymous and is a great personal resource and support for family and friends.