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Cayman Islands Government

FAQs: Counselling Services

 
What is substance abuse treatment?
Treatment is a process that involves assessment of the current situation, the client''s strengths and weaknesses, the severity of the problem getting rid of old behaviours and learning new healthier behaviours.
What kind of substance abuse treatment is offered?
Both individual and group counselling is offered.
Does substance abuse treatment require the taking of medicine?
All of the treatment programmes within the Department of Substance Abuse Services are non-medical and no drugs are used. If a client requires medical or psychiatric care they are referred to Mental Health Services.
Is there a cost for substance abuse treatment?
There are no costs associated with the outpatient service but the residential service is operated on a cost-recovery basis. Arrangements have been made for clients who need this kind treatment but don"t have the financial means.
How long is substance abuse treatment?
Treatment varies in length due to the type of problem[s] and their severity. Generally speaking though outpatient counselling is considered to be a "brief intervention" lasting approximately six sessions. Residential programmes vary between 3-4 weeks or much longer if the treatment is transitional support i.e. Halfway House, etc.
Is confidentiality guaranteed by the Department of Substance Abuse Services?
All treatment programmes within the Department of Substance Abuse Services are bound by a Code of Ethics that endorses the client"s right to confidentiality except where permission has been given by the client, or in the matter of a felony which needs to be reported to the appropriate bodies, i.e. child abuse.
Can the Department of Substance Abuse Services provide help for my family?
Family therapy either group or individual is available even to those families whose substance abuser is not yet in treatment. Our outpatient service does provide counselling for dysfunctional relationships as well as part of our generic counselling separate from substance abuse treatment.
What is the difference between residential and outpatient substance abuse treatment?
The basic differences between residential treatment and outpatient treatment is the intensity of the actual programming. Clients receiving residential treatment live in the facility and participate in milieu therapy. Intensive residential programmes usually are three - four weeks long after which the client enters into a maintenance phase referred to as "after care" which is frequently provided by a combination of services in the community including: self-help pastoral counselling, outpatient counselling, EAP, etc.