What Sets Us Apart
Medical Treatment Overview
The medical program at Ripple Ranch specializes in providing the client with individual/specialized care. From an in-depth nursing assessment on admission to a detailed comprehensive medical discharge assessment. Our medical staff strives to get to know our patients and attending specific needs. On admission we complete a nursing assessment,which is composed of a full body system assessment, drug history, and detailed medical Hx assessment. We also complete a suicide risk assessment, which is composed of risk factors/stressors and reviews positive factors to develop a score to determine if a client is low moderate or high risk. We conduct a pain assessment, which reviews any pain chronic or situational and develops a pain management plan. Our nutrition assessment is composed of questions to help determine if a client is at risk for any nutritional deficiencies or any referrals needed. The nicotine dependence assessment helps develop a score to determine the dependence of a client’s dependence to nicotine. Our social risk assessment provides questions to determine if a client is low moderate or high risk for possible STDs, hepatitis C, HIV or other communicable diseases. Each client receives a detailed medical discharge with full reviews on medications, prescriptions referrals and review of labs. We provide in house labs and comprehensive urine drug screens with substance levels for monitoring and review. All of this ensures your rehab process is unique and is what sets us apart - learn more about us here.
Individualized treatment and special projects offered here at Ripple Ranch
EMDR – Eye Movement Desensitization and Reprocessing
EMDR therapy is an eight-phase treatment, which comprehensively identifies and addresses experiences that have overwhelmed the brain’s natural resilience or coping capacity (examples include but are not limited to war, rape, assault, sexual abuse, etc.) and have thereby generated traumatic symptoms and/or harmful coping strategies (flashbacks, anxiety, insomnia and possible harmful attempts to address these symptoms, such as isolating behavior and self-medication with drugs and alcohol.). Through EMDR therapy, patients are able to safely and swiftly reprocess traumatic information until it is no longer psychologically disruptive, and they no longer feel the need to hold onto their harmful coping strategies, including self-medicating with drugs and alcohol.
Living in Balance Group
Living in Balance is a is a psychoeducational curriculum where we pull from 7 major chapters including the following: anger and communication, problem solving, stress and emotional well-being, human needs and social relationships, triggers/cravings and avoiding relapse, planning for sobriety, and difficult/negative emotions. We discuss and address emotional issues and other areas they have been neglecting and/or avoiding during addiction.
Dialectical Behavior Therapy Skills (DBT Skills) Group
DBT Skills is a psychoeducational group that reviews 5 major topics including mindfulness, radical acceptance, distress tolerance, emotion regulation, and interpersonal effectiveness. DBT skills is focused on enhancing clients' capabilities by teaching them behavioral skills. DBT theory suggests that some people’s arousal levels in situations can increase far more quickly than the average person’s, attain a higher level of emotional stimulation, and take a significant amount of time to return to baseline arousal levels. The group is run like a class where the group leader teaches the skills and goes over ways for residents to practice using the skills in their everyday lives.
Chemical Dependency Education Group
CDE is a psychoeducational group that reviews 5 major topics including the fight/flight/freeze response, identifying cognitive distortions and automatic negative thoughts, addiction and contemporary culture, the process of recovery, and from addiction to recovery. The group is designed to educate residents on the realities and facts of how and why chemical dependency is so powerful and ways to remove some of that power through mindfulness training and cognitive awareness.
Life Skills Group
Life skills is a psychoeducational group that reviews 5 major topics including goal setting/WDEP model, stress management, assertiveness, healthy boundaries, and self-care. Here we speak practically of skills we need in daily life and can be used in many areas in life. Skills are taught however simply or complex the resident requires and is often tailored to each individual class.
Women’s Process Group
Women’s process is a group designed for women only. We process and discuss intimate topics such as body image, family of origin, self-care, grief and loss, vulnerability and shame, and relationships and intimacy. The group allows women to speak openly in a relaxed and smaller group size about women’s issues.
Men’s Process Group
This is the male only process group. There are many topics discussed: relationships, parenting, we explore “The Hero’s Journey” as a frequent theme, based on the movie Finding Joe, and the work of Joseph Campbell.
Family Chemical Dependency Education Group
This group is held on Sundays’ and is open to family members. In this group, we discuss the different styles of attachment, familial roles, codependency and enabling behaviors, asking for help, resentment and forgiveness, and rebuilding trust.
Stop the Chaos Group
Stop the Chaos is a practical guide that identifies the telltale signs of addiction, offers suggestions for living alcohol- or drug-free, and teaches the skills necessary for healthy living. Although residents don’t have enough time to review all the chapters in this psychoeducational class, we pull from major topics such as understanding the recovery process, building a stable foundation, identifying high risk situations, and coping with using urges.
Relapse Prevention Group
Relapse prevention is a psychoeducational group that reviews topics like automatic pilot and relapse, mindfulness, seeing thoughts as thoughts, and coping with urges and triggers. The major premise of this class includes mindfulness training and “rewiring” of negative/unhealthy thought patterns.
Multimedia Process Group
In this group, we use a variety of media to incorporate a more creative approach to group counseling. We discuss the self, create self-portraits, explore the concept of moving on and letting go, address client’s worst fear/anxiety and also utilize music through a therapeutic process called Musical Chronology.
Relationship Dynamics Group
In this group, we discuss the “whys” behind our behaviors. We explore why we do what we do and how we can make healthier choices to get what we want out of life. The topics include; the Power of Choice, the Four Agreements, Negative Core Beliefs & Family Dynamics, Guilt and Shame, Codependency, Healthy vs. Unhealthy Relationships and the 5 love languages.
Writing Process Group
In this group we utilize writing as a medium to explore certain aspects of our recovery. Clients are assigned a topic, given about 45 min to write and then we come back together and discuss our writings. The topics included are: Write to your Addiction/Drug of Choice, Unfinished Business, Greatest Life Lesson, Broken Relationships and writing to your younger self.
Co-occurring Disorders Group
This is a psychoeducational group, which focuses on the anatomy of mental health diagnoses. Etiology and nature/nurture are explored. There is a mindfulness-based CBT component to the teaching as well as a heavy dose of choice theory.
We begin and end each day by reading from a devotional book. In the morning, each client begins the day in gratitude and positivity by sharing what is good about the day, what they are grateful for, and what their goal is for the day. Prior to retiring for the night, each client shares the “high” and “low” of their day and if they were able to maintain positivity and achieve their goal.
The self-worth group is designed to increase and foster awareness of self-worth, confidence and a positive image of self. The group reviews and discusses topics such as Grace, Lies I kept Telling Myself, and Positive affirmations. Each group topic is designed to be interactive and encourages the clients to actively participate.
Group therapy is designed to offer a unique perspective in a small group setting (no more than 12 residents). Group therapy is offered in two forms: either a process group or psychoeducational group. Clients are encouraged to view various issues from different perspectives in order to expand their own awareness on multiple issues. Different than the individual counseling session, group therapy serves as an additional tool for clients to have accountability to participate, engage, learn and share in an intimate group setting.
Mindfulness-Based Stress Reduction (MBSR)
"Mindfulness is about being fully awake in our lives. It is about perceiving the exquisite vividness of each moment." - Jon Kabat-Zinn
For most of us, when this happens, it's unexpected, maybe while walking on a wooded trail or being so focused in work or play that you are not thinking about past or future or connecting with someone in a way that makes it seem like time is standing still. This state of being alive and whole in the present moment is always available, but it typically eludes us, especially in times of difficulty and external pressures.
Mindfulness-Based Stress Reduction (MBSR) is a blend of meditation, body awareness, and Mind-Body practices such as Yoga, Tai Chi and Qigong: learning through practice and study how your body handles (and can resolve) stress neurologically. Mindfulness is highly experiential, and daily practice is perhaps the most important component. Learning a mindfulness practice is no different than any other skill that involves both mind and body. You know from your own experience in learning to play an instrument, or a sport, or any complex skill whatsoever, that practice is important. Your Mind-Body is the most complex instrument in the universe. It takes time and practice to use it effectively and harmoniously.
Tai Chi Easy/Qigong Group
Tai Chi Easy/Qigong is a mind-body-spirit practice that can improve our mental and physical heath by integrating posture, movement, breathing technique, self-massage, sound, and focused intent. The physical, slow gentle qigong movement warm tendons, ligaments, and muscles, toning and promoting circulation of body fluids (blood, synovial, lymph). Thousands of studies have shown tai chi and qigong effective in helping to heal life challenges ranging from high blood pressure and chronic illness to emotional frustration, mental stress, and spiritual crisis. It is a form of moving meditation. It has many of the same effects upon the body and mind that acupuncture has including detoxification and relaxation. The advantage of qigong is that the clients can learn and practice qigong on their own. This gives them some tools that they can use to assist their own path to recovery.
Zen Meditation Group
“Mindfulness means paying attention in a particular way; On purpose, in the present moment, and nonjudgmentally.”
-Jon Kabat-Zinn ~ Founder of Mindfulness-Based Stress Reduction (MBSR)
Meditation Group is highly experiential; a daily practice is perhaps the most important part of building a mind-body practice. In this group we explore different mind-body practices and traditions. Such as: Zen Buddhist Meditation, Moving Meditations like Tai Chi and Qigong and Yoga, Standing Meditation and finally Walking Meditation. Meditation cannot be fully appreciated without directly experiencing the practice. Theory and intellectual knowledge can contribute to a person’s understanding of these modalities, but it is essentially experiential in nature. Indeed, trying too hard to grasp and define the core principles of these techniques at an intellectual level can sometimes hinder understanding, rather than promote it.
Health Education Group
Health educational class is offered once a week and address topics of STDs, Tuberculosis, smoking cessation, anti-craving medications, hydration, personal hygiene, universal precautions, HIV, etc.
Canine Activity Group
The goal of the Canine Activity is to help each client engage with, benefit from and/or learn something from interaction with a sentient creature that is non-judgmental, non-manipulative and has no hidden agenda. Most clients have pets at home and are missing the companionship and the biological, tactile connection to show and receive affection. As clients are sometimes engaged in other treatment activities over the two (2) hour time frame of the Canine Activity, the activity is conducted in a "come at will" format. However, when they are present, the clients are encouraged to engage with the animals to promote relaxation and practice relapse prevention tools they can use to assist their own path to recovery. In addition, clients are encouraged to continue to practice individual connection with animals and nature through various avenues after their departure from the facility. Some suggested avenues include volunteering at adoption centers or humane shelters, city and state beautification projects, etc.
Nutrition group is led by a registered dietitian who helps individuals improve their relationship with food for better health, improved quality of life, and for the prevention and management of chronic disease. She helps individuals make better choices to reach their health goals without sacrificing taste, and to cut through confusion of conflicting nutrition information with the latest scientific evidence-based research. For patients recovering from substance-abuse, nutrition plays a huge role that is sometimes overlooked. Empowering recovering individuals with a better understanding of a healthy diet can correct nutritional deficiencies, improve overall physical and mental health, and is one of the most important factors in preventing relapse.
Recovery Art Group
Incorporating recovery and its principles with art, as a way to self-discovery and spiritual growth. Projects are designed to be creatively challenging, yet easy for the non-artist to experience success. Using a variety of mediums and techniques, clients encounter concepts of self-expression, letting go, non-perfectionism, lack of control, paradox of individuality within commonalities, childlike delight, accomplishment, fun and joy.
Recovery Support Groups
At Ripple, we believe it’s important for clients to have exposure to various types of recovery support groups in order to find what program works best for them. We encourage clients to continue to attend 3-4 meetings a week during their early recovery in order to help immerse themselves within a community of likeminded individuals and to be held accountable. During their time in treatment, clients will attend 4 meetings a week, which consist of 12 step and alternative meetings.
Refuge Recovery: A daily recovery program that incorporates meditation along with taking a personal inventory, mentorship, retreat, and being of service. These peer led meetings combine recovery community structures with Buddhist-inspire principles and practices. This program is a non-religious promotes recovery from all forms of addiction (substances, relationships, food, codependency, spending, etc) utilizing the early Buddhist principles and humanist psychology.
SMART Recovery: A 4 point self-management and recovery training program that utilizes different tools and techniques for each point. SMART offers a recovery program for all types of addictive behaviors, these meetings can be held in person or through an online forum.
- Point 1: Building and Maintaining Motivation.
- Point 2: Coping with Urges.
- Point 3: Managing Thoughts, Feelings, and Behaviors.
- Point 4: Living a Balance Life.
Narcotics Anonymous: A nonprofit fellowship of men and women who struggle with substances that meets regularly to help each other stay clean utilizing a 12 step program. The recovery model places emphasis on social support and a Higher Power, however is not affiliated with any religion. The goal is to assist those suffering from addiction through the process of recovery and spread the message that recovery can be possible for anyone.
Buddhist & 12 Steps: A program that combines basic Buddhist practices and insights with traditional 12 step techniques, which allow for individuals to dive deep below the surface of addiction and to start addressing the underlying causes. Being religious or suffering from addiction are not necessary for participation. This program believes anyone who suffers from craving and seeks peace can successfully do so by living mindfully.
Dual Recovery Anonymous: A self-help program that uses 12 steps for men and women in recovery with a dual diagnosis. Dual diagnosis means an individual struggles with substance use and mental illness. This program focuses on relapse prevention strategies and increasing the quality of life for those in recovery as well as building a strong social support. A personal recovery is encouraged as DRA approaches recovery with various ideas, steps, and suggestions rather than rules.
In our yoga space, where the styles and sequences vary from class to class, we focus on the bases of harmonious work of body, mind, spirit, and soul. The class offers the possibility of expanding our knowledge of healing and prevention of injuries. The yoga practice itself is intrinsically good, acknowledging limitations and providing modifications without judgement; allowing the client to look within, become aware, and heal. We practice Pranayama (breath exercises) and provide a conscious relaxation/meditation at the end of the class. Styles of Hatha yoga we practice include Anusara, Vinyasa, and Restorative with props, gentle flow, Yin, Ashtanga, wall, and chair yoga.
With movement, pranayama, and meditation, yoga studies have proven to detoxify organs, aid in cardio health, release endorphins that improve mood, help manage anxiety, depression, chronic pain, and increase energy levels, strength, and muscle tone; yoga is also known to allow for a better sleep and aid in posture improvement.
Reiki treatments have been offered at Ripple Recovery since May of 2014. Reiki is considered a complementary and alternative medicine (“CAM”). It is a centuries old method by which energies in the body, heart, mind and soul are unblocked or rebalanced. One of Reiki’s initial impacts is relaxation … something most of our clients have not been able to do in quite some time. There can also be pain alleviation. It is very common for a client to leave their treatment stating that their headache is gone or an ache or pain in their body doesn’t hurt anymore, etc. And, while Reiki energy attends to the clients’ whole being, one of Reiki’s symbols specifically deals with addiction or depression by restoring the body's spiritual equilibrium. The same symbol may also be used to help people recover from past physical or emotional trauma(s). This symbol is regularly envisioned during treatments to address cause and effect.
In Japan, they practice something called forest bathing, or shinrin-yoku. Shinrin in Japanese means “forest,” and yoku means “bath.” So shinrin-yoku means bathing in the forest atmosphere or taking in the forest through our senses. This is not exercise, or hiking, or jogging. It is simply being in nature, connecting with it through our senses of sight, hearing, taste, smell and touch. Shinrin-yoku is like a bridge. By opening our senses, it bridges the gap between us and the natural world.
Numerous studies have shown Shinrin-Yoku to be effective in helping to heal life challenges ranging from reduced stress, enhanced immune response, improved and stabilized moods, sharper cognition, and more. Forest Therapy is simple, inexpensive, safe, and effective. The advantage of Slhinrin-Yoku is that the clients can learn and practice Shinrin-Yoku on their own. This gives them some relapse prevention tools that they can use to assist their own path to recovery.