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Substance Use Disorder Treatment

Outpatient Therapy

Square Medical Group provides individual and group therapy for those seeking personalized counseling for their mental health or substance use disorder. We offer therapy led by Licensed Independent Clinical Social Workers, Licensed Mental Health Counselors and by other master’s and bachelor’s-level clinicians. Our therapists specialize in a wide range of conditions including depression, anxiety, trauma, attention-deficit disorder, bipolar disorder, family and marital issues, substance use disorders, and other life events that create stress and imbalance. Our clinicians utilize a variety of evidence-based modalities including but not limited to:
  1. Cognitive Behavioral Therapy (CBT)
  2. Dialectical Behavioral Therapy (DBT)
  3. Motivational Interviewing (MI)
  4. Mindfulness-Based Stress Reduction (MBSR)
  5. Community Reinforcement and Family Training (CRAFT)
For more information or assistance with scheduling an initial appointment, please call us at 617-916-5069.

Medication-Assisted Treatment

Square Medical Group offers a variety of Medication-Assisted Treatments for Opioids, Alcohol and other drugs. These include
Buprenorphine

Buprenorphine is a medication that comes in film, tablet or injectable form. By taking the place of the opioids used by patients, buprenorphine prevents cravings and makes withdrawal from opioids feel less intense. Patients on buprenorphine report feeling normal, functional and clear-headed all day long, which allows them to make positive choices the way that they did prior to their addiction. When combined with counseling and other forms of support, buprenorphine can be highly effective in helping patients recover from addiction. Square Medical Group provides buprenorphine treatment through:

  • Suboxone
  • Subutex
  • Sublocade
Vivitrol

Naltrexone is a monthly injectable medication that is useful for the treatment of opioid addiction and alcohol addiction. This medication binds to receptors in the brain and prevents patients from feeling any pleasant effects from opioids or alcohol. Vivitrol has been clinically proven to reduce the probability of relapse. Those suffering from an opioid addiction may only start taking Vivitrol after opioid detoxification. Vivitrol may also be used by patients who have completely tapered off of buprenorphine or methadone to prevent relapse.

For more information on Medication-Assisted Treatment or to schedule an appointment with one of our providers, please call us at 617-916-5069.

Partial Hospitalization

Square Medical Group provides a structured and evidence-based Partial Hospitalization Program (PHP) five days per week via Remote Telehealth. Patients attend five (5) times per week, and participate in group, family and individual counseling along with medication management as applicable.

SMG specializes in providing patients with a broad continuum of fully-integrated health services and, as such, patients may also receive the following services, based on their needs, during the course of their PHP participation:

  1. Comprehensive biopsychosocial assessments and pre-screenings
  2. Behavioral health/mental health services through an SMG provider
  3. Tobacco cessation program
  4. Medication-Assisted Treatment or other pharmacological services through an SMG prescriber
  5. Urine Toxicology and Breathalyzer screenings (at least weekly). 
  6. Case management services

Curriculum

Square Medical Group has developed a comprehensive curriculum based on a number of published and researched methods including SAMHSA’s Treatment Improvement Protocols (TIP) #47 and Substance Abuse: Clinical Issues in Intensive Outpatient Treatment (IOT) along with guidance from the 2018 Standards & Guidelines issued by the Association for Ambulatory Behavioral Healthcare.

The organizing principles of the Square Medical Group PHP program shall be:

  1. Weaves cognitive behavioral concepts throughout groups and exercises.
  2. Incorporates family education and participation throughout the program.
  3. Introduces and encourages 12-Step participation or other self-help environments such as AA/NA, SMART Recovery, Refuge Recovery, Celebrate Recovery (faith-based), etc.
  4. Encourages the use of Medication-Assisted Treatment as an adjunct to PHP including Suboxone,  Vivitrol and others.
  5. Uses urinalysis and other methods to monitor drug and alcohol use.
  6. Offers the ability to work with relapses as they occur, preventing the utilization of higher levels of care.
  7. Provides weekly access to psychiatric/addiction mid-level practitioners to address a variety of concerns,  risks, and other factors.
  8. Focuses on relapse prevention. 
  9. Focuses on self-sufficiency and independence after treatment.
  10. Provides accessible medical services arranged as needed with an SMG provider (most of whom are individually credentialed with all Blue Cross Blue Shield of Massachusetts plans along with other Medicaid and commercial health plans).

For more information on SMG’s Partial Hospitalization (PHP) Services or to schedule an intake appointment with one of our PHP clinicians, please call us at 617-916-5069.

Intensive Outpatient

Square Medical Group provides a structured and evidence-based Intensive Outpatient Program (IOP) five days per week via remote telehealth. Patients will be expected to attend no less than three (3) times per week, with 5-day-per-week programming allowing for weekly flexibility in scheduling and individual counseling. SMG specializes in providing patients with a broad continuum of fully integrated health services and, as such, patients may also receive the following services, based on their needs, during the course of their IOP participation:
  1. Comprehensive biopsychosocial assessments and pre-screenings
  2. Behavioral health/mental health services through an SMG provider
  3. Tobacco cessation program
  4. Medication-Assisted Treatment or other pharmacological services through an SMG prescriber
  5. Primary care or other specialty care through an SMG provider
  6. Urine toxicology and Breathalyzer screenings (at least weekly)
  7. Case management services
For more information on SMG’s Intensive Outpatient (IOP) services or to schedule an intake appointment with one of our IOP clinicians, please call us at 617-916-5069.

Residential Services

Square Medical Group offers residential services at our location in Waltham, MA. The “River House” program is an intensive 90-day program for individuals with co-occurring mental health and substance use disorders. The program is located in a restored Victorian home situated on the Charles River within walking distance of downtown Waltham,

This is a 16-bed, 90-day residential co-occurring enhanced (COE) program designed to offer support for male adults looking to pursue independent and recovery-oriented living. River House provides a thoughtful treatment environment, offering a robust spectrum of psychiatric and clinical services. These services create a therapeutic milieu resulting in residents gaining greater amounts of self-responsibility and self-efficacy. By addressing our resident’s social determinants of health along with their medical, psychiatric, and addiction recovery needs, they will learn important skills to move beyond their illness, so they can pursue a personally meaningful life.

Requirements for Admission

  • Individual needs to be 18+
  • Co-occurring disorder present, substance use disorder primary
  • Needs to identify as male
  • Symptoms need to be managed well enough to participate in milieu-based residential treatment
  • Must be willing to voluntarily engage in treatment
  • Clients participating in MAT are welcome and eligible as residents
  • Most MassHealth plans accepted

For more information on River House or to discuss admission, call us at 617-916-5069.