City/County Alcohol and Drug Programs - Detox

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Brenda Boetel, Director
City/County Alcohol and Drug Programs
725 N. LaCrosse, Suite 300
Rapid City, SD 57701
Phone:  (605) 394-6128
Fax:  (605) 394-6890
Map

E-mail CCADP


Detox Program Links


Emergency Committals

An emergency committal or a Five-day Hold as it is often called is a document which allows the facility to hold a client for a period of five days. This excludes weekends and holidays.

A client may be placed on an emergency committal by a medical person such as a doctor from the hospital, a family member or even the facility. The reasons for an emergency hold vary as they can be for the client being on medication and have the need to be monitored. It could also be that the client has had numerous admits and may need to have his drinking or using interrupted for a few days or it could be that the client just need a safe sober place to be for a few days.

A client may also be placed on an emergency hold if he is being involuntarily committed as it gives the facility time to get his physical and evaluation done in the time limit mandated by the state (five days) so that a petition can be filed with the court.

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Family Interventions

As an organization and as a clinical team, we believe having peer support is one of the fundamental prerequisites to sobriety. If at all possible, and if it is in the best interest of the person, we try to encourage and facilitate a family/friend/community professional intervention for all the people admitted into any one of our services, such as: Outpatient, Meth Treatment, Residential Custodial Care, Continued Care, and Detox. We do this not only for collaborative information, but also to identify and address presenting family and/or personal issues other than substance use, such as communication barriers, legal matters, marital problems, job placement, and parenting concerns. Our goal has always been to keep the family intact and functional to the best of everyone's abilities and reinforce to the person participating in the program that they are not alone in their struggle to overcome their addiction.

Each counselor has a particular style of intervention, however, the goal in every intervention to provide a safe, respectful, and productive environment, as well as giving everyone an opportunity to express/explain his or her thoughts, feelings, and behaviors. Many times an intervention includes; providing education on substances, explaining the legal process of treatment placement, developing a realistic plan of success, and/or making an appropriate referral to an outside agency.

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Involuntary Committals

An involuntary committal is an action through the court in which a client is ordered by the court to attend treatment.

A client has a physical by a medical physician and an evaluation from a counselor not employed by this facility and these papers are filed with a petition for an involuntary committal.

The client has to make an appearance in front of a judge and either admit to or deny the petition. If a client admits to the petition it is a quick hearing and the judge usually goes along with the recommendation for treatment and just orders the client to complete whatever program has been specified.

If a client denies the petition then a hearing is set later on. (It has to occur within 10 days of the initial court appearance.) The state then has to prove that the client is in need of treatment. He usually has the examining physician, the counselor who did the evaluation, family members who are interested in getting the client some help and anyone else who is knowledgeable with the case as a witness to testify for the commitment.

The client is also able to call witnesses on his/her behalf.

If the state proves that the need for the commitment exists then the court orders the client to treatment. If it is proven that the need does not exist then the case is dismissed and the client is free to go.

An involuntary committal can not exceed 90 days. (From the time that client attends the court hearing.)

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