Fresh Start Comprehensive Center

Description of Organization

At Fresh Start Comprehensive Center (FSCC) we believe in the new disease concept for treating our clients. This concept offers a framework through which we can meet the needs of our clients by strategically integrating the resources of multiple formal (professional) and indigenous helping institutions. Multiple problem clients have become the norm in addiction treatment agencies across the country and Baltimore City is no different. These clients, many with long and complicated service histories, have not done well in our current categorical segregated service systems. Clients often complain about service exclusion, service extrusion, premature service disengagement, repeated episodes that were at the most harmful and at the least unbeneficial. At FSCC we believe addition, mental health and other acute and chronic disorders (co-occurring) can be treated best by integrated models of care for the multiple problem client/family.

Integrated Services

FSCC will offer our clients integrated services to address their mental health, substance abuse and somatic are needs. Our staff, partner agencies and consultants will use their expertise and direct client care experience to help the population we serve to help better understand and manage their conditions. Our state-of-the-art program will use the latest assessment tools, clinical interventions and treatments to provide outpatient services. We use through and accurate documentation of client’s progress using a problem-oriented record system. Each client’s treatment team plan reviews are developed and their progress is recorded. We educate clients diagnosed with a variety of illnesses to better understand and manage their conditions (including pregnant addicted women). We use discharge planning skills to promote independence, maximize function and return clients back to optimum health (both physically and mentally). We will assist our clients by offering services that will meet their needs within our facility and outside agencies we have partnered with. Once clients have met as many needs as they can we will offer them referrals to outside agencies recommended by our treatment team and follow-up to ensure services were received.

Victims of a Disorder

At FSCC we give our clients these tools through education about: daily diets, work habits, exercise, sleep, stress management, psychoactive drug consumption, high risk behaviors, personal beliefs, social support, alternative support structures, alternative treatment approaches, and solo recovery experiences. We emphasize the responsibility of the individual to actively manage their health issues as a daily process of long-term recovery.
In order for our clients to meet their recovery goals we will offer our clients a menu of professionally-directed interventions, recovery support services, mutual aid groups, indigenous healers/institutions, and self-engineered (potentially manual-guided) programs of recovery that individuals can select for personal and cultural fit. Individualized treatment plans of actions not one size fits all unlike programs have offered clients in the past. These choices will be ever evolving and the menu will be constantly upgraded to meet the needs of the individual client.
At FSCC we incorporate the principle of chronic disease management that is used to understand and manage other chronic disorders. Evidenced based principles and techniques that are being successful used (evidence based) to manage addiction recovery. The focus will be on interventions that strengthen and extend the length of remission periods, reduce the number of relapse events, reduce the intensity and duration of relapse episodes, and reduce the personal and social costs associated with such episodes.

Comprehensive Education

We as treatment professionals and community leaders can no longer view the addict as an irresponsible moral agent who perpetrates acts of self-destruction on themselves, their families and their communities, but as victims of a disorder that compromises their values and good intentions. Instead we have to look at whether ones choice to use or not is a direct result of their lack of skills to resolve problems as they develop. Addiction and recovery are best looked at in terms of degrees of diminishment or enhancement of voluntary control (aka as harm reduction). Once educated and given the tools, each person has a responsibility to: Recognize their vulnerability for A&D disorders,
  • Manage their own health,
  • Act proactively to prevent the onset of such disorders.
  • Recognize the presence of the disorders, and
  • Act decisively to arrest and manage the disorder.