TOWER HILL RECOVERY HOME

Name of the Agency: Lowell House Addiction Treatment and Recovery

Name of the House/Facility: Tower Hill Recovery Home

Address:  611 Lowell St. Lawrence, MA 01841

Phone (O): 978-655-8752

Phone (F): 978-984-7756

Website: lowellhouseinc.org

Mission Statement: Lowell House Addiction Treatment and Recovery recognizes that recovery from mental health and substance use is complex and must be tailored to the individual. Tower Hill staff will work with the resident to develop individualized, strength based treatment plans and aftercare plans with goals that are realistic and achievable. Residents will work with their counselors to access community based supports including PCPs, outpatient mental health and substance abuse counseling, recovery coaches,employment services and any other services that will assist in the successful reintegration back into the community. 

Program Type: Co Occurring Enhanced Residential Rehab

About: The Tower Hill Recovery Home, located in the Tower Hill neighborhood in Lawrence, houses and treats 16 men over the age of 18 with a moderate to severe mental health and substance use diagnosis.  

Tower Hill is staffed 24 hours a day and provides its residents with a safe and structured environment for them to work on their recovery. While at Tower Hill, residents will participate in evidence-based clinical and skill building groups, have structured individual sessions with their counselor, have the opportunity to participate in family therapy and access community based supports that meet their specific individual needs. 

The staffing pattern includes a multidisciplinary team which is composed of the following: A 20 hour nurse who is available for consultation regarding medication and general health questions.  Counselors who provide comprehensive case management services and facilitate groups. A referral coordinator/ recovery specialist who oversees referrals and intakes. A house coordinator/ recovery specialist who is responsible for meal planning, food shopping and ensuring all necessary items are in stock. Recovery specialists who are responsible for the general safety and security of the program. A Program Manager who oversees the physical plant and is responsible for the supervision of the Recovery Specialists. A Clinical Director who oversees the entire program and supervises the Program Manager, the Nurse, and the Counselors. Additionally, other professionals who are retained through Qualified Service Organization Agreements with LHATR will be a part of the treatment team. This team has the responsibility of reviewing the quality of client services and overseeing staff training and education.

Clinicians are trained in best practice, evidence-based treatment methods, including Cognitive Behavioral Therapy, Twelve Step Facilitation, Stages of Change models, Motivational Interviewing and Culturally Competent and Culturally Sensitive therapies. Tower Hill is committed to supporting residents receiving Medication Assisted Treatment to access all treatment services. LHATR provides training for its staff in a variety of modalities to support the recovery model. CPR training at the program site is mandatory for all staff members and is offered on-site bi-annually.

Clinicians and other staff are encouraged and referred to training outside the program and utilize our online training platform, Relias.  Staff and clients are also trained in overdose prevention and are provided with NARCAN.

Admission Criteria:

Must be over the age of 18

Individuals eligible for a Co-Occurring Enhanced RRS level of care must meet each of the following criteria:

1. Following a clinical assessment based on the six dimensions of the American Society for Addiction Medicine (ASAM) Criteria provided in this packet, the individual is deemed appropriate for a Co-Occurring Enhanced RRS level of care. The individual is sufficiently stabilized to participate in the assessment process.

2. The individual is diagnosed as having both a substance use disorder and moderate to severe mental health condition, consistent with relevant DSM-5 diagnosis.

3. Mental health symptomatology and presentation, inclusive of social, emotional, cognitive, and behavioral presentations, must be sufficiently acute that a small milieu and high staff-to-client ratios are necessary for the individual to be successful in the program. Behavioral health presentation must be such that 24-hour clinical supervision may be required, and frequent individualized attention is necessary for the individual to be successful in the milieu and with treatment goals. Based on symptom presentation, the individual can be appropriately and safely treated in a community environment but would not likely be successful in a Co-Occurring Enhanced RRS program.

4. The individual is in immediate need of medication evaluation and reconciliation and requires support from a structured program environment in accessing community prescribers and achieving stability on a medication regimen.

5. The individual has a recent history of service utilization that highlights the need for co-occurring enhanced services. Within the past three months, an individual must have experienced at least one of the following events:

a. An inpatient psychiatric hospitalization

b. At least two emergency department and/or ESP visits

c. Unsuccessful engagement and/or inability to succeed in other community-based services based on psychosocial or clinical complexity related to substance use and/or mental health disorders. Note: Individuals who meet the Admission Criteria and do not meet the Exclusion Criteria, are still eligible for 3.1 co- occurring enhanced services if they meet either of the following criteria:

1. The individual has been discharged from an inpatient psychiatric program and is able to participate in the treatment activities in a community-based setting. Individuals discharged to Co-Occurring Enhanced RRS programs from an acute psychiatric setting may benefit from additional services that offer psychiatric and clinical supports in conjunction with the Co-Occurring Enhanced RRS program. In such cases, treatment planning and service delivery must be coordinated and aligned.

2. Individuals who have gone through withdrawal management and/or are inducted on MAT are eligible for direct admission to Co-Occurring Enhanced RRS services provided that any symptoms of post-acute withdrawal are manageable in a community setting with access to low-intensity nurse monitoring and/or management with medication-assisted treatment. This includes individuals discharged from the emergency department after receiving withdrawal management services.

Individuals are not eligible for a Co-Occurring Enhanced RRS program if they meet any of the following criteria:

1. The individual does not have a mental health diagnosis or has a substance use disorder as a primary diagnosis and can be treated effectively in a Co-Occurring Capable RRS program.

2. The individual has a substance use disorder and mental health diagnoses and can be effectively treated in a Co-Occurring Capable RRS program with access to outpatient mental health counseling.

3. The individual does not require overnight clinical supervision, does not require substantial individualized staff attention, and could be effectively treated in a Co-Occurring Capable RRS program.

4. The individual is experiencing symptoms of severe withdrawal that require the resources of a hospital, emergency department, and/or medically monitored withdrawal management facility, such as an Acute Treatment Services program.

5. The individual cannot be appropriately treated and/or is not safe in a community-based setting based on acute psychiatric symptoms.

Referral Process: 

  Please submit an application which can be found at lowellhouseinc.org under residential services in conjunction with a Bio/ Psych/ Social, Med list, and TB test. These items can be faxed or emailed to the contact provided on the application.

Admission Contact:

Victoria Nesto, Program Manager, 978-984-7756

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