Butler Hospital Philosophy
The alcohol and drug inpatient rehab program provides specialized treatment for people who are actively addicted to alcohol or other drugs and need detoxification with intensive medical supervision. It is ideal for people who do not have the support to detoxify on an outpatient basis, and the program helps people safely and more comfortably detox from addictive substances. The average length of stay in the program is three to five days and can vary on each person's individual needs.
Areas of Specialization
Intensive Outpatient (IOP)
Patients who undergo intensive outpatient treatment continue to live at home and sometimes go to school or work while participating in a highly structured treatment protocol that is focused on ending substance abuse. Programs vary in terms of how much treatment patients receive, how often and for how long. Some facilities design individualized intensive outpatient treatment programs.
Dual Diagnosis/ Co-Occurring Disorders Treatment
These two terms describe a person who is not only addicted to drugs or alcohol, but also has a mental or emotional illness, such as depression, anxiety, bipolar disorder, etc. Facilities that treat patients with dual-diagnosis or co-occurring disorders provide psychiatric treatment in addition to drug and alcohol rehabilitation services.
Rehabs.com 360 Guide
ABOUT BUTLER HOSPITAL
Butler Hospital, Rhode Island’s only nonprofit, freestanding psychiatric hospital, is affiliated with Brown University’s Warren Alpert Medical School. The center treats adults, seniors, and adolescents struggling with all major psychiatric disorders as well as substance use disorder.
The Addiction Disorders unit provides a full continuum of care, including inpatient detox and treatment, ambulatory detox, a partial hospitalization program (PHP), an intensive outpatient program (IOP), standard outpatient care, and aftercare. Care is also available for individuals struggling with co-occurring mental health disorders, and there's a dedicated outpatient program for those struggling with opioid use disorder.
TREATMENT & ASSESSMENT
Treatment begins with a comprehensive psychiatric assessment, which can be conducted 24/7.
Many clients begin their recovery at Butler Hospital with inpatient detox and treatment. Days are highly structured and include participation in group and family counseling and educational sessions, 12-step meetings, spirituality groups, and fitness activities. Clients' medications are also monitored and managed.
The PHP, a treatment type offered at 18.8 percent of Rhode Island facilities, may be used as a step-down treatment for inpatient clients or an entry into treatment for individuals who do require overnight supervision. This outpatient option runs on weekdays from 9 a.m. to 3:30 p.m. and consists of two group sessions in the morning and two in the afternoon.
Clients also meet with their physician and counselor at the conclusion of each day. The length of PHP treatment varies from client to client, but Butler Hospital notes that most individuals benefit from spending five days in the program.
The IOP (which runs three evenings a week, for three hours a night) offers similar modalities to inpatient and PHP care, plus a particular emphasis on aftercare, which might involve a thorough aftercare plan or transitioning to further care.
Standard outpatient care is available for youth and adolescents. Treatment includes individual, group, and family therapy; diagnostics and medical evaluations; educational sessions; and medication management.
The Recovery Stabilization program is a minimum six-month, outpatient course of medication-assisted treatment (MAT) for opioid use disorder. As well as receiving medications, clients participate in individual and group counseling and receive referrals to any relevant social services for their overall health.
Butler Hospital’s substance misuse treatment team consists of physicians, psychologist, neurologists, nurses, mental health workers, chemical dependency professionals, social workers, and occupational therapists. The 18 individuals polled by Rehabs.com to date on the staff were mostly impressed:
Staff Experience and Training: 4.2/5
ACCOMMODATIONS & AMENITIES
Patients can expect a standard hospital setting. Rooms and bathrooms are shared, and clients may stroll the hospital grounds and visit the on-site gazebo with staff supervision. No additional details regarding the facility are available, however, the 18 individuals polled by Rehabs.com to date were impressed by the center's cleanliness, but less so by its extracurricular activities:
Exercise and Leisure: 3.6/5
WHAT ALUMNI SAY
Alumni surveyed by Rehabs.com shared mostly positive reviews of their time at Butler Hospital, with some notes of strong complaint. The eight alumni polled on the facility's performance in a variety of treatment metrics indicated that, on the whole, they would recommend Butler Hospital, and they particularly appreciated its family participation.
Would Recommend: 4.4/5
Family Participation: 4/5
They were also mostly pleased with the center's counseling options, though they indicated that its holistic offerings left room for improvement.
Counseling Options: 3.8/5
Holistic Offerings: 3.1/5
The few negative reviewers tended to cite disorganization and uncaring or unhelpful staff. "This place is so disorganized and messed up. They do not teach you real world coping skills or how to deal with real world problems," Robert wrote in a typical comment. There were also some complaints of overcrowding and understaffing.
However, a greater number of alumni praised the center's knowledgeable, caring staff and well-structured program, which, they wrote, had been helpful and effective for them. "The unit I was on was fantastic. The drs, nurses, therapists, and mental health workers were great. When they see you\'re having a hard time, someone takes the time to check in with you and see what if anything they can do to help you," one anonymous reviewer wrote in a representative comment.
Butler Hospital has mixed reviews on secondary sites at the time of this writing, with average ratings of 3.7 stars based on 57 reviews on Google, 4.2 stars based on 106 opinions on Facebook (where the center can manage its own page), and three out of five stars based on seven reviews on Yelp, plus two one-star ratings on YellowPages.com.   
The negative reviewers tended to cite unhelpful staff, a feeling that clients were imprisoned at the center, and a sense that staff didn't listen while taking information or forming a diagnosis. "Some of the staff are very kind and others are very rude. This hospital does not like it when you add insight to your own problems," Sarah wrote in a typical comment on Google.
However, many more reviewers praised the facility's staff, and reported receiving the help they needed, while often comparing the center favorably to other rehabs and psychiatric facilities. "Excellent mental health hospital if you are willing to help yourself as well. Unfortunately I have been to quite a few, this place was top notch," Edward wrote in a representative review on Google.
WHAT FRIENDS & FAMILY SAY
The nine loved ones polled by Rehabs.com to date gave mixed feedback, skewing positive. The nine friends and family members polled on whether they would recommend the facility indicated that on the whole, they would — perhaps because of the high ratings they awarded to its counseling options.
Would Recommend: 3.8/5
Counseling Options: 4.4/5
The reviewers also mostly approved of the center's family programming, but, like alumni, felt that its holistic offerings were somewhat lacking:
Family Participation: 3.9/5
Holistic Offerings: 3.2/5
Like alumni, some loved ones felt that the facility was crowded and understaffed. However, the reviewers also praised the center's staff and mental-health programming, and wrote that treatment had been helpful for their loved one. "Providing quality mental healthcare. Very costly. Overall, had a positive experience for my family member who had been treated," one anonymous loved one wrote in a typical comment.
WHAT STAFF SAY
The single staffer polled by Rehabs.com to date would recommend Butler Hospital. "It does not sugar coat things for you-- very professional. Lack of contact to family at first. Keeps you busy in groups and therapy," the anonymous reviewer wrote, giving the facility five stars for its treatment effectiveness and three stars for its holistic offerings, and four stars in most of the remaining treatment metrics, including its counseling options, family participation, and ability to treat co-occurring disorders.
The facility’s website notes that insurance coverage is verified as part of the admissions process. The 18 individuals polled by Rehabs.com to date on the center's affordability gave solid feedback:
Published on August 2019
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