Columbia University Medical Center
Ranked #1 in Psychiatry
U.S. News & World Report
Ranked #1 in Research Funding
National Institutes of Health
NewYork-Presbyterian Hospital The University Hospital of Columbia and Cornell

The Columbia-Smithers Addiction Treatment Program

The Columbia-Smithers Addiction Treatment Program (CSAT) is designed to provide patient-centered, medical outpatient treatment for alcohol and substance use disorders. This evidence-based service builds on the research expertise in the treatment of substance use disorders within Columbia Psychiatry’s Division of Substance Abuse. As an integrated clinical service, the program offers specialized psychopharmacology, group, individual, and family psychotherapy services.

Who We Treat

The program is targeted towards individuals ages 18 and up with alcohol and substance use disorders with and without other co-occurring psychiatric disorders, where addiction is the most pressing issue affecting the individual’s short- and long-term health and well-being.

Treatment Model

Our program is based on the principle of “meeting patients where they are” when consistent with improvement in their medical safety and psychological health. The program supports individuals looking to moderate as well as abstain from alcohol and substance use, and offers a framework for its participants to move between treatment orientations as their goals shift over time. The program seeks to collaborate with outside providers and programs when possible and to involve family and other social supporters in treatment.

Available Treatments

• Motivational Interviewing (MI)
• Motivational Enhancement Therapy
• Cognitive Behavioral Therapy (CBT)
• Dialectical Behavior Therapy (DBT)
• Mindfulness and Acceptance Based Therapy (MI)
• Transference Focused Therapy (TFP)
• Life Skills Enhancement
• Cognitive Remediation

Group and Individual Therapy

Staff therapists and psychiatrists are all trained in evidence-based psychotherapies, including cognitive behavioral relapse prevention therapy and motivational enhancement therapy, for both group and individual settings. In addition, dialectical behavioral therapy and supportive-expressive psychotherapy services may also be available to individuals enrolled in the program.

Family Therapy and Outreach

Family interventions are a key component of substance abuse treatment, and the program bases its efforts in this area on the research-supported techniques of Community Reinforcement and Family Training (CRAFT) programs. This approach prioritizes motivational enhancement within the family structure and the creation of rewards for non-using behavior, which have been shown to increase engagement of individuals and families in the treatment of addiction.

Services Offered

Comprehensive Evaluation and Consultation

All individuals will receive a comprehensive evaluation to assess the severity of their alcohol and substance use problems, as well as to determine if there are co-occurring psychiatric disorders, medical conditions or psychosocial problems that need to be fully addressed in a successful treatment. Some individuals might need a higher level of care for either their substance use or co-occurring conditions and may be referred to other providers or programs. The program aims to offer evaluations within one week of initial phone contact with the individual, referring person or program.

Rapid Stabilization

Individuals suitable for the program will then work intensively with the treatment team to safely stabilize, moderate or discontinue substance use with both medication-based and psychotherapeutic approaches, with simultaneous treatment of co-occurring psychiatric disorders when appropriate.

Long-term Treatment

Individuals may choose to continue to receive services tailored to their needs in the long-term as clinically indicated.

Addiction Psychopharmacology

Specific services offered by condition include (though are not limited to):
• Alcohol Use Disorders
• Opioid Use Disorders
• Cocaine/Stimulant Use Disorders
• Marijuana Use Disorders
• Nicotine Use Disorders

Staff

Dan Notzon, MD – Addiction Psychiatrist, Physician Leader CSAT
Jonathan Liss, PhD – Therapist
Mary Kim Brewster, PhD - Family therapist
Brian Mueller, PhD – post-doctoral Fellow in family therapy
Betty Jeanne Kass, LCSW – Clinical Director, Day Treatment Program
Fred Kass, MD – Medical Director, Day Treatment Program
Frances Levin, MD – Addiction Psychiatrist, Researcher, Scientific Director for CSAT

Consultants

John Mariani, MD – addiction psychiatrist and researcher
Rob Vorel, MD – addiction psychiatrist

Location and Contact Information

Columbia Doctors-Midtown
51 West 51st Street, Suite 340
New York, NY 10019
Phone: 212-326-8441 or 212-305-6001

 

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