Frequently Asked Questions
How important is rehab center staff to the right drug rehab experience? The answer is that they’re very important. The right staff can support you, help you through withdrawal, prescribe the right medications, and help you begin your new life. The people are one of the most important parts of any drug rehab center. And that’s why we put so much emphasis on our staff at Last Resort Recovery. Our staff are highly-trained, offering the best in care, and staying at the cutting edge of the latest knowledge and research. You won’t find better people for your rehab experience.
What makes Last Resort Recovery such an amazing location for drug and alcohol rehab? The facility and the staff are two very important reasons, among many others. And we also serve all of Texas, including Dallas, Houston, and Austin, and we take guests from other states such as Arizona, Nevada, California, and New York. In fact, it can be a huge advantage to travel for rehab—it’ll get you out of the toxic situation that led you to drugs! Click here to learn about our Texas Based Programs.
Treatment Process at The Last Resort
Upon admission to The Last Resort, all men spend the first part of their treatment in a special campus setting that allows for closer medical supervision, monitoring of detox symptoms, and specialized programming. This is called The Bridge Program. Clients receive both clinical and 12 step programming but also eat meals and spend recreation periods with men who have been at TLR for longer periods. As a man has been at the Bridge for 5-7 days and/or his detox symptoms have subsided, he is then gradually transitioned to the regular programming and expectations of the larger community. The stay at the Bridge and gradual transition into the challenges of recovery help to prepare men for what lies ahead in treatment, connect them with supports they will lean on later in their process, and give them the space they need in the beginning of treatment to allow their bodies to heal. Once the body has passed the initial healing point, they may then move on to the emotional and spiritual healing that TLR prides itself on.
The 12 step approach is based on Alcoholics Anonymous guidelines for physical, emotional, and spiritual recovery. Although 90% of treatment centers in the US will promote that they use or work the 12 steps as a method for recovery, the TLR 12 step program is a cut above the rest because we emphasize immersion, the Big Book, and personal experiences. First, 12 step immersion means a commitment for each client to work all 12 steps in treatment as well as implement the principles into daily life. The majority of treatment facilities may only work step 1, or steps 1-3, before the individual is discharged back into the real world. Second, TLR offers 2 to 4 practical studies each day on the Big Book of Alcoholics Anonymous. Other “12 step facilities” may not give you a Big Book, or even encourage you to get one for yourself. Finally, the entirety of our direct care staff are recovered alcoholics and addicts themselves who got sober on the 12 steps, have experience with the work, and are able to effectively carry the message of AA to TLR clients.
TLR Level System is an effective way to track each client’s progress through the work and in their recovery. We aim to have a healthy community and create an environment that is conducive to helping men recover. With this in mind, we hold our clients to a high standard and expect them to do the same. We believe that privileges must be earned, not given, and the level system allows our clients to work their way up to earn certain privileges depending on what level they have attained. These privileges include: length of time for weekly phone calls, off campus meetings and activities, access to the gym, free time, curfew, TV, and music.
Experience has shown that a client’s first choice while in treatment may not always be the best one. In these situations, staff does the utmost to involve family and encourage clients to take time to think about the possible repercussions of that choice. We will immediately notify the client’s treatment team and multiple staff (recovery specialists, nursing, administrators, clinicians) will be involved in working through the client’s decision to remain in treatment.
Items allowed are: clothes and items listed on the client inventory sheet (any extra’s put in their bags and stored); Toiletries (nothing with alcohol, no essential oils or supplements); pictures, Stamps and envelopes, Tobacco, a bible, no other reading literature.
Anything else they have in their possession must be approved by their counselor.
Items not allowed are: Blankets, pillows, personal bedding; Art supplies, ropes, gloves; musical instruments; sports equipment, games, playing cards, Miscellaneous ( ex. backpacks, fanny packs, stuffed animals, flashlights, knives).
In the sub-acute detox stage of the program clients are closely monitored by nursing staff. Their symptoms are treated, and we strive to keep the atmosphere calm, quiet and comfortable for our clients. Clients are encouraged to fellowship with the rest of the community members and partake in meals in the dining hall if able. This helps facilitate their integration into the community and gives the clients a chance to become oriented with the grounds of the facility.
Upon initial intake into the Detox unit all medical/substance usage history is recorded and a full nursing assessment is completed including vital signs and any current medications the client may be taking. Our Medical Director is then notified, and the client is then seen within 24 hours. We maintain an open line of communication with the Medical Director should anything arise. While in the Detox unit the client’s vital signs and progression through the stages of detox are monitored and treated by nursing staff per the parameters set by the Medical Director. When a client has successfully completed the detox program the treatment team will facilitate his transition into the community. This generally takes place within 3-7 days from arrival at the facility.
The Medical Director will see all clients within 24 hours of arrival in the sub-acute detox program. Also, if a client has other medical needs that present, follow-up appointments are scheduled and generally occur the same day.
Medication administration times are 7am, 1pm, 6pm and 9pm (except on weekends 10pm). The medical staff administers all medications ordered for the client as well as any over-the-counter medications the client may need. All refill needs are addressed by the RN each day.
Modes of Treatment
Each client’s treatment plan includes: group counseling 5x/week , individual counseling 1x/week, Chemical Dependency education 5x/week, Big Book Study 5x/week; meditation 7x/week, yoga 1x/week, weight room, jogging trail, Equine-Assisted Therapy, and Braveheart experience.
Each client is assigned a counselor and participates in a small group (average 10 men) and big groups (30+men). He is also assigned a peer big brother and a Recovery Specialist to help him through the work as well as acclimate in the community.
Individual Marriage and Family therapy sessions and EMDR Trauma Informed treatment sessions can be arranged for clients needing these services.
CBT (Cognitive Behavioral Therapy), 12 Step Alcoholics Anonymous program, (DBT) Dialectical Behavior Therapy, Trauma-Informed therapy, EMDR, Mindfulness, Experiential therapies such as Equine-Assisted Therapy and Braveheart.
Equine-Assisted Therapy is utilized to help clients find emotional and physical balance and regulation. Clients build a relationship and connection with a horse of their choosing and work through underlying issues of addiction in a nonjudgmental, but challenging way. Ground and mounted exercises with horse, therapist and equine professional provide a unique and profound experience that impacts the client’s relationships with themselves and others.
Braveheart is an intensive 2-day experience for men who are ready to confront core psychological fears and wounds and to create deeper internalization of 12-step work. This is offered on-site once per month by trained therapists who guide clients through a variety of powerful action methods, visualizations, and rituals of transformation to support long term recovery.
Communication With Your Loved One
Initially, you will be contacted in the first week by the TLR Family Liaison to give you an update on your loved one and his status in treatment. If a client is admitted over the weekend, the call may not be made until the following Monday or Tuesday. You will again be contacted after his Bridge assessment is complete to inform you of who the client’s primary counselor will be as he transitions into regular programming.
Thereafter, the client’s counselor will contact the designated family members regarding the client’s progress. The Family Liaison will also be in communication with family in regard to TLR Family Program and other needs or resources for support.
The client’s counselor will consult with the primary caregiver/family member who has the client’s consent on how to relay information through phone or email. Should more family members desire information, that is up to counselor and client discretion. All family members need client consent for Release of Information on file in order to receive any information.
Once the client is in regular programming, the primary counselor will contact family an average of once per week. You may leave a message for a counselor, but please be patient and do not call repeatedly.
After 2 weeks or upon counselor’s discretion, clients are allowed 5-15 minute phone calls one day/week depending on their progress. All phone calls are supervised by staff.
While you are at the Bridge there are no visitations or phone calls permitted. If there is an emergency and your family needs to relay a message to you, they may get in touch with a member of the staff who will make a clinical decision as to whether that message is in need of getting to you. If there is an urgent need to make an outgoing call in the first 2 weeks of your stay, that would happen with your clinician. All phone calls are supervised by staff.
Counselors and other TLR staff will contact family immediately if there is an emergency.
Yes, the mail comes in and is given to clients. Because TLR is in a rural setting, the mail service can be slow and unpredictable at times, but we do our best to get personal mail to clients as soon as they arrive. Clients can write letters and are mailed out weekly.
1620 FM 535 Smithville, TX 78957
Clients can receive clothes, cigarettes, toiletries (without alcohol content); no books or magazines. Tobacco should only be mailed by a family member. Staff at Last Resort does not provide residents with tobacco, nor will we drive clients to the store for tobacco.
Staff will notify appropriate legal authorities and work with client regarding court dates and procedures necessary. We will also provide detailed documentation for his attorney and the courts.
Family is allowed to visit after the client has been in treatment for 2-4 weeks and is approved by his counselor. Visitation day is held once per month on the 2nd Saturday of the month from 12:00noon-4:00 pm. The list of dates for the year can be found on the TLR website. Please inform the client’s counselor ahead of time who will be attending. A signed consent is necessary before entering campus. Other visits to campus outside of visitation day must be arranged through the client’s counselor.
During visitation day, families may eat lunch with client at Chow Hall designated time, visit, and walk within campus perimeters. Clients and families may not go into sleeping quarters, into cars, or out of site locations on campus. Please do not bring pets, share your cell phones, take photos, or bring any other food/beverages. Be mindful that TLR is on a ranch setting, so dress accordingly with comfortable, preferably closed toe shoes. Please wear modest, appropriate clothing; women no short shorts, tank tops, tight fitting clothing.
Family members or close friends are allowed to visit as long as they are approved by client and counselor. Children are welcome, but must be supervised at all times.If any issues come up during visitation, please let a staff member know.
Do not bring food/drink to clients, but you can bring clothes, cigarettes. Do not give directly to clients as these items must be turned into a staff member for perusal before in client’s possession. Tobacco products can only be sent/ given to client by a family member. Staff reserves the right to inspect your personal belongings if there is a safety concern.
We do not use a “one size fits all” approach, but as the client progresses through TLR program we evaluate what level of care will best be suited when they discharge. TLR has developed relationships with trusted Aftercare providers and considers finances, location, vocation, and individual client and family needs to alleviate worry and stress for families.
Men are often admitted to our facility for less than the full 90 days of treatment. The need for extension will typically be brought up by a counselor. This does not mean that the family or resident will be aware of it right away because we are careful about when and what information is discussed. An extension does not necessarily mean that a resident is doing poorly but that there has been a clinical observation that more time under our care would benefit the individual.
The discharge plan will be discussed with family during the last part of the client’s stay by his counselor and TLR Discharge Coordinator. Our goal is not a few years of sobriety, but continuous and sustained healthy lifestyle.
TLR Alumni program allows clients to stay involved after discharging from our facility. There are weekly, monthly and yearly recovery-related activities to continue to be a part of TLR community and brotherhood. Activities include trampoline dodgeball, softball and volleyball tournaments, TLR teaching opportunities, alumni 12 step meetings, and service opportunities throughout Austin. We have found that clients who stay involved with their brothers from TLR have had the best chance of recovery success.
Family Support and Resources
TLR Family Program is an intense 2 1/2 day program offered once per month, the 2nd weekend of the month. The goal is to bring clients and their families together to understand addiction and to provide support and resources. Our program differs from other treatment centers in that it is not a series of lectures but is intentional and personal. The program is held in a small intimate groups (average 8-10 families), is interactional with time for individual questions, is experiential (family sculpting and equine therapy experiences), and provides group and individual family therapy by licensed professional therapists. It is highly recommended that families attend as we believe that families are key to helping their loved one in the recovery process.
The most important thing for family members to do is to attend to their own self-care while their loved one is in treatment. Please attend Al-Anon meetings (go to at least 6 meetings, try different ones, and find one you like), get an Al-Anon sponsor and begin to work the 12 steps yourself, and educate yourself on addiction (see attachment of resources).
Al-Anon is an organization offering free group meetings for family and friends of alcoholics and addicts. Their philosophy is based in the 12 Steps and 12 Traditions of Alcoholics Anonymous and is a great personal resource and support for family and friends.