During the first 24 to 48 hours, the resident is seen by our Medical Director, Reid Lofgran, DO, a Certified Addictionologist, for a medical evaluation. Dr. Lofgran makes all the medical decisions for the residents at the Center. Upon admission, vital signs are monitored and a Clinical Institute Withdrawal Assessment (CIWA) is completed if necessary. After the initial evaluation, any necessary medications are placed in lockup and are taken by the resident under the supervision of a member of the treatment team. The resident enters treatment activities as soon as initial assessment is completed, during the first day of residency.
Laboratory work is available, if indicated by medical assessment. Additional medical care will be given according to individual needs. These services are optional and it is the patient's responsibility to pay for them.

The Walker Center has a monitored detox for those who are physically able to participate in the program and take their own detox medications with supervision. Dr. Lofgran will prescibe medications as needed. If acute detoxification is needed, the resident can accomplish this in their home community medical facility, or at Gooding County Memorial Hospital (GCMH). GCMH is a medical-surgical facility that is located near the Walker Center and is available to Center residents as medical conditions warrant.

Appropriateness for admission is governed by the American Society of Addiction Medicine (ASAM) Level III.5, clinically managed, high-intensity residential services criteria. Within the first 24 hours of admission, an associate or primary counselor will complete an interview, administer a bio-psychosocial questionnaire and the resident will complete a self-reporting assessment. These are designed to obtain an understanding of how the resident's life has been impacted by his/her alcoholism and/or drug addiction.

Individualized Treatment Plan:

The treatment team meets to develop an individualized treatment plan with input from the client and primary counselor, which may be redefined or added to on a daily or weekly basis. The team consists of the medical director, treatment coordinator, primary and associate counselor and the resident. The primary counselor is responsible for the documentation and implementation of the treatment plan. The primary counselor meets with the resident on a regular basis to review the resident's progress on completing the goals of the treatment plan.