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How do Residential and Outpatient Rehab Programs Compare?

Making the decision to seek treatment for substance use is a critical step toward recovery. How do residential and outpatient rehab programs compare? Choosing the right type of rehab program can significantly impact an individual’s success in overcoming addiction.

Each option provides unique advantages, offering different levels of structure, supervision, and support.

At Colorado Medication Assisted Recovery (CMAR), we provide comprehensive outpatient treatment services designed to help individuals reclaim control of their lives while maintaining flexibility. In this guide, we’ll compare residential and outpatient rehab programs, discussing their key differences, benefits, and which option may be the best fit for you.

How do Residential and Outpatient Rehab Programs Compare

What is Residential Rehab?

Residential rehab requires individuals to live at a treatment facility for the duration of their program.

This immersive approach provides round-the-clock supervision, structured therapy sessions, and a controlled environment that minimizes exposure to triggers.

Key Features of Residential Rehab:

  • 24/7 medical and emotional support
  • Structured daily schedule, including therapy, counseling, and wellness activities
  • Medical detox for those experiencing severe withdrawal symptoms
  • Limited outside distractions to focus solely on recovery
  • Peer support and community among individuals on similar journeys

Who is Residential Rehab Best For?

Residential rehab is ideal for individuals who:

  • Have severe substance use disorders or require medically supervised detox
  • Need a structured and highly supportive environment
  • Have a history of relapse and require intensive care
  • Do not have a stable or supportive home environment

Pros and Cons of Residential Rehab

ProsCons
24/7 medical and emotional supportHigher cost due to full-time care
Structured environment free from distractionsRequires time away from work, school, and family
Immediate access to professional counselingLimited real-world application during treatment
Provides a strong sense of community and peer supportCan feel restrictive for some individuals

What is Outpatient Rehab?

Outpatient rehab allows individuals to live at home while attending treatment sessions at scheduled times throughout the week.

This program provides flexibility for those who have responsibilities such as work, school, or family obligations while still receiving professional care.

At CMAR, we specialize in medication-assisted treatment (MAT) and behavioral therapies, offering outpatient programs that deliver the same high-quality care as inpatient rehab but with greater flexibility.

What is Outpatient Rehab

Key Features of Outpatient Rehab:

  • Flexible scheduling for therapy and counseling sessions
  • No overnight stay required, allowing individuals to maintain daily routines
  • Medication-Assisted Treatment (MAT) available for opioid and alcohol use disorders
  • Individual and group therapy sessions tailored to each person’s needs
  • Ongoing support while transitioning back into everyday life

Who is Outpatient Rehab Best For?

Outpatient rehab is a great fit for individuals who:

  • Have mild to moderate substance use disorders
  • Have a strong support system at home
  • Need flexibility to continue work, school, or family commitments
  • Have completed a residential program and need ongoing support

Pros and Cons of Outpatient Rehab

ProsCons
Allows individuals to maintain work, school, and family commitmentsLess supervision and structure
More cost-effective than inpatient treatmentPotential exposure to triggers in daily life
Provides real-world application of coping skillsRequires strong personal motivation and discipline
Accessible to those with stable living situationsMay not be suitable for severe addiction cases

Side-by-Side Comparison of Residential and Outpatient Rehab

FeatureResidential RehabOutpatient Rehab
Living ArrangementsLive at the treatment facilityLive at home while attending treatment
Level of Care24/7 supervision and supportScheduled treatment sessions, no overnight stay
Treatment IntensityHighly structured with full-time therapyFlexible, part-time sessions
CostMore expensive due to accommodation and full-time careMore affordable due to lower overhead costs
Best forSevere addiction, those needing detox, relapse preventionMild to moderate addiction, those with strong support systems
FlexibilityRequires time away from work and familyAllows continuation of daily responsibilities
SupervisionConstant medical and emotional supervisionLess supervision, requiring strong self-discipline

Why Choose CMAR for Outpatient Rehab?

At Colorado Medication Assisted Recovery (CMAR), we provide evidence-based outpatient treatment for individuals struggling with substance use disorders.

Our programs offer the structured support of inpatient rehab with the flexibility of outpatient care, making it easier for individuals to maintain their daily responsibilities while receiving top-tier treatment.

What Sets CMAR Apart?

Medication-Assisted Treatment (MAT): We offer FDA-approved medications to support recovery from opioid and alcohol use disorders.
Comprehensive Therapy Options: Including individual counseling, group therapy, and family therapy to address the psychological aspects of addiction.
Flexible Scheduling: Our programs are designed to fit your life, making treatment accessible without disrupting work or family commitments.
Ongoing Support and Relapse Prevention: We provide continued care, helping individuals transition smoothly from treatment to independent living.

Why Choose CMAR for Outpatient Rehab

Which Rehab Program is Right for You?

The choice between residential and outpatient rehab depends on several factors, including the severity of addiction, home environment, and personal responsibilities.

Here are some questions to consider:

  • Do you need 24/7 supervision and medical care? → Residential Rehab
  • Do you need flexibility to continue work or school? → Outpatient Rehab
  • Do you have a strong support system at home? → Outpatient Rehab
  • Do you struggle with frequent relapse? → Residential Rehab
  • Are you seeking a more affordable treatment option? → Outpatient Rehab

At CMAR, we understand that every individual’s recovery journey is unique. Our team of experts is here to guide you toward the most effective treatment plan that aligns with your needs.

Start Your Recovery Journey with CMAR Today

Choosing the right rehab program is a critical step toward lasting recovery. How do residential and outpatient rehab programs compare? Understanding the differences can help you make an informed decision that best supports your journey to sobriety.

Whether you’re considering outpatient treatment at CMAR or need assistance determining the best path forward, we’re here to help.

Contact CMAR today to learn more about our outpatient rehab programs and how we can support your recovery.

Understanding the Differences Between Detox and Rehab

When seeking treatment for substance use disorders, two critical steps in the recovery process are detox and rehab.

While these terms are often used interchangeably, they serve distinct roles in addiction treatment.

Understanding the differences between detox and rehab is essential for individuals exploring their recovery options and aiming for long-term sobriety.

Differences Between Detox and Rehab

Why Both Detox and Rehab Are Necessary for Recovery

Detox and rehab are not interchangeable; they are complementary.

Detox is essential for removing substances from the body, but without rehab, individuals often struggle with cravings, emotional triggers, and relapse.

Detox vs. Rehab: A Side-by-Side Comparison

FeatureDetoxRehab
PurposeRemoves substances from the bodyTreats the psychological aspects of addiction
Duration3-10 days30-90+ days
FocusManaging withdrawal symptomsLong-term recovery strategies
Medical SupervisionYes, especially for severe withdrawal casesYes, but primarily for mental health and addiction therapy
Therapeutic SupportLimitedExtensive individual and group therapy
Success Without Further Treatment?LowHigher, especially with continued aftercare

What Is Detox?

Detox is the first step in addiction recovery. It involves the process of clearing drugs, alcohol, and other toxins from the body.

The goal of detox is to manage withdrawal symptoms safely and stabilize the individual before beginning further treatment.

Types of Detox Programs

The detox experience varies based on factors such as the substance used, duration of use, and the individual’s health. Common types of detox include:

  • Medical Detox: Conducted in a hospital or specialized detox facility, medical detox involves 24/7 supervision by healthcare professionals who administer medications to manage withdrawal symptoms.
  • Outpatient Detox: Suitable for individuals with mild to moderate withdrawal symptoms, outpatient detox allows patients to receive medical support while continuing to live at home.
  • Inpatient Detox: Individuals stay at a residential facility throughout the detox process, ensuring a controlled and supportive environment.
  • Social Detox: A non-medicated approach where individuals detox in a supportive setting with counseling and peer assistance.
Types of Detox Programs

Common Withdrawal Symptoms

Detox can be uncomfortable and, in some cases, dangerous without medical supervision.

Withdrawal symptoms vary depending on the substance but may include:

  • Nausea and vomiting
  • Sweating and chills
  • Muscle aches
  • Anxiety and depression
  • Seizures (for alcohol and benzodiazepine withdrawal)
  • Intense cravings

Why Detox Alone Is Not Enough

While detox is essential for overcoming physical dependence, it does not address the psychological and behavioral aspects of addiction.

Without additional treatment, the likelihood of relapse remains high.

What Is Rehab?

Rehab focuses on long-term recovery by addressing the psychological, emotional, and behavioral aspects of addiction.

Rehab provides individuals with tools and strategies to maintain sobriety and rebuild their lives.

Types of Rehab Programs

Like detox, rehab programs vary in structure and intensity:

  • Inpatient Rehab: Patients stay at a residential treatment facility for an extended period, typically 30 to 90 days or longer. Inpatient programs offer intensive therapy, counseling, and structured daily routines.
  • Outpatient Rehab: Individuals attend scheduled therapy and counseling sessions while living at home. This option is ideal for those with a stable home environment and mild to moderate addiction.
  • Intensive Outpatient Programs (IOPs): are a compromise between inpatient and outpatient care. They involve multiple therapy sessions per week while allowing individuals to maintain their work and personal responsibilities.
  • Dual Diagnosis Treatment: Designed for individuals with co-occurring substance use and mental health disorders, this approach integrates psychiatric care and addiction treatment.
Types of Rehab Programs

Key Components of Rehab

Unlike detox, rehab provides a comprehensive approach to recovery by addressing the root causes of addiction. Essential elements of rehab include:

  • Individual and Group Therapy: Evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) help individuals develop coping skills and modify harmful thought patterns.
  • Medication-Assisted Treatment (MAT): In some cases, medications like Suboxone, Methadone, or Vivitrol are used to manage cravings and prevent relapse.
  • Behavioral Counseling: Patients learn triggers, relapse prevention strategies, and stress management techniques.
  • Support Groups: Programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) provide peer support and accountability.
  • Life Skills Training: Patients receive guidance on job readiness, financial management, and healthy lifestyle habits to sustain recovery.

A Comprehensive Approach to Recovery

At Colorado Medication Assisted Recovery (CMAR), we offer a holistic treatment approach that combines detoxification with personalized rehabilitation plans.

Our team provides medical support, counseling, and evidence-based therapies to ensure a successful and sustainable recovery journey.

If you or a loved one is struggling with addiction, contact CMAR today to learn more about our comprehensive detox and rehab programs.

Taking the first step towards recovery can be life-changing, and we’re here to guide you every step of the way.

Final Thoughts

Understanding the differences between detox and rehab is crucial for making informed decisions about addiction treatment. While detox is the necessary first step to clear substances from the body, rehab is what ensures lasting recovery by addressing the root causes of addiction.

For those seeking professional, compassionate, and effective treatment, CMAR is here to help. Reach out today to start your journey toward long-term sobriety and a healthier future.

What are The Risks of Taking Vivitrol?

Vivitrol (naltrexone) is a prescription medication used for treating opioid and alcohol dependence. As an extended-release injectable, it offers a non-addictive alternative to support long-term recovery.

However, like any medication, the risks of taking Vivitrol should be carefully considered. Understanding these risks is essential for individuals considering this treatment as part of their recovery plan.

Common Side Effects of Vivitrol

While Vivitrol is generally well-tolerated, some users experience mild to moderate side effects, including:

  • Nausea: Common after the first injection but typically subsides over time.
  • Headache: Can be persistent but usually decreases in severity.
  • Dizziness or Fainting: Some individuals experience lightheadedness, particularly in the initial stages.
  • Insomnia: Difficulty sleeping has been reported in some patients.
  • Injection Site Reactions: Pain, swelling, redness, or bruising at the injection site.
  • Decreased Appetite: Loss of appetite can occur but is usually temporary.

Most of these side effects are mild and improve as the body adjusts to the medication. However, if they persist or worsen, patients should consult their healthcare provider.

What are The Risks of Taking Vivitrol

Serious Risks of Taking Vivitrol

Although uncommon, the risks of taking Vivitrol include serious complications that should be carefully considered before beginning treatment.

1. Risk of Opioid Overdose

One of the most significant risks of taking Vivitrol is the potential for opioid overdose. Since Vivitrol blocks opioid receptors, individuals may attempt to override this effect by taking high doses of opioids. This can lead to:

  • Respiratory depression (slowed or stopped breathing)
  • Coma
  • Fatal overdose

Additionally, if a patient discontinues Vivitrol treatment, their opioid tolerance is significantly reduced, making them more vulnerable to overdose if they relapse.

2. Severe Injection Site Reactions

Some individuals experience severe reactions at the injection site, including:

  • Hardening of the skin
  • Tissue damage (necrosis)
  • Infection requiring medical intervention

In rare cases, surgery may be necessary to treat the affected area. Any unusual pain, swelling, or skin changes should be reported to a healthcare provider immediately.

3. Precipitated Opioid Withdrawal

Patients must be opioid-free for at least 7–14 days before starting Vivitrol. If opioids are still in the system, Vivitrol can cause sudden and severe withdrawal symptoms, including:

  • Vomiting and diarrhea
  • Sweating and chills
  • Severe muscle pain
  • Anxiety and restlessness

This can be dangerous and may require hospitalization. Therefore, a thorough detoxification process is essential before starting Vivitrol.

4. Liver Damage and Hepatitis

Vivitrol is processed through the liver, and in rare cases, it can cause liver toxicity or hepatitis. Symptoms of liver damage include:

  • Yellowing of the skin or eyes (jaundice)
  • Dark urine
  • Persistent stomach pain
  • Unexplained fatigue

Individuals with pre-existing liver conditions should discuss the risks of taking Vivitrol with their healthcare provider before starting treatment.

5. Depression and Suicidal Thoughts

Some individuals taking Vivitrol have reported symptoms of depression, including:

  • Loss of interest in activities
  • Persistent sadness or hopelessness
  • Thoughts of self-harm or suicide

Patients should be closely monitored for mood changes, particularly those with a history of mental health disorders.

Precautions When Using Vivitrol

Precautions When Using Vivitrol

To minimize the risks of taking Vivitrol, patients should take the following precautions:

  • Complete Detox First: Ensure all opioids are cleared from the system before receiving the first injection.
  • Inform Healthcare Providers: Disclose any medical conditions, including liver disease, kidney problems, or mental health history.
  • Avoid Opioid Use: Do not attempt to overcome Vivitrol’s blocking effects by taking large doses of opioids.
  • Monitor for Side Effects: Report any unusual symptoms, especially signs of depression or severe injection site reactions.
  • Use in a Comprehensive Treatment Plan: Vivitrol is most effective when combined with counseling, therapy, and peer support.

Is Vivitrol Right for You?

While Vivitrol can be a powerful tool in addiction recovery, it is not suitable for everyone. Those with a history of severe opioid dependence, liver disease, or mental health conditions should weigh the risks of taking Vivitrol carefully with their healthcare provider.

Understanding these risks and taking the necessary precautions can help ensure a safe and effective recovery journey.

If you or a loved one is considering Vivitrol for addiction treatment, consult with the professionals at Colorado Medication Assisted Recovery (CMAR) to determine if it is the right choice for your recovery plan.

Our team provides individualized treatment approaches that integrate medication-assisted treatment with therapy and support to help you achieve long-term sobriety.

How Does Outpatient Detox Work?

Detox is the critical first step toward overcoming substance use disorders. Outpatient detox offers an effective solution for individuals seeking flexibility without compromising on quality care.

This comprehensive guide explores how outpatient detox works, its benefits, and how Colorado Medication Assisted Recovery (CMAR) provides specialized medication-assisted treatment (MAT) programs in Colorado.

What Is Outpatient Detox?

Outpatient detox is a structured program that allows individuals to undergo detoxification from substances like alcohol, opioids, and benzodiazepines while continuing to live at home. Unlike inpatient detox, which requires staying at a facility, outpatient detox provides medical supervision and support on a part-time basis.

This approach enables patients to maintain their daily responsibilities, such as work, school, and family commitments while receiving the care they need.

How Does Outpatient Detox Work

How Does Outpatient Detox Work?

1. Initial Assessment

The process begins with a comprehensive evaluation by medical professionals to determine the appropriate level of care. This assessment includes:

  • Medical History Review: Understanding past and present health conditions.
  • Substance Use Evaluation: Identifying the type, amount, and duration of substance use.
  • Mental Health Screening: Detecting any co-occurring mental health disorders.
  • Physical Examination: Assessing overall physical health to tailor the detox plan.

2. Personalized Treatment Plan

Based on the assessment, a customized treatment plan is developed, which may include:

  • Medication-Assisted Treatment (MAT): Utilizing FDA-approved medications to manage withdrawal symptoms and cravings.
  • Therapeutic Support: Incorporating individual and group counseling sessions.
  • Flexible Scheduling: Planning treatment sessions around the patient’s availability.

3. Medication-Assisted Treatment (MAT)

MAT combines medications with counseling and behavioral therapies. At CMAR, we offer:

  • Vivitrol Medication-Assisted Treatment: For alcohol and opioid dependence.
  • Suboxone Medication-Assisted Treatment: For opioid addiction.
  • Subutex and Sublocade Treatments: Alternative options for opioid dependency.
  • Antabuse Medication-Assisted Treatment: For alcohol addiction, deterring consumption.

4. Ongoing Monitoring and Support

Throughout the detox process, patients receive:

  • Regular Check-ins: Monitoring progress and adjusting treatment as needed.
  • Medical Supervision: Ensuring safety during withdrawal.
  • Emotional Support: Access to counselors and support groups.
What Is Outpatient Detox

Benefits of Outpatient Detox

Flexibility and Convenience

  • Maintain Daily Activities: Continue working or attending school.
  • Family Support: Stay connected with loved ones who can aid in recovery.

Cost-Effective

  • Lower Expenses: Generally less expensive than inpatient programs.
  • Insurance Coverage: Many outpatient services are covered by insurance plans.

Personalized Care

  • Tailored Treatments: Customized plans based on individual needs.
  • Variety of Services: Access to different therapies and medications.

Medication-Assisted Treatment Programs at CMAR

CMAR specializes in outpatient medication-assisted treatment programs for:

Alcohol Addiction

  • Vivitrol Treatment: Reduces cravings and blocks the effects of alcohol.
  • Antabuse Treatment: Creates sensitivity to alcohol to discourage use.

Opioid Addiction

  • Suboxone Treatment: Combines buprenorphine and naloxone to prevent withdrawal symptoms.
  • Subutex Treatment: An alternative for those who may not tolerate Suboxone.
  • Sublocade Treatment: A monthly injection that provides continuous medication.

Benzodiazepine Addiction

  • Medication Management: Gradual tapering plans to safely reduce dependence.
  • Therapeutic Support: Counseling to address underlying issues.

Why Choose CMAR for Outpatient Detox in Colorado?

Experienced Professionals

Our team comprises licensed physicians, nurses, and therapists with expertise in addiction medicine.

Comprehensive Approach

  • Integrated Care: Combining medical treatment with psychological support.
  • Evidence-Based Practices: Utilizing treatments proven effective through research.

Patient-Centered Care

  • Individualized Plans: Each treatment plan is tailored to the patient’s unique needs.
  • Supportive Environment: Fostering a community that encourages recovery.
The Outpatient Detox Process at CMAR

The Outpatient Detox Process at CMAR

1. Admission

  • Contact CMAR: Reach out via phone or online to begin the admission process.
  • Insurance Verification: We work with various insurance providers to facilitate coverage.

2. Detox

  • Medical Supervision: Regular appointments for medication administration and monitoring.
  • Symptom Management: Addressing withdrawal symptoms promptly.

3. Counseling and Therapy

  • Individual Therapy: One-on-one sessions to explore personal challenges.
  • Group Therapy: Sharing experiences and building support networks.
  • Family Therapy: Involving loved ones in the recovery process.

4. Aftercare Planning

  • Relapse Prevention: Strategies to maintain sobriety post-treatment.
  • Continued Support: Access to resources and alumni programs.

Is Outpatient Detox Right for You?

Outpatient detox may be suitable if you:

  • Have Mild to Moderate Withdrawal Symptoms: Not experiencing severe withdrawal.
  • Possess a Stable Home Environment: Supportive family or friends.
  • Are Highly Motivated: Committed to attending all appointments.
  • Need Flexibility: Cannot take extended time away from responsibilities.

Frequently Asked Questions

How long does outpatient detox take?

The duration varies but typically ranges from several days to a few weeks, depending on the substance and individual needs.

Will I experience withdrawal symptoms during outpatient detox?

You may experience mild to moderate symptoms, but our medical team will provide medications and support to manage them effectively.

Can I continue working while undergoing outpatient detox?

Yes, one of the benefits of outpatient detox is the ability to maintain daily responsibilities, including work and school.

Does insurance cover outpatient detox at CMAR?

CMAR accepts many insurance plans. We can assist in verifying your coverage.

Take the First Step Toward Recovery with CMAR

At Colorado Medication Assisted Recovery, we’re dedicated to helping you overcome addiction through compassionate, evidence-based care. Our outpatient detox programs offer the support you need without disrupting your life.

At CMAR, we believe in providing the most comprehensive care to support your journey to recovery. Reach out to us today and discover how our outpatient detox programs can make a difference in your life.

VERIFY INSURANCE

Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.