It is estimated that over 100,000 Nevada residents struggle with problem gambling. At 6.4% of the population, is one of the highest rates in the country. Experts note, “Nevada’s pathological gamblers produce millions in social costs, impacting the criminal justice system, the corrections system, human services system, and Nevada’s overall economic health.” Bristlecone is dedicated to meeting Nevada’s need for problem gambling treatment and helping people reclaim their lives from the disastrous and pervasive impact of this addiction. Since 2006, the agency’s Gambling Addiction Treatment and Education (GATE) Program has helped hundreds of people through effective, evidence-based treatment in a safe, sober, and supportive setting. Services are provided by a Certified Problem Gambling Counselor (CPGC) or Gambling Counselor Supervisor (CPGC-S) and Certified Problem Gambling Counselor Interns (CPGC-I). Program Services • Residential Gambling Treatment Program: This is a live-in program and provides clients in recovery a clean, safe, structured, and supportive environment. Strict rules and regulations are in place to facilitate the safety of clients and promote independence. Highly trained counselors work on site and are available at all times. Through this service, the GATE Program provides problem gambling assessment, treatment, rehabilitation, and 24-hour monitoring. Residential clients with a substance use disorder are not eligible for the gambling program until they have been substance free for thirty days. • Individual and Family Therapy: The GATE Program provides individual counseling to problem gamblers and family members affected by problem gamblers. In addition, acknowledging the important role that families and other allies can play in successful recovery, we incorporate these individuals in counseling whenever possible. Qualified and trained counselors offer specialized treatment tailored to those living with co-occurring disorders (substance abuse coupled with mental health disorders). • Outpatient and Intensive Outpatient Gambling Treatment: This service offers assessment, treatment, and rehabilitation services on an outpatient or intensive outpatient basis to individuals with a gambling related problem who are not in need of 24-hour supervision. Services include face-to-face therapeutic sessions or services in response to crisis for the individual. The GATE Program offers a diverse menu of stage-appropriate choices that fit the client’s needs throughout the recovery process. The program provides gambling specific groups focusing on a variety of issues ranging from cross addictions, to relapse prevention, to legal and financial issues. • Transitional Living: This program promotes recovery and independence by providing housing, supportive services, and advocacy; it is one step closer toward full integration back into the community. Individuals in the TL program who qualify can also participate in our successful targeted program that helps individuals acquire the information, skills and support they need to re-enter the workforce they need to establish a more stable lifestyle.
The Adult Drug Court is designed to treat substance abuse issues within the criminal justice system. The main goal of Adult Drug Court is to focus on substance abuse treatment and court compliance. Participants may be sent to Adult Drug Court as a condition of probation or diversion. Participants are expected to comply with probation and follow all requirements. Probation may be extended to maximum term or may be shortened with honorable discharge when completed.
Adult Drug Court is a minimum of 18 months, consisting of 12 months of treatment, then 6 months of aftercare.
Court appearances start weekly and can be extended to monthly depending on the progress of the participant.
Bristlecone Recovery Center is contracted through the 2nd Judicial Court to administer the Adult Drug Court Program.
Testing Participants are subject to random drug and alcohol testing regardless of substance abuse history. Tests may be administered as court directed or at Bristlecone.
Fees Fees are administered by the courts and the program is completed only after all fees are paid in full.
Additional Requirements Participants are required to be employed or attending vocational training. Transitional living housing options are available.
NO alcohol, NO narcotic pain medication, NO opiates, NO methadone. NONE! Even with a prescription!
The mission of the Family Treatment Court is accomplished through a collaborative effort, to ensure a child has a safe and nurturing environment. This is done by focusing on healthy and sober parenting and permanency planning through family reunification. The Family Treatment Court Team features collaboration between the Court, Social Services, substance abuse treatment providers, and community support agencies, including Mentor Moms and the Foster Grandparent Program. The 2nd Judicial District has operated the Family Treatment Court since 1994, utilizing two tracks, with participants appearing twice a month before the judge. The Family Treatment Court requires an active aftercare plan to encourage ongoing compliance with treatment to maintain sobriety, ensure reunification, and avoid further involvement in the child welfare or family court system. The Family Treatment Court uses a team approach involving the judge, defense and prosecution counsel, treatment personnel, court personnel, and integrated services coordination through a unique partnership with the Foster Grandparent program.
Bristlecone Family Resources offers two types of outpatient treatment for those who need support in their rehabilitation but do not need detox support or residential treatment. Intensive Outpatient Treatment Clients in this level of service receive a minimum of nine hours of skilled therapies per week. This program provides essential education and treatment while allowing clients to apply their newly acquired skills within the context of the “real world” environment where they may be working, attending vocational/educational classes and/or transitional living. Clients may be initially placed in Intensive Outpatient for approximately two weeks. Clients in this level of care may be coming out of either a higher-level service or moved from a lower level of service. Outpatient Treatment This level of care is structured to be efficient and flexible to clients who have a supportive living environment and/or coping mechanisms which permit them to accomplish treatment goals within the outpatient environment. Often, this means that such clients have employment or personal schedules to consider. Bristlecone provides a wide range of days and hours in which clients can access this program. Clients receive one to eight hours of individual and group counseling per week.
Residential Treatment is designed to treat clients who are not in danger of withdrawal but need to be taken out of their present environment to achieve their recovery goals. The average length of stay is four to six weeks; however, length of stay is very individualized. Client’s function within a highly structured and therapeutic community 24 hours per day, while receiving skilled therapies including individual and group counseling, education groups, occupational groups, and recreational therapies. BRC offers residential treatment programs for drugs, alcohol, and gambling addictions. Bristlecone allows smoking at scheduled times at a designated off-site location near our facility; however, smoking is not permitted on or inside the property (this includes vaping).
Transitional living is an option designed to assist recovering clients in their efforts to rebuild their lives. The Transitional Living (TL) program currently provides housing to clients interested in remaining in a safe, gambling free, and sober environment until they are ready to transition back into society. The self-pay fee for T/L is $155 per week and subject to change without notice. This fee includes a variety of group counseling programs onsite and may be partially or fully covered by a grant.
It is critical to the success of problem gambling clients who have been through recovery to remain abstinent from gambling and substance free; therefore, this program is governed by strict rules of conduct and behavior to ensure clients remain abstinent and substance free while housed in the facility. Clean living is maintained by random drug tests and closely monitored activities. The result of the random testing and monitoring is that clients learn to make choices on their own and with the support of a counselor. Learning to make these choices helps them begin to establish new patterns for their lives. To remain in good standing in Bristlecone’s Transitional Living program, the client must remain clean and gambling free while living at Bristlecone, attend group counseling sessions at least once per day, and follow all Transitional Living program rules. The client must have an active treatment plan and meet with their counselor as recommended.
Bristlecone works together with VA Sierra Nevada Healthcare, more specifically, the Healthcare for Homeless Veterans (HCHV) program to provide services needed by those who served our great nation.
Contract Emergency Residential Services (CERS) This program offers residential treatment for honorably discharged veterans. Eligibility for this program is determined by HCHV. For more information and eligibility requirements call us at 775-954-1400 during business hours and ask for our veteran’s administrator. The treatment runs in concert with our SUD residential and Problem Gambling residential programs with one difference. In CERS, veterans not only focus on recovery from substance use, mental health, and or problem gambling issues they begin to tackle homelessness and joblessness struggles in a safe supportive environment. Bristlecone employs a veteran specific team of professionals, including case managers, counselors, and peer recovery support staff who prepare these heroes for independent living and connect them to the resources and ancillary programs that will keep them thriving in our community. This program can run up to 90 days or longer with special permission from the VA.
Grant and Per Diem (GPD) Transitional Living Our GPD program offers honorably discharged and humanitarian veterans a transitional living environment that focuses on independent living, mental health, and addiction issues. Eligibility for this program is determined by HCHV. For more information and eligibility requirements call us at 775-954-1400 during business hours and ask for our veteran’s administrator. Veterans in GPD focus heavily on safe long-term housing in addition to possible mental health or addiction issues that led to their homelessness. Our staff work with state and local officials along with VA case managers to locate and assist in the housing process. Disability and medical issues plague many of our veteran clients and the GPD program can provide up to two years of transitional living to address these issues and allow veterans time to resolve life altering circumstances that created barriers to independent living.
HCHV can be reached at 775-324-6600. VA Sierra Nevada Hospital can be reached at 775-786-7200.