choices for change counseling


Nancy M. Smith, LCSW, LAC, MHP

Choices for Change Counseling
Body Changes Gym
Mill Creek Court Solutions (MCCS)

Services Offered

Mental Health
 Individual Therapy
Dialectical Behavior Therapy
Crisis Counselling
ACT Class
Addiction Recovery Groups
One on One Addiction Therapy
Intensive Out Patient
Parenting Classes
 Anger Control Enhancement
Social Skills Class 
Case Management
Gardian ad Litem


Who We Help

Addiction Recovery Class (ARC)

Anger Control Enhancement (ACE) 

Minor in Possession

An ongoing Level 1 Outpatient class for clients needing treatment following either ACT, MIP, Inpatient, or found Chemically Dependent through court referrals, medical referrals, or self-referred. 
The cost is $35/hr for a two hour group, offered one day a week.
Enrollment requires an evaluation either through the originating referral or before
entering group.
Evidenced based curriculum is used for this group. Services are often covered by insurance.
The classes are held on Wednesday from 8-10 am  and 9:45-11:45 am and 11:30-1:30.
Choices has been offering these classes since 2004. The class has referrals from court after any kind of assault and self-referrals.
The cost is $35/hr for the group and $400 for the evaluation.  Generally forty-hours of treatment are required by the court.
Enrollment is Monday, Tuesday, and Wednesday.   An appointment is required for  an anger evaluation. The evaluation includes three instruments and an interview, before entering the group. A second appointment is necessary to review the results of the evaluation.
The group is currently held Wednesday's but the time varies depending on the current client’s schedules.  
The format is utilizing the Evidence-Based Treatment Planning for Anger Control Problems, a process called the Empirically Supported Treatments (ESTs). Services are often covered by insurance.
Anger Control Workbook (a research-based program) and Beyond Anger (a Hazelden
Program of the Life Skills Series for Inmates and Parolees.  
is a requirement for any juvenile who violates drinking laws, school policy, drinking and driving laws, or simply makes high-risk choices.  The cost is $450.  It is designed to reduce risk for problems and focuses on three measurable behavioral prevention goals:  increased abstinence for a lifetime, delay the age of first use of alcohol, and reduce high-risk choices.    The intervention goals include:  facilitate self-assessment of drinking and drug choices,  progression and reduction of high-risk use among people who do not already have alcoholism, and other drug addiction, facilitate entry into evaluation to determine whether alcoholism or other drug addictions are present, facilitate entry into treatment and support abstinence for those who are already addicted.   The specifics are the same as for the ACT Class.

Circle of Security Parenting Program

Is a therapeutic relationship based parenting program, taught by a registered and trained facilitator.  We also use the Total Transformation Program and various other
parenting programs depending on the specific needs.   Several clients are being seen individually for parenting issues.

Intensive Outpatient (IOP) Treatment 

is a combination of treatment modalities. It often includes group and individual counseling. The groups are $35/hr for a two hour group and $100/hr for individual counseling. The individual counseling includes up to 8.9 hours of therapy per week. Both group and individual counseling is often covered by insurance. We also offer a sliding fee scale for those who need it. 

Assessment Class & Treatment (ACT)
​Based on the Lifestyle Risk Reduction Model, the Transtheoretical Model and persuasion theory, PFL emphasizes changing participants perceptions of the risk of drug and alcohol use and related attitudes and beliefs.  Risk perception is altered through the carefully timed presentation of both logical reasoning and emotional experience.  Instructors use empathy and collaboration (methods consistent with Motivational Interviewing) to increase participants’ motivation to change behavior, to protect what they value most in life.  Participants are guided in self-assessing their own level of progression toward and into dependence or addiction.  PfL also assists participants in developing a detailed plan for successfully following through with a behavior change to benefit their own lives.  Multimedia presentations and extensive guided discussion help motivate participants to reduce their substance use or maintain low-risk choices.  Individual and group activities are completed using participant workbooks.  The program has been found to be equally effective with first-time offenders, multiple offenders and various demographic groups. Evaluations show PRIME for Life works to increase abstinence, reduce high-risk alcohol and drug use, increase treatment readiness and reduce recidivism.
The following specifics will explain each service:  

The cost is $450 and is payable before the client can complete the class.  Certain insurances may cover the cost.

Enrollment is Monday, Tuesday and Wednesday  with some appointments available on Thursdays, and we will work to accommodate special situations.   The enrollment process can take 2-3 hours to complete the initial intake and paperwork.  An appointment is required to allow enough time to complete the interview.

The Prime for Life Class is a 12 hour Saturday class that will include an exit interview for each client, which is conducted immediately after the class ends. This is designed to let the participant know what their evaluation says.
The State of Montana has identified the new ACT educational curriculum as PRIME for Life.
ACT  -  ACT stands for Assessment, Course, and Treatment and is a requirement for all individuals convicted of a DUI or DUI per se, Multiple MIP’s, Reckless Driving or a Drug Misdemeanor.   This was introduced in Montana on April 26, 2010 and has been implemented state wide in October, 2010.  This Program is designed to be delivered in a research-based persuasion protocol.  The protocols used in PRIME for Life emphasize the role of empathy, specific guidance regarding personal choices, the management of resistance, support for change, and a plan for success, all protocols identified as best practices.