Project Turnabout

Five Signs That Are Actually Trauma

Thu, 23 Apr 2026 19:50:06 GMT

Five Signs That What You're Feeling Is Actually Trauma

You Can't Relax

Trauma has a way of keeping your nervous system stuck in survival mode long after the danger has passed. Even when life is calm, there's a low hum of dread that never quite goes away. You brace for bad news, assume good things won't last, and find it hard to feel safe even in safe situations. This isn't pessimism and it isn't anxiety — it's a nervous system that learned to stay on guard because it had to. When you've been through enough hard things, your brain stops believing that calm is safe. It keeps scanning, keeps bracing, keeps waiting — because at some point, that's what kept you alive.

Your Emotions Spike Without Warning

Most people think of trauma as something you remember. However, trauma also lives in the body as a hair trigger. Someone says the wrong thing and you shut down completely. A small conflict sends you into a spiral. You react in ways that feel bigger than the moment deserves, and then you feel embarrassed or ashamed for losing control. But your reaction isn't about what just happened. It's about everything that happened before it. This is emotional dysregulation — one of trauma's most misunderstood symptoms — and it has nothing to do with weakness or who you are as a person.

You Feel Checked Out

You're physically present but emotionally somewhere else. You go through your day feeling like you're watching yourself from a distance. You struggle to feel present in your own life, your own relationships, your own body. This is called dissociation, and it's one of the most common — and least talked about — responses to trauma. It's the mind's way of protecting itself from something it couldn't fully process at the time. For some people it's occasional. For others it becomes a constant background hum that makes everything feel strangely unreal.

Safe People Feel Unsafe

Trauma doesn't just affect what happened, it changes how you move through the world afterward. You keep people at arm's length without fully understanding why. Closeness feels uncomfortable. You find yourself waiting for people to hurt you, leave, or let you down. Even when someone has given you every reason to trust them, something inside won't fully let you. This is your nervous system doing the only thing it ever learned to do — protect you.

You Carry Unexplained Shame

It is a quiet, persistent feeling that something is fundamentally wrong with you. That you're too much for people. That you don't belong. That everyone else seems to have a manual for life that you never received. Trauma — especially the kind that happened early or repeated itself over time — has a way of shaping how we see ourselves at the core. Trauma leaves a story about who you are, and that story is usually wrong. Shame is a wound that never got the chance to heal.

People With Unresolved Trauma Often Turn to Substances Just to Feel Safe

When trauma goes unrecognized or untreated, people find ways to cope, and substances are one of the most common. Something to quiet the hypervigilance, stop the emotional spiral. Something to feel present again, or to stop feeling altogether. It doesn't start as a problem. It starts as the only thing that works. But over time, what felt like relief can quietly become its own source of pain.

This isn't about weakness or poor choices. It's what happens when someone's nervous system has been running on survival mode for so long that they'll do anything to finally feel okay. Trauma is exhausting in a way that's hard to explain to someone who hasn't lived it, and when you don't know what's driving the hypervigilance, the shame, the emotional spikes, the disconnection. The problem is that substances don't heal trauma. They silence it temporarily. And the longer it stays silent, the louder everything else becomes.

If any of this feels familiar — the waiting for something to go wrong, the reactions you can't control, the feeling that you've never quite belonged anywhere — you're not alone, and you don't have to keep surviving this way. At Project Turnabout, we treat trauma and substance use together, because for most people they're not separate problems. One created the other. And real healing has to address both.

Start with a confidential assessment today.

Five Signs That Are Actually Depression

Thu, 23 Apr 2026 15:25:54 GMT

Five Signs That What You're Feeling Is Actually Anxiety

You Feel Numb

Depression isn't always overwhelming sadness. For a lot of people, it's the absence of feeling altogether. Things that used to bring joy just don't anymore. You're not devastated — you're just flat. You go through your day without really feeling much of anything, and that emptiness can be just as painful as sadness, even if it's harder to explain to someone else.

Everything Feels Like Effort

You're lazy. You lack discipline. At least that what your mind and maybe others will tell you. When depression sets in, even the simplest tasks can feel like climbing a mountain. Getting out of bed, answering a text, making something to eat...things that used to be automatic now take everything you have. If you're constantly drained and can't figure out why, depression may be quietly draining your energy in the background.

You Have Lost Interest

One of the most telling signs of depression is losing interest in things you used to love. Hobbies feel pointless. Plans feel like a burden. You show up and go through the motions, but the enjoyment just isn't there anymore. This is a shift that happens when depression starts disconnecting you from the things that used to make life feel worth living.

You Are Isolating

Depression has a way of pulling you away from the people around you. You cancel plans. You stop reaching out. You tell yourself you just need some alone time. Weeks go by and the distance keeps growing. It's not that you don't care about the people in your life. It's that depression makes connection feel exhausting, and being alone feels easier, even when the loneliness makes everything worse.

You Are Hard On Yourself

Depression often comes with a relentless inner critic. You feel like you're not doing enough, not good enough, not handling things the way you should. Guilt shows up without a clear reason. Negative thoughts replay on a loop. It's easy to write this off as overthinking or being too sensitive, but when that voice never quiets down, it's worth paying attention to. That kind of persistent self-criticism is a hallmark of depression, not a personality flaw.

People With Untreated Depression Often Turn to Substances Just to Get Through the Day

When depression goes unrecognized or untreated, people find ways to cope, and substances are one of the most common. Something to feel something. Something to find the energy to function. Something to shut it all off at the end of the day. It doesn't start as a problem. It starts as survival. But over time, what felt like relief can quietly become its own crisis.

This isn't about weakness or poor choices. It's what happens when someone is carrying something heavy without the right support. Depression is exhausting, and when you don't know what's driving it — or don't have access to help — you do what works in the moment. The problem is that substances don't treat depression. They mask it. And the longer they mask it, the harder it becomes to find your way out.

If any of this feels familiar — the numbness, the exhaustion, the substances that help you get through — you're not alone, and you don't have to keep living this way. At Project Turnabout, we treat depression and substance use together, because for most people they're not separate problems. They're part of the same story. And that story can change.

Start with a confidential assessment today.

Five Signs That Are Actually Anxiety

Wed, 22 Apr 2026 21:12:47 GMT

Five Signs That What You're Feeling Is Actually Anxiety

You Feel Irritated All the Time

Most people associate anxiety with worry or nervousness — but irritability is one of its most overlooked symptoms. When your nervous system is stuck in overdrive, small things start to feel unbearable. You snap at people you care about, get overwhelmed by things that never used to bother you, and spend the whole day feeling like you're one thing away from losing it. That's not a personality flaw. That's your body under chronic stress.

You're Always Tired

Anxiety is exhausting...even when you haven't done anything. When your brain is running in the background all day, scanning for problems and bracing for the worst, it burns through your energy fast. You might wake up already drained, struggle to get through simple tasks, and wonder why you're so tired when nothing is technically wrong. Your body may be stuck in stress mode, and that takes a real physical toll.

You Can't Sleep — Or Stay Asleep

It's 2 AM and your mind won't stop. You're replaying a conversation from three days ago, running through tomorrow's to-do list, or worrying about something you can't control. Anxiety often peaks at night when there's nothing left to distract you from your own thoughts. If you're waking up in the middle of the night or lying awake for hours; that's your nervous system struggling to power down.

You Overthink Everything

Anxiety has a way of turning small decisions into major ordeals. You replay conversations wondering if you said the wrong thing. You second-guess choices you already made. You spiral into "what if" thinking that goes nowhere. Your brain is trying to prepare for every possible outcome so nothing catches you off guard. Over time, it becomes exhausting and hard to turn off.

Your Body Feels Off

Anxiety doesn't just live in your head..it starts in your body and your mind races to make sense of it. A tight chest, an upset stomach, frequent headaches, tension in your shoulders and jaw. These physical symptoms can be overwhelming and the desire to escape can be strong, this is why many people turn to substances to cope. If you've been dealing with unexplained physical discomfort, anxiety might be worth looking at.

People With Untreated Anxiety Often Turn to Substances Just to Feel Okay

When anxiety goes unrecognized or untreated, people find ways to cope with it — and substances are one of the most common. A drink to take the edge off. A pill to finally sleep. Something to quiet the noise long enough to get through the day. It doesn't start as a problem. It starts as relief. But over time, what felt like a solution can become its own source of suffering.

This isn't a moral failure. It's what happens when someone is hurting and doesn't have the right support. Anxiety is relentless, and when you don't know what's driving it — or don't have access to help — you do what works in the moment. The problem is that substances don't treat anxiety. They mask it. And the longer they mask it, the harder everything becomes.

Signs That Substances Are Managing You — Not the Other Way Around

There's a difference between using something occasionally and relying on it to function.

Here are some signs that the line has been crossed:

You need it to feel calm, sleep, or get through social situations
You've tried to cut back but can't seem to stick with it
You're using more than you used to just to get the same effect
You feel worse — more anxious, more irritable — when you don't have it
You're hiding how much you're using from the people around you
Your relationships, work, or health are starting to suffer
You know it's becoming a problem, but stopping feels impossible

If any of that sounds familiar, it's not a willpower issue. It's a sign that something deeper needs to be addressed.

You Don't Have to Choose Between Treating One or the Other

At Project Turnabout, we understand that anxiety and substance use don't exist in separate boxes. For a lot of people, they're completely intertwined... one feeding the other in a cycle that's hard to break alone. That's why we treat both together. Our approach addresses your mental health and substance use disorder at the same time, so you're not just getting sober, you're actually getting better.

You don't have to have it all figured out to reach out. You just have to be ready to try something different.

Start with a confidential assessment today.

Unique benefits of residential gambling treatment

Tue, 14 Apr 2026 18:57:39 GMT

Unique benefits of residential gambling treatment

We observe patients 24/7 for 30 days

We admit patients for 30 days and during that time Vanguard becomes their home away from home. During that time, our facility is staffed 24/7. We are able to observe patients and their natural habits of sleep, rest, food intake, exercise, and ability to tolerate structure. By observing patients in this way, we get an accurate assessment of how they function on a day-to-day basis. We can create healthy routines while they are here that support their long term recovery goals. Moreover, we can observe whether patients are able to implement those plans. Counseling staff work with patients in our care daily to ensure practical application of coping skills and surrender to a program. After 30 days, noticeable improvements are often present in regards to PAWS, depression, anxiety, and cravings.

We can hold patients accountable for their time after programming is completed

We are able to hold patients accountable for their time even after they complete a full day of programming. Patients are expected to maintain structure daily, including evening meals, GA meetings, and peer bonding. It is not simply a ‘see you later’ kind of program. In residential treatment, rest is scheduled and part of the treatment program. Patients are not only taught to tolerate structure, they are taught to tolerate rest and boredom. By doing this, patients learn to tap into their serotonin response again. They learn what an ‘off switch’ really means, and what signals their bodies are sending to them when they are tired, hungry, upset, or experiencing treatment fatigue. These lessons are vital to their continued success in recovery after they graduate from our program.

Patients attend and lead their own GA groups in the evening

Treatment for gambling disorder on Vanguard includes nightly patient lead GA meetings. This is an opportunity for patients to create strong peer bonds and practice the structure of a GA group. Patients who are resistant to meetings often find these groups are their favorite part of the treatment experience. This is an opportunity for patients to lead a GA group, discuss their addiction openly with their peers, and come together as a unit. These meetings occur daily, and are a mandatory part of the treatment program. Not only do they build peer relationships, they reinforce the habit of regular meeting attendance. When patients graduate our program, they have all attended 30 meetings in 30 days. Patients learn that meeting attendance can be enjoyable, and they begin to feel comfortable in that setting.

We build strong peer support and peer relationships

Patients at our treatment facility are taught to build strong, lasting peer relationships. They are coached to maintain those relationships when they graduate. These relationships become their life line to recovery. Because they live with us 24/7 for 30 days, we are able to trouble shoot with them feelings of anxiety and social isolation. We can create treatment plans that address feelings of insecurity when opening up to a new group of peers. We can discuss how their peer relationships are progressing and give them tips to strengthen those bonds. Living in treatment gives patients resources to learn about their social intelligence through active learning, education with treatment staff, and regular interactions with their peers. This is a chance to recognize why they may tend to isolate themselves from their peer group and start to think about what a sober peer support system actually means.

Patient’s are able to focus on their recovery without interference from the outside world

A patient’s only job in treatment is to get better. There are no distractions, no cell phones, no family conflicts. Work is paused. Relationships are on pause. The world basically stops for 30 days so the patients in our care can focus on their recovery goals. Patients don’t have to worry about driving to and from in bad weather. They don’t have to worry about shoveling snow, mowing their lawns, taking the dogs out, or getting their kids to school. They are entirely focused on their recovery goals. This treatment environment begins the healing process, allowing patients to point themselves firmly in the direction of recovery. The healing process starts with treatment, but the healing process continues because treatment gives our patients a strong foundation to build their long term recovery goals

Five important facts most people miss Gambling Disorder edition

Tue, 14 Apr 2026 18:57:37 GMT

Five Important Facts Most People Miss

Five important facts most people miss Gambling Disorder edition

Gambling disorder is invisible

Gambling disorder is the invisible addiction. Counselors cannot test for it, doctors can’t find it in a lab. Patients with gambling disorder can go years without help, without care, and without understanding that they are headed towards disaster. That’s what makes gambling patients so special. These individuals have fought through a constant barrage of messaging, advertising, and cravings just to get into treatment. Most of them are not forced to be in treatment, they want to be here. Once in treatment, patients can learn to identify the hidden signs of their disease. It’s not so scary anymore. Because gambling disorder is hidden initially, it also presents with symptoms like suicidal ideations and thoughts, depression, anxiety, family conflict, and denial.

On average, it takes patients 10 years to get help

Patients with a gambling disorder often wait years to get help, living off of denial and despair as their gambling disorder progresses. Patients who seek care early on tend to avoid some of the more severe consequences like embezzlement. However, it’s never too late to get treatment. The longer a gambling disorder progresses without help, the more the brain starts to play tricks to get the patient to keep gambling. For example, some patients experience high levels of irritation when coming down from a gambling high. This irritation (referred to as PAWS) is part of the brain’s response to a lack of dopamine. The brain is essentially sending signals to the gambler that he or she MUST gamble again soon, or face misery. Families who experience these mood swings often don’t know what to do to help their loved ones.

Most people don’t even realize gambling can lead to an addiction

Just because it’s legal, doesn’t mean it is safe. Now that gambling is legal in some form in all 50 states, and casinos are starting to pop up almost everywhere, the availability of gambling increases the amount of people who may develop a gambling disorder. Also, some individuals already recovering from a different addiction may turn to gambling not realizing the damage they may be doing to their recovery. Diagnosing a gambling disorder means exploring the potential patient’s preoccupation with gambling, need to gamble with increased amounts of money, unsuccessful attempts to stop or control gambling, restlessness or irritability when trying to control gambling, chasing losses, lying or hiding evidence of gambling, gambling despite consequences, and financial bailouts.

It’s still being studied

Most people don’t realize the infancy of the research around gambling disorder as an addiction. Just 13 years ago, in 2013, gambling disorder was finally moved from the classification as an impulse control disorder to the classification as a substance use disorder. Currently, gambling is considered a substance and is thought to impact the brain in the same way alcohol might. However, it wasn’t until 1980 that gambling disorder was even classified as a psychiatric problem with clinicians focusing on loss of control, chasing losses, and negative consequences. In 1994 with the publication of the DSM IV, criteria to diagnose gambling disorder became more standardized. However, it wasn’t until 2019 that the World Health Organization listed Gambling Disorder under “Disorders due to addictive behaviors.”

There are some medications which may make gambling disorder worse

There are some medications prescribed for various related and unrelated issues that have been shown to amplify a patient’s impulsive urges and contribute to the proliferation of a gambling disorder. Abilify is one such medication. Abilify is a dopamine D2 partial agonist, used to treat Schizophrenia, Bipolar disorder, and Depression. Abilify increases the patient’s reward sensitivity while also increasing their impulsive decision making. The medication may also impact the decision making area of the brain called the pre-frontal cortex. Other medications shown to impact gambling include Pramipexole, Ropinirole, and Rotigotine.

When Is Detox the Right Call?

Mon, 13 Apr 2026 19:44:20 GMT

A Practical Guide for Probation, Hospitals, and Treatment Providers

For professionals working on the front lines, the question isn’t theoretical:

“Is this person safe to discharge...or do they need detox?”

At Project Turnabout, detox is not positioned as a standalone service. It is the first step in a structured continuum of care designed to move individuals from crisis to stability to long-term recovery.

This guide is built to help you make faster, safer referral decisions.

What Detox Solves (From a Systems Perspective)

Detox provides:

Medical stabilization during withdrawal
Risk reduction (seizures, complications, relapse)
Immediate placement into next level of care

Bottom line:
Detox is the safest bridge between active use and structured treatment engagement

When to Refer to Detox: Key Indicators

Why Detox Improves Outcomes (For You and the Client)

What Actually Makes the Difference: Continuity of Care

The most important moment doesn’t happen during detox. It happens right after.

Too often, individuals stabilize physically… and then hit a gap. A discharge. A referral list. A delay. And in that space, momentum is lost.

At Project Turnabout, detox is not an endpoint. It is the beginning of a structured path forward. As soon as someone stabilizes, they are already moving into the next phase, whether that’s residential treatment, step-down care, transitional living, or outpatient support. There is no pause where they are left to figure it out on their own.

Because the difference between short-term stabilization and long-term recovery is simple:

Do they have somewhere to go next, immediately?

When that answer is yes, outcomes change.

Make the Right Call — When It Matters Most

When someone is at the point of needing detox, timing is everything. Waiting for things to get worse is not a strategy.
Hoping they’ll stabilize on their own is a risk.

At Project Turnabout, our 24/7 medical detox is designed for exactly these moments:

Immediate access to care
Safe, medically supervised withdrawal
Direct transition into the next level of treatment

Make a decision that determines what happens next.

If there’s any question, make the call.

NOW HIRING: Practice Mental Health Care Where Clinicians Are Supported and Communities Matter

Wed, 01 Apr 2026 16:14:48 GMT

Practice Mental Health Care Where Clinicians Are Supported and Communities Matter

Project Turnabout is hiring a Licensed Mental Health Counselor to provide care within our high-intensity residential treatment center in Granite Falls, Minnesota. This role is essential to the stability and effectiveness of residential treatment, where clinicians work closely with individuals experiencing complex mental health and co-occurring concerns.

About the Role

The Licensed Mental Health Counselor provides clinical services within a high-intensity residential treatment environment. Clients in this setting often present with significant mental health needs, co-occurring substance use disorders, and life stressors that require thoughtful assessment, strong clinical boundaries, and consistent collaboration.

This position is well suited for a clinician who wants to engage deeply in clinical work while being supported by a multidisciplinary team. Supervisory experience is not required. The focus of this role is providing high-quality care in a structured residential setting, with leadership and consultation available to support sound clinical decision making rather than adding unnecessary administrative responsibilities.

Position Details

Title: Licensed Mental Health Counselor
Salary: $67,000–$77,000 annually, depending on experience
Program: High-intensity residential mental health treatment
Location: Granite Falls, Minnesota

What We’re Looking For

We are seeking a licensed clinician who brings clinical maturity, compassion, and professionalism to a residential treatment setting.

Qualified candidates will hold one of the following licenses:

LPCC
LMFT
LICSW

Experience working with complex or high-acuity clients is helpful, but not required. We value clinicians who communicate well with team members, approach treatment ethically, and are open to learning within a structured residential environment.

Our Commitment to Staff Development

Project Turnabout places strong emphasis on clinical support and professional growth, especially in high-intensity settings where the work can be demanding. Our approach includes:

Access to clinical supervision and consultation
Ongoing professional development opportunities
Leadership that understands the realities of residential treatment

We believe clinicians do their best work when they are supported, informed, and encouraged to continue developing their skills.

Benefits That Support Real Life

We recognize that relocating for a residential role or committing to high-intensity clinical work requires real support. To help make this position sustainable, we offer:

Relocation assistance
Childcare support
Temporary housing options
Designation as a rural student loan forgiveness facility, which may help reduce educational debt

Why Project Turnabout

Project Turnabout is a mission driven organization providing substance use disorder and mental health treatment across rural Minnesota. Our residential programs are built on experienced clinical teams, thoughtful program design, and a commitment to continuous improvement.

We take the work seriously and we take care of the people doing it. Innovation, collaboration, and clinical integrity guide how our programs operate.

Interested in Learning More?

If you are a licensed mental health professional interested in residential work within a supportive, mission focused organization, we invite you to connect with us. Whether you are ready to apply or want to learn more about the role and setting, we welcome the conversation.

This position offers the opportunity to practice meaningful, high-impact clinical work while building a sustainable career in a rural residential treatment environment.

If You're Using Substances to Get Through the Day, This Is for You.

Tue, 31 Mar 2026 13:24:47 GMT

If You're Using Substances to Get Through the Day, This Is for You.

If you're reading this, you probably already know something is off.

Maybe you drink to quiet the anxiety that never seems to fully go away. Maybe you use to get through the night without the memories hitting too hard. Maybe you've told yourself that you're just taking the edge off, that it's not a big deal, that you'd stop if things got better.

If this sounds familiar, you're not alone.

What's Actually Happening in Your Brain

The pain you're trying to manage, whether it's anxiety, depression, trauma, or stress, is real. And at first, substances can genuinely take the edge off. Alcohol slows down an overactive nervous system. Opioids quiet rage and pain. Stimulants lift you out of the fog of depression.

This is called self-medication. Researchers have studied it for decades. People reach for whatever quiets their specific kind of suffering. It makes sense. And it works, for a while.

But here's what happens next:

• Over time, the relief gets shorter.

• The symptoms you were trying to manage get worse, not better, when the substance wears off.

• Your brain starts to depend on the substance just to feel normal.

• What started as coping becomes its own condition, one with its own disease course that doesn't respond to willpower alone.

Now you're managing two things instead of one: the original pain, and a substance use disorder that has taken on a life of its own.

The Signs That This Has Become More Than Coping

It can be hard to know when a coping strategy has crossed a line. Here are some honest questions worth sitting with:

• Do you need more of the substance than you used to in order to feel the same effect?

• Do you feel worse, more anxious, more depressed, more irritable, when you haven't used?

• Have you tried to cut back and found it harder than you expected?

• Are the things you're trying to manage with substances getting worse over time, not better?

• Has using started to create new problems, in relationships, at work, with your health?

If any of those land, that's not a reason to feel ashamed. It's a reason to get real support.

Why You Can't Just Treat One Side of This

Here's something that most people don't realize: if you only treat the substance use but ignore the underlying anxiety, depression, or trauma, you're at a much higher risk of relapse. The pain that started this will still be there.

And if you only treat the mental health symptoms but ignore the substance use, treatment won't fully work, because the substances are actively interfering with your brain's ability to stabilize.

These two things have to be treated together. Real recovery isn't just getting sober. It's building the skills, the support, and the connections that make staying that way possible.

What Getting Real Help Actually Looks Like

At Project Turnabout, we don't make you choose which problem to address first. We treat both at the same time, because that's how lasting recovery actually happens.

Most people who are self-medicating aren't doing it because they're weak or don't care. They're doing it because something underneath hasn't been treated yet. That's what we're here for.

We treat your mental health and your substance use together. Your anxiety, depression, trauma, or PTSD isn't set aside until you're sober. It's addressed as part of treatment, right alongside the substance use, because the two are connected. Research shows that more than 60 percent of people in residential SUD treatment have a trauma history. If that's part of what you're carrying, it gets treated too.

You'll get a real psychiatric evaluation. If medication could help you, we'll talk about it honestly. If it won't, we won't push it. Our goal is to figure out what's actually going on, not to hand everyone the same prescription.

A daily routine that helps your brain settle down. When life has felt out of control, having a consistent schedule, knowing what's coming next, and having people around who aren't in crisis can make a real difference. It sounds simple. It works.

A whole team looking at your situation, not just one person. When you're in the middle of addiction, it's easy to slip through the cracks. At Project Turnabout, the people treating your mental health, your addiction, and your day-to-day functioning all talk to each other and work from the same plan.

Treatment that doesn't just drop you at the end. Going from residential treatment back to regular life all at once is one of the biggest reasons people relapse. Our step-down approach means you move through levels gradually: residential care first, then a structured living environment with more independence, then outpatient support as you rebuild your life. You're not left to figure it out alone.

Project Turnabout has been walking with people through this since 1970. We're in Granite Falls, Minnesota, with additional locations in Marshall, Redwood Falls, and Willmar, and we accept most insurance.

You don't have to have this figured out before you call. That's what the call is for.

NOW HIRING: One Steady Day Can Make a Meaningful Difference

Thu, 12 Mar 2026 17:24:06 GMT

One Steady Day Can Make a Meaningful Difference

Project Turnabout is seeking someone to work one consistent day per week in our small, on-site family daycare in Granite Falls.

This is a one-day-per-week position with some schedule flexibility. It is not full-time and is not intended to replace primary income. Because of that, this role is best suited for someone who is looking for meaningful involvement rather than a traditional career position.

Our daycare supports the children of counselors and staff who spend their days helping individuals struggling with substance use disorder. Recovery work requires focus, steadiness, and emotional presence. When staff know their children are safe and well cared for, they are able to give their full attention to the people they serve.

This is a family-style setting, not a large daycare center. The group is small and thrives on consistency and routines.

We are looking for someone with a genuine heart for service and the ability to provide steady, consistent care for young children. The right person will bring reliability, warmth, and a commitment to creating a stable environment for children. Experience in childcare, teaching, or caregiving is welcome, but dependability and character are most important.

One steady day a week can bring security to a child, peace of mind to a parent, and quiet strength to the work happening inside our treatment programs.

Apply below. ww.projectturnabout.org .

Now Hiring: Dietary Aide | Cook

Tue, 10 Mar 2026 16:05:44 GMT

A Good Meal Can Make a Hard Day Better

Project Turnabout is Hiring a Dietary Aide / Cook

When someone comes to Project Turnabout, they are often starting one of the hardest journeys of their life.

Recovery takes work. It takes support. And sometimes it starts with something simple — a warm meal and a place that feels safe.

That is where our kitchen team comes in.

Project Turnabout is hiring a Dietary Aide / Cook to help prepare meals and keep the kitchen running smoothly for the people staying at our treatment campus.

The Role

Our Dietary Aide / Cook helps prepare food, clean the kitchen, and keep meals moving on schedule. The work includes cooking, washing dishes, stocking food, and helping serve meals.

It is active work that keeps you moving and working with a team.

Most important, it helps create a place where people feel cared for while they focus on recovery.

Job Details

�� Location: Granite Falls, MN
�� Hours: About 34 hours per week
�� Pay: $16 – $20 per hour
�� Schedule: Weekdays and weekends may apply

Why This Job Matters

For more than 50 years, Project Turnabout has helped people rebuild their lives through recovery.

E very role on our team supports that mission.

Even in the kitchen.

A warm meal can help someone feel welcome, respected, and ready to keep going.

NOW Hiring: Housekeeping Aide in Granite Falls

Tue, 10 Mar 2026 15:50:43 GMT

A Clean Space Can Change Someone’s Day

Project Turnabout is Hiring a Housekeeping Aide in Granite Falls

When someone comes to Project Turnabout, they are often going through a hard time. They may feel tired, scared, or unsure about the future.

The place they walk into matters.

A clean room.
A quiet hallway.
A space that feels calm and cared for.

These small things send a strong message: you are safe here and people care about you.

That is why our housekeeping team is so important.

The Role

Project Turnabout is hiring a Housekeeping Aide at our Granite Falls campus. This job helps keep the building clean, organized, and welcoming for residents and staff.

Housekeeping staff help care for resident rooms, hallways, and shared spaces. Their work helps create a place where people can focus on recovery.

What You’ll Do

• Clean resident rooms and common areas
• Help keep the facility neat and organized
• Work with the housekeeping and maintenance team
• Help create a calm and welcoming space for everyone

This is active work that keeps you moving and working as part of a team.

Schedule and Pay

Location: Granite Falls, MN
Hours: 32–36 hours per week
Schedule: Day shift, about 7:30 AM – 3:30 PM
Pay: $16.50 – $18.00 per hour

Who This Job Is Good For

This job is a good fit for people who:

• Like staying active and working with their hands
• Take pride in keeping spaces clean
• Want to help others
• Enjoy working on a team

You do not need experience in treatment or counseling to make a difference.

Our Mission

For more than 50 years, Project Turnabout has helped people rebuild their lives through recovery.

Housekeeping may work behind the scenes, but it helps create the space where recovery begins.

APPLY TODAY

NOW HIRING: Human Services Technician

Mon, 09 Mar 2026 17:47:52 GMT

NOW HIRING: Human Services Technician

Work That Matters: Human Services Technician in Marshall, MN

Some jobs are just a paycheck. Others help change lives.

At Project Turnabout in Marshall, Human Services Technicians help men who are starting their recovery from substance use. Our residential treatment program gives people a safe place and a daily routine so they can begin rebuilding their lives.

This role helps keep that environment safe, calm, and supportive. The right person for this job is dependable, respectful, and able to set healthy boundaries.

This position can be a great fit for people who are in recovery themselves or for anyone who wants to help others move forward in recovery.

Schedule and Pay

This is a part-time job (20–30 hours per week).

Pay $18.12 per hour. Overnight shifts pay a $1.50 shift differential.

Project Turnabout is open 24 hours a day, so staff work rotating shifts:

8:00 AM – 6:00 PM
4:00 PM – 12:00 AM
10:00 PM – 8:00 AM

Staff must be able to work all shifts. The schedule changes from week to week.

What You'll Do

Help create a safe place where residents can focus on recovery
Support residents during meals, groups, and daily activities
Watch for problems and share updates with counselors and nurses
Write short notes about what happens during your shift
Help keep the building clean and organized

Who This Job Is Good For

This job is often a good fit for:

People interested in substance use treatment or counseling
People who are calm, patient, and dependable
People who enjoy helping others stay on track
People thinking about becoming a licensed alcohol and drug counselor (LADC)
People who want work that truly helps others

Many of our counselors started as Human Services Technicians. Project Turnabout offers continuing employee development and tuition programs for qualifying programs.

Benefits

Flexible part-time schedule
Competitive hourly pay
Supportive team environment
Experience working in substance use treatment

APPLY TODAY

Now Hiring: Part-Time Family Daycare Provider

Mon, 23 Feb 2026 22:16:46 GMT

Now Hiring: Part-Time Family Daycare Provider

Project Turnabout is seeking a reliable individual to join our on-site family daycare in Granite Falls.

This is a part-time position, primarily one consistent day per week, with the potential for additional hours over time. We are looking for someone dependable who enjoys working with children and is looking for a part-time opportunity.

Our daycare operates as a family-style setting. That means a smaller group of children, a more personal environment, and close relationships with families. It is not a large childcare center. It is a calm, structured space designed to support parents working to support people in recovery.

The children in our daycare are the sons and daughters of staff who spend their days helping individuals struggling with substance use disorder. When staff know their children are safe and cared for, they can focus fully on the work of recovery. Your role helps create that stability.

What We’re Looking For

We are seeking someone who:

Is consistent and dependable
Has experience with childcare, babysitting, or caregiving
Is comfortable following licensing guidelines
Can pass a state and federal background study
Is willing to obtain required training and CPR certification

This position may be especially well suited for someone semi-retired or looking for steady part-time work in a structured environment.

Why This Role Matters

Strong recovery programs are built on strong teams. Strong teams rely on stability at home. Childcare may seem simple, but it plays a critical role in supporting the people who support others.

If you are looking for part-time work where reliability matters and your presence makes a difference, we encourage you to apply.

To learn more or submit an application by clicking the button below.
www.projectturnabout.org

NOW HIRING: Entry Level Positions

Thu, 19 Feb 2026 20:06:17 GMT

NOW HIRING: ENTRY LEVEL POSTIONS

Early recovery is a time of change. You’re rebuilding routines, learning how to show up for yourself again, and figuring out what comes next. For many people, work is part of that question. Not just a job, but something steady. Something meaningful. Something that can grow with you.

At Project Turnabout, we believe recovery can be the beginning of a career, not a barrier to one.

You Don’t Have to “Wait” to Start

For a long time, people in recovery were told they had to wait. Wait a certain number of years. Wait until everything felt perfect. Wait until someone else decided they were “ready.”

That’s no longer the rule.

Today, there is no required length of sobriety to apply for a position at a recovery center. What matters most is your willingness to grow, your commitment to showing up, and your desire to build a stable future. If you’re early in recovery and thinking, I want something more than just getting by, you’re not alone. And you don’t have to figure it out on your own.

Starting Where You Are

Many careers at Project Turnabout begin with entry-level roles. These positions are not “less than.” They are real work, essential to our programs, and often the first step in a longer journey.

Entry-level opportunities include roles such as:

Human Services Technician , supporting clients in day-to-day recovery
Housekeeping , helping maintain safe, welcoming spaces
Maintenance , keeping facilities running smoothly
Kitchen support , providing meals and structure that support healing

These roles offer stability, routine, and the chance to learn how a recovery center operates from the inside. More importantly, they allow you to begin building confidence and work experience while continuing your own recovery.

Creating a Career Plan, Not Just a Job

If you’re interested in becoming a Licensed Alcohol and Drug Counselor (LADC) or working in mental health long term, Project Turnabout can help you create a plan to get there.

That plan doesn’t start with school paperwork or tuition bills. It starts with conversations:

What are your strengths?
What kind of work are you curious about?
What support do you need right now to be successful?

From there, we help you take practical steps. That can include preparing to go back to school, navigating applications, understanding licensure requirements, and building the confidence to see yourself as a professional, not just someone “in recovery.”

Support Along the Way

We know barriers are real. School costs money. Life doesn’t pause. Recovery requires stability.

That’s why Project Turnabout offers support that makes long-term goals possible. Depending on your role and eligibility, this may include:

Help preparing for and applying to school
Tuition assistance or reimbursement
Paid work while gaining experience
Mentorship and supervision
A team that understands recovery because many have lived it

We don’t expect you to have everything figured out on day one. Growth happens step by step.

Turning Experience Into Purpose

Many of our staff members started exactly where you might be now. Early in recovery. Unsure. Hopeful but cautious. Over time, they turned lived experience into skill, education, and professional practice.

Recovery doesn’t disqualify you from helping others. In many cases, it’s what makes you uniquely capable.

If you’re looking for a place where your recovery is respected, where your future matters, and where you can build a career that lasts, Project Turnabout may be the place to start.

You don’t have to be finished becoming who you are to take the first step.

Ready to Take the Next Step?

If you’re interested in participating in a pathway toward a career as a Licensed Alcohol and Drug Counselor (LADC), we invite you to apply. When completing the application, please enter “Grow Your Own” in the Job Title field so we know you’re interested in this career development pathway.

You don’t have to have everything figured out. If you’re willing to learn, grow, and show up, we’re ready to help you take the next step forward.

NOW HIRING: Registered Nurse (RN) – Detox Program

Thu, 19 Feb 2026 17:19:54 GMT

NOW HIRING: Registered Nurse (RN) – Detox Program

Looking for Nursing That Feels Meaningful Again?

Project Turnabout is hiring a Registered Nurse to join our detox team.

Detox nursing is different from hospital work. It is focused, personal, and deeply impactful. Our nurses are often the first steady presence someone experiences when they make the decision to enter recovery.

If you are looking for work that combines strong clinical practice with real human connection, this may be the right fit.

Work That Changes Lives

Detox is often the first turning point in someone’s recovery journey. As a nurse in our program, you are there when a patient decides they cannot keep living the way they have been. Your steady assessments, calm presence, and clinical skill help them move safely through withdrawal and toward hope. The care you provide in those first critical days can set the tone for everything that follows.

What Makes Detox Nursing Different?

Our detox nurses:

Monitor and assess withdrawal symptoms
Administer medications using evidence-based protocols
Track vital signs and identify medical risks early
Support patients through anxiety, discomfort, and uncertainty
Work closely with providers and clinical staff in a collaborative environment

This is assessment-based, hands-on nursing. Your clinical judgment matters here.

Why Join Our Team?

Structured environment with clear protocols
Supportive interdisciplinary team
Opportunity to build meaningful relationships with patients
Work that directly supports long-term recovery
Competitive pay and benefits

At Project Turnabout, we believe Every Turnabout Counts. Our nursing team plays a critical role in helping people begin that turn.

Who We’re Looking For

Licensed Registered Nurse (RN)
Strong assessment and critical thinking skills
Compassionate and professional demeanor
Interest in addiction medicine or behavioral health

Experience in detox, emergency, or mental health settings is helpful but not required.

Ready to Make an Impact?

If you are ready to practice nursing in a setting where your work changes lives, we would love to talk with you.

Apply today or contact us to learn more about joining our detox team.

When Gambling Becomes a Family Crisis: How Loved Ones Can Recognize the Signs and Help

Tue, 17 Feb 2026 15:09:13 GMT

When Gambling Becomes a Family Crisis: How Loved Ones Can Recognize the Signs and Help

Gambling disorder rarely affects only one person. While the individual who gambles experiences the most visible consequences, family members and loved ones often carry a profound emotional, financial, and psychological burden. Unlike substance-related addictions, gambling disorder can remain hidden for years, quietly reshaping family dynamics before its presence is fully understood. For spouses, parents, adult children, and close friends, recognizing the disorder and knowing how to respond can be both confusing and overwhelming.

Gambling disorder is now recognized as a behavioral addiction and a diagnosable mental health condition. Estimates suggest that between 1 and 3 percent of adults worldwide meet criteria for gambling disorder, with higher percentages experiencing subclinical or moderate gambling-related harm. In the United States, approximately 2.5 million adults live with severe gambling disorder, while millions more struggle with problematic gambling behaviors that significantly affect their functioning. Importantly, research shows that for every person with a gambling disorder, several family members are directly impacted through financial stress, emotional strain, and relationship disruption.

One of the greatest challenges families face is that gambling disorder often develops without obvious warning signs. Because gambling does not involve intoxication or physical withdrawal, loved ones may attribute changes in behavior to stress, personality shifts, or unrelated mental health concerns. The expansion of online gambling and sports betting has made the disorder even harder to detect, allowing individuals to gamble privately at all hours using personal devices and digital payment systems.

Family members often report that the earliest signs are subtle. A loved one may become increasingly preoccupied, distracted, or emotionally unavailable. Conversations may revolve around betting strategies, odds, or “big wins,” even when losses are accumulating. Financial changes frequently emerge, including unexplained debt, missing money, frequent requests for loans, or secrecy around bank accounts and credit cards. Some individuals begin borrowing from family members under false pretenses or selling possessions to access gambling funds.

Emotional and behavioral changes are also common. Family members may notice increased irritability, defensiveness, or mood swings, particularly when gambling is questioned or interrupted. Anxiety, restlessness, and sleep disturbances often appear, especially during periods when gambling access is limited. Many individuals use gambling as a way to escape stress, depression, or feelings of inadequacy, which can further complicate family interactions. Over time, broken promises to stop or cut back may erode trust and increase conflict within relationships.

The hidden harms of gambling disorder frequently extend beyond finances. Research consistently demonstrates high rates of co-occurring mental health conditions among individuals with gambling disorder, including depression, anxiety disorders, substance use disorders, and nicotine dependence. Of particular concern is the elevated risk of suicidality. Studies show that people with gambling disorder report significantly higher rates of suicidal ideation and attempts than the general population, often driven by shame, hopelessness, and overwhelming debt. Family members are often the first to observe warning signs, such as expressions of worthlessness, withdrawal from loved ones, or statements suggesting that others would be “better off without them.”

For families, understanding that gambling disorder is not a moral failure or lack of willpower is critical. Neurobiological research has demonstrated that gambling activates the brain’s reward system in ways similar to substances, reinforcing compulsive behavior and impairing decision-making. This understanding can help families shift from blame to support, while still maintaining healthy boundaries.

Support resources for both individuals with gambling disorder and their families are widely available, though often underutilized. Gamblers Anonymous (GA) is a peer-led, 12-step fellowship designed for individuals seeking recovery from gambling problems. GA emphasizes abstinence, accountability, sponsorship, and shared experience, and meetings are available both in person and online. For family members, Gam-Anon provides a parallel support system focused on education, coping strategies, and emotional support for those affected by someone else’s gambling. Many family members report that Gam-Anon helps reduce isolation and offers practical guidance for setting boundaries without enabling harmful behavior.

Professional counseling also plays a crucial role in recovery. Evidence-based treatments, particularly cognitive-behavioral therapy, have demonstrated effectiveness in addressing gambling disorder by targeting distorted beliefs about gambling, improving coping skills, and reducing relapse risk. Family therapy can be especially beneficial, as it addresses communication breakdowns, trust repair, and shared financial planning. Counselors trained in gambling-specific treatment can also help families navigate crises, such as debt disclosure or legal consequences.

Educational resources can further support families seeking understanding and direction. Books written specifically about gambling disorder often help loved ones make sense of behaviors that otherwise feel confusing or personal. Behind the Eight Ball by Linda Berman provides a clear, family-centered exploration of gambling addiction and its impact on relationships. When Luck Runs Out: Help for Compulsive Gamblers and Their Families, a foundational 1985 work by Dr. Robert Custer and Harry Milt, is widely regarded as one of the earliest comprehensive texts on gambling disorder. Drawing from Dr. Custer’s pioneering clinical work, the book explains the progression of the illness, common patterns of denial, and the ways families are affected emotionally and financially. Together, these texts emphasize a consistent message found throughout the literature: gambling disorder is a treatable condition, and family education is a critical component of recovery.

Encouraging a loved one to seek treatment is rarely straightforward. Family members are often advised to approach the conversation during a calm, non-crisis moment, expressing concern using specific observations rather than accusations. Focusing on the impact of gambling on the relationship and shared goals, rather than on moral judgment, can reduce defensiveness. It is also important for family members to avoid rescuing behaviors that inadvertently enable continued gambling, such as repeatedly covering debts or concealing consequences from others.

Setting clear boundaries is not a punishment; it is a protective measure for both the family and the individual struggling with gambling. Boundaries may include separating finances, limiting access to shared funds, or requiring treatment participation as a condition for continued financial support. While these steps can feel uncomfortable, research and clinical experience suggest they often increase the likelihood of treatment engagement.

Ultimately, gambling disorder is a family disease, but recovery can also be a family process. When loved ones educate themselves, access appropriate supports, and respond with both compassion and firmness, they play a vital role in interrupting the cycle of harm. As gambling opportunities continue to expand, increasing awareness among families is essential. Recognizing the signs early and knowing where to turn may not only protect financial stability and relationships but may also save lives.

Julie Cunningham

LADC, JD, ICGC

Vanguard Gambling Unit Supervisor

The Silent Addiction: Why Gambling Disorder Is a Public Health Crisis We Can No Longer Ignore.

Tue, 17 Feb 2026 14:37:34 GMT

Gambling Disorder: The Overlooked Public Health Issue Hidden in Plain Sight

Gambling has become a routine part of modern life. From state lotteries and casino resorts to online sportsbooks and mobile betting applications, opportunities to gamble are more accessible than ever. For many people, gambling remains recreational. For others, however, gambling quietly shifts from entertainment to compulsion. Gambling disorder, now recognized as a behavioral addiction by the American Psychiatric Association, affects millions of people worldwide and often goes unnoticed until the consequences are severe.

Epidemiological data suggest that gambling disorder affects approximately 1 to 3 percent of the adult population globally. In the United States alone, an estimated 2.5 million adults meet diagnostic criteria for severe gambling disorder, while an additional 5 to 8 million experience moderate gambling-related problems that significantly impair their lives. When broader definitions of problem gambling are applied, some studies estimate that as many as 3 to 5 percent of Americans experience gambling-related harm in a given year. Though these percentages may appear small, they represent tens of millions of individuals when viewed across populations, families, and communities.

Despite its prevalence, gambling disorder remains widely misunderstood. One contributing factor is the normalization of gambling itself. Surveys indicate that roughly 85 percent of U.S. adults have gambled at least once in their lifetime, and approximately 60 percent report gambling within the past year. As sports betting expands across states and gambling advertisements saturate media platforms, the behavior is increasingly framed as socially acceptable, low-risk, and even glamorous. This cultural acceptance complicates the public’s ability to recognize when gambling has crossed from leisure into pathology.

Clinically, gambling disorder is classified as a non-substance-related addiction, sharing neurobiological and behavioral similarities with substance use disorders. Research demonstrates that gambling activates reward pathways in the brain associated with dopamine release, reinforcing behavior in a manner similar to alcohol or drugs. Over time, tolerance can develop, leading individuals to gamble more frequently or with higher stakes to achieve the same psychological effect. The absence of intoxication or visible withdrawal symptoms, however, often leads individuals to underestimate the seriousness of the condition.

For this reason, gambling disorder is frequently described as a “hidden addiction.” Unlike substance-related disorders, gambling problems rarely present with obvious physical signs. Individuals may maintain employment, family roles, and outward stability while experiencing escalating internal distress. The rise of online and mobile gambling further intensifies this invisibility, allowing individuals to gamble privately, around the clock, without leaving their homes. Financial losses can be concealed through credit cards, loans, or digital transactions, delaying detection by loved ones.

The harms associated with gambling disorder extend far beyond financial strain. While financial consequences are often the most visible outcome, research consistently demonstrates significant psychological, emotional, and relational impacts. Individuals with gambling disorder experience disproportionately high rates of depression, anxiety disorders, and substance use disorders. Some studies indicate that nearly three-quarters of individuals diagnosed with gambling disorder meet criteria for at least one co-occurring psychiatric condition.

One of the most alarming findings in the literature is the elevated risk of suicidality associated with gambling disorder. Population studies reveal that individuals with gambling problems report higher rates of suicidal ideation, suicide attempts, and suicide-related hospitalizations than the general population. Researchers attribute this risk to a combination of factors, including overwhelming debt, relationship breakdown, shame, secrecy, and a perceived loss of control. Unlike other addictions, gambling-related crises can escalate rapidly, particularly when financial collapse occurs abruptly.

Relationships are frequently strained as gambling disorder progresses. Trust erosion, secrecy around finances, emotional withdrawal, and broken commitments often lead to conflict with partners and family members. In some cases, individuals resort to borrowing money, selling possessions, or engaging in illegal behavior to sustain gambling, further compounding relational and legal consequences. Workplace performance may also suffer, with increased absenteeism, reduced concentration, and, in severe cases, job loss or disciplinary action.

Importantly, gambling disorder does not affect all populations equally. Research consistently shows higher prevalence rates among men, although the gender gap has narrowed in recent years, particularly among younger adults. Adolescents and young adults appear to be at heightened risk, especially with the proliferation of online gambling platforms and sports betting applications designed to mimic video game mechanics. Individuals with prior histories of trauma, substance use disorders, or untreated mental health conditions are also more vulnerable to developing gambling-related problems.

A defining feature of gambling disorder is that individuals often struggle to recognize the problem themselves. Many people who meet diagnostic criteria do not self-identify as having an addiction, particularly in the early stages. Gambling problems often develop gradually, with periods of apparent control interspersed with episodes of loss. This cyclical pattern can reinforce denial and minimize perceived risk. The belief that losses can be recovered through continued gambling, commonly referred to as “chasing losses,” further entrenches the behavior.

From a public health perspective, gambling disorder remains underdiagnosed and undertreated. Despite its inclusion in diagnostic manuals and growing research base, access to specialized treatment remains limited in many regions. Stigma, lack of awareness, and misconceptions about gambling as a “self-control issue” rather than a medical condition contribute to low treatment-seeking rates. Studies indicate that only a small fraction of individuals with gambling disorder ever receive formal treatment, even though evidence-based interventions, including cognitive-behavioral therapy and peer support programs, have demonstrated effectiveness.

For individuals questioning whether their gambling may be problematic, uncertainty itself can be an important signal. Reflecting on the emotional role gambling plays, the impact on finances and relationships, and the ability—or inability—to stop can offer insight. Early recognition is associated with better outcomes, reduced harm, and improved quality of life.

As gambling opportunities continue to expand, the need for public education and early intervention grows more urgent. Gambling disorder is not a moral failing or a lack of willpower; it is a complex behavioral addiction shaped by neurobiology, environment, and access. Bringing this hidden disorder into public awareness is a critical step toward reducing harm and ensuring that those affected receive the support they need.

Julie Cunningham

LADC, JD, ICGC

Vanguard Gambling Unit Supervisor

Stronger Together: A New Weekly Recovery Meeting and Alumni Community

Mon, 16 Feb 2026 21:37:29 GMT

Stronger Together: A New Weekly Recovery Meeting and Alumni Community

Long-term recovery is built through connection, consistency, and community. That’s why Project Turnabout is launching Stronger Together , a weekly Zoom recovery meeting and private Facebook group designed to help alumni stay engaged in 12-step recovery.

Weekly Zoom Recovery Meeting

Beginning February 24 , the Stronger Together Recovery Meeting will take place every Tuesday at 6:30 PM and will last one hour.

This is a 12-step meeting grounded in AA, NA, and other 12-step recovery programs . The meeting provides space for:

Fellowship and connection
Continued accountability
Sharing experience, strength, and hope
Ongoing recovery support

Whether you are newly discharged or years into recovery, you are welcome.

Stronger Together Facebook Group

In addition to the weekly Zoom meeting, we have launched a private Stronger Together Facebook Group for Project Turnabout alumni.

The group provides:

Ongoing recovery discussions
Meeting reminders and updates
Encouragement between Tuesdays
A safe, confidential alumni space

This group is private. Members must request to join and agree to maintain confidentialit y.

What Is Marshall Residential 3.1 — And Why It Matters for Long-Term Stability

Mon, 16 Feb 2026 18:37:19 GMT

What Is Marshall Residential 3.1 — And Why It Matters for Long-Term Stability

Probation officers understand the risk window.

A client completes high-intensity residential treatment. They are stable. They are motivated. They have structure.

Then they return to the community too quickly.

Research consistently shows that the period immediately following residential treatment is one of the highest-risk stages for relapse and recidivism. Without continued structure, gains made in treatment can erode quickly.

Marshall Residential 3.1 exists to close that gap.

What Marshall Residential 3.1 Is

Marshall is an ASAM Level 3.1 – Clinically Managed Low-Intensity Residential Treatment program.

It is not sober housing.

It is licensed residential treatment with clinical oversight and documented treatment planning.

Clients live in a structured residential setting while rebuilding daily life skills and gradually increasing independen ce.

Why Step-Down Treatment Improves Outcomes

Research from the National Institute on Drug Abuse and SAMHSA shows:

Individuals who remain engaged in treatment for 90 days or longer have significantly better recovery outcomes.
Continuity of care after high-intensity treatment can reduce relapse rates by 30–50% compared to abrupt discharge.
Structured step-down models are associated with lower rates of re-arrest and improved employment stability.
Clients who transition through multiple levels of care, rather than stopping after residential treatment, demonstrate higher long-term recovery retention.

Stabilization in 3.5 is critical. But stabilization alone does not equal long-term stability. ASAM 3.1 provides continued residential support while intensity lowers gradually. That gradual transition protects progress.

What Clients Work On at Marshall

At Marshall, clients:

Continue individual and group therapy
Follow a structured daily schedule
Maintain accountability and monitoring
Return to work or school
Rebuild financial responsibility
Strengthen family relationships
Practice independent living skills

They are not discharged into independence without support. They transition in a structured, clinically managed environment.

Why Step-Down Care Matters

Research shows individuals who remain engaged in treatment for 90 days or longer have significantly better outcomes. Continuity of care after residential treatment reduces relapse risk and improves employment stability.

Step-down residential treatment allows progress to continue instead of abruptly stopping at disch arge.

When to Consider Marshall 3.1

Marshall may be appropriate for clients who:

Have completed 3.5 or another higher level of care
Still need residential structure
Would benefit from gradual reintegration
Require continued accountability

Appropriate for clients who meet ASAM 3.1 criteria following completion of 3.5 or other higher levels of care.

The Bottom Line

The transition period after intensive treatment is one of the most vulnerable stages in recovery.

Marshall Residential 3.1 provides continued structure, documented treatment engagement, and real-world accountability during that transition.

If you have a client completing residential treatment who still needs structure to protect progress, contact admissions to discuss ASAM 3.1 placement.

Protect the progress. Strengthen the outcome.

Peer Recovery Support: When Life Feels Overwhelming, We Walk With You

Fri, 13 Feb 2026 17:37:52 GMT

Peer Recovery Support: When Life Feels Overwhelming, We Walk With You

What Is a Peer Support Specialist?

Recovery is not just about stopping alcohol or drug use. It is about learning how to handle real life in a healthier way.

That is where a Peer Support Specialist comes in.

A Peer Support Specialist is someone who has lived experience with addiction and recovery. They have done the work themselves. Now they use that experience to support others.

They are not there to judge. They are there to walk beside you.

What Does a Peer Support Specialist Do?

Peer Support Specialists help in real, practical ways.

They may:

Share their own recovery story to offer hope
Help you build a daily routine
Check in when you feel stressed or overwhelmed
Encourage you during hard days
Help you plan for triggers or high-risk situations

They focus on everyday support, not just what happens in a counseling session.

Available 24/7 for Recovery Support

At our program, Peer Support Specialists are available by phone 24 hours a day, 7 days a week for recovery support.

That means you are not alone at night, on weekends, or during a crisis.

If you are feeling overwhelmed, tempted, anxious, or unsure what to do, you can call.

Sometimes just talking to someone who understands makes all the difference.

Real-Life Support for Real-Life Stress

Recovery does not happen in a bubble. Life keeps moving.

Our Peer Support Specialists can help with things like:

Managing an overwhelming schedule
Going with you to the DMV
Talking through stressful situations
Supporting you when dealing with CPS
Helping you prepare for court
Navigating paperwork and appointments

Sometimes people need more than advice. They need someone to stand next to them.

Peer support often means “hand holding” through stressful moments so you do not shut down or give up.

How Is a Peer Support Specialist Different From a Counselor?

A Licensed Counselor provides clinical treatment. They guide therapy, assess progress, and build treatment plans.

A Peer Support Specialist focuses on lived experience and practical support.

They understand recovery because they have lived it.

Both roles matter. They work together to support your recovery from different angles.

Who Is Peer Support For?

Peer support is helpful for people who:

Are new to recovery
Feel nervous about life changes
Need extra accountability
Feel overwhelmed by appointments or responsibilities
Want someone who truly understands what early recovery feels like

You do not need to be in crisis to use peer support. It is there to help you stay steady.

You Do Not Have To Do This Alone

Recovery can feel hard. Life can feel hard.

A Peer Support Specialist offers steady encouragement, real-world help, and hope grounded in experience.

Sometimes the most powerful words are simple:

“I’ve been there. Let’s walk through this together.”

What Does Outpatient Treatment Really Look Like?

Fri, 13 Feb 2026 16:28:18 GMT

What Does Outpatient Treatment Really Look Like?

When people hear the word “treatment,” they often think of staying somewhere overnight. But that is not the only option.

Outpatient treatment helps people get support for alcohol or drug use while still living at home. You can keep working. You can keep going to school. You can keep caring for your family.

Outpatient treatment is structured, but it fits into real life.

What Happens in Outpatient Treatment?

In outpatient care, you attend scheduled group sessions each week. You also meet one-on-one with a Licensed Alcohol and Drug Counselor.

Here is what that might look like:

You attend group three times a week after work.
You talk about stress, triggers, and how to handle cravings.
You learn tools to manage anger, anxiety, or strong emotions.
You create a simple daily routine to stay on track.
You build a plan for what to do if you feel tempted to use again.

Outpatient is not just talking about the past. It is learning what to do today.

Real Examples of What We Work On

Outpatient focuses on practical skills. Here are real examples:

Example 1: Handling Stress Without Drinking

A person learns how to pause, breathe, and call a support person instead of stopping at the bar after work.

Example 2: Creating a Healthy Routine

Someone sets a regular sleep schedule, plans meals, and schedules group sessions so their week feels steady instead of chaotic.

Example 3: Repairing Relationships

A parent learns how to respond calmly instead of yelling when feeling overwhelmed.

Example 4: Preventing Relapse

A person makes a clear plan for holidays, family events, or other high-risk times.

These are small steps. But small steps build strong recovery.

What Are the Different Levels?

Outpatient often starts with more support and then steps down over time.

Intensive Outpatient (IOP)
You attend three groups a week. This helps stabilize your substance use, emotions, and daily habits.

Phase One Outpatient
You attend two groups a week for eight weeks. You build skills, prevent relapse, and grow in self-awareness.

Phase Two Outpatient
You attend one group a week for four weeks. You focus on maintenance and long-term planning.

Who Is a Good Fit for Outpatient?

Outpatient may be right for you if:

You have a safe place to live.
You can attend sessions each week.
You need help but cannot leave work, school, or family.
You are stepping down from residential treatment.
You are ready to try something different .

Outpatient works best for people who are willing to show up and practice new skills.

You do not have to feel strong. You just have to be willing.

When Outpatient May Not Be Enough

Sometimes someone needs more support at first.

I f a person is:

Using heavily every day,
Experiencing severe withdrawal symptoms,
Or living in an unsafe environment,

Residential or inpatient care may be a better first step.

An assessment helps decide the right level of care.

You Do Not Have to Put Your Life on Hold

Outpatient treatment is built for real life.

You can:

Go to work at 8 a.m.
Pick up your kids at 5 p.m.
Attend group at 6 p.m.
Sleep in your own bed.

Recovery does not have to mean stepping away from everything. It can mean learning how to live your life in a healthier way.

If you are not sure what you need, that is okay. The first step is simply asking.

You do not have to have all the answers before you reach out.

Older Adults Face Unique and Growing Risks in the Modern Gambling Landscape

Tue, 10 Feb 2026 18:31:56 GMT

Older Adults Face Unique and Growing Risks in the Modern Gambling Landscape

As gambling continues its rapid shift toward digital platforms, older adults are increasingly facing a quiet but serious public health crisis. Gambling preferences among older adults now tend to fall into two distinct groups: those who have adapted to online gambling environments and those who have not. For both groups, access to effective treatment remains uneven and, in many cases, unnecessarily difficult.

One of the most pressing challenges is insurance coverage. Medical assistance programs for individuals over the age of 65, including Medicare, often do not cover gambling addiction treatment. This gap leaves many older adults under the false impression that help is financially out of reach. However, there is important and often overlooked good news: gambling disorder treatment is frequently funded through state grants. These grants allow older adults to access treatment at no cost, placing them on equal footing with younger patients when it comes to financial eligibility for care.

Despite this access, the gambling environment itself has dramatically changed. Traditional casino gambling, once the dominant form of play among older adults, is increasingly overshadowed by online sportsbooks, mobile casinos, and 24/7 betting platforms. Today’s gambling industry is driven by real-time sports betting, instant digital transactions, and even cryptocurrency, an ecosystem designed for speed, constant engagement, and technological fluency.

This shift has created a widening generational gap. Older adults who did not grow up with digital technology are often excluded from prevention messaging, education, and even treatment models that assume comfort with apps, online wallets, and rapid betting cycles. As a result, many older gamblers struggle in silence, unable to fully engage with systems that were not built with them in mind.

The consequences can be severe. Research shows that gambling disorder in older adults is associated with increased risk of financial devastation, housing instability, depression, suicidal ideation, and family conflict. Unlike younger individuals, older adults often lack the ability to recover financially through re-employment. Many rely solely on fixed incomes such as Social Security or retirement benefits. When gambling losses occur, there are few avenues to rebuild.

As online gambling continues to expand and the population ages, the risks facing older adults will only intensify. Addressing this issue requires targeted outreach, age-appropriate treatment approaches, and broader awareness that free, grant-funded gambling treatment is already available. Older adults deserve access not only to care, but to care that recognizes their unique vulnerabilities and acts before the damage becomes irreversible.

Julie Cunningham
LADC, JD, ICGC-I, Vanguard Unit Supervisor

If you or someone you care about is struggling with gambling, help is available now. Vanguard Gambling Treatment provides specialized, evidence-based care designed to meet people where they are, including older adults navigating today’s complex gambling landscape. In Minnesota, gambling treatment is free and funded through state grants, regardless of age or income. Cost should never be a barrier to recovery. Reaching out can be the first step toward stability, dignity, and hope. Support is available, confidential, and closer than you think.

Why Project Turnabout Is a Standout Internship Partner for Colleges

Mon, 02 Feb 2026 16:31:11 GMT

Why Project Turnabout Is a Standout Internship Partner for Colleges

Colleges are increasingly asked to place students in internships that are not only educational, but ethical, supportive, and genuinely formative. Students want real-world experience. Institutions want placements that align with learning outcomes, workforce development goals, and student well-being.

That combination is exactly what Project Turnabout offers.

A Mission-Driven Learning Environment

Project Turnabout is a long-standing nonprofit providing substance use disorder and gambling disorder treatment in rural Minnesota. Interns are immersed in a professional, interdisciplinary healthcare environment where their work directly supports recovery, community health, and long-term outcomes.

This is not observational learning. Interns are treated as emerging professionals and integrated into meaningful, supervised work aligned with their academic programs.

Paid Internships With Housing Support

One of the most significant barriers to internships, especially in rural or nonprofit settings, is access. Project Turnabout intentionally removes that barrier.

Paid internship positions
Housing provided or supported
Structured schedules that respect academic requirements

This model makes the opportunity accessible to students who might otherwise be unable to pursue unpaid or high-cost placements, supporting equity while strengthening the workforce pipeline.

Strong Fit for Multiple Academic Disciplines

Project Turnabout regularly hosts interns from a range of programs, including:

Social work
Psychology and behavioral health
Addiction studies
Nursing and healthcare programs
Criminal justice and human services
Communications, marketing, and nonprofit administration

Internship scopes are developed collaboratively to meet academic requirements while ensuring students gain applied, resume-ready experience.

Supervision, Training, and Professional Development

Interns receive structured supervision from experienced professionals who understand both clinical practice and educational expectations. Students gain exposure to:

Evidence-based treatment models
Ethical and trauma-informed care
Interdisciplinary team collaboration
Rural healthcare systems and challenges
Professional documentation and compliance standards

For students considering graduate school or licensure-track careers, this experience is particularly valuable.

A Launch Point for Careers in Behavioral Health

Project Turnabout views internships as workforce development, not short-term labor. Many interns leave with:

Strong professional references
Clearer career direction
A realistic understanding of clinical and community-based work
Connections that support future employment or graduate study

For colleges focused on placement outcomes and long-term student success, this matters.

A Reliable, Values-Aligned Partner for Institutions

From an institutional perspective, Project Turnabout offers:

Clear communication with faculty and internship coordinators
Respect for academic calendars and learning objectives
Ethical, supervised environments aligned with accreditation standards
A proven track record as a rural nonprofit healthcare provider

This is a partnership-ready organization that understands higher education expectations and treats interns as students first.

If your department or career office is seeking a paid, high-impact internship partner that offers real responsibility, professional mentorship, and housing support, Project Turnabout is worth your attention.

Gambling: What is happening to me

Thu, 29 Jan 2026 20:06:51 GMT

Gambling: What is Happening to Me?

Gambling addiction is often confusing for patients in recovery because it  frequently cooccurs with other mental health and substance use disorders , and it can function like a “chameleon” — taking on different psychological roles depending on a person’s underlying vulnerabilities.

Despite growing recognition, gambling disorder remains relatively underresearched and undertreated compared with substance use disorders, and its mechanisms are poorly understood in clinical practice.

1. Gambling Disorder Is Highly Comorbid with Other Addictions and Mental Health Conditions

Decades of epidemiological research show that  gambling disorder rarely occurs in isolation . Major studies have found that pathological or problem gambling is strongly associated with other substance use disorders, mood disorders (e.g., depression), and anxiety disorders. In large representative samples, pathological gamblers have substantially higher risks of lifetime alcohol misuse and other substance use disorders compared with nongamblers, and elevated rates of mood and anxiety disorders.

A multiyear longitudinal study also found that the presence of mental health disorders (e.g., anxiety, depression) significantly predicts cooccurring addictive behaviors over time, suggesting these conditions frequently develop alongside or in interaction with gambling problems.

2. Gambling May Serve as a Form of Self-Medication or Emotional Regulation

Many individuals with underlying anxiety or mood symptoms may unconsciously use gambling to  relieve emotional distress , much as others selfmedicate with alcohol or drugs. Research on selfmedication in anxiety demonstrates that individuals who engage in selfmedication have a markedly increased risk of developing new substance use disorders; this concept is relevant to gambling too, as gambling can temporarily reduce anxiety or negative affect.

Difficulties with emotion regulation — the ability to manage or process emotions — are strongly linked to pathological gambling, anxiety, depression, and substance abuse. Individuals who struggle with coping skills may be more likely to use gambling to obtain emotional relief.

3. The Brain’s Reward System Does Not Distinguish Gambling from Substance Use

Although gambling does not involve an ingested drug, its psychological and neurobiological effects engage the same reward pathways implicated in substance use disorders (e.g., dopaminergic circuits). This explains why individuals with a history of stimulant use or other dependencies can experience gambling as  similarly stimulating or reinforcing , instead of as true “abstinence.” Behavioral neuroscience studies show that repeated exposure to gamblinglike reward schedules can biologically prime the brain in ways that enhance sensitivity to stimulants such as amphetamines, suggesting overlapping neural mechanisms.

4. Cooccurring Disorders Can Obscure Clinical Presentation and Mislead Recovery Assessment

A patient with a history of stimulant use might  believe  they are sober due to abstaining from meth or cocaine, but if they have engaged in frequent gambling during that period, their core reward system may remain dysregulated. Gambling can thus act as an  ongoing stimulantlike behavior , perpetuating addiction pathways and making the individual appear to be in recovery when underlying neural vulnerability persists.

In other words:  true remission requires resolution of the maladaptive rewardseeking behavior — not only cessation of substance use.  Given gambling’s potent reinforcement, continued gambling in someone with a history of stimulant addiction may indicate that that person’s addictive processes are not in genuine remission.

5. Cooccurring Patterns Are Complex, Reciprocal, and Often Underdiagnosed

Research strongly supports the idea that gambling and other addictive or psychiatric disorders influence each other in  complex, reciprocal ways  — not as simple causal chains. Some studies indicate that mood and anxiety disorders can precede gambling problems; in other cases, gambling precedes substance use issues or exacerbates existing mental health conditions.

This complexity contributes to diagnostic confusion and misclassification in clinical settings. Without careful assessment of both gambling and other addictive behaviors (e.g., stimulants, alcohol, benzodiazepines), patients are at risk of treatment being targeted at the wrong problem or missing key drivers of their distress entirely

Julie Cunningham

LADC, JD, ICGC - I, Unit Coordinator Vanguard

Women Are Not Less Affected by Gambling Disorder. They Are Less Seen.

Tue, 27 Jan 2026 15:11:32 GMT

Women Are Not Less Affected by Gambling Disorder. They Are Less Seen.

Gambling disorder is not a men’s problem. It is not a women’s problem. It is an everyone problem. Yet statistically, men are still more likely than women to be identified, referred, and treated for gambling disorder. This gap does not reflect lower harm among women—it reflects systemic barriers to care. When treatment programs lack gender-responsive, trauma-informed approaches, women’s specific needs are often overlooked. Combined with high levels of stigma and frequent co-occurring conditions such as anxiety, depression, and trauma histories, many women are effectively left out in the cold when it comes to gambling disorder treatment.

For women, gambling disorder often looks different than it does for men. Gambling can become an escape from chronic stress, emotional overload, conflict, or isolation. For some women, gambling provides a sense of safety, comfort, predictability, or belonging—particularly in online environments that feel private and controlled. Many women describe gambling as a way to disconnect from a chaotic world they feel powerless to change. From their perspective, it may not feel like an addiction at all, but rather a coping strategy that works—until it doesn’t.

What often goes unspoken is how quickly gambling disorder can escalate for women. Research consistently shows a “telescoping” effect, in which women progress more rapidly from recreational gambling to problematic or disordered gambling than men. The rise of electronic and online gambling has intensified this risk. Games such as online slots, bingo, and app-based casino games are designed for continuous play, emotional immersion, and rapid reinforcement, accelerating loss of control. By the time many women present for treatment, the disorder is already severe.

The consequences of escalation are complex and highly individualized. Some women are temporarily buffered by well-meaning family members who step in to prevent homelessness or financial collapse. Others attempt to contain harm by gambling only with “extra” money—until losses exceed their ability to compensate. Some women lose housing, employment stability, or the ability to meet basic needs. Across these experiences, a common thread is profound shame, secrecy, and isolation. Many women in treatment report losses totaling tens or hundreds of thousands of dollars over the course of their gambling, alongside deteriorating mental health and strained relationships.

Importantly, women with gambling disorder are more likely than men to experience co-occurring depression, anxiety, and trauma exposure, and they report higher levels of guilt and self-blame. These factors can delay help-seeking and increase dropout when treatment environments feel judgmental, rigid, or mismatched. Traditional recovery models—many of which were developed decades ago with male populations in mind—may fail to address relational stress, caregiving roles, and emotional regulation needs central to women’s recovery.

Yet there is reason for optimism. When women receive care that is gender-responsive, trauma-informed, and emotionally safe, outcomes are strong. Some studies suggest women demonstrate higher long-term recovery rates than men when engaged in appropriate treatment. The challenge is not women’s capacity for recovery—it is whether systems are prepared to meet them where they are.

As gambling continues to expand through online platforms and electronic formats, the need to design treatment with women in mind is no longer optional. It is essential for equity, effectiveness, and meaningful recovery.

Article by: Julie Cunningham

LADC, JD, ICGC - I, Unit Coordinator Vanguard

How our Step-Down Treatment Works

Mon, 26 Jan 2026 21:05:15 GMT

How Our Step-Down Treatment Works

Recovery is not something that happens fast. Most people use alcohol or drugs for a long time before they ask for help, and it takes time to untangle the thoughts, habits, and life problems that built up along the way . That is why Project Turnabout uses a step-down approach. It means your program changes as you get stronger. You start with more support when you need it most, and you move to less support as you learn how to live your life in recovery.

Treatment often starts with detox, where our medical team helps your body stabilize safely. After that, residential treatment gives you a strong reset. You get structure, counseling, groups, and a clear recovery plan so you are not leaving treatment with just “hope,” but with a real path forward. You will work on new ways to think, new ways to handle stress, and new ways to deal with problems without using substances.

Next comes our residential step-down program, which is more independent than residential but still gives you strong support and structure . This is where rebuilding really begins. We help you work on the real-life things that can feel overwhelming, like getting a job, rebuilding relationships, finding stable routines, and connecting to support in the community. Our peer support specialists help you with day-to-day challenges, and we can help you navigate things like court, CPS, work expectations, and the parts of life that may have crumbled while addiction was in control.

After that, you move into outpatient care, which includes intensive outpatient (IOP) and then outpatient (OP). You still get counseling, group support, and peer support, but it fits more around your daily life. This is where you practice recovery skills while living your real life. You learn how to handle hard days, cravings, stress, and conflict without going back to old patterns. You build consistency, and you keep building your support network.

Some people ask, “Do I really need to do the whole program?” Here is the honest answer: if you want real life change, it usually takes more than a short stay. Big life changes require big decisions and time to practice new habits.

Starting over can feel like an ending, because it is the end of the old way of living. But it is also the beginning of something stronger. If recovery is really what you want, going through the full two-year step-down process gives you the best chance to build a solid foundation that lasts.

We do not just help you stop using. We help you rebuild. Step by step, we help you create a stronger foundation, healthier thinking, better support, and a more stable life so you can move forward with real recovery, not just a fresh start that fades.

Why Step-Down Treatment Works

Mon, 26 Jan 2026 17:51:44 GMT

Why Step-Down Treatment Works

Recovery is not a moment. It is a process that unfolds over time, shaped by biology, behavior, environment, and support. Decades of addiction research consistently show that people are more likely to remain engaged in recovery when treatment continues beyond initial stabilization and is adjusted gradually as skills and stability develop.

National clinical frameworks, including those developed by the American Society of Addiction Medicine , emphasize continuity, duration, and progression as essential elements of effective care. Higher-intensity treatment provides early stabilization and structure, but recovery becomes most vulnerable during transitions. When support is removed too quickly, relapse risk increases. Step-down models exist specifically to protect against that drop-off.

In a step-down approach, each level of care serves a clear purpose. Residential treatment focuses on stabilization and safety. Residential step-down care allows individuals to practice recovery skills while still living in a structured environment. Intensive and standard outpatient care then support reintegration into work, family, and community life while maintaining accountability and connection.

This model is also supported by guidance from the Substance Abuse and Mental Health Services Administration , which highlights continuing care and long-term engagement as critical predictors of sustained recovery. The longer individuals remain connected to appropriate levels of support, the stronger their outcomes tend to be.

At Project Turnabout, our Step-by-Step Care is intentionally designed around this science. We do not rush recovery or treat it as a short-term intervention. Instead, we provide structured, evidence-based progression through levels of care so people have the time, support, and stability research shows are necessary for lasting change.

Student Loan Forgiveness and Rural Service: What It Means at Project Turnabout

Fri, 23 Jan 2026 21:33:29 GMT

Student Loan Forgiveness and Rural Service: What It Means at Project Turnabout

For many people considering a career in mental health or substance use treatment, student loan debt is a real concern. Education opens doors, but it can also create long-term financial pressure that makes it harder to stay in the field.

At Project Turnabout, our designation as a rural service provider may help open the door to certain student loan forgiveness or repayment programs for eligible roles. Understanding what that means and what it doesn’t is an important part of planning a sustainable career.

What Does “Rural Designation” Mean?

A rural designation refers to an organization’s location and service area, not to an individual employee. Because Project Turnabout operates in rural Minnesota and serves communities with limited access to behavioral health services, certain positions may qualify as eligible employment for state or federal loan forgiveness or loan repayment assistance programs.

These designations are intended to encourage professionals to work in underserved areas where access to care is critical.

How Student Loan Forgiveness Programs Typically Work

It’s important to be clear: student loan forgiveness is never automatic, and eligibility depends on multiple factors. Most programs consider:

The type of loan you have
The role you are employed in
The number of hours worked
The length of qualifying service
Program-specific requirements set by the administering agency

Project Turnabout does not grant or control loan forgiveness. Instead, we may serve as an eligible worksite , allowing employees in qualifying roles to apply their service here toward forgiveness or repayment programs administered by outside agencies.

Common Types of Programs Employees May Explore

Depending on your role, education, and loan type, programs may include:

Federal Public Service Loan Forgiveness (PSLF)
Minnesota state loan repayment or forgiveness programs
Rural health or behavioral health workforce incentive programs

Each program has its own rules, timelines, and documentation requirements. Employees are encouraged to consult their loan servicer or program administrator to confirm eligibility.

How Project Turnabout Supports the Process

While we don’t determine eligibility or outcomes, Project Turnabout supports employees by:

Providing employment verification when needed
Helping staff understand whether their role may qualify as eligible employment
Supporting long-term career planning that considers financial sustainability

Our goal is to help employees make informed decisions, not to make promises we can’t control.

Why Rural Service Matters

Working in a rural setting offers more than potential financial benefits. It provides meaningful, hands-on experience in communities where behavioral health services are essential and often limited. Professionals working in rural systems gain broad clinical exposure, strong collaboration skills, and a deep understanding of community-based care.

For many people, this experience becomes a foundation for long-term success in both rural and urban settings.

Planning for a Sustainable Career

Student loan forgiveness can be one piece of a larger career plan, but it works best when paired with:

Strong clinical supervision
Opportunities for growth and licensure
Stable employment
Supportive workplace culture

At Project Turnabout, we believe supporting our workforce means looking at the full picture, including education, experience, financial realities, and long-term career goals.

If you’re exploring a future in substance use or mental health treatment and want to understand how rural service may fit into your plan, we encourage you to learn more, ask questions, and take the time to explore what options are available to you.

Building a career that lasts starts with having clear, honest information.

An Internship That Builds Real Experience and a Lasting Career

Fri, 23 Jan 2026 20:44:05 GMT

An Internship That Builds Real Experience and a Lasting Career

If you’re looking for an internship in mental health or substance use treatment, you’re probably not just looking to check a box. You want experience that matters. You want to understand the work, not just observe it. And you want to know that the time you invest will actually move you toward a long-term career.

At Project Turnabout, our internship program is designed with exactly that in mind.

A Comprehensive Learning Experience, Not a Narrow Role

Project Turnabout operates one of the largest residential recovery programs in rural Minnesota. That scale matters for interns. It means you don’t just see one piece of treatment. You experience the full continuum of care , from intake and assessment through residential treatment, transition planning, and ongoing recovery support.

As an intern, you gain first-hand exposure to how recovery services actually work together. You’ll see how treatment plans are developed, how clinical decisions are made, how teams collaborate, and how structure and consistency support long-term recovery. This comprehensive view is critical for anyone considering a future as a Licensed Alcohol and Drug Counselor (LADC) or other clinical role.

Learning Alongside an Experienced Clinical Team

Interns at Project Turnabout don’t work in isolation. You’re embedded within a clinical environment that values teaching, supervision, and mentorship. Our experienced clinicians are committed to helping interns learn not just what to do, but why it matters.

You’ll have opportunities to observe and participate in:

Group facilitation and therapeutic programming
Case management and treatment planning
Client support in a residential setting
Interdisciplinary team collaboration
Ethical and professional standards in practice

This is hands-on learning, guided by professionals who understand the responsibility of preparing the next generation of providers.

Experience in Rural Mental Health Care Matters

Working in rural Minnesota brings a unique and valuable perspective. Access to care, community relationships, and resource coordination look different in rural settings than they do in urban systems. Interns at Project Turnabout gain experience navigating these realities, building adaptability, problem-solving skills, and cultural awareness that translate well across the field.

For many interns, this experience becomes a strong foundation for future work in both rural and urban environments.

Support That Makes Long-Term Growth Possible

We know internships can be difficult to pursue without support. That’s why Project Turnabout offers resources designed to remove barriers and make long-term career growth realistic.

Depending on role and eligibility, support may include:

Paid internship opportunities
Housing assistance
Tuition reimbursement or educational support
Mentorship and supervision toward licensure
Guidance with school applications and career planning

Our goal is not just to offer an internship, but to help interns see a clear path forward.

A Pathway Into a Career, Not Just an Experience

Many people who come through our internship program go on to pursue licensure, advance into clinical roles, or continue working in recovery services. The experience you gain here is meant to build confidence, competence, and clarity about your next steps.

Whether you’re early in your education, returning to school, or exploring whether this field is right for you, our internship program offers a realistic, supported way to learn and grow.

Start Where You Are

You don’t need to have everything figured out to apply. What matters is curiosity, commitment, and a willingness to learn. If you’re looking for an internship that offers real responsibility, meaningful mentorship, and experience across the full continuum of care, Project Turnabout may be the right place to start.

An internship should prepare you for what comes next. Ours is built to do exactly that.

Project Turnabout Announces New Clinical Director

Fri, 23 Jan 2026 17:27:48 GMT

Project Turnabout names Shelly Petrik as new clinical director

Project Turnabout announced Shelly Petrik as its new clinical director, bringing 33 years of experience in mental health and substance use disorder treatment to the role.

Petrik has spent her career working across residential, outpatient and community-based programs, often with people facing complex needs tied to mental health, polysubstance use and involvement in the medical and justice systems.

“My job is to create stability,” Petrik said in a recent interview. “Treatment keeps changing, and our programs and staff have to be able to respond to that.”

Over the past three decades, treatment has changed in major ways. In the early 1990s, substance use care often focused on one substance at a time, with mental health treated separately or not at all. Programs were more rigid, and people were expected to fit the program.

Today, Petrik said, the reality is very different.

“Most people coming into treatment now are using more than one substance,” she said. “Polysubstance use is the norm, not the exception. Many people also have serious mental health concerns that must be addressed at the same time.”

Petrik’s clinical philosophy centers on ongoing education and adaptability. She believes staff must be supported with up-to-date training on co-occurring disorders, emerging substances, and the growing complexity of client needs.

“There is also a real learning curve when clients come in experiencing psychosis,” she said. “Those situations require calm, skill and coordination. Staff need support to handle those moments safely and effectively.”

Project Turnabout's CEO, Marti Paulson, emphasizes that Petrik’s approach strengthens the organization’s mission by reinforcing the importance of a full continuum of care. Rather than viewing treatment as a single stay or program, the focus is on connected services that adjust as a person’s needs change.

“People don’t recover in one step or one setting,” Petrik said. “Residential treatment, outpatient care and ongoing support all need to work together. When there are gaps, people fall through them.”

For clients, that approach means care that looks at the whole person, not just one diagnosis or one moment in time. For staff, it means strong clinical leadership, clear guidance, and continued learning in a field that continues to evolve.

“When programs are stable, staff can do their best work,” Petrik said. “And when staff are supported and informed, clients have a better chance at long-term recovery.”

Project Turnabout CEO said Petrik’s experience and steady leadership will help the organization continue serving clients with increasingly complex needs while supporting staff and strengthening partnerships across healthcare and the justice system.

Project Turnabout provides residential, outpatient and community-based substance use disorder treatment services across western and southwestern Minnesota. The organization operates residential treatment facilities in Granite Falls, Willmar and Marshall, along with outpatient and supportive recovery services designed to meet people where they are and support long-term recovery.

Specialty Court–Compliant Outpatient Treatment

Thu, 22 Jan 2026 21:49:20 GMT

Specialty Court–Compliant Outpatient Treatment

Supporting Accountability, Structure, and Long-Term Recovery

Project Turnabout’s Intensive Outpatient (IOP) and Outpatient (OP) programs are Specialty Court–Compliant, meaning they are intentionally designed to meet the clinical, reporting, and accountability standards required by problem-solving courts.

We work closely with courts to ensure treatment supports both court expectations and long-term recovery outcomes, without disruption as participants move through court phases.

What Specialty Court–Compliant Means at Project Turnabout

Specialty courts require treatment partners who understand court structure, timelines, and accountability. Our outpatient programs are built to integrate smoothly with courts including Drug Courts , DWI Courts , Mental Health Courts , and Veterans Treatment Courts .

Being Specialty Court–Compliant means we provide treatment that courts can rely on, communicate with, and adjust alongside.

Structured Outpatient Care That Aligns With Court Phases

Our IOP and OP services are designed to match the phased nature of specialty courts.

Graduated levels of care that step down without gaps
Flexible treatment intensity that aligns with court phase requirements
Ability to increase or adjust care quickly when needed

Participants remain supported and accountable as expectations change.

Evidence-Based Treatment With Co-Occurring Support

Courts expect treatment that is proven, consistent, and defensible.

Our outpatient programs include:

Evidence-based substance use treatment modalities
Integrated mental health and co-occurring disorder care
Trauma-informed, person-centered treatment planning
Clinical decisions that are clearly documented and clinically sound

This allows courts to trust treatment recommendations and progress updates.

Accountability Courts Can Count On

Accountability is central to specialty court success.

We provide:

Reliable attendance tracking
Regular drug and alcohol testing
Timely notification of missed sessions or concerns
Clear documentation of compliance and engagement

Courts are informed early, allowing intervention before small issues become larger setbacks.

Clear, Timely Communication With Court Teams

We understand that specialty courts operate as coordinated teams.

Project Turnabout provides:

Court-ready progress reports
Prompt communication with probation and coordinators
Participation in staffing or case coordination when requested
Early identification of treatment barriers or concerns

Our goal is to reduce surprises and support informed decision-making.

Individualized Treatment Plans That Support Court Goals

Treatment plans are developed collaboratively and align with court requirements while maintaining clinical integrity.

Plans may address:

Substance use and mental health needs
Criminogenic risk factors
Life skills and stability
Family and community reintegration

Treatment evolves as participants move through court phases.

Documentation That Supports Court Decisions

Our clinical documentation is designed to support court processes.

Clear and consistent progress summaries
Defensible clinical rationale
Accurate reporting that protects confidentiality while meeting court needs

Courts receive the information they need to make confident decisions.

Continuity of Care Beyond Court Completion

Specialty courts focus on long-term outcomes, not just compliance.

We support transitions by:

Connecting participants to continuing care
Encouraging peer support and community recovery resources
Helping maintain stability after court supervision ends

Recovery does not end at graduation.

A Reliable Partner for Specialty Courts

Project Turnabout has over 50 years of experience providing evidence-based treatment in rural and regional communities. Our Specialty Court–Compliant outpatient programs are designed to support accountability, collaboration, and sustainable recovery.

We are built to work alongside specialty courts.

Referral Information

To refer a participant or learn more about working with Project Turnabout:

Contact our admissions team
Ask about Specialty Court–Compliant IOP and OP services
We are available to coordinate directly with court team s

Project Turnabout's Commitment to Affordable Care

Thu, 22 Jan 2026 17:22:08 GMT

Project Turnabout's Commitment to Affordable Care

Needing treatment is hard enough. Worrying about how to pay for it should not be what stops someone from getting help.

At Project Turnabout, affordability is not an afterthought. It has been a core part of our mission since the beginning. As a nonprofit treatment provider, we work intentionally to reduce financial barriers so people can access care when they need it, not after a crisis worsens.

Why Affordable Care Matters in Recovery

Research consistently shows that delays in treatment increase medical risk, emotional strain, and long-term costs. When people postpone care due to financial fear, outcomes often worsen. Affordable, accessible treatment improves early engagement, continuity of care, and long-term recovery success.

That’s why Project Turnabout focuses on early access, transparent conversations, and individualized funding support rather than one-size-fits-all pricing.

How We Help Make Treatment Affordable

Project Turnabout works with a wide range of funding sources and payment options. Our goal is to help each person understand what coverage may be available and what options exist for their specific situation.

Insurance Coverage

We work with many insurance providers, including both in-network and out-of-network plans. Patient Funding Coordinators help verify benefits, explain coverage, identify co-pays, and clarify admission requirements so there are no surprises.

Project Turnabout is:

A licensed provider in the State of Minnesota
A Preferred Provider for Blue Cross Blue Shield of Minnesota
An Essential Community Provider

We also work with national HMOs and other insurance companies when coverage applies.

State Funding Options

As a licensed treatment provider, Project Turnabout accepts state funding through Minnesota Behavioral Health Funds (BHF) and Minnesota Health Care Programs (MHCP) when individuals are eligible. State funding may also be available for specific programs, including gambling recovery services through our Vanguard Center, depending on residency and eligibility.

Our team helps determine whether state funding may apply and guides people through that process.

Private Pay and Flexible Planning

For individuals without insurance or whose coverage does not fully meet their needs, private pay options are available. Patient Funding Coordinators work directly with individuals and families to discuss current rates and develop a personalized plan that feels manageable.

No two financial situations are the same. Conversations are confidential, respectful, and focused on problem-solving rather than pressure.

Patient Aid Funds and Scholarships

As a nonprofit organization, Project Turnabout reinvests resources into care and access. Patient Aid Funds are supported through donations and community giving and are used to help reduce financial barriers for those in need.

Available scholarship support may include:

Caring & Sharing – supporting alcohol and drug recovery
Another Chance for Life – supporting problem gambling recovery
Native American Funds – supporting alcohol, drug, and gambling recovery
Unrestricted Funds – applied where need is greatest

Availability varies, and funding coordinators help explore these options when appropriate.

You Don’t Have to Have It Figured Out

One of the most common misconceptions about treatment is that you need to know how you’ll pay before you call. You don’t.

Admissions and Patient Funding Coordinators are there to answer questions, explain options, and help you understand what is realistically possible. Reaching out does not commit you to treatment. It opens a conversation.

Affordable Care Is Part of Ethical Care

Keeping treatment affordable is not just about cost. It’s about access, dignity, and timing. At Project Turnabout, we believe people deserve clear information, real options, and support navigating the financial side of care.

Recovery should begin with help, not hesitation.

If you or someone you love is considering treatment, one conversation can help clarify coverage, funding options, and next steps.

Project Turnabout's Recovery Planning

Thu, 22 Jan 2026 17:03:07 GMT

Project Turnabout's Recovery Planning

Many people think of recovery as a single decision or a single phase of treatment. Research shows something different. Long-term recovery is most successful when treatment is planned, continuous, and responsive over time.

At Project Turnabout , recovery planning is not an afterthought. It is built into care from the beginning and guides every step forward.

Why Recovery Planning Matters

Substance use disorders are chronic, relapsing conditions. Like other chronic health conditions, they respond best to care that is structured, individualized, and sustained rather than short-term or episodic.

Studies consistently show that individuals who engage in continuing care , including step-down services and follow-up support, have:

Higher rates of sustained abstinence
Lower relapse rates
Better mental health outcomes
Stronger engagement in recovery communit ies

In other words, treatment works best when it doesn’t end abruptly.

What a Recovery Plan Is

A recovery plan is a personalized roadmap that helps guide life after intensive treatment. It is developed collaboratively between the individual and a multidisciplinary clinical team and adjusted as needs change.

A comprehensive recovery plan typically addresses:

Substance use history and risk factors
Mental health needs and co-occurring conditions
Medical considerations
Coping skills and relapse prevention strategies
Family and social support
Housing, employment, and daily structure
Ongoing treatment and community connecti ons

This plan helps reduce uncertainty and replaces guesswork with clear next steps.

The Evidence Behind a Step-Down Approach

A step-down approach moves individuals gradually through levels of care rather than stopping treatment suddenly. This model is supported by decades of addiction research and aligns with national best-practice guidelines.

Step-down care may include transitions such as:

Medical Detox → Residential Treatment
Residential Treatment → Intensive Outpatient or Outpatient Care
Outpatient Care → Continuing Care and community-based support

Each step allows individuals to practice recovery skills with increasing independence while maintaining access to professional support.

Research shows that people who engage in step-down care are more likely to stay connected to treatment, recognize early warning signs, and maintain recovery gains over time.

How Project Turnabout Applies This Model

Project Turnabout integrates recovery planning across its full continuum of care. From admission through discharge and beyond, care teams focus on long-term stability rather than short-term completion.

This approach includes:

Early planning for next levels of care
Coordination between substance use counselors, mental health professionals, nursing, and psychiatry
Attention to co-occurring mental health conditions
Support for family involvement when appropriate
Clear transitions that reduce gaps in care

Recovery is treated as a process, not an event.

Why This Matters for Long-Term Recovery

Leaving treatment without a plan increases the risk of relapse, especially during periods of stress or transition. Recovery planning provides structure during these vulnerable moments and helps individuals move forward with clarity and confidence.

A strong recovery plan does not guarantee an easy path. It does, however, increase the likelihood that challenges will be met with support rather than isolation.

Recovery Is Ongoing

Recovery does not end when residential treatment ends. It continues as people rebuild routines, relationships, and purpose. A clear plan and a supported step-down process make that transition safer and more sustainable.

At Project Turnabout, recovery is never treated as a single moment. It is approached as a long-term journey, supported by evidence, experience, and intentional care.

Why Co-Occurring Treatment Matters in Recovery

Thu, 22 Jan 2026 16:33:03 GMT

Why Co-Occurring Treatment Matters in Recovery

Substance use disorders rarely exist on their own. Research consistently shows that a large percentage of people seeking addiction treatment also live with mental health conditions such as depression, anxiety, trauma-related disorders, ADHD, or bipolar disorder. When these conditions are treated separately or sequentially, outcomes are weaker and relapse risk increases.

Co-occurring treatment, sometimes called integrated treatment, addresses substance use and mental health together, at the same time, within one coordinated plan of care. This approach is widely recognized as the gold standard for effective, long-term recovery.

What the Research Shows

Studies from organizations such as SAMHSA and the National Institute on Drug Abuse show that people with co-occurring disorders have better outcomes when both conditions are treated simultaneously. Integrated care has been linked to:

Reduced substance use and relapse rates
Improved mental health stability
Higher treatment retention
Better functioning in daily life, work, and relationships

When mental health symptoms go untreated, substances are often used as a form of self-medication. Likewise, untreated substance use can worsen mental health symptoms. Treating only one side of the equation leaves people vulnerable to repeating the same cycle.

Why Integrated Care Works

Co-occurring treatment works because it recognizes how closely mental health and addiction are connected. Trauma can drive substance use. Anxiety can increase cravings. Depression can make recovery feel impossible. ADHD can affect impulse control and follow-through. Addressing these factors together allows treatment to target root causes rather than symptoms alone.

Integrated care also reduces fragmentation. Instead of navigating multiple systems, providers, and treatment philosophies, individuals receive coordinated care that moves in the same direction.

Project Turnabout’s Integrated Clinical Approach

At Project Turnabout, co-occurring treatment is not an add-on. It is built into how care is delivered from the start.

Each individual is supported by a multidisciplinary clinical team that works together throughout treatment. This team may include:

Licensed Alcohol and Drug Counselors
Licensed Mental Health Professionals
Nursing staff with experience in withdrawal management and stabilization
Psychiatry services, including telemedicine when appropriate
Admissions and care coordination staff who support continuity across levels of care

Mental health counselors and substance use counselors collaborate closely, ensuring treatment plans reflect both clinical needs and recovery goals. Nursing staff provide medical oversight and stabilization, while psychiatry support helps assess and manage mental health symptoms that may affect recovery.

This team-based approach allows treatment plans to evolve as individuals stabilize, gain insight, and move through different phases of care.

Evidence-Based Therapies, Applied Together

Project Turnabout uses evidence-based practices that are effective for both substance use and mental health, including:

Cognitive Behavioral Therapy (CBT)
Dialectical Behavior Therapy–informed care
Trauma-informed treatment principles
Relapse prevention planning
Skills-based education and coping strategies

By applying these approaches across disciplines, treatment supports emotional regulation, decision-making, distress tolerance, and long-term behavior change.

Treating the Whole Person

Recovery is not just about stopping substance use. It is about learning how to live with emotions, stress, relationships, and responsibilities without returning to old patterns. Co-occurring treatment helps individuals understand themselves more clearly, build healthier coping skills, and create a foundation that supports lasting recovery.

At Project Turnabout, integrated care means no one is asked to choose which part of themselves deserves treatment. Mental health and addiction are addressed together, with respect, structure, and clinical integrity.

If you or someone you love is struggling with both substance use and mental health concerns, one conversation can help clarify next steps and determine the right level of care.

Learn More About Medical Detox

Thu, 22 Jan 2026 15:25:13 GMT

Learn More About Medical Detox

Starting recovery can feel overwhelming, especially when your body is involved. Medical detox is designed to help you safely stabilize so you can begin the next phase of recovery with clarity, support, and confidence.

At Project Turnabout , medical detox focuses on withdrawal management, safety, and support during the early days of stopping alcohol or other substances. This level of care helps your body adjust while giving you space to rest, breathe, and prepare for what comes next

What Medical Detox Does

Medical detox helps manage the physical symptoms that can happen when alcohol or other substances leave your system. Withdrawal looks different for everyone. Some people experience discomfort. Others may have symptoms that need close monitoring.

Detox care is centered on:

Monitoring your physical condition
Supporting comfort and safety
Watching for changes that may need medical attention
Helping your body stabilize before deeper recovery work begins

How Long Medical Detox Usually Lasts

Detox is typically short-term , often lasting up to about 14 days , depending on the substance used, your health history, and how your body responds.

The goal is not to rush you, but also not to keep you longer than necessary. Admissions and clinical staff help assess progress and determine when you are ready to move forward.

Medication and Medical Care During Detox

Project Turnabout provides withdrawal management and medical monitoring , but does not prescribe medications on-site .

If medications are part of your existing medical care, staff can:

Coordinate with your current medical provider
Help communicate needs or concerns
Support continuity of care during detox

This approach keeps care clear, coordinated, and focused on safety.

What Detox Is — and What It Is Not

Medical detox is about stabilization , not long-term treatment.

Detox helps your body regain balance. It does not address the underlying reasons for substance use on its own. That work begins after detox, often through residential treatment or another level of care.

Many people move directly from detox into residential treatment to continue building recovery skills in a structured environment.

Do I Need Detox?

Not everyone needs medical detox. Admissions will help assess:

Your substance use history
Any past withdrawal symptoms
Medical or mental health concerns
Whether detox is the safest starting point

You do not need to know the answer before calling.

What Happens After Detox?

After detox, many people step into:

Residential treatment
Transitional or outpatient care
A personalized recovery plan that fits their needs

The goal is to make sure detox is not a stopping point, but a steady beginning .

Taking the First Step

You don’t need to have everything figured out. One conversation can help you understand whether medical detox is the right place to start and what options make sense next.

Call 24/7: 1-800-862-1453 or Schedule a confidential assessment

Stabilizing your body is often the first step toward stabilizing your life. Detox helps you begin that process safely.

Paying for Treatment in Minnesota

Wed, 21 Jan 2026 16:03:14 GMT

Paying for Treatment in Minnesota: You Have More Options Than You Think

One of the biggest reasons people delay getting help is worry about cost. It’s common to assume treatment is out of reach or that you’ll be asked to figure everything out on your own. That’s not how it works here.

At Project Turnabout, paying for treatment is something we help you navigate, step by step.

Insurance Coverage

Many people use health insurance to pay for treatment. Our team can help check your benefits, explain what is covered, and walk through any required steps before admission. We work with both in-network and out-of-network plans and will explain things in plain language so you know what to expect.

If you’re unsure whether your insurance applies, that’s okay. One call can usually clear that up.

State and Public Funding in Minnesota

Minnesota offers several state-funded options that can help cover the cost of substance use and mental health treatment. These programs exist to make care more accessible, especially during times of financial stress.

Our staff is familiar with these programs and can help determine whether you may qualify and what steps are needed to apply.

Private Pay Options

Some people choose to pay privately, either by choice or because it best fits their situation. If that’s the case, we’ll talk through current rates and help you understand what’s included so there are no surprises.

Paid Leave and Time Away From Work

Many people don’t realize that they may be able to take time off work for treatment while protecting their job or income. Options such as Paid Medical Leave, Family Medical Leave, or employer-sponsored benefits may apply.

We can help explain how treatment fits into these options and what documentation may be needed.

Individualized Payment Support

Paying for treatment can feel overwhelming, and everyone’s situation is different. Sometimes our staff can help identify individualized ways to pay for treatment, based on your specific needs and circumstances. As a nonprofit organization, we also work hard to keep our programs affordable so getting help is more accessible.

If cost is a concern, you don’t have to face that alone. Talking through options is part of how we help you take the next step.

One Conversation Can Bring Clarity

You don’t need to have all the answers before you call. You don’t need to know exactly how you’ll pay or what program is right. That’s what we’re here for.

Sometimes the first step isn’t committing to treatment. It’s simply understanding what’s possible.

�� Call 1-800-862-1453
All conversations are confidential, and our team is here to help you find a path forward.

Getting Ready for Treatment

Wed, 21 Jan 2026 15:11:18 GMT

What to Bring to Treatment: Preparing Your Mind and Body for Recovery

Getting ready to enter detox or residential treatment can feel overwhelming. Many people worry about packing the “right” things, but the truth is this: what you bring internally matters far more than what you bring in a bag .

At Project Turnabout, we see every day that the people who settle in most successfully focus on comfort, simplicity, and mindset. Treatment is not about proving anything or performing recovery “the right way.” It’s about giving yourself space to heal.

Start With the Right Mindset

You do not need to arrive feeling confident, hopeful, or ready. It’s enough to arrive willing .

Many people come into treatment feeling scared, tired, ashamed, or unsure. That’s normal. Detox and residential care are designed for people who don’t have it all together yet. Let go of the idea that you need to be strong or prepared in a perfect way. Showing up is the work.

A helpful mindset to bring with you:

Be open to structure, even if it feels uncomfortable at first
Expect discomfort, but also relief
Give yourself permission to rest
Focus on one day, sometimes one hour, at a time

You are not expected to solve your whole life while you’re here.

Choose Comfort Over Appearance

Treatment is not a fashion show. Comfortable clothing helps your body regulate, rest, and adjust, especially during detox or early recovery.

Soft, loose-fitting clothes allow you to:

Move comfortably during groups or activities
Rest when your body needs it
Focus on recovery instead of how you look

Bringing clothes that feel familiar and safe can help ground you during moments of anxiety or fatigue.

Think About What Helps You Feel Calm and Stable

Recovery often begins by removing distractions. That’s intentional.

Many items people want to bring, like electronics or outside reading materials, can actually pull attention away from the work of stabilizing physically and emotionally. Early recovery is about being present , even when that’s uncomfortable.

Instead of asking, “What will keep me busy?” try asking:

What helps me feel regulated?
What makes me feel less overwhelmed?
What supports sleep, hygiene, and routine?

Simple routines help your nervous system settle.

Just as Important: What Not to Bring

Some items can make early recovery harder, not easier.

Anything connected to past substance use, gambling, or behaviors that pull you out of the present moment can act as a trigger. Treatment works best when your environment is as neutral and supportive as possible.

Leaving these items behind is not a punishment. It’s a form of protection.

Detox and residential treatment are short-term environments designed to help you reset. You will have time later to reintroduce hobbies, routines, and personal comforts in a healthier way.

Trust That You’ll Be Supported

A common fear is, “What if I forget something important?”

If you arrive with very little, you will not be turned away. Treatment centers are prepared for people coming from many different situations. If you have questions or concerns, admissions staff can help you think it through ahead of time.

You are not expected to arrive perfectly prepared. You are expected to arrive human.

One Last Thing to Bring With You

Bring honesty.

Bring the part of you that’s tired of carrying this alone.

Bring the part of you that’s unsure but willing to try something different.

That’s enough to begin.

If you have questions about preparing for detox or residential treatment, or want to talk through what to expect, you can contact Admissions anytime.

Why the 12 Steps Are Part of Treatment at Project Turnabout

Tue, 20 Jan 2026 20:33:19 GMT

Why the 12 Steps Are Part of Treatment at Project Turnabout

A Proven Path to Recovery

Recovery is hard, and people need tools that truly work. One reason the 12 Steps are part of treatment at Project Turnabout is simple: they have helped millions of people recover over many decades. Few recovery models have been studied, practiced, and tested as long as the 12 Steps.

A Long History of Success

The 12 Steps have been used for nearly a century. During that time, they have helped people from all walks of life find and maintain recovery. This long history matters. It shows that the approach can adapt to different people, different substances, and different stages of life while still offering structure and hope.

Built-In Community and Support

Addiction thrives in isolation, but recovery grows in connection. One of the greatest strengths of the 12 Steps is the built-in community. Meetings are available almost everywhere, often daily, and at no cost. This means people can stay connected to others who understand recovery long after treatment ends.

Support Beyond Treatment

Treatment is only one part of recovery. The 12 Steps help fill the gap after discharge by offering ongoing support, accountability, and connection. People do not have to face challenges alone. There is always a meeting, a sponsor, or a group that understands what they are going through.

Personal Growth, Not Perfection

The 12 Steps are not about being perfect. They are about honesty, growth, and learning new ways to handle life. The steps help people look at patterns, build self-awareness, repair relationships, and develop healthier ways to cope with stress and emotions.

Used Alongside Modern Treatment

At Project Turnabout, the 12 Steps are used alongside evidence-based treatment and mental health care. They are not the only tool, but they are an important one. This combined approach supports both clinical healing and long-term recovery in everyday life.

A Path That Lasts

The goal of treatment is not just short-term change. It is lasting recovery. By including the 12 Steps, Project Turnabout helps clients leave treatment with a proven framework, a supportive community, and tools they can use for the rest of their lives.

How Our Personalized Recovery Plan Helps You Stay Strong After Treatment

Tue, 20 Jan 2026 20:15:10 GMT

How Our Personalized Recovery Plan Helps You Stay Strong After Treatment

Recovery Does Not End When Treatment Ends

Treatment is a powerful step in recovery, but it is not the finish line. Many people feel unsure about what comes next once they leave structured care. Without a clear plan, those early weeks can feel overwhelming. A personalized recovery plan helps bridge that gap and keeps support in place.

What a Personalized Recovery Plan Is

At Project Turnabout, each client works with our clinical team to create a recovery plan before discharge. This plan is designed to support real life after treatment, not just success inside a program.

What Your Recovery Plan Includes

Your recovery plan brings together the supports that matter most for long-term stability. This may include ongoing mental health and substance use outpatient treatment, daily life skills, and guidance for healthy family relationships. It also connects you with community and recovery supports so you are not navigating recovery alone.

Preparing for Real-Life Challenges

Life after treatment comes with stress, triggers, and unexpected challenges. Your recovery plan helps you identify these risks ahead of time. Together with your team, you develop practical strategies to manage difficult moments and protect your recovery.

Why a Recovery Plan Matters

Recovery does not stop at discharge. A personalized plan ensures support is already in place before you leave care. This reduces uncertainty, builds confidence, and helps protect long-term recovery.

Built Around You

Your recovery plan is created with you, not for you. It is based on your goals, strengths, and real-life needs. With structure, guidance, and continued support, a personalized recovery plan helps you stay strong and continue building recovery that lasts.

Recovery That Grows With You: Project Turnabout’s Step-Down Approach

Tue, 20 Jan 2026 19:56:01 GMT

Recovery That Grows With You: Project Turnabout’s Step-Down Approach

Recovery is one of the hardest things a person will ever do.

When addiction takes hold, asking for help can feel overwhelming. Many people wait until things get so bad that someone else has to make the decision for them. At Project Turnabout, we understand that people come to recovery at many different stages. That is why we focus on meeting people where they are and helping them move forward, one step at a time.

Recovery is not one decision, and it is not one level of care. People need different kinds of support at different times. This is why Project Turnabout uses a step-down approach. We provide more structure and support early on, then slowly reduce that support as stability and independence grow. The goal is not quick change, but real recovery that lasts.

What Step-Down Care Means

Step-down care is a planned pathway. Instead of starting and stopping treatment or being discharged too quickly, people move through stages of care based on their needs and progress. Each step builds skills, confidence, and support that work in everyday life. You are not rushed, and you are not left to figure things out alone.

Why Step-Down Care Works

Recovery does not happen in isolation. It happens within systems of support. When people lose support all at once, the risk of relapse increases. Step-down care helps prevent that by keeping help in place while people practice recovery in real-world situations. It also provides clarity. You know what comes next, and you have a plan.

It Starts With a Confidential Assessment

Every recovery journey begins with a confidential assessment. This is a conversation with our team to understand what is going on in your life. We look at substance use, mental health, stress, safety, and current supports. Together, we talk through options and recommend a starting point. Scheduling an assessment does not mean you are committing to treatment. It simply helps you understand your choices.

Medical Detox

For some people, the safest first step is medical detox. Detox focuses on safety and comfort during withdrawal from alcohol or drugs. Our medical team monitors symptoms, provides support, and helps plan the next step in care.

Residential Recovery

Residential treatment offers a structured environment where people can focus fully on healing. Days include therapy, group support, and skill-building. This level of care helps people stabilize, reset routines, and build a strong foundation for recovery.

Intensive Outpatient (IOP)

Intensive outpatient treatment provides strong support while allowing people to live at home. At Project Turnabout, IOP meets nine hours per week for twelve weeks. This level of care offers accountability, routine, and frequent support while people begin practicing recovery in daily life.

Outpatient Care

Outpatient care happens in multiple phases, with support slowly stepping down over time. This helps people continue building skills, prevent relapse, and stay connected to care while gaining independence.

Transitional Living

For some people, stable housing is a key part of staying stable in recovery. Project Turnabout offers men’s and women’s transitional living. These programs provide a safe, structured place to live while continuing treatment and building life skills for long-term success.

Treating the Whole Person

Project Turnabout treats substance use and mental health together. We combine evidence-based care, life skills, and the Twelve Steps to support the whole person. Recovery is about more than stopping substance use. It is about building emotional, mental, and practical stability.

The Goal: Recovery That Holds Up in Real Life

Step-down care helps people move forward safely and steadily. You receive the right level of support at each stage, and transitions are guided instead of rushed. Our goal is long-term recovery that works in real life, not just short-term change.

There Is No Such Thing as an “Addictive Personality”

Wed, 31 Dec 2025 20:08:08 GMT

There Is No Such Thing as an “Addictive Personality”

A recent study published in a peer-reviewed scientific journal illustrates how Project Turnabout’s approach to recovery is supported not only by more than 50 years of experience, but by science.

The research shows that addiction is not caused by a single personality type or a lack of willpower. Instead, substance use disorders develop through a complex interaction of genetics, brain chemistry, stress, trauma, and environment. This mirrors what Project Turnabout has seen for decades: people do not struggle because they are broken. They struggle because their brains and bodies have been under more stress than they could manage alone.

The Main Point

There is no such thing as an addictive personality . Addiction is not a character flaw. It is a health condition shaped by biology and life experience.

What the Study Found

People are born with different brain responses to stress, reward, and emotion
Trauma and long-term stress increase the brain’s vulnerability to substance use
Brain chemistry and gut health affect mood, cravings, and impulse control
Addiction risk increases when multiple factors stack up, not because of one “bad trait”
Recovery works best when treatment supports the whole person, not just abstinence

Why This Matters for Recovery.

This research supports Project Turnabout’s whole-person approach to care. Treatment that includes mental health support, physical health, structure, connection, and stability helps the brain heal. When people are supported instead of blamed, they are more likely to stay engaged, build coping skills, and move forward in recovery.

If you or someone you love is struggling, you are not alone and you are not broken. Help is available.
Reach out to Project Turnabout to learn more about treatment, support services, and pathways to recovery.

Treatment and Discharge Planning for Justice-Involved Clients in Recovery

Thu, 11 Dec 2025 20:17:33 GMT

Treatment and Discharge Planning for Justice-Involved Clients in Recovery

Recovery from substance use is hard, and it can be even harder for people who are part of the criminal justice system. That’s why it’s so important to create strong treatment and discharge plans. According to SAMHSA (2014), people coming out of treatment need steady support to keep making progress and avoid going back to old habits.

Individualized Treatment Plans

Everyone has different needs, so no two treatment plans should be the same. The National Institute on Drug Abuse (NIDA, 2020) says that matching the treatment to the person's specific needs is key to success. This includes looking at their mental and physical health, legal issues, family life, and more.

It’s also important for clients to help make their own plans. SAMHSA (2005) says people do better when they are part of setting their recovery goals. In Minnesota, the law says that each client should have a treatment plan made with their input, and it should be updated regularly (Minnesota Department of Human Services [DHS], 2023).

Working as a Team

Good treatment planning doesn’t happen alone. It works best when a whole team is involved, including counselors, probation officers, peer support specialists, and others. SAMHSA (2005) recommends that treatment teams in justice settings include everyone involved in the client’s care. Probation officers can also help shape the plan to match court rules.

Peer support is another key part. Peer recovery specialists are people who have gone through recovery themselves and are trained to help others. They can guide clients in finding housing, jobs, and other help (North Tampa Behavioral Health, 2021). Having peer support can lower the chance of relapse and help people stay out of the justice system (North Tampa Behavioral Health, 2021).

Getting Ready for Aftercare

Leaving treatment is a big deal, and what comes next is just as important. That’s why planning for aftercare should start early. Aftercare might include things like counseling, support groups, sober housing, medication, and continued help from probation or a recovery coach.

To make that handoff smooth, everyone needs to talk to each other. SAMHSA (2015) says that sharing information between treatment providers and community supports helps stop things from falling through the cracks. In Minnesota, treatment centers must set up formal referrals to aftercare services before someone leaves treatment (DHS, 2024).

A good plan includes dates, contacts, and steps so the person knows where to go and who to call. It also helps to make sure the client has any medicine they need and that their records are sent to the next provider (DHS, 2024).

Best Practices for Discharge

Discharge plans work best when they:

Start early in treatment
Involve the client and their support team
Cover big life areas like housing, work, and ongoing care
Include warm handoffs (direct connections, not just referrals)
Plan ahead for relapse risks and stress

Minnesota requires discharge plans to include continued care for behavioral health, medication needs, and services like transportation or childcare when needed (DHS, 2024). Providers must also verify that referrals have been made and documented.

Real-World Challenges

Even with a great plan, people still face barriers. Housing can be hard to find, especially with probation restrictions. Finding a job is also tough due to gaps in work history or criminal records (SAMHSA, 2014). Working with job programs or probation can help clients find second-chance employers or training (SAMHSA, 2014).

Probation rules like curfews and drug testing can add pressure. That’s why it's important for treatment staff and probation officers to share plans and work together. SAMHSA (2014) says that aftercare and peer support help people manage stress and adjust to life after treatment. When everyone works together, the client feels supported, not overwhelmed.

Mental and physical health needs also matter. Many clients don’t have insurance or easy access to care. Connecting them with health clinics or helping them apply for Medicaid can make a big difference (DHS, 2024).

Building a Strong Network

We need a "no wrong door" approach. That means no matter where a person asks for help, they get connected to the support they need. Discharge planning and aftercare help link people to housing, work, health care, and supervision in a way that reduces relapse and recidivism (SAMHSA, 2014).

When probation officers, counselors, and peer mentors work together, they can adjust the plan if something goes wrong—like a lost job or relapse—so the client stays on track instead of going back into the system (North Tampa Behavioral Health, 2021).

Conclusion

Treatment and discharge planning help justice-involved clients build better lives. When we make plans that fit each person, involve a team, and prepare for what comes next, clients are more likely to stay sober, follow through with care, and succeed in their recovery.

References

Minnesota Department of Human Services. (2023). Sec. 245G.06 MN statutes. https://www.revisor.mn.gov/statutes/cite/245G.06

Minnesota Department of Human Services. (2024). Medicaid SUD waiver extension request. https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/mn-sud-reform-pa-02232024.pdf

National Institute on Drug Abuse. (2020). Principles of drug addiction treatment: A research-based guide (3rd ed.). https://drexelmedicine.org/patient-services/the-caring-together-program/nida-principles/

North Tampa Behavioral Health. (2021). Peer support roles in criminal justice settings. https://ntcrc.org/wp-content/uploads/2021/10/Peer_Support_Roles_in_Criminal_Justice_Settings.pdf

Substance Abuse and Mental Health Services Administration. (2005). Substance abuse treatment for adults in the criminal justice system (TIP 44). https://careersofsubstance.org/sites/careersofsubstance/files/library_resource_files/TIP%2044%20-%20SA%20Tx%20for%20Adults%20in%20the%20CJ%20System.pdf

Substance Abuse and Mental Health Services Administration. (2014). Characteristics of criminal justice system referrals discharged from substance abuse treatment. https://www.samhsa.gov/data/sites/default/files/report_2321/ShortReport-2321.html

Substance Abuse and Mental Health Services Administration. (2015). Quick guide for clinicians based on TIP 30: Continuity of offender treatment for substance use disorders from institution to community. https://library.sam hsa.g ov/sites/default/files/sma15-3594.pdf

Help create a fresh start: Sharing and Caring Program

Fri, 28 Nov 2025 19:53:50 GMT

Help Create a Fresh Start by Supporting Our Sharing and Caring Program

Our Sharing and Caring program exists for one simple reason: the basics matter.

When someone walks through our doors for treatment, many arrive with almost nothing. Your donations allow us to provide hygiene products and other essential items that restore a sense of normalcy, dignity, and self-care at a time when life often feels overwhelming.

Research consistently shows that access to personal care items reduces stress, increases emotional regulation, and strengthens a person’s ability to participate fully in treatment. Feeling clean and cared for helps people settle, connect, and believe they are worth investing in. Something as small as having your own shampoo or a fresh toothbrush genuinely supports the recovery process. It signals safety. It signals belonging. And it gives people the confidence to take the next step.

You can help us make that fresh start possible.

We are currently collecting items such as:

• Shampoo and conditioner
• Body wash and bar soap
• Toothbrushes and toothpaste
• Deodorant
• Lotion
• Hairbrushes and combs
• Pads and tampons
• Razors and shaving cream
• Socks, gloves, and warm basics
• Journals, pens, and small comfort items

In-kind donations can be dropped off at our Granite Falls campus or mailed to:

Project Turnabout
PO Box 116
Granite Falls, MN 56241

Thank you for caring. Your generosity becomes someone’s first moment of hope—and the beginning of their fresh start.

If you prefer to give financially, you can make an online donation and simply note that you would like your gift directed to our Sharing and Caring program. Every dollar helps us stock the essentials that help someone feel human again.

Starting in 2026, Residential Recovery May Be More Possible Than You Think

Tue, 25 Nov 2025 22:40:48 GMT

Starting in 2026, Residential Recovery May Be More Possible Than You Think

For many people, the hardest part of getting help is not the treatment itself. It’s the fear of losing your job… your paycheck… or your stability.

But beginning January 1, 2026 , Minnesota’s new Paid Family & Medical Leave program changes that. For the first time, most Minnesota workers will have the ability to take paid time off to care for their own health—including entering a residential recovery program.

If you’ve been waiting for “the right moment,” this may finally be it.

What is Paid Leave?

The Minnesota Paid Leave program provides payments and job protections when you need time off to care for yourself or your family. Residential treatment for substance use disorder qualifies as a “serious health condition,” and the state allows medical leave for exactly that purpose. This means you can focus on getting better without worrying about losing your job.

How Do You Know If You Qualify?

You might qualify if:

You worked in Minnesota in the last year.
If you earned at least $3,900 in Minnesota wages in the past twelve months, you may be eligible.
You’re an employee.
Most workers are covered—regardless of employer size, part-time hours, or schedule.
A healthcare provider can certify your need for treatment.
Residential recovery programs meet the state’s definition of a serious health condition lasting more than seven days.
You need time to heal.
You may receive up to 12 weeks of paid medical leave, or up to 20 weeks total if other family-related needs apply.
You depend on your paycheck.
Paid Leave covers up to 90% of your usual income , with a weekly cap set by the state ($1,423 for 2026).
You’re worried about losing your job.
Paid Leave includes strong job protections. If you’ve been employed at least 90 days, your employer must restore you to your job or an equivalent one when you return.

What This Means for Your Recovery

Entering treatment is not a sign of weakness. It is a sign of incredible strength. And now, Minnesota has structured the Paid Leave program so people can take that step without risking their livelihood. For many, this removes the single biggest barrier to seeking help.

If you've been thinking “I can’t afford to go,” or “My job won’t survive if I leave,” this program can change your future. It may be the opportunity you’ve been waiting for.

How To Get Started

Talk to a healthcare provider about your treatment needs.
Notify your employer when you’re ready to apply.
Starting in 2026, apply for Paid Leave at : paidleave.mn.gov
Begin your recovery journey with support—financial, medical, and emotional.

You Deserve a Turnabout

Recovery takes courage. This new benefit ensures you don’t have to face that courage alone. If you or someone you love is considering residential treatment, our team is here to help you understand your options, walk you through next steps, and support you every step of the way.

2026 could be the year everything changes.

Let us help you take the first step.

Every Turnabout Counts...and your support does too

Fri, 14 Nov 2025 16:10:29 GMT

Every Turnabout Counts. Your Support Does Too.

Over the past few weeks we gathered 541 years of recovery from 79 participants in our Every Turnabout Counts promotion. The numbers are inspiring. The alumni stories are even better.

Some people are new in recovery. Some have decades behind them. Every person shows the grit, the courage, and the work it takes to turn a life around. Their stories can break your heart. Their victories can fill your eyes with tears of joy.

These stories matter even more today. More recovery centers in Minnesota are closing each year. Rural communities feel this loss first. Your support has allowed Project Turnabout to stand strong. Because of you, we have become the most impactful rural recovery center in Minnesota. We have served our communities for more than 50 years.

Each year we help thousands of people steady their feet. We help them find a clear path forward. We help families heal.

This year your support carries even more weight. When a tornado destroyed our campus in 2000, we rebuilt together. The community stepped in and proved that we can survive any storm. That same unity will carry us through rising insurance costs and unstable federal funding.

Give to the Max Day is almost here. On November 20 we invite you to give in honor of your recovery or the recovery of someone you love. We also invite you to set up a monthly recurring gift. These monthly gifts help us build a strong and steady foundation so we can continue to serve rural Minnesota.

Read the alumni testimonials. See the joy and hope in their words. Make a donation that keeps this work moving forward.

Building Bridges: The Story Behind the Corrections Connections Luncheon

Mon, 10 Nov 2025 20:07:25 GMT

Strengthening partnerships between corrections and treatment professionals

When I joined Project Turnabout three months ago, my first goal was simple: get out into the community and have real conversations with the people we serve alongside. I’ve always believed that to serve others well, we must first understand their needs through honest dialogue. The most welcoming and eager partners in those early conversations were the corrections officers and probation staff I met across our region.

Before stepping into this role, when I pictured a probation officer I pictured a scene straight out of an old movie: a weary man in a cramped office, paperwork piled high, the hum of fluorescent lights filling the silence. Someone worn down by excuses and bureaucracy.

What I found instead couldn’t have been more different.

I met people who were deeply educated, compassionate, and mission-driven. They spend their days helping others take resp onsibility, rebuild trust, and find a path forward. In Kandiyohi County, I visited bright, comfortable offices where groups meet, counselors listen, and hope begins to grow. These were not the corrections officers I imagined. They were changemakers and experts in their field.

At Project Turnabout, that same mission drives us. Every month, we welcome dozens of individuals determined to turn their lives around. Both our counselors and our partners in corrections share a common goal: to help people find recovery, stability, and a renewed sense of purpose.

So how can we make that partnership even stronger? By improving communication at the point where our two systems meet. When we better understand each other’s challenges, processes, and goals, everyone benefits, especially the individuals we serve. That’s where the idea for the Corrections Connections Luncheon began.

The name might sound catchy because it rhymes and uses alliteration, but the purpose runs deeper.

This event creates space to learn from one another, share experiences, and identify practical ways to strengthen collaboration between corrections and treatment professionals.

I know there are too many luncheons, too many meetings, and never enough time. But I hope you’ll make time for this one because I believe it will be a meaningful and productive conversation.

Every conversation we have brings us one step closer to a stronger, more connected system of care. One that truly turns lives around.

Inside the Maze: What It’s Like to Live With Gambling Disorder

Wed, 05 Nov 2025 21:19:00 GMT

It can feel hard to get out of the maze without help.

Imagine walking into a maze.

At first, it feels exciting. There is energy in the air. The lights flash. The noise is loud, but your focus is sharper than ever.

You lose some money, but you tell yourself you can win it back. Suddenly you feel like you're spinning in circles.

Disorientation starts to kick in. You believe there is an exit just ahead, maybe around the next corner.

Your pulse is up. You are no longer exploring. You are chasing.

You hit a wall. So you turn around. Another wall. You go in circles, trying to fix the last wrong turn by making a new one.

You promise this is your last round. But the maze is louder now. It tells you to keep going.

This is what gambling disorder feels like. It begins with choice, then becomes something else entirely. A cycle of hope and regret. A loop of chasing and hiding. All while the walls close in.

Many people do not see it happening. The person with the addiction may look calm on the outside. But inside, they are stuck. Isolated. Spinning. Desperate to find a way out.

When someone finally reaches out for help, it often comes after years in the maze. By then, they may be exhausted. Ashamed. Unsure of how to even explain where they have been.

At Vanguard, we hear stories like this every day. And we recognize the maze.

Our treatment helps people stop running in circles. We teach them how the maze was built and how to break it down. Through structure, support, and a community that understands, we help them find their footing again.

There is a way out. But first, we have to understand what they are stuck in.

If you or someone you love feels trapped by gambling, call us today.

Vanguard Center for Gambling Recovery

1-800-862-1453

Why Gambling Treatment Isn’t Just Substance Use Treatment With a New Label

Wed, 05 Nov 2025 21:13:04 GMT

Why Gambling Treatment Isn’t Just Substance Use Treatment With a New Label

Gambling disorder is a real addiction. But treating it the same way we treat drug or alcohol addiction misses the mark in some important ways.

Yes, gambling activates the brain's reward system. Yes, it causes life-altering consequences. But the path to recovery is different.

People with gambling disorder to experience detox symptoms. These symptoms can be physical and emotional. However, the detox symptoms are unpredictable and harder to understand. In treatment, patients learn more about what to expect when they detox from gambling disorder and how to manage.

Medications to treat gambling are still being studied. Therapy is the frontline approach. Structure, accountability, and community matter. What works best is a space where people can interrupt the cycle of shame, secrecy, and financial chaos.

Patients with gambling disorder need tools to stabilize their money, manage debt, and rebuild trust. They also need gambling-specific relapse prevention. The risks do not come from a bottle or a pill. They come from phone apps, sporting events, casinos, and even boredom.

This is not one-size-fits-all recovery. It is tailored healing for a very specific disorder.

If you or someone you love is caught in the cycle of gambling, know that help exists. And it is built specifically for you.

Call Vanguard Center for Gambling Recovery today.

1-800-862-1453

You are not broken. You are not alone. And you do not have to keep living this way.

What Gambling Addiction Really Looks Like – And Why It’s So Often Missed

Wed, 05 Nov 2025 20:32:41 GMT

What Gambling Addiction Really Looks Like – And Why It’s So Often Missed

Gambling addiction doesn’t always look like you think it will.

There are no slurred words. No smell of alcohol. No track marks or bottles hidden in closets. You can't tell someone has a gambling disorder by looking at them. Gambling disorder hides in plain sight. It hides in loved ones, in friends, and in the people we care about the most.

So why is gambling addiction so often missed?

Because it is quiet. Because it is secretive. Because it hides in plain sight.

Gambling disorder is a behavioral addiction. It does not rely on a substance to alter your state. Instead, it hijacks your brain’s natural reward system and creates a compulsive drive to continue gambling. The brain creates a series of thinking errors that cause a trance like state and keeps people sick.

It can take years for loved ones to notice. By the time they do, the damage is usually deep...emotionally and financially.

We’ve heard it described like this:

Like quicksand. The more you try to get out, the deeper you sink. Every bet is meant to fix the last one, but it only digs the hole deeper.

Like an abusive relationship . There are good days that keep you hoping. But most days hurt. You know it is unhealthy, but the cycle keeps pulling you back in.

Like a hamster wheel . Your thoughts keep circling. Obsessing. Planning. Regretting. And then doing it all over again.

Many people with gambling disorder believe they are the only one. They think they are broken or weak. They believe if they just try harder, they can fix it themselves. That is the lie the addiction tells.

In reality, gambling disorder is a medical condition. It changes how the brain works. It distorts judgment. It feeds on shame and silence.

The good news is that recovery is possible. And it begins by recognizing that this is a real problem, one that deserves real help.

If someone you love is gambling more than they admit, chasing losses, lying about money, or withdrawing emotionally, take a step closer. Ask questions. Listen without judgment. Help them know they are not alone.

And if this sounds like your story, know this: You are not the only one. You are not beyond help. And you do not have to keep walking in circles.

There is a way out. We are here to walk it with you.

Call us today. Reach out. Ask for help. Because the sooner you act, the sooner healing begins.

Alumni Testimonials

Fri, 31 Oct 2025 13:56:13 GMT

We Turned a Recovery Story Into a Song. Hear What Hope Sounds Like.

The best part of our mission to make Every Turnabout Count has been hearing from you. Over the past few weeks, dozens of alumni have shared heartfelt stories of recovery. Each one is a reminder of why we do what we do.

Your words of gratitude, hope, and transformation have inspired us in ways we can’t fully describe, so we let music do the talking. Using Artificial Intelligence, we turned one incredible testimonial into a song. It’s a small tribute to the beauty of recovery.

A huge thank-you to William T. for sharing his story and taking part in this moving experiment.

We’re still collecting recovery dates and testimonials. If you’d like to see and feel some of the amazing stories we’ve received so far, visit our Alumni Page and celebrate the milestones that make every Turnabout count.

Corrections Connections Luncheon

Mon, 06 Oct 2025 19:54:44 GMT

Building Stronger Bridges: The Corrections Connections Luncheon

Who

Project Turnabout is bringing together regional Correctional Officers and Counseling and Administrative Staff for a shared luncheon focused on collaboration, communication, and community well-being. This event is designed for professionals who work at the intersection of corrections and treatment — where structure meets support, and recovery begins with understanding.

Why

Every day, our teams navigate complex systems designed to serve the same clients but from different angles. Correctional officers, probation staff, and treatment providers all want the same outcome: to help individuals build better lives. Yet, despite shared goals, our systems often operate in silos.

The Corrections Connections Luncheon aims to close that gap — strengthening how we understand each other’s roles, aligning communication, and discovering new ways to work together for the good of our clients and communities

How

This event will feature guided discussion, open Q&A, and practical takeaways to improve everyday collaboration between corrections and treatment professionals.

Together, we’ll explore:

Building Understanding – Learn about each other’s goals, challenges, and processes.
Improving Collaboration – Identify real-world communication and coordination strategies.
Advancing Outcomes – Develop shared approaches that strengthen both systems for client success.

Where & When

Join us at Project Turnabout in Granite Falls, Minnesota , on Thursday, December 12, 2025 , from 1:00 PM to 2:30 PM .

When Recovery Becomes the First Step Toward Safety

Tue, 30 Sep 2025 19:35:03 GMT

October is Domestic Violence Awareness Month

October is Domestic Violence Awareness Month, a time to shine a light on the hidden struggles so many women face in silence. For many survivors, the pain doesn’t come in just one form. Substance use and domestic violence often walk hand in hand, trapping women in a cycle that feels impossible to escape.

Statistics show that up to 60% of domestic abuse incidents involve alcohol or drugs , and women who use substances are significantly more likely to experience violence in their relationships. At the same time, abuse itself often fuels substance use, as victims turn to alcohol or drugs to numb emotional or physical pain. The result? A vicious cycle of harm and silence.

But here’s the truth: healing is possible.

Why Treatment Matters

Treatment is often the first safe step survivors take toward reclaiming their lives. In a supportive, trauma-informed environment, treatment can provide:

Safety: Time away from an abusive partner’s control.
Support: Connection to counselors who understand both addiction and trauma.
Strength: Tools to build resilience and cope without substances.
Stability: A pathway to recovery that helps survivors begin agai

In fact, many survivors who seek both safety and treatment report that, over time, their lives do change. One study found that more than three out of four women who had left abusive partners rated their recovery as “significant” years later. While healing is rarely simple or fast, treatment is often the turning point.

Barriers Are Real — But You’re Not Alone

We also know that abusers sometimes actively block survivors from getting help. In one survey, 60% of women said their partner tried to stop them from entering treatment. That’s why it’s so important to share this message: you are not alone, and there are safe, confidential ways to get support.

A Call to Action

If you’re living with both abuse and substance use, it may feel like there’s no way out. But there is. Taking that first step into treatment can be the doorway to safety, strength, and a new life.

You deserve safety, healing, and a future without fear. Treatment is where it begins.
The first step is often the hardest — but it leads to a stronger tomorrow.

Resources

If you or someone you love is in immediate danger, call 911.
For confidential support, call the National Domestic Violence Hotline at 1-800-799-SAFE (7233).
For help with substance use, call the SAMHSA National Helpline at 1-800-662-HELP (4357).

You are not defined by your past. Recovery is possible, and treatment can be the first step toward freedom.

Join Our Team as a Licensed Alcohol and Drug Counselor

Tue, 30 Sep 2025 15:16:51 GMT

Use your skills to guide others toward recovery and hope.

At Project Turnabout, we believe in the power of recovery — and we know it takes skilled, compassionate professionals to help people find their way. We are currently seeking a Licensed Alcohol and Drug Counselor (LADC) to join our team in Granite Falls, MN . This is more than a job — it’s an opportunity to make a meaningful impact every day.

About Project Turnabout

Project Turnabout is a high-intensity, co-occurring substance use disorder facility with locations in Granite Falls, Willmar, and beyond. We provide a full continuum of care: from prevention to detox, inpatient to outpatient treatment, transitional living, and post-treatment recovery services. Our mission is to deliver the right combination of services for every patient, at every stage of recovery.

The Role: Licensed Alcohol and Drug Counselor

As an LADC with Project Turnabout, you’ll work directly with individuals facing substance use and co-occurring mental health challenges. You’ll provide counseling, develop individualized treatment plans, and walk alongside patients as they set and achieve their recovery goals.

Responsibilities include:

Managing patient care in line with state guidelines and clinical policies
Developing strong therapeutic alliances with clients
Creating individualized treatment plans and monitoring progress
Making appropriate referrals to physicians, medication management, and community resources
Providing psychoeducation and counseling that fosters understanding, healing, and behavioral change

What We’re Looking For

Active LADC license in Minnesota (required)
Experience working with individuals with substance use and/or mental health conditions
Compassion, empathy, and strong listening skills
A commitment to both patient care and professional teamwork

Pay & Benefits

Salary: $45,786.56 – $55,140.81 annually

Benefits include:

Health, dental, and vision insurance
401(k) with employer match + retirement plan
Paid time off & flexible scheduling
Health savings and flexible spending accounts
Life insurance & employee assistance program
Tuition reimbursement & professional development assistance
Relocation assistance (for those moving to join us)
Referral program for bringing great people to our team

Why Work at Project Turnabout?

Here, your expertise meets purpose. You’ll be part of a supportive, multidisciplinary team that values collaboration, professional growth, and — most importantly — patient success. Every day you’ll have the chance to help people rediscover hope and reclaim their lives.

New Opportunity: Join Project Turnabout as an Overnight Human Service Technician

Tue, 30 Sep 2025 13:48:14 GMT

Build a career with purpose while the world sleeps.

At Project Turnabout, we know that recovery opens the door to new beginnings. For some, that next step forward includes a chance to give back — to use your own lived experience in a role that supports others on their journey. Right now, we’re hiring part-time Overnight Human Service Technicians (HSTs) in Granite Falls, MN, and we believe this could be a great fit for some of our alumni.

What is a Human Service Technician?

Human Service Technicians are the steady presence on our treatment units during the night. They are the ones who:

Support and monitor patients overnight
Complete shift reports on behaviors, incidents, and circumstances so counselors are informed in the morning
Enter orientation and behavior notes into each patient’s electronic medical record
Make regular rounds of the unit to ensure safety and support
Assist staff as needed so the unit runs smoothly

This is hands-on, mission-driven work where you know you’re making a difference.

Why It’s a Good Fit for Alumni

For many alumni, this role is more than a job. It’s a chance to bring the strength of your recovery into the workplace. Here’s why it can be such a meaningful fit:

Work with purpose — support people during some of their most vulnerable hours.
Consistent schedules — overnight shifts (8 PM – 8 AM) repeat every 4 weeks with every 3rd weekend and holiday coverage.
Part-time flexibility — 68–72 hours per pay period, depending on the position.
Professional growth — includes tuition reimbursement and training opportunities to build your career.
A team that understands recovery — your experience is an asset here.

Pay and Benefits

Hourly rate: $16.22 – $18.00
Benefits include:
Health insurance
Vision insurance
401(k) with employer match
Tuition reimbursement
Flexible spending account
Employee assistance program

What You Need to Apply

Be at least 18 years old
High school diploma or GED
Valid driver’s license (required for work on MSU campus)
At least one year free from chemical/gambling use
Must meet MN Department of Human Services background study approval

About the TMA Certification

You’ll notice the job description includes a requirement to become a Trained Medication Aide (TMA) within 6 months of hire. A TMA is certified to safely dispense and administer medications under the supervision of a nurse.

Don’t worry if you don’t have this yet — you don’t need it to apply. We’ll help you complete the training and guide you through the process. Not only will you meet the job requirement, but you’ll also add a valuable certification to your qualifications for future opportunities.

Overnight Human Service Technician positions follow a consistent 4-week rotating schedule made up of 12-hour night shifts (8 PM – 8 AM) and occasional evening or mid shifts, depending on the position. The rotation is the same each month, which makes it easier to plan around, and includes some weekend and holiday coverage. These roles are ideal for those who prefer steady overnight work and want a reliable, predictable schedule.

Staying Strong in Recovery When Depression Shows Up

Mon, 29 Sep 2025 21:51:31 GMT

Recovery is possible—even when depression tries to pull you back.

October is Depression Awareness Month—a reminder that mental health is just as important as physical health, and that depression often shows up alongside substance use disorder (SUD). For many people, the two are closely connected. Depression can drive someone to alcohol or drugs as a way to cope, while substance use can deepen symptoms of depression.

For those in recovery, depression can feel like a heavy weight that makes each step forward harder. The important thing to remember is this: you can stay strong in your recovery even during seasons of depression.

Recognizing the Warning Signs of Depression

Depression looks different for everyone, but here are some common signs to be aware of:

Persistent sadness or hopelessness
Loss of interest in activities you once enjoyed
Changes in appetite or sleep (too much or too little)
Low energy or constant fatigue
Difficulty concentrating or making decisions
Withdrawing from friends or loved ones
Feelings of guilt, worthlessness, or shame
Thoughts of death or suicide

If you notice these symptoms lasting more than two weeks—or if they interfere with your daily life—it’s important to reach out for help.

How to Stay Strong in Recovery During Depression

Stick to your recovery routine. Meetings, therapy sessions, and support groups provide structure and connection that depression often tries to strip away.
Lean on your support system. Don’t isolate—reach out to a sponsor, counselor, or trusted friend. Talking about what you’re experiencing can reduce the power of depression’s voice.
Prioritize small acts of self-care. Simple things like getting outside for fresh air, eating balanced meals, or practicing good sleep hygiene can strengthen both recovery and mood.
Be open to professional help. Depression and SUD are best treated together. Therapy, medication, and integrated care can make recovery more sustainable.
Practice self-compassion. Recovery and depression are both battles worth fighting. It’s okay if progress feels slow. What matters is not giving up.

No Shame, Only Steps Forward

There is no shame in having depression, substance use disorder, or both. These diagnoses do not define you—they simply describe challenges you’re facing. What matters most is how you respond: reaching out for support, staying engaged in treatment, and taking one step at a time toward healing.

This Depression Awareness Month, let’s break the silence and stigma. If you or someone you love is struggling, know that recovery is possible, and you don’t have to do it alone.

When We Stop Fighting the Wave: Surrender, Hope, and the Next Right Step

Wed, 24 Sep 2025 15:27:20 GMT

Letting Go, Finding Shore

Often it feels like we’re caught in a wave’s undertow — pulled under, tumbling, panicked. The harder we kick and claw, the more tired we get. The more we struggle, the closer we come to real harm. That’s the terrible math of addiction: resistance eats us alive.

Surrender doesn’t mean we stop caring. It doesn’t mean we give up on life. It means, finally, we stop fighting a force we were never meant to fight alone. When we surrender, we stop exhausting ourselves trying to control every current and instead let the wave do what waves do: carry us.

That moment of surrender — when we let the rush be what it is — is the first place where hope can find a steady foothold.

In recovery, surrender is the first honest breath. Hope is what follows.

What we mean by surrender

In recovery we say “surrender” a lot, and sometimes it sounds scary. Let’s clear it up:

Surrender is admitting the truth to ourselves: what we’ve been doing isn’t working.
Surrender is stopping the fight long enough to ask for help.
Surrender looks like picking up the phone, walking into a meeting, raising our hand, or saying the words, “I can’t do this alone.”

What hope looks like after we surrender

Hope in recovery isn’t a promise that everything will be perfect.

Hope is watching someone else tell their story and believing, “If they could get through that, maybe I can too.”
Hope is the tiny confidence that tomorrow’s cravings can be handled — one hour, one meeting, one day at a time.
Hope is the experience of small wins stacking up: a morning we woke up sober, a difficult conversation we handled without numbness, a day without drinking or using.

When we surrender, we open the door to hope. Hope gives us the courage to take the next step; surrender gives us the willingness to try.

How surrender and hope work together in recovery

They balance each other. If we surrender without hope, it can feel like defeat. If we have hope but keep white-knuckling alone, it will burn out. Surrender and hope together become forward motion: acceptance for today, belief for tomorrow.

We surrender to stop wasting energy on things we cannot control. We hold hope so that surrender doesn’t become resignation. That’s the sweet middle ground — acceptance with expectancy.

Practical steps — what we can do right now

Stop fighting for a minute. Breathe. Give yourself sixty seconds to drop the struggle. Name one thing out loud: “Right now I am overwhelmed.” Saying it cracks the shell around us.
Call one person. A sponsor, a friend, a meeting line — someone who knows what to do. We don’t have to explain everything; we just have to reach out.
Get to a meeting or a peer-support space. Hearing other voices, listening to somebody else say they used to feel the same way, is medicine.
Make a safety plan. One concrete action: stay with someone, avoid certain places, remove paraphernalia, or give a friend our keys. Surrender the illusion of control by naming safeguards.
Try acceptance first, then action. We practice acceptance (I’m struggling) and then choose one tiny action (walk outside, call a sponsor, put on the kettle).
Keep a short list of reasons to hold on. Whenever thoughts tell us otherwise, read the list — kids, a song, a sunrise, one person who believed in us. Hope often lives in small things.
Be patient with relapses. If we slip, it’s a signal, not a sentence. We return to surrender and hope: honest admission, reach out, get back to the plan.

What to say to ourselves when the undertow grabs hold

We don’t have to pretend it’s not happening. We can say, “This is happening, and I will not do it alone.” We can remind ourselves: one honest moment leads to another. When we admit the truth we make room for help.

Words from the recovery

We learn to trust the process: keep coming back, do the next right thing, one day at a time. We learn that faith is willingness. Willingness to let go of our tight grip and take another hand when it’s offered.

A small invitation

If you’ve been treading water for a long time, try this tonight: put down the fight for one hour. Reach out to one person. Sit in a meeting and just listen. You owe yourself the chance to see if something different can happen.

Surrender opens the door. Hope invites us to step through it.

Make your Turnabout Count

Tue, 16 Sep 2025 19:24:59 GMT

Make Your Turnabout Count

How Many Years of Recovery Can We Celebrate Together?

Throughout the years, Project Turnabout has walked alongside thousands of people on their journey to recovery. Every one of those stories matters; each day, each milestone, each year. But what if we could put all of those days together and see the true impact of our alumni community?

For the first time ever, we’re inviting you to take part in our Alumni Recovery Counter — a living testament to the strength, courage, and resilience of Project Turnabout alumni.

Here’s how it works:

Share your sobriety date in the form below.
Our counter will add your recovery time to those of other alumni.
Together, we’ll see just how many years of recovery we’ve built as a community.

Every submission is a reminder of hope and proof that recovery is possible. By participating, you’ll also be connected to alumni updates and future communications about this project.

To see the total recovery years

Join Our Team: Overnight RN Opportunity at Project Turnabout

Thu, 11 Sep 2025 19:44:49 GMT

Join Our Team: Overnight RN Opportunity at Project Turnabout

Are you a Registered Nurse looking for a role where you can make a meaningful difference every day? Project Turnabout in Granite Falls is currently hiring Overnight RNs to support our Medical Services Unit. If you’re passionate about patient care and thrive in a collaborative environment, we’d love to meet you.

Why Work With Us?

At Project Turnabout, we provide a supportive and mission-driven workplace where your work truly matters. Our nurses play a vital role in helping individuals on their recovery journey, and we value the dedication it takes to provide compassionate care.

Position Details:

Role: Overnight RN
FTE Status: Full-time (72 hours per pay period)
Schedule: Consistent 4-week rotation, every 3rd weekend and holiday coverage
Shift Hours: 8:00 PM – 8:00 AM
Compensation Enhancements:
Additional $1.60/hour for hours worked from 3 PM – 11 PM
Additional $2.60/hour for hours worked from 11 PM – 7 AM
Benefits: Full-time benefits package (even though the schedule is under 80 hours per pay period)

What We’re Looking For:

Licensed RN with a passion for patient-centered care
Ability to work independently and as part of a team
Commitment to supporting individuals in recovery

Why You’ll Love It Here:

Predictable, repeating block schedule so you can plan your life with confidence
Supportive leadership and team-oriented culture
The chance to work in a facility where your skills directly impact lives for the better

Location: Project Turnabout, Granite Falls, MN

If you’re ready to take the next step in your nursing career and want to be part of a team that values compassion and excellence, we invite you to apply today.

Apply on Indeed

Project Turnabout

Five Signs That Are Actually Trauma

Five Signs That What You're Feeling Is Actually Trauma

You Can't Relax

Your Emotions Spike Without Warning

You Feel Checked Out

Safe People Feel Unsafe

Five Signs That Are Actually Depression

Five Signs That What You're Feeling Is Actually Anxiety

You Feel Numb

Everything Feels Like Effort

You Have Lost Interest

You Are Isolating

Five Signs That Are Actually Anxiety

Five Signs That What You're Feeling Is Actually Anxiety

You Feel Irritated All the Time

You're Always Tired

You Can't Sleep — Or Stay Asleep

You Overthink Everything

Unique benefits of residential gambling treatment

Unique benefits of residential gambling treatment

Five important facts most people miss Gambling Disorder edition

Five Important Facts Most People Miss

When Is Detox the Right Call?

A Practical Guide for Probation, Hospitals, and Treatment Providers

What Detox Solves (From a Systems Perspective)

When to Refer to Detox: Key Indicators

Why Detox Improves Outcomes (For You and the Client)

What Actually Makes the Difference: Continuity of Care

Make the Right Call — When It Matters Most

NOW HIRING: Practice Mental Health Care Where Clinicians Are Supported and Communities Matter

Practice Mental Health Care Where Clinicians Are Supported and Communities Matter

If You're Using Substances to Get Through the Day, This Is for You.

If You're Using Substances to Get Through the Day, This Is for You.

NOW HIRING: One Steady Day Can Make a Meaningful Difference

One Steady Day Can Make a Meaningful Difference

Now Hiring: Dietary Aide | Cook

A Good Meal Can Make a Hard Day Better

Project Turnabout is Hiring a Dietary Aide / Cook

The Role

Job Details

Why This Job Matters

NOW Hiring: Housekeeping Aide in Granite Falls

A Clean Space Can Change Someone’s Day

Project Turnabout is Hiring a Housekeeping Aide in Granite Falls

The Role

What You’ll Do

Schedule and Pay

Who This Job Is Good For

Our Mission

NOW HIRING: Human Services Technician

NOW HIRING: Human Services Technician

Work That Matters: Human Services Technician in Marshall, MN

Schedule and Pay

What You'll Do

Who This Job Is Good For

Benefits

Now Hiring: Part-Time Family Daycare Provider

Now Hiring: Part-Time Family Daycare Provider

What We’re Looking For

Why This Role Matters

NOW HIRING: Entry Level Positions

NOW HIRING: ENTRY LEVEL POSTIONS

You Don’t Have to “Wait” to Start

Starting Where You Are

Creating a Career Plan, Not Just a Job

Support Along the Way

Turning Experience Into Purpose

Ready to Take the Next Step?

NOW HIRING: Registered Nurse (RN) – Detox Program

NOW HIRING: Registered Nurse (RN) – Detox Program

Looking for Nursing That Feels Meaningful Again?

Work That Changes Lives

What Makes Detox Nursing Different?

Why Join Our Team?

Who We’re Looking For

Ready to Make an Impact?

﻿

When Gambling Becomes a Family Crisis: How Loved Ones Can Recognize the Signs and Help

When Gambling Becomes a Family Crisis: How Loved Ones Can Recognize the Signs and Help