Addictions Services

At Menninger, roughly 65 percent of patients have an addiction or substance use disorder in addition to their primary psychiatric diagnoses. For these patients, the treatment teams and their addictions counselors integrate treatment for the co-occurring disorders simultaneously rather than treating the disorders sequentially.
65 percent of Menninger's patients have an addiction or substance use disorder in addition to their primary psychiatric diagnoses. - Vaughan Gilmore, LCSW, LCDC, director, Addictions Services
Our master's-prepared addictions counselors are an integral part each program’s interdisciplinary treatment team. They help develop individualized treatment plans and counsel adolescents and adults with co-occurring disorders, following patients from assessment through discharge planning for substance-related, gambling, sexual, spending, technology and other addictions. They:
  • Provide quality addictions treatment
  • Provide treatment based on evidenced-based methods in areas of motivation, recovery planning, relapse prevention, neuroscience and family dynamics
  • Provide patients with a treatment model that will effectively promote acceptance of their disease, teach ways to make changes and foster recovery
  • Tailor treatment to the individual based on the National Institute of Drug Abuse belief that addiction is a complex yet treatable disease that affects brain function and behavior
  • Ensure that assessment and treatment respects the unique culture of each patient
  • Guide the patient's selection of and engagement in a support group (AA, NA, SAA, GA, SMART Recovery and others)

Engaging in Recovery

We use cognitive behavioral therapy, dialectical behavior therapy, mentalization-based therapy and neuroscience education to engage patients in the recovery process. Individual addiction counseling, group therapy, group psychoeducation and wellness activities also contribute to the recovery process. In addition, the framework for recovery includes:
  • Addiction recovery groups (relapse prevention, stimuli awareness, step work, pain of addiction and recovery planning groups)
  • Relapse prevention planning and skills development
  • Discharge planning
  • Assessment and treatment for cross-addictions
  • Sexual health education and consultation
  • Motivational-enhancement therapy
  • Expressive therapies (music, art and others)
  • Family education and therapy
  • Medication-assisted therapies
  • Nutritional counseling
  • Trauma assessment, education and therapy
  • On-campus peer support meetings, including AA, NA and Smart Recovery
The Refuge Recovery Program was an important part of our son finding his path forward. — Mother of a young adult patient.

Service Leader

gilmoreE. Vaughan Gilmore, LCSW, LCDC, is the coordinator for Addictions Services at Menninger, where she leads a team of approximately 15 licensed chemical dependency counselors.


Gilmore has worked as a staff social worker and addictions counselor, helping both adult and adolescent patients get on the path to recovery. She integrates evidence-based practices into individual and group therapy interventions.


Prior to her work at Menninger, Gilmore served as a program manager and therapist at the Excel Center of Fort Worth and as a program manager for Communities in Schools.


She has given presentations on a range of topics, including assessment of substance use disorders in adolescents and young adults, substance abuse interventions and motivational interviewing, to both mental health and medical professionals.


A graduate of Texas Christian University, Gilmore obtained her master's degree in Social Work from the University of Texas at Arlington.