61.2 million Americans aged 18+ had a mental illness and/or substance use disorder (SUD)
Drug rehab is available to help people who are struggling with drug addiction, also known as substance use disorder (SUD). Usually held at a drug treatment center or facility, drug rehab provides an individualized blend of therapies to assist drug addicts in finding both sobriety and a long-term, sustainable recovery. Drug rehab programs can be either on an inpatient or outpatient basis, and can be either short-term or long-term in duration.
Recovering from drug addiction can be extremely difficult, and not to mention dangerous. Getting the proper professional treatment can give people the vital support they need to achieve sobriety, and even embrace it in the future.
Drug addicts need the structure that goes with drug rehabilitation programs. They need to be in safe and secure environments where it is nearly impossible for them to relapse, and that will help them stay on the right road to recovery. But what is drug rehab exactly and what does it involve? This is what we will answer here.
61.2 million Americans aged 18+ had a mental illness and/or substance use disorder (SUD)
Among Those With A Substance Use Disorder:
Struggled with illicit drugs
Struggled with alcohol use
Even though recovering from drug addiction can be challenging, it is possible. The right treatment can make a real difference in people’s lives. It is the most effective way to address substance use disorder and help people to move on from being active drug addicts to living lives of sobriety.
According to the National Institute on Drug Abuse (NIDA), there are several principles of effective substance addiction treatment, based on mid-1970s scientific research, which all treatment programs should reflect. These are:
There is no single “right” way to treat substance addiction; therefore, there are many different options available, as well as many possible combinations of these individual options. This is because people all have very different needs when it comes to recovery. It is critical for those needs to be properly addressed during their treatment.
It is always best for people to discuss their needs for treatment with an addiction professional. They can then provide a recommendation for the proper level of care based on the information they are given.
Inpatient drug rehab programs offer drug addiction treatment in a residential center or facility, so the patient can focus 100% on their therapy and the beginning of their recovery. Drug rehab removes the triggers or temptations of relapse that exist in the patient’s normal environment, and the patient can receive 24/7 constant care, if required.
Inpatient drug rehabs can vary widely in the environment they offer – from a 5-star hotel-type setting, with all the luxury facilities and amenities, to the rather sterile surroundings of a typical hospital ward. However, the vast majority of drug rehabs are positioned halfway between these extremes, providing a warm and friendly environment so patients feel comfortable and relaxed while receiving their treatment.
Research studies have shown that inpatient drug rehab programs offer the best chance of success for a long-term recovery, as it allows the patient to fully engage with their treatment and improving health. Furthermore, patients can learn how to enjoy their free time in a way that does not involve the use of drugs.
Outpatient drug rehab programs offer the same drug addiction treatment as an inpatient program, but without the residential element. Instead, patients access their treatment by attending an outpatient drug rehab center or facility at certain times during the day – this can range from a full day to specific appointment times.
Outpatient programs for drug addiction treatment are also offered at differing levels of care, ranging from partial hospitalization programs (PHPs), to intensive outpatient programs (IOPs), and down to traditional outpatient programs.
These different levels of care are determined by a combination of clinical patient assessment, and the number of hours per week someone can commit to their drug addiction treatment. Depending on the treatment center, outpatient treatment timetables can be highly flexible, enabling people to either meet family obligations, continue working or attend school while still receiving treatment.
However, with an outpatient program, the individual is still living in the environment that allowed or enabled their substance use. In that respect, they are slightly less successful in attaining a long-term recovery than inpatient programs.
In fact, outpatient programs are at their most effective when they form part of an overall drug addiction treatment plan that provides a continuum of care for a recovering individual that begins with inpatient drug rehab.
Partial hospitalization programs (PHP) offer the highest level of care that is available on an outpatient basis. Clients live at home and during the day, they come to the treatment facility. PHPs offer many services that people in recovery need, such as:
Partial hospitalization programs typically require people to remain at the facility for the entire day. This time requirement might be lessened as time goes on.
Intensive outpatient programs (IOP) also offer a high level of care. Many experts believe that an IOP is very similar to what people experience when they go to inpatient rehab. IOPs are typically about 12 weeks in length, and they require people to attend regular appointments, usually between 3-5 times per week.
During IOPs, clients participate in various types of therapy. They can receive treatment for co-occurring disorders as well as for their SUD. The program provides people with a well-rounded treatment plan, including Individual and group counseling sessions, that is fully personalized to meet their individual needs.
Many people gravitate toward IOPs, because they have so many benefits. They work well for people who work or go to school, and for parents to care for their children during the day, because of the flexibility of appointments.
A more traditional outpatient alcohol treatment program may not be best suited for people who are new to recovery. This level of care tends to offer less professional support, and there may not be any peer support available at all. It is usually reserved for those who have gone through an IOP, PHP or inpatient program in the recent past.
But traditional outpatient rehab does have its place in addiction recovery. It typically involves regular individual therapy sessions with an addiction treatment specialist. Some may also have group therapy sessions available, but most do not. This type of treatment can work well for people as a form of follow-up, but it can also work for those who milder addictions.
Sober living homes are often essential for people who are in addiction recovery. While they do not provide any in-house alcohol treatment, they do offer safe places to live for those who need them. Many people are not able to return home after going to rehab because of the risk of relapsing, domestic violence, or for any number of reasons. Having access to sober living homes gives people the added security they need during this critical time in their lives.
For many people, sober living homes provide them with opportunities they would not have had otherwise. They can serve as a helpful way to transition back into ordinary life. They can also help people who want to relocate to a new city or state once they are in recovery.
Residents are required to pay rent every month, and there may be other rules that need to be followed as well. It is not uncommon for many sober living homes to have curfews and require chores. Every resident may need to submit to drug and alcohol testing, and secure their own outpatient addiction treatment program.
Our outpatient program combined with sober living housing may be perfect for you. Contact our admissions team today!
The first step in drug addiction recovery is going through the detoxification (“detox”) process. Before any recovery can fully begin, it is imperative that the individual being treated is 100% free from the drugs they have abused, as well as any toxins in the body that have been produced by their drug use.
When people use addictive drugs, over time they will build up a “tolerance” to the substance, which invariably leads them to keep increasing the amount they use and how often they use it just to get a similar effect. When they stop using, the result is drug withdrawal.
Detox allows for a safe withdrawal from a drug, as some of the symptoms that can appear during the process can range from uncomfortable to severe, and even life-threatening, and it is virtually always the first step for anyone withdrawing from moderate to severe forms of drug addiction.
TYPES OF DETOX
The person detoxes at home. Best suited for those with strong social support and less severe addictions that won’t trigger fatal withdrawal symptoms
Depending on the drug, detox can require the use of specific medications in order to reduce the intensity of the symptoms. A process of “tapering” can also be used where the medicating drug is itself addictive, meaning the medication is slowly reduced in dosage until the patient is no longer physically dependent.
Drug withdrawal occurs when a person stops using addictive drugs, and the severity and type of withdrawal symptoms that are experienced can vary with the type of drug used, the length of time the drug use continued, and the amount taken each time the drug was used.
Some of the most common signs of drug withdrawal include:
During detox (and possibly during post-detox treatment), patients can be prescribed specific medications to assist with their recovery process. This is known as “medically-assisted treatment” (MAT), and these medications are used for:
In no way does MAT (which is described in more detail later in this article) replace evidence-based drug addiction treatment; it is only effective when used as part of a comprehensive treatment program.
Our alcohol recovery program allows you to keep work and family commitments while focusing on your sobriety.
Drug addiction treatment programs, whether inpatient or outpatient, use prescription medications during detox and /or as part of the patient’s therapeutic treatment, if required, and this is known clinically as pharmacotherapeutics, as well as medically-assisted treatment or medication assisted treatment (either is abbreviated to MAT).
The clinical use of these medications is normally dependent upon the drug that the patient is addicted to, and any other existing medical conditions affecting the patient – for example, a heroin addict with a co-occurring disorder, such as major depressive disorder, may require medication during the detox to help with withdrawal symptoms, and then medications to control cravings and to treat the depression throughout their treatment.
It has proved to be clinically effective and to significantly reduce the need for inpatient detoxification services. This treatment approach has been shown to:
To understand how the medications provided by MAT actually work, and why they can be essential to a patient’s recovery from drug addiction, we firstly need to work out how addictive substances affect the brain when an addict uses them.
Addictive substances produce euphoria, and other side effects, by manipulating the brain’s pleasure and reward centers. Although different MAT medications work in different ways, the majority of these pharmacotherapeutics are designed to restore the brains’ natural balance in both of these centers, and to stabilize the patient’s neurochemical processes, previously disrupted by a patient’s substance abuse.
Pharmacotherapeutics are only used as part of the drug addiction treatment for specific addictions, and they can continue to be prescribed after treatment has finished. They are prescribed because they offer a particular benefit, such as:
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Is an antagonist drug, meaning it prevents serotonin and dopamine from attaching to receptors in the brain, negating the pleasurable and euphoric effects of drugs and alcohol
Is a quick acting drug normally used to combat opioid overdose by mitigating the effects of opioids disturbing the brain until these are secreted from the body
The most common medications prescribed for use within an addiction treatment program, offering one or more of these benefits, include include:
It is important to remember that addiction is medically defined as “a chronic, relapsing brain disorder,” and just like other chronic diseases, like type I diabetes, hypertension, and asthma, it requires ongoing treatment to control its symptoms.
Drug rehab works, and there is clear proof it does. However, it does not cure drug addiction. Regardless, drug rehab can help people recover to the point where their continued abstinence in the future can control the addiction. It does this by the providing the following treatment and care:
Just like the other chronic diseases mentioned previously, patients with addiction can and do relapse. Drug addiction relapse should actually be more likely. However, for those who attend and complete their drug rehab program, the success rate is on a par with other chronic diseases:
When a patient leaves rehab from 7-14 days is when they’re most susceptible to overdosing and dying
The person’s tolerance to their usual substance of use tends to be much lower
Their bodies won’t be used to the same amount they used to take
This potentially can cause an overdose that could be fatal
& RISK OF
Individual counseling sessions, held one-to-one with a professionally qualified counselor or therapist, are an integral part of drug rehab treatment. This counseling gives the individual the opportunity to express themselves fully, particularly about their own psychological and social concerns that could potentially trigger a relapse; for example, stress or their home environment.
Counseling helps individuals understand their addiction and its root causes, learn to manage cravings, and deal with the potential triggers that exist in daily living.
CBT is one of the most common and most effective therapies used in drug rehab, either in an inpatient or outpatient setting. As virtually all addicts engage in both destructive and negative thinking and behavior, and since cognition fundamentally affects our wellbeing, it is vital to change these harmful thought patterns into far more positive, constructive and forward-thinking ones. These changes can be accomplished through the use of CBT, which is highly goal-orientated and focused on problem resolution.
CBT works by:
Initally introduced to help those with suicide thoughts, and now primarily used in the treatment of severe personality disorders, particularly borderline personality disorder, DBT has been again adapted for use within drug addiction treatment.
Its aim in drug rehab is to reduce cravings, to help patients avoid the situations, and even opportunities, to relapse, and to learn healthy coping skills. It is actually a form of CBT, as it addresses a person’s thinking (their cognitions) that form their belief systems, personal assumptions, and assumptions about the world they live in.
MET is used to assist recovering addicts change the negative thoughts and behaviors that are intrinsic to their addiction. It is particularly beneficial to those with dual diagnosis, who are also suffering with mental health issues such as bipolar disorder and post-traumatic stress disorder (PTSD).
Biofeedback is a therapy designed to help patients understand the normal, yet involuntary processes that our bodies go through. During the therapy, electronic sensors are positioned on the patient’s skin to monitor their brain activity. Once the resulting brain patterns have been reviewed by the qualified therapist, they can recommend a number of psychological techniques that the patient can use to help overcome aspects of their addiction.
Further to the standard therapies described above, there are a wide range of alternative therapies designed to complement the treatment program, and may be included in a drug rehab’s list of available modalities and services.
These complementary therapies improve the patient’s wellbeing, and can act as a way of decreasing stress levels. Examples of these types of therapy include:
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Although long-term recovery from substance addiction can be a difficult and life-changing process, it is certainly possible. However, to increase the chances of a successful recovery, it is absolutely vital that the addict is 100% committed to getting clean, sober and healthy.
Furthermore, the drug rehab that they attend for addiction treatment has these essential elements intrinsic to their inpatient or outpatient program:
SpringBoard Recovery, located in Scottsdale, Arizona (near Phoenix), provides effective and affordable outpatient treatment programs for individuals struggling with substance use disorders and mental health disorders. The goal at SpringBoard is to give clients a completely fresh start, along with the recovery skills needed to thrive in everyday life – substance-free.