Levels of Care:
At Regency Recovery we offer acute inpatient detoxification. This is the most intense and highest level of detoxification care available. Patients admitted to this level of care are highly addicted to drugs or alcohol and have recently, many times within the last 24 hours, abused
the substance to which they are addicted too. It is common for the patient to still be under the influence when entering our facility. Many patients often begin to experience withdrawal and are suffering from severe symptoms prior to intake. In cases like these our medically managed program is the safest approach. Patients in this first stage of recovery need full access to the continuum of behavioral health care that we can provide. In addition they often need around the clock monitoring to properly address the severe withdrawal symptoms and to administer prescribed medications in order to aid the body in detoxification.
Residential treatment is considered to be on the upper end of intermediate level care. These patients require an around the clock monitored environment. Access to the full spectrum of behavioral and medical interventions is limited to specific hours during the day and only provided on an as-needed basis after hours. This level of care provides individual, group and family counseling. In addition, psycho-social rehabilitation and medication schedules are also provided.
Partial hospitalization is considered an intermediate level of care. Patients at this level need daily structure and schedules to follow. Partial hospitalization programs typically operate anywhere from four to eight hours per day and typically run five to seven days per week. This level of care provides individual, group and family counseling. In addition, psycho-social rehabilitation and medication schedules are also provided.
Intensive outpatient is considered to be on the lower end of intermediate level care. Patients at this level of care need frequent check-ins to make sure improvement in behavioral symptoms is continuing. Intensive outpatient programs typically operate anywhere from three to fivehours per day and typically run three to five days per week. There are minimum requirements for intensive outpatient care that need to be met. For an individual to succeed they must meet three times each week for a combined total at least nine hours. This level of care primarily provides group counseling, but should also include individual and family counseling as well as psycho-social rehabilitation to be effective.
Outpatient treatment is the least restrictive level of professional care available. Patients in this level of care struggle with some aspects of daily functioning based on their symptoms or behaviors. Treatment must be provided by a mental health professional licensed to practice independently in the state in which services are sought. Treatment at this level of care should be primarily focused on relieving specific troublesome symptoms and resolving specific issues or crises. In addition, treatment should focus on restoring functional abilities and maintenance of stability persistent or recurrent chronic behavioral health disorders. Individual, group and family counseling are the primary modalities used at this level of care.
An addict’s family usually spends a significant amount of time talking about the addict’s treatment program. In the program the addict will receive intensive therapy for a short period of time, usually anywhere from 30 – 90 days, to help begin the process of recovery. As important as this initial phase of recovery is, conquering addiction usually requires more than simply completing a detox program. In fact, most addicts need a significant amount of help for months or even years in order to truly recover from addiction. According to a study published in the Journal of Addiction Disease, relapse rates among addicts can be as high as 75 – 90%. In order to ensure that the addict indeed remains sober, it is imperative that an effective aftercare program begin when the inpatient program ends. Aftercare is an essential component of any treatment program. In fact, most treatment programs require the addict to begin work with a counselor to develop a specific plan to put into place upon admission to treatment. The addict plays a key role in developing their aftercare plan and even family members may be asked to provide input. Prior to discharge, an individualized plan for follow-up care is completed for each patient by the treatment team. Some residents may require an intermediary place of care that will continue to provide additional support before transitioning fully back into the community. A sober living environment can provide an individual with continued structure and support which helps to ease the process of reintegration into the community. There are many parts to an affective and successful aftercare program. An affective aftercare program would consist of: individual therapy, family therapy, attending 12-step meetings such as Alcoholics Anonymous or Narcotics Anonymous, private addiction counseling, urine testing or screening for drug use, maintenance medications such as methadone or buprenorphine and transitional living, such as sober living communities and attending church functions.
Group therapy is a type of therapy in which members inadvertently help other members. The experience of being able to share your personal story and have it inspire another member can elevate an individual’s sense of self-worth. This can also promote the development of more competent coping and interpersonal skills. In a typical group therapy session the members are usually in different stages of recovery. It can be inspirational for a member who is currently struggling to hear of other members who are also currently dealing with or have overcome the same problem they have. It also helps to put things into perspective and let the member know that they are not alone and will get through this. The group setting also provides a safe and supportive environment where members feel comfortable taking risks by demonstrating and practicing their interpersonal relationship skills and improving their social skills. A way in which the members can improve social skills is through the process of simply observing and interacting with the therapist and other participants.
Other ways that members improve those skills are by sharing personal feelings and showing concern and support for others. Instinctively humans have a need to belong to groups and personal development is more likely to take place in a group setting. There are many benefits of group therapy and among the more important are the recognition of shared experiences, feelings and issues among the participants. Also for the members to realize that these may be common concepts; which serves to lessen their sense of isolation, validates their feelings and raises confidence. Learning to take responsibility for, and accept the consequences of previous decisions made, are crucial steps towards identifying unconscious motivations to existing behavior patterns. A successful group is one in which all members feel a sense of belonging, acceptance and validation.
Often members feel liberated from emotional distress by being able to freely express emotion in a group setting. When members tell their story to a supportive audience, they often feel relief from continued feelings of shame and guilt. Group members gain a lot through the process of interacting with others. They are provided feedback from the other participants about their behavior and impact on the world around them. The therapist also plays an important role by helping the members understand the impact of their previous life choices on their current behavior patterns. Through the therapist’s interpretations and suggestions the member can learn to avoid subconsciously repeating the destructive behavior that led them to addiction in the first place.
Individual or “one-on-one” therapy refers to therapeutic interaction that is specifically between a trained therapist and a patient. In regards to addiction, this type of therapy provides a safe and non-threatening environment where an individual’s underlying issues and root-causes of past behaviors can be identified and examined. A casual conversational approach is used during most individual therapy sessions but written essays or questionnaires can be used to gather specific information and responses from the patient. Individual therapy sessions are typically part of the treatment plan for substance abuse but are especially important for those patients dealing with dual diagnosis or co-occurring disorders. The issues discussed in therapy are usually psychological in nature and can differ in terms of the causes, influences and severity. The therapist will provide an assessment of the patient.
This evolves as the therapist spends more time gaining information and insight into the mind of the patient through frequent sessions. The goal of individual therapy is to increase the individual’s sense of well-being. There are many techniques based on experiential relationship building, dialogue and behavioral change that are designed to improve the mental health of the patient. This type of therapy has been proven to yield positive changes in dealing with the issues surrounding substance abuse. Many times personal and sensitive topics are discussed during individual therapy sessions. Therapists are expected and legally bound to respect patient confidentiality and must adhere to the codes of ethical practice.
Relapse Prevention Training:
Relapse prevention training provides a multidimensional approach to abstinence and helps to further reduce the likelihood of substance abuse relapse. The methods used usually include pharmacotherapy, cognitive behavioral techniques, contingency planning and education. The most important factor in preventing relapse is to identify the needs that were previously met by use of the substance and to develop skills to meet those needs in a healthier way. There are a multitude of medications that can be used stabilize an addict. They can also be used to reduce the initial drug use and prevent further abuse of the drug. There are some patients who initially reject the medications and feel they are contradictory to their recovery efforts, sort of like trading one addiction for another.
This however is not the case and medication is a vital part of many individual’s recovery. Medications have been proven to be very useful in reducing many of the adverse side effects associated with withdrawal such as paranoia, anxiety and intense cravings. They can also help to minimize the risk of relapse and are needed to prevent death in some cases. Some individuals suffer from permanent changes to the brain and nervous system that have resulted from long term substance abuse. Medication is needed to normalize those changes and help the individual feel well again. There are various behavioral techniques used for treating and preventing relapse. Many of them focus on what triggers the individual to use and in turn the consequences of the drug abuse behavior. Cognitive behavioral approaches use a form of conditioning through positive and negative reinforcement in hopes to alter the thoughts and emotions associated with the drug abuse behavior.
The main component of this approach is exposure, during which the abstinent individual is repeatedly exposed to triggers without exposure to the substance in hopes that the substance will gradually lose the ability to induce drug-seeking behavior. Relapse preventing training prepares addicts to anticipate relapse by recognizing and alternatively coping with the situations that once drove them to use. Immediate determinants are the environmental factors and emotional situations that threaten relapse. These include high-risk situations that threaten an individual’s sense of self control, along with their newly learned coping strategies and expected outcomes. There are also less obvious factors that influence relapse. An individual’s lifestyle such as stress levels, urges and cravings can all threaten someone’s sobriety. Studies have proven that relapse prevention training is not only successful in reducing the chance of relapsing back into past substance abuse behavior but also at improving psycho social skills.
Family therapy is conducted by a therapist who is licensed specifically for helping families. Special training and skills are required since family therapy is so much different than individual therapy. Addiction truly is a family disease; everyone is affected when an individual struggles with substance abuse. The family has a key role in helping an individual achieve sobriety. Although it doesn't end there, they are also a very important component to helping the individual adjust to their new found sobriety as well as maintaining it. There are two main goals when it comes to family therapy and dealing with substance abuse. One is to make sure that everyone can participate in giving the right kind of support to the family member in treatment. This is an important part of making sure that recovery sticks and relapse is avoided. The other goal is to strengthen the family’s emotional health and well-being so that everyone can thrive. Since addiction is a family disease and affects everyone involved, the pain and confusion experienced don’t just go away when the individual enters treatment. Many times a family remains stuck in unhealthyroutines even after the individual with the substance abuse problem goes to recovery.
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