- Table of Contents
- What To Look For
- How To Find Them
- Get Help Today
What Is An Inpatient Drug Rehab?
Inpatient drug rehab refers to both hospital-based treatments and residential treatment centers. In both instances, clients reside 24 hours a day in an environment completely removed from their routine lives and temptations. Inpatient rehab lets people concentrate solely on getting and remaining sober without distractions. Inpatient drug and alcohol treatment centers include a monitored detox from the drugs, medication assistance if needed, and a combination of group and private therapies throughout treatment.
The duration of inpatient rehab programs varies from 30 days to as long as one year, often with a “step-down” strategy in which the individual transfers from a high-intensity treatment such as partial hospitalization to a lower-intensity program such as outpatient with sober living. The length of therapy depends on a variety of variables including the extent of the addiction, the client’s insurance/financial plan, and external issues such as work and family obligations. SAMHSA, the Federal government Substance Abuse and Mental Health Service Agency reports that medications used to help detox and recovery are an effective method to support treatment, when used appropriately in a hospital, inpatient or residential setting. Medications used to treat co-occurring mental health issues are also crucial to an effective recovery from addiction.
Why Inpatient Rehab?
Any quality therapy program thinks about recovery in connection with the patient’s overall environment, in addition to the person’s psychological condition and social qualities. The first step of Inpatient therapy is the emphasis of accountability in their lives. The next step is attending to negative patterns of thoughts (about themselves and others), behaviors and their overall lifestyle that can contribute to their drug use. Inpatient therapy helps change these behaviors with practical, constructive patterns of behavior – enhancing a person’s ability to remain sober, maintain a job and restore their lives. Treatment also includes the connection of life-long relapse prevention assistance, such as support groups and sponsors.
The National Institute on Drug Abuse (NIDA) research shows that individuals who maintain involvement in outpatient therapy for relapse prevention and also participate in local meetings have the lowest relapse rates after inpatient or residential therapy. Research published in the Journal of the American Medical Association (JAMA) showed both long-term and short inpatient rehabilitation programs are successful in helping people establish and maintain addiction recovery. Nonetheless, the exact same research also showed that longer-term programs are more successful in some areas of drug abuse recovery. Overall, the study shows that the longer an individual stays in an inpatient or residential treatment, the better their possibilities for long-term recovery from severe drug or alcohol addiction.
Who Needs Inpatient Rehabilitation?
Residential and inpatient alcohol and drug rehabilitation are most appropriate for people with severe and consistent addiction issues – usually, those who have struggled to maintain sobriety after trying other therapy solutions. Sometimes, individuals with significant drug addictions may require an inpatient detox due to the dangerous side effects of withdrawals like seizures, delirium tremens (DTs), coma or death. These hazardous side effects are typical with alcohol and benzodiazepines. During inpatient detox, medications and other medical services are needed to help with withdrawals, cravings, and comfortability. Such care is simply not possible at home or from an outpatient environment.
Inpatient and hospital substance abuse treatment gives clients 24/7 customized care and therapy. Treatment ranges from a selection of medical professionals. The staff typically consist of doctors, psychologists, psychiatrists, registered nurses, social workers, addiction counselors and behavioral technicians. Residential and inpatient substance abuse treatment also protects people from impulsive drinking/using thanks to 24-hour supervision and staffing. For some individuals, this can be a life-saving difference from outpatient care. For a person with a long-lasting addiction, severe co-occurring psychological health disorders, or a background of persistent relapse after treatment, an inpatient facility is highly recommended.
What Are The Different Levels Of An Inpatient Drug Rehab?
Inpatient drug rehab is typically separated into 3 parts: detoxification, hospitalization or inpatient treatment, and residential treatment. Occasionally residential treatment is also called a “therapeutic community.”
Detox is usually the initial phase of addiction recovery, no matter the level of care afterward. The substances of choice must be safely removed from the body before a person can begin resolving their addiction and other co-occurring mental illness that might exist. In some cases, an individual can safely detox at home without any adverse effects. In most other cases, especially when it comes to extreme drinking, an individual needs to be hospitalized to obtain emergency clinical treatments during detox. Failing to offer a proper detox in these scenarios can be fatal. Once the person is detoxed and medically stable, they can think about the following stage of their treatment. For people with chronic, long-term addiction issues, inpatient or residential treatment is the most suitable next action.
Hospital-based therapy provides around-the-clock treatment in a clinical setting. Usually, this is most suitable when the person continues to have problems with serious physical conditions or co-occurring mental health disorders – making them a risk to themselves or others. Inpatient substance abuse facilities have medical physicians available on-call around the clock to attend to any medical emergencies that arise. These facilities are dual-diagnostic. They focus on substance abuse treatment and mental health treatment.
Individuals are separated from their regular surroundings, safe from temptations allowing individuals to focus on their treatment. Inpatient rehabs offer people individual and group therapies which include skills training for stress management, life skills, relapse prevention and more. Inpatient programs last around 30 days following detoxification. People might “step down” or transition to a longer-term residential program or therapeutic community, or they might be ready for an outpatient relapse prevention program. Ongoing residential therapy is normally connected with higher sobriety success rates.
Residential inpatient therapy might last a number of months or up to a year. Between 50% and 75% of chronic people addicted to drugs and problem drinkers suffer from some psychological health condition. Like a hospitalized setting, residential inpatient rehabs continue to supply 24-hour supervision and will have medical and psychological doctors available. Residential treatment provides the necessary time to learn the skills needed to shift back to a normal life of sobriety.
A shorter, 30-day program offers patients time to finish detoxing, understand their addiction and begin therapy. However, without follow-up to an intensive outpatient program and considerable engagement in self-help groups, relapse rates for chronic, long-term addicts stay high. 60-day programs give persistent addicts and problem drinkers more time to overcome issues of their addiction and begin to establish a pattern of living sober. During their 60 days, a sobriety support network begins to evolve. The 90-day programs are the minimal recommendation for severe addiction complications. These 90-day programs are related to the highest rates of long-term recovery.
Reasons to Choose an Inpatient Facility
Some people may view a long-term stay at an inpatient rehab facility as unfavorable. But, if recovery and sobriety are the goals, these programs are the ones with a proven track record for success. The 24-hour supervised treatment and the teams of experts devoted to client recovery make all the difference for patients with serious, long-lasting addiction and alcohol addiction problems.
The detailed medical management of detoxification and withdrawal, in addition to acute psychological problems, can be lifesaving.
A residential or inpatient rehab facility offers the benefit of a distraction-free recovery setting. People are removed from triggers to use while they learn to live without using drugs or alcohol.
Continuous assistance, as well as clinical and therapeutic support, can be essential during the first phases of treatment.
Research shows people who remain in therapy a minimum of 90 days are more probable to remain sober.
Inpatient and residential drug rehabs provide thorough care, including physical and mental health treatment alongside drug abuse treatment.
Inpatient and residential treatment programs have a reduced failure rate compared to outpatient programs.
What different therapies are used during inpatient drug rehab?
People in an inpatient or residential rehab environment will take part in intensive group therapies along with private sessions with an assigned therapist. Due to the fact that patients are away from their commitments, they will be able to focus on their therapy and move forward with a healthier way of living.
People in inpatient rehab also obtain treatment for various other psychological or physical health conditions. During treatment, technicians supply medications at the appropriate times alleviating any compliance issues that could occur. Their physical and psychological health is also continuously monitored. Simply being compliant with medication often makes a massive difference in an individual’s capacity to manage their addiction issues.
The kinds of therapy provided at inpatient rehab are the same as in outpatient, but typically more concentrated and at higher frequencies. People will be given private, group and typically family counseling in addition to psychiadtric sessions. They might likewise take part in art, workout groups, and stress management therapy. Depending on the program, they will often include other treatment modalities like yoga, “ropes courses”, equine therapy, and more. Education of life skills like nutrition, self-care, and vocational skills are also a vital part of long-term programs. Last but not least, relapse prevention and ongoing sobriety support resources for aftercare must be an integral part of any inpatient or residential program.
How to choose the appropriate inpatient drug rehab program.
It can be challenging to choose the best inpatient rehab program, especially if financing is a concern or there’s a crisis at hand. Usually, there is a lack of options. Sometimes people simply do not know what type of questions to inquire about. When calling inpatient facilities, try to get as many details about their programs offered, and weigh the alternatives before choosing. If needed, get the assistance of an addiction expert to make the selection of a center. Whenever possible, make decisions based on what is best for you (or your loved one) and the need for lifetime health and sobriety rather than on what is simplest and fastest.
What To Look For When Picking An Inpatient Rehab
What is the philosophy of the program?
As an example, do therapies rely on 12-step philosophy? Most importantly, is the program based upon evidence-based therapies (non-12-step)? Current scientific evidence shows addiction changes the structures and chemical activities of the brain. Evidence-based therapies also consider the way biological, sociological and psychological problems influence addiction.
Do they offer evidence-based therapies?
According to NIDA, effective therapy programs utilize evidence-based practices backed by scientific research. The most common evidence-based therapies include:
- Cognitive Behavioral Therapy (CBT).
- Motivational Interviewing (MI).
- Contingency Management/Relapse Prevention Therapy.
- Community Reinforcement.
- Behavioral Family Therapy.
Does the program use Medication-Assisted Treatment (MAT)?
MAT is providing medication and incorporating it with counseling and behavior therapy. Scientific analysis reveals the combination of medicine with cognitive and behavioral therapies is one of the most effective approaches to dealing with alcohol addiction and drug addiction.
Does the program treat co-occurring disorders?
A co-occurring disorder refers to the situation in which a person has both a drug abuse problem and a psychological disorder. This happens in 50-75% of individuals with substance use disorders. Even if a facility states they treat both conditions, it is critical that they do so properly, by using medications when appropriate. Good programs have psychologists and psychiatrists to identify and address these disorders. You may hear the term “dual-diagnosis” – this refers to the treatment of co-occurring disorders. A dual-diagnosis facility means they are able to treat co-occurring disorders. Most inpatient facilities are dual-diagnosis but be sure to ask.
Does the program offer intensive individual therapy in addition to group therapy?
Excellent inpatient and residential rehab centers use both individual and group therapies. The private/individual therapy is where the deeper underlying psychological disorders can be dealt with.
What are the licensure and credentialing of the staff?
No treatment program is better than their personnel, so ensure that the inpatient program has psychiatric and medical doctors readily available 24/7. Therapists must be credentialed as both addiction therapists and mental health counselors in the state of the center. Generally, this means they have a minimum of a Master’s degree in Psychology or Social Work plus additional training and accreditation. Nursing personnel and technicians must additionally have extra training in addiction and mental health care. An inpatient treatment facility run only by “sober addicts and alcoholics” is not a safe place for medical care. Staff credentials and licenses should be on display and in plain sight of individuals.
Is the facility accredited?
Any kind of healthcare facility or residential treatment center ought to be accredited by one of both significant organizations: the Joint Commission on Accreditation of Healthcare (JCAHO) or the Commission on the Accreditation of Rehabilitation Facilities (CARF). An updated accreditation certificate should be on display in plain sight of patients.
Do they offer personalized programs?
Many programs state they do this, however, if they do not have the options and services within their program to support the treatment plans, they can not execute the plan. Addictions are far from simple, made more complicated when co-occurring disorders exist. No two individuals will require the exact same treatments. Therefore, strategies need to include suitable medical management for medical and psychological disorders, addiction treatment and therapy, and reintegration into the community.
Does the program offer holistic treatments?
A program that only approaches a patient’s drug abuse is not likely to have a good long-term success rate. Evidence-based methods say that individuals who are trying to recover from alcohol and drug addiction also need care for psychological health and medical issues. An important aspect of treatment is restructuring their lives like learning to eat a healthy diet, exercise, socialize without using drugs, have healthy relationships, deal with stress and anxiety and learning conflict resolution techniques.
What is the relapse prevention program and aftercare like?
A good inpatient or residential rehab will have a strong program of aftercare, consisting of continuing psychiatric care for a minimum of one year after the patient leaves active treatment. Aftercare must also include ensuring the client is engaged in self-help sobriety groups, medical care or mental health therapy if needed, and even a vocational program. Relapse rates after therapy can be over 50% within one year, so any type of successful treatment must include comprehensive relapse prevention and aftercare programs.
Does the program start with detoxification?
Some residential or inpatient treatment programs expect people to detox from all drugs before their treatment program. In cases of severe and long-term use or acute overdose, this is not a safe choice and withdrawal must be managed in a hospitalized setting. Some people with consistent and severe mental disease might have an abrupt decline of their psychiatric disorders throughout withdrawal, leading them to be a threat to themselves or other people.
Are there other crucial attributes of the program to think about?
Some inpatient and residential rehab centers just treat one sex or certain age groups of patients. Others are open just to individuals without a considerable criminal history. Some programs have constraints on visitors or may restrict a client’s accessibility to telephone, television, internet, and so on. They slowly provide these things as privileges for achieving particular program milestones. Some programs provide personal bedrooms, while others are dormitory-style or offer only shared rooms. These may be important issues to consider prior to admission.
What is the cost of the program and what are the payment options?
Numerous long-time problem drinkers and addicts have lost their jobs and medical insurance benefits, leaving them with few choices to pay for treatment. Residential and inpatient care costs differ widely, based on the way they are funded. Even patients that still have coverage find their insurance coverage varies greatly, based on the kind and size of rehab. If a person has health insurance coverage, contact the insurance company to discover what they cover.
Talk about your choices for treatment, including inpatient and residential treatment, copays, deductibles and out-of-pocket expenses. Talk with the treatment facilities to see if they have choices for funding the remainder. Many programs offer payment plans.
Patients without insurance coverage might qualify for Medicaid or Medicare funding. Commonly, the rehab center can assist with this application. Call the Substance Abuse and Mental Health Services Administration (SAMHSA). They are a superb source of details concerning numerous rehab programs along with payment and financing options for recovery.
Where to Find Inpatient Substance Abuse Rehabilitation Services.
Virtually every state has information for inpatient and residential drug abuse rehabs. Do an Internet look for your state + “inpatient substance abuse rehabilitation” or your state + “inpatient alcohol treatment” and discover a link to the state’s network of treatment facilities. Find the link ending with.gov instead of one of the sponsored links on top of the search page. Here are various other superb resources to find inpatient drug rehab centers in your area:
NIDA– the National Institute on Drug Abuse, supplies a wide range of info, links and other information to assist families and individuals.
The American Society for Addiction Medicine (ASAM) supports Addiction Medicine Doctors who deal with drug and alcohol addicts throughout recovery. Their website on treatment offers addicts, problem drinkers and their families a variety of sources concerning treatment options, questions to ask and info needed to continue in recovery.
Inpatient treatment for Veteran’s is available with the V.A. Health Services.
Numerous therapy centers accept state Medicaid payments. A list of these programs is located at the Medicaid.gov website. You should likewise check with both your state Medicaid and with the facility prior to entering treatment.