Inpatient Alcohol Rehab Treatment
When most people think of “rehab”, they typically have in mind inpatient (or residential) drug addiction treatment, in which an addict stays onsite in a dedicated facility to receive treatment. Of all the many ways in which addiction is treated, inpatient treatment is probably the approach which offers the greatest chance of success in terms of permanent recovery.
Understanding Inpatient Drug Addiction Treatment
Inpatient drug addiction treatment is provided in a residential environment where clients typically stay for between one and three months (though the duration of treatment does vary significantly depending on a number of factors). Residential rehabs are secure, confidential, peaceful, friendly, safe and substance-free environments conducive to healing and thoughtfulness. There, clients can enjoy 24/7 medical support and a host of facilities designed to heal both body and mind, as well as benefit from a peer group of fellow addicts in recovery who can offer much-needed advice, support and companionship.
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What happens in inpatient addiction rehab?
Every person’s experience of addiction is unique – and so too is their journey through treatment and recovery. Different treatment programmes can vary significantly, even within the same clinic. Because addiction treatment, by definition, needs to be personalised to a certain extent to reflect the many different experiences and circumstances which can contribute to the development of addiction.
However, marvellous a clinic and its staff may be, no addiction treatment will be successful if the client remains in the grip of substance abuse and, in particular, any dependence which may have developed. The first phase of the great majority of addiction treatment programmes is detoxification (detox), a period of abstinence during which the system is cleansed of substances of abuse. Only when the affected individual has “got clean” can they move forward into subsequent phases of treatment, including therapy. During detox, withdrawal syndrome is likely to develop if there is physical and psychological dependence.
In order to alleviate the worst symptoms of withdrawal (which in some cases can be life-threatening), doctors may prescribe certain medications. Trustworthy clinics will have reliable, devoted staff on hand 24/7 throughout the process to ensure your safety and comfort.
Group therapy to address chemical health
“Chemical health” describes an awareness of the ramifications for physical and mental health of drug abuse and addiction, and the importance of living a healthy life in a society offering comparatively easy access to substances of abuse. Good chemical health education can be an extremely useful component of addiction treatment as many addicts do not fully understand the impact substance abuse can have upon their health. Gaining this understanding can be a powerful disincentive to further substance abuse.
Group therapy brings together a number of people in treatment into a therapy and group discussion environment. There, they can share advice and experiences, and collaborate in developing ways in which to reinforce positive perspectives (and suppress negative ones) aiming to make it easier to lead “clean” lives after treatment.
Individual chemical health assessments and therapy
Chemical health education does not need to be conducted solely in group settings. One-to-one environments can also be very conducive to learning, with the therapist able to spend an entire session with one particular client targeting deficiencies and flaws in that client’s personal chemical health. As well as actual therapy sessions, chemical health assessments can be carried out on a one-to-one basis. Indeed, a stay in rehab will almost invariably begin with an assessment aimed at establishing the nature and severity of the addiction and the physical and mental health (including any other health conditions, which may be unrelated to the addiction, but which could complicate their treatment). This initial assessment will be used as the basis for the addiction treatment plan, which will direct the client’s subsequent treatment throughout the remainder of their stay in rehab.
Mental health therapy groups
At base, addiction is a mental health disorder. It is also a significant driver and consequence of other such disorders. For example, mental health issues, such as depression, often lead sufferers into self-medicating or using substance abuse as a coping mechanism. Over time, this can result in the development of an addiction. On the other hand, substance abuse and addiction themselves can cause various mental health disorders to arise. This may happen as a result either of the neurological impact of the substance/s in question, of withdrawal from dependence or of the deleterious consequences for life circumstances and general wellbeing.
Group therapy enables clients to discuss their own experiences of mental health issues and their relationships with addiction and to learn from those of their peers – who can often bring valuable new perspectives to bear on very significant problems.
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Individual mental health assessments and therapy
One-on-one mental health therapy sessions will be provided throughout treatment in rehab in a wide range of settings and methodologies.
Addiction and substance abuse can take a very serious toll on an individual’s health, and many people entering rehab suffer significant health problems as aa result of their drug habits. Meanwhile, withdrawal from drug dependence poses its own health risks, some of which can be extremely serious. Because of this, addiction treatment clinics give the very highest priority to the health and safety of their clients and are staffed by highly capable and experienced medical professionals familiar with the myriad health impacts of addiction.
Clients in treatment have frequent and regular health check-ups throughout their stays in rehab to ensure doctors are keeping on top of any health developments which may arise. Medication can play a significant role in addiction treatment. In rehab, most frequently during the detox phase when withdrawal is medically assisted, prescriptions can be given at any stage of the treatment process. Doctors will need to monitor the impact of any medication provided.
Wellness and fitness activities
The ethos of “healthy body, healthy mind” is a very prominent one in the treatment of addiction. While psychotherapy and counselling address the “mind” component, it is also vital to improve our physical health and fitness. Protracted substance abuse and addiction can take a terrible toll on a person’s physical condition.
Bespoke fitness and dietary plans, and access to facilities such as gyms or pools, not only benefit directly in terms of improving fitness and overall health, but can also have significant psychological benefits in the form of the boosts to self-esteem and self-confidence which frequently stem from goal achievement and improved physical appearance.
Family programme participation
The family can be a hugely important element in an addict’s journey through treatment and eventual recovery. Family members can form the most immediate support network. They can also provide a loving environment within which healing can continue to take place once you leave the clinic, as well as being a great inspiration. They will learn how to be your “reasons to keep going” during any harsh times.
However, if you are entirely isolated within a treatment facility, you may not be able to access this support structure nor receive your family’s love and care. As a result, many clinics now offer a family programme in order to give clients the many benefits of their family’s support. Family members themselves can often also benefit from participating in therapy, as they may well have suffered great harm as a result of their loved one’s destructive behaviour.
Just as rehabs place a great emphasis on improving a client’s physical fitness via the provision of exercise plans, access to gyms and training facilities, etc., so too do they emphasise nutritional health. Addiction is notoriously associated with poor nutrition as addicts forego healthy eating for the sake of substance abuse. Indeed, many who enter rehab suffer from a host of diet-related disorders and even malnutrition. While at the clinic, they will benefit from bespoke dietary plans aimed at revitalising them physically through improved nutrition and reintroducing them to the concept of healthy eating. People are typically encouraged to think about food in a healthier way and to place greater emphasis on the role nutrition plays in a balanced life, intending to instill in them a desire to continue to eat well and sensibly once they re-enter the outside world.
Many rehabs take a holistic view of addiction treatment, aiming to heal their clients spiritually as well as in mind and body. While for some addicts spiritual life may not take on any particular prominence, for others it is hugely significant. They may previously have led lives within which spirituality was essential but have come to feel spiritually lost as a result of their substance abuse and addiction.
Some rehabs offer treatment programmes with pronounced spiritual components; some have dedicated space within the facility to spiritual and religious activity; some may include sessions with spiritual leaders within addiction treatment plans. Indeed, some treatment organisations are entirely, or at least primarily, spiritual or religious in nature, with clients of particular faiths seeking out these organisations to ensure treatment is provided in alignment with their creeds.
Educational and experiential workshops
Reintegrating into normal life can prove an intimidating challenge for many addicts, especially those who may have neglected their education or professional experience as a result of addiction. Many rehabs offer educational and experiential workshops intended to foster and improve core life skills and to teach new capabilities which addicts can take with them when they leave the clinic.
Meanwhile, experiential therapy can also be a very beneficial element of an addiction treatment plan. Some clinics provide sessions featuring a great variety of different activities (as various as climbing, sculpting, going to concerts and lectures) which enable clients to recontextualise past experiences and the ways in which they have previously approached life and sought diversion and entertainment.
Continuing care planning
Continuing care (frequently also known as aftercare, or ongoing care) is any care provided by a clinic following the completion of an addiction treatment plan to clients who have left the facility and embarked upon recovery. Most good rehabs offer up to a year’s free aftercare featuring a schedule of appointments, some of which may take place at the clinic and others being carried out over the phone or via email. Aftercare programmes seek to give the recovering addict the most reliable possible foundations for a permanent recovery by reinforcing and supporting the tools and techniques they will have learnt whilst in rehab.
Therapy Types in Inpatient Addiction Rehab
A great range of therapy models and methodologies have been developed or refined for use in addiction treatment. Not every clinic is able to offer every therapy model, of course, and an addict’s choice of a facility may be determined at least in part by the specific combination of methodologies on offer.
Acceptance and commitment therapy (ACT)
ACT is an approach to counselling and clinical behavioural analysis using various mindfulness and acceptance strategies, and techniques for commitment and behavioural change, in order to foster psychological flexibility. Acceptance and commitment therapy recognises that it can be impossible to remove negative – not to mention potentially very damaging – thinking and emotions entirely. Therefore, an acceptance and commitment therapist will work to develop ways in which you can become receptive to destructive feelings and can manage them much more effectively than previously.
Cognitive behavioural therapy (CBT)
Rather than always striving to avoid problematic situations clients should seek to approach them with equanimity and as calmly as possible. Cognitive behavioural therapy is probably the model of all those typically offered in residential treatment with which clients are likely to be most familiar, thanks to its frequent depiction in film and television and other mainstream media. CBT seeks to improve overall mental health, as well as tackling specific problems by identifying, investigating and seeking to remediate a client’s destructive thinking and behaviour.
Contingency management/motivational incentives
Contingency management (CM) – also often known as motivational incentives – is a form of behavioural therapy using positive and negative reinforcement to effect behavioural change. Contingency management therapists will work with clients to put in place a regime of agreed behavioural standards and norms. Complying with these standards and performing specific positive tasks (such as passing a drug test) can win the client rewards while any failure to live up to the agreed commitments regarding behaviour may well result in punishment.
Dialectical behaviour therapy (DBT)
Dialectical behaviour therapy is an evidence-based psychotherapy methodology originally developed for use in the treatment of Borderline Personality Disorder (BPD) and since brought into the treatment of numerous other disorders including addiction. DBT is a modified approach to cognitive behavioural therapy based on biosocial conceptions of mental illness. It combines standard cognitive behavioural therapy techniques with a number of concepts – such as acceptance, distress tolerance, mindfulness and others – derived from some eastern Buddhist meditative practices. At the core of DBT is self-exploration.
Interpersonal therapy (IPT) aims to resolve certain interpersonal challenges which can be very significant for some individuals with inadequate social and interpersonal skills. A failure to achieve and sustain important life relationships can have extremely detrimental consequences for an individual’s happiness and general wellbeing.
IPT an attachment-focused therapy founded on the idea that mood and relationships can have very profound effects upon each other. Interpersonal therapists teach their clients how to communicate more effectively, and work to develop a range of social support structures which can help with any challenges that can occur during recovery – as well as potentially very significantly improving life prospects after treatment.
Medication-assisted therapies (MAT)
Medication-assisted therapy is the use of therapy in conjunction with medication in the treatment of addiction. There is, at present, no pharmaceutical cure for addiction. Thus, addiction treatment continues to be founded on therapy; however, there are a number of roles which medication can nevertheless play in such treatment, and when provided alongside therapy in a coordinated manner, the benefits of both components can be greatly enhanced.
Some specific medications used in the treatment of addiction are known to be only effective when provided alongside therapy. Combining the two strands of treatment holistically can optimise both, and some clinics now promote MAT as being fundamental to their approach to the treatment of addiction.
Mindfulness-based cognitive therapy (MBCT)
Mindfulness is a psychological process of focussing one’s attention on living in the present moment, and the experiences felt in the present; it is derived from the Buddhist principle of sati and is based on meditation techniques employed in Zen, Vipassana and Tibetan traditions. In the past few decades mindfulness has become widely employed throughout the world, seen by many as being an important bridge between body and mind and an invaluable relaxation and coping technique.
Mindfulness-based cognitive therapy (MBCT) uses traditional cognitive behavioural techniques in conjunction with mindfulness and similar meditative and psychological practices. MBCT was originally designed as a relapse-prevention tool for clients suffering from depression, but it is increasingly provided during the treatment of addiction and is considered to be especially effective in reducing the frequency and severity of the cravings which recovering addicts can continue to experience even long after they leave treatment.
Motivational enhancement therapy (MET)
Motivational enhancement therapy is a therapy methodology originally used in Project MATCH, a study in the treatment of alcohol problems funded by the US government and now provided in broader addiction treatment by a growing number of facilities. MET uses the content of motivational interviewing sessions in order to produce normative-based feedback which can help clients achieve goals set in collaboration with the therapist, and can create a healthier and more positive focus for life than those which have typically been found. Unlike some other therapeutic approaches, MET does not aim to shepherd clients into and through recovery; instead, it seeks to foster internal change which can subsequently make a recovery both significantly easier and much more desirable.
Motivational interviewing (MI)
Motivational interviewing is an approach to counselling which seeks to instigate and develop behavioural change through the client’s investigation and resolution of ambivalence. MI is client-centred, non-judgemental and non-adversarial. Its core concepts derive from its founders’ lengthy experience with treating alcoholics. It departs from traditional client-centred therapy in that sense that MI therapists are much more assertive in directing the client, actively attempting to influence them to consider making substantial changes to their thoughts and behaviour.
MI is centrally defined by its philosophy rather than its techniques, and MI therapists can vary quite significantly in terms of style and operating practice.
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Psychoeducational group therapy
Psychoeducational group therapy applies traditional cognitive behavioural therapy (CBT) principles to group discussions. Groups of anywhere between three and fifteen clients come together to share ideas and collectively interpret experiences in order to become more educated and more fully aware about addiction and its impact, and the various coping strategies they can employ. Therapists will lead group members through topics as varied as relapse prevention, skills training, and trigger recognition and avoidance,
Solution-focused brief therapy/solution-focused therapy
Solution-focused brief therapy (SFBT), as the name suggests, looks at solutions to problems rather than focussing upon the problems. It is a goal-directed collaborative approach to psychotherapeutic change, founded upon social constructionist thinking and carried out via the observation of how clients respond to a series of precisely constructed questions. SFBT sessions focus primarily on the present and future, with the past being of relevance only insofar as it can help the therapist get a better understanding of the client’s concerns and thus foster a good degree of empathy between client and therapist.
Many clinics now offer twelve-step facilitation therapy, designed to increase the likelihood that clients will engage with the 12-step model originally developed by the founders of Alcoholics Anonymous (AA). The 12-step model is employed by a broad range of support group organisations including Narcotics Anonymous (NA) and is increasingly commonplace within rehabs themselves as a core aspect of addiction treatment plans. Twelve-step facilitation educates addicts about the methodology and aims to help clients reshape their thinking and behaviours to bring them into alignment with the requirements of the 12-step principles in order to make it easier for clients to engage.
Factors that Play a Role in Treatment Recommendations
Various factors can have an impact on an addict’s eventual choice of rehab and treatment programme.
The age of an addict can affect their choice of treatment in numerous ways. For example, it may not be deemed appropriate for an especially young addict to receive treatment in a clinic where adults with problematic substance use disorders are also being treated. Meanwhile, much older addicts are more likely to suffer from any of a range of age-related conditions which can complicate treatment. Numerous age-specific facilities now operate across the UK.
The relationship between mental health and addiction is complex, and many addicts also suffer from other co-occurring mental health issues (known as dual diagnosis) requiring particular treatment. Some clinics specialise in treating cases of dual diagnosis – indeed, some even go further and specialise in treating addiction alongside particular forms of mental health problem (such as depression or anxiety). It may be advisable for someone suffering from the condition to seek out one of those clinics in order to benefit from such specialist care.
The specific substance a person abuses can also have a say in where they go for treatment. Some clinics specialise in the treatment of specific substance use disorders (for example, alcoholism or opioid addiction) with only clients suffering from those disorders attending those clinics for treatment. Even within clinics, treatment organisers may seek to keep certain types of addict together to make the peer group they comprise more relevant for each individual. Of course, the substance consumed will also have a big impact upon the type of medication – and medication-assisted therapy – provided: an opioid addict may prefer, for example, to attend a clinic which operates a methadone substitution programme ahead of residential treatment.
An individual’s medical history can often have profound implications for their treatment. One obvious thing to bear in mind is the potential health impact of any medication which may be provided as part of addiction treatment. Some health conditions can be dangerously affected by particular medicines, so a person suffering from any such condition would be unable to benefit fully. A person in poor health may also be required to go through treatment more gradually – especially detox, which might have to take place over a much longer period in order to minimise any potentially dangerous shock.
Types of Inpatient Drug Rehab Programmes
Treatment programmes can differ significantly from one clinic to the next, in terms of the length of treatment, the types of therapy provided, and many other factors.
Inpatient residential rehab
Inpatient residential treatment sees clients staying onsite for treatment in a secure, confidential, tranquil, safe and substance-free environment. All treatment is provided in the clinic and clients will also benefit from 24/7 medical access and the presence of a ready-made and supportive peer group of fellow addicts in recovery. Inpatient treatment takes clients away from their daily environments in which substance abuse and addiction have developed, ensuring that they can focus completely upon their healing and recovery.
In cases where 24/7 treatment is not required, some clinics may offer partial hospitalisation. A kind of bridge between inpatient and outpatient treatment programmes, partial hospitalisation sees clients attending the facility for treatment during most of the day and typically for between five and seven days a week, but returning home or to other accommodation overnight. Usually, addicts in partial hospitalisation are typically required to show constant improvement and to agree to and follow certain rules; if they are unable to abide by these rules they may need to return to the clinic on an inpatient basis for further treatment.
How Long Does Inpatient Drug Rehab Take?
While a typical inpatient programme lasts between 30 and 90 days, how long any given addict will need to remain in treatment will be affected by a host of factors including but not limited to the nature, severity and duration of their addiction; the type of treatment they are provided with; and any specialist care they may require. Moreover, it may be that a client may enter treatment with a particular duration of treatment in mind but needs to adjust their expectations because of how they respond to treatment or to the emergence during treatment of any unexpected circumstances.
Advantages of an Inpatient Program
Inpatient treatment provides an addict with a confidential, tranquil, safe, substance-free and friendly environment removed from the temptations of the outside world in which they can concentrate fully upon healing and recovery and receive every component of an addiction treatment plan in one place. Residential rehabs offer 24/7 medical support, and addicts can enjoy the company and support of their peers in treatment.
How Much Does Inpatient Addiction Treatment Cost?
The costs of inpatient addiction treatment can vary very significantly from one clinic to another – and even between different programmes within the same clinic. Factors such as the type of clinic, the standard of care, the length of a client’s stay, any specialist care provided and many more can all impact upon final pricing. Very roughly, treatment costs range from between £4,000 and £15,000 per month; to get more information on pricing, speak with an addiction specialist.
How to Choose a Drug Inpatient Rehab
Which rehab you choose to attend will depend on a great many factors – but if you are unfamiliar with the UK’s addiction treatment landscape, you may not be aware what these factors might be when you begin your research into treatment options. You should always begin by contacting an addiction specialist very familiar with the addiction treatment field in Britain. They must be able to lead you through the many decisions you will need to make and to help ensure you end up in the clinic that will give you the very best chance of a complete recovery.
The Role of Counselling in Inpatient Drug Addiction Treatment and Rehab
Counselling is key to beating addiction – both during treatment and throughout recovery. Building a trusted relationship with your counsellor will make it easier to discuss difficult thoughts and emotions which may obstruct other areas of your treatment. Having an independent, non-judgemental and supportive person to talk to about potentially embarrassing or upsetting issues can create an invaluable recovery journey and can help you see things with new and much greater clarity.
Inpatient Drug Addiction Treatment and Rehab Success Rate
Getting an accurate picture of how effective rehab is in the treatment of drug addiction can be very difficult as many people who go through rehab successfully and maintain abstinence in the long term do not keep in touch with their clinics. Therefore, they have no information about how successful the treatment has been. However, a UK government study in 2012 showed that the best-performing private addiction treatment clinics could show success rates of between 60% and 80% in terms of clients who had completed treatment and were still abstinent five years later.
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