Residential Drug Rehab Treatment Explained
What Is a Residential Drug Rehab Programme?
A residential drug rehab programme is one in which an individual receives treatment while staying in the facility. Residential drug rehab programmes offer 24-hour emotional as well as psychological support.
Residential rehab programmes are the most effective option for individuals with severe addictions. They are also recommended for people who may not have a stable support structure at home or those whose homes have factors that can contribute to their continued addiction.
There are different types of residential drug rehab programmes. Luxury or executive rehab programmes are suited to people who may want to continue their work or those who have obligations they need to meet while staying in a residential drug rehab programme.Residential drug rehab programmes are overall an effective means of treatment as they ensure that there are minimal distractions that can derail the recovery process. They usually involve a disruption of the individual’s day-to-day life.
Why you should choose fully residential rehabilitation over quasi-residential
Fully residential rehabilitation treatment centres offer greater levels of attention and care than quasi-residential treatment centres. Treatment that includes detoxification often requires close monitoring of withdrawal symptoms due to their unpredictable nature. Residential treatment allows for this care and attention to be given due to its through-the-day service.
Fully residential rehabilitation also offers the chance to be away from factors that may contribute to continued addiction. Quasi-residential treatment, on the other hand, may be set back by factors at home that may make recovering from substance dependence more difficult. Additionally, the controlled nature of residential treatment services makes relapse during treatment much less likely.
What Happens in Residential Addiction Rehab
Residential rehab involves a range of activities that are designed to assist individuals in their recovery. If a severe substance dependence has formed, an individual may have to undergo detoxification. It is often associated with unpredictable withdrawal symptoms. The monitoring and attention of medical staff in residential rehab makes this the safest form of tapering an individual off a substance.
Various forms of therapy are involved in residential addiction rehab. These differ depending on the substance to which an individual is addicted, as well as whether it’s a process or substance addiction. The therapies used are designed to equip individuals to understand the roots of their addiction and how they can avoid relapse in the future.
Individual and group therapies tend to be used concurrently in residential drug rehab. While individual therapies help individuals to understand their addiction and how to overcome it at their own pace, group therapies are designed to provide opportunities to interact and share experiences with individuals who are facing similar experiences.
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Detoxification begins with a physical exam that is conducted by a doctor. The examination is meant to help medical staff determine the exact methods they should use to help an individual manage withdrawal symptoms.
For many forms of substance dependence, medication is required to ensure a safe detox. The medications used depend on the type of substance that was abused, as well as how severe the addiction was. Part of the medication examination is meant to make sure that the medication used during detoxification is safe and will not have adverse effects.
Group therapy to address chemical health
Individual chemical health assessments and therapy
Individual chemical health assessments and therapy can be highly helpful to those who are working towards restoring their chemical health. They allow medical staff to evaluate how well an individual is responding to medication if any was given.
Individual chemical health assessments are also important for monitoring withdrawal symptoms and deciding if any changes should be made to the detoxification process.
Therapy during this stage can help individuals cope with the detoxification process and withdrawal symptoms.
Mental health therapy groups
People suffering from addiction as well as mental health disorders can find a sense of community in group therapy. Common mental health disorders that co-occur with addiction are depression and anxiety.
Mental health therapy groups can help individuals with these and other disorders to work through with them with the assistance of other people whose experiences are similar. Mental health therapy groups are a necessary component of treatment due to the fact that isolation can make recovery from substance dependence more difficult.
Individual mental health therapy groups
Individual mental health therapy programs can help individuals and therapists to address mental health in a one-on-one environment in which confidentiality is assured. This can encourage some individuals to be more communicative, which can quicken progress.
Additionally, individual mental health therapy groups can allow therapists to address any mental health issues an individual might be experiencing at a pace that’s comfortable. That’s more difficult to achieve with mental health therapy groups.
Medical appointments are essential for tracking how well an individual is responding to any medications they might be on as well as any changes in their withdrawal symptoms.
Substances like Xanax can have highly unpredictable withdrawal symptoms, which makes it necessary for constant monitoring to be conducted through medical appointments. This often lasts until rehab staff can confirm that an individual has been fully detoxified.
Wellness and fitness activities
Wellness and fitness activities during rehab are designed to help individuals to stay fit during the course of their treatment. The activity can also help them to stay occupied, which can be beneficial to their recovery.Fitness and wellness activities during rehab have been proven to help heighten the overall mood of participants when they are undergoing rehab, which can greatly increase the chances of a successful recovery.
Some of the wellness and fitness activities that may be offered during rehab include sporting activities, recreational activities such as arts and crafts and others that the particular facility may offer. The wellness and fitness activities offered by treatment centres differ from facility to facility.
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Family programme participation
Family programmes can be helpful when the individual’s addiction has taken a toll on the family as a whole. Family programmes are designed to encourage conversation among family members and to allow them to work through the trauma that might have been caused by the addiction together.
Family programmes may also be beneficial in helping individuals undergoing treatment to feel a sense of belonging and togetherness, which can heighten the chances of a successful recovery.
Through family programmes, members of an individual’s family can learn what they can do to minimise the chances of a relapse and to encourage a healthy and addiction-free life.
Nutritional assessment is meant to give individuals a healthy and balanced diet that helps them to not only keep fit but also maintain a mood that is conducive to recovery. A large number of rehab facilities, specifically residential treatment centres, consult or hire dietitians to optimise the meals they offer.
Nutritional assessment is essential for treatments that include detoxification. During this stage, it is crucial that an individual’s diet is adjusted to that particular process in their treatment to make it easier.For individuals who might have lost or gained excessive amounts of weight as a result of their addiction, nutritional assessments can help to structure the best diet for them to return a healthier weight.
Educational and experiential workshops
Educational and experiential workshops are designed to help individuals to understand where their addiction is stemming from. This can help them to identify and disrupt thought patterns that may make it difficult to recover. An understanding of how addictions develop can also help individuals to avoid relapse.
Educational and experiential workshops can also help individuals to understand how their treatment will be structured. This can help them feel more at ease about beginning treatment as they will have some idea of what it will entail.
Continuing care planning
Continuing care can be planned so as to help individuals to return to normal, healthy lives after receiving treatment. It is mostly designed to help individuals apply the lessons learned during their treatment in their day-to-day lives.
Continuing care is effective in preventing relapse. It is also beneficial for preventing the development of other addictions as individuals will be equipped to notice the signs and thought patterns that point to an addiction.
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Therapy Types in Residential Addiction Rehab
Numerous therapy and psychotherapy types are used in residential addiction rehab. Some types are more effective at treating particular addictions. Usually, residential addiction rehab facilities will employ several types of therapy at the same time to provide a more holistic treatment.
The therapy types used depend on where the individual is in their recovery journey. Individual types of therapy tend to dominate the treatment schedule during the early stages. As treatment progresses, group therapies are introduced.
Whereas individual types of therapy are meant to help a person in one-on-one confidential environments with a therapist, group therapies are designed to provide individuals with a sense of community and an opportunity to interact with individuals they can relate to.
Combined, the different types of therapy are broadly structured to help individuals to understand their addiction and its causes, help them through their recovery process and equip them with ways to avoid relapsing or forming an addiction to a different substance. The format is the same with process addictions.
Acceptance commitment therapy
Acceptance commitment therapy is a form of therapy that involves teaching individuals to stop avoiding and denying the emotions they experience and to accept them as being appropriate responses to particular situations. Acceptance commitment therapy is meant to reinforce to individuals that the emotions they feel should not prevent them from progressing in their lives.
With that understanding, individuals can begin to accept the issues and hardships they face as well as commit to making changes in their behaviour. Acceptance commitment therapy also focuses on mindful behaviour, paying attention to personal values and making a commitment to action. These aspects are intended to change the attitudes and emotional states of individuals.
Cognitive behavioural therapy
Cognitive behavioural therapy is designed to help individuals to identify the thought and behaviour patterns that may have led to their addiction. After identifying these, addiction sufferers can be assisted in finding ways to develop healthier thought and behaviour patterns.
Cognitive behavioural therapy usually involves one-on-one conversations with a therapist, during which an individual is encouraged to be communicative about how their addiction formed and their thoughts and feelings as it was forming. This can help to uncover thought and behaviour patterns that can help the individual to make more progress in their recovery.
Contingency management/motivational incentives
Contingency management, also known as motivational incentives, is focused on creating a treatment culture that is centred on affirmation and celebrating the progress individuals make in their recovery.
Rehab staff may use different means of showing individuals that they are making the right steps to recover from their addiction. The way in which this is done tends to depend on the particular individual and what they find pleasant. (3)
Rehab centres where motivational incentive is a key part of treatment usually ask what motivates an individual so as to employ this as a means to help to move forward in their recovery.
Dialectical behaviour therapy
Dialectical behaviour therapy (DBT) is a form of talking treatment. DBT is focused on acceptance and change. The first part is focused on an individual accepting that their substance abuse and addiction is a way they developed to respond to certain situations and emotions.
DBT therapists encourage individuals to change their behaviour as well as to learn more effective and healthier ways of responding to their distress. A method that is commonly used is challenging unhealthy thoughts so as to develop a more balanced way of viewing situations.
Interpersonal therapy focuses on an individual as well as their relationships with other people. It’s based on the understanding that personal relationships may be at the centre of psychological problems.
The goal of interpersonal therapy is to help individuals to communicate better with other people as well as to address problems that contribute to substance dependence.
Medication-assisted therapy can be used for individuals with conditions such as anxiety and depression. It can be highly effective in helping individuals to learn new and healthier ways of responding to distress and negative situations.
For some forms of medication-assisted therapies, the medication can be used in the initial stages of the therapy. For subsequent stages, depending on the individual’s progress, medication might be stopped entirely.
Mindfulness based cognitive therapy
Mindfulness based cognitive therapy (MBCT) is a type of cognitive therapy that incorporates mindfulness practices, including meditation and breathing exercises. Through these methods, MBCT therapists teach individuals how they can break away from negative thought patterns that can contribute to addiction.
MBCT is usually conducted as group therapy. It usually involves the teaching of meditation techniques and basic cognition principles, such as the relationship between thoughts and the feelings someone experiences.
Motivational enhancement therapy
Motivational enhancement therapy (MET) is a counselling and intervention approach that is specifically designed to create internally motivated change. MET tends to be combined with other forms of counselling, such as the 12-step treatment method, to increase its effectiveness.
MET can also help to treat co-occurring mental disorders such as bipolar disorder and post-traumatic stress disorder. Treating the addiction and co-occurring disorders at the same time with MET can help to prevent future relapse.
MET is mostly focused on changing the thoughts and behaviours that are related to substance abuse.
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Motivational interviewing is a method of counselling that helps people resolve feelings and insecurities so as to find the internal motivation required to change their behaviour. It is an empathetic, practical and short-term process that takes into account the difficulty of making life changes.
This type of therapy helps people build up the motivation required to change behaviours that are preventing them from making healthier choices. Motivational interviewing is also helpful for individuals who are angry and hostile. They might not be ready to change, but they may need helping to move through emotional stages necessary for them to find their motivation.
Psychoeducational groups provide individuals with the opportunity to learn more about the thought processes that led to their addictions in group settings. Psychoeducational groups offer a chance for individuals to share the new perspectives they are gathering with others who are learning about their own addictions.
Solution focused brief therapy/solution focused therapy
Solution focused therapy (SFT) concentrates on discovering solutions and exploring hope for the future to find resolutions to an individual’s problems. This type of therapy adopts the approach that an individual is aware of what they need to do to improve their life.
SFT is also based on the belief that, with appropriate questioning and coaching, an individual is capable of finding the best solutions for their problems. (8)
Solution focused therapy can be used as a stand-alone therapy, or it can be used along with other forms of therapy. It is appropriate for all ages and different types of addiction.
Twelve step facilitation
Twelve step facilitation is an engagement strategy that is designed to increase the chances of an addiction sufferer taking part in 12-step programmes to help them overcome their addiction. Twelve step facilitation involves three main ideas: acceptance, surrender and active involvement in 12-step meetings, as well as related activities. (6)
The acceptance stage includes assisting an individual to come to the realisation that addiction is similar to a chronic and progressive disease over which they might not have control. It also involves accepting that their life has become unmanageable because of drugs and that willpower by itself may be insufficient to solve the problem.
The surrender stage involves the individual identifying what they are comfortable perceiving as a higher power, accepting the structure and fellowship of other addicts who are making an active effort to recover and following recovery activities detailed in the 12-step programme.
Active involvement involves an individual taking part in the 12-step programme and using it as a means to sustain their recovery.
Factors That Play a Role in Treatment Recommendation
Various types of treatment exist to help individuals with different types of addiction. Some factors that affect treatment recommendation are mostly to do with the addiction itself, such as the substance that was abused, how much was taken, the frequency with which it was taken and the overall severity of the addiction.
Other factors that play a role in treatment recommendation are more to do the individual. These include the individual’s age and their overall fitness and health, as well as any physical or mental disorders they may have and the extra care required to treat them.
Another factor that plays a crucial role in treatment recommendation is whether or not the individual is addicted to other substances. This tends to make the detoxification process more complicated than addiction to a single substance.
Age plays a part in the recommendation of treatment types and facilities because addictions can affect people differently due to their age. During the detoxification process, medical staff may be unable to administer certain medications due to their incompatibility with certain age groups. (7)
Due to advanced age, some individuals may require extra care and attention, which may lead to them being recommended to enter rehab facilities that are equipped to cater to their needs.
Medical history is an important consideration when rehab recommendations are being made, especially if the addiction requires detoxification. Due to some individuals’ medical histories, some of the medications typically used during detoxification may not be safe.
Medical history is also considered so as to ensure that the rehab facility an individual enters is equipped to help them should any complications arise as a result of their withdrawal symptoms. Some withdrawal symptoms may be intense due to an individual’s medical history.
This knowledge can not only allow for a good recommendation; it can also ensure that a treatment centre is prepared for the possibility of medical complications.
Mental health is one of the most important factors taken into consideration when treatment recommendations are made. Disorders such as depression and anxiety often influence the recommendation that is made as to where a person should get treatment.
If these disorders have a direct link to the addiction, it’s often recommended that the treatment centre an individual enters is fully equipped to provide treatment for both the addiction and the mental disorders. This is because treating the addiction alone or giving the disorders too little attention leaves a high chance of relapse.
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An individual’s previous history with substance abuse is another consideration that is often taken into account. If the substance that was previously abused is the same as the one that the individual intends to enter rehab for, it may be recommended that they enter a facility with intensive treatment programmes so as to minimise relapse.
If the substances that were previously abused are different from the substance for which an individual wants to enter rehab, it may be recommended that they enter a rehab facility that places an emphasis on therapy so as to address the psychological and emotional roots of their addictive personality.
Types of residential drug rehab programmes
There are different types of residential drug rehab programmes that are suited to addictions of varying intensities. Some types of residential drug rehab programs, such as executive luxury, are focused on people with commitments or obligations that they need to meet while they receive treatment.
Other types, such as long-term residential treatment, are designed for individuals who need extensive treatment to overcome their addictions. Short-term residential drug programmes provide brief but intensive treatment.
During the assessment stage, before an individual begins treatment, rehab staff are usually able to recommend the best fit for an individual based on their unique profile.
A residential rehab programme is one in which an individual stays within the facility. Residential rehab programmes are generally known to have a higher success rate that non-residential or outpatient rehab programmes.
Compared to outpatient rehab programmes, residential rehab tends to be significantly more expensive. Residential rehab programmes offer 24-hour emotional and medical support. Because they are intensive and designed to treat severe addictions, they involve disrupting an individual’s daily routine.
A partial hospitalisation is a comprehensive, intensive, short-term clinical treatment program. Partial hospitalisation is a level below inpatient hospitalisation but is more concentrated than outpatient care. Individuals are typically admitted to partial hospitalisation programs when their addictions are severe.
Individuals in partial hospitalisation programs often attend structured programmes through the day. These are usually held three to five days a week, and individuals return home in the evenings after attending these programs.
Many partial hospitalisation programs offer group therapy for individuals to interact with other people who are experiencing similar problems.
How Long Does Residential Drug Rehab Take?
Residential programs vary in length depending on the unique profile of the individual. Factors such as alcoholism, co-occurring disorders and other forms of substance abuse that require further attention can all have an effect on the duration of residential drug rehab.
The duration of residential drug rehab will also depend on the frequency of dosages that were taken as well as the size of each dose. These factors determine the extent to which a person is addicted and, consequently, how long rehab will take.
For individuals with acute addictions, rehab programs can last 12 weeks. Addictions that warrant treatment spanning that length of time are more suited to individuals who took large amounts of a substance with short intervals between successive doses. Treatment for less severe addictions can last 28 days.
The severity of withdrawal symptoms during detoxification can also determine the length of residential drug rehab. As medical professionals have to monitor and adjust treatment according to changes in symptoms, the unpredictability of withdrawal symptoms can lead to a prolonged residential rehab program.
Advantages of a Residential Programme
One of the most significant advantages of a residential programme is that it offers care and attention through the day and night. This is crucial during the detoxification process. Drug withdrawal symptoms tend to be unpredictable during this stage, and the intensity of symptoms differs from person to person, making it difficult for medical staff to recommend a single method all individuals can use to control their symptoms.
Continuous monitoring by rehab staff, however, can ensure that they adjust treatment to match the symptoms an individual is experiencing so as to ensure a safe detoxification.
Another significant advantage of a residential programme is that it removes individuals from environments that may make it difficult for them to recover. Residential programmes are designed to offer environments that make it as easy as possible to allow individuals to overcome their addiction. This can be highly beneficial to those whose homes may not have the support structures necessary to make a full recovery.
Residential programmes are structured to have the elements necessary for individuals to have a high level of well-being. This is crucial for recovery, as mood often influences how motivated individuals are to overcome their addiction.
How Much Does Residential Addiction Treatment Cost?
The most common duration of residential rehab is 28 days. It can cost up to £5,950. Some programmes extend to 12 weeks with a cost of £11,999.
Some individuals have the option of paying for residential rehab through insurance. This is a common and affordable way to meet the cost of rehab, and it is being offered by a growing number of policies.
Individuals can pay for residential rehab through the help of family and friends. This is another common way of sourcing funding, and it can greatly help to lessen the cost of residential rehab to the individual.
Some individuals opt to finance their rehab through their credit cards. This can help to spread out the cost, making it more feasible to afford treatment. A similar method of payment is taking out a home equity loan.
Some individuals have been to find aid through crowdfunding. A government grant through the NHS, which needs to be applied for, can also help individuals to afford rehab.
Some facilities offer rehab scholarships for prospective clients, which can be greatly helpful for meeting the cost. Agreeing on a payment schedule with the rehab financier is another option that make it more feasible to afford rehab.
How to Choose a Drug Residential Rehab Centre
The choice of which drug rehab centre to enter should be based on numerous factors. The first, and often the most important, is the treatment centre’s expertise when it comes to the particular addiction. While a treatment centre may have a high success rate, enquiring if that success rate encompasses the particular addiction an individual is suffering from can help them make a more informed choice.
Cost is also an important consideration to make when choosing a residential rehab centre. This will largely depend on the duration of treatment, the type of residential rehab centre and any medications that may be needed. Health insurance often helps to make residential rehab more affordable.
Some people may prefer to enter rehab close to their homes, while others may prefer to go farther from their home cities or counties. Whichever option an individual opts for should also be the ideal one for their condition. For severe addictions, going farther is often better as it introduces the individual to a new environment without the aspects that may have led to their addiction.
Individuals choosing a residential rehab centre should also consider the availability of ongoing care. Ongoing care can help individuals apply the lessons they learn during rehab as they resume their normal day-to-day lives.
The Role of Counselling in Residential Drugs Addiction Treatment
Counselling in residential drugs addiction treatment helps individuals to work through the emotional and psychological aspects of their addictions. Through counselling, individuals are encouraged to be more communicative about their thoughts and feelings so that they and their counsellor can find ways of helping them recover and move forward.
Counselling tends to make individuals want to speak more about their addictions as they get the sense that they are being listened to and the counsellor is actively seeking to help them. Sharing their thoughts and feelings allows individuals to determine ways of coping with unhealthy thoughts and feelings, with the help of their counsellor.
The insights that addiction sufferers gain through counselling can be highly beneficial in helping them to avoid relapse in the future.
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