Residential Drug Rehab — An Overview
Getting sober without supervision is not only risky during the initial detoxification, but it’s also likely to cause a relapse later.
Addiction treatment centres offer a monitored setting where persons suffering from addiction receive the care they need to overcome their problem. Residential rehab programmes provide the highest level of care with clinically supervised detox and 24/7 support.
In a residential drug rehab facility, clients live there for various periods, depending on their individual programme. The length of stay is dependent on several variables, including the severity of the addiction and whether the client has ever attended a rehab programme before.
Most residential centres provide family programmes so that the client’s relatives can take part in family therapy and activities. That provides the chance to mend dysfunctional relationships or aspects that can trigger a relapse.
Every residential facility offers its own special accommodation. Some offer shared rooms, basic recreational activities like a swimming pool and cafeteria-style dishes. Others provide private luxury suites, gourmet meals and various amenities like a spa, pool and gymnasium.
All in all, residential drug rehabilitation is often the most effective way to start treatment for substance abuse. The level of care provided offers structure, support, security and constant monitoring. The longer a client gets residential care, the more likely they are to avoid relapse.
Types of Residential Programmes
Residential rehab provides structured routines that include dynamics of holistic and alternative counselling. Residents are typically given seminars and workshops on a variety of aspects of living independently.
Treatment centres offering residential programmes can accommodate several persons in recovery at a time. Some have room for scores of people, whereas others offer a smaller, intimate setting.
It is essential to note that not all residential rehab programmes are the same. Below are some of the types of residential programmes.
Sober living communities
Sober living communities are safe, cost-effective, drug-free living environments for persons in recovery. Before joining a sober living community, a person is required to have finished rehab treatment. The best facilities have compassionate staff and uphold strict regulations that support the process of recovery.
Generally, sober living communities can be advantageous to anybody in recovery who lacks a supportive, drug-free setting to live in. They maintain strict rules, including:
- No use of drugs or alcohol
- Compliance with regular urine tests
- Participation in meetings and support groups
- No intimate relationships between residents
- No violence or offensive language
- Private rehabilitation facilities
People dealing with a substance dependence problem have multiple options when it comes to treatment. One of the best choices is a private rehab programme. Private rehab centres provide quality care and employ personalised treatment methods to offer clients the best chance of recovery.
Private facilities are able to better limit the number of clients they serve. As a result, they are able to offer more individualised care. However, their out-of-pocket costs are higher in comparison to public rehab centres.
Therapeutic boarding schools for teens
A therapeutic boarding school specialises in educating and rehabilitating troubled teens and young adults. In addition to providing classes, those schools usually offer psychological counselling. They are typically deeply involved with the students to help restore their mental and physical health.
Therapeutic boarding schools offer intensive residential programmes to help the students overcome their substance abuse. The teenagers live in a fully drug-free environment, thus avoiding negative influences at home. The teachers at these schools are generally experts in psychology.
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Luxury rehabilitation facilities
A luxury rehab centre is an excellent choice for anyone who wants a high-end rehab programme that offers additional amenities. Many luxury facilities are set in desirable environments, such as the beach, mountains or desert, and provide exclusive treatment comforts.
Moreover, those centres usually have a higher staff to patient ratio, which offers clients access to more individualised and intimate care. Luxury treatment facilities have comfortable amenities that allow clients to attend rehabilitation in a manner similar to all-inclusive holiday resorts.
Although many of these centres look like luxurious homes on the outside, it’s essential to remember that they’ll spend of most of their time focusing on recovery, not lounging by the poolside.
Therapeutic communities (TCs)
A therapeutic community is a common type of long-term residential drug rehab treatment. Therapeutic communities for the treatment of substance abuse disorders originated in 1958. During that time, other therapeutic methods like psychiatry and general medicine had failed in treating addiction.
The first TC for alcoholics and drug users was started in the United States in California by Chuck Dederich, who was among the first members of Alcoholics Anonymous (AA). Dederich wanted to offer a controlled environment in which substance abusers could reconstruct their lives using the AA principles.
In the starting years, almost all staff members in TCs were paraprofessionals recovering from substance use disorders. Over time, there have been more professionally trained specialists joining TCs as members of staff or consultants.
Recovery housing offers persons suffering from addiction a supportive recovery setting. Residents live in a safe place away from alcohol or drugs, which increases their chance of lasting sobriety. Clients are also taught how to be accountable for others.
Many people undergo detox from substances in rehabilitation centres and decide to join recovery housing for the first few months. That is a wise decision because trying to remain clean from powerful drugs those first months can be a challenge.
Recovery housing is available to anybody who wants to overcome their addiction while living with other people who are also in recovery.
Services Provided at Residential Drug Abuse Program
Residential programmes require clients to stay at the treatment centre for the duration of the programme. While there’s no one treatment that suits everybody, residential rehab is among the most effective types of care for substance use disorders.
Most residential drug abuse programmes include:
- Complete assessment and treatment planning
- Around the clock nursing supervision
- Management of medication where necessary
- Medical detox
- Meetings with a psychiatric professional at least once a week
- Addiction education
- Community meeting groups
- Individual therapy
- Family or couples counselling
- Continued review of treatment objectives
- Recreational therapy, e.g., yoga
- Skills-building sessions
- Follow-up care and discharge planning
- Referrals to support groups
The services provided in a residential drug abuse programme can help someone who wants help with alcoholism or drug dependency. However, the programme is designed for those who can benefit from a more intensive method that removes external distractions and temptations.
Ultimately, any person who wants a bigger chance at success and a decreased risk of relapse should consider residential programmes. However, it’s essential to remember that residential rehab requires full-time dedication.
Certain substance abuse cases like those with less severe addictions might be successfully treated under outpatient care. However, long-term instances of substance dependency necessitate residential treatment.
Benefits of Residential Drug Abuse Program
People seeking residential rehab treatment do not usually match the criteria for admission in a hospital but are making a commitment to an extended stay in a centre that offers intensive services.
Those services focus on a population of persons with similar problems and, as such, can give a tight-knit, supportive setting, unlike that which may be provided in an outpatient facility.
Residential treatment programmes offer several unique chances for people to explore psychiatric problems and healthcare consequences linked to substance dependence.
Many people dealing with alcoholism and drug addiction try to quit on their own without success. Others choose to join outpatient treatment facilities and attempt to overcome the disorder while coping with stresses in their lives. Work, spouses, kids and even friends can all bring undue stress on the user, making it hard for them to beat substance abuse.
For those who don’t succeed with outpatient care, residential rehab comes with unique advantages designed to assist them during recovery. The following are some of the benefits of residential drug abuse programmes.
Education on relapse-prevention strategies and life skills
For those who are deep in addiction, their daily living may be dictated by their substance of choice. Any finances and energy the person has goes toward prolonging the negative behaviour, while the basics of caring for oneself or others become a footnote.
Many people dealing with addictions forget or neglect their daily responsibilities in the haze of addiction. Substance abuse destroys the ability for one to function logically every day. Participating in a life skills education in a residential rehab programme gives one the tools and confidence required to become self-sufficient once they leave the programme. Rehab programmes also educate residents on how to overcome relapse once they go back home.
Opportunities to rebuild trust with friends and family
Residential drug abuse treatment is much more than detoxification, therapy and staying sober. It is also about building trust with others. When a person is in active addiction, their social life can quickly change, causing their meaningful relationships to suffer. One might alienate himself or herself from family and worthwhile friends in favour of troublesome company.
Negative relationships and loss of trust are red flags for substance abuse. Being in a position to lean on the treatment providers at a rehab facility can help one rebuild trust with other people. Learning how to speak honestly with others instead of being secretive or lying is an essential skill to learn during treatment.
Care for co-occurring mental health problems
When one has both a substance use disorder and a mental health problem, they have a co-occurring disorder (dual diagnosis). It’s never easy to deal with addiction, and it’s even harder when one is also suffering from mental health issues.
However, with proper support, self-motivation and treatment, a person can overcome dual diagnosis and get their life back on track. Residential rehab centres offer an integrated approach to treat both the addiction issue and mental health disorders simultaneously.
Whether substance use or a mental health problem came first, lasting recovery is dependent on receiving treatment for both issues by the same treatment provider.
Specialised treatments to meet individual needs
Every person who visits a residential treatment centre has different needs. Residential rehab programmes strive to provide personalised programmes designed to match individual requirements.
Some programmes might provide:
- Gender-specific treatment (that is, separate care for males and females)
- Separate housing
- Dual-diagnosis treatment
- Medication-assisted treatment
- Other customised treatments
Residents meet with clinicians, doctors, counsellors and other medical personnel to create a care plan that works for them.
A chance to stay in a comfortable, private place for several consecutive days/weeks
At most residential rehab centres, accommodations are comfortable, private and homelike. Clients live alongside others who are facing similar struggles in residences that feel more like home.
Moreover, detox at a residential rehab facility means that the client receives care from medical professionals. Doing detox alone can be deadly, but under the guidance of professionals, one has a higher chance of recovery. Care providers use medications and alternative techniques that address the discomfort of withdrawal symptoms.
Clients are attended to 24 hours a day, seven days a week in a comfortable setting. In such an environment, they receive the care they need to maintain sobriety.
Respite from problematic triggers, relationships and distractions back home
Residential rehab centres offer clients the opportunity to leave their environment and concentrate on their recovery. The day-to-day grind of life from commuting to paying bills to facing screaming or ill kids can all distract a person from beating addiction.
A residential rehabilitation programme provides the client with a peaceful and secluded setting where they can let go of daily life stresses and concentrate on overcoming substance abuse.
When living at home, it can be hard for someone to withstand the temptation of taking alcohol or drugs. Residential rehab programmes offer people 24/7 support so that when feelings of using occur, they have somebody to turn to for assistance.
Exploring options for drug rehabilitation
The first step toward recovery for most people is acknowledging their personal struggles with addiction. The second step is identifying a treatment plan that can help restore overall health and wellness.
There are numerous treatment options available to choose from. Under the guidance of healthcare professionals in a residential rehab centre, clients can find the treatment method that works best for them. For instance, some people experiencing severe forms of substance dependence join a detoxification programme before advancing into rehab.
Exploring addiction treatment options for drug rehabilitation
People who use addictive substances differ in several ways such as:
- How long they have taken the drugs or alcohol
- The amount they consume
- The extent of risk connected with their use
- Co-current health problems
- Social circumstances
- Individual resilience
When a person enrols in a residential rehab programmes, all those issues are taken into account when creating a treatment plan. It’s essential for clients to pick the treatment that meets their individual needs.
A person may require a mix or series of services and since people change, they might require a different combination of services at varying times.
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Who May Benefit from Residential Drug Abuse Programmes?
Residential rehab is an excellent way to stay away from influences of daily life. They get a chance to stay at a place where they can concentrate solely on becoming sober.
Some individuals opt for residential rehabilitation programmes because they are wholly focused on recovery and sobriety. In a residential rehab centre, clients are entirely removed from outside distractions. Hence it becomes possible for them to maintain long-term sobriety.
Residential rehab is a good option for anybody struggling with substance abuse. It’s particularly advantageous for those who’ve attempted to become sober without success or those with a long history of drug use.
Residential programmes typically last for 28 to 90 days, and clients follow a strict schedule. Residents work on their recovery goals and gain life skills that they’ve been lacking because of addiction problems.
Furthermore, they eat, sleep and take part in clinical and support group sessions throughout the day. As a result of the high level of care, residential treatment programmes are suitable for those who have unsuccessfully tried to beat substance abuse.
One major benefit of residential rehab is the supportive community setting. These types of rehabilitation centres provide a community of residents who support one another through the treatment.
Treatment and Therapies provided at Residential Drug Abuse Programmes
Residential rehab typically starts with medical detoxification. During residential detox, physicians and nurses help patients overcome withdrawal symptoms in a comfortable and safe place. Detoxification is not easy, but substance abuse specialists can offer some medication and services to make the procedure more bearable.
Once detox is finished, clients move on to therapy. Individual counselling sessions are offered once or twice per week. Residents also have to attend group therapy sessions per day. Some of the types of therapy used in residential treatment include:
- Contingency management
- Cognitive behavioural therapy
- Motivational interviewing
- Dialectical behavioural therapy
Some substance abuse disorders can also be managed using medication-assisted treatment. Moreover, many treatment plans involve educational sessions, physical activities and holistic treatments. All those services together help one to learn how to live without using alcohol or drugs.
Success Rates of Residential Drug Abuse Programmes
Rehabilitation does work for people who show 100% commitment. No treatment programme will be successful for consistent abstinence if the client is not totally committed to upholding sobriety.
So, what are the success rates of residential rehab programmes? A 1995 National Treatment Outcome Research Study showed that 47% of persons treated in residential rehab maintained abstinence five years after finishing their programmes. Among those getting community-based treatment services, 35% stayed abstinent for five years. (1)
Another study in 2012 published by the National Treatment Agency for Substance Misuses presented even better results. The researchers looked at the rates of each private clinic in the United Kingdom and discovered that the highest-performing centres attain a success rate of 60% to 80%. However, the survey also indicated that the worst-performing centres were struggling to attain a success rate of 20% (2).
Are residential drug abuse programmes more effective than outpatient programmes?
Drug rehab professionals have over the years affirmed consistently that residential care at a private facility works better than many other treatment options. Furthermore, when coupled with 12-step group therapy, the odds of success are even higher.
That is so because of several reasons:
- Patients receive care in place that’s free of distractions of daily life.
- The treatment offered in residential programmes forces clients to take ownership of their circumstances.
- Private residential centres often employ a bespoke treatment approach instead of a one-size-fits-all model.
- Residential treatment provides a level of group support that’s not attainable through outpatient programmes.
In general, residential drug abuse programmes are better for people who suffer from severe drug or alcohol abuse problems. An outpatient programme might not work well for a person who has a serious addiction problem, because they will be exposed to outside stresses. Such problems might cause the person to experience a relapse.
On the downside, residential treatment is more expensive than outpatient care. Moreover, residential programmes force one to stay away from work, family and other responsibilities. Outpatient programmes allow patients to continue with their daily schedules while still receiving treatment for their addiction.
All in all, drug addiction treatment only works if a person is committed fully to attaining sobriety.
Choosing a Residential Drug Abuse Program
Choosing an effective and supportive residential rehab facility is key to successful recovery from alcoholism or drug addiction. When deciding upon the most suitable centre, it’s crucial to find a setting that can cater to one’s unique personal needs.
In any accredited rehab centre, experienced therapists and counsellors guide someone through the phases of withdrawal and equip them with the necessary life skills.
However, not all residential rehab centres are the same. Before choosing a facility, one should put into consideration the following criteria:
- The location
- Single gender or mixed
- Length of stay
- Quantity and quality of staff
- Treatment for co-occurring health conditions
- Amenities on offer
- The total cost
- Programmes offered
- Family focus
Questions You Should Ask When Choosing a Rehab
Making the decision to get professional help for substance dependence can be a scary moment for some. That’s because they are choosing to invest their time, trust and financial resources in a rehabilitation programme with the hopes of finding a new, healthy lifestyle. The process to recovery requires faith, courage, hard work and proper research.
Choosing a drug rehab centre is one of the most important decisions a person will ever make. Some facilities are better at assisting their clients attain their sobriety objectives than others. Hence it is vital that potential residents carefully assess their choices and choose a high-quality treatment centre.
To help families or individuals make the right choices of rehab centres, here are six essential questions to ask when picking a rehab.
What types of addiction does the programme treat?
Every rehab facility is unique, and what makes a centre an ideal match for treating one person might make them a poor fit for another. It is important to find a rehab centre that suits their specific needs.
Every rehab centre specialises in treating certain addictions. Some of them specialise in many addictions. For the best likelihood of success, it’s essential for prospective clients to pick a centre that has a high success rate in treating their addiction type. That is especially true for substance use disorders that need extensive detoxification procedures.
Success rate is probably the best indicator of a top-notch rehab centre. However, it is essential to know what the facility considers a success. Is it the number of clients who finish the program? The percentage who maintain sobriety for half a year?
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What types of therapy are offered?
There are numerous types of therapy, and certain types will work better for some people. For many people, it’s best to undergo multiple forms of therapy in order to tackle various problems from different angles. As a result, highly rated rehabs will provide comprehensive therapy choices.
Most treatment centres provide group counselling sessions, which are very useful. However, it’s also crucial to receive one-on-one time with a therapist too. That not only allows for personal treatment but also allows many residents to express emotions and thoughts they would not to reveal in front of a group.
Examples of therapy are biofeedback therapy, CBT, dialectical behavioural therapy, faith-based therapy and motivational enhancement therapy.
What kind of aftercare and sober living options do they offer?
Substance abuse treatment often involves high-quality medical care and support. After a treatment programme is over, it is important for a client to have a support system in place to avoid a relapse.
High-quality rehab centres provide various post-treatment options such as phone-based coaching, mobile apps to strengthen recovery, ongoing care groups and additional resources and support.
Recovery does not come to an end when the client leaves a rehab centre. Sobriety is without a doubt a lifelong journey for most persons in recovery. Most people in recovery find it easier to remain sober if they have long-term support.
Highly rated treatment facilities are aware of this and ensure to provide it to patients. The exact options of support vary from facility to another.
What credentials and licensing does the facility have?
Licensed and accredited rehab facilities abide by strict rules and provide the best quality of care. The staff members of a rehab centre are the ones who interact with the clients during treatment. They are the ones who guide residents on the first phase of their sobriety journey.
Most top-rated treatment centres are so successful because they have the best members of staff. One of the best ways for one to determine the quality of an institution is to ask the staff members about their credentials. For instance, are all the nurses registered? How many doctors are on the team, and what are their roles during treatment?
It is true that simply because somebody has the proper accreditations, it doesn’t guarantee their efficiency. However, the accreditation serves as an excellent indicator.
What peer group programmes are offered?
Positive social interactions are critical in upholding abstinence from substance use. In isolation, a client is more susceptible to relapse, might experience more depression and is more likely to quit rehabilitation early. Although there are multiple challenges that come with trying to rebuild a person’s social life during and after rehab, it is well worth the effort.
Personal relationships play a huge role in a person’s overall well-being and how they view their quality of life. Whereas drug dependency reduces life quality, research shows that peer group programmes can help to enhance it by providing several benefits. (3)
What are my payment options?
The price of rehabilitation is a major deterrent for many in need of treatment. However, there are many different options to choose from. The cost of care varies greatly depending on the kind of treatment required. Generally, there are numerous sources of funding available.
Based on the client’s unique situation, insurance, government plans, private financing, selling valuable items and non-profit treatment facilities may all be choices.
However, not every facility accepts insurance or provides reduced payment plans. Therefore, it is important for a person to consider this before signing up for treatment.
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