“No single treatment is appropriate for everyone.” That statement is the second principle of inpatient addiction treatment by National Institute on Drug Abuse. Truly, as the addiction epidemic sweeps over the country, the number of approaches in treating substance abuse disorders grow proportionally to the number of victims. Thus, different cases of addiction are now bombarded by different treatment approaches. While this fact may seem excellent because it will address the different needs of different substance abusers, it usually causes utter confusion when hundreds of choices are laid in front of a substance abuser. This article aims to reduce that confusion by going through the different types of inpatient addiction rehab. Which rehabilitation treatment will suit you well? In-patient? 12-step addiction treatment? Long-term residential rehab? Or maybe none of the inpatient addiction programs at all?
Inpatient vs. Outpatient Addiction Treatment– Not all Addictions are Created Equal
The road to sobriety is a long and bumpy one. Thankfully, both inpatient and outpatient rehab treatments are there to help. Depending on a person’s case, one of these two rehab methods will surely prove to be effective.
- What is the difference between Inpatient and Outpatient Rehab Treatment? The EFFECTIVE vs. the CONVENIENT
Inpatient rehab or residential rehab is when a person lives in a controlled sober facility during his/her rehabilitation days. Such residency lasts from three weeks to six months or even more depending on the case. On the other hand, outpatient rehab does not require a person to check-in 24/7 but only requires a client to undergo treatment a few times a week.
One may easily conclude that outpatient rehab is a better choice because of the convenience. However, outpatient treatment is not a one-size-fits-all magic device. There will be cases where inpatient will do more than what outpatient treatment can achieve depending on factors such as:
The degree of Substance Abuse Disorder
– the degree of substance abuse disorders may vary. Some patients are mere “users” and not “abusers.” Some abusers maybe mildly addict, while others are extremely addicted. Needless to say, the more addicted a person is, the less effective outpatient treatment will be. Saving a person from the worst grip of substance abuse needs both time and attention thus requiring 24/7 monitoring of trained specialists.
Pre-existing conditions/ Co-occurring Disorders
– when a person suffers from both substance abuse disorder, and any other mental health condition such as depression and schizophrenia, various specialists from different fields of mental health will need to coordinate in addressing the combination of the problem. Such combination will also require careful monitoring. Hence, it is very difficult to attain both sobriety and mental wellness if a person with co-occurring disorder will choose outpatient treatment.
In short, inpatient treatment is a more rigorous and closely monitored rehabilitation process necessary for a person in the worst cases of substance abuse, while outpatient treatment is a convenient choice for people who do not need a tremendous amount of treatment, such as those who are new in abusing substances. In addition, outpatient rehab allows a person to retain his daily life outside the facility. Though inpatient rehab limits the former routine of a patient, negative influences from the outside are reduced while effective communication with his/her family remains as a vital and steady part of the treatment method.
There are times that people will choose outpatient rehab because of the fear of losing their jobs. Thankfully, Obamacare listed mental health as a primary health need, thus an employee may usually take a normal sickness leave just like how they may do so with physical diseases. Therefore, if you know that you (or someone you love) is suffering from a great degree of addiction, there is actually no reason not to choose inpatient care.
Inpatient Addiction Treatment Process
Inpatient treatment is not a shortcut to sobriety. It is a process. Given the attention provided by inpatient treatment, it is not surprising that the treatment method will require several careful steps.
Evaluation/Assessment of an Addict
What are the substances abused? How long has the client been using the substance? Are there stress-inducing agents in the client’s daily lives? Those are none, but few of the possible questions asked in assessing the situation of a client. The goal of this step is not to invade the privacy and personal life of a client, but to gain a holistic view of the client’s medical situation thus enabling the specialists to establish a foothold to serve as a starting point and guideline for the entire treatment process.
Because of the fear of inviting law enforcers to their doorsteps, clients sometimes choose not to reveal the entire situation. However, contrary to popular belief, inpatient rehabs make sure that the client’s privacy will never be compromised. In fact, not even their gossipmonger neighbors will know that you vanished for a month or more because of rehab.
Evaluation aims to assess the following factors:
History of substance use and abuse
– this will be very important in figuring out the degree of addiction and the specific substances used and abused. In order to maximize the effectiveness of treatment, a client should disclose what substances he/she abused and how much the substance was abused. This way, a tailor-made approach can be utilized by the specialists housed by the facility. Furthermore, this will unravel potential co-occurring disorders. If the substance has been abused for quite some time, the chances of co-occurring disorders drastically increase. Thus, a patient is usually screened and diagnosed for possible co-occurring disorders.
– there are times that patients have taken substances they never meant to abuse but ended up being addicted to the substance. This is especially true for medical substances like opioids. Thus, it is important to know a client’s medical history to find out what substances should be detoxed from the body and the possible cravings previously ignored. Such cravings can lead to abuse and even total addiction if not addressed properly. In addition, it is also important to know if the patient has existing physical disorders in order to avoid potential exacerbation through side-effects.
Mental Health History
– it is vital to know what mental health disorders have challenged the patient before. Along with substance use history, the mental health history will be an essential tool in tracing possible co-occurring disorders. In addition, this will help build a not-to-do list such as avoiding objects/events that can trigger dormant traumas.
In short, the assessment phase is a non-invasive process which aims to reveal things that will help the entire treatment process and at the same time uncover possible obstacles to recoveries such as mental health challenges and significant life events that could have possibly caused the addiction. Through the combination of the details gathered, misuse of medicine can be avoided.
Patient X went to rehab Y to treat alcohol addiction. Normally, Benzodiazepines will help in such cases. However, the patient revealed that he has a recent history of anxiety. It was also found out that the patient used Benzodiazepines to relieve the anxiety. Since Benzodiazepines are addictive, the treatment will now utilize the following guidelines:
1.)Treat alcoholism without the aid of Benzodiazepines such as Chlordiazepoxide OR treat alcoholism while closely monitoring the use of Benzodiazepines.
2.)Avoid activities/objects that can trigger anxiety attacks.
3.)Treat anxiety without or with minimal reliance on Benzodiazepines.
Take note that even the anxiety was addressed. This is because co-occurring disorders are difficult to treat without addressing both the addiction and the mental health challenge (in this case, anxiety). In case the Benzos are used, the patient will be closely monitored. The Benzodiazepine tolerance of the patient will be observed since it can become a sign of dependence. Beyond the point that the patient becomes more tolerant of Benzos, the patient will experience withdrawal symptoms after he stops taking Benzos.
Imagine, without the assessment step Patient X could have fallen prey to the fangs of Benzodiazepine addiction. It will not be revealed that he suffered from anxiety and had used Benzodiazepines for some time thus the specialists will administer benzos giving the patient tolerance and eventually addiction.
Substance Abuse Detox
For a patient to be called completely sober, the body must be rid of addictive substances. This includes the residual presence of the abused substance in the body. Hence, a patient should undergo a period of detox and withdrawal. The duration of detox will vary depending on the degree of substance abuse and can last from a couple of weeks to a month or more.
Depending on the rehab facility, the detox can be natural or medically assisted.
Natural detox is quite similar to going cold turkey, except that there are therapies and procedures and the patient is under medical supervision. This process relies on the body’s natural capability to rid itself of harmful substances. Depending on the rehab facility, this can be accompanied by natural therapies such as acupuncture, Tai chi, yoga and may even involve taking some off-label alternative medications.
Medically Supervised Detox
Medical detox is a type of detox where the patient is under medical supervision. Typically, medical detox will include the use of medications to treat the addiction and withdrawal symptoms. Such usage requires utmost care and monitoring because patients can develop tolerance against the medications. With tolerance, a patient has the tendency to consume larger doses of the substance once they finished undergoing the rehabilitation program in order to lighten the impact of withdrawal symptoms. The stronger the tolerance grows, the larger the doses the former patient will consume. Eventually, too much consumption can lead to addiction, and the patient has to repeat the entire process of rehabilitation.
The medications to be used will vary depending on the rehab center and what substance was abused. For instance, Methadone, Buprenorphine, Naloxone, and Naltrexone are all used for opiate addiction. Take note that you can’t just buy all these medications over-the-counter and ingest them all. They will interact with each other and can potentially worsen the situation if not used properly. A good example will be the interaction between Methadone and Naltrexone. Methadone activates the opioid receptors of the brain while Naltrexone will inhibit them thus negating the effects of each other. Moreover, most of these medications can be addictive in the long run. YOU NEED PROFESSIONAL GUIDANCE IN CONSUMING ALL THESE MEDICATIONS
This is the “main course” of the rehabilitation. In most cases, this is integrated into the Detox and Withdrawal phase. Addiction treatment involves various therapies and activities that address the physical, mental, emotional and even social needs of a patient. This includes lectures, physical exercises, and even spiritual activities for religion-specific rehabs (more on that later).
Some Activities During Addiction Treatment:
Motivational Interviewing (MI)
A 2015 literature review by Werb et al. concluded that there is not enough evidence to say that compulsory treatment have better outcomes. In fact, some studies displayed potential harms. Motivational interviewing address the unwillingness of a patient, whether the rehab is compulsory or by choice. Though this sounds invasive, MI is non-confrontational. Counselors should keep three things in mind:
1.)They should remain empathetic to the patient at all times. Navigating away from addiction is not as easy as counting from 1 to 3.
2.)Staying empathetic does not necessarily mean that they agree with the patient. That is, the counselor should understand the point-of-view of the patient without forcing their belief to the patient.
Throughout the process, resistance will be a major barricade. With the tightened grip of addiction, a patient will resist change be it by rationalization or because they truly believe that the use of the substance is no longer a luxury for them, but a necessity.
With all the above things in mind, the counselor aims to fill the crevice between the patient’s life goal and current situation. Since addiction is a major part of that very crack, addiction will be addressed. However, the counselor will not force his belief into the client. The process will be filled with collaboration, respect, and empathy. The counselor will have to motivate the patient to strive for sobriety in order to achieve their life goals without the counselor passing any judgment. In addition, the counselor will respect the free will of the patient whether they choose to take the path to sobriety or stay the way they are
Cognitive Behavioral Therapy (CBT)
CBT is psychotherapy applicable not only to addiction but also to other mental health challenges. It aims to shatter the illusion that using substances is a must. Counselors address rationalizations, and whatever behavior reinforces the justification of using the abused substance. There are three steps used by counselors:
Finding the foundations of addiction
– substances are not abused just because sufferers choose to. There are factors that reinforce the substance use. These factors can be positive or negative. Either way, the fact that they are the foundation for substance abuse means that they should be addressed. An example of positive reinforcement is abusing substances because of peer pressure, and a negative instance is escaping depression through substance abuse.
Laying the foundations for Abstinence
– if substance abuse is powered by thoughts that justify the addiction, abstinence can be fueled by rechanneled versions of those thoughts as well. For example, the patient can reinforce sobriety to better fit his family instead of reinforcing substance abuse to be acceptable to his peers. Another example will be when a patient is avoiding the substance because it worsens his negative emotions instead of using it to falsely escape depression. The counselor can introduce new thoughts as long as it will advance the cause.
– once the triggers of the addiction are found out, relapse prevention plans are laid out. Triggers will be avoided while the patient focuses on redirecting distorted thoughts into more positive ones that will yield positive outcomes.
What is Inpatient Treatment suitable For?
Alcoholism and Substance Abuse
Substance abuse and alcoholism share a lot in common. In fact, treatments for alcoholism are applied to substance abuse and vice versa. For instance, the 12 step method is originally meant for alcoholics but was later adapted for substance abuse.
Inpatient rehab can help both alcoholics and substance abusers and even alcoholic substance abusers! Alcohol withdrawal and withdrawal from certain abused substances yield undesirable consequences and can be fatal. Yes, you read it right even alcohol withdrawal can be fatal. Alcohol withdrawal has severe symptoms such as seizures that can be very damaging and deadly. Majority of alcohol withdrawal fatalities are caused by Delirium Tremens which is very common in people suffering who have abused. The mortality rate among patients exhibiting DTs is 5 to 25 percent. Thankfully, such mortalities can be avoided by undergoing inpatient rehab. Under the close observation of experts, withdrawal symptoms can be suppressed thus avoiding damages to the body and even death.
Mental Health Challenges
Inpatient treatments are compatible not only with alcoholism and substance abuse but also mental health issues. In most cases, inpatient treatment house professionals, medications, and equipment that enable them to treat various mental health issues. Some are even equipped with enough knowledge and specialists to address co-occurring disorders.
Types of Inpatient Addiction Treatment
Different rehab facilities offer different types of rehab. Some specialize in specific substances or group of substances while others offer general treatment. All these specializations are achieved in different ways, be it by spiritual approach or sheer medical force. Therefore, it is important to know what kind of inpatient treatment you want to get yourself (or someone you love) into. Not all treatment types will suit an individual, and some can even be offensive to them.
12 Step Method
The 12 step program was originally devised by Alcoholics Anonymous founders Bill Wilson and Dr. Robert Holbrook. It was formally established in 1946, 11 years after Alcoholics anonymous was found. It was first published in the book Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism.
Because of its success, the 12 step program was later adopted by various fellowship groups such as the Narcotics Anonymous.
The 12 step program is somewhat spiritual. It emphasizes surrender to a greater entity, be it supernatural or physical. The 12 step (along with the 12 traditions) views the human structure in three dimensions; physical, mental and spiritual. Thus, a disorder such as alcoholism and addiction will manifest themselves through the three dimensions. For instance, the physical effect of alcoholism is the diseases caused by alcohol abuse; the mental effect is the unmanageability of alcoholism. In all cases, the spiritual manifestation (known as the spiritual malady) is self-centeredness. That is, one has indulged himself with alcohol without thinking about the consequences to other people such as their family and peers.
Core Principle of the 12 Steps
The 12 steps aim to cure the spiritual malady by replacing selfishness with righteousness, sense of morality and unselfish actions. This is known as a spiritual awakening. This spiritual awakening is not religion-specific since those who undergo these programs are free to choose the God they will surrender to. The 12 steps will revolve around the following:
1.)Admitting the powerlessness over addiction, alcoholism or whatever compulsive behavior is plaguing the person.
2.)Surrendering to a higher power that a person can draw strength from.
3.)Looking back to the past and admitting a mistake with the help of a more experienced mentor/member known as a sponsor.
4.)Making amends for the past errors found be it by reconciliation with the person, with God or by correcting the mistake itself.
5.)Turning over a new leaf and clasp a new code of living revolving around morality and unselfishness.
6.)Helping others who suffer from the same problem.
The 12 Steps
1.)We admitted we were powerless over alcohol—that our lives had become unmanageable.
2.)Came to believe that a Power greater than ourselves could restore us to sanity.
3.)Made a decision to turn our will and our lives over to the care of God as we understood Him.
4.)Made a searching and fearless moral inventory of ourselves.
5.)Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.
6.)Were entirely ready to have God remove all these defects of character.
7.)Humbly asked Him to remove our shortcomings.
8.)Made a list of all persons we had harmed, and became willing to make amends to them all.
9.)Made direct amends to such people wherever possible, except when to do so would injure them or others.
10.)Continued to take personal inventory, and when we were wrong, promptly admitted it.
11.)Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
12.)Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.
12 Steps Variants
Several variations of the 12 steps popped up from various sources. Some simply rephrase the words of the 12 step, others adapt it to be more culture or religion specific. In the latter case, the term God is no longer used for a universal greater being that will suit whatever religion the attendees practice.
Non-12 Step Programs
Holistic treatment is a broad spectrum. A facility is free to label their service as Holistic Treatment without offering anything holistic at all. Though this can sound a little shady, there are those that truly offer holistic treatment.
A plethora of Holistic Treatment exists. Though thousands in terms of variety, holistic treatments have only one goal; to treat the person as a whole. Thus, treatment aims not only to treat addiction but also the underlying condition that triggered it, be it physical, mental, emotional or social.
Holistic Treatment methods are usually accompanied by natural therapies such as natural medications, yoga, acupuncture, acupressure and various energy manipulations. Most of these therapies are considered to be close to nature thus dealing no damage to those who practice them.
Due to the broad range of holistic treatment, very few research studies are available. Thus, most of the Holistic Treatments are either not backed by solid scientific evidence or are backed by inconclusive studies. However, inconclusive is not synonymous with ineffective. Holistic treatments tend to be more interesting than other treatment methods because they are filled with engaging activities such as yoga. In addition, the nature-oriented approach of Holistic Treatments helps patients become more recessive of the treatment and the medications. Because of this, some facilities that offer Holistic Treatments complement it with research proven medications and therapies.
Religious Addiction Treatment
Religious treatments are religion-specific therapies that can be 12 step or non-12 step (most are non-12 step). Just like Holistic Treatment, Religious Treatment methods have a great variety. Some offer various medications alongside religious activities while others totally reject the presence of doctors as they believe that the power of faith alone can treat addiction. Some religious treatment facilities even house religious leaders and doctors alike.
Different addictions view addiction from different angles. For instance, some Born-again Christians may view addiction as tainting the temple of the Holy Spirit since the body is the temple of the Holy Spirit or a Muslim may view drugs as an impure substance that they avoid contact with. Therefore, different religions offer different type of treatments.
Religious Addiction Treatment Effectiveness
Religious treatment methods are useful to those who are spiritually engaged such as those people who are very active when it comes to going to church. In fact, they are more resilient to relapse because they view life differently from an agnostic person. For instance, they are more optimistic, less stressed and less anxious. Take note, however, that for the worst cases of addiction, the attention of a doctor is required because alcohol and certain drug withdrawals can be fatal.
Difference Between 12 Step Methods and Religious Treatment
The main difference between the two is the fact that 12 step fellowships accept all religions while Religious Treatment follows specific religions. If you need the company of those who will understand your specific spiritual needs and share your insights and spiritual troubles to those who have the same religious views as you, your best bet is undergoing religious treatment.
How the Intake Admissions Process Works
Step 1: Initial Phone Call
The path to sobriety is only a phone call away. You can either contact them directly or seek the help of a referral company in order to find the nearest and most compatible rehab center.
Step 2: Financial Agreement
Let’s face it. Paying for rehab is one of the toughest challenges to face, even if the client is more than willing to undergo rehab. Thankfully, there are a plethora of ways you can pay, be it by insurance, state sponsorship, or in some cases, sliding scale fees.
Step 3: Intake Interview and Assessments
This is the evaluation/assessment phase of the treatment process mentioned earlier. A little recap: a client will be interviewed in order to find out about medical history, mental health history and personal background in order to be able to design the treatment method and find out if the patient has co-occurring disorders.
Step 4: Treatment Plan Design
As specific details are revealed, a tailor-made treatment design will be made for the patient. The design will include medications to take and avoid, activities and counselling sessions to attend and various treatment options offered by different rehab facilities.
Step 5: Entrance into the Addiction Treatment Program
Inpatient treatment cost and payment – The Great Wall of Sobriety
Paying for rehabilitation is one of the tallest walls that block addiction sufferers from reaching sobriety. Scaling this wall can be as easy as jumping over a half meter high coral fence but can be as difficult as jumping over the Great Wall of China. This is because the cost varies from rehab to rehab and can range from free to tens of thousands of dollars. Inpatient rehabs that offer 30 days program can cost from a few thousand dollars to $20,000.
Thankfully, there is a variety of ways to pay for inpatient rehab:
Free Inpatient Rehab
Some state-sponsored rehabs offer free inpatient treatment. Others were established for philanthropic cause thus they offer cheap or even free services. This does not guarantee that the value you will get is subpar, but it does not guarantee the excellence either. If ever you find a rehab facility that offers free or cheap services, it is important to know if they are accredited by proper authorities.
Inpatient Treatment Covered by Insurance
Yes, you read it right. Most rehab centers accept insurance, especially if these centers are accredited. Some, however, do not accept insurance from out-of-network providers. For exact details, you can call your insurance provider.
ACA and MHPAEA
A few decades ago, mental health is not as valued as it is today. The laws were not fanged enough to draw the line between decent and poor mental health service. Thus, insurance coverage for mental health back then was quite weak. Some providers offered mental health benefits but these benefits were locked behind limitations more restrictive than the benefits that involve physical health alone.
ACA, or Affordable Care Act addressed that very problem by obliging insurance providers who offer mental health coverage to make the limitations not as restrictive as the physical health coverage. However, ACA does not require the coverage of mental health. In addition, ACA obliges employers with more than 50 employees to provide insurance plans to their employees.
MHPAEA, or Mental Health Parity and Equity Act patches the weak spot of ACA by making sure that insurance plans cover mental health. Moreover, MHPAEA obliges insurance providers to comply with ACA and to consider addiction rehab as a part of mental health service. Thus, it is almost a guarantee that insurance providers cover drug rehab.
Take note, however, that insurance is no instant noodle you can utilize once you get your hands on them. There are various factors that can cause confusion and delay such as out-of-pocket maximums and copayments. For you to be sure that you can take full advantage of your insurance, call your insurance provider and inquire about the specific details of your insurance.
Sliding Scale Fees
Some rehab centers settle for sliding scale fee agreement. Sliding scale fees adjust proportionally to a person’s economic status. Thus, people who are financially challenged will find it cheaper. Price will be based on a patient’s assets and income.
Sometimes, it is possible to find philanthropic organizations or state programs that will sponsor a patient for rehab. However, such grants usually require huge amounts of requirement and paperwork. Whether they offer full scholarship or partial payment, such sponsorships are always worth a shot.
Medicaid is a federal insurance program run by the state and aims to help cover the medical necessities of the financially challenged. Though Medicaid coverage varies by state, Medicaid is guaranteed to cover mental health needs including addiction rehab.
Eligibility for Medicaid
The main purpose of Medicaid is to help the poor, but being one of the poor alone may not be the sole requirement to be eligible for Medicaid. A person should usually fall under an income or net worth threshold. In addition, state law usually makes sure that Medicaid is provided only to specific groups of people such as the elderly, pregnant women and many others. For more details, you can visit your local Medicaid office.
Medicare is another government insurance program that works a lot like Medicaid. However, Medicare is more oriented towards the wellness of the elder citizens. Thus, an elderly person seeking rehab can utilize the aid of their Medicare benefits.
What to Look for in a Treatment Program
The term “best inpatient treatment” is quite ambiguous. The best inpatient treatment for an individual may be the worst for the case of others. Thus, it is important to know what you need and where you will get it.
The variety of methods and philosophies of inpatient rehabs vary widely and wildly. Hence, there will be one that will surely cater to a patient’s personal needs. A client should look for an inpatient rehab center they think will be best for them. For instance, a highly spiritual individual who seeks rehab for atonement’s sake will likely find Religious Inpatient Treatment as ideal for them, or a person who loves alternative medicine or physically oriented lifestyle may find Holistic Inpatient Treatment enjoyable thus leading to lower chance of relapse.
You do not have to look for the cheapest rehab. What you need is to get the most value out of your time and money. In addition, you should not directly weight the cost of rehab. You have to find out if it covered by your health benefits. A 30-day rehab that costs $1000 could potentially be way more expensive than a $2000 treatment that will accept your insurance. Addiction rehab is a costly endeavor, and you have to get the most out of it.
The more accessible a rehab center is, the better. Patients will reside in the rehab center so distance will not matter for them. However, it will be easier for family members and peers to visit if the rehab center is not too far.
Dual Diagnosis Capability
What is Dual Diagnosis?
Dual Diagnosis, or co-occurring disorder, is when a person with substance abuse is diagnosed to have another existing mental health problem. In such cases, treatment is more challenging than ordinary substance abuse because both the substance abuse and mental health problem have to be treated at the same time using integrated treatment.
Integrated treatment is a treatment method that addresses both addiction and the co-occurring disorder at the same time. This is different from parallel treatment which does the same except that parallel treatment does not consider the interaction between substance abuse and the mental health problem and consequently the medications used to treat them.
Why is it Important to Consider Integrated Treatment capability when looking for a Rehab Center?
Because substance abuse, especially long-term ones, can lead to co-occurring disorders during withdrawal. While these withdrawal consequences can be avoided under professional care, nothing is bad in terms of being prepared. Moreover, it is highly likely that a substance abuser has a veiled co-occurring disorder because addiction can either be the cause or effect of such disorders. In fact, a 2014 SAMHSA survey suggests that 50.5% of adults who suffered from substance abuse also suffered from co-occurring disorders.
Rehab Center Accreditations
Anecdotal proof of the quality of an inpatient treatment facility is never enough for them to say that their service surpasses the high bars of addiction treatment. There is a variety of accreditations out there and looking out for one of them during your search for the best rehab facility is your best bet in finding quality service. Below is a list of the main accreditation organizations:
Founded in 1966 with the assistance of former U.S. Social and Rehabilitation Services Commissioner Mary E. Switzer, CARF International or Commission on Accreditation of Rehab Facilities, is a non-profit organization that accredits medical and human services. One of these services is opioid treatment.
National Committee for Quality Assurance
NCQA was founded in 1990 through the support of the philanthropist group Robert Wood Johnson Foundation. NCQA is a private non-profit organization that aims to improve health service by providing accreditations only to those who are worthy. For a facility to be able to use NCQA accreditation as marketing material, they have to undergo a rigorous approval process. In addition, accredited facilities are required to report their performance annually. Hence, NCQA accreditation is a good sign that the facility is reliable.
Formerly known as Joint Commission on Accreditation of Healthcare Organization or JCAHO, the joint commission is another non-profit organization that aims to improve health care by promoting quality health service through accreditation. The Joint Commission operates by subjecting a healthcare organization to a three-year accreditation cycle. Laboratories are surveyed every two years in an unannounced manner thus increasing the chances of catching facilities offering subpar treatment off-guard.
How to Avoid Relapse
Those who climb the wall of sobriety sometimes find themselves sliding down. Such events are not only a waste of time and resources as it also tightens the grip of addiction. Hence, learning how to avoid relapse is of utmost importance.
Some rehab facilities offer aftercare programs where they keep in touch with a former patient. If ever the patient finds himself on the brink of relapse, he can undergo counseling sessions and therapies that are part of the aftercare program.
Sober Living Home
Family and peer culture is a major driving force that can motivate someone to be sober. Sadly, it can also be the driving force to motivate a person to lose sobriety. If a person lives in a home where people drink like it’s the end of the world, the chances are high that they will adopt the same behavior. Likewise, if he lives in a home that abhors the existence of alcohol, it is highly likely that he will adopt the culture to fit in.
Peers and Support Groups
As the popular proverb goes, “Tell me who your friends are and I will tell you who you are.” Just like family culture, peer culture is a motivating force to both addiction and sobriety. Hoping to fit in a peer group, a person has the tendency to adopt the culture of their peers such as smoking weeds, drinking alcohol or maybe attending Bible studies! In any case, it is wise to steer clear of people with bad habits, especially those who drove a former substance abuser to their addiction dilemma.
If ever you or someone you love need to scale the wall fringing precious sobriety, we are here to help. Finding the right rehab is always a daunting task, especially if you do it alone. If you want to find out more about the operations of rehabs and how to get the best out of them, you can browse our website content to find out more.