5 Levels Of Addiction Treatment For Continuum of Care

There is no fixed treatment plan that can be applied to every recovering addict. Each patient is different, with a unique history of substance abuse, severity, and personal traumatic experiences. As such, rehabs use a continuum of care in which the patients are afforded a level of care that is appropriate for their condition. The levels must align with their needs for effective treatment and recovery. Additionally, they can just move through the levels as they get better. Their treatment adapts to their progress.

WAccording to the American Society of Addiction Medicine (ASAM), there are five levels of the continuum of care for substance abuse patients. Each level indicates the intensity of the patient’s condition as well as the intensity of care that corresponds to their situation. The levels are as follows:

·         Level 0.5: Early intervention and detection

·         Level I: Outpatient

·         Level II: Intensive outpatient program or partial hospitalization program

·         Level III: Residential or inpatient programs

·         Level IV: Intensive inpatient programs with medical management

5 Levels Of Care For Addiction Treatment

Level 0.5: Early Intervention

This level is exclusively for people who have high risks of developing substance abuse disorders. This level of care aims to preemptively intervene before the addiction potentially worsens. This is applicable for patients who are predisposed to drug abuse. Part of the program is close monitoring in case the patient’s addiction develops even further.

Level I: Outpatient Treatment

Patients at level 1 are not required to be admitted or to reside in the rehab premises. They are free to live in their residential areas for as long as they are able to attend regular meetings and therapy sessions. These sessions include one-on-one consultations with therapists and counselors. Additionally, patients get access to group therapy. In this way, they can receive continuous treatment while living a relatively normal life.

Outpatient treatment is more affordable compared to residential or inpatient treatment simply because there is no need to cover the residential costs and 24/7 medical care. In this level, the services provided are as follows:

·         Evaluation of the patient’s condition to identify the addiction level

·         Treatment of the patient

·         Follow-up treatment to monitor the patient’s progress

·         Help the patient implement behavioral  changes they have learned from therapy

·         Help improve the patient’s mental health, functioning, and stability

Level I treatment can be a transitional point for patients who came from higher levels of care. It is also beneficial for patients who are not yet ready to conclude their treatment journey.

Level II: Intensive Outpatient Programs or Partial Hospitalization Programs

Level II programs, which include IOP and PHP, are designed to provide the following:

·         Consultation services

·         24/7 crisis hotline

·         Psychopharmacological care

·         Psychiatric care

·         Medical assistance and management

·         Support training and services such as vocational training, child care, and transportation

While the two types of treatment are categorized at the same level, there are some differences that truly matter when searching for the right treatment plan that the patient needs. IOP provides education and counseling to help the patient gain a better understanding of their mental health issues and substance abuse disorders. The patients receive referrals to the respective psychiatric and medical departments that will care for them. Take note that unstable psychological conditions and severe medical problems cannot be remedied by IOP.

For severe cases that require close medical monitoring, PHP is highly recommended. PHP provides direct access to medical professionals as well as laboratory services. The program provides a multidimensional approach for patients with co-occurring disorders with a focus on hospitalization.

Level III: Inpatient Programs or Residential Treatment

Level III provides a stable, safe, and comfortable environment that is conducive for recovery. The patients will be admitted to the rehab center wherein they are to be isolated from the rest of the world so that they will be far from temptations. In the center, they can focus on recovery by attending group meetings, individual therapy, and even holistic treatment programs.

Level 3.1: Low-intensity, clinically managed residential treatment

This level provides 24/7 care and support. This level focuses on teaching the patients the different recovery skills they need to attain sobriety. They will also be taught how to form their own relapse prevention plans while training them to have a more stable emotional status.

Level 3.3: Medium-intensity, clinically managed residential treatment

This is also known as extended or long-term care. This level focuses on slower and repetitive steps that are essential for targeting mental illnesses linked to substance abuse. This level provides ongoing case management, vocational training, self-help meetings, and transportation services.

Level IV: Medically-Managed Intensive Inpatient Program

Level IV is referred to as the most intense and comprehensive treatment plan reserved for the most severe cases. The patients are medically detained in the facility where there is professional staff on-call, 24/7. The staff is also trained with acute care skills and resources to deal with co-occurring disorders. This level of care is designed to help patients transition to lower levels of care as they recover.

Consult us at R&R Recovery today to learn more about the different levels of care as well as what will best suit your or your recovering loved one. Take your first steps towards recovery with us today.

Why Is Drug Rehab So Expensive? The True Cost Of Rehab.

Drug Rehab

It is no secret that drug rehab is a costly affair. Inpatient rehab for drug and alcohol use disorder may cost $5,000 to $50,000 per month. The costs vary from center to center. You may also find programs that are free especially if they are national programs.

Why Is Drug Rehab Expensive?

There are numerous factors to this. The factors that affect the price of rehab include:

Accommodations

Inpatient rehab is significantly more expensive than outpatient rehab. The patient will stay in the premises which means that they are paying for the roof over their head. This is beneficial for severe cases since this means they will be surrounded by medical staff 24/7. As such, the price racks up even further.

The patient has the option to purchase individual rooms or become roommates with fellow patients. Shared accommodations are cheaper. There’s also an option between shared baths and private bathrooms, in which the latter is more expensive.

Lastly, the location of the rehab center also directly affects the price of accommodations. Rehab centers in coastal Malibu or La Jolla will cost more compared to the rest. These luxurious centers are filled with extra amenities that will rack up the price even further. Others may have tennis courts, an exclusive hiking trail, and more. You need to consider if these features are actually imperative to healing.

Treatment Options

Each rehab center varies in terms of the treatment options available. Rehabs with more individual sessions are usually more expensive compared to centers that focus on group therapy and holistic treatment. It still depends on the recommended individualized treatment plan that the patient needs. There is no fixed estimated cost for the whole package since each patient story varies in terms of severity.

Professional Staff

This is related to the treatment plan that is recommended to the patient. Rehab centers are typically manned by counselors, clinicians, and other healthcare workers with years’ worth of experience under their belts. They are qualified to serve in such an environment simply because they put in the time and energy to reach the level of expertise they currently possess. As such, these capable hands are more costly compared to healthcare workers who are new to the field.

Resident Assistant Staff

The resident assistant staff can be viewed as the heart of every rehab center. They take charge of running the place and overseeing every single activity. They command medication disbursement, resident monitoring, and household tasks. They spearhead the operations that promote the clients’ healing and reintegration into society.

There are also rehab centers that invest in ongoing resident assistant staff training to ensure that their quality of service does not decline over time. The staff is also legally mandated to know how to administer CPR and first aid response in case of emergency. All of these are necessary to ensure a safe and comfortable environment for the clients.

Food

A healthy diet is essential for a successful recovery. A healthy body translates to a healthy mind with balanced hormones and better control over intrusive thoughts, thereby lessening the risks of a relapse. Rehab centers prioritize preparing fresh, whole foods that are not processed. Most rehab centers emphasize farm-to-table foods.

The client can specify their diet so that the center can adjust to their preferences. Whether you are a vegetarian, vegan, pescatarian, kosher, lactose intolerance, or more, your preferences will be upheld. This may increase the fees in rehab but it is an important area that shouldn’t be compromised, especially if it helps the patient stay sober.

Transportation And Other Activities

Some rehab centers provide outdoor activities that will require the patients to be transported to and from the center. These shuttles may travel to the airport, the gym, or even medical appointments. This is a good service since it eliminates any inconvenience the patient may face while trying to organize their transportation.

At RnR Recovery, the patients are guaranteed to get their money’s worth. Our accredited facility is equipped with essential features and perfectly capable staff who can help our patients achieve recovery. Contact us today for more information.

How to Make the Most Out of Group Therapy

The road to recovery is long and arduous – one that is filled with doubts and temptations that will probably discourage you from moving forward. This journey is a lifelong commitment that necessitates constant rigor and conscious efforts to maintain sobriety. In this process, uncertainties and even relapses are almost an inevitability because, at some point, it will get so hard that you would want to give up. However, all of these things are part of the process to make you better and get out of the woods that have surrounded you. The light at the end of the tunnel is a bright one and it promises better opportunities and an optimistic future that you otherwise will not find.

Part of the process of recovery is admission. Addiction is a disease and it is through accepting the help you need will your prospects get eventually better. Part of this help is going through proper channels and gaining access to therapy to facilitate your recovery.

Therapy and Recovery

Seeking professional help is vital to help manage your recovery. While recovery is not a one-size-fits-all where a singular solution can be given to help your problems, therapy is usually one that is recommended to almost all cases of addiction, irrespective of the severity of the case. Different treatment modalities are recommended for different patients depending on where they are on their path to recovery, but therapy is generally integrated into almost all treatment options. Therapy is when licensed professional talks with you to help you navigate your struggles and problems. A lot of questions are answered and things are made clear with the help of these trained individuals.

Making the most out of group therapy

At this point in your recovery where you have acknowledged that you need help, having a support system will greatly increase your chances of recovering. For this reason, group therapy is usually recommended because having a group of people going through the same journey as you may help you. Furthermore, since the group is undergoing similar struggles, the bond and relationship you can form may prove to be invaluable to help you get better.

1. Be yourself. The first thing you should remember to make the most of your therapy is to be your authentic self. The goal of therapy is to make sure that you get the care that YOU deserve. Putting on a façade to protect yourself will be detrimental to the process and will be a disservice to your recovery. You should be raw and not hide within a “perfect” image you constructed so that others will not judge you. The thing you should remember in group therapy is that, except for the professionals, all of you have messed up. You are facing similar struggles and are seeking answers to similar questions. Being someone else in front of others – something addicts tend to be an expert in – will do you no favors. You should think that therapy is a judgment-free zone and thus, you should be yourself and present the most genuine version of yourself.

2. Be honest. The thing with addiction is that it tends to make people into great liars. To find that next high, people tend to make excuses and stories out of thin air with such expertise you would think they’re being truthful. In a group therapy scenario, this will do nothing to help you. Similar to the abovementioned, you should talk about things as they are. Yes, what you are going through is messed up and sad. It may even be a horrid experience that you wish you could forget. However, your honest accounts of your experiences may help others in their journey. Hopefully, that will inspire you to be better as well. People relating to your stories and connecting with you on such a profound level may potentially help you with your recovery.

We all know the old saying which goes “honesty is the best policy”. Truth be told, in a group therapy session, it is such an important thing you must do. Therapy is built on trust, and if people cannot trust a word you say, it will stifle all the progress that you may have made with them.

3. Give and receive feedback. You are in group therapy not just so you can be a listening ear for others. You are on the receiving end of particularly heavy baggage that someone else has been carrying on their backs. They need help, and that is one of the reasons why you are there. You can help them by giving feedback on their experiences and reflecting on whether or not you went through the same. Furthermore, you can share certain ways you coped with similar problems that other people are going through, as well. Therapy is a two-way street. You are not a wall that simply exists as a sounding board for other people to vent to. You are there to give inputs that would hopefully be helpful for others.

Another reason why you should give feedback is that it gives you a feeling of pride to have helped others. It is such a gratifying feeling to be someone who has made an impact on other people’s lives in such a massive way. Your words can be something that touches them for their entire lives, so you forge a deep connection with such people. Who knows? Your words may have completely changed their future and you might not know it.

Group therapy is unique in the sense that it gives you the capacity to help shape and influence other people’s lives. That feeling of connection, the deep bond you cultivate with others, all of those are such important factors that can help you recover. The words “you are not alone, we are here for you” may be annoying if you constantly hear it from professionals who are not going through the things you are struggling with, but seeing others who are the same as you be successful can be very inspiring. We hope that that inspiration can help you turn your life around and become the best version of yourself that you can be.

Start your journey to recovery now.

Group Therapy Guidelines Before, During, And After The Session

There are a lot of questions surrounding the topic of group therapy. What happens during therapy sessions? How effective can group therapy be? How do I go about group therapy? And so much more. These questions and uncertainties are mostly because therapy and mental health, in general, is such a taboo topic. Because of this, anything related to a person’s mental wellbeing is mostly hidden behind a veil of uncertainty and is kept hush.

This article will be divided into three broad categories that aim to help answer some of these questions: what to do before group therapy, how to conduct yourself during group therapy, and how to process the group therapy sessions that you have just undergone. Our goal is that after reading this article, you would have a general idea of the guidelines of group therapy and how it works.

Preparing for Group Therapy

Before going to therapy, there are some things that you ought to do before starting. You should not just dive in blindly without prior preparations because you may end up clueless and lost. This will be unproductive because instead of spending your time fruitfully, you would have more to spend more time adjusting to the way things work.

1. Set a goal for yourself. The first step you should do when preparing for your therapy is to know your goals. Why are you doing therapy? Think about it deeply and keep it in mind. Therapy can be draining for anyone, so you should constantly remind yourself of this goal to keep you going.

2. Write questions you might want to ask. Preparing a set of questions that you want to ask ahead of time will not hurt. It will help you think of conversation topics ahead of time so that your therapy will run smoother. However, it is not your job to initiate all conversations so if things get awkward later in therapy, do not fret. All these are normal situations, however, having a “cheat sheet” of things that might come up or things you are interested to ask will probably be helpful for all involved.

When having your group therapy

Now that you have done the preparations that you need for therapy, you finally step in to meet other people. They are your peers who are undergoing similar struggles as you are, so make sure to relax and take a deep breath. Once the ball gets rolling, hopefully, you and your peers get to have meaningful conversations and a fruitful therapy session. Here are some ways you can do that:

1. Set an expectation and say it upfront. When in therapy, it would be a good idea to be transparent about your goals and intentions. This will be a good way to break the ice as well because it is likely that everyone has similar expectations and intentions, but are shy to be the first to talk. Therefore, you should be honest in terms of your expectations and say it out loud: “I expect and hope that with this therapy, I will…” then you fill it in. Hopefully, this would lead others into doing the same which would then ignite possible conversations and shed light on possible similarities between you and others.

2.  Be honest but kind. A lot of addicts are compulsive liars. This is not surprising news because addicts tend to do anything to get high again. Therefore, addicts eventually end up getting good at lying and covering up what they want to say. This might be helpful for them previously, but it would be counterproductive in the setting of group therapy. In fact, lying and being evasive is the exact opposite of what you should be doing in therapy.

Being honest and vulnerable is one of the only ways you get to express what you are feeling. We agree that it can be terrifying to be vulnerable and open yourself up to other people’s judgments, but this cathartic release in a safe and judgment-free space can be very gratifying. It can remove a heavy burden on your shoulders as you share with others what you are feeling. However, you should do all of these kindly and with deep sympathy. You should never be condescending in front of others who mustered the courage to be vulnerable just to be met with your prickly words. Kindness goes a long way, especially in an environment like group therapy.

3. Be a part of the team. Engaging with other people and taking part in their conversations will play a vital role in the success of group therapy. You should lend a listening ear and give feedback to other people when appropriate. Sarcasm and angst should not have a place in group therapy because all of you have the same goal of getting yourselves back up on your feet. When other people ask you questions, answer them with courtesy and kindness. If there are activities in group therapy, do try to participate as well. Basically, be a good sport about group therapy and do not spoil it for others. 

What to do after a session

1. Know the next session. After all has been said and done, the first thing you need to know after a group therapy session is when the next one might be. Knowing this and blocking it in your schedule will help you gain some semblance of order in your life which can be beneficial.

2. Reflect and process. Therapy is not easy and you would have inevitably heard some interesting stories. Try to reflect on what you have heard and see if there are things your peers did that may benefit you and is applicable in your own life as well. Furthermore, having an emotionally-charged therapy session may be draining for some, so you should give your time to digest all the things you have heard and process them the best way you can.

Having group therapy is a challenge in and of itself, especially for people who never had it before. It necessitates a great deal of patience and compassion for you to be able to have success with it. However, if you can overcome that learning curve and get past all of the harder parts, group therapy can be extremely fruitful. You can bond with other people in a way that is unique and unlike any other. You bare yourselves and get vulnerable so that others may have the chance to help you, and you get the same opportunity to do the same.

Taking the right steps at the right time is crucial in your path to recovery. Contact us to help you take that step.