In the United States, drug policy is primarily controlled by the federal government. The Department of Justice's Drug Enforcement Administration (DEA) enforces controlled substances laws and regulations. The Department of Health and Human Services' Food and Drug Administration (FDA) serve to protect and promote public health by controlling the manufacturing, marketing, and distribution of products, like medications.
One of the most common forms of aftercare is mutual-support groups, such as AA. Since AA’s approach faith-based, 12-step approach isn’t right for everyone, other types of support groups are also available. Whatever option you choose, regularly attending groups can help you maintain abstinence by providing a support system with positive relationships from which to draw encouragement.
The disease model of addiction has long contended the maladaptive patterns of alcohol and substance use displays addicted individuals are the result of a lifelong disease that is biological in origin and exacerbated by environmental contingencies. This conceptualization renders the individual essentially powerless over his or her problematic behaviors and unable to remain sober by himself or herself, much as individuals with a terminal illness being unable to fight the disease by themselves without medication. Behavioral treatment, therefore, necessarily requires individuals to admit their addiction, renounce their former lifestyle, and seek a supportive social network who can help them remain sober. Such approaches are the quintessential features of Twelve-step programs, originally published in the book Alcoholics Anonymous in 1939. These approaches have met considerable amounts of criticism, coming from opponents who disapprove of the spiritual-religious orientation on both psychological and legal grounds. Opponents also contend that it lacks valid scientific evidence for claims of efficacy. However, there is survey-based research that suggests there is a correlation between attendance and alcohol sobriety. Different results have been reached for other drugs, with the twelve steps being less beneficial for addicts to illicit substances, and least beneficial to those addicted to the physiologically and psychologically addicting opioids, for which maintenance therapies are the gold standard of care.
The most common outpatient treatment is counselling (group or individual talking therapy, typically occurring once a week for an hour at a time, for six to 12 weeks). It may also include case management (help with accessing other services such as housing, medical or mental health services) or pharmacotherapy (prescribed medicine, such as methadone for opiate dependence).
Hospitalization Rehab, often known as a Partial Hospitalization Program, allows addicts to check into a treatment center or hospital for a certain number of hours each week. This is most similar to an outpatient rehab center, in that individuals will return to their home after their treatment program. However, in an outpatient clinic, patients may check in briefly and then leave.
Behavioral Health of the Palm Beaches (BHPB) is a comprehensive treatment center that provides mental health and trauma programs in addition to their reputable addiction program. BHPB was founded in 1997 by Dr. Donald Mullaney, a recovering addict. BHPB has some of the most talented treatment professionals in the nation who help outline specialized treatment plans for each patient. Treatment lasts a minimum of 30 days, but long-term care lasting up to 12 months is available.
According to the Delphi Behavioral Health Group’s Addiction Center, the highest level of care comes from Inpatient programs that include medically supervised detoxification and all-day support. The duration of a stay in an inpatient facility can depend significantly on the severity of the addiction. Although the average visit is 30 days, patients can stay longer than 90 days if necessary.
Patients in drug rehab treatment programs are encouraged to end toxic relationships. Toxic relationships are those that have the propensity to lead to drug abuse. Conversely, patients are encouraged to seek help from other people who can support them on their journey. These supportive relationships could include friends, family members, and even other rehab patients.
In the precontemplation phase, the individual does not express any interest in the need for change. Many individuals with substance use problems are firmly entrenched in this stage. The options in dealing with patients in this stage are limited and include pointing out the discrepancy between patient action and patient goals, suggesting that the patient bring a family member to the next appointment, and suggesting a 2-week abstinence trial.
^ Jump up to: a b c d e f Mattick RP; Digiusto E; Doran CM; O'Brien S; Shanahan M; Kimber J; Henderson N; Breen C; Shearer J; Gates J; Shakeshaft A; NEPOD Trial Investigators (2004). National Evaluation of Pharmacotherapies for Opioid Dependence (NEPOD): Report of Results and Recommendations (PDF). National Drug and Alcohol Research Centre, Sydney. Commonwealth of Australia. ISBN 978-0-642-82459-2. Monograph Series No. 52. Archived from the original (PDF) on 2011-03-09.
With non-medical inpatient treatment, clients are still monitored throughout detoxification, and transition to addiction rehab — but with a reduced level of medical supervision and the absence of medication therapy. To find an outpatient program that works for you or your loved one, visit The Recovery Village’s substance abuse and recovery list, or use a search engine to find “outpatient drug rehab near me.”
Getting alcohol out of the addicted person’s system is the first part of recovery. People with a severe alcohol addiction can experience intense withdrawal symptoms. A supervised alcohol detox is usually necessary for people addicted to alcohol to prevent potentially fatal complications. Shaking, sweating, seizures, and hallucinations are possible alcohol withdrawal symptoms. Woman Turns to Rehab After Struggling With Drugs, Alcohol: Part 1