Drug Rehab Treatment
Drug addiction is a difficult and complex illness which involves a number of factors. In addition to an uncontrolled craving, common concerns involve behavioral and developmental struggles, underlying issues such as trauma, stress and grief, as well as co-occurring mental health disorders. Effective drug rehab treatment must involve many systems of care to thoroughly treat each individual.
This type of treatment is also not simple. It takes a number of approaches and different interventions. This page discusses some of the processes used in drug rehabilitation and the therapies involved. Addiction is an often relapsing condition. To ensure long-term sobriety, the program also must involve a form of relapse prevention and aftercare.
Professional Evaluation and Treatment Planning
Prior to entering any type of rehabilitation, a professional evaluation is conducted to determine the best course of action. Initially, part of this can be done over the phone with the intake specialist of the treatment provider. The rest is conducted in person by the program. This type of evaluation helps to determine not only the need for treatment, but how severe the addiction concern. This is discovered by analyzing the addict's drug abuse history, the types of substances that have been abused, and any prior attempts at rehabilitation. The results of evaluation help to formulate a direction for a treatment plan.
The evaluation process usually will involve a battery of assessments to help determine a number of additional factors. One of the standardized assessments used in behavioral medicine is the MMPI (Minnesota Multiphasic Personality Inventory). This is an adult personality test that assesses a number of individual personality traits and psychopathology. The results of the MMPI are broken down into ten clinical subscales. In a drug rehab setting, these results are used in conjunction with psychiatric assessment to determine and diagnose any co-occurring mental health concerns. Estimates state that roughly 60% of individuals who have an addiction to drugs also are dealing with a co-occurring mental health disorder like depression, anxiety, BPD, PTSD or similar diagnosable condition.
Drug Rehab Therapies
In addiction treatment, the word therapy is a very general term. Typically rehab is a battery of therapies meant to treat individually in different ways. In other walks of life, some of these efforts are not even considered a "therapy," but in drug rehab treatment they all work as part of a combined therapeutic effort.
Individual Therapies -
Individual counseling or therapy is an essential intervention in treating those with drug addiction. It typically takes place in a personal one-on-one environment with a licensed professional. There is more to an individual's struggle than abusing drugs. Personalized counseling helps the individual to address a number of concerns in their life in addition to working through the struggles of drugs or alcohol. The standard for individual counseling is typically one session a week, but more effective programs emphasize multiple independent sessions in that time frame.
Group Therapies -
Group therapies are more common in drug rehabilitation programs. Group therapies have a number of positives. Firstly, addiction forces individuals to isolate. The group environment tends to bring folks more out of their shell. It is rewarding to see the success of others in recovery. It is also very supportive. Another positive of group therapy is the education aspect. It is not just an environment for healing, but also learning with one another.
Art Therapy -
Creative therapies like through art can be very helpful in not just the rehab process but also in healing. It provides a platform for getting in touch with one's inner self and offers avenues for expression. Sometimes a person does not have the ability to form into words their inner feelings or struggles like they can with paints or a pencil. Art therapy provides a place for that. A person isn't judged on their skill level or from what they have created. It is a platform for expressing and ultimately for healing. It also provides a therapeutic way to relax and reduce stress.
While not actually an addiction therapy, yoga is a therapeutic tool used by addiction treatment programs. Yoga teaches a practice of balance, of body, mind and spirit. It creates an awareness and consciousness that many struggling with addictions need. This level of consciousness and compassion for one's self helps to manage stressful situations and environments. Yoga also teaches the practice of meditation, which is widely considered a necessary recovery tool and relapse prevention method.
Relapse Prevention Plan
Part of the rehabilitation process is to develop an effective relapse prevention plan. Typically a treatment program is 2-6 months. Some programs are only 30-days. To keep a person clean and sober from an often relapsing condition, a prevention plan must be put into place to help them manage craving and stress. Relapse prevention can involve additional clinical programs, supportive housing, and a form of continued spiritual or supportive development.
Clinical Programs -
Following inpatient care, it is common to continue treatments through outpatient programs or IOP (Intensive Outpatient Program), and with independent and family counseling. Outpatient treatments can vary in their intensities. IOP's do stick to a more intensive daily program. Other outpatient efforts may just be a few hours each week. Drug monitoring and testing is another effective relapse prevention tool. It requires the individual in recovery to take regular tests, holding them responsible to their outcome.
Supportive Housing -
For some, getting back home and back to life may not be the best situation for recovery initially. It is better for these individuals to transition back into daily life through a sober living home or halfway house first. Sober houses vary, but provide a supportive place for those in recovery. They can involve different levels of outpatient care, support groups, 12-step help and drug monitoring.
Support Groups (Spiritual Development)
Drug addiction is destructive. One area that it most impacts is self-esteem and spiritual wellbeing. Part of the treatment and recovery process is to help rebuild that spiritual side of a person. For most, this will involve support groups like A.A. or N.A., but there are also other programs to help develop spiritual recovery over drug addiction. Some of this begins in rehab, the foundation is laid. After treatment, it is continued through the programs that best suits the individual. There is strength and support found through going to 12-step meetings. But individuals can also find healing for their spiritual wellbeing by being involved with a religious affiliation or through other holistic means.