Inpatient Drug Alcohol Treatment Rehab Center - Residential Facilities
Malibu Horizon is an inpatient residential rehab treatment center. It is one of few programs that offer a clinically base, disease model. Malibu Horizon is the only program that treats addiction and alcoholism as a medical condition. The difference between inpatient treatment centers and other levels of rehab treatment care is that the patient is there 24 hours a day. Inpatient rehab treatment centers offer a patient the opportunity to work on their recovery without the distractions of day to day living.
Traditionally and technically, inpatient treatment or rehab is an industry term meaning staying inside a medical facility strictly for the purpose of detoxifying and being treated for drug or alcohol abuse. It has come to mean staying full-time at any level of treatment or rehab care. So, the term inpatient treatment can have several meanings. In either case, whether residing in full time care for just detoxifying off alcohol or drugs, or it means full time residency for treatment of alcoholism or addiction.
There are many different levels of drug alcohol rehab treatment care. All of them are different. Generally speaking, inpatient rehab treatment centers are either residential, free-standing or hospital based full-time programs. Inpatient is when the person stays at the facility 24 hours a day.
Inpatient Drug Rehab Centers
Choosing the best inpatient drug rehab facility can in doubt be a very difficult and stressful process. Many people are often confused about what drug rehabs really do and how many different types of drug rehab programs are really out there. With so many options available, it can be tempting to just pick the first rehab facility that comes up. But it is important to remember that not all drug rehab centers are created and equal and just because one type of program may be more expensive than another, that doesn’t always equate to success. However, one of the most reliable and proven drug treatment options over the last 40 years is visiting a reputable and experienced inpatient drug rehab facility.
Inpatient Drug Rehab
While inpatient drug rehab centers are widely considered the best option for treating a drug or alcohol addiction, they are not all the same. Many inpatient drug rehab centers employ different treatment strategies and have completely different treatment philosophies and methods. Some inpatient drug rehab centers may incorporate different holistic treatments into the overall therapy, while others may base their treatment program off of the bible and Christian teachings. Other rehab facilities may be only exclusively for men or women, while others may only treat the symptoms of one particular type of drug, whether it’s opiates, alcohol, or cocaine. With all of these different treatment options available, one of the best things you can do is to take some time to research each type of program, to make sure it’s in line with your own treatment needs.
What to Look For in an Inpatient Drug Rehab
Good inpatient drug rehab centers will offer a variety of proven treatment programs and techniques that are individually tailored around each person’s own specific treatment needs. These may include medically assisted drug detox programs, one-on one counseling, group therapy, addiction education, as well as post treatment care options. Good inpatient drug rehab centers also offer tons of other helpful complimentary activities like meditation, yoga, exercise, massage and sauna therapy, weight lifting, therapy with animals, as well as many others. Remember, when choosing the right type of inpatient drug rehab center, there are a number of other things you should keep in mind. First of all, what is the price of a lengthy stay at an inpatient rehab center and can you afford to be away from work and your family during that time? Also, does your inpatient program use medically based treatment and detox procedures? This ensures that you have physicians and nurses available to you 24 hours a day, to make sure you are safely detoxing from drugs or alcohol properly. You will also want to make sure your inpatient facility offers some type of after-care program strategy that can help you to readjust to society after treatment. This is often one of the most overlooked aspects of drug rehabilitation and can prove disastrous for many recovering addicts who don’t have a solid aftercare plan.
Inpatient Rehab Center Goals
One of the goals is to educate the alcohol user to the facts about addiction and or alcoholism. Another is to teach the person about the changes needed to live a drug and alcohol-free lifestyle. A variety of therapy is included in a given inpatient treatment setting. Much of what happens in inpatient treatment is to make the client aware of their drug alcohol using behavior and the effect and impact it has on their lives.
Most alcoholics and drug addicts are in some stage of denial. Denying the amount of drugs and or alcohol they are consuming and the effect it is having on themselves and others. The next goal of inpatient alcohol treatment is getting the client to see they have suffered consequences as a direct result of their drug and or alcohol use.
Inpatient Rehab Center activities include some or all of the following activities:
Inpatient Rehab Center Vs. Other Levels of Rehab Treatment Care
Few people ever even consider going to inpatient treatment unless or until they have suffered some significant consequences as a result of their alcohol abuse. Consequences usually include legal, martial, emotional, job, financial and/or physical.
The length of stay in an inpatient drug alcohol treatment program varies. There are short and long term facilities. Short term could be 5 to 7 days of detox and physical stabilization. Long term would generally mean between 60 to 90 days. The average length of stay in an inpatient treatment center is 28 days
Today, most inpatient treatment does extensive evaluation and assessments to help determine medical history, the personality of the client as well as any mental health problems that might exist. The ultimate objective of inpatient drug and or alcohol rehab is to help the client see the changes they will need to make in their lives in order to be successful in abstaining from drug and or alcohol use.
The Second Step of Inpatient Rehab Center Care - Detox
All inpatient treatment centers should be very aware that no real rehab can take places unless or until the client is physically stable. Therefore, once a new client has been assessed and properly evaluated, they undergo any and all medically monitored detoxification. The detox process can take anywhere from 3 to 14 days depending the kind and amount of drugs and or alcohol the client has been taking. No two inpatient treatment programs are quite the same. Most are based on the 12 steps of Alcoholics Anonymous. There are rules and regulations to make sure everyone is safe and cooperative.
The Different Types of Inpatient Treatment Centers
Success in an Inpatient Rehab Center
Overcoming the disease of alcoholism or drug addiction is not easy. Most people cannot do it without help. The best way to obtain and maintain recovery from alcoholism is to start with inpatient treatment. There is no question the process of learning about staying sober and the disease of alcoholism or addiction improves one's chances of long term recovery. By going to inpatient treatment, a person gains the knowledge, tools and assistance to help them be successful.
The Staggering Statistics for Inpatient Rehab Treatment Centers (alcohol '07)
2.5 Million Inpatient Treatment Admissions
The number of persons who reported that the most recent treatment they received in the past year was 2,462,000
Alcohol Inpatient Rehab Treatment Admissions
Of the 2.4 million people aged 12 or older who received rehab in 2007, 952,000 received treatment for alcohol only.
In 2007, the number of persons aged 12 or older needing treatment for an alcohol use problem was 19.3 million (7.8 percent of the population aged 12 or older). Of these, 1.6 million (0.6 percent of the total population and 8.1 percent of the people who needed treatment for an alcohol use problem) received alcohol use treatment at a specialty facility.
Thus, there were 17.7 million people who needed treatment but did not receive treatment at a specialty facility for an alcohol use problem. None of these estimates changed significantly between 2006 and 2007 and between 2002 and 2007.
Those we needed Inpatient Rehab Center Care
Among the 17.7 million people aged 12 or older who needed but did not receive treatment for an alcohol use problem in 2007, there were 859,000 (4.8 percent) who felt they needed treatment for their alcohol use problem. The number and the percentage were higher than those reported in 2006 (541,000 persons and 3.0 percent, respectively), but were similar to those reported in 2002 (761,000 persons and 4.5 percent, respectively). Of these, 619,000 (72.1 percent) did not make an effort to get treatment, and 240,000 (27.9 percent) made an effort but were unable to get treatment in 2007.
Adolescent Inpatient Rehab Treatment Center Numbers
In 2007, there were 1.4 million youths (5.5 percent) aged 12 to 17 who needed treatment for an alcohol use problem. Of this group, only 82,000 received treatment at a specialty facility.
Principles of Effective Treatment
1. Addiction is a complex but treatable disease that affects brain function and behavior. Drugs of abuse alter the brain structure and function, resulting in changes that persist long after drug use has ceased. This may explain why drug abusers are at risk for relapse even after long periods of abstinence and despite the potentially devastating consequences.
2. No single treatment is appropriate for everyone. Treatment varies depending on the type of drug and the characteristics of the patients. Matching treatment settings, interventions, and services to an individual's particular problems and needs is critical to his or her ultimate success in returning to productive functioning in the family, workplace, and society.
3. Treatment needs to be readily available. Because drug-addicted individuals may be uncertain about entering treatment, taking advantage of available services the moment people are ready for treatment is critical. Potential patients can be lost if treatment is not immediately available or readily accessible. As with other chronic diseases, the earlier treatment is offered in the disease process, the greater the likelihood of positive outcomes.
4. Effective treatment attends to multiple needs of the individual, not just his or her drug abuse. To be effective, treatment must address the individual's drug abuse and any associated medical, psychological, social, vocational, and legal problems. It is also important that treatment be appropriate to the individual’s age, gender, ethnicity, and culture.
5. Remaining in treatment for an adequate period of time is critical. The appropriate duration for an individual depends on the type and degree of the patient's problems and needs. Research indicates that most addicted individuals need at least 3 months in treatment to significantly reduce or stop their drug use and that the best outcomes occur with longer durations of treatment. Recovery from drug addiction is a long-term process and frequently requires multiple episodes of treatment. As with other chronic illnesses, relapses to drug abuse can occur and should signal a need for treatment to be reinstated or adjusted. Because individuals often leave treatment prematurely, programs should include strategies to engage and keep patients in treatment.
6. Behavioral therapies, including individual, family, or group counseling,are the most commonly used forms of drug abuse treatment. Behavioral therapies vary in their focus and may involve addressing a patient's motivation to change, providing incentives for abstinence, building skills to resist drug use, replacing drug-using activities with constructive and rewarding activities, improving problem-solving skills, and facilitating better interpersonal relationships. Also, participation in group therapy and other peer support programs during and following treatment can help maintain abstinence.
7. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies. For example, methadone, Buprenorphine, and naltrexone (including a new long-acting formulation) are effective in helping individuals addicted to heroin or other opioids stabilize their lives and reduce their illicit drug use. Acamprosate, disulfiram, and naltrexone are medications approved for treating alcohol dependence. For persons addicted to nicotine, a nicotine replacement product (available as patches, gum, lozenges, or nasal spray) or an oral medication (such as bupropion or varenicline) can be an effective component of treatment when part of a comprehensive behavioral treatment program.
8. An individual's treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs. A patient may require varying combinations of services and treatment components during the course of treatment and recovery. In addition to counseling or psychotherapy, a patient may require medication, medical services, family therapy, parenting instruction, vocational rehabilitation, and/or social and legal services. For many patients, a continuing care approach provides the best results, with the treatment intensity varying according to a person's changing needs.
9. Many drug-addicted individuals also have other mental disorders. Because drug abuse and addiction, both of which are mental disorders, often co-occur with other mental illnesses, patients presenting with one condition should be assessed for the other(s). And when these problems co-occur, treatment should address both (or all), including the use of medications as appropriate.
10. Medically assisted detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug abuse. Although medically assisted detoxification can safely manage the acute physical symptoms of withdrawal and can, for some, pave the way for effective long-term addiction treatment, detoxification alone is rarely sufficient to help addicted individuals achieve long-term abstinence. Thus, patients should be encouraged to continue drug treatment following detoxification. Motivational enhancement and incentive strategies, begun at initial patient intake, can improve treatment engagement.
11. Treatment does not need to be voluntary to be effective. Sanctions or enticements from family, employment settings, and/or the criminal justice system can significantly increase treatment entry, retention rates, and the ultimate success of drug treatment interventions.
12. Drug use during treatment must be monitored continuously, as lapses during treatment do occur. Knowing their drug use is being monitored can be a powerful incentive for patients and can help them withstand urges to use drugs. Monitoring also provides an early indication of a return to drug use, signaling a possible need to adjust an individual's treatment plan to better meet his or her needs.
13. Treatment programs should test patients for the presence of HIV/AIDS, hepatitis B and C, tuberculosis, and other infectious diseases as well as provide targeted risk-reduction counseling, linking patients to treatment if necessary. Typically, drug abuse treatment addresses some of the drug-related behaviors that put people at risk of infectious diseases. Targeted counseling focused on reducing infectious disease risk can help patients further reduce or avoid substance-related and other high-risk behaviors. Counseling can also help those who are already infected to manage their illness. Moreover, engaging in substance abuse treatment can facilitate adherence to other medical treatments. Substance abuse treatment facilities should provide on site, rapid HIV testing rather than referrals to off site testing. research shows that doing so increases the likelihood that patients will be tested and receive their test results. Treatment providers should also inform patients that highly active antiretroviral therapy (HAART) has proven effective in combating HIV, including among drug-abusing populations, and help link them to HIV treatment if they test positive.
ref: principles of addiction treatment NIDA
Other Resources for Drug Rehab Treatment Center Information
National Institute on Drug Abuse
American Medical Association - Alcohol & Drug Abuse
American Society of Addiction Medicine
Substance Abuse Mental Health Services Administration
More NIDA Resources
White House Drug Policy
California Drug Abuse Programs
USA Prescription Drug Help
Family Help - Alanon
Drug Addiction Medline Plus