Residential treatment
centers provide a multidisciplinary approach to facilitate
recovery from addiction. Residential treatment centers offer
a structured therapeutic environment that begins with the
withdrawal/detoxification process and extends through aftercare
planning following residential treatment.
The treatment often include both individual and group counseling,
structured physical activities, nutritional counseling,
stress reduction, holistic approaches such as yoga, saunas,
acupuncture and neurofeedback, vocational training, relapse
prevention support, social skills training, educational
services and 12-step substance abuse programs.
It is important that facilities are licensed by the state
in which they are located and accredited by a health care
accrediting body such as JCAHO or CARF.
A lot of times these treatment environments are associated
with hospitals, however, this is not always the case. Residential
treatment may occur in non-hospital settings. In fact the
preferred treatment environment in a lot of situations would
be one that was less restrictive, however did have supervision
and structure. At the time of discharge a client has a continual
care or aftercare program and most inpatient and residential
programs gradually reintroduce a client to a "normal"
environment through community outings and supervised passes.
These programs generally offer supervised detoxification
that may involve medication in a hospital setting or social
detoxification (i.e. no medication) in a non-hospital setting.
The typical 28-day treatment duration has no research base
and has come about as a result of financial constraints,
particularly the reluctance of insurance companies to pay
for treatment. Inpatient and residential treatment settings
have the advantages of 24-hour supervision, the reduced
likelihood of clients using alcohol or drugs while in treatment,
highly structured days, and a total immersion in treatment
with removal from the everyday stressors and pressures.
The disadvantages of this setting are the expense (a 28-day
program in a hospital setting may be well over $15,000)
and the artificiality of the environment.
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