Since each individual presents with a unique set of circumstances related to their addiction, there is no one-size-fits-all approach to achieving sobriety and long-term recovery. One way that HAMSA helps our clients is by assessing each client’s needs and recommending treatment options that reflect the appropriate level of care.
HAMSA clinician, Sally Anderson, MS, LPC, is available to conduct substance abuse evaluations so you can make an informed decision. With so many treatment facilities and programs to choose from, it’s important to understand how different terms define the general continuum of care in addiction treatment.
Individual counseling is at the beginning of the treatment continuum; counseling services may help a client begin making strides towards addressing underlying feelings or specific triggers that contribute to his/her use. This is the least restrictive option, and is often an effective tool with individuals who may be at high risk for drug and alcohol abuse, or who may be struggling to understand a growing dependence on drugs or alcohol.
IOP programs are more time-intensive than counseling, but less so than partial hospitalization programs. IOPs offer clients an option that may allow them to remain in school or at work and to maintain normal routines; programming usually lasts for three hours a day, three to five days per week (nine hours or more weekly). These programs utilize individual and group therapy sessions, alcohol and drug addiction education, and often focus on trigger management and relapse prevention. They are not appropriate for clients who are medically or psychologically unstable.
PHP programs offer a more intensive level of care than an IOP program that is similar to an inpatient program; however, PHP is usually around six hours a day, and offers clients the flexibility of being able to return home at the end of the day. A PHP program also offers education, counseling, and may include anonymous 12-step meetings to support recovery. These programs can be much more affordable than an inpatient program; some clients choose to live in sober living while attending PHP so they have the structure they need to remain sober when outside of the PHP construct.
Inpatient treatment programs are delivered in a residential facility where clients live for (generally) 30, 60, or 90 days, although some programs offer care that extends beyond 90 days. Inpatient programs are extremely structured; an initial assessment determines individual treatment plans which may include psychiatric care as well as individual and group counseling throughout each day. Education about drug and alcohol addiction as well as 12-step programs may also be part of the treatment plan. Residential programs will develop a plan for aftercare upon release from treatment; this often includes a move to sober living, a halfway house, or a structured plan for counseling and support meetings to help the client maintain his or her sobriety.
When an addict has been using excessive amounts of drugs and alcohol, they will develop a physical dependence on these substances that may require medical detox. The detox process helps the addict or alcoholic separate safely from the substances they have been abusing in a medically supervised setting. Detox usually takes place in an inpatient setting and is physician supervised; the difficulty of withdrawal is managed with medication and may take anywhere from three to 10 days, depending on the type of substance(s) used and the length of time an individual has been using.