Rehab Clinic FAQ

Rehab Clinic

What Is The Purpose Of A Rehabilitation Centre?

The main goal of a rehabilitation centre is to enable a person to live a sober lifestyle by completing treatment in a residential, supported, and supervised environment.

This goal can be achieved by:

  • >> Learning new behaviours
  • >> Understanding the motivations behind addiction
  • >> Professionally assisted detox
  • >> Evidence-based therapy and counselling

 

The rehab process helps individuals achieve the goals of rehab.

The process of rehab comes in four phases. These are: [1]

  • Phase One – Assessment
  • Phase Two – Detoxification
  • Phase Three – Rehabilitation
  • Phase Four – Maintenance or Aftercare

 

 

In the health care profession, the term “rehabilitation” encompasses intensive measures to help a person recuperate from serious injury or harm [2].

Under this context, “Alcohol Rehabilitation” and “Drug Rehabilitation” can be understood as intensive, supervised regimens or schedules.

 

Activities in rehab programs are specifically designed by experts to:

  • >> Lessen the negative impact of alcohol and/or substance abuse – help with withdrawal symptoms
  • >> Assist in the transition period – from a compromised state of health to a more balanced state of being
  • >> Normalise the transition period by providing psychosocial support –through encouragement, companionship and communicating genuine concern

 

 

It is understood that individuals attending rehab are in the centre for many reasons, most of these reasons are particular to the individual, and may not be easy to explain.

However, persons who seek treatment in rehab generally want to get better.

 

Trusting the rehab centre to provide them quality care possible, they expect positive outcomes such as:

  • >> New ways to cope with life’s demands (without alcohol and/or drugs)
  • >> Lower relapse rate
  • >> Continuing aftercare support
  • >> A better chance of sober living, as rehab is not an instant cure

 

What Type Of Care Does A Rehabilitation Facility Provide?

A rehab facility usually provides residential care, where individuals stay for a fixed amount of time.

Some rehabs also provide out-patient care; and some rehabs are halfway or sober living houses.

A rehab clinic like Abbeycare Scotland work closely with community-based programs like Alcoholics Anonymous, Smart Recovery, and other recovery groups.

 

While most individuals go to rehab to experience structured care, some opt to stay for the detox programme only.

For persons who go for “Detox Only”, the programme consists of:

  • >> Monitoring of withdrawal symptoms
  • >> Availability of health care assistance
  • >> Treatments to ease symptoms (prescribed by health care workers)

 

Most reputable rehab centres will recommend a stay of at least 28 days.

A 28-day stay means a person does not just drug or alcohol detox. S/he is also given the opportunity to learn new skills in a safe and supportive environment.

In some instances when a person has a mild case of alcohol and/or substance use problem, a rehab centre can offer home detox treatment.

 

In the UK, the Care Quality Commission (CQC) rates residential rehabs according to how well the facility provides care.

Dependable rehab facilities make sure that standards are maintained throughout the whole process of rehab.

A rehab that gives quality care should: [3]

  • >> Provide person-centred care
  • >> Treat clients with dignity and respect
  • >> Watch out for clients’ privacy, safety, and security
  • >> Be transparent in dealings with clients
  • >> Must have adequate equipment
  • >> Must have well-trained and competent staff

 

 

A clinic rated as “Good” such as Abbeycare can capably assist persons to live a sober life.

In order to help a person kick the habit of alcohol or drug misuse for good, a rehab facility would usually encourage clients to go for a full programme, and not just “a quick detox”.

It scientifically proven that by going through the four phases of rehab, persons will be able to make profound changes about their relationship with alcohol and/or drugs [4].

 

Alcohol and drug addiction can be treated, but because addiction is a chronic disease with a lifestyle component, treatment needs to be: [4]

  • >> Comprehensively designed
  • >> Professionally managed
  • >> Take special care of “first timers” as a good first encounter with rehab prevents relapse
  • >> Watches out for the long-term recovery of the client
  • >> Has provisions for long-term/repeated care in case of serious cases

 

It is unrealistic to expect a person to fully recover from addiction just because s/he stopped using the substance for a short while, especially without professional support.

 

What Are Different Types Of Rehab?

In terms of Alcohol Rehab and Drug Rehab, the types of rehab are Inpatient/ Residential and Outpatient Rehab.

Inpatient or Residential Rehab refers to a type of care where the client is prescribed a set number of days, staying in the facility to receive treatment and participate in therapeutic activities.

Whereas Outpatient Rehab is a type of care where clients come to the clinic in scheduled times for less-intensive forms of treatment.

 

Inpatient or Residential Rehab tends to benefit all levels of alcohol and/or substance abuse conditions, while Outpatient Rehab is more suited to persons with fewer symptoms [5].

The term “rehab” can also mean “Rehabilitation Therapy”, which encompasses the disciplines of Occupational Therapy, Speech Therapy, and Physical Therapy, among other similar practices.

In the field of health care, the term “rehabilitation” is aimed at assisting persons to function as well as they can after a serious injury or illness.

 

It is apt to designate alcohol and drug use problems in the realm of rehabilitative care, as problems with alcohol and drug use are health concerns.

It is considered best practice to treat individuals who have alcohol and/or substance problems with open-minded understanding that these conditions are caused by factors outside their control.

Seeking help for alcohol and/or substance concerns is seen as a positive step as being ready to change is already taxing to an individual with this type of burden.

 

Additionally, individuals with alcohol and/or substance to be triggered when stressed [6].

Deciding to go enter rehab can be considered stressful, as the decision can instigate a number of lifestyle changes.

To help persons who are new to the process of recovery, a rehab clinic should be able to:

  • >> Gently but firmly introduce new habits
  • >> Put in place procedures so that the person knows where to go and what to do when s/he has reached their limits
  • >> Help clients identify their weaknesses and strengths
  • >> Utilise a treatment plan answer the characteristic needs of the client
  • >> Carefully map out an after-rehab strategy.

 

Generally speaking, though the NHS provides inpatient programs for free, admission to a private rehab clinic like Abbeycare causes less hassle.

In general, private rehab care can be more accommodating to clients, with the added advantage of providing continuous and personalised care.

 

What’s An Inpatient Programme?

An inpatient programme is a structured program designed to help a person overcome alcohol and/or drug addiction problems.

An inpatient programme offers detox, therapy and rehab aftercare as a complete package, whereas an outpatient program can be limited to counselling services only.

 

A residential rehab programme can be held in a government-run healthcare facility or in a private rehab centre.

An example of a private rehab centre that offers residential programmes to recover from alcohol and/or drug addiction is Abbeycare Clinic, with two locations in Scotland and Gloucester.

What Is Outpatient Counselling?

Outpatient counselling is done when a person who has alcohol and/or drug addiction problems chooses to deal with the concern outside a residential rehab centre or outside an inpatient programme.

Outpatient counselling generally means attending Mutual Support Group Meetings.

Outpatient counselling is not the full treatment for alcohol and/or drug addiction problems.

 

However, since outpatient counselling is usually free of charge, this is the go-to measure for persons who have financial issues with the cost of private rehab.

The most popular groups that offer outpatient counselling in the UK are: [7]

  • >> Alcoholics Anonymous
  • >> Narcotics Anonymous
  • >> SMART Recovery
  • >> Addaction
  • >> Adfam
  • >> Release
  • >> Smart Recovery
  • >> DrugFAM

 

In the public health care system, outpatient counselling is part of the recommended treatment for those who seek help from addiction problems.

A local drug centre will usually provide a client needed medications, then refer the client to a Mutual Support Group meeting.

A case worker from the local drug centre typically manages the case of the client, tacking the client’s progress as s/he tries to overcome addiction concerns.

 

However, keeping track of a person’s progress from attending outpatient counselling sessions can be tricky.

Because feedback is usually one-sided, a case worker may not get the most accurate information about how the client is progressing.

 

Two of the key factors of success in recovery are: [6]

  • >> Support – means social support, financial support, and encouragement
  • >> Structure – means an orderly routine to stick to where a person is compelled to follow

 

These two key elements may not be optimal in outpatient counselling, where attendance is usually voluntary and not monitored strictly.

Another way in which outpatient counselling is used is when it is an add-on to a long-term recovery program.

Some individuals who undergo an Inpatient or Residential Program are guided towards using outpatient counselling for three to six months, until they are more likely to withstand the challenges of recovery.

 

As part of a long-term treatment for alcohol and/or substance abuse, outpatient counselling can help anchor a person to their fundamental decision to stay sober.

There is weighty evidence to show that outpatient counselling benefits persons who are have already begun the process of change—the social aspect of outpatient counselling can be considered in this sense as the most valuable aspect [8].

 

References

  1.   National Institute on Drug Abuse. Understanding Drug Abuse and Addiction: What Science Says. Available at: https://www.drugabuse.gov/publications/teaching-packets/understanding-drug-abuse-addiction/section-iii
  2.   Medline Plus. (2016). Rehabilitation Also called: Rehab. Available at: https://medlineplus.gov/rehabilitation.html
  3.   Care Quality Commission. The fundamental standards. Availale at: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/fundamental-standards
  4.   National Institute on Drug Abuse. (2012). Treatment Approaches for Drug Addiction. Available at: https://www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction
  5.   Substance Abuse and Mental Health Services Administration – SAMHSA-US. (2006). Chapter 4. Services in Intensive Outpatient Treatment Programs. Available at: https://www.ncbi.nlm.nih.gov/books/NBK64094/
  6.   Fournier, D. (2017, December 11). Fundamental Factors of Success in Addiction Recovery. Psychology Today. Retrieved from: https://www.psychologytoday.com/us/blog/mindfully-present-fully-alive/201712/fundamental-factors-success-in-addiction-recovery
  7. NHS. (2019). Alcohol support. Available at: https://www.nhs.uk/live-well/alcohol-support/
  8. Lopez, G. (2018, January 2). Why some people swear by Alcoholics Anonymous — and others despise it. Vox. Available at: https://www.vox.com/policy-and-politics/2018/1/2/16181734/12-steps-aa-na-studies

Author: Melany Heger

Registered Psychologist and Freelance Writer, Jinjin Melany passionately writes about mental health issues, addiction, eating disorders and parenting since 2015. Read more about Melany on LinkedIn.