What Is Inpatient Rehab?
Inpatient rehab is a type of treatment in which you live on the property of a treatment center for the course of your rehab program. Inpatient rehabilitation centers offer the optimal atmosphere for recuperation. Inpatient care should include a systematic program, 24-hour assistance, medical personnel, and monitoring. Obtaining complete recovery from addiction does not take a one-time effort; it rather requires a longstanding commitment. This implies that in the majority of cases none of us can effectively complete a rehabilitation program on our behalf – individuals must be motivated in a structured program to do so. The ideal location to dedicate to abstinence is an inpatient recovery program, where you will get all the assistance you require and much more.
Addiction is a multifaceted neurological illness that affects millions of individuals each year and can hit anyone irrespective of background, age, color, gender, profession, or financial circumstances. Although addiction can be devastating, it is curable. Many patients battling with addiction have been able to live a life free of obsessive substance use via rehabilitation. Addiction is more generally referred to as a substance abuse disorder when evaluated by a medical practitioner. Substance abuse disorders are defined by obsessive substance use in the face of numerous drug-related issues.
There are numerous treatment options available to assist individuals in recovering from addiction. Effective treatment is frequently adapted to a person’s unique needs. With an individual-centered treatment approach, teams can promote people’s physical and emotional wellness. If you or a loved one is considering treatment choices, this article can educate you on inpatient rehabilitation and its effectiveness.
What is an Inpatient Rehab Treatment Program?
Inpatient rehabilitation programs provide systematic, 24-hour care and observation for those suffering from substance abuse problems. Inpatient alcohol or drug therapy enables an individual to reside in a treatment center full-time while receiving care and initiating their recovery.
Behavioral therapy is generally at the heart of a large variety of treatment methods. You may engage in both group and individual therapy counseling sessions while in an inpatient program. Your medical team will work with you to understand why addiction occurs, what factors lead to long-term/obsessive use, and what you will do to enable yourself to live a fresh, healthy, alcohol and drug-free lifestyle.
The extent of care that an addict need should be ascertained in person by a skilled medical or therapy practitioner. Patients who have failed to improve with outpatient care may require inpatient treatment. On the other hand, some individuals who have never received treatment do not need the intensive care that residential treatment provides. It is determined by the intensity of the dependency and the recommendations made in the evaluation report.
Patients occasionally express concern about entering residential alcohol or drug treatment program voluntarily due to their severity, however inpatient programs are incredibly emotionally supportive. Residential programs place an emphasis on whole body and mind recovery. Numerous residential centers promote family involvement, including nights and weekends family education activities.
Inpatient rehabilitation programs provide a high standard of care, which generally includes the following:
- Twenty-four-hour surveillance and assistance in a secure environment.
- Take time away from your domestic surroundings to focus on your health and wellness.
- Psychotherapeutic interventions (e.g. group, individual, family)
- Therapy aided by medicine.
- Detoxification with the supervision of medical healthcare services
- Resources to assist individuals with major social, occupational, and judicial challenges.
- When necessary, accessibility to mental and medical health care.
The different types of Inpatient Treatment Programs
Inpatient or residential rehabilitation programs vary in terms of framework, duration, and intensity of therapy, based on your specific therapeutic interventions. There are various options available to ensure that you select the program that is ideal for you.
Residential program with a relatively low level of intensity: Twenty-four-hour framework and residential facilities combined with a few hours of clinical treatments per week.
Inpatient treatments with a greater level of medical supervision: twenty-four-hour healthcare with specialist availability for clinical management of abstinence as well as management of other physical and mental health conditions that necessitate inpatient care.
Short-term rehabilitation programs: Often, the first focus of any residential or inpatient program is on detoxification and abstinence control, as well as preparedness for future post-detox therapy. Its layout, severity, and length of therapy may vary (e.g., thirty-day, sixty-day, or more when required).
Long-term residential treatment programs: Usually last longer than 30 days and focus on assisting individuals in developing personal responsibility and accountability prior to rejoining their community. Long-term treatment entails 24-hour scheduled critical care and, in some cases, therapeutic groups that endure between six and twelve months.
Recovery housing is a regulated, brief accommodation that often lasts several months to even a year or longer and is designed to assist individuals in maintaining their rehabilitation progress following residential treatment.
What types of treatments/therapies are available at Inpatient?
There are a number of experimentally verified therapy approaches for addiction treatment.
Numerous inpatient treatment programs enhance your restoration through a plethora of different therapeutic strategies. Several of the therapeutic strategies provided during your stay are designed to be employed independently or in conjunction with your physician, counselor, or therapist following your visit.
Active engagement in a variety of behavioral treatments can assist individuals in learning about their addictions, committing to their recovery program, improving coping mechanisms, and resisting relapse. The following are a few of the most often used behavioral therapies given by many inpatient rehab facilities:
Cognitive-behavioral therapy (CBT) employs a variety of therapies that can be delivered in a group setting or individually. They can assist a person in thinking through a scenario (anticipating issues) and transitioning from old harmful behaviors (substance abuse) to newer, better behaviors (coping skills) in order to remain alcohol and drug-free.
Motivational Enhancement Therapy (MET) or Motivational interviewing emphasizes motivation for change and identifies concerns regarding behavior change, while simultaneously enhancing motivation and developing a change plan.
Contingency management (CM) is a type of reward system in which persons are rewarded for meeting significant treatment goals and demonstrating abstinence.
Relapse prevention (RP) is a type of therapy that assists individuals in identifying prompts for drug use and training them to respond differently to their unique vulnerabilities. Relapse prevention
The Relapse Prevention Method of Alan Marlatt’s (1985) has been a seminal cognitive-behavioral strategy for addiction recovery and addiction therapy. Marlatt identifies 4 psychosocial mechanisms that are pertinent to addiction and recurrence: decision-making processes, causal attributions, outcome expectancy, and self-efficacy. Self-efficacy relates to an individual’s capacity to handle elevated risk, relapse-provoking scenarios proficiently and accurately. The term “outcome expectancy” relates to a person’s expectations regarding an addictive substance’s stimulant effects. Causality attributes correspond to a person’s belief system that relapse to substance use is the product of personal, or rather outer, transitory causes. Finally, the recurrence process is influenced by decision-making mechanisms. Substance abuse is the result of a series of decisions that cumulatively culminate in the intoxicant’s use. Additionally, Marlatt emphasizes that while some decisions—referred to as seemingly unimportant decisions—may appear insignificant in terms of relapse, they may have cascading consequences that put the user in a high-risk condition.
For instance, a recovering addict may choose one evening to exit the freeway and go on side roads due to the excessive traffic. This creates a high-risk scenario when he finds he is traveling by his old favorite bar accidentally. If this guy can successfully cope with his desires by switching to his preferred music, he will prevent relapse (PATH 1) and increase his effectiveness for future sobriety. If, on the other hand, he lacks coping skills – for example, he may start obsessing on his urges (PATH 2)—his effectiveness for abstinence will decline, his expectations of successful results will rise, and he may suffer a lapse—an solitary return to substance addiction. Thus, Marlatt calls this phenomenon the Abstinence Violation Effect, which is marked by remorse for having become inebriated and low applicability for future abstinence in comparable appealing conditions. This, Marlatt argues, is a perilous path to full-blown recurrence.
Counseling in a twelve-step process. Similar to the Alcoholics Anonymous (AA) model, 12-Step counseling includes working with a psychotherapist while also attending AA (or other properly themed programs) meetings. This is in comparison to the conventional AA program, which does not involve mental health specialists.
Nevertheless, 12-Step Counseling, like AA, adheres to three fundamental principles and beliefs:
- Individuals who are addicted have lost control over the drug or behavior in question.
- There is no effective treatment for addiction – abstinence must be complete and continuing.
- Acknowledging the loss of control and putting faith in a higher force offers hope for healing.
- Engaging with the therapist is not a permanent thing, and the patient gradually begins attending 12-step sessions on a frequent and exclusive basis.
Behavioral Dialectical Therapy (DBT). DBT is also used in conjunction with CBT and focuses on an individual’s ability to tolerate stress and emotional anguish. This type of treatment assists you in comprehending and accepting difficult situations. Additionally, it emphasizes the development of healthy coping skills.
Psychodynamic Counseling. This method is based on Freudian treatment. It helps individuals to delve deeply into their subconscious and gain a better understanding of how their conduct is influenced. This method of therapy addresses unsolved tensions, problems, and core assumptions that may contribute to an addiction’s perpetuation.
Resistance Decimation. This type of therapy assists patients in adjusting to a significant shift in behavior. Additionally, it helps clients to become more receptive to change. Essentially, resistance reduction aims to minimize antagonism to treatment and the associated changes.
Co-Occurring Disorders Treatment. Many addicts struggle with not only addiction but also with some sort of mental illness, referred to as a co-occurring disorder. Indeed, it is this co-occurring condition that may contribute to the development of an addiction. During inpatient rehabilitation, the underlying cause of a co-occurring condition is identified, as is the manner in which the disorder influences behavior.
SMART Recovery. Joe Gerstein created SMART Recovery in 1994 on the framework of REBT. It emphasizes human authority in the effort to address addiction and puts emphasis on self-reliance and self-empowerment. It rejects illness theory and helplessness. The group sessions include open conversation, critical thinking, and the formation of remedial actions through proactive exercises. It does not require a lifetime subscription, but individuals can choose to meet regularly or not after achieving recovery. The SMART Recovery programs’ targets are as follows:
- Developing and Sustaining Motivation,
- Trying to manage Urges,
- Controlling Thoughts,
- Emotions, and Behavior patterns
- Restoring a Balanced Life.
This is comparable to other self-help groups that operate on mutual aid principles.
Client-centered strategies. Carl Rogers suggested three preconditions for personal transformation in his famous book, Client-Centered Therapy, wherein he introduced the client-centered approach to new therapeutics. These conditions are genuineness, accurate empathy, and unconditional positive regard. Rogers believed that the inclusion of these three components in a therapeutic alliance could assist a person in overcoming any difficulty, including but not restricted to alcohol abuse problems.
To this end, a 1957 study examined the comparative effectiveness of three distinct psychotherapeutic approaches in managing alcoholics who had been engaged with a state hospital for 60 days: a two-factor learning theory-based therapy, psychoanalytic therapy, and client-centered therapy. Though the researchers anticipated the two-factor theory to be the most efficient, the outcome revealed that it was actually detrimental.
Surprisingly, it was discovered that client-centered therapy was the most efficacious. However, it has been contended that these findings are more likely due to the substantial difference in counselor outlook among two-factor and client-centered approaches than to client-centered techniques. The authors highlight that the two-factor theory implies a strong rejection of the patients’ “irrational behavior” (p. 350); this unusually pessimistic view may account for the findings.
A variation on Rogers’ approach has been devised in which patients directly determine the treatment’s objectives. This method, termed Client-Directed Outcome-Informed Therapy (CDOI), has been adopted by a number of drug treatment programs, including the Arizona Department of Health Services.
How does inpatient treatment differ from residential treatment?
While the terms residential and inpatient treatment usually overlap, the term inpatient may occasionally indicate more clinically intense treatment than residential care. Both involve an overnight stay in an institution with supervision and care, though inpatient facilities may be more focused on clinically monitoring detoxification, resolving specific medical concerns, and offering treatments for emotional, behavioral, or social health difficulties.
Keeping this contrast in mind, the inpatient detoxification and medical abstinence management phase may be quicker than the duration of an extended residential treatment program. Though rehabilitation durations vary according to individual circumstances, such a period of somewhat intensive inpatient treatment could last anywhere from a few days to weeks. On the other side, residential care in general ranges from a few weeks to a few months, based on the individual’s needs.
Is detox included in inpatient rehabilitation?
Detox is usually a critical first part of treatment and, depending on the nature of the abstinence risk, may occur in an inpatient environment to guarantee safe care of any symptoms of withdrawal.
Withdrawal symptoms vary according to the drug from which a person is detoxing. There are numerous detoxification regimens available for various substances, as well as numerous treatment venues to consider while seeking rehab. Not all setups all suitable for everybody. Certain individuals may require 24-hour care throughout the detoxification pathway, whereas others may not.
Professional detox therapy is available at numerous levels, including outpatient and inpatient settings. Although outpatient detoxification may involve drugs and medical supervision to gauge withdrawal status, clinically controlled and monitored detoxification is more typically performed in inpatient/residential facilities.
Treatment teams can provide twenty-four-hour observation, monitoring, and assistance to those who are actively drunk or undergoing acute withdrawal in this setup. These levels of care may well be able to get the most comprehensive variety of treatments to assist patients in stabilizing and remaining safe during the sometimes-risky detox duration.
What is the difference between inpatient rehabilitation and outpatient rehabilitation?
The primary distinction between outpatient and inpatient rehabilitation is that inpatient rehabilitation necessitates overnight stays at the institution. Choosing the ideal location for you or a loved one is complicated, and rehabilitation must be focused on individual circumstances.
The following six criteria are used to evaluate whether therapy should take place in an outpatient or inpatient setting:
- Intoxication level and the possibility of withdrawal symptoms
- Co-existing medical conditions
- Other psychological, behavioral, or intellectual difficulties
- Willingness to adapt or motivation to do so
- When rebound or continuing drug usage is a possibility.
- An environment conducive to recovery (For example legal system, family, peers, school,)
Is rehabilitation for inpatients effective?
There really is no such thing as a one-size-fits-all approach to rehabilitation, and hence effective therapy is entirely dependent on an effective evaluation of the necessary degree of care. The most appropriate treatment plan will take into account all of the individual’s requirements, not just the addiction. Generally, inpatient rehabilitation offers a variety of treatment choices that can be personalized to a person’s requirements and drug of abuse.
How to select inpatient rehabilitation
Making the decision to undergo rehabilitation is a critical first step toward recovery. If you or a loved one is seeking rehabilitation, it may be beneficial to speak to a doctor, counselor, or another medical practitioner to determine your requirements and treatment alternatives.
If a clinical practitioner recommends inpatient rehab, you may want to examine a few considerations while selecting a facility. When seeking inpatient therapy, the following questions and concerns may be beneficial.
What types of addiction are treated in individual drug and alcohol rehab facilities?
While the majority of institutions treat a wide variety of drugs, certain centers deal in the treatment of particular substances or subgroups. When selecting an inpatient rehab facility, enquire about the substances they manage and the treatments they provide to ensure you get the degree of care.
Do inpatient rehabilitation facilities offer specialized treatment programs?
Numerous facilities offer specialized programmers for certain demographics, including but are not restricted to the following:
- Mental well-being
- Women who are pregnant
What credentials and licensing does the facility have?
Addiction therapy is extremely specialized, and many individuals and facilities are qualified and accredited to provide specific types of addiction treatment. Licensure indicates that the organization has satisfied all applicable safety criteria and employs licensed experts to offer medical treatments, personal and community therapy, training, and treatment planning for substance abuse.
How long is an inpatient’s rehabilitation?
The length of stay in inpatient rehab varies according to the individual’s development, medical demands, mental care needs, and medical insurance. Inpatient therapy, on the other hand, typically lasts between a few weeks and a few months, although may be extended if necessary. While any period of treatment is likely to be beneficial, treatment durations of 90 days or more (which may include an inpatient rehabilitation stay) have been associated with more favorable treatment results.
Are family members permitted to visit me during inpatient rehab?
Family visits must be scheduled in advance with the institution, and some facilities may offer family counseling and other recovery-related programs. Family therapy can be beneficial in assisting in the transformation of family systems where substance misuse and other problems continue.
What is the cost of inpatient rehabilitation?
The expense of inpatient rehabilitation varies according to a variety of criteria, including the following:
- Level of care required
- Coverage by the health insurance company
- Provided with additional services (e.g., medication therapy, medical, physical, and psychiatric therapy).
Because insurance companies offer a range of benefits and packages, it’s critical to confirm coverage with your providers and/or treatment center to ensure you’re covered.
Factors that may affect insurance coverage include the following:
- Type of health insurance.
- Type of the addictive drug for which rehab is required
- The severity of addiction (number of rebounds, mental/medical difficulties associated with substance use/withdrawal, legal problems).
- The provider (in-network plan, geographic location)
Therapeutic Communities (TC)
Additionally, patients can benefit from being part of a “therapeutic community” while in residential care. Along with the families, there is a network of patients that assist one another by encouraging one another to keep it going. The treatment continues to be very organized, and members of staff may employ confrontational approaches (challenging disrupted thought processes, enhancing patient’s decision-making ability).
Staff and residents collaborate to re-develop problem-solving abilities and new ways of interacting with their surroundings. TCs provide personalized treatment that is adaptable to the needs of varied groups. Companionship developed through compassion and shared experiences frequently aids patients in recovery from addiction and completing rehabilitation.
Who Requires Inpatient Drug Rehabilitation?
Inpatient drug therapy is most suitable for individuals who are struggling with persistent or severe addiction. Individuals who have attempted and struggled to keep abstinence through the use of alternative treatment techniques.
Similar to individuals with Alcohol Use Disorder (AUD), individuals with severe substance use issues require hospitalization during the detoxification phase. Medication and other therapies necessary to assist them in completing detox are not available to them at homes or in an outpatient clinic.
Inpatient treatment programs is the ideal option for people with a long history of drug addiction, serious co-occurring mental health difficulties, or a history of persistent relapse following treatment.
The Advantages and Disadvantages of Inpatient vs. Outpatient Rehabilitation
The first step in the process of recovery is admitting that you require assistance to overcome your addiction. Another critical decision is which type of rehabilitation clinic to use: outpatient or inpatient. Each form of therapeutic setting offers a number of benefits and drawbacks.
The Benefits of Inpatient Care
A four-week stay inpatient, or residential, treatment is required. The duration of a normal stay varies according to your condition, requirements, circumstances, and medical insurance
- You are supervised 24/7 a day by qualified therapists and staff; you will never be alone in your fight against addiction
- You are an active part of a community — other patients at the institution are also battling addiction.
- You are in a program that offers intensive care – persons who have previously tried to overcome addiction may benefit from a more intensive setup.
- Being in a residential facility allows for more time each day to be devoted to rehabilitation, whether through individual and group counseling sessions or other therapy practices.
- While in treatment, you are not distracted by regular life worries/activities.
- You do not have the freedom to come and leave as you wish.
- You are in a controlled setting that regulates when you wake up, eat, have counseling sessions, and have leisure time. While this may appear to be a “negative,” it is really one of the most beneficial aspects of inpatient/residential treatment.
- While you are undergoing treatment, preparations for child care will need to be established.
- Usually, you will be required to take time from work to engage in residential treatment.
- Most insurance companies will cover just outpatient care.
The Benefits of Outpatient Rehabilitation Centers
As the title suggests, you receive medical treatment on a walk-in/walk-out basis. Typically, you will attend counseling sessions for a specified period of time before completing the program.
- Outpatient treatment is designed in such a way that you can engage in it alongside many of your regular activities, such as a job or child care.
- Counseling sessions are frequently held on the weekends and/or evenings after work.
- You can instantly integrate what you discover in treatment to your real-world situation and begin making improvements.
- Numerous outpatient programs contain family meetings to assist your support network in comprehending the difficulties you experience.
- Outpatient treatment is believed to be a more economical choice and is frequently covered by health insurance.
- You run the chance of being exposed to the same factors, concerns, and impulses that drove you to use alcohol or drugs in the first place.
- You may still have drug/alcohol access.
- Daily life diversions may prevent you from concentrating on your recovery.
- Your counselor’s availability is more restricted than it is in an inpatient/residential institution.
- Numerous residential patients form friendships with other patients throughout therapy that develop into a healthy support network. Because you spend less time with each other in outpatient treatment, it’s more difficult to establish the basis for this support system.