What Treatment is Right for you?
I talk about treatment and levels of care with families daily. I’m a Family Recovery Coach and Counselor, and counselor that works primarily with Interventions and ongoing treatment for the entire family system.
I specialize in extracting a willing loved one out of a dynamic that is toxic and bringing pain, addiction, misery, self-loathing, destruction, and chaos to addicts and families.
When a family calls, it is usually a crisis. Situations that have built over years, escalated and reached a critical point. Inpatient treatment is suggested 90% of the time. Inpatient treatment helps a person separate from the people, places and things triggering them and making it easy to use drugs and alcohol. I’m sure you have seen the show “Intervention on TV”. Interventionists fly into an area and work with a family, planning a strong and compassionate direction, then approach the loved one and intervene. All stars aligned correctly, they are headed to an airport to start treatment in another state. There is a reason why this happens. Success rates for getting out of your area when going to treatment increases. If you are too close to home, it’s easier to stage a buddy rescue mission to pick you up or just walk and end up on a family members doorstep. Get the highest level of care possible then drop into a step-down. A full continuum of care is suggested.
The progression is Detox>>Inpatient Treatment>>Partial Hospitalization Program (PHP) Treatment>>Transitional Living with Intensive Outpatient (IOP)>>Outpatient(OP)>>Maintenance Meetings (90 meeting in 90 days). A full continuum is designed to maximize insurance benefits levels of care and get the cleanest time for anyone struggling. We didn’t get where we are overnight and it takes time to experience emotional sobriety. The more time the better, get the most recover possible. Take your time, you’re worth it. A continuum of care starts very heavy with the structure and lower levels of accountability. As a patient works through the continuum, accountability is increased. A patient is held responsible to complete daily tasks, get to the group on time, be ready for lights out etc. The goal is to have that patient doing everything willingly and mindfully towards the end of the program. In a perfect world, that patient will be doing everything for themselves. An example would be getting up having breakfast, getting ready for work, making it there on time. Allotting time for extracurriculars like the gym, hobbies, cooking, etc. Making it to ongoing therapy. Being. Be Accountable, Responsible, Transparent, Honest, Sober. Keep…. that Ego and Entitlement in check. This is a simple way of looking at a continuum of care. It is much more detailed. Treatment is the easy part, getting back into the real world is where it gets difficult. Everything is taken care of for you in treatment. If you don’t have the tools and coping skills to say no when you get out or if your family dynamic hasn’t changed, history is bound to repeat itself.
Some people work towards a backward continuum. They feel that inpatient may be too much for their loved ones to start. They want to try a counselor or Outpatient first. Success rates are poor when using this method. We take someone that is already struggling in their environment and ask them to now do extra. If people are having issues with employment, relationships, finances, drugs and now we encourage therapy on top of programming. Early recovering adjusting and living can produce much stress and make someone want to use more. Therapy can be ineffective if that person isn’t in the right mind frame. If you go to therapy and are, that’s not you that is the drugs/alcohol in your system. A therapist relies on the patient to be open and honest and share what is going on. It is difficult to emote inebriated.
Get the highest level of care possible. Get a clinically sound program out of an area that you are struggling in. Aftercare will be there when you get back. These are my personal thoughts on treatment and levels of care.