9.4 percent of the United State's population, or approximately 23.2 million Americans, needed drug or alcohol addiction treatment-SAMHSAAddiction is a chronic condition that cannot be overcome by simply discontinuing the use of drugs or alcohol. It is a condition that requires proper care and treatment, especially if the person has been abusing the addictive substance for a long time. Long-term rehab programs -- that take 120 to 180 days or longer -- can help in treating chronic alcohol and drug addiction by providing intensive and structured treatments, and by helping the addicted person to sustain abstinence and regain his or her normal life.
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), 9.4 percent of the United State's population, or approximately 23.2 million Americans, needed drug or alcohol addiction treatment in 2007. In the same year, only 2.4 million, or 10.4 percent, of those people received treatment at a rehabilitation or mental health facility. The remaining 8.4 percent, or 20.8 million people, did not receive the necessary treatment for their addiction.
Drug or alcohol addiction is a complex disease that affects the physical and mental health of a person. A single addiction treatment approach is not appropriate for all people, as these drugs or other illicit substances affect each person differently. It is often necessary to seek proper care from a luxury or specialty addiction treatment center that offers long-term rehab programs to ensure complete treatment and recovery.
Long-Term Drug Rehabilitation
A substance abuse treatment plan is often divided in various stages or phases, which typically consist of medically-assisted detoxification, rehabilitation, and aftercare support. The whole treatment process can be completed in both outpatient and inpatient treatment facilities. Outpatient rehabs handle short-term substance abuse treatment, while inpatient rehabs are recommended for long-term drug or alcohol rehabilitation.
Long-term rehab is also referred to as residential treatment center. It typically involves several days of closely-monitored detoxification, 90- to 120-day residential rehabilitation, and aftercare support. This type of rehab is indicated for dually diagnosed offenders, or alcohol- or drug-dependent individuals who suffer from mental illnesses or psychological conditions. Residential treatment centers are also recommended for adolescents addicted to drugs or alcohol.
highly structured long-term rehab programs in therapeutic communities last for six to 12 months.-NIDAAccording to the National Institute on Drug Abuse, highly structured long-term rehab programs in therapeutic communities last for six to 12 months. It is indicated for people who are having a hard time recovering after short-term inpatient rehabilitation. There are also therapeutic communities that are designed for women who have children and pregnant women.
Residential Rehab's Treatment Approach
The treatment inside a residential treatment center begins with the detoxification process, during which the addicted person stops drinking alcohol or abusing drugs. Depending on the substance that he or she has abused, an individual may receive medication-assisted detox, drug replacement therapy, or gradual drug reduction therapy. These programs are utilized to prevent acute withdrawal symptoms and reestablish the normal functions of the brain. The process can take several hours to days, depending on the severity and length of substance abuse. Preexisting physical and mental diseases can also lengthen the duration of the detox process.
Detoxification is only the first stage of treatment and not enough to treat chronic alcoholism or drug addiction. Chronic alcoholics or drug abusers are often recommended to enter an extensive rehabilitation process. During this stage, the patient undergoes a variety of long-term rehab programs, including:
- Cognitive behavioral therapy
- Multidimensional family therapy
- Motivational incentives
- Motivational interviewing
The patient receives cognitive behavioral therapy (CBT) to modify his or her attitude toward drug abuse. Behavioral therapies also increase the effectiveness of the medications and encourage the patient to stay in the treatment facility. Cognitive behavioral therapies are performed by resident or on-call psychologists or counselors.
Multidimensional family therapy (MDFT) is a home-based multisystemic program developed for adolescents with alcohol or drug addiction problems. This program encompasses the treatment of the four areas, including the alcohol- or drug-dependent adolescent, individual family members, the family unit, and the interaction of the family unit with the community.
Multidimensional family therapy is designed to help young people stay clean by working on the adolescent's environment and addressing peer relationships, family issues, educational concerns, and parental substance abuse. Each member of the addicted adolescent's family is also encouraged to participate in the 12-step program and in group therapies.
The recommended MDFT treatment duration for adolescents is one to three hours for three to six months. It can be done in inpatient or outpatient facilities. However, according to the research conducted by the National Institute on Drug Abuse, adolescents who exceed the minimum long-term rehab programs of 90 days are more likely to abstain from alcohol or drug use. Adolescents who have attended long-term rehab centers are also 1.34 times more likely to have above-average grades compared to those who attended short-term rehabs.
Motivational interviewing and motivational incentives are done to encourage the patient to continue treatment and abstain from drug or alcohol use. Motivational interviewing is a non-confrontational and nonjudgmental approach that helps increase the patient's awareness of the adverse side effects of addiction and what can be gained by changing his or her behavior toward these substances. Motivational incentives, on the other hand, involve giving the patient incentives in exchange for drug-free urine samples. Low-cost incentives include movie passes, food items, vouchers or personal items.
Recovery Facilities for 120- or 180-Day Rehab
Residential treatment centers focus on long-term rehab programs and recovery processes to help the patient regain sobriety in the most natural and effective way. The ultimate goal of an extended-stay addiction treatment facility is to reinstate recovering alcoholics or drug addicts in their everyday environments and to help them to become productive citizens. It also helps addicted individuals to regain their self-respect, confidence, and lost sense of responsibility.
To deliver these goals, residential treatment centers develop long-term rehab programs that emulate a real community. Once the detox and rehabilitation processes are completed, the recovering addicts are allowed more freedom inside the rehabilitation center. Many residential treatment centers for adolescents also offer community high schools and colleges. Older clients can get jobs inside the facility to help in their continuing recovery. These programs are developed to aid in restoring patients to their families and communities after they complete the rehabilitation process.
Outdoor activities, such as outings, out-of-the-town trips, and outreach programs, are also a part of long-term rehab programs. Recovering patients can also participate in sports, skills training, and various activities inside the rehab center. Exclusive long-term rehab centers provide luxury services, including:
- Meditation sessions
- Massage and tai chi sessions
- Spa treatments
Private rehabs also offer:
- Gender-specific addiction treatments
- Anger management
- Psychodrama activities
- Trauma workshops
- Art and music classes
Residential centers located near the beach or sea also offer 120-180 day rehab programs that promote personal healing through beachside facilities. Patients are introduced to various support groups, like Alcoholics Anonymous, Narcotics Anonymous, or Cocaine Anonymous, during the rehabilitation and recovery process. Recovering patients can also attend one-on-one counseling, group therapy, individual psychological counseling, and dialectical behavioral therapy even after completing the long-term rehab program.
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