Rehab usually refers to drug or alcohol treatment programs that are conducted in a residential setting. The purpose of a rehab is to help you shake off your addiction to alcohol, drugs or other behavioural conditions, so that you can stay sober and maintain long term recovery.
You will be provided with a program of intensive support and care at the rehab by highly trained medical and therapeutic care specialists. They help you stay off drugs and alcohol and guide you through the program, which includes detox, group therapy and individual therapy.
There are essentially two types of rehabs…
#1: Traditional rehabs are facilities where the patient gets a complete break from work and current circumstances. The patients stay at a centre that is at a fair distance away from their home or any familiar environment.
#2: Newer models of rehabs are facilities where you will have access to a structured treatment and local services, in addition to supported housing.
Many rehabs provide the treatment in various stages, such as…
Stage 1: The first stage of the rehab usually consists of a short to long-term stay in the residential facility – which is usually 4 to 12 weeks. Here the focus is on intensive therapeutic care and on the responsiveness of the patient to the treatment.
Stage 2: The second stage is for longer stays at the rehab clinic of 12 weeks and more. Here the focus is on helping the patient develop critical life skills, and to help them reintegrate into the mainstream with high quality education and training. The patients are provided with essential job skills that help them compete in the job market following their stay at the facility, so that they find work and live a productive life that is free from drug use.
Stage 3: The third and the final stage of the rehab program is offered by some organisations only. It involves providing independent living facilities to the patient and providing them extensive support and mentoring through the main rehab centre.
Not all recovering addicts need to go through Stage 2 and 3. However, Stage 1, where the duration of the stay is between 4 to 12 weeks is a must.
Rehab ‘Philosophies’ and Approaches
There are essentially six important philosophies or approaches used by most traditional rehabs. Each of these philosophies have a real impact on how the rehab programme and are customized based on the individual needs and requirements of the patient.
It is important that the right philosophy is used to match the specific issue faced by the client, whether it relates to drug or alcohol abuse or a behavioural addiction, such as sex addiction or gambling addiction.
12 Step Programs
12 Step programs are considered to be the most important approach to helping people get over their addiction to drugs or alcohol. These programs were originally based on the 12 Steps of the Minnesota Model, and are today widely used by self-help groups such as Alcoholics Anonymous and Narcotics Anonymous.
In this approach, the addiction is seen as a disease that has to be cured. The residents work their way through each of the 12 steps on their way to recovery. The program is constantly modified and adapted to changing circumstances, and is very flexible.
Residents are required to spend time in different “step” groups. This is different from the individual and group therapies they attend daily. The duration of this program can be 3 months or less. Even after leaving the facility, the residents are expected to attend local meetings of Alcoholics Anonymous or Narcotics Anonymous.
Therapeutic community is a type of treatment where the staff and residents jointly participate as members of the same community. The community is based on a hierarchy. Residents participate in different activities and take on growing responsibilities. They are given more freedom with every improvement, develop practical job skills through education and training and participate in special one-to-one keywork sessions. This approach is similar to the 12 step program but is more flexible. However, it takes more time – anything from 6 to 12 months.
Faith-based services or those that are based on Christian philosophy are deeply religious and incorporate sacred religious texts and beliefs in the various activities geared at helping the residents get over their addiction to alcohol, drugs or other abusive behavioural patterns. Residents spend time studying the Bible (or a religious text of their choice) and discuss the teachings. Prayers are an important part of these programs.
Eclectic or integrated programs are not based on any particular philosophy. They consist of several different methodologies and interventions. Their goal is to meet the specific needs of each of the residents.
Cognitive-behavioural therapy (CBT) and social learning
Programs that are based on cognitive behavioural therapy consist of psychological treatments, where the actions of the residents are thought to have an impact on their future behaviour.
Personal and skills development
The personal and skills development approach is based on helping the residents develop critical life skills and job skills that can help them get work later, after leaving the facility. These programs consist of educational classes, team work and practical training on skills such as carpentry, construction, electrical and plumbing and computer repair, to name just a few. They may also involve on the job learning to help the residents build valuable work experience.
Does the Rehab Provide Residential Detox Facilities?
Many rehab clinics provide detox facilities. This is in addition to the rehabilitation program provided by them. Some rehabs don’t provide detox and expect you to have undergone the detoxification prior to your admission into the program.
All rehabs expect residents to be completely drug free before getting started with the rehabilitation program. In case you want to join a rehab program that does not offer detox, you should get the detoxification done at a hospital or a clinic prior to joining the rehab facility.
About The Author
Written by Shane White for Rehabs.asia – The leading resource for addiction rehabilitation programs in Asia.