Rehabs and treatment centers have long been associated with helping people who have drink problems. The name given to someone who has a drink problem is normally that of an alcoholic, but there are a number of other names floating around as well.
The most common is something like alcohol addiction, a dipsomaniac or someone who abuses alcohol. To be honest, the name is fairly irrelevant, but can be an important issue in helping the person accept and understand that they have a drink problem.
It is often recommended that someone who thinks they have a drink problem should get a formal assessment, either through a primary care giver, or someone who specialises in alcoholism/alcohol addiction.
Whilst this is generally good advice, the problem is that if someone is an alcoholic, they are likely to be in denial of it.
Admission and acceptance of a problem with alcohol normally takes quite a long time, and is normally precipitated by some disaster in the life of a problem drinker.
There is also an awful lot of medical information available as to what constitutes an alcoholic, or alcohol addiction. Again this can be valuable, but more likely for those who are trying to support or help the person with a drink problem, rather than the alcoholic themselves.
There is a saying in Alcoholics Anonymous that if drink this costing you more than money, then you have a problem.
This in many ways is often good enough to get someone to accept they may have a problem, and through seeking help are able to begin to address both the drinking, and any underlying emotional issues that may need to be dealt with.
Not everyone who comes of alcohol will need a detox, but it is probably true to say everyone coming of alcohol should really be assessed as to whether they need one or not.
This assessment can be done when someone enters a rehab, or by a primary physician beforehand.
Any alcohol rehab should have the necessary facilities to undertake a full and thorough medical assessment of whether the individual needs to be detoxed and not, and if they do, then rehab should have the facilities or access to the facilities in order to to be able do this.
Some rehabs will be able to do this on site, others may have arrangements with a local hospital or other clinical facility where it can be done.
This is especially important, as anyone who does need a detox from alcohol addiction needs to have withdrawal symptoms monitored and dealt with appropriately, which can sometimes involve medication.
Addiction treatment programs
These programs are at the heart of what happens in a rehab or treatment center.
When someone is admitted, and after an initial assessment, an individualised program needs to be put in place that covers all or some of the addiction treatment programs that the rehab facility has to offer.
These programs are primarily aimed at helping to begin the process of understanding the underlying emotional and behavioural issues that are part of someone’s alcoholism.
For someone who is an alcoholic, they normally see drinking as being the solution to their problems, not the problem itself.
This means that long-term recovery involves looking at and processing a number of emotionally turbulent issues that have normally fuelled their drinking
For many, this is a lifetime process, but begins in earnest in a rehab or treatment center.
The addiction treatment programs that a rehab offers, are a key element of this, and should be looked at carefully when deciding which to apply to for admission.
The vast majority of rehab and treatment centers utilise the experience of 12 step programs, primarily that of Alcoholics Anonymous. They will do this as part of a person’s treatment program, but also as an introduction to the main source of after-care available.
All 12-step programs have no affiliation with any rehab or treatment center, but local AA groups will normally work closely with any facility.
This can include hosting meetings at the facility itself, local AA members going into the facility to give talks, and local AA members helping to look out for people once they are released from rehab.
In addition, an alcohol rehab is likely to have its own after-care programme.
This is normally intended to bridge the gap between leaving rehab and re-entry to normal life.
Rehab is widely acknowledged as being a bit of a bubble, and this is often seen as being one of its primary benefits.
This bubble allows people to get away from their normal life, it can essentially buy them some time to begin to address the issues that they need to in relation to their drink problem.
It is also recognised that the need to re-enter life after this bubble needs to be addressed early on in treatment as well, and as such the after-care process becomes an important element early on in the treatment.
The after-care arrangements that the rehab makes itself can vary. It normally includes a regular meeting, quite often monthly, which ex-residents can attend and talk about their experiences.
These meetings can also be done online, and there’s quite often an annual social event, such as a barbecue, to which all ex-residents are normally invited.
Some rehabs will also offer to residents the opportunity to contact staff at the center once they have left, if they feel the need to talk to someone about any specific issues that may arise.
An intervention usually takes place when it is believed the situation is so serious that there is nothing else that can be done. The process is usually instigated by family or friends of the person who has an alcohol or drug problem. The nature of an intervention can vary quite a lot, but there are normally some common elements.
People who perform interventions take great pains to stress they should not be confrontational. The intent is to show the person the extent to which that addiction or alcoholism is real. This is done through family and friends sharing, writing letters, showing photographs etc. The individual concerned then understands the nature of the problem, and is willing to seek help to get better.
This type of scenario sounds very plausible, but there are some problems with it.
Anyone who is an alcoholic will have a particular mindset about their drinking.One element will be a belief system that alcohol is the only thing that is holding them together. It is likely this belief system will get deeper the worse things get, both internally and externally.
This is something that is very difficult for someone who is not an alcoholic to understand.
The complexity of active alcoholism and drug addiction means that trying to help someone can be quite difficult. It is a bit of a cliche, but still true, to say that the person needs to accept that they have a problem and that they need help. What is even more true is that that acknowledgement has to come from within them.
An alcoholic or drug addict will have a completely different view of how they need to use alcohol or drugs than someone who is not an alcoholic or an addict.
The dangers of an intervention
Whilst that are some scenarios where an intervention possibly could be justified, on the whole the process is fraught with danger. The person that the intervention is focused on is likely to feel cornered, possibly trapped and certainly under a great deal of pressure. They may give in to this pressure and agree they need help. They may go into rehab, and they may get sober.
There is an underlying issue that will be hugely important, but will possibly go unnoticed for a long period of time. That is that they did not make the decision for themselves that they had a problem and needed help. The decision was effectively made for them by other people, and they essentially went along with it.
The significance of this cannot be overstated. Any long-term recovery has to be rooted in a gut level feeling that they cannot do it any more. It is an internal dynamic that has to be genuine and authentic. Whatever horrors may be presented to them by way of evidence from family and friends, this evidence it only likely to make them feel worse.
An intervention is not a reality check. It is a process advocated by people who feel there is nothing more they can do, and something has to be done to force a situation to change. The real danger is that this presented as an opportunity for an alcoholic to get better. What it does in reality is tear down a mask that someone has put up to keep themselves safe.
It is a cardinal rule of all types of psychology, that people who use masks to defend themselves have to be able to take them down from within. Tearing them down from the outside can be cruel and callous. For an alcoholic or drug addict, it seems more complex because the mask itself is so destructive. The reality is the same however.
However tempting an intervention may seem, the solution that offers is normally an illusion. The desire for recovery has to come from within, not be forced on someone by outside pressure.
Alcoholics Anonymous and other 12 step organizations use several different readings and sayings that help members.
Some of these sayings are best known at meetings, others in the literature.
Perhaps the best-known of these is a prayer, commonly referred to as the serenity prayer. It may be one of the first things someone learns in rehab
There is a full version of the prayer, but AA tends to use a shortened version of it that reads as follows.
God grant me the serenity to accept the things I cannot change, courage to change the things I can and wisdom to know the difference.
This prayer is sometimes used at the beginning of meetings and sometimes used to close meetings at the end.
Also, it has become a common prayer that many people use in times of difficulty. It is particularly easy prey for people to remember and get used to.
Like any prayer, its meaning depends to a large extent depends upon the person who is using it.
Their interpretation of what it says to them and how it makes them feel is important. Any prayer should in effect make the person think, what is this saying to me about me.
For many people in AA, the serenity prayer can be a bit of a mantra.
People are often advised simply to repeat it over and over again.
This can be done when people are new, or at any time in their recovery. The simplicity of the prayer and the fact that it is regularly used at meetings makes it much more accessible for many people.
There are three basic elements to the structure of the prayer. People find these different and helpful.
The first element is about asking for acceptance of things that you cannot change. This is acknowledging some degree of powerlessness over events outside your control.
The second element is about asking for the power to change the things that you can control, and the third element is asking for help in knowing the difference between the two.
The value of the structure is that it embodies one of the most important principles in AA recovery. Acknowledging the difference between the things you can change, and the things you cannot is not simply a matter of semantics.
It is about reinforcing your real sense of power and control over your own life.
This is done by focusing energies on things that are within your control, and not outside of it.
This is particularly important for members of AA. Many of them have grown up in what is known as an alcoholic home. One of the key effects of growing up in such a home is that you reverse this whole principle.
Most alcoholics have a strong sense of feeling responsible for things that are outside of their control and at the same time little control over their own lives.
This is one factor in their understanding of their alcoholism. For many active alcoholics, alcohol seems to give them this sense of control. Although it is an illusion, it is often preferable to their reality.
The serenity prayer is not the main way that people tend to change or reverse this sense of responsibility. That is a much longer process and simply saying a prayer.
In many ways, the whole nature of 12 step recovery is about this process. The value of the serenity prayer is that it embodies this process in a few simple words.
It can be used as a stop-gap and a very important way to buy yourself some time.
USA AA Meeting Directory – GSO
California ( Southern)
California ( Northern Coastal )
California ( Northern Interior )
California ( Imperial / San Diego )
California ( Mid Southern )
Florida ( North )
Florida ( South )
Illinois ( Chicago)
Illinois ( Northern )
Illinois ( Southern )
Indiana ( Northern )
Massachusetts ( Eastern )
Massachusetts ( Western )
Michigan ( Central )
Michigan ( Southeast )
Michigan ( Western )
Minnesota ( Northern )
Minnesotta ( Southern)
Missouri ( Eastern)
Missouri (western )
New Jersey ( Northern)
New Jersey ( Southern )
This is a directory of 12 step meetings of different fellowships, throughout the world.
Please note that it is continually being updated, and if you have any links you would like to be included please email me db(at)arehab.org ( replacing at with at sign )
It is always a good idea to to check details with a local contact if available
Click on the name below, which will take you through to country and area specific listings
Anyone looking for a Christian rehab will generally be doing so for one of two reasons.
The first reason is that they want a rehab that is purely faith-based or Bible based, the second reason is that they want a more traditional rehab, but one that is focused on spirituality and/or a Christian based approach to addiction recovery.
The issue of spirituality and belief in God has been at the core of recovery from alcoholism since the early experiences of Alcoholics Anonymous members. It has also been one of the defining issues in terms of both helping people and alienating people from the process of recovery.
As with any approach to recovery, it is important that the person looking for help has some clear understanding of what to look for. Any rehab offering help must comply with certain local and national requirements and regulations. A rehab should also employ a significant number of qualified clinical staff who can help assess the individual entering rehab to see if there is a need for a medical detox.
The rehab should also be able to either oversee such a medical detox if needed, or have other arrangements with a local clinical facility who can oversee the detox on their behalf. This is crucially important for any rehab as many people entering rehab will be withdrawing from the effects of alcohol and/or drugs, and this needs to be managed in a safe and secure clinical environment.
Once any detox has been done, the work of the rehab is to help the individual to understand the nature of alcoholism and other types of addiction, and to give individuals some grounding in the various approaches to recovery that the rehab advocates to help the individual rebuild their lives in the context of staying clean and sober both in rehab and once they have left.
The majority of rehabs will take a therapeutic approach that is based on the 12th program of Alcoholics Anonymous. A number of rehabs will also offer a wide range of other addiction treatment programs that should be clinically based, that should be evidence-based and should be based on extensive experience of what works.
A Christian-based rehab is normally a rehab that very specifically refers to itself as being Christian-based or faith-based. It very clearly sets out its addiction treatment program as being based on a belief that Jesus Christ, and belief in Jesus Christ is the only real source of salvation, and that this belief will be central to all the therapeutic work that is done in this type of rehab.
A Christian rehab can vary quite widely as to its structure and type of environment where this work will be done. Some Christian rehabs will opt for the traditional thirty-day model that most normal rehabs offer, with varying degrees of structure and rigidity in terms of living environment, personal possessions, access to phones and Internet etc.
Other Christian rehabs will offer a much more controlled and rigid environment, and although they are open and upfront about this, this model should be considered carefully before entry into it. Often this type of Christian rehab will offer an extensive and free recovery process with a enrolment period of up to 9 months.
There is likely to be a very strict regime where there is no personal contact with the outside world, no direct contact with anyone at all.
This type of Christian rehab very tightly controls the behaviour, the information and the environment that the individual will live in for these nine months. After the nine months is finished the individual will be expected to continue as part of the broader church that will be associated with the rehab and contribute to it in various ways.
This type of environment can at times be quite cult like, and should be guarded against. Any rehab should be freely entered into, and the client should also have the option or freedom to leave if they don’t like it. A rehab is not a prison, and whilst leaving early can have serious complications and consequences, it is nevertheless a freedom that the client should retain.
A Christian rehab that is faith-based and focuses exclusively on a biblical approach to recovery is a perfectly legitimate option for anyone seeking this. This type of rehab may or may not incorporate some of the approaches of Alcoholics Anonymous and other 12-step organisations.
Most Christian rehabs will offer fairly intensive levels of Christian counselling, as well as a fairly intensive structured programme of daily Bible study groups and prayer groups.
A number of Christian rehabs will also be linked to various churches, and these churches should offer additional support through prayer and pastoral work to the individual once they are in rehab, and once they have left.
A rehab or treatment center should employ a wide range of different health care professionals, who have extensive clinical experience in dealing with alcoholism and addiction.
If the rehab is basing some of its therapeutic treatments on the twelve step progarm of Alcoholics Anonymous, then it is usually helpful if some of the staff are in recovery themselves, often having been in rehab themselves at some point.
This assessment of clinical staffing levels should relate to number of staff, different disciplines, qualifications and experience.
This information should be available on the rehab’s website, along with inforemation about availability of medical staff (should be 24/7) and regularity of therapy / conselling sessions etc.
Below is a list of the main types of clinical and therapeutic staff normally employed in a rehab. In addition a rehab should employ a number of well trained admin staff who can help the client through the often complicated admissions and insurance verification process.
Therapists / Counsellors
Chi Kung / Tai Chi Teachers
Art Therapy Practitioners
Meditation / Mindfulness Practitioners
Transitional Living Worker
Traditionally, a rehab program or treatment center would help treat people through two specific routes.The first would be a medical detox if needed, followed by a fairly intensive therapeutic process based around the first five steps of the twelve step program of Alcoholics Anonymous.
This would mainly be done in a mix of group discussion, group therapy and personal one to one therapy, with some life skills work done as well, under the supervision of qualified clinical staff.This has evolved into an environment where rehabs can offer a bewildering display of what they refer to as rehab programs.A selection of these programs is listed below !
This can be extremely confusing to people researching a rehab, both in terms of what the program is, and how effective it is.Part of the way through this is to have a general undertsnading of how rehabs work, visit the website of any rehab that interests you and see what programs they offer by way of treatment.These programs are sometimes referred to as therapeutic modalities.
If it is not clear what a particular program means, ring or email them and ask them. Also ask them whether the program is evidenced based, in terms of its effectiveness. This really means, is it based on current or ongoing clinical research.
Bear in mind also that the rehab industry is highly competitive and very lucrative, and some rehabs will offer exotic sounding therapies in order to attract business, ie you!Whilst these therapies might be fun, it is often questionable how effective they are in helping deal with alcoholism and drug addiction.
After Care Programs
Behaviour Modification Therapy
Body Image Therapy
Cognitive Behavioral Therapy
Creative Art Therapies
DBT – The Stages of Change
Dialectical Behavioral Therapy
Drug Primary Treatment
Educational & Experiential Group
Emotional Freedom Technique
Equine Assisted Therapy
Group & Individual Therapy
Herbal / Homeopathic / Naturopathic medicine
Hyperbaric Oxygen Therapy
Individual Consultations with Registered Dietitian
Intensive Continuing Care Planning
Life & Career Skills Planning
Meal Planning & Preparation
Mindsight and Interpersonal Neurobiology
Neuro Feedback (Bio Feedback)
Physical Fitness Therapy
Relapse Prevention Therapy
Relationship Building Activities
Somatic Experiencing (Trauma)
Spirituality & Yoga Therapy
Systemic or Strategic Addiction Family Therapy
Therapeutic Restaurant Outings
Thought Field Therapy
Vivitrol Treatment for Opiate Addiction
Wilderness survival programs
12 Step Groups
Long Stay Programs
Early Recovery Skills
Relapse Prevention Skills
Social Support in Recovery
Most rehabs will offer to treat addiction to alcohol and a wide range of drugs, as well as possibly other addictions. The website of the rehab should list the names of the drugs that it offers treatment for the addiction to.
It is likely that the recovery process in the rehab will focus on the individual themselves and their underlying emotional drives, rather than on a specific addiction to a specific drug.
What is really important in this context is the detox process. Anyone entering a rehab who has has been or is addicted to any type of drug, prescribed or not, needs to be assessed by a clinical team to see if a medical detox is needed or not.
For this reason it is important to know if the rehab offers a program for recovery from the specific drug or drugs that the individual is or has been addicted to. This information should be available on the rehabs website. If not , it should be established during the admissions enquiry.
Below is a list of the most common types of drugs that a rehab will offer help with.
Spice / K2
Rehabs are probably best know for dealing with two types of addiction, people who are addicted to alcohol, alcoholics, and people who are addicted to drugs, either prescribed or not. People who are addicted to both alcohol and drugs are commonly referred to as dual addicted.
Some rehabs have broadened their scope of what they say addiction means, and offer treatment for a wide variety of addictions, some of which are listed below.
The rehab will take an approach that the individual is what they call an addictive personality, and use the particular addiction as a trigger.
This approach has allowed some rehabs to broaden their scope of who they treat enormously, which has many implications from a business point of view, and has rasied many ethical questions about what addiction really is and what it means, and whether or not some rehabs exploit that.
Alcohol Addiction / Abuse
Bath Salts Abuse
Most rehabs recommend, and most people follow, that anyone entering rehab goes to one that is a significant distance away from where they live, either in another state or in another country.
The logic behind this is that rehab is something of a bubble for a period of time, and it is better for the client / patient to be in this bubble away from their normal environment, home, family, work etc.
As a rehab is a clinical facility, and should oversee any medical detox and therapeutic work that needs doing, it is crucially important that you check the local accreditation and licensing requirements for where the rehab is located, and make sure the rehab fully complies.
This is a state by state list in the US where these requirements can be checked
Pray as you can, not as you can’t …….
Dom John Chapman OSB, Downside
‘Before AA, I judged myself by my intentions, while the world was judging me by my actions’
Alcoholics Anonymous, p418, 4ed.
‘The crucial lesson throughout my work is how to hold, contain and sustain people who have suffered immense atrocity and loss. Our society will be judged by how we respond to those to whom we owe nothing.’ – Helen Bamber
‘Run while you have the light of life ….. nobody who walks in the dark knows where he is going ……’
Prologue to Rule of St Benedict, John 12, 34
‘Spirituality, for me, means listening to the deeper levels of our experience with a sense that there is something completely trustworthy and good to be found there. In this listening, many recognise the life-giving presence of God in us, challenging and surprising us with new understanding and insight.’
Tom McGuinness SJ
‘We are not at peace with others because we are not at peace with ourselves. We are not at peace with ourselves because we are not at peace with God.’
“To be nobody but
yourself in a world
which is doing its best day and night to make you like
everybody else means to fight the hardest battle
which any human being can fight and never stop fighting.”
― E.E. Cummings
“Whoever fights monsters should see to it that in the process he does not become a monster” – Nietzsche
‘God I give to You all that I am and all that I will be for your healing and direction. Make new this day as I release all my worries and fears, knowing that you are by my side. Please help me to open myself to Your love, to allow Your love to heal my wounds, and to allow Your love to flow through me and from me to those around me. May your will be done this day and always. Amen’
‘When I stopped living in the problem and began living in the answer, the problem went away.’
Alcoholics Anonymous Big Book, p419 4ed.
“We found the Great Reality deep down within us.
In the last analysis it is only there that He may be found”
Alcoholics Anonymous Big Book p55
” Our book is meant to be suggestive only . We realize we know only a little.”
Alcoholics Anonymous Big Book, p164
Quotes are a very personal indicator of motivation and inspiration, hopefully you will find at least one of these helpful
Addiction / Addictive Personality
Most people are aware in a general sense of what addiction means. In the context of rehab and recovery it takes on a deeper meaning. The term addictive personality is a hotly disputed term, and is sometimes used by rehabs as a hook to treat an individul, with their addiction being labelled a drug of choice.
For a clearer understanding of what alcoholism is , it is suggested you read the book Alcoholics Anonymous – for a clearer understanding of addiction, click here :
Similar fellowship to Alcoholics Anonymous, intended for family and friends of alcoholics.
Also invaluable for people who have grown up in alcoholic homes, which includes many members of AA. Unlikely to appeal to people whilst they are in rehab, but may well be useful to them later in their recovery. Click here
Widely accepted within the medical profession that alcoholism is a progressive illnrss.This understanding underlies most of the therapeutic approaches taken by the majority of rehabs, based in part on the first five steps of the Alcoholics Anonymous program.
Most people have heard of AA, even if they know litte about it other than people go there and stop drinking.
In tersm of rehabs, AA has no connection or link a s ssuch with any rehab or clinical institution.
Rehabs have traditionally ‘borrowed’ certain principles from the AA twelve step program and used them as a base for their own therapeutic programs.
Rehabs also usually have close links with AA groups in their locality, encouraging residents to attend meetings regualrly whilst in rehab.
A rehab may also host AA meetings onsite.
Aftercare / Alumni
The word alumni is often used to give the impression that people have sort of graduated from rehab, that they have complted acourse. Most rehabs offer some type of aftercare support, either with physical meetings once a week, by skype, by email or by phone.
This can be useful, depending on where residents live. Most Rehabs will encourage clients to attend AA/NA meetings whilst in rehab, and after they have left as the most effective way of maintaining their sobriety
Normally refers to a rehab that is run along fairly strict biblical lines. It is unlikely to have any links with or adherence to any twelve step program.
Time spent in a christian rehab will most likely be spent in a mix of prayer, bible study and group worship.
It is likely the rehab will be connected to fairly sizeable church, and participation in the work and worship of the church will likely be a condition of residency in the rehab.
Some christian rehabs have a cult like feel about them because of this and should be reserached carefully.
A term that people like and dislike in equal measure – normally refers to a relationship or family where the people involved have become so enmeshed with each other that they have lost the focus of their own life, have eroded any boundaries between them.
Can be an adult relationship or family relationship.
A health insurance term that applies to any insurance policy covering a clients time in rehab.
Will be a specific cash sum that the client themselves will have to pay before the insurance company kicks in and pays their proportion.
Refers to an alcoholics seemingly strange refusal to accept the reality of the chaos of their life as an active alcoholic.
Denial can take many forms in the sense of lying, manipulation, passive acceptance etc.
Many peoeple fail to recognise that denial is fundamentally a protective mechanism, that the alcoholic is endeavouring to protect alcohol.
There is a belief amongst alcoholics that alcohol is the only thing that is holding them together, and this belief deepens the more the illness progresses.
Denial is the alcoholics mechansim to keep themselves safe, even if it kills them.
Detox – Medical Stabilization
Refers to a medical detox, where the client is medically supervised in a clinical environment, by qualifed medical personnel, whilst coming off any alcohol or dugs that are in their sytem.
The detox will manage the effects of withdrawl in a safe and controlled manner. Not to be confused with an holistic detox which some rehabs offer, see below.
Dogs – Drugs !
Some rehabs use sniffer dogs, think airports, to ensure clients do not bring any drugs into the rehab, nor use them whilst they are there.
Some people look for a drug rehab – in fact virtually all rehabs will offer help to people who are or have been addicted to drugs.
Make sure the rehab has detox experience with any specific drug that the client may have used prior to entry to rehab.
Dual Diagnosis – Dual Addicted
Refers to an individual who has been or is addicted to both alcohol and drugs
Family Therapy Program
Rehabs will normally try to involve the family in the recovery process of the client once they are in rehab.
This can be a tricky process as quite often the family have been in the front line of the persons alcoholism, and as such both sides often needa break from each other.
At a minimum, the family should be encouraged to try Al-Anon meetings for their own recovery.
Quite often a fairly meaningless term in its own right, but hugely appealing to people who like the idea of something being holistic.
Normally refers to some type of cleansing process of the body, which can include colonic irrigation, macrobiotic diets, eliminating caffeine, nicotine from the body’s systems etc.
Can also include various healing process’s of questionable worth.
Inpatient – Outpatient
Hospital terminology that also applies to rehabs.Inpatient refers to a residential client, whatever the length of time in treatment, normally 28 / 30 days, but can be much longer, in some cases up to 9 months.
Outpatient normally refers to a cline who is a day patient, either attending a clinic during the dayan dgoing home in the evening, or working during the day and attending some type of rehab clinic in the evening.
Interventions – Resistance
Interventions can seem very attractive to the family of an alcoholic/addict, because an intervention seems to offer a solution to the denial of the alcoholic and their continued drinking.
However there are grave risks involved in performing an intervention, and it should only ever be considered as a last resort.
The denial of an alcoholic is a protective / defence mechanism and an intervention risks doing permanent damage, whether or not the person goes into rehab afterwards because it is tearing down the persons defences from the outside.
The defences have to come down from the inside and only the alcoholic can do that.
Quite often the intervention is really done for the benefit of the family because they dont feel they can carry on doing what they are doing.
Most of the time the family would be better advised to go to Al-Anon for a period of time before considering an intervention.
The Luxury rehab market has developed in effect as a counter balance to what is often seen as a fairly strict and sometimes souless rigidity in the structure and timetabling of anormal rehab.
Quite often based in Malibu, a luxury rehab sells itself on treating the client as a grown up adult, allowing them pretty much a complete freedom within the time frame of residency.
It is this perceived freedom that allows a luxury rehab to charge 2/3 times the normal ratea rehab charges.
When this term first started being used, it tended to apply to things like glue sniffing, which didn’t fall into categories such as alcoholism/drug abuse etc.
As time has gone on, the term has pretty much come to mean any substance, including alcohol, that can be ingested and abused in any way.
Therapy / Counselling
Can refer to either individual one to one therapy or group therapy, or any type of group dynamic where there is a therapeutic element. Can refer to specic therapies such as CBT or more traditional client centred work, depending on the level of staffing employed at the rehab.
Given the relatively short space of time that someone spends in rehab, the therapy is likely to be exploratory, with more intensive work likely to be needed over the longer term, once the individual has left rehab.
A term that rehabs sometimes use to describe the various treatment programs they offer as their way of offering help to people addicted to alcohol /drugs
Young Adult Treatment
Refers to a rehab or treatment center that specifically caters to teenagers / young adults. There is often a raft of very specific problems relative to this age group that need special attention.
12 Step Groups
For some people, the cost of rehab and finding out whether or not their health insurance will pay for it is one of the most stressful aspects of early recovery, both detox and after. Most rehabs are notoriously cagey anout how much they charge – they like you to ring first and talk to them about admission stuff – this is a classic sales hook that unfortunately the majority of rehabs use.
Hazelden, one of the main treatment centers providers, say that they estimate a cost of between $25000 and $30000 for a twenty eight day stay in one of their facilities. A few rehabs that do give make their charges public seem to indicate a similar figure. It is probably a fair assumption to usea working figure of $30000 for a twenty eight / thirty day stay in a residential rehab or treatment center.
There is also the so called luxury rehab market, rehabs often based in Malibu, where a similar period of treatmnet can cost upwards of $80000 for a similar residential stay.
Rehab and Health Insurance
Most rehabs , like hospitals , gear their costing towards health insurance, and use this as a marketing technique in their business model. There are a few things to be wary about.Insurance companies seem to work with rehabs on the basis of agreeing cover for the initial detox , if needed , and then for a few days afterwards.
The insurance company will then agree coverage with the rehab for a further bock of days , and do this on a rolling basis until they reach the twenty eight day / thirty day limit . The reason this is important is because if the insurance company declines to continue cover at any point during that period, either the client becomes liable for the remainder of the cost, or will have to leave rehab as soon as cover expires.
This is potentially damaging to the client for two main reasons. It creates uncertainty in the process, even if the client stays. If the client has to leave early, it distorts the whole recovery program, which will be geared to a twenty eight / thirty day regimen, with a structured discharge and aftercare program as an integral part of the program.
Health Insurance Costs
Even if the residential stay is covered by insurance, there are potentially other costs that need to be taken into account.A rehab may have an arrangement with a local hospital to oversee a medical detox, depending on the initial alcohol and drug assessment.
This may even include staying in the hospital itself for afew days. Check the detox arrangements of the rehab, and make sure all costs , including cost of medications are covered under the insurance plan.
Like all claims made under a health insurance policy, you will also probably have to pay any deductible and co-insurance charges that apply to the policy. If your employer pays for your health insurance, check with the rehab and / or insurance company the position regarding confidentiality both during and after rehab.
As with any health issue, but particularly with respect for treatment for alcoholism or other addictions, it is crucially important that there is clarity as to what the employer is told and by whom. This is also really important if the job or profession is one where an admission of a problem with alcohol or drugs could have a significant impact on their future career.
It is also important in this regard that anyone entering rehab is aware of any legal, moral or professional obligation they may have to tell their employer of their position. It may be appropriate in certain circumstances for them to take legal counsel prior to entry.
Rehab Costs – Additional
The figure quoted above is of $30000 for a twenty eight / thirty day residential stay in a rehab. Whatever the actual cost turns out to be, there will be additional charges or extras to consider. These are normally for things like additional medication and additional therapies, depending on what staff are employed at the rehab
It is just important to clarify at the outset with the rehab what additional costs, if any, there might be and agree them prior to to admission. Often a Christian rehab will charge less for long term accomodation, but it is likely to have conditions attached to it,
Health Insurance and Rehab Credit
Somr rehabs offer their own credit facilities, which should operate on similar terms to other financial institutions. If looking to borrow money from anyone to go into rehab, this should only be done as an absolutely last resort, and all other options should be considered carefully first.
Many many people get clean and sober by going straight to meetings of Alcoholica Anonymous and Narcotics Anonymous, which are completely free. This should certainly be tried first by anyone considering borrowing money to pay for rehab.
Emotional Sobriety is the title of an article written in the journal of Alcoholics Anonymous, known as the AA Grapevine, by one of its co-founders Bill W.
In the article, he writes at length about the need to address many of the underlying emotional drives that fuelled his alcoholism, and implied that this was in effect a stage that follows the initial phase of getting sober and staying sober.
Many people have interpreted this as meaning different things. Emotional sobriety is often used as a form of judgement as to how ‘well’ people are in sobriety, irrespective of how long they have been sober.
Other people will often compare what they call physical sobriety with emotional sobriety, implying that once physically sober the level with which people are able to adapt and integrate their lives into sobriety indicates a degree of wellness.
It is really important, to understand the thinking behind the term emotional sobriety, irrespective of how long anyone has been sober or not.
Firstly sobriety is about being sober, pure and simple. There are no degrees of it, there is no judgement about it in terms of wellness or not, or how well people cope with it or do not manage to.
Emotional sobriety should be thought of much more in terms of the underlying emotional drives that play a part in most people’s alcoholism.
Anyone getting sober, whether in a rehab or through a 12 step program or some other way, will soon begin to realise that once sober the real issue becomes how do people stay sober, whilst living with the emotional turmoil that most people feel is inside them.
The process of people understanding and making sense of their alcoholism is a really important one.
What is equally important is that they have the freedom to discover for themselves what this understanding and connection is between alcohol and their emotional states.
Most people would recognise that their alcoholism is a mix of an instinctive or instinctual need to drink, and the sense of relief or freedom that alcohol gives them once they have taken a drink or several.
Often this connection between the effect of alcohol and what it is affecting you within is only clear at a felt level. Once sober, it becomes clearer that the emotional states such as anger, fear, loneliness etc that are a common part of alcoholism play a major role as a trigger for the compulsion or obsession to drink.
Emotional Sobriety and AA
However people come to understand their emotional states, it is normally clear from early on either in rehab or in meetings of Alcoholics Anonymous that the main type of therapeutic/spiritual work that needs to be done, is on helping the individual stabilise their inner world, and as such prevent the reflex action of picking up a drink or feeling the need to have a drink.
This work on one’s inner world, on helping to stabilise one’s emotions and begin the process of feeling relatively at peace with oneself at some level begins the moment an individual gets sober, either in a rehab or in meetings of Alcoholics Anonymous. This is the real focus of emotional sobriety, the understanding and need to be at peace with yourself.
A drug rehab will have treatment programs that should offer help and support if you or someone you know has a dug problem or addiction. Learn more here about the different types of help available.
Often people looking for a drug rehab will be slightly confused by the terminology and language of a rehab or treatment center, that seems to treat every form of addiction that can be thought of, ranging from alcohol to drugs, food, sex, video games etc.
Most drug rehabs and treatment centres have developed their own addiction treatment programs over time that they apply to any individual who they perceive as having a problem with any type of addiction.This means that they classify people as addictive personalities, who effectively have a drug of choice that can range from alcohol to food to anything else.
This of course can create real problems in terms of understanding what the rehab can offer and whether it is really effective in what it does.It is important to understand this in the context of how a rehab or treatment center sees the nature of addiction and drug addiction specifically.
Depending on the individual and their history, a drug rehab or treatment center should be able to offer significant help in certain aspects and areas of the individuals recovery process.This help and understanding should begin with the admissions process into the drug rehab, and this should give the individual a fairly clear idea as to whether the rehab really understands the nature of their drug addiction.
The drug rehab should be able to take a clear and detailed medical history and should know what questions to ask.
Drug Rehab and Treatment Programs
It is also really important that the drug rehab, apart from anything else, offers a comprehensive risk assessment in terms of withdrawals from any drug that individual may have been using as well as from alcohol or any other substances that individual has used as well.
The drug rehab should have a fully qualified medical staff and clinical facilities able to assess and oversee any medical detox that needs to be done whatever the timeframe.
If the drug rehab does not have such facilities and staff, then it should have arrangements with a local clinical facility, often a hospital, who can do this on their behalf.
Drug Rehab Staff
Most drug rehabs will have their own medical and nursing staff on site, normally 24/7, and this can be a good indication of how experienced the rehab is in dealing with people who have are addicted to various drugs.
A drug rehab is likely to list on its website a wide range of drugs that it can offer help with to people who are addicted to them, or have been recently addicted to them. These will range from things such as cocaine through to heroin through to valium etc.
A more detailed list can be found here, although this is not comprehensive. Many drug rehabs will also offer help with people who have been addicted to prescription drugs, and any substance that may have been used or misused in addition.
Once a drug rehab has assessed whether a medical detox is needed, and such a medical detox has been overseen and undertaken if necessary, then the rehab will initiate the its addiction treatment program.
Such a program is likely to be based on the first five steps of the 12 step program pioneered by Alcoholics Anonymous, and adapted by Narcotics Anonymous as part of its own recovery process.
A drug rehab is likely to suggest that the individual attends meetings of Narcotics Anonymous and possibly Alcoholics Anonymous as well as part of its addiction treatment program.
Attendance at such meetings is sometimes mandatory, if not it will be encouraged or is likely to be encouraged very strongly.
It is hoped that attendance at meetings of NA and AA will help ground the individual in an understanding of addiction and what it means, and will be helpful for the individual both whilst in the drug rehab, and much more so once they have left as a form of after-care and support.
Many people will have heard of AA, and will associate it with people being able to stop drinking. Some of the most common questions people have about AA include :
– How do you define an alcoholic ?
– Is AA religious ?
– What are the 12 Steps of Alcoholics Anonymous ?
– What is a higher power in AA ?
– What are the principles of AA ?
Alcoholics Anonymous is an organisation that is generally well known, and a significant number of people will understand that its main focus is to help people stop drinking. That aside, many will not have any real idea what constitutes an alcoholic, or what the organisation Alcoholics Anonymous really does or how it developed.
The history and origins of Alcoholics Anonymous are well documented, not least by the organisation itself, as well as by many outside independent researchers and historians.It is worth clarifying that Alcoholics Anonymous is and always has been a completely independent organisation, funded entirely by its membership, without any links to any medical or governmental body or organisation.
Its independence is a critical part of its survival and much valued by its membership.This independence is a crucial part of understanding the integral relationship between Alcoholics Anonymous and many rehabs and treatment centers that exist.
This is largely because the majority of rehabs and treatment centres that offer an addiction treatment program have such a program rooted in part of the 12 step program that Alcoholics Anonymous pioneered and offers as its main recovery process, and adapted by other organisations.
It is also worth clarifying that a significant number of rehabs and treatment centres offer a programme that is in effect quite different from the program offered by Alcoholics Anonymous, but with certain similarities.
The independence of Alcoholics Anonymous is also important in the context that many rehabs and treatment centres will actively encourage clients whilst in rehab to attend meetings of AA, both during treatment and once they have left in the context of after-care and support.
Many rehabs and treatment centers will host meetings of Alcoholics Anonymous on site, with the AA group paying a rental fee or giving a donation of similar kind in order to maintain and arm’s-length relationship.
If the rehab does not offer meetings on its own premises, then it is likely to have close links with local AA groups in the nearby vicinity or community.Many people entering a rehab will assume that Alcoholics Anonymous is in some way a part of the rehab, or a part of the recovery program or the addiction treatment program that the rehab offers.
It may well take a while for the individual to make a distinction that AA is not part of the rehab, and this is an important distinction to make for the long-term sobriety of that individual.Alcoholics Anonymous is an independent organisation, that has many years experience of recovery from alcoholism that is completely independent of any rehab or treatment center.
Many people get sober and stay sober simply by going to meetings of Alcoholics Anonymous, and normally after a while beginning to use the experience of the 12 step program in their own lives as a way of healing their inner emotional turmoil and emotional drives.
There are many different meetings of Alcoholics Anonymous, and individuals have the freedom to try any specific meeting that they wish, until they find one that suits their needs. Again in the context of a rehab this is really important.
Rehabs and treatment centers have fairly strict rules and regulations regarding both admission to the rehab, and the type of behaviours and activities and dress code etc clients can conduct themselves in whilst in treatment.
Alcoholics Anonymous and Rehab
Rehabs normally defend these rules and regulations as being part of a structured environment within which the individual can begin to feel safe, and begin the process of their own recovery in an environment that is structured and has boundaries.
This obviously works for some people, and can present a real problem for others. In the context of Alcoholics Anonymous there are no rules or regulations. Anyone who feels they have a drink problem can turn up at a meeting of Alcoholics Anonymous and see if it is of help them.
Alcoholics Anonymous is often best seen and best understood when thought of as a body of experience going back many decades, that is effectively expressed through the literature of Alcoholics Anonymous, most notably in the book of the same name.
Any individual can use the experience of Alcoholics Anonymous in any way that they find helpful or not. AA, although not always seen as such, should be a real route to freedom, and an opportunity for people to begin the process of understanding whether or not they are alcoholics.
Such an understanding can give the individual a real sense of freedom in the context of understanding their lives, and a real sense of freedom in the context of being able to rebuild their life, both internally and externally.
Many people use of the terms alcohol, alcoholic and alcoholism almost interchangeably, and there is often a lot of confusion as to what these terms actually mean, and how they relate to each other. In the context of a rehab/treatment center it is really important to understand at some level what these terms mean in order to make sure that the rehab is addressing relevant addiction terms accordingly.
Most people are aware of what alcohol is, and the different types of alcohol. For many people alcohol is not a problem at all in their lives. Many people do not drink at all, either for religious reasons or social ones.
Other people drink moderately and have a sense of control or normality over their drinking.
These types of people are often referred to in the context of alcoholism as social drinkers. Social drinkers represent a large proportion of society who are able to safely consume different types of alcohol as and when they choose, with no significant impact on themselves or others.
For other people, alcohol can represent a serious problem in their lives. This can manifest itself often at an early age when people are in their teens, through to people in later life.
People’s patterns of drinking may differ significantly, but there is often a common thread in that other people start to be concerned about their drinking, and the actual impact of their drinking has a detrimental effect on their lives at some level.
It is worth making a distinction that not everyone who has a problem with alcohol is necessarily an alcoholic. That may well be people who have a problem with alcohol at different points in their lives who are able to stop on their own and see the damage that they are doing to themselves and others.
Making a distinction between an alcoholic and a non-alcoholic heavy drinker is an important distinction, not least because important considerations follow from both these patterns of drinking.
Someone who is a heavy drinker will most likely have become at some level addicted to alcohol as a consequence of continuous use. In the same way that someone becomes addicted to cigarettes, someone who is a heavy drinker will start drinking moderately and over time become more and more dependent on it.
This heavy drinking may well affect their lives, both their work lives and their family lives in some fairly obvious way. It is likely that once realised, the heavy drinker will be able to stop, although they will often need help and support from family, friends and possibly outside agencies.
Someone who is an alcoholic may outwardly displayed many of the same patterned behaviour and patterns of drinking as someone who is a heavy drinker. The real difference is likely to be an internal one, with the alcoholic having a significantly different mental and emotional attitude to alcohol and life.
There are many different patterns of alcoholics, and of alcoholism in general. It is probably safe to assume a few general pointers, although they should not be taken as a rigid definition.
Firstly, anyone of any age, status or background can become an alcoholic. There are no limits or prerequisites. Many people who are alcoholics grew up in alcoholic homes, and there is a widespread belief that there is some genetic component to people’s alcoholism.
Secondly, an alcoholic may well start off drinking at any age, and may start drinking as a social drinker as outlined above, and progress into active alcoholism at any point. Alternatively the alcoholic may start off drinking alcoholically, again at any age, and carry on drinking alcoholically for long as they are able to.
It is also safe to assume that someone who is an alcoholic reaches a point in their drinking when they are completely unable to stop on their own resources, and in most cases lose any will to try and stop as well. For a better understanding of the nature of alcoholism, it is suggested you read the book Alcoholics Anonymous, or attend open meetings of Alcoholics Anonymous.
In its simplest form, alcoholism refers to someone who is an alcoholic, in the same way that someone who is a diabetic is someone who has diabetes. This obviously is an oversimplification in one sense but does stress the point accordingly.
Whilst people have had drink problems for most of humanites time on earth, it is only relatively recently that alcoholism has been recognised as an illness, and as such people who drink alcoholically have been recognised as people who suffer from this illness, as opposed to people who have a moral weakness or lacking character.
In some ways this is a fairly spurious distinction, but is an important context for many people once they get sober. Alcoholism as an illness was recognised by certain members of the medical profession at the time that Alcoholics Anonymous was being formed, and the formation of this society gave significant growth to this belief, both within the medical profession and beyond.
Since then alcoholism is most often referred to as a disease, which has different implications to it being an illness, and has been generalised into a form of addiction in which alcohol and drug addiction and other forms of addiction are treated as the same issue.
This approach to treating alcoholism the same as other types of addiction has largely been formulated by rehabs and treatment centers, and is one that should be taken with much caution.
Alcoholism in its own right is probably best understood by people who are alcoholics themselves, and the relief in terms of understanding that it is a progressive illness gives many people a sense of context and reality that allows them to set in motion the process of recovery, and rebuild their lives both internally and externally.
The issue of alcohol withdrawal, historically often referred to as dt’s, is a far more serious problem than the term dt’s often implies, and is an issue that needs to be understood and dealt with and managed safely when anyone is stopping drinking.
The issue of alcohol withdrawal will normally always refer to someone who is either an alcoholic, or someone who has a serious addiction to alcohol and is considered a heavy drinker, or a drinker who is at risk to themselves and possibly other people.
It is certainly possible that this person has also used drugs of some type, either prescription or non-description. This means that anyone who is an alcoholic who is looking to stop drinking needs to be aware that there are potential serious effects of stopping drinking suddenly, both from the drink itself and from the a combination of drink and any drugs they may have been using.
For many people who are considering stopping drinking in the context of being an alcoholic or a heavy drinker addicted to alcohol are likely to seek help in a rehab or a treatment center. This is a really important issue, and should be a major factor when considering which rehab treatment center to enter.
The issue is twofold. The rehab should have a fully qualified medical staff who are able to access whether or not the individual is at risk from alcohol withdrawal, and if they deem that individual to be at risk to manage the withdrawal in a safe and secure medical environment.
If the rehab itself does not have the staff and the facilities to do this, then it should have an arrangement with a local clinical facility such as a hospital who can oversee and perform such a withdrawal in a safe manner.
It is worth being aware that if a rehab does not have such facilities and staff on site and has to refer you to a local clinical facility, then the cost of that facility may well be an extra item for the individual to pay, and may well not be covered under their insurance.
Not everyone who stops drinking has problems in terms of alcohol withdrawal, it is very much an individual experience that needs to be assessed and monitored by qualified medical staff in a facility where they are able to do this.
Once this procedure has been assessed it is also really important that the rehab has qualified medical staff on site or on call 24/7 in the event that there are any problems that need to be addressed.
It is also worth mentioning that alcohol withdrawal is also often referred to as an alcohol detox, or a drug and alcohol detox or a medical detox. This is important, as many rehabs will offer what they refer to as an holistic detox, which is a completely different process to a medically supervised drug and/or alcohol detox.
A holistic detox is a name that excites many people because of the implications of it. What it really refers to is a cleansing process of the body and mind and spirit. This idea is appealing, and often people are drawn to this without any real understanding of what is actually involved.
An holistic detox can refer to anything from a number of therapy sessions, through to a mountain climbing course, through to colonic irrigation through to things such as a sweat lodge. Some of these processes are potentially quite dangerous, and great care should be taken before signing up to them.
Anyone who is considering giving up drinking on their own, i.e. not going through a rehab or a treatment center would be well advised to seek medical advice from a qualified medical practitioner before beginning the process.
Many people do safely stop drinking without any major side-effects, but the implications of suddenly giving up alcohol after many months or years of abuse of fairly obvious.
Many people decide to stop drinking by going to meetings of Alcoholics Anonymous, which allows them to carry on with their normal day to day life, assuming they have one.
Even so they should be well aware of the potential effects of alcohol withdrawal, and would be well advised to seek medical advice prior to stopping drinking, and at any point during the first few days or weeks of being sober if they are at all concerned about any aspect of their health that they become aware of once they are sober.