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
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
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.
Many people use the word addiction almost quite loosly in a way to refer to people’s liking or obsession for virtually any substance, activity or behaviour. In normal everyday life the term addiction is often used jokingly, saying that someone is addicted to x, y or z, and it’s not really that much of a problem.
When it comes to dealing with addiction in the context of alcoholism and addiction to various types of drugs and other behaviours such as gambling etc, then it is really important to understand the gravity of what these conditions and situations refer to, and what help is available and where.
Addiction is a widespread term, and in the context of rehabs and treatment centers first came into being in the context of alcoholism in the formation of Alcoholics Anonymous. Alcoholism is often treated in the same context as other types of addiction, but this is normally a mistake and should be treated with caution.
Whilst it is difficult to generalise about alcoholism, and there are many types of it, it is properly fair to say that an alcoholic will drink because they are an alcoholic, not the other way round.
In other words, an alcoholic will not become addicted to alcohol in the same way that someone will become addicted to cigarettes, through a pattern of using an addictive substance that leads to a form of addiction that they cannot break.
A rehab or treatment center will offer addiction treatment programs for alcoholism, alcohol addiction and other types of addiction as well, and should be fully licensed and accreditted
Most rehabs will treat all of these types of addiction as essentially the same problem, and will focus on the individual as being the real problem, with the solution being helping the individual to change.
A rehab is likely to stress that the individual is something referred to as an addictive personality, and that their addiction is or was essentially about a drug of choice, be that alcohol or something else.
The advantage of this type of approach is that it can help the individual to realise that their real problem is within themselves, and thus is changeable either with the help of a 12 step program or through some other means.
A basic underpinning of this approach is that addiction itself is a disease, leading to the idea of an addictive personality and a drug of choice.
Again this may be helpful or not depending on the approach taken by the rehab, and at what level the individual feels it helps them make sense of their lives.
The issue of addiction is quite a complex one, and one that has undergone and continues to undergo much medical and social research.
When considering entering a rehab, it is worth bearing in mind what weight the rehab treatment center places on current clinical research, and how up-to-date that addiction treatment programs are in the context of modern day research.
Addiction and Rehab
A rehab or treatment center also often offer treatment for other types of addiction.
These can range from what is referred to as dual diagnosis, which means people who are alcoholics, addicted to alcohol as well as being addicted to various types of drugs both prescription and non-prescription, through to food, gambling, sexual addiction and addiction to the internet and video games.
It is worth being slightly cautious with any rehab that offers too broad a range of addiction specialities and addiction treatment programs.
There is a belief that some rehabs use the term addiction or addictive personality much too broadly, and use it essentially as a catchall phrase that allows them to treat virtually anyone for virtually any problem that they can classify as an addiction.
Remember that the problem and solution in the context of a rehab or treatment center tends to be seen as that of an addictive personality with a drug of choice. This allows some rehabs to take an approach that has some questionable ethical and moral issues.
At the end of the day a rehab is a business, normally a very profitable business, and the more they can broaden their client base or their customer base the more profitable they will be, even rehabs that describe themselves as Christian rehabs
Addiction to alcohol, alcoholism and addiction to drugs and gambling and other types of serious problems are a major issue, and for many people a rehab or a treatment center is the first port of call that they will enter to seek help.
A rehab and especially the rehab staff is likely to help the individual understand some of the underlying emotional drives and issues that have fuelled thir addiction, and help give them a structure or program that will allow them to rebuild their life and offer them the chance to live a life that is essentially free from their addiction and their addictive behaviours.
Anyone entering a rehab for a problem with alcohol, commonly referred to as alcoholism or alcohol addiction would be well advised to be aware of the potential effects of alcohol withdrawal, sometimes referred to as a detox, historically referred to as the DT’s.
The effects of withdrawal from alcohol addiction or alcoholism can be severe in some people, and it is a good idea to make sure that anyone entering a rehab is clinically assessed, by experienced clinical staff to monitor the effects of withdrawal from alcohol.
One important aspect of alcoholism that is often not fully understood is that it is regarded commonly as what is termed a progressive illness.
There are sometimes a debate about whether alcoholism is a disease or an illness or a combination of nature or nurture, and people will have differing views on this question.
Too many people who have got sober using Alcoholics Anonymous, they are very aware that her own alcoholism is a progressive illness, and for many it is the progressive element that is really important.
ALCOHOL WITHDRAWAL ADDICTION
The progression of alcoholism in many people is not simply a issue of tolerance for alcohol, it is a description of both how their drinking has progressed over a period of time, how that emotional state has changed during that time, and how alcohol has become at the end of the drinking the only thing of real value, the only thing that needs to be protected and kept safe.
One of the reasons this is so important, is in terms of understanding the nature of alcoholism, and in truth the only people who probably really do understand it either active alcoholics themselves, or people who have got sober and would consider themselves to be alcoholics in recovery.
The nature of alcoholism as an illness can be quite varied and widespread, the progression of it is an element that people who are alcoholics will at some level be able to identify with, either in terms of the tolerance or lack of tolerance of their drinking, or a more general felt sense of their inner and outer world closing in on them, and alcohol remaining the only thing that is holding them together.
Anyone entering a rehab is likely to be referred to as an addict.
This is in one sense a bit of a label, in another sense anyone entering a rehab is looking for help or treatment with one or more addictions, either to alcohol, drugs, gambling, food or a combination thereof.
Inevitably, a rehab or treatment center will offer a wide range of treatment addiction programs, normally based upon the 12th program of Alcoholics Anonymous, as a way of helping the individual overcome any or all of these addictions.
This approach may work for some people, may be helpful to some people and unhelpful for other people.
When treatment centers first came into being they were essentially hospitals and detox units for people who had a problem with alcohol, such people commonly referred to as alcoholics.
Truman centers then began to work with and help people who had other addictions such as narcotics and prescription drugs, and would refer to these people as being dual addicted.
Over time people were admitted to rehabs and treatment centers who were not only alcoholics, but had other problems as well.
REHAB ADDICT TREATMENT
Treatment centers quickly realised that they could effectively treat anyone who had any addiction to anything, if they focused their efforts on the person, and treated their addictive substance or behaviour as ‘a drug of choice’.
Whether this approach was based on clinical evidence or not is unclear, but it did allow a significant growth in the number and scope of treatment centers and rehabs.
The potential problem with this approach, and the categorisation of everyone as an addict, is that it can be a slight distortion of an individual’s reality.
Dealing with the underlying emotional causes that can fuel someone’s alcoholism or addiction to drugs or other substances is inevitably going to be helpful, but it can also distort reality of what an individual’s problems with that substance or behaviour actually are.
There is a danger of fine tuning reality to fit a model that suits the finances and growth of the treatment center industry.
That is not to say that the majority of rehab’s and treatment centres do not approach that addiction treatment programs correctly, the majority of them do.
What is important is that any addiction treatment program at a rehab treatment center offers is based on solid clinical evidence and on solid therapeutic evidence such as the process of the 12 step program of Alcoholics Anonymous.
‘When Gov. Dannel P. Malloy last year signed into law a comprehensive bill targeting opioid addiction, many touted it as one of the toughest in the nation, often pointing to the seven-day cap on opioid prescriptions and new prescription monitoring requirements as reasons why.
But a lesser known aspect of the law is one that fosters a new relationship between primary care providers and licensed alcohol and drug counselors, or LADCs.
In essence, the law encourages primary care providers to keep an eye out for signs their patients may be becoming dependent on opioids.
An example, according to Connecticut Association for Addiction Professionals President Susan Campion, is a patient who, not long after coming in with one injury, quickly returns with another.
If the provider suspects an addiction is developing, he or she can refer the patient to an LADC, who will follow steps outlined in Section 6 of the law by gleaning information about the person’s family and personal history of addiction and determining how likely he or she is to abuse drugs prescribed for pain.’
Addiction recovery is very generally taken to mean that it is referring to the 12 step recovery process originally pioneered by Alcoholics Anonymous, and then adapted by other organisations to deal with specific problems not related to alcohol, such as Narcotics Anonymous and Gamblers Anonymous.
The notion of addiction has widened considerably over the last few years, and there are two important elements to this recovery process that need to be understood.
Firstly that the destructive nature of a wide range of addictive behaviours and practices can now realistically be treated, in ways that were never possible a few decades ago.
That is not to say that everyone who uses a 12 step program or enters a treatment center will automatically be able to break the addiction, the recovery process is more complex than that, but these areas of treatment recovery do offer hope to many people in a way that simply did not used to be possible.
The other area that can be a cause for concern, is that some treatment centres and rehabs will use the notion of addiction as a way of effectively been placing clients by promoting slightly spurious addictions that aren’t really a problem, but the rehab treatment center will make them a problem in order to promote their view of recovery.
Addiction Recovery AA Meetings
Simply because something can seem a bit of an addiction does not mean that the individual has to enter treatment in order to deal with it.
People can often joke about being addicted to chocolate or ice cream, and in reality for most people that is not a problem. For other people issues around food can be a major emotional block, and they may well need some type of professional help in order to get them to be more emotionally aligned as a person.
It is worth noting that meetings of Alcoholics Anonymous don’t generally refer to addiction, people tend to talk about alcoholism and their understanding of alcoholism as an illness.
Very generally, this is likely to centre around individuals craving for alcohol, and the various emotional drives and problems generated the underlying causes of problems within them that alcohol appeared to be the solution to.
Alcoholism, is understood or not by those who have it, is at least a very complex problems which whilst it certainly includes it type of addiction to alcohol, is way more complex and needs much time and spirit in order to process and deal with it.
it could be pain from a difficult childhood, pain from the trauma of war, pain from the loneliness of never feeling known by another person, or others.
We turn to a glass of wine to relax after a hard day, or we reach for a little medication to help us sleep or to deal with an old back injury.
Addiction often starts in these subtle ways but can quickly take over a person’s life.
Have you ever wondered if you or someone you love has an addiction?’
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Alcoholism and addiction often lumped together as being the same thing, with alcoholism simply being an addiction to alcohol.
Anyone trying to understand the nature of alcoholism for several reason, will quickly understand that whilst an addiction to alcohol is certainly part of the nature of alcoholism, the term itself encompasses an illness that is much more than simply a physical addiction craving for alcohol.
There is much medical debate, still, about alcohol, alcoholism, alcohol dependency etc. What is much more pronounced in terms of recovery is that there is a lots of help available, either through cost at programs such as Alcoholics Anonymous, through residential treatment centers and rehabs and a number of outreach alcohol and drug recovery teams in local communities.
The idea of alcoholism being an illness was first put forward in the book Alcoholics Anonymous, and has become widely accepted in the recovery movement as being true.
What is less widely accepted is what the nature of that illness is.
As with a lot of illnesses, if you want to have a real picture of what alcoholism is, then the best place to go is to an individual who suffers from it.
In this context talking to someone who is an alcoholic in recovery is likely to give an insight into some of the traits and behaviours and thought processes that lie beneath a very obvious drink problem of which the alcoholic is very often in active denial of.
ALCOHOLISM and ADDICTION
Going to a meeting of Alcoholics Anonymous would allow someone to hear a wide variety of different experiences of alcoholism, all of which would have points that were very different from each other, and all of which would have points that were in some ways markedly similar.
The thing that perhaps is most important to realise is that for the majority of alcoholics, at some point in their drinking they see alcohol has been the solution to their problems, rather than the problem itself.
The majority of alcoholics will deepen this belief and lead a life that effectively protects alcohol as they increasingly believe it is the only thing that is holding them together both spiritually, mentally and physically.
Whilst many people use the word addiction in a very general sense to cover a lot of normal day life activities, in the context of 12 step recovery it has a very definite and specific place.
The 12 step recovery movement began with Alcoholics Anonymous, and over time grew to include huge numbers of people who suffered addiction to other substances and behaviours, resulting in 12 step organisations such as Narcotics Anonymous, Gamblers Anonymous and Overeaters Anonymous.
The nature of all these other 12 step recovery organisations was that they substituted a particular substance or behaviour for alcohol, and used the same 12-step recovery program for that specific addiction rather than for alcohol.
In that context, addiction became seen as a widespread illness, with the person who had the illness often referred to as an addictive personality, and their substance or behaviour being referred to as their drug of choice.
This idea of an addictive personality and of that personality using their drug of choice is not accepted by a significant number of people, although the nature of specific addictions and the problems they cause, and the recovery help available intervals of organisations is generally acknowledged.
ADDICTION and RECOVERY
The nation of an addictive personality stemmed largely from treatment centres and rehabs, where the more cynical view is that they used this concept as a way of furthering their client base, initially only been able to treat people who are alcoholics.
The idea of an addictive personality allowed them to treat people with the same recovery process, irrespective of their addiction, as all the focus went on treating the individual.
The nature of addiction is still widespread, and for many people it can create unbelievable have and chaos in their lives, both internally and externally.
The 12 step recovery process has a number of critics, and is by no means perfect, but does in many ways offer the best hope and chance of recovery for people whose lives are blighted, or trapped in the cycle of alcoholism or drug addiction.
Anyone entering a rehab treatment center is likely to be able to take a certain amount of hope and of value in the wide variety of addiction treatment programs that are offered.
An alcoholism detox is possibly going to be needed in the event of anyone who is an active alcoholic, or even someone who has been drinking heavily for a long period of time but would not technically be considered an alcoholic.
Sometimes there is much debate between what is alcoholism and heavy drinking, but in the issue of recovery from alcoholism, and in particular the need for an alcoholism detox, it is a fairly irrelevant issue.
Anyone who has a serious problem with alcohol is likely to need help, whether they admit that themselves on what.
It is sometimes much more obvious to people around them, be they family, employer, co-workers or simply friends.
Whether or not help is offered and / or accepted can obviously be a difficult issue.
Assuming that the person who has a drink problem is willing to accept some sort of help, then the issue of an alcoholism detox is likely to occur.
Anyone who has been thinking heavily is likely to have been hiding that in some way from people close to them.
People who have a drink problem increasingly grow protective of alcohol, and the need to prevent other people taking alcohol with from them, or stopping them trying to drink.
In addition, it is quite possible that people who have a drink problem, or who are alcoholics, have either in the past of currently been using some type of narcotics or drugs.
The issue with all of this, is that it is quite unlikely that either the alcoholic admits to a lot of this, or that people around them will know the full extent of their drinking and possible drug use.
For this reason it is really important that anyone seeking help for a drink and/or a drug problem is assessed by medically qualified personnel to see if they need a medical detox, and if they do for that detox to be overseen and undertaken by medically qualified staff in a safe clinical environment.
If the individual with a drink problem is entering a rehab, then it is important to check that the rehab has access to such staff and facilities, either in-house, or with a local clinical facility such as a hospital.
DARTMOUTH – St. Peter’s Episcopal Church held the first service of its kind Sunday to remember and honor lives of loved ones lost to alcoholism and drug overdoses.
“It’s so great to see so many of you here today and coming together as a community,” said Rev. Scott Ciosek as he began his sermon.
In October, the church at 351 Elm St. held a service for anyone struggling with addiction which brought about 40 people together, Ciosek said, but Sunday’s service was held on The Addiction Policy Forum’s National Day of Remembrance and focused on healing and the grieving process.
A few people donned shirts with pictures of lost loved ones.
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An alcohol detox is perhaps one of the most important elements of recovery from alcoholism, that is generally either not given the amount of attention it should be, or is otherwise completely ignored.
There is a bit of a myth among some people that simply stopping drinking does not present any dangers of itself, and can simply be a bit uncomfortable in terms of withdrawal symptoms.
For some people this is obviously true, however the risk is that coming off alcohol for someone who has a serious problem with it is an unknown quantity.
Anyone entering a rehab or treatment center for treatment connected with an alcohol or drug problem needs to be properly assessed by medically qualified personnel to see what the risks are concerning withdrawals, and whether or not appropriate medical detox under medical supervision may be needed.
The risks of withdrawal symptoms from alcoholism can be severe, and in some cases life-threatening.
At that very definite possibility that someone who is an alcoholic has been drinking heavily for many years, has quite possibly been using various types of narcotics as well, is probably generally fairly unfit, and that diet if any will be fairly spartan.
The overall health of an individual who enters rehab needs to be seriously looked at, both physical and mental.
Assessing an individual regarding an alcohol detox is a crucial element of their recovery.
A rehab or treatment center should have medically qualified personnel available who are able to oversee such a process, both in terms of the assessment and the actual detox itself.
If a rehab or treatment center does not have such qualified personnel, then they should have arrangements with a local clinical facility such as a hospital who can undertake both the assessment and detox themselves necessary.
People sometimes refer to a home detox in terms of withdraw from alcohol and drug use. This can be a highly dangerous process and is usually ill-advised.
Anyone entering a rehab treatment center should be aware that the process of recovery begins with an alcohol detox assessment, and is generally followed by a certain period of time, normally a total of a month or so, where a variety of therapeutic counselling techniques will be employed to help the individual begin the process of understanding their alcoholism and / or drug addiction.
Anyone who is looking for help for someone with a cocaine addiction, either for themselves or for someone they know is likely to investigate the process of residential treatment in a rehab, given that this is a fairly standard route for drug addiction recovery.
People are quite often confused by the process of treatment, and the sheer number of rehabs and treatment centres that are available offering help, knowing which one to choose and wondering how effective in terms of recovery they actually are.
The majority of residential rehabs will offer a number of addiction treatment programs, designed to help people with addictions to alcohol, normally referred to as alcoholism or alcohol addiction, or a variety of narcotics and prescription drugs.
Most rehabs will list the various drugs that they offer treatment for, and the following is a selection that will directly appear on most rehab’s websites : benzodiazepines, cocaine, crack, crystal meth, demerol, ecstasy, heroin, marijuana, methamphetamines, methadone, morphine, OxyContin, Suboxone, Valium, Vicodin and Xanax.
The approach that a rehab will take should consist of two main elements.
Firstly any individual should be properly assessed by medically collar five personnel to see if a medical detox is warranted.
If it is, either the rehab itself or a nearby local clinical facility should undertake the process, and oversee it to make sure that all medical protocols regarding a detox or adhered to.
Once a detox has been assessed and if necessary undertaken, then the majority of time spent in a residential rehab will largely be spent undertaking a variety of therapeutic and counselling addiction treatment programs.
The aim of these addiction treatment programs will be to give the individual the basics of an understanding into the nature of their addiction, and begin the process of recovery.
The majority of rehab’s and treatment centres based their addiction treatment programs on the 12 step programme of Alcoholics Anonymous and Narcotics Anonymous.
In addition, it is quite likely that a rehab that is treating someone for a cocaine addiction will either insist or suggest that individual attends meetings of Narcotics Anonymous, both of whilst in treatment, and once they have left is the basis of a support system and network.
It is very difficult to assess the effectiveness in terms of long-term recovery from cocaine addiction of any rehab or treatment center.
To that end, the important things to look for are the levels of staffing in a rehab, what types of clinical staff are available and what ratio of staff to patient or client this actually entails.
Additionally, it is important to make sure that the rehab adheres to all local and national laws and guidelines relating to a clinical facility.
The other thing to be aware of is the extent to which the rehab endorses and embraces the approach of a 12 step program, widely regarded as the most effective form of recovery.
There are some people who prefer a non-12-step recovery approach, and there are some rehabs that base their addiction recovery programs more on a life skills type approach to being clean and sober.
Alcoholism treatment programs are normally part of a rehab’s addiction recovery process, and will normally be made very broad sense therapeutic in nature, and are likely to in some measure be based on the 12 step program of Alcoholics Anonymous.
Treatment programs in a rehab can vary widely as to what they do and do not include, ranging from highly focused step on work and treatment programs, through to treatment programs that cover the first five steps of a recovery program.
Alcoholism is generally recognised in people by their behaviour and denial rather than a recognition of what is going on inside someone’s head.
A rehab has a number of tasks and opportunities to have its treatment programs may be, but perhaps one of its main ones is to help the individual feel safe enough to begin to understand the complexity of their illness, and to begin the process of piecing their life back together again.
Most people will spend a relatively short period of time in a rehab that his residential, normally about 28/30 days.
Some of this time may be taken up with a physical detox is needed, the rest of the time is likely to be taken up with a combination of personal therapy, counselling, group work and possibly life skills work as well.
Most of the therapeutic type work will focus on the treatment program at a particular rehab administers, likely to involve some understanding and reflection on the principles of the 12 step programme of Alcoholics Anonymous.
ALCOHOLISM TREATMENT PROGRAMS
Alcoholism can take many forms, and is still in many ways not fully understood by most people, including many who suffer from the illness themselves.
The big book of Alcoholics Anonymous refers to a certain number of types of alcoholic, based largely on the experience of the work of the early members.
It is probably fair to say that people would now recognised that many more types of alcoholic than were recognised when the book was written, and alcoholism can present itself in many different types of individual.
What is perhaps important is to give an individual freedom to come to the conclusion themselves that they have a problem with alcohol, and need help to deal with it, rather than trying to fit any individual into a particular box or label.
Any understanding of alcoholism and the recovery process can only really take root when the individual has both experienced enough problems both internally and externally to both make them see that they have a problem with drink, and at the same time relies that the nature of the illness makes them believe that alcohol is the only solution to any such problems that they may face.
Anyone who has a problem with alcohol or drugs and is entering a rehab to seek any type of treatment is likely to come up against the term rehab addict, or to be called an alcoholic as well.
A rehab addict understanding, normally refers to someone less had a problem with drugs or alcohol or any other type of addiction, and is seeking help probably without fully understanding the nature of addiction or alcoholism.
The term addict is quite often associated with someone who is a drug addict, and the term alcoholism is normally associated with someone who is an alcoholic or abuses alcohol.
In a rehab, the term addict tends to cover the individual themselves, with the substance or behaviour that they are addicted to normally been referred to as their drug of choice.
As an example, someone has a problem with gambling could be described as an addict, with gambling referred to as a drug of choice.
This can sometimes seem quite confusing to people, and it is important to understand where the rehab which has this approach, is coming from.
REHAB ADDICT – ALCOHOLIC
When people first started seeking treatment for alcoholism, they would normally be detoxed in a hospital, and then released into the community where they would either attend AA meetings, or seek some other form of spiritual or therapeutic help.
As Alcoholics Anonymous grew, and the number of sober alcoholics grew, the need for various treatment options grew and the number of rehabs and treatment centers grew exponentially.
As they grew, rehabs began to realise that they could treat people who had other addictions, mostly to be those with addictions to narcotics and other forms of drugs, gambling, food etc.
As such the notion of an addictive personality within the individual grew, with the drug or behaviour being labelled the drug of choice.
This allowed rehabs and treatment centers to effectively treat that anyone with any type of addiction.
The notion of an addictive personality being the major problem grew out of this we have focused approach to treatment, and has formed the major part of the approach to addiction recovery that has been embraced by many rehabs and treatment centers.
It is important to note that there are many people who do not go along with this approach, both within the world of rehabs and treatment centers, and within the world of alcoholism and addiction recovery generally. The idea of an addictive personality is often disputed, and is an area of clinical dispute that needs much further work and research.
The term addiction has become almost synonymous with a rehab, and the sense that if anyone has an addiction to anything they should be put into a rehab and have the addiction dealt with.
The whole world of addiction and addiction recovery is quite a complex one, but needs to be addressed quite carefully in order to make sure that genuine and harmful addictions are dealt with.
The danger is that the term addiction can be used to cover a whole multitude of sins that in effect block the effectiveness and powerfulness that recovery from alcoholism and drug addiction can bring.
Addiction to alcohol has been an issue in society for as long as most people can remember. Rehabs that began to spring up after the advent of Alcoholics Anonymous began to deal with alcoholism as an alcohol addiction.
After a while rehabs began to admit people who were not only alcoholics but had other addictions as well most notably narcotics or drugs. But often there was an overlap between the two and someone who was an alcoholic would often use drugs and vice versa.
Addiction became a term that was used to apply to any type of compulsive behaviour that caused serious damage to an individual or their life or their family.
Addiction then became the focal point for a rehab, with the rehab saying that if an individual had an addiction to any substance or type of behaviour such as gambling, then they most likely had what they referred to as an addictive personality.
This meant that the rehab could treat or offer various addiction treatment programs to the individual, almost irrespective of what their focus of addiction was.
There’s no doubt that in a lot of cases this approach works and is hopeful, although a lot of people will dispute the idea of an addictive personality. The nature of addiction is quite complex, and many people get bogged down in the root causes of it in terms of physiology, psychology and medicine. Most of the scope of that is beyond the nature of addiction as is treated in a rehab.
Addiction is often clearer to those affected by it than to the person themselves was addicted to alcohol or drugs. Perhaps the chief value of a rehab is at it gives individual space, even for a short time, to have to own their addiction, be it to alcohol, drugs or any other substance and to get some sort of very basic reality check.
Any type of addiction can be harmful, but should always be weighed against individual’s ability to deal with it on their own, or have to get to space where they need help whether they are in a position to acknowledge that or not.
The issue of alcohol withdrawal symptoms or the potential dangers of suddenly withdrawing from active alcoholism are very real and should be treated seriously by any individual connected with an entry into rehab, and most definitely by the rehab itself.
Alcohol withdrawal is sometimes treated slightly flippantly, normally because most people who have too much to drink and suffer a hangover as a result tend to muddle through and rebuild their lives quickly.
When we are talking about alcohol withdrawal in the context of an entry into a rehab it is a very different process altogether. Someone entering a rehab will almost likely have had a considerable period of time when they have been drinking alcoholiccally a and quite possibly using a number of drugs as well.
At some level on a daily basis they will probably have been able to cope with the reality of what they have been doing, although the prolonged and progressive nature of their alcoholism will mean that their ability to cope gets more and more worn down as time goes on. This means their ability to recognise what is going on around them will be seriously impaired.
The dangers of alcohol withdrawal, especially when mixed with any withdrawal from any narcotic drug substance need to be assessed and monitored extremely carefully.
Anyone entering a residential rehab should make sure that the treatment center or facility has both adequate staff and facilities to assess and implement any detox program that may be needed on admission to the facility.
Most residential rehabs acknowledge the need for this, but it is nevertheless one of the main areas concerning the safekeeping of protocols of a treatment center that should be checked prior to admission.
Quite often a rehab will have an arrangement with a local hospital or other clinical facility who will assess and undertake any detox or management of alcohol withdrawal symptoms that may be needed.
This type of arrangement is often quite normal and perfectly acceptable, so long as the clinical input is verifiable and conforms with all local and state legislation and healthcare monitoring.