Getting Sober / Staying Sober

rehab center

Health Insurance and the Cost of Drug and Alcohol Rehab

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.


What is Arrogance?

Asking a question such as what is arrogance is almost potentially a bit arrogant of itself.

The term arrogance can mean a lot of things to a lot of people. To many people it is a bit of a put down implying they are a bit of a know it all or they are speaking out of turn on a subject that they know little about.

To other people being called arrogant is seen as somewhat of a compliment, implying that they have a degree of authority or self-confidence that places them about other people.

Like a lot of judgemental words, arrogance can have a special meaning in the context of rehabs and treatment centres and the recovery world in Alcoholics Anonymous and other 12 step fellowships.

Calling someone arrogant, or implying to a person that they should realise they are being arrogant is normally intended as somewhat of a put down of the individual themselves.

People’s reasons for doing this can be varied, but it is often seen as something of an act of humility that they are asking the individual to accept that other people know more about something and they do.

This is a common and recurring theme in rehabs and treatment centres, that an alcoholic needs to realise that they know nothing about anything and that they should become ‘teachable’.

This type of approach is also often referred to as ‘tough love’, implying that someone is being hard on an individual for their own good and in some way being rude or hard on the individual is an act of love and something that they should be appreciative of.

More often than not, this approach of what is called tough love or of essentially intimidating another individual into beleiving they know less than the person talking to them is really an act of bullying, however it may be dressed up.

It has very little to do with the real nature of love or of helping an individual understand their situation, it is virtually always an abuse of power in an unbalanced power relationship.

Rehabs and treatment centers and 12-step organisations such as Alcoholics Anonymous should continuously be aware of the potential for any type of bullying however it may be dressed up.

Often bullying is discounted as teasing or banter or in some way the individual who is being bullied is made to feel it is their fault that they are being hurt by what is being said to them.

Their is little doubt that an alcoholic trying to get sober has built up a wall around them of denial and often bullish defences against other people trying to stop them drinking or using drugs .

This denial and these defence mechanisms are often mistaken for arrogance and a sense of overpowering personality.

In truth they are more likely to be a real sign of the individual’s vulnerability and weakness.

How a rehab or treatment center deals with individuals such as this can vary widely, but the majority will endeavour to treat the individual with the respect and love that they deserve and need.


What is an alcohol addiction?

An alcohol addiction is more commonly referred to as alcoholism, sometimes as problem drinking, sometimes as alcohol abuse, sometimes as a dipsomaniac.

There is a tendency sometimes to get a bit caught up as to whether there is a real distinction between any of these issues. Whilst there is a distinction, academically, between an alcoholic and someone who is a very heavy drinker, alcohol addiction can effectively refer to various types of person.

Alcohol addiction in terms of alcoholism is generally regarded as an illness, as a progressive illness. This view is widely supported within organisations such as Alcoholics Anonymous and by the medical profession and the large number of rehabs and treatment centres that offer support and clinical programs for clients wishing to get sober.

An alcohol addiction can manifest itself as alcoholism in many different ways and different types, at many different ages, in all genders, in all professions and all social classes. Whilst it is possible to generalise about what constitutes an alcohol addiction, there is also a danger in that definitions of alcohol addiction can become quite prescriptive.

Alcohol addiction

Organisations such as Alcoholics Anonymous have questionnaires that tend to elicit responses as to whether the individual thinks they might have a drink problem will not. Some of these questions that Alcoholics Anonymous literature asks can be beneficial in terms of highlighting a potential risk to a person’s life all likelihood that can be directly attributed to alcohol addiction. In the end it is always for the individual themselves to decide if they are addicted to alcohol.

Whilst this is often quite obvious to a third party, someone who is an alcoholic will often be in a very strong state of denial that they have a problem with alcohol or an alcohol addiction. This is really important to know and grasp for anyone wanting to deal with an alcoholic. An alcoholic will perceive alcohol as being the thing that is holding them together, whilst at the same time living with the very real nightmare that an alcoholic or alcohol addiction scenario will show.

A rehab or treatment center will often be the first port of call for someone who has an alcohol addiction and is in some need of help in order to address this as a problem. Other people who have problems or are addicted to alcohol will go directly to meetings of Alcoholics Anonymous where they can also receive a huge amount of help.

Often people who have an alcohol addiction will be in such a strong sense of denial that they’ve will consciously or subconsciously completely refute the idea that they have a problem with alcohol or that they are in any need of help from anyone or any rehab or treatment center.


Is there an alcohol rehab in Dallas?

Someone looking for an alcohol rehab in Dallas, should be aware of the range of alcoholic rehabs that exist, both as institutional settings in terms of clinical facilities, and in terms of the range of alcohol rehabs in Dallas that are day programs.

An alcohol rehab in Dallas can vary quite considerably in terms of specific location, range of clinical programs and clinical experts who will administer the various treatment methods that potential clients who enter an alcohol rehab in Dallas will receive.

An alcohol rehab in Dallas should be primarily focused and have its treatment philosophy underpinned by the belief that alcoholism is an illness. This belief that alcoholism is an illness is often reinforced by an alcohol rehab’s commitment to organisations such as Alcoholics Anonymous.

An alcohol rehab in Dallas should be an active supporter of organisations such as Alcoholics Anonymous and should encourage clients who are part of the alcohol rehab inpatient program to attend a number of AA meetings.

This commitment by the alcohol rehab to Alcoholics Anonymous should be a part of their clients treatment methods. It should also be part of the philosophy of the alcohol rehab in Dallas in terms of their approach to after-care and support systems once their client has left the rehab.

Alcohol Rehab Dallas

An alcohol rehab in Dallas should recognise that the time spent in the rehab by the client is very limited. Whilst it is difficult to generalise, the time spent in an alcohol rehab is normally somewhere between four and six weeks.

In this time and alcohol rehab will begin the process of helping their client to understand that they are suffering from an illness, alcoholism, and how that illness has affected their lives and the lives of those closest to them.

Acceptance of alcoholism as an illness and that the client is an alcoholic can be a very difficult and long-term process. An alcohol rehab in Dallas will only be able to begin the process, but it can turn a key that will help unlock the denial that an alcoholic will be using to protect their drinking or their perceived need to drink.

A person asking for help, whether it is the alcoholic or a family member, will normally be in a fairly distraught state. An alcohol rehab in Dallas should be focused both on the alcoholic themselves, and also on the effect that the person’s alcoholism will have had on the family or loved ones.

An alcohol rehab should include the family as much as possible, in order to give them a chance of recovery, and should advise the family of the availability of organisations such as Al-Anon. Al-Anon can be a lifeline for families hoping to rebuild a better life together.


Are there any long-term rehab centers?

A long-term rehab center normally refer to a rehab center that offers an extended period of care following an initial or primary treatment stay as an inpatient stay at a clinical facility. People looking for a long-term rehab center should be aware of the nature of how most rehab centers work, both in terms of the length of time spent there, and the nature of therapeutic programs that focus on alcoholism as an illness.

Rehab centers can vary quite considerably as to the length of time they offer to inpatients as a residential stay. Hazelden offer a guide that most inpatients in their facilities will spend between four and six weeks for their primary treatment.

A long-term rehab center would look to take inpatient care after this time for a longer period of time. This may or may not be necessary depending on a person’s individual situation.

Long-term rehab centers

An alternative to long-term rehab centers is focused on indirectly when people enter a rehab center that is focused on the 12 step programme of Alcoholics Anonymous.

A long-term rehab center will also focus on the process of rebuilding a person’s life, as well as involving them in the 12 step program of Alcoholics Anonymous, as well as guidance with the acceptance of alcoholism as an illness.

Long-term rehab centres are sometimes referred to as secondary treatment centres, meaning that they follow on from a primary stay in rehab center as described above. Long-term rehab centres can also be day centres, that is a day treatment program for alcoholism that clients will attend on a daily basis, either during the day, evening or both.

This type of long-term rehab center will also encourage participants to attend meetings of Alcoholics Anonymous and gains acceptance of the concept that alcoholism is an illness. A long-term rehab center is also sometimes referred to as a halfway house.

This is normally a scenario for the long-term rehab center which provides a level of stability for a number of months after someone has left a primary rehab center. This allows the client to begin the process of rebuilding their life at a practical level and deal with issues such as housing, income, work and family relationships etc.

Long-term rehab centers will often offer practical help in these areas, especially with regard to areas such as social housing. Long-term rehab centers recognise that there is often a link between a person’s environment and the pressure they might feel that could be a trigger for them to start drinking again.

Long-term rehab centerss will also have a range of clinical programs and treatment methods that should be evidence-based approaches to helping clients deal with alcoholism, rooted in the concept that alcoholism is an illness.


What are the best alcohol rehab centers ?

When someone is looking for an alcohol rehab center the question they inevitably ask is what are the best alcohol rehab centers for someone with a drink problem to enter for help. This is a very natural question but the assumption behind it can often be misleading. It is important to understand that an alcohol rehab center can vary quite considerably in terms of its clinical staff, its location, its treatment programs and treatment methods and its range of clinical programs.

An alcohol rehab center often promote itself in terms of how good it is by referring to a success rate in terms of keeping alcoholics sober. This is in fact often very misleading, and any alcohol rehab center that offers a success rate in this context should be looked at with caution.

An alcohol rehab center will often be the introductory point for someone who is struggling with a problem with alcohol and/or drugs. The time spent in an alcohol rehab center will be fairly limited, normally between four – six weeks, although there are longer inpatient programs, and there are also some day alcohol rehab centres that offer very effective therapeutic programs.

Given that the time spent in an alcohol rehab center is likely to be limited, the ability to assess what best alcohol rehab centres are is actually a false premise. It is a natural question and concern for anyone wanting to enter an alcohol rehab center because they want some type of guarantee that the amount of money they are spending and the process they are entering into will offer some effective success rate.

Best alcohol rehab centres

Whilst this is very understandable, it shows a misunderstanding, or perhaps a forlorn hope that there is a guarantee to a person entering an alcohol rehab center that they will get sober and stay sober afterwards. Whilst this is often the case, it is important to realise that whether a person gets sober and stay sober is much more dependent on their own inner world, and their sense of how willing they are to let go of their drink and or drug problem.

If someone is looking for the best alcohol rehab center, one of the guides they can use is the range of clinical experts and clinical programs that the alcohol rehab center offers. Whilst it is no guarantee of success, it can be quite a good indication that the alcohol rehab center treats alcoholics with dignity and respect.

An alcohol rehab center should be set in a serene and tranquil setting or environment. The focus of best alcohol rehab centers will be on the understanding that alcoholism is an illness, and the range of clinical programmes will be designed to give people their life back, and build a better way of life.


What Are Rehab Facilities ?

A rehab is a clinical setting or facility which offers a range of treatment methods for people who are alcoholics or addicted to other substances. Rehab facilities cover a range of physical and therapeutic approaches that constitutes the total environment that a rehab operates in.

Rehab facilities tend to cover the following areas – staff, location, insurance, admissions, detox and outreach or outpatient facilities.

Rehab facilities in terms of staffing cover primarily a range of clinical experts, administrative staff and often a number of members of Alcoholics Anonymous who will work either as staff members or as unpaid volunteers in the rehab.

Rehab facilities in terms of location tend to refer to the physical location of the rehab and buildings that the rehab occupies. A rehab in Florida for example, will be designed to be set in a serene and tranquil environment that treats alcoholics with dignity and respect.

The buildings of the rehab of accommodation and other types of facilities relevant to the various therapeutic programs that we have offers.

An important part of rehab facilities relates to the health insurance or cost of the rehab treatment programs. Most rehabs gear their costing to be covered by various insurance plans.

It is important therefore that prior to entry you work closely with the admin staff applied by the rehab to make sure that the costs of treatment are covered under any insurance plan that you have access to.

A rehab should employ a dedicated team of staff who are specialists in this area and should help to make the admissions process much easier.

Rehab facilities – Admissions

The admissions process of many rehabs can seem quite complicated. The first part of the process refers to making sure that the costings covered by an insurance plan, or if not that funds are in place and agreed prior to admission.

Once an admission has been agreed a rehab will have a fairly strict set of rules about what people may or may not bring into the rehab, such as clothing, laptops, cell phones etc.

The website of the rehab should set out in detail its admissions policy and rules. These rehab facility rules may seem overly stringent or controlling. It is important to understand the rationale behind many of these rules in the first place, and the rehab should be able to accommodate any questions or concerns that you may have prior to admission.

Rehab facilities may also include some type of outreach or outpatient program.

This may be by way of a day programme that can either be an alternative to a residential program, or some type of follow-on treatment for clients who have been resident in a rehab already.

A rehab is likely to have some type of follow-on care by way of an alumni program, and possibly some type of transitional living arrangements or program that can help clients who have been resident in rehab make the transition back to a more normal way of life.


What programs does a rehab center in Florida have ?

When looking at and evaluating the type and nature of programs in a rehab center, there are a number of important factors to take into account. Perhaps one of the most important, is to make sure that the rehab center seems to have a clear understanding and empathetic approach to the nature of alcoholism as being an illness.

If a rehab center in Florida has this understanding and this approach then it is a good basis to proceed further and evaluate other types of programs and clinical staff administering them.

The nature of programs in a rehab center are that of a therapeutic nature, mostly. There are three important areas to look at when considering this. Firstly is the nature of the therapeutic programs that rehab center has on offer.

Secondly are the clinical experts or clinical staff who will be responsible for administering these programs. Thirdly are the type of so-called alternative programs or therapies, which can range from health-conscious activities such as yoga/Tai Chi through to more vigourous activities such as hiking or mountain walking.

Rehab Center – Therapeutic Programs

It is easy when looking at the type of therapeutic programs available in a rehab center in Florida to focus exclusively on the type of therapy, or the number of therapists or their qualifications.

These are definitely important considerations but can also be a bit misleading. There is a tendency to assume that if the rehab center is “good enough”, then the alcoholic will either get sober and stay sober, or will at least have a better chance.

The danger with this approach is to misplace the real responsibility for where recovery from alcoholism really lies. The nature and type of a rehab center in Florida can vary widely, and there is an assumption that it is properly staffed and has a necessary state and federal accreditations.

Beyond that the nature of recovery from alcoholism in a rehab center depends very much on the personal circumstances of the alcoholic who is admitted.

Whilst it is always slightly dangerous to generalise about the things, it is probably true to say that if an alcoholic has reached a stage of total hopelessness about their own life, then they are more likely to be open to the sense of safety that a rehab center in Florida can offer.

They are also more likely to be open to the principles of recovery that are dependent on them reaching a stage of being willing to begin their journey in recovery and build a better way of life.