Rehab

What are Rehab facilities?

People who ask or talk about rehab facilities often do so with a understandable but misguided idea that rehab is are a mix between an upmarket hotel and a country club, a sort of retreat with varying degrees of comfort or opportunities.

The reality is that rehabs differ widely in terms of the facilities that they offer to people, and that approach as to how the environment and addiction treatment programs should be offered to any individual who enters an inpatient rehab.

Traditionally, a rehab would treat someone who was an alcoholic or had a problem with alcohol, and their time spent in a rehab would consist of a medical detox if needed, followed by a period of different types of therapeutic treatment, often a mix of 12-step program ideas and meetings of Alcoholics Anonymous.

There would be a need some type of clinical facility, along with a modicum of comfort and very basic facilities.

The rise of treatment centers and rehabs has meant the growth of this industry, and a white approach that can differ considerably.

The initiators of the treatment center industry tried to strike a balance between providing an environment where the alcoholic could feel safe and secure, along with facilities treated them as someone who was trying to get well, rather than as a  bad person.

Rehab facilities

At the same time, there was a belief that treatment centers and rehabs  needed to be a fairly structured environment, and should be designed to focus the individual fully on their recovery process.

Rehabs and treatment centers take a number of different approaches. Some believe that a rehab should be a fairly spartan place, with very basic facilities and an entirely structured timetable from morning till night.

Some rehabs believe in an incredibly tight grip on what the individual can bring into rehab, and what they can and cannot do whilst there.

This can seem incredibly regulated some people, inevitably attracting some and alienating others.

There has been a growth in recent years of what can be termed luxury rehabs, which take almost an extreme opposite view. They believe that a rehab should essentially be the most serious and pleasant environment that someone can spend their time in, and that this is conducive to aiding in their recovery.

Both these approaches are somewhat of the extreme, and inevitably there are a wide number of different approaches in between.

There is no right and wrong approach to recovery, and every individual should approach a rehab based on what they feel is most appropriate to them.

The rehab facilities that are available should be outlined on the rehabs website, and rehab should be open to discussing what these facilities are, and how they help a client in their 12 step recovery.

 

What is a dual diagnosis?

Dual diagnosis is a term that specifically refers to people who would consider themselves both alcoholics and drug addicts, or people who have had problems with both alcohol and drugs. The term arose mainly in rehabs and treatment centers, and it is important to understand this context.

Initially treatment centers and rehabs treated people who had a problem with alcohol, whether they were turned alcoholics or problem drinkers, or people who had alcohol abuse issues. As this industry grew, people entered rehab who not only had problems with alcohol but with other substances including many narcotic drugs, and various behaviours.

Treatment centers and rehabs quickly picked up on this, and in the specific case of people who have problems with both alcohol and drugs they refer to them as being dual diagnosed. In addition, the rehab industry widened their scope of potential clients or a client base by beginning to define people as an addictive personality.

This meant that  in effect, any individual who had any addiction to any substance or any type of addictive behaviour could be labelled as an addictive personality, and  their particular addiction,  whether substance or behaviour, could be labelled their drug of choice.

Dual diagnosis

There are many people who believe that the terminology employed in the idea of an addictive personality and a drug of choice is simply to enhance the pool of people who can be susceptible to needing to go into treatment.

There are other people who defend the term addictive personality as being  a reasonably good definition of some help an individual who has a number of differing emotional drives and issues which fuel that alcoholism or addiction.

Whatever someone’s take on the term dual diagnosis, in reality it simply means that it refers to someone who has a problem but with alcohol and drugs, or has had a problem with alcohol and drugs and is now clean and sober.

In terms of 12 step recovery, what it really means is that individual will have used both alcohol and drugs at different stages of the alcoholism and addiction, and probably recognises a need to keep clear of both in order to stay clean and sober.

 

Where to get Drug Counselling

Anyone seeking to get drug counselling, either for themselves or someone they know, can often face a bewildering array of information and choices that can be difficult to navigate and fathom.  Drug Counselling is often linked to alcohol counselling, and it can sometimes be difficult to establish who best meets a specific set of needs.

Anyone who has a drug problem and is aware of the need to help can approach a number of different sources initially. This can include meetings of Narcotics Anonymous, Alcoholics Anonymous or explore the possibility of going to an inpatient rehab.

There are also likely to be a number of outpatient type rehab facilities available, depending upon where the person lives.

If in addition, the individual is seeking specific drug counselling either as a way of helping them deal with the problem, or as an adjunct to some of the type of recovery and the choices become much wider.

There are a number of people who advertise themselves specifically as alcohol and drug counsellors, there will be a massive number of other counsellors and therapists who do not specifically describe themselves as such, but will have experience in the field of alcohol and drug abuse.

Drug counselling

It is worth the individual establishing initially what help and support they need.

There is a big difference between getting some initial support and advice about how best to deal with a drug problem, to a longer term need some type of therapy or counselling as a way of helping to deal with underlying emotional issues.

It is likely that anyone entering an inpatient rehab will be able to access some type of drug counselling, either on a one-to-one basis or as part of group therapy.

It is also likely that a number of therapists, both in rehab and in private practice themselves what they would refer to as recovering addicts, or recovered addicts.

Going to see a drug counsellor is themselves a recovered recovering addict is likely to either be very attractive to some people, or a big turnoff to other people. It is worth being aware of the issue and seeking clarification from the counsellor themselves what their own statuses regarding any type of previous drug or alcohol abuse

What is a crack addict?

The term crack addict normally refers to someone who is or has been addicted to crack cocaine, but is also used as a slightly disparaging term for anyone who might be deemed to be a type of drug addict who not only uses crack cocaine, but is a continual addict.

Anyone who is or has been a crack addict is likely to have been addicted to one or more drugs that will have had a serious impact on their health, mental, physical, spiritual, sexual etc.

If the individual recognises that our problem they may well seek help, either by entering an inpatient rehab,  seeking some type of therapy or counselling, going to meetings of Narcotics Anonymous or some similar 12-step organisation.

One of the important thing is to understand is the very stages that are involved in the recovery process, wherever it may take place.

First and foremost and most critically is a need for an assessment as to whether or not a medical detox is needed, and the subsequent overseeing of any medical detox that may be needed by experienced and competent clinical staff, in a safe and secure clinical environment.

Crack addict

This might well be done in an inpatient rehab, although there are other clinical facilities for any detox could be assessed and supervised.

Once any medical detox has been done if needed, the main work involved in helping someone stay off any type of addictive substance will largely be of a therapeutic nature. This is true whether it is done in rehab or  in a 12 step organisation, the term therapeutic being used in a very importance.

One of the key elements, perhaps the key element for anyone seeking any type of 12 step recovery is the issue around change.

There is often a perception and a much talked about process of the need to change, both externally and internally.

The need for change may be evident in certain areas of someone’s life, but it should also be remembered for many people change seen as a real threat, not as an opportunity. For anyone who has been an alcoholic or a drug addict, their drinking or using will in many ways have seemed to them a way of holding themselves together rather than as the cause or reason for their problems.

For this reason the issue of change needs to be approached often in a very gentle way, party been given to the creation and provision of a safe environment, in which the individual can develop a degree of safety and as such allow the process of change to begin and take place.

 

Is teen drug abuse dangerous ?

The question of ‘is teen drug abuse dangerous’ should be answered with a pretty emphatic yes, but also needs to be slightly more fully explored this as there can sometimes be a broader question involving alcohol or possibly some other type of substance abuse.

Anyone charged with looking after a teenager or adolescent is likely to be aware of the possibility that they may be susceptible to either being involved with taking drugs or alcohol, or they may hang around with people who are.

One should always be very wary of generalising about the things, but it is also a good idea to highlight one or two things that may be helpful.

Anyone who has response policy for looking after any teenager or adolescent, who suspects that team drug abuse maybe present in their lives, first and foremost has a responsibility to seek help.

This means helpful themselves in terms of how they deal with it, and help for the teenager or adolescent to deal with what is a drug problem.

Teen drug abuse

The stigma of drugs normally does not differentiate between a type of drug, and often includes alcohol.

There are some people who would argue that teenagers  and adolescents will experiment with drugs, alcohol and sex, and the majority of them will grow out of it and lead fairly normal healthy lives.

That is a view that to an extent may be true, but not a view that anyone with responsibility for looking after a child of any sort can actually indulge in.

It is worth having an understanding of the nature of drug abuse and alcohol abuse or alcoholism, and realising that whilst some people it may simply be a phase, for a lot it won’t be, and in fact will be an indication of a much more serious problem in terms of a susceptibility to alcoholism or drug abuse.

The reality is that if a teen drug abuse problem is taken seriously at the outset, and dealt with in a loving and compassionate way, then not only can the life of the teen be straightened out, but also potentially any long-term problems with drugs or alcohol can be addressed early on in their lives.

What is an inpatient drug rehab?

An inpatient drug rehab is normally simply referred to as a rehab  or a treatment center.

The vast majority of rehab is deal with the question of drug addiction of all sorts, as well as alcohol addiction or alcoholism, and a wide range of other compulsive or addictive behaviours.

An inpatient drug rehab will be a clinical facility which will admit and look after someone who is suffering from some type of addiction to one or more drugs and/or alcohol.

It is important that an inpatient drug rehab has two main areas of focus.

Firstly should be the facilities and medical staff to assess and if necessary oversee any medical detox that may be needed.Iinpatient drug rehab

Inpatient drug rehab

This is crucially important. Anyone who has been addicted to any type of drug may well have been using different types of drugs as well as alcohol, and the coming off of these drugs can present significant, often life threatening medical challenges.

Such an inpatient drug rehab needs to either have its own facilities and medical staff, or arrangements with another local clinical facility such as a hospital who can assess and oversee any medical detox that may be needed.

Once a medical detox has been assessed and overseen if necessary, then the time spent in an inpatient drug rehab is likely to focus much more on a number of therapeutic approaches, often 12 step based, which are geared towards helping the individual begin the process of understanding a number of emotional and mental issues that have fuelled the addiction to drugs and alcohol.

This therapeutic work that is done in an inpatient drug rehab will vary depending upon the nature and type of rehab or treatment center, and will by its very nature be fairly short-term.

The majority of rehabs and treatment centers recommend that inpatient clients to attend meetings of Alcoholics Anonymous and Narcotics Anonymous’s, both during their stay in rehab and once they have left. This is to give them a sense of whether long-term recovery is most likely to be based, and how they can most effectively ensure their long-term sobriety

Dating an Adult Child ………..

You will learn to control life, but then stop and let go.

Addicts have no control over their addiction. As a result, their kids will feel the urge to control their lives.

Dating such a control addict is not an easy task. They will take control over your life, while also trying to control their own.

This means drama if you think of canceling plans or acting spontaneous. This will cause you to make a habit of controlling your life. But one day, you will wake up and decide to let go.

If you really love your partner, you will work with him or her in order to teach him or her to let go as well. When this happens, you will thrive as a couple.

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What is a Rehab Dual Diagnosis

Anyone entering a rehab or a treatment center is likely to come across the term dual diagnosis, as well as a lot of other jargon or terms that are fairly unique or specific to the whole world of 12-step recovery.

Perhaps the term jargon is a bit unfair, but there are certainly a wide range of terms that have some meaning, but can also be used to making them sound more important or more severe as they are.

The term dual diagnosis is normally used to refer to someone who is both an alcoholic, or who has a problem with alcohol, and also has a problem with drugs, narcotics or prescription drugs.

This broadening of the definition of an addict, from alcohol to include drugs, has come about through the growth of treatment centres, and the addiction treatment programs that they offer as a way of helping residents.

A rehab will tend to look at the issue of addiction in a slightly different way than perhaps people who do not work in the field will do, and there are pluses and minuses in this approach.

REHAB DUAL DIAGNOSIS

The majority of rehabs and treatment centers initially dealt with people who had a problem with alcohol, and could safely be described as alcoholics or alcohol dependent.

As the industry grew, it became clear that people who were entering a rehab because of an alcohol problem also had other problems such as drugs, gambling etc.

Rehabs and treatment centres started to invert this process, whereby they began to see the problem as the individual, and the addiction as a symptom of their problem.

This in many ways allowed a rehab in much broader range of client base, but also slightly distorted the real nature of an individual’s alcoholism and other types of addiction.

The value of the term dual diagnosis is often hard to verify, except say that it can flag up an individual has a problem with the hottest drugs or prescription drugs as well as alcohol.

There is a practical issue to this which is hugely important, which is knowing I have individual has a dual diagnosis can seriously affect the assessment, or the need for a medical detox, and that should be carefully monitored and accurately assess both prior to admission and during a treatment undertaken that after.

 

 

NEED FOR TREATMENT

‘A recovered alcoholic says drug addicts are falling through the cracks in Ballarat with a dire lack of rehabilitation facilities to treat their complex needs.

Russell Firth, 72, has been sober for 42 years after beginning a 12-step recovery program at the age of 30.

He is pushing for a detox unit so people seeking treatment for their addiction can access appropriate support.

“All alcoholics have a disease which is centred in our minds, the alcohol is the trigger for compulsion and you have to treat that wholly,” he said.’

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REHAB and 12 STEP WORK

Anyone who enters a rehab is unlikely to very quickly become familiar with the term 12-step work, and the idea of concept of a 12 step program as practice and experienced by members of Alcoholics Anonymous and other tall step organisations.

The phrase 12 step work has a slightly different meaning in organisations such as Alcoholics Anonymous.

In that context it tends to refer to people who reach out and are available to help people who are new to the organisation, and who have asked for help in either attending meetings or talking to someone about the fact that they think they may have a drink problem and need some help with it.

In a rehab, the phrase 12 step work is more likely to refer to one or more of the therapeutic programs or addiction treatment programs that a rehab is likely to offer as part of its treatment methodology in relation to alcoholism and addiction.

In addition, the majority of rehabs tend to either endorse and embrace organisations such as Alcoholics Anonymous and Narcotics Anonymous, and actively  promote the concept of a 12 step recovery program both inside and outside of the rehab.

A rehab is likely to have a number of different types of therapeutic help available, and it may have some type of self styled 12-step program as well.

REHAB and 12 STEP WORK

This may simply be a focus on step one of a program, the admission of being powerless over alcohol or some other substance.

Alternatively the rehab may have a deeper road into the recovery process, and spend more time on other parts of the 12-step program such as an understanding of a spiritual path, the nature and practice of doing an inventory on oneself, and generally becoming more willing to open up and share with other people is going on in the individual’s life.

It is worth making the point that the majority of rehabs offer any type of 12-step program all work as part of their ailing addiction recovery programs will be using an interpretation of the 12 step program of Alcoholics Anonymous that is different to the actual 12-step program of AA itself.

This is an important distinction, but one that many people understandably find it bit confusing.

The significance is simply that upon leaving rehab, the majority of rehabs will advise people to attend meetings of Alcoholics Anonymous, where they can gain a fuller understanding and actual appreciation of what AA’s program of recovery action involves.

 

ALCOHOL TREATMENT

Alcohol treatment will be a process designed for anyone who recognises or comes to recognise that they have a problem with alcohol, and are often referred to as alcoholics or people who have alcohol addiction problems.

The nature of alcoholism and alcohol addiction can sometimes be endlessly debated, but in reality the basis for acknowledging there is a problem and what treatment options may be available should be based on the experience and behaviour of the individual, not any academic interpretation of what alcoholism or alcohol addiction may be.

The notion of alcoholism as an illness, now widely accepted in medical circles, was born out of the experience of many doctors and early members of Alcoholics Anonymous, who recognised the abnormal craving and compulsion of people drinking, drinking which was essentially out of their mental control.

In the big book of Alcoholics Anonymous,  the point is made that alcohol will have a different effect on someone who is an alcoholic, to someone who is not an alcoholic.

The comparison to an individual having an allergy is used, a comparison that some people find helpful and others find slightly confusing.

ALCOHOL TREATMENT

The important thing to realise is that at some level and for some reason an alcoholic drink differently to someone who is not an alcoholic, even a heavy drinker who may externally show some of the same characteristics and behaviour is that of an alcoholic.

Alcohol can be a part of many people’s lives, and may even be a problem in some people’s lives at certain points of their life.

Trying to define an alcoholic, or someone who has an alcohol addiction can be a very difficult and time-consuming process.

There are many people especially in the youth who might exhibit problems associated with alcohol, but who will in effect grow out of them.

There are other people of exactly the same age who may drink the same and exhibit similar behaviours and experiences who are in reality alcoholics but have not yet come to realise it.

Alcohol treatment can come in many forms, ranging from residential rehab addiction programs, through to  12 step programs such as Alcoholics Anonymous, through to medical detox, through to an individual simply abstaining.

 

REHAB ADDICTION

Anyone entering a rehab is likely to do so because there is a recognition at some level of a problem or addiction with alcohol or drugs or some other type of substance.

It is quite possible that this addiction or alcoholism has been recognised by someone other than the person who has got the problem themselves.

It is quite likely that the person entering a rehab is either still in denial of the fact that they have the problem of addiction or alcoholism, or has at some level recognised that they have a problem and are entering the rehab or treatment center of  their own volition.

It is important to understand that someone entering a rehab will have other major issues internally, aside from their external signs of addiction or alcoholism and the problems it is causing them in their lives.

Referring to internal major issues  is about an individual’s mindset concerning  their addiction or alcoholism, and how they see themselves and how they relate to the world around themselves.

This can be quite a complicated scenario, and the work of the rehab once any detox has been done, will be to  begin the process of helping an individual realise the reality of the world they are living in, rather than the reality which is inside their head, which is often different.

REHAB ADDICTION

What is really important to realise is that someone entering a rehab is likely to have a mindset around alcoholism when they see alcohol as being the solution to the problem rather than the problem itself.

Depending upon the nature and type of that alcoholism, it is highly likely that this mindset has been there for most of their drinking life.

It is a common feature of alcoholism that an individual will relate to alcohol more than the reality of the world that their drinking creates, and the truth is that the worse everything gets both internally and externally, the more they turn to alcohol has been the solution rather than the problem.

For this reason, entering a rehab or the idea of getting sober can seem a real threat to the individual, even if their life so out of control emotionally and literally, thta they have no choice.

The major part of a rehabs treatment program for any type of addiction should be to create a safe place where an individual can begin the process of understanding nature of the alcoholism or addiction, and seeing the context of alcohol as being a problem rather than a solution.

REHAB ADDICT – ALCOHOLIC

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.

REHAB – 12 STEP

When someone is looking for a rehab that is 12-step orientated, what they are normally looking for is a rehab that bases part of its treatment recovery program on the 12 step program of Alcoholics Anonymous.

Many rehabs that effectively advertise themselves as being 12 step rehabs do not actually follow the 12 step program of Alcoholics Anonymous, but do use a certain number of the steps, although the way they are interpreted by the rehab is normally quite different to the way they are interpreted by the book Alcoholics Anonymous.

A rehab is likely to either offer what it refers to as the first five steps in the program of Alcoholics Anonymous, or possibly the first three steps in this program.

There are some rehabs that describe themselves as step one rehabs, and these rehabs effectively use the concept of step one in the Alcoholics Anonymous recovery program as the focus for their addiction treatment work, which is likely to focus on the basics of the AA recovery approach.

There are also a significant number of people who look to a rehab that is not  12-step based. The approach that many rehabs will take is to offer a number of principles that they consider helpful, which may include different types of therapy, group and individual, as well as a number of what are referred to as alternative therapies.

These types of alternative therapies can include areas such as yoga, tai chi, meditation, art therapy, horse therapy etc.

REHAB – 12 STEP

These rehabs can certainly help people, the problem tends to be around proving the clinical effectiveness of the work they offer, which is harder to do than those rehabs that are 12-step focused, which also tend to include inclusion of current medical thinking and practice concerning addiction.

Rehab that are 12 step focused will also include a heavy commitment that clients or participants in the treatment center program attend meetings of torso fellowships such as Alcoholics Anonymous and Narcotics Anonymous.

There is normally a requirement that people tend a minimum number of meetings a week.

This is viewed as an important part of their recovery process whilst in treatment, and a hope that it will encourage people to attend meetings and become part of  alcoholics anonymous once they leave rehab, as a major part of their after-care program.

Some rehabs also offer their own after-care program, offering ongoing support online, and with often an annual get-together at the rehab for any previous participants who are interested in attending.

Rehab Addict

Rehab addict is a term that can have two very specific but very different meanings.

The most normal and traditional meaning is that it is a term that has applied to an individual who enters a rehab because they have an addiction to alcohol or drugs or some other type of compulsive behaviour such as gambling.

Such an individual will enter a residential rehab for a fixed period of time, normally about 28 days, where they will begin the process of recovery from their addiction.

They are quite often known as a rehab addict, and during the course of their treatment or when attending 12-step meetings such as Alcoholics Anonymous or Narcotics Anonymous will refer to themselves either as an alcoholic or as an addict.

The other use of the term rehab addict is as real, but very different. It is a term normally applied to someone who knowingly is addicted, or is said to be addicted to entering rehabs to do with their life problems, which may well include serious addictions such as alcohol, drugs or gambling.

This can be a serious problem, but is one that rehabs themselves very rarely tend to address.

Anyone entering a residential rehab for a fixed period of time will normally have a fairly clear message given to them.

Rehab Addict

The message will be that the time spent in rehab is in many ways simply the beginning of the process of recovery from alcoholism or drug addiction, and that the main work needs to be done once the individual has left rehab.

As such the individual will most often be encouraged to attend meetings of Alcoholics Anonymous or Narcotics Anonymous as a way of sustaining and maintaining long-term sobriety.

The truth is that many people entering a rehab may struggle with this, and hope that simply going into a rehab once will solve their problems.

After they have left they inevitably find this is not the case, and whether or not they tend to offset meetings this will struggle with many of the underlying emotional difficulties fuelled that alcoholism or drug addiction in the first place.

There is quite often a tendency to want to go back into a rehab, not least of all because a rehab is often a very structured, quite rigid institution which creates a sense of safety that the individual in recovery does not necessarily experience in day-to-day life.

A rehab addict in this context, is someone who simply is always trying, albeit over a period of years to get their recovery sorted by continually going back into rehab.

This may be because although they have stayed sober they have not dealt with their underlying issues, or it may be because they have continually tried to give up alcohol/drugs and have been unable to do so.

The inherent danger in this type of approach is that it simply makes the individual dependant upon some type of institution rather than on their own recovery program, 12 step or otherwise.