Rehabs and treatment centers have long been associated with helping people who have drink problems. The name given to someone who has a drink problem is normally that of an alcoholic, but there are a number of other names floating around as well.
The most common is something like alcohol addiction, a dipsomaniac or someone who abuses alcohol. To be honest, the name is fairly irrelevant, but can be an important issue in helping the person accept and understand that they have a drink problem.
It is often recommended that someone who thinks they have a drink problem should get a formal assessment, either through a primary care giver, or someone who specialises in alcoholism/alcohol addiction.
Whilst this is generally good advice, the problem is that if someone is an alcoholic, they are likely to be in denial of it.
Admission and acceptance of a problem with alcohol normally takes quite a long time, and is normally precipitated by some disaster in the life of a problem drinker.
There is also an awful lot of medical information available as to what constitutes an alcoholic, or alcohol addiction. Again this can be valuable, but more likely for those who are trying to support or help the person with a drink problem, rather than the alcoholic themselves.
There is a saying in Alcoholics Anonymous that if drink this costing you more than money, then you have a problem.
This in many ways is often good enough to get someone to accept they may have a problem, and through seeking help are able to begin to address both the drinking, and any underlying emotional issues that may need to be dealt with.
Not everyone who comes of alcohol will need a detox, but it is probably true to say everyone coming of alcohol should really be assessed as to whether they need one or not.
This assessment can be done when someone enters a rehab, or by a primary physician beforehand.
Any alcohol rehab should have the necessary facilities to undertake a full and thorough medical assessment of whether the individual needs to be detoxed and not, and if they do, then rehab should have the facilities or access to the facilities in order to to be able do this.
Some rehabs will be able to do this on site, others may have arrangements with a local hospital or other clinical facility where it can be done.
This is especially important, as anyone who does need a detox from alcohol addiction needs to have withdrawal symptoms monitored and dealt with appropriately, which can sometimes involve medication.
Addiction treatment programs
These programs are at the heart of what happens in a rehab or treatment center.
When someone is admitted, and after an initial assessment, an individualised program needs to be put in place that covers all or some of the addiction treatment programs that the rehab facility has to offer.
These programs are primarily aimed at helping to begin the process of understanding the underlying emotional and behavioural issues that are part of someone’s alcoholism.
For someone who is an alcoholic, they normally see drinking as being the solution to their problems, not the problem itself.
This means that long-term recovery involves looking at and processing a number of emotionally turbulent issues that have normally fuelled their drinking
For many, this is a lifetime process, but begins in earnest in a rehab or treatment center.
The addiction treatment programs that a rehab offers, are a key element of this, and should be looked at carefully when deciding which to apply to for admission.
The vast majority of rehab and treatment centers utilise the experience of 12 step programs, primarily that of Alcoholics Anonymous. They will do this as part of a person’s treatment program, but also as an introduction to the main source of after-care available.
All 12-step programs have no affiliation with any rehab or treatment center, but local AA groups will normally work closely with any facility.
This can include hosting meetings at the facility itself, local AA members going into the facility to give talks, and local AA members helping to look out for people once they are released from rehab.
In addition, an alcohol rehab is likely to have its own after-care programme.
This is normally intended to bridge the gap between leaving rehab and re-entry to normal life.
Rehab is widely acknowledged as being a bit of a bubble, and this is often seen as being one of its primary benefits.
This bubble allows people to get away from their normal life, it can essentially buy them some time to begin to address the issues that they need to in relation to their drink problem.
It is also recognised that the need to re-enter life after this bubble needs to be addressed early on in treatment as well, and as such the after-care process becomes an important element early on in the treatment.
The after-care arrangements that the rehab makes itself can vary. It normally includes a regular meeting, quite often monthly, which ex-residents can attend and talk about their experiences.
These meetings can also be done online, and there’s quite often an annual social event, such as a barbecue, to which all ex-residents are normally invited.
Some rehabs will also offer to residents the opportunity to contact staff at the center once they have left, if they feel the need to talk to someone about any specific issues that may arise.
With quite literally thousands of rehabs to choose from, deciding which one to choose can be quite a daunting process.
The majority of rehabs in the US will offer quite similar addiction treatment programs, the majority of which will be rooted in the 12 Step program of Alcoholics Anonymous.
Some people will want to go into a rehab close to where they live, others will want to go to a rehab as far away as possible, either in another state or in another country completely.
Some people believe that a complete change of scenery and location can help someone in their early days of recovery, others believe they should confront their issues in a more known and local environment.
This means that the choice of rehab can literally be a worldwide one for everyone.
Very few rehabs will advertise any type of success rate, although some will talk of a percentage rate of completion. These are two very different things.
A rate of completion is simply the number of people who complete their course of treatment, which is normally 28/30 days, although in some cases this can be longer.
The reality of recovery from alcoholism and addiction is that it is a tricky road for most people, and no one really knows how many people make it in the long run.
Some rehabs will keep in touch with as many of their ‘alumni’ as possible, but very few if any will talk of a success rate. Recovery is a long-term process, often taking many years to embed in the individual.
A stay in rehab is relatively short, and is seen by most people as initially breaking the cycle of alcoholism and addiction, and laying the foundations for long-term recovery.
There are however a number of factors can that be used to determine how effective a rehab treatment center is likely to be, and all the information required should be available via the rehab’s website.
Wherever you are looking in terms of location, there are likely to be a number of legal requirements for any type of clinical facility that is offering addiction treatment programs.
It is well worth checking what these are, and making sure that the rehab adheres to them. If in doubt ask the rehab itself.
If they are at all reluctant to help, it may be an indication to move on and find somewhere else.
As already stated, for many people location is an important issue. Within the geographical area make sure that the facility itself is an attractive and comfortable place for a short-term stay.
Some rehabs will offer single accommodation, others will insist on sharing a room and facilities as part of the recovery process.
Also make sure there is plenty of outdoor space, ideally near water, as this can be very therapeutic for a number of people who need time to have a break from the intensity of the rehab itself.
All rehabs will employ a wide variety of staff, both clinical and administrative.
Clinical/ therapeutic staff can/should include a medical doctor, nurses, psychiatrists / psychologists, therapists, yoga teachers, tai chi teachers, reflexology practitioners, acupuncture practitioners, art therapy practitioners, meditation practitioners, politicians, nutritionists, social workers, transitional living workers, and priests/rabbis.
Obviously this is a wide range of differing staff, but should give a fairly good indication of the facilities that the rehab offers as well. In addition to the numbers and types of staff, it is worth checking the qualifications and experience of the most senior staff available and their experience of addiction and alcoholism.
All rehabs should have their own clinical facilities and staff that allow them to assess at the outset of treatment whether a medical detox is needed or not for any individual entering the treatment center.
If they do not have such facilities, then they should have access to a local clinical facility such as a hospital, who can make this assessment for them.
This is a crucial element of any rehab or treatment center, because of the necessity to assess the need for a detox for anyone coming off alcoholism/drug addiction.
Most rehabs do not advertise how much they charge, but it is probably fair to estimate a charge of between US$ 28,000 / $35000 for a 28 day stay in most treatment centres in the USA.
It should be noted that there are a number that describe themselves as luxury rehabs that can easily charge three or four times this amount.
Most of this cost is normally covered by insurance, but there are one or two things to be aware of.
Many insurance companies will agree to cover the cost of rehab, but will sometimes review this on a weekly basis while the individual is in treatment.
This means that they could withdraw cover at any point during the individuals stay in rehab if they deem it not necessary any longer.
Also be aware that some rehabs offer loans to help pay for the cost of their treatment, especially if the individual does not have insurance, or their insurance plan does not cover rehab treatment.
This can end up being very expensive indeed, and is an option that should probably be avoided if at all possible.
Addiction Treatment Programs
Most treatment programs should begin with an assessment of need for a medical detox as referred to above.
Most rehabs will base their addiction treatment programs around the first five steps of the Alcoholics Anonymous program.
Some will be slightly more specialised, and based around certain steps such as step one, or steps three and 11.
There is also likely to be a significant amount of personal therapy/counselling done, either on a one-to-one basis or in group. Some rehabs also offer specialised therapy such as CBT/EMDRA
Most treatment centers will also encourage, sometimes insist, that individuals attend meetings of Alcoholics Anonymous or Narcotics Anonymous whilst in treatment.
These may sometimes be held on site, by local groups or in the locality where the treatment center is based.
A number of rehabs will also offer so-called alternative therapies, which are recognised by the therapists listed above.
They may also include things such as adventure programs which can be things such as white water rafting, hill or rock climbing or equine therapy.
A rehab’s approach to what happens when someone leaves rehab is almost as important as what happens to them when they are in treatment.
It is generally recognised that a rehab is something of a bubble, almost intentionally, that takes the individual out of their normal environment to provide a safe place allowing them to lay the foundations for their recovery.
Like all bubbles, a return to normality has to be thought through and carefully planned.
Thus a rehab should from day one lay the foundations for being able to integrate what happens in rehab back into the individuals normal life once they have returned to their home and family.
Most rehabs will encourage continued attendance at meetings of Alcoholics Anonymous, and in addition could have their own regular meetings, normally monthly, that are open to any residents or former residents to attend if they so wish.
Former residents are normally referred to as alumni and are encouraged to return to the treatment center, both for their own good and as examples to current residents.
Sober Living / Transitional Living
Some rehabs will have links to what are referred to as sober living or transitional living houses.
These are normally long-term shared houses, normally under some type of supervision, where people in early recovery can live together, and stabilise their own lives once sober.
This is an option foro some people who need an additional degree of stability around where to live and what do for work once they have finished treatment.
Most rehabs will offer some part of their treatment program or focus on the spiritual aspects of recovery.
Some will be more forthcoming than others, emphasising that the spiritual element of a 12 step program is an important one in any recovery.
Others will play the spiritual element down a bit, realising that the overall God question is perhaps the biggest bloc for many people in the recovery.
The above descriptions applies to what could be referred to as mainstream rehabs.
These are very different to what is commonly referred to as a Christian rehab, although there are some who would dispute this term.
One has to be very careful when using the term Christian, as there are many people who will use the term very differently, and have very different meanings for it.
With relation to a Christian rehab, there are many of these treatment centers who advertise themselves as Christian rehabs with a particular emphasis on certain areas of recovery.
Generally speaking they promote themselves as being long-term recovery projects, where the emphasis is mainly on a purely religious understanding of alcoholism and subsequent recovery.
Most of these rehabs will avoid totally the 12 step process, and focus instead on an extensive program of prayer sessions, Bible readings, so-called faith initiations etc.
A lot of these rehabs will offer long-term programs, sometimes in the region of 6 to 9 months.
They will also offer low-cost accommodation, and promote the so-called Christian activities as free, meaning that someone can enter this program with relatively little money for a long period of time.
Needless to say these so-called Christian rehabs attract a lot of criticism, in two distinct areas.
Mainstream Christianity often takes the view that this type of religious activity is an extreme form of religious doctrine and indoctrination.
It takes people who are extremely vulnerable and in need of help, and uses that vulnerability as a way of recruiting them into a much more fringe view of religious activity.
The other criticism that these rehabs attract is not quite so generous in terms of its interpretation of religion.
These rehabs are seen as recruiting grounds for a number of the major churches in America, a number of which are regarded as very cult like or having a very cultic dynamic.
It is certainly true that a number of these so-called Christian rehabs are attached to or part of much larger Congregational churches, many of which are regarded as evangelical, but also regarded as quite cult-ish.
Given the nature of these types of churches, who unashamedly believe in recruiting members as part of their evangelical approach to ministry, it is quite natural that most people who understand the nature of alcoholism and recovery are fairly wary of that approach.
This is a quite different issue to the perfectly valid one of whether this type of religious indoctrination is essentially abusive, but raises an equally valid issue of abuse in its own right.
Whilst much of the work itself, or the motives of people who work there may have some genuine love and compassion in it, the reality is that these types of rehab do offer the potential for a significant amount of abuse.
This is because the people they are offering help to are extremely vulnerable and in need of low cost effective treatment.
A regimen is offered that not only has no clinical basis for its program, but also potentially acts as a recruiting ground for many much larger organisations.
People who work in the mental health field have serious reservations and concerns about this tupe of rehab and its treatment programs.
Anyone who would describe themselves as a Christian, or is looking for some element of religious or spiritual input into their recovery, and is looking to enter a rehab, would do well to firstly avoid these so-called Christian rehabs.
It is a perfectly valid question to ask more normal mainstream rehabs, as to what their approach to religious and spiritual activities is, and what extent these are built into their addiction treatment programs.
Rehabs will vary widely, and it should become fairly apparent which ones are more suited to the needs of someone with a particular religious inclination than others.
Anyone looking for a Christian rehab will generally be doing so for one of two reasons.
The first reason is that they want a rehab that is purely faith-based or Bible based, the second reason is that they want a more traditional rehab, but one that is focused on spirituality and/or a Christian based approach to addiction recovery.
The issue of spirituality and belief in God has been at the core of recovery from alcoholism since the early experiences of Alcoholics Anonymous members. It has also been one of the defining issues in terms of both helping people and alienating people from the process of recovery.
As with any approach to recovery, it is important that the person looking for help has some clear understanding of what to look for. Any rehab offering help must comply with certain local and national requirements and regulations. A rehab should also employ a significant number of qualified clinical staff who can help assess the individual entering rehab to see if there is a need for a medical detox.
The rehab should also be able to either oversee such a medical detox if needed, or have other arrangements with a local clinical facility who can oversee the detox on their behalf. This is crucially important for any rehab as many people entering rehab will be withdrawing from the effects of alcohol and/or drugs, and this needs to be managed in a safe and secure clinical environment.
Once any detox has been done, the work of the rehab is to help the individual to understand the nature of alcoholism and other types of addiction, and to give individuals some grounding in the various approaches to recovery that the rehab advocates to help the individual rebuild their lives in the context of staying clean and sober both in rehab and once they have left.
The majority of rehabs will take a therapeutic approach that is based on the 12th program of Alcoholics Anonymous. A number of rehabs will also offer a wide range of other addiction treatment programs that should be clinically based, that should be evidence-based and should be based on extensive experience of what works.
A Christian-based rehab is normally a rehab that very specifically refers to itself as being Christian-based or faith-based. It very clearly sets out its addiction treatment program as being based on a belief that Jesus Christ, and belief in Jesus Christ is the only real source of salvation, and that this belief will be central to all the therapeutic work that is done in this type of rehab.
A Christian rehab can vary quite widely as to its structure and type of environment where this work will be done. Some Christian rehabs will opt for the traditional thirty-day model that most normal rehabs offer, with varying degrees of structure and rigidity in terms of living environment, personal possessions, access to phones and Internet etc.
Other Christian rehabs will offer a much more controlled and rigid environment, and although they are open and upfront about this, this model should be considered carefully before entry into it. Often this type of Christian rehab will offer an extensive and free recovery process with a enrolment period of up to 9 months.
There is likely to be a very strict regime where there is no personal contact with the outside world, no direct contact with anyone at all.
This type of Christian rehab very tightly controls the behaviour, the information and the environment that the individual will live in for these nine months. After the nine months is finished the individual will be expected to continue as part of the broader church that will be associated with the rehab and contribute to it in various ways.
This type of environment can at times be quite cult like, and should be guarded against. Any rehab should be freely entered into, and the client should also have the option or freedom to leave if they don’t like it. A rehab is not a prison, and whilst leaving early can have serious complications and consequences, it is nevertheless a freedom that the client should retain.
A Christian rehab that is faith-based and focuses exclusively on a biblical approach to recovery is a perfectly legitimate option for anyone seeking this. This type of rehab may or may not incorporate some of the approaches of Alcoholics Anonymous and other 12-step organisations.
Most Christian rehabs will offer fairly intensive levels of Christian counselling, as well as a fairly intensive structured programme of daily Bible study groups and prayer groups.
A number of Christian rehabs will also be linked to various churches, and these churches should offer additional support through prayer and pastoral work to the individual once they are in rehab, and once they have left.
A rehab or treatment center should employ a wide range of different health care professionals, who have extensive clinical experience in dealing with alcoholism and addiction.
If the rehab is basing some of its therapeutic treatments on the twelve step progarm of Alcoholics Anonymous, then it is usually helpful if some of the staff are in recovery themselves, often having been in rehab themselves at some point.
This assessment of clinical staffing levels should relate to number of staff, different disciplines, qualifications and experience.
This information should be available on the rehab’s website, along with inforemation about availability of medical staff (should be 24/7) and regularity of therapy / conselling sessions etc.
Below is a list of the main types of clinical and therapeutic staff normally employed in a rehab. In addition a rehab should employ a number of well trained admin staff who can help the client through the often complicated admissions and insurance verification process.
Therapists / Counsellors
Chi Kung / Tai Chi Teachers
Art Therapy Practitioners
Meditation / Mindfulness Practitioners
Transitional Living Worker
Traditionally, a rehab program or treatment center would help treat people through two specific routes.The first would be a medical detox if needed, followed by a fairly intensive therapeutic process based around the first five steps of the twelve step program of Alcoholics Anonymous.
This would mainly be done in a mix of group discussion, group therapy and personal one to one therapy, with some life skills work done as well, under the supervision of qualified clinical staff.This has evolved into an environment where rehabs can offer a bewildering display of what they refer to as rehab programs.A selection of these programs is listed below !
This can be extremely confusing to people researching a rehab, both in terms of what the program is, and how effective it is.Part of the way through this is to have a general undertsnading of how rehabs work, visit the website of any rehab that interests you and see what programs they offer by way of treatment.These programs are sometimes referred to as therapeutic modalities.
If it is not clear what a particular program means, ring or email them and ask them. Also ask them whether the program is evidenced based, in terms of its effectiveness. This really means, is it based on current or ongoing clinical research.
Bear in mind also that the rehab industry is highly competitive and very lucrative, and some rehabs will offer exotic sounding therapies in order to attract business, ie you!Whilst these therapies might be fun, it is often questionable how effective they are in helping deal with alcoholism and drug addiction.
After Care Programs
Behaviour Modification Therapy
Body Image Therapy
Cognitive Behavioral Therapy
Creative Art Therapies
DBT – The Stages of Change
Dialectical Behavioral Therapy
Drug Primary Treatment
Educational & Experiential Group
Emotional Freedom Technique
Equine Assisted Therapy
Group & Individual Therapy
Herbal / Homeopathic / Naturopathic medicine
Hyperbaric Oxygen Therapy
Individual Consultations with Registered Dietitian
Intensive Continuing Care Planning
Life & Career Skills Planning
Meal Planning & Preparation
Mindsight and Interpersonal Neurobiology
Neuro Feedback (Bio Feedback)
Physical Fitness Therapy
Relapse Prevention Therapy
Relationship Building Activities
Somatic Experiencing (Trauma)
Spirituality & Yoga Therapy
Systemic or Strategic Addiction Family Therapy
Therapeutic Restaurant Outings
Thought Field Therapy
Vivitrol Treatment for Opiate Addiction
Wilderness survival programs
12 Step Groups
Long Stay Programs
Early Recovery Skills
Relapse Prevention Skills
Social Support in Recovery
Most rehabs will offer to treat addiction to alcohol and a wide range of drugs, as well as possibly other addictions. The website of the rehab should list the names of the drugs that it offers treatment for the addiction to.
It is likely that the recovery process in the rehab will focus on the individual themselves and their underlying emotional drives, rather than on a specific addiction to a specific drug.
What is really important in this context is the detox process. Anyone entering a rehab who has has been or is addicted to any type of drug, prescribed or not, needs to be assessed by a clinical team to see if a medical detox is needed or not.
For this reason it is important to know if the rehab offers a program for recovery from the specific drug or drugs that the individual is or has been addicted to. This information should be available on the rehabs website. If not , it should be established during the admissions enquiry.
Below is a list of the most common types of drugs that a rehab will offer help with.
Spice / K2
Rehabs are probably best know for dealing with two types of addiction, people who are addicted to alcohol, alcoholics, and people who are addicted to drugs, either prescribed or not. People who are addicted to both alcohol and drugs are commonly referred to as dual addicted.
Some rehabs have broadened their scope of what they say addiction means, and offer treatment for a wide variety of addictions, some of which are listed below.
The rehab will take an approach that the individual is what they call an addictive personality, and use the particular addiction as a trigger.
This approach has allowed some rehabs to broaden their scope of who they treat enormously, which has many implications from a business point of view, and has rasied many ethical questions about what addiction really is and what it means, and whether or not some rehabs exploit that.
Alcohol Addiction / Abuse
Bath Salts Abuse
Most rehabs recommend, and most people follow, that anyone entering rehab goes to one that is a significant distance away from where they live, either in another state or in another country.
The logic behind this is that rehab is something of a bubble for a period of time, and it is better for the client / patient to be in this bubble away from their normal environment, home, family, work etc.
As a rehab is a clinical facility, and should oversee any medical detox and therapeutic work that needs doing, it is crucially important that you check the local accreditation and licensing requirements for where the rehab is located, and make sure the rehab fully complies.
This is a state by state list in the US where these requirements can be checked
Pray as you can, not as you can’t …….
Dom John Chapman OSB, Downside
‘Before AA, I judged myself by my intentions, while the world was judging me by my actions’
Alcoholics Anonymous, p418, 4ed.
‘The crucial lesson throughout my work is how to hold, contain and sustain people who have suffered immense atrocity and loss. Our society will be judged by how we respond to those to whom we owe nothing.’ – Helen Bamber
‘Run while you have the light of life ….. nobody who walks in the dark knows where he is going ……’
Prologue to Rule of St Benedict, John 12, 34
‘Spirituality, for me, means listening to the deeper levels of our experience with a sense that there is something completely trustworthy and good to be found there. In this listening, many recognise the life-giving presence of God in us, challenging and surprising us with new understanding and insight.’
Tom McGuinness SJ
‘We are not at peace with others because we are not at peace with ourselves. We are not at peace with ourselves because we are not at peace with God.’
“To be nobody but
yourself in a world
which is doing its best day and night to make you like
everybody else means to fight the hardest battle
which any human being can fight and never stop fighting.”
― E.E. Cummings
“Whoever fights monsters should see to it that in the process he does not become a monster” – Nietzsche
‘God I give to You all that I am and all that I will be for your healing and direction. Make new this day as I release all my worries and fears, knowing that you are by my side. Please help me to open myself to Your love, to allow Your love to heal my wounds, and to allow Your love to flow through me and from me to those around me. May your will be done this day and always. Amen’
‘When I stopped living in the problem and began living in the answer, the problem went away.’
Alcoholics Anonymous Big Book, p419 4ed.
“We found the Great Reality deep down within us.
In the last analysis it is only there that He may be found”
Alcoholics Anonymous Big Book p55
” Our book is meant to be suggestive only . We realize we know only a little.”
Alcoholics Anonymous Big Book, p164
Quotes are a very personal indicator of motivation and inspiration, hopefully you will find at least one of these helpful
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.
A drug rehab will have treatment programs that should offer help and support if you or someone you know has a dug problem or addiction. Learn more here about the different types of help available.
Often people looking for a drug rehab will be slightly confused by the terminology and language of a rehab or treatment center, that seems to treat every form of addiction that can be thought of, ranging from alcohol to drugs, food, sex, video games etc.
Most drug rehabs and treatment centres have developed their own addiction treatment programs over time that they apply to any individual who they perceive as having a problem with any type of addiction.This means that they classify people as addictive personalities, who effectively have a drug of choice that can range from alcohol to food to anything else.
This of course can create real problems in terms of understanding what the rehab can offer and whether it is really effective in what it does.It is important to understand this in the context of how a rehab or treatment center sees the nature of addiction and drug addiction specifically.
Depending on the individual and their history, a drug rehab or treatment center should be able to offer significant help in certain aspects and areas of the individuals recovery process.This help and understanding should begin with the admissions process into the drug rehab, and this should give the individual a fairly clear idea as to whether the rehab really understands the nature of their drug addiction.
The drug rehab should be able to take a clear and detailed medical history and should know what questions to ask.
Drug Rehab and Treatment Programs
It is also really important that the drug rehab, apart from anything else, offers a comprehensive risk assessment in terms of withdrawals from any drug that individual may have been using as well as from alcohol or any other substances that individual has used as well.
The drug rehab should have a fully qualified medical staff and clinical facilities able to assess and oversee any medical detox that needs to be done whatever the timeframe.
If the drug rehab does not have such facilities and staff, then it should have arrangements with a local clinical facility, often a hospital, who can do this on their behalf.
Drug Rehab Staff
Most drug rehabs will have their own medical and nursing staff on site, normally 24/7, and this can be a good indication of how experienced the rehab is in dealing with people who have are addicted to various drugs.
A drug rehab is likely to list on its website a wide range of drugs that it can offer help with to people who are addicted to them, or have been recently addicted to them. These will range from things such as cocaine through to heroin through to valium etc.
A more detailed list can be found here, although this is not comprehensive. Many drug rehabs will also offer help with people who have been addicted to prescription drugs, and any substance that may have been used or misused in addition.
Once a drug rehab has assessed whether a medical detox is needed, and such a medical detox has been overseen and undertaken if necessary, then the rehab will initiate the its addiction treatment program.
Such a program is likely to be based on the first five steps of the 12 step program pioneered by Alcoholics Anonymous, and adapted by Narcotics Anonymous as part of its own recovery process.
A drug rehab is likely to suggest that the individual attends meetings of Narcotics Anonymous and possibly Alcoholics Anonymous as well as part of its addiction treatment program.
Attendance at such meetings is sometimes mandatory, if not it will be encouraged or is likely to be encouraged very strongly.
It is hoped that attendance at meetings of NA and AA will help ground the individual in an understanding of addiction and what it means, and will be helpful for the individual both whilst in the drug rehab, and much more so once they have left as a form of after-care and support.
Many people will have heard of AA, and will associate it with people being able to stop drinking. Some of the most common questions people have about AA include :
– How do you define an alcoholic ?
– Is AA religious ?
– What are the 12 Steps of Alcoholics Anonymous ?
– What is a higher power in AA ?
– What are the principles of AA ?
Alcoholics Anonymous is an organisation that is generally well known, and a significant number of people will understand that its main focus is to help people stop drinking. That aside, many will not have any real idea what constitutes an alcoholic, or what the organisation Alcoholics Anonymous really does or how it developed.
The history and origins of Alcoholics Anonymous are well documented, not least by the organisation itself, as well as by many outside independent researchers and historians.It is worth clarifying that Alcoholics Anonymous is and always has been a completely independent organisation, funded entirely by its membership, without any links to any medical or governmental body or organisation.
Its independence is a critical part of its survival and much valued by its membership.This independence is a crucial part of understanding the integral relationship between Alcoholics Anonymous and many rehabs and treatment centers that exist.
This is largely because the majority of rehabs and treatment centres that offer an addiction treatment program have such a program rooted in part of the 12 step program that Alcoholics Anonymous pioneered and offers as its main recovery process, and adapted by other organisations.
It is also worth clarifying that a significant number of rehabs and treatment centres offer a programme that is in effect quite different from the program offered by Alcoholics Anonymous, but with certain similarities.
The independence of Alcoholics Anonymous is also important in the context that many rehabs and treatment centres will actively encourage clients whilst in rehab to attend meetings of AA, both during treatment and once they have left in the context of after-care and support.
Many rehabs and treatment centers will host meetings of Alcoholics Anonymous on site, with the AA group paying a rental fee or giving a donation of similar kind in order to maintain and arm’s-length relationship.
If the rehab does not offer meetings on its own premises, then it is likely to have close links with local AA groups in the nearby vicinity or community.Many people entering a rehab will assume that Alcoholics Anonymous is in some way a part of the rehab, or a part of the recovery program or the addiction treatment program that the rehab offers.
It may well take a while for the individual to make a distinction that AA is not part of the rehab, and this is an important distinction to make for the long-term sobriety of that individual.Alcoholics Anonymous is an independent organisation, that has many years experience of recovery from alcoholism that is completely independent of any rehab or treatment center.
Many people get sober and stay sober simply by going to meetings of Alcoholics Anonymous, and normally after a while beginning to use the experience of the 12 step program in their own lives as a way of healing their inner emotional turmoil and emotional drives.
There are many different meetings of Alcoholics Anonymous, and individuals have the freedom to try any specific meeting that they wish, until they find one that suits their needs. Again in the context of a rehab this is really important.
Rehabs and treatment centers have fairly strict rules and regulations regarding both admission to the rehab, and the type of behaviours and activities and dress code etc clients can conduct themselves in whilst in treatment.
Alcoholics Anonymous and Rehab
Rehabs normally defend these rules and regulations as being part of a structured environment within which the individual can begin to feel safe, and begin the process of their own recovery in an environment that is structured and has boundaries.
This obviously works for some people, and can present a real problem for others. In the context of Alcoholics Anonymous there are no rules or regulations. Anyone who feels they have a drink problem can turn up at a meeting of Alcoholics Anonymous and see if it is of help them.
Alcoholics Anonymous is often best seen and best understood when thought of as a body of experience going back many decades, that is effectively expressed through the literature of Alcoholics Anonymous, most notably in the book of the same name.
Any individual can use the experience of Alcoholics Anonymous in any way that they find helpful or not. AA, although not always seen as such, should be a real route to freedom, and an opportunity for people to begin the process of understanding whether or not they are alcoholics.
Such an understanding can give the individual a real sense of freedom in the context of understanding their lives, and a real sense of freedom in the context of being able to rebuild their life, both internally and externally.
Many people use of the terms alcohol, alcoholic and alcoholism almost interchangeably, and there is often a lot of confusion as to what these terms actually mean, and how they relate to each other. In the context of a rehab/treatment center it is really important to understand at some level what these terms mean in order to make sure that the rehab is addressing relevant addiction terms accordingly.
Most people are aware of what alcohol is, and the different types of alcohol. For many people alcohol is not a problem at all in their lives. Many people do not drink at all, either for religious reasons or social ones.
Other people drink moderately and have a sense of control or normality over their drinking.
These types of people are often referred to in the context of alcoholism as social drinkers. Social drinkers represent a large proportion of society who are able to safely consume different types of alcohol as and when they choose, with no significant impact on themselves or others.
For other people, alcohol can represent a serious problem in their lives. This can manifest itself often at an early age when people are in their teens, through to people in later life.
People’s patterns of drinking may differ significantly, but there is often a common thread in that other people start to be concerned about their drinking, and the actual impact of their drinking has a detrimental effect on their lives at some level.
It is worth making a distinction that not everyone who has a problem with alcohol is necessarily an alcoholic. That may well be people who have a problem with alcohol at different points in their lives who are able to stop on their own and see the damage that they are doing to themselves and others.
Making a distinction between an alcoholic and a non-alcoholic heavy drinker is an important distinction, not least because important considerations follow from both these patterns of drinking.
Someone who is a heavy drinker will most likely have become at some level addicted to alcohol as a consequence of continuous use. In the same way that someone becomes addicted to cigarettes, someone who is a heavy drinker will start drinking moderately and over time become more and more dependent on it.
This heavy drinking may well affect their lives, both their work lives and their family lives in some fairly obvious way. It is likely that once realised, the heavy drinker will be able to stop, although they will often need help and support from family, friends and possibly outside agencies.
Someone who is an alcoholic may outwardly displayed many of the same patterned behaviour and patterns of drinking as someone who is a heavy drinker. The real difference is likely to be an internal one, with the alcoholic having a significantly different mental and emotional attitude to alcohol and life.
There are many different patterns of alcoholics, and of alcoholism in general. It is probably safe to assume a few general pointers, although they should not be taken as a rigid definition.
Firstly, anyone of any age, status or background can become an alcoholic. There are no limits or prerequisites. Many people who are alcoholics grew up in alcoholic homes, and there is a widespread belief that there is some genetic component to people’s alcoholism.
Secondly, an alcoholic may well start off drinking at any age, and may start drinking as a social drinker as outlined above, and progress into active alcoholism at any point. Alternatively the alcoholic may start off drinking alcoholically, again at any age, and carry on drinking alcoholically for long as they are able to.
It is also safe to assume that someone who is an alcoholic reaches a point in their drinking when they are completely unable to stop on their own resources, and in most cases lose any will to try and stop as well. For a better understanding of the nature of alcoholism, it is suggested you read the book Alcoholics Anonymous, or attend open meetings of Alcoholics Anonymous.
In its simplest form, alcoholism refers to someone who is an alcoholic, in the same way that someone who is a diabetic is someone who has diabetes. This obviously is an oversimplification in one sense but does stress the point accordingly.
Whilst people have had drink problems for most of humanites time on earth, it is only relatively recently that alcoholism has been recognised as an illness, and as such people who drink alcoholically have been recognised as people who suffer from this illness, as opposed to people who have a moral weakness or lacking character.
In some ways this is a fairly spurious distinction, but is an important context for many people once they get sober. Alcoholism as an illness was recognised by certain members of the medical profession at the time that Alcoholics Anonymous was being formed, and the formation of this society gave significant growth to this belief, both within the medical profession and beyond.
Since then alcoholism is most often referred to as a disease, which has different implications to it being an illness, and has been generalised into a form of addiction in which alcohol and drug addiction and other forms of addiction are treated as the same issue.
This approach to treating alcoholism the same as other types of addiction has largely been formulated by rehabs and treatment centers, and is one that should be taken with much caution.
Alcoholism in its own right is probably best understood by people who are alcoholics themselves, and the relief in terms of understanding that it is a progressive illness gives many people a sense of context and reality that allows them to set in motion the process of recovery, and rebuild their lives both internally and externally.
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.
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.
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.
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.
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.
People often ask what alcoholism symptoms, often at a way of trying to create a checklist of what constitutes an alcoholic, on the basis that a diagnosis will help confirm the illness in someone and lead to a recovery.
This approach has been fuelled in many ways by the acceptance in medical circles that alcoholism is an illness, often referred to also as a disease, and inevitably this will lead people to think that because alcoholism is an illness, there are obvious symptoms or signs of it that can be identified and labelled.
The reality of active alcoholism is much more difficult to define.
Anyone who lives with what has lived with or has been affected by someone else’s alcoholism will either be painfully aware of it, or completely in denial of it.
Often an individual or independent observer would be able to see that someone has a serious problem drink, either by their behaviour or that attempting to cover up their problems, or the inability to see their own truth about the problem.
Is worth pondering the recovery process of Alcoholics Anonymous to have a better understanding of how alcoholism can be understood and processed.
For someone who is an alcoholic themselves, Alcoholics Anonymous offers a wide range of literature details experience of Alcoholics Anonymous, and presents many stories and examples of people who identify as alcoholics.
The stories and people’s personal sharing is give the individual and opportunity, if they so choose, to identify and begin the process of realising that they themselves may be an alcoholic.
Someone who is closely affected by another person’s alcoholism, either family or friends, then there is a separate concept organisation known as Al-Anon which will help the individual break out of that and measurement with the alcoholic or the alcoholic family and begin the process of re-establishing their lives as a separate person.
Once this process has started, then it is more likely the individual will gain some type of objectivity about the individual drinking and their alcoholism.
It is also were saying that Alcoholics Anonymous, along with other organisations, produces a wide range of literature that tries to explain alcoholism that is specifically geared to people who are not themselves alcoholics, but may well come into contact with people you are and who seek help.
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
The 12 steps treatment program of Alcoholics Anonymous has become widely regarded as a yardstick for recovery from alcoholism, whether it be practised within the organisation of Alcoholics Anonymous, or in a rehab or treatment center.
The phrase 12 steps has become widely used, and often misinterpreted in terms of what they really mean.
This is important, because many rehabs and treatment centres often promote themselves as being 12-step based, which can mean a variety of different things.
Equally there are a number of rehabs and treatment centers that specifically promote themselves as being non-12-step based, and this has implications in terms of what they do offer as addiction treatment programs, and to what extent they are clinically-based or proven.
The original 12 step program of Alcoholics Anonymous can be found in its entirety in the book of the same name, and is widely available anyone to buy, borrow from their local library, or read online for free.
It should always be remembered that the 12 step program of Alcoholics Anonymous should be taken in context of its writing.
This means that it was written along with a number of descriptive chapters as a record of experience, of what the early members of Alcoholics Anonymous found worked for them.
12 STEPS TREATMENT
People are a perfect liberty to use any or all of the 12 step program in anyway that they find helpful or not.
A number of treatment centers and rehabs use a variation of the 12 step program, but do tend to promote it as if they were offering the benefits of the program as practised within Alcoholics Anonymous.
This can be slightly misleading, and can also be seen as taking advantage of people who are quite vulnerable and do not fully appreciate the difference between the two approaches.
In addition, a number of rehabs and treatment centers will be very supportive of 12 step programs such as Alcoholics Anonymous and Narcotics Anonymous and will actively encourage or insist there resident clients attend meetings of these organisations.
In this way a number of rehabs will align themselves with a 12 step recovery program.