What exactly is treatment at a drug and alcohol facility?
Addiction treatment therapy programs can vary from different facilities, though several offer similar interventions and programs because of their proven worth. Some treatment centers use a specific modality, while others focus on individual treatment. Rehabs may address several addictions outside substances and treat them, such as sex addiction, gambling, or eating disorders. Other treatment centers will offer help for a mental health component of substance abuse, often termed a “dual diagnosis” treatment center. These facilities benefit persons addicted to a substance and displaying bipolar or schizoid disorders.
However, all certified treatment centers include licensed medical and clinical staff. They run treatment programs specifically designed and well thought out to assist you in obtaining sobriety. Some aspects of treatment include:
- mental health therapy
- group sessions
- family sessions
- case management
Before admitting to a facility, you can ask admissions about their treatment program of what it includes and about the treatment team.
Addiction Treatment Therapy Programs at Vogue Recovery Centers
Medical treatment is imperative upon arrival for clients who need detoxification from substances. This includes an MD and a psychiatrist working together to decide the best plan for you. There may also be a nurse staff on-site 24/7 as well.
Depending on the addictive substance you detox from your system and after a health assessment, you may be prescribed medication. Your medical doctor, as well as psychiatrist, may do so to ensure the best and safest outcome.
The medical doctor is experienced with patients who suffer from addiction. Thus, they can spot the often elusive signs other doctors may miss upon admission. You will see the medical doctor in the first 24 hours unless the arrival time is on a Saturday. If the center doesn’t have an on-call physician, it may be the following Monday. However, most rehabs have a doctor or nurse available at all times. Also, staff are trained to take and monitor your vitals. If you have any physical issue that causes an emergency, 911 will be immediately called.
As a client, it is customary to continue with once a week meetings with your psychiatrist, unless there is no need for a change in medication, though some centers may ask you as a mandatory practice. Often the psychiatrist visits are included and paid for by your insurance, but make sure upon admissions what your policy will cover. Additional medication that is prescribed may have a copay. Again, check with your policy.
You will most likely not see the MD after the initial assessment, or if something biophysical needs ongoing treatment (such as infections). The MD can be connected to the treatment team if needed, should anything arise. At Vogue Recovery Centers, there are nurses on staff 24/7 to assist with medical needs.
Mental Health Therapy
A primary therapist will be assigned to you decided upon the clinical director and the clinical staff, and you will start an individual treatment plan when you arrive. The clinical staff will make decisions upon your admissions profile to who would be the best fit for your treatment.
A therapist may be an LMFT, LCSW, LPCC, or an intern obtaining hours from a supervisor on staff, most likely the Clinical Director. Interns and staff have hundreds of hours treating clients, and most are certified drug and alcohol counselors.
The therapy team meets at least once a week to discuss the assessments and progressions/regressions of each client. It is also responsible for writing clinical notation, which is shared with the insurance company that determines the length of the client’s stay. You may have a primary therapist, but the whole team will be interested in your well-being.
Therapists specialize in a variety of treatment modalities; the most common is Cognitive Behavioral Therapy or CBT, which is very effective for clients suffering from addiction. Other effective mental health therapies include:
- Dialectical Behavioral Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Structural Family Therapy
- Feminist Therapy
- Task-Centered therapy
- Narrative Therapy
- Experiential Therapies
Therapists are on-call for emergencies. They are trained to help clients with trauma, including stages and severity of PTSD, and the effects of traumatic brain injury caused by or heightened with addictive behaviors. Our addiction treatment therapy programs provide therapy for any crisis or conflict that arises.
There will be several groups that you will be attending. Group session helps you establish an understanding that you are not alone in this disease. For example, groups can be 12 Step focused, SMART Recovery focused, Experiential Therapies, conflict resolution techniques, recovery tools, peer-focused, substance abuse terms, psycho-educational, and more.
Groups can last from one to several hours, depending on the type of modality used and if there is travel to an outside facility.
Often, groups help get a deeper idea of self through the observations and comments of others. They can be the start of establishing a peer group and support for aftercare and new friends in sobriety. Being honest and forthcoming in group sessions may profoundly help you and others maintain sobriety and offer insight.
Case Management and Individualized Care
We provide a staff member to help you with case management. This differs from therapy. Case managers assist with practicalities such as DUI classes, contacting a parole officer, getting important bills paid, or arranging for transitions, such as housing.
Some facilities designate a single case manager for all clients. Also, a facility may use an existing staff member to handle your individual needs. It is important to exercise patience when it comes to getting your needs met during your stay at rehab since the case manager can only go as fast as the external systems allow them too. However, many case managers can navigate the systems and know-how to prioritize as they important advocates for you during your stay to alleviate outside stressors.
Involving the family is an important part of the treatment process. There is a saying often heard “this is a family disease.” Often the members of the family play a part (sometimes unconscious) or are directly affected by the client’s actions around addiction. Family sessions differ at each treatment center. They can involve face-to-face or tele-sessions if the family cannot travel.
These sessions in the later stages of the treatment program offer healing to all involved. The primary therapist conducts family sessions and may include additional staff members. Keep in mind – what you say in individual and group sessions is confidential, and none of what you share with your therapist can be discussed with your family without your approval by law.
Your therapist will be able to guide you through the family process, and most likely will give the family and education on the “why’s” of substance abuse behavior, making it easier to understand how to support you through the process.
Nutrition and Exercise
Good nutrition and a balanced diet are important for overall health. Each treatment facility will have different policies on nutrition: some have 5-star chefs, others will focus on healthy food, and most will have restrictions such as no energy drinks, sodas or sweets with high fructose corn syrup. Sugar and chemicals are frowned upon when detoxification occurs. However, there are always exceptions, and most, if not all, centers consider your individual needs. For instance, if you a vegan or have food allergies, please inform the center before or at admissions.
Like nutrition, exercise will be included in your treatment plan for optimal health and to inspire you on the road to recovery. Exercise creates endorphins which directly help with depression, anxiety, and other stressors. It helps clients “feel good” even if they don’t think that they can. It will most probably be a consistent part of your treatment to be involved in some exercise program.
Many recovery centers utilize yoga, gym workouts, and specialized activities depending on the locale of the facility.
The staff at the treatment center will review your assessment, and you will have to have clearance by the doctor before doing any physical excursion or groups where it may put added stress on your body. If you have an ongoing medical condition, light exercise may be the option. Most treatment centers take into consideration throughout your stay what may potentially be difficult due to physical limitations. Still, they will suggest some form of exercise knowing the benefits it has for people getting and staying sober.
Exercise is one of the strongest tools to maintain sobriety. However, there are a select few who transfer drug addiction to exercise addiction.
Some people find when they get a few weeks off of substances, they feel so good and want to make up for time lost. While exercise is very beneficial for overall wellness, make sure it does not become a new obsession or addiction. Treatment center staff will help you find a balance with this.
Writing and Alternative Therapies in Our Addiction Treatment Therapy Programs
During treatment, a basic tool in recovery is journaling your experiences. There may not be much in the way of watching a favorite program. Thus journaling can help alleviate feelings while keeping a record of your successes. You will most probably be asked by your therapist or staff members to do some homework. For example, this may include writing on specific experiences. Also, making lists helps transition to other levels and aftercare needs.
Alternative therapies are integrated into a treatment plan, and can widely vary at each addiction treatment center. These treatments include but are not limited to EMDR, Neurofeedback, art therapies, and adventure or outdoor excursions. Often, alternative therapies influence creating self-efficacy, learning new skills, kinesthetic learning, supporting traditional therapy, and neuro functioning.
Alternative therapies are often termed “experiential” and can include a wide variety of experiences. Many centers will have mindfulness groups, focusing on meditation or distressing techniques. There are treatment centers where music and art are a large component of the facility’s approach.
- Beach walks and groups, rope courses, equine, and animals fall under the alternative.
- Drama therapy, where applied theater techniques help you in everyday life, has proved popular.
- Hypnotherapy can be a beneficial alternative treatment when getting sober, and some centers may offer this intervention.
Spiritual focus groups will depend on each facility. If a certain spiritual or religious affiliation is important to you, this is something to discuss upfront. Treatment centers will incorporate your beliefs into your treatment plan, which is part of individualized care.
Continued Care With Vogue Recovery’s Addiction Treatment Therapy Programs
We design a departure plan for you at admission. We consider all options when you transition from one level to the next. Vogue Recovery can prepare you for different choices regarding your aftercare. If you are in a partial hospitalization program (PHP) or outpatient program, you can likely keep the same therapist and case manager. Enrolling yourself in a program of continued care is imperative for sobriety.
Continued care will address short and long-term goal planning. Most often, it uses ‘systems’ mapping. This is where your job, home, family, friends, and interests can all be designed on paper to help manage going back into your life after treatment. The largest percentage of people who return to using is during transition stages. Thus, together we work out plan for success with sobriety before you transition to reduce the possibility of relapse.
After leaving the treatment center, your therapist and staff members can be a lifeline to you during your transition. It is also helpful to keep in touch with the people who went through treatment with you. Some centers will make it mandatory to have at least three phone numbers to call in case of need. Find out more about these specific treatments, call Vogue Recovery Centers at 866.682.8449. See what our Nevada, Arizona, and California addiction treatment therapy programs have to offer.
Vogue Rehab in Nevada is one of the few drug treatment facilities In-Network with Nevada’s largest insurance, Sierra Health and Life.
Disclaimer: Not all services discussed herein are provided at all Vogue locations.