According to the Substance Abuse and Mental Health Services Administration, an estimated 21 million people (12 and over) needed drug treatment in 2016. Of the 21 million who needed treatment, about 3.8 million received treatment in 2016.
There are several options for those seeking treatment for substance abuse. The type of treatment is dependent on the individual and the circumstances of the addiction.
1) How is Substance Use Disorder Diagnosed?
Before a substance abuse treatment plan can be established, an addiction problem needs to be diagnosed.
Individuals need to go through a series of physical and psychological testing to accurately diagnose the problem. Health care providers use varied methods and based on certain criteria, a diagnosis is made.
Some Addiction Criteria Can Include:
- Withdrawal occurrences if the user stops using the drug
- Inability to meet basic work and social obligations or responsibilities
- Inability to stop using drugs
- Compulsion to use drugs despite the known negative consequences
The symptom is dependent on the person and the type of drug(s) he or she is using. Health care providers will develop a substance abuse treatment plan accordingly.
2) What’s the Difference Between Inpatient and Outpatient Treatment?
There are various treatment options for drug abuse. The treatments will be a part of an overall substance abuse treatment plan developed by health care providers and patients. Below are some of those options.
Inpatient Residential Treatment
This option requires patients to live 24-7 in a rehab facility where all their physical and emotional needs are addressed in an effort to treat the addiction.
A minority of patients may stay at an inpatient facility on a long-term basis, which could range from 3 to 6 months. Most patients who enter an inpatient facility are there for the short term, about 30 to 45 days.
Inpatient facilities are optimal for patients who need a very structured environment in order to detox, address mental health issues, and physical problems.
Some of the same tools used in inpatient rehab are applied in outpatient therapy; however, patients have the ability to meet outside obligations. This therapy allows patients to go to work, tend to family, and other social responsibilities.
Because this level of treatment does not provide the same level of structure as inpatient treatment, there is more responsibility on the patient to avoid relapse.
Partial Hospitalization Program (PHP)
Although a partial hospitalization program (PHP) is a type of outpatient treatment, it is more intensive than traditional outpatient services. These programs are also referred to as day treatment.
During the day patients stay at the treatment facility and receive intensive rehabilitation services; however, they do not stay the night at the facility.
3) What is the Best Therapy for Substance Abuse?
There are several types of therapies that work best in treating substance abuse. Some are the following:
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavioral Therapy (DBT)
- Mindfulness Based Cognitive Therapy (MBCT)
- Eye Movement Desensitization Reprocessing (EMDR)
- Internal Family Systems (IFS)
- Motivational Interviewing (MI)
- Transcranial Neurostimulation (TCNS)
These therapies are often in a group counseling environment. Counseling is led by a psychiatrist, psychologist or licensed counselor or therapist.
Drug counseling can help provide tools for addicts to cope with drug cravings, analyze the root causes of drug abuse, and develop strategies to avoid relapse. I
n addition, counseling helps in evaluating personal relationships with family, friends, and work colleagues in an effort to help improve those relationships. Counseling services are provided in both inpatient and outpatient settings.
4) What Medications Are Used in Medication Assisted Treatment (MAT)?
Sometimes medication is an appropriate treatment option. This option is mostly used for opiate addictions to drugs like heroin or prescription painkillers.
The three drugs commonly used for opiate addiction are:
- Buprenorphine / Naloxone (Suboxone)
Although methadone is an opioid, it reduces withdrawal symptoms and treats associated pain. The most common used medication is Suboxone.
Peer Support Groups
There are several peer support groups such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA).
Peer support groups provide addicts with an opportunity to connect with people who share their same struggles and triumphs resulting in a connection that helps with possibly maintaining or obtaining sobriety.
Peer support groups can be a valuable resource in addition to professional treatment options.
The 12-step program is a well-known process to work through addiction. This program is run in a group setting with a goal to help participants understand and manage their addiction. The steps range from admitting powerlessness over addiction to turning the power over to a higher power and helping others in need to go through the same process.
There are a number of 12-step programs, which include the aforementioned AA and NA. However, there are several programs within communities across the nation.
Careful consideration needs to be given to the type of treatment needed; however, there are several options. Having the proper treatment and support are key in the rehabilitation process.
If you or someone you love is struggling with addiction, call Northeast Addictions Treatment Center for a customized treatment plan.