Drug Addiction Treatments
Depending on your personal circumstances and also what you're addicted to, when you seek help you may be given a keyworker who will work with you to plan the right treatment for you
There are different types of treatment available. These include
· Residential treatment – Residential treatment involves living at a facility and getting away from work, school, family, friends, and addiction triggers while undergoing intensive treatment. Residential treatment can last from a few days to several months.
· Day treatment/Partial hospitalization – Partial hospitalization is for people who require ongoing medical monitoring but wish to still live at home and have a stable living environment. These treatment programs usually meet at a treatment center for 7 to 8 hours during the day, then you return home at night.
· Outpatient treatment – Not a live-in treatment program, these outpatient programs can be scheduled around work or school. You’re treated during the day or evening but don’t stay overnight. The major focus is relapse prevention.
· Sober living communities – Living in a sober house normally follows an intensive treatment program such as residential treatment. You live with other recovering addicts in a safe, supportive, and drug-free environment. Sober living facilities are useful if you have nowhere to go or you’re worried that returning home too soon will lead to relapse
Within your treatment, there is likely to be therapies and other treatments to help you get clean. These may include:
· Talking therapies – talking therapies, such as cognitive behavioural therapy (CBT), help you to see how your thoughts and feelings affect your behavior.
· Treatment with medicines – if you are dependent on heroin or another opioid drug, you may be offered a substitute drug, such as methadone. This means you can get on with your treatment without having to worry about withdrawing or buying street drugs.
· Detoxification (detox) – this is for people who want to stop taking opioid drugs like heroin completely. It helps you to cope with the withdrawal symptoms.
· Self-help – some people find support groups like Narcotics Anonymous helpful. Your keyworker can tell you where your nearest group is.
· Reducing harm – your drugs workers will help you reduce the risks associated with your drug-taking. You may be offered testing and treatment for hepatitis or HIV, for example.
Where will you have your treatment?
You may have your treatment while living at home or as a hospital inpatient.
If your drug-related problems are severe or complicated you may be referred to a residential rehab.
For more information about residential rehab, or to find a rehab near you, you can visit rehabonline.
Drink Addiction Treatments
The treatment options for alcohol misuse depend on the extent of your drinking and whether you're trying to drink less (moderation) or give up drinking completely (abstinence). It is a good idea to go your GP and talk to them about your concerns and goals. Your GP may suggest different types of assessment and support options available to you such as from the local community alcohol services. You can also ask about any free local support groups and other alcohol counselling that may suit you.
If you are worried about your drinking, you may be offered a short counselling session known as a brief intervention. A brief intervention lasts about 5 to 10 minutes, and covers risks associated with your pattern of drinking, advice about reducing the amount you drink, alcohol support networks available to you, and any emotional issues around your drinking
Moderation or Abstinence
Moderation or abstinence are treatment options if you're:
· Regularly drinking more than the lower-risk daily levels of alcohol – 14 units a week
· Experiencing health problems directly related to alcohol
· Unable to function without alcohol (alcohol dependency)
Cutting alcohol out completely will have a greater health benefit. However, moderation is often a more realistic goal, or at least a first step on the way to abstinence.
Ultimately, the choice is yours, but there are circumstances where abstinence is strongly recommended, including if you
· Have liver damage, such as liver disease or cirrhosis
· Have other medical problems, such as heart disease, that can be made worse by drinking
· Are taking medication that can react badly with alcohol, such as antipsychotics
· Are pregnant or planning to become pregnant
Abstinence may also be recommended if you've previously been unsuccessful with moderation.
If you choose moderation, you'll probably be asked to attend further counselling sessions so your progress can be assessed, and further treatment and advice can be provided if needed. You may also have regular blood tests so the health of your liver can be carefully monitored.
Your treatment may include
· Alcohol Detoxification:
If you need medication to help you stop drinking, it can often be taken at home or when attending a local service daily.
However, some people will need a short stay in a 24-hour medically-supported unit so they can receive safe treatment of their withdrawal symptoms or other problems.
This may be in an NHS inpatient unit, or in a medically-supported residential service, depending on your situation and the assessed medical need.
· Intensive Rehabilitation:
Some people are assessed as needing intensive rehabilitation and recovery support for a period after they stop drinking completely; either through attending a programme of intensive support in their local community or by attending a residential rehabilitation service.
This type of intensive treatment is usually reserved for people with medium or high levels of alcohol dependence, and particularly those who have received other forms of help previously that have not been successful.