Where will drug and alcohol rehabilitation start for an individual? It might begin with an epiphany: that life is going downhill and help is needed urgently.
It could start with a DUI conviction, or a spouse walking out due to the stress of living with an addict.
Addicts do not understand the connection between their substance abuse and the crises in their lives, at least not outside of brief glimpses of clarity, so sometimes intervention is where rehab has to start. Addicts are lucky if loved ones will stick and go through this grueling process.
Alcohol and drugs come between drug users and their family members. Substance abuse creates an automatic barrier because co-dependents cannot understand why an addict has to keep using; why she cannot see how she is hurting herself and others. She could be bankrupt and near death yet continue to smoke crack or inject heroin.
Drugs and alcohol change the way a person’s brain works, sometimes for good, but much if not all damage can be halted or reversed if a person gets into a detox and rehab program. How do you make someone see this?
It might be best to hire someone to intervene; a trained counselor who will guide concerned parties as to how they can present their concerns effectively.
Following this kind of assistance, many substance abusers are willing to sign up for treatment. Until addicts are willing, however, nothing can be done.
The Willingness Factor
You can drag an addict kicking and screaming to a rehab clinic, but no one is going to be able to help him unless he wants to be there. He has to be in favor of getting treatment before clinicians will get started with detox. The reason is that while addiction is a chemical dependency, it is also an emotional one. Until someone admits to her problem, she cannot solve it. If there is nothing wrong in her eyes, there is nothing to solve.
Once a client takes responsibility for her future and owns her addiction, she is also able to address it honestly and get the help she needs. No one can do this alone.
Services in New Jersey
Like other densely populated states in the U.S., New Jersey offers numerous treatment options. For instance, you could stay at a for-profit, privately run center which looks and sounds like a hotel. Therapeutic opportunities sound like holiday packages which include fitness training, golf, and boating. Pets might even be welcome.
Most substance abusers, however, will fight addiction to alcohol or drugs in a much more modest facility. If it is a residential facility this is good news, especially for the addict who has had to go through detox as a start, or one whose family had to arrange an intervention. If there is another co-existing problem, such as an eating disorder or mental illness, the client needs the services of psychiatric professionals with expertise in addressing co-existing disorders.
Non-residential care also works. It can be highly useful as an early intervention too. For instance, if a client realizes he is flirting with drugs and alcohol and is vulnerable to their allure, he might register for counseling to help him get to the bottom of why he wants them so much.
When a family realizes a teen has a problem, they can arrange for that teen and for themselves to receive the brutal education they need. A bit of fear can go a long way with an adolescent who thinks drugs are cool but does not realize he could end up looking and sounding like eighty year-olds before he reaches 25.
Assessment – Before entering a program, potential clients go through an assessment process. They can do this by phone, online, or in person. During this phase a professional addiction worker will decide if her center is right for the caller. If so, then with the help of other professionals, a personalized treatment plan is worked out.
This will include forms of therapy which will suit the client (Christian, holistic, alternative, dual diagnosis), the duration of certain programs (short term residential, long term residential, intensive outpatient), and other possibilities.
If the client has been sent to rehab by a boss or the criminal justice system, drug and alcohol testing might be called for. The client’s urine will be tested. Counselors will keep in touch with the employer or parole officer, giving regular updates about the client. Either party would have particular expectations, so this is how they find out if these are being satisfied.