The most basic division of drug and alcohol rehab programs in Texas is between inpatient and outpatient services. Further categories include intensive outpatient therapy and long term or short term residential care.
Beyond this, rehab clinics in the state offer extended care such as sober living and also relapse-prevention classes or alumni services.
What it all Means – What do these categories mean to an addict? If she is a long-time user of heroin, an addict needs long term residential care. There will be a period of supervised detoxification and rehabilitation followed by some retraining.
Many addicts have forgotten how to function in the real world. They have not gone to a job interview or held down a job for many months. Some have no understanding of hygiene anymore.
Addicts have lost positive relationships and need assistance learning how to form healthy relationships. Managing finances is hard, and so is learning to cope with life’s ups and downs. All of these subjects require re-training, even if the person is in her 40s and once held down a responsible job with a six-figure salary.
Intensive outpatient therapy is an alternative to residential care. Most clients who receive this form of treatment are able to still function in life. They have jobs and maybe families.
Addicts might have even fooled most people into believing there is nothing wrong with them. Addicts are very good at dissimulating for a while.
To take part in this kind of care, participants are still required to attend regular meetings, but they are scheduled around work hours. Meetings from Dallas to Toledo take place on weekends, in the evenings, and during the day. Participants might also submit to drug testing.
Less intensive programs are great for clients who have had a serious drug or alcohol problem but are now finished with detox. They might have arrived at a clinic before they ever needed medically supervised detoxification with its painful withdrawal stage. If early intervention is possible, a client can avoid the pain of detox, but counseling is still necessary.
Counseling – Levels of counseling include intensive one-on-one treatment, group therapy, and family therapy. When a consumer gets to the point when he can interact in a group, he knows he has made progress.
In the meantime, he or she will have to attend individual therapy sessions during which the real reason for addiction is discovered, if possible. To get this far, a client has to disclose everything and hold nothing back. As hard as this prospect is, a counselor cannot fully probe the problem for answers without all of the details.
Many clients are suffering from mental illness as a side effect of long-time drug or alcohol use. For those taking opiates, paranoia and panic are frequent problems. Depression is common among all addicts, even if they did not feel depressed before they started abusing a substance such as booze, meth, or crack.
A large proportion of clients in Texas and throughout America experienced mental illness before they started abusing drugs and alcohol. Their substance or substances of choice might have been a form of self-medication in preference to seeking psychiatric help, or even in conjunction with professional help and prescription drugs. This combination of chemicals is highly dangerous and can complicate psychiatric issues still further.
Meanwhile, the signs of drug abuse are just a cover for the real problem, which was not addiction but a battle with Post Traumatic Stress Disorder (PTSD), depression, anxiety, bi-polar disorder, a personality disorder, or anger management issues. Some of these might be linked to a chemical imbalance for which there is no circumstantial cause. Other disorders, notably PTSD, result from traumatic experiences such as rape, witnessing violence, or being involved in a serious accident.
A center will usually advertise if it is prepared to counsel individuals with co-occurring disorders, also called a dual diagnosis. Some professional establishments are not prepared to help people in these situations.
Age and Gender – Studies show that two divisions of care are highly effective: division by age and gender. Women and men tend to open up more readily among peers of their own sex. Adolescents feel more comfortable speaking with other teens than with adults and vice versa. It is hard to share stories about parents among other parents, or troubles with teens among other children.
How Do You Get into a Rehab Program?
There is an intake process which ensures that each client and center is compatible before treatment starts. During this time the client must show commitment to taking part in all aspects of the program and respecting others, whether they are participants or employees of a center. Every patient’s situation is treated with respect, dignity, and confidentiality.
During assessment it is also determined whether or not the center is financially appropriate for the applicant. If there is an insurance option, then this could help to cover payment, or a payment plan could be worked out.
Most rehab clinics in Texas are private centers. They are not non-profit organizations. Charitable programs also exist, some with residential services, but most of these fill up quickly.
The government also runs rehab clinics and detox services out of their medical and mental health centers as well as hospitals.
Many programs are free, covered by insurance, or can be paid for based on what a client can afford.
After Care – The next stage in recovery is also important. A number of ‘anonymous’ groups are run throughout Texas including groups for recovering meth and cocaine addicts, alcoholics, and other substance abusers in a state of ongoing recovery. There is little or no fee to join these organizations.