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Inpatient Drug and Alcohol Rehab

Everything you need to know about inpatient alcohol and drug rehabilitation.

Navigating Treatment Options

Inpatient Rehab

Rehabilitative treatment may be necessary for those who have recently been afflicted with an ailment that requires extensive medical attention, such as a drug or alcohol addiction. Short-term inpatient rehab vs. outpatient therapy may be discussed as part of your treatment strategy.

Table of Contents

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Understanding inpatient Treatment

What is Inpatient Rehab?

Inpatient rehab is a 24-hour structured and comprehensive care conducted in licensed and residential treatment centers and entails:

  • Scheduling patient treatment.

  • Offering safe housing.

  • Providing a substance-free environment.

  • Offering medical attention.

Most patients benefit from inpatient rehab by achieving some level of sobriety, whether from AUD- alcohol use disorder, SUD-substance use disorder, or any other drug use disorder. The treatment benefits people suffering from severe co-occurring disorders, leading to dual diagnosis. SUDs are such that they occur in a spectrum of severities, meaning the condition is either severe, moderate, or mild.

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The Process & Structure of Inpatient Treatment

How Inpatient Rehab Operates

Typically, an inpatient rehab lasts for 30 to 90 days. However, further treatment might be necessary depending on the patient’s diagnosis, with additional options available. A patient diagnosed with a dual diagnosis might suffer from a form of SUD together with other mental health disorders such as opioid addiction, alcohol addiction, anxietydepression, etc. 

This type of treatment requires patients to stay in the treatment facility for the entire treatment period. This way, patients can recover much more quickly with a structured program, have support and the guidance of the staff, and be fully involved in the recovery process. 

Timeline

As we have said above, though inpatient programs might last 30 to 60 to 90 days depending on the patient, a typical doctor at an inpatient rehab generally takes you through the following steps:

They Evaluate You

The doctor screens you clinically before coming up with a diagnosis. The test usually lasts a couple of hours, after which you receive the results of your urine test and interview. These results typically determine the potential treatment plan.

You Undergo Detoxification

Detoxification is a process whereby your body rids itself of external chemicals. Depending on the facility, detoxification might happen in a separate facility. This second stage has proven to be the most dangerous due to worsened withdrawal symptoms, though some patients do not require this stage. These symptoms might include delirium tremens, hallucinations, seizures, etc.

They Medically and Psychologically Treat You

This stage depends on initial evaluation results and the patient’s progress through treatment. There are a variety of medical treatments and therapeutic activities like massage therapy, meditation, yoga, writing, etc. This stage also includes several group counseling therapies.

Transition

Your doctor will assist you with several tools and techniques to help you adjust to a sober life after inpatient treatment. These tools include coping mechanisms that deter you from possible relapses.

Maintenance

The maintenance stage is designed to help patients recover from addiction. After inpatient programs, most patients join an outpatient program to form a support network tailored to keep patients afloat, eliminate risks of relapse and offer any assistance where needed. Group or individual counseling are also possible solutions during this stage. You should also note that the maintenance stage can last for a lifetime, If not for years.

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Essential Tips for a Smooth Transition

Prepare for Inpatient Rehab

Getting ready for an inpatient program helps you mentally prepare for the road ahead; it keeps you calm and controls your nerves. Below are a few things you can do to help prepare you for rehab and have a positive experience while at it:

Pack

Apart from a few comfort items such as books, mp3 players, etc., when packing for rehab, the doctors require you to only bring essentials like:

  • Debit or credit card

  • Emergency contacts information

  • Issued government id

  • Comfortable clothing

  • Personal hygiene essentials

  • Current prescription cards and medications

  • Medical insurance card

Work on attitude

When facing change, especially as monumental as going to rehab, you will likely feel scared, anxious, moody, or even angry. These feelings, in essence, make your recovery a hundred times harder; hence have an attitude of resolve. Be determined to heal, focus and stay on the path; refuse to quit without fighting. Trust that you are making the best life decision because, in the end, you will have more healthy relationships and be financially stable and sober.

Prepare your mind and relax

Find an activity that never fails to soothe your mind and keep you in a state of calmness, do it and clear your mind. Only when you think clearly and calmly will you truly appreciate the positive experience at rehab.

Take care of your responsibilities

Pay bills, take care of your family, and finish pending work to smoothly transition into rehab without distractions.

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Therapeutic Approaches

Inpatient Rehab Therapies

While all inpatient rehab centers are geared towards providing a conducive environment for patients to achieve sobriety, they still differ in their areas of specialization. While some focus on specific substance abuse disorders, others focus on particular treatment approaches. Yet still, others specialize in utilizing different methods. Choosing an inpatient treatment facility depends on several factors, including:

  • Age.

  • Financial and insurance status.

  • Substance use disorder type.

  • Mental health condition.

  • Medical history.

Some of the most effective therapies include:

Cognitive Behavioral Therapy

Cognitive behavioral therapy-CBT is a goal-oriented, short term and evidence-based treatment. CBT is also referred to as talk therapy- psychotherapy treatment that helps patients change their thinking and behavior patterns. These patterns are meant to change by focusing on attitudes, thoughts, beliefs, and images causing their problematic behaviors.

Dialectical Behavior Therapy

Dialectical behavior therapy-DBT, a type of evidence-based psychotherapy treatment, uses cognitive behavioral therapy methodologies but focuses on the recovery process. This treatment is highly recommended for people with extreme mood swings or other high emotional reactions in social situations. Patients work through their problems with their doctors and support staff, often involving role-play, homework, and practice. 

Contingency Management

Contingency management is a behavioral therapy, also known as evidence-based therapy. This treatment reinforces the patient’s desire to continue working on their addiction by giving rewards when they record a positive behavioral change. The doctors work on” a patient is more likely to continue with a positive behavior shortly after completion when rewarded.”

Person-Centered Counseling

Person-centered counseling mainly focuses on the patient, with the doctor helping the patient express their acceptance without judgment. The doctors engage the patient, influencing change talk and positively motivating them. The patient can change towards their desired goals during the process.

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Understanding the Financials of Inpatient Care

Inpatient Rehabilitation Care

Inpatient rehabilitation centers differ from place to place in terms of their costs. Compare various rehab centers to get the best option for your pocket. However, most offer financial assistance, provide financing options and accept insurance.

Insurance coverage has proven to be effective in paying for rehab over time. The range covers usually depend on the health provider, insurer, and insurance plan. But, most facilities will accept Medicare, Military Insurance, Private Insurance, Medicaid, and State-financed health insurance.

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A Guided Journey to Healing

Inpatient Rehab Benefits

Inpatient rehab benefits its patients by offering a highly structured environment and access to various amenities and services. They include:

Structured programs enable patients to stick to daily, weekly, and monthly schedules that make it easy to stay focused on their recovery. 

Inpatient treatments offer holistic support. This means 24/7 medical, clinical, and spiritual support to heal the patient’s mental and physical well-being damaged by addiction. 

Aftercare planning; after completing an inpatient program, it is not the end of healing or rehab; you may require additional support once you finish. These programs’ counselors and caseworkers ensure you get the necessary help and tools to lead a sober and healthy life. 

Sense of community: Many inpatient patients have had similar experiences and connected them. Co-living and group therapies come in handy during these times and help ensure people support one another and practice good behaviors before discharge.

Nutritional support; since detoxification eliminates certain external chemicals from your body, you will need a nutritious diet to recover from the process safely. A health specialist at an inpatient center knows the best diets for the patient’s physical health.

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Key Questions to Guide Your Selection

Consider the Below When Choosing an Inpatient Rehab

There are numerous inpatient rehabilitation centers across the US; finding one that suits your needs might be tedious, strenuous, and stressful. You, therefore, need to ask yourself the below questions to know if inpatient rehab is the best option for you when maximum recovery is a long-term goal:

  • What is the location of the center?

  • Is the center fully accredited and licensed?

  • What patient policies does the center provide?

  • What sorts of therapies does the center use?

  • What addictions does the rehab treat?

  • Does the center treat co-occurring disorders?

  • Is comprehensive aftercare available at the center?

  • What payment options and insurance coverage are available at the rehab?

  • What lengths of treatments does the center avail?

  • Is it specialized for my unique needs and wants?

If you are still unsure of the best rehab facility, try contacting treatment providers for advice and finding rehab centers near you.

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The Bottom Line

You are not alone if you are fighting addiction; however, being alone at these crucial times might prove detrimental. Do not be alarmed, though; inpatient rehabilitation can help. You will receive structured support, forge connections with other like-minded people, and medical care. Finally, get ready to live the best of your life because you can!

Written By:

Geoffrey Andaria mental health writer at rolling hills recovery center
Rolling Hills Recovery Center

Mental Health Writer

About Author:

Geoffrey Andaria is an experienced mental health content writer and editor. With a B.A. in English and Journalism, Geoffrey is highly educated in freelance articles and research. Having taken courses on social work, Geoffrey is adamant about providing valuable and educational information to individuals affected by mental health and the disease of addiction.

Medically Reviewed By:

Carl Williams, medical content reviewer at rolling hills recovery center
Rolling Hills Recovery Center

Expert Contributor

About Reviewer:

Dr. Williams presently serves on the board of Directors for two non-profit service organizations. He holds a Master’s degree in Human Services from Lincoln University, Philadelphia, Pa, and a Ph.D. with a concentration in Clinical Psychology from Union Institute and University. In Cincinnati, Ohio. He is licensed to practice addictions counseling in both New Jersey and Connecticut and has a pending application as a practicing Psychologist in New Jersey.

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