What is Residential Treatment?
Residential treatment provides 24-hour guidance and structured care within a safe, non-hospital environment. In contrast to outpatient treatment, people stay in the facility and do not return house or to work throughout treatment. Residential treatment programs normally consist of therapy and other behavioral health services, and numerous also support co-occurring mental health disorders, depending on the level of care and a person’s needs.
Residential treatment is appropriate for individuals who:
- Have recurring concerns with substance misuse.
- Have serious substance use disorders (SUDs).
- Have co-occurring mental health disorders and/or other medical conditions.
- Do not require medically handled services.
Examples of residential treatment consist of:
- Short-term residential treatment programs lasting 3-6 weeks.
- Long-term residential treatment programs lasting 6-12 months.
- Sober living homes.
- Therapeutic communities (TCs).
The 24-hour guidance discovered in residential treatment can offer a safe place for individuals to recuperate with sufficient support from personnel and peers. While some residential treatment centers might offer a certain level of medical monitoring, it is typically not to the extent of medically managed intensive inpatient treatment that serves subacute and acute addiction and mental health disorders.
What Are the Differences Between Inpatient and Residential Treatment Programs?
While inpatient and residential treatment programs might seem really comparable, they normally offer various levels of care. Both can play a crucial role in a person’s recovery. Some of the methods which inpatient and residential treatment programs vary consist of:
- Setting: Inpatient treatment is generally provided in a hospital or specialized treatment facility. Residential treatment programs are not used in a health center setting, but rather a group living, or communal home-like environment.
- Medical management: Inpatient treatment provides 24/7 medically monitored or handled care that focuses on stabilizing an individual. Residential treatment typically provides access to medical personnel and clinically managed care without 24/7 monitoring to focus on continuous recovery.
- Length of the program: Inpatient treatment is not normally for long-term care, however short-term, acute care. Residential treatment can be open-ended, lasting from a couple of months to a year. Length of stay might also depend on a person’s progress as identified by the group at the treatment facility.
Levels of Residential Care
The levels of residential care are designed to fulfill the various needs that people have and typically seeks to prepare an individual to transition into a lower level of care. This continuum of care also permits treatment to be heightened if a person isn’t advancing at their existing level of treatment.
To be positioned in the suitable level of care, an addiction treatment expert will conduct a comprehensive evaluation of an individual’s needs, including:
- Substance use history.
- Physical health.
- Mental and psychological health.
- Inspiration to change.
- History of relapse.
- Current living circumstance.
- Assistance structure.
The American Society of Addiction Medicine (ASAM) has actually defined 5 levels of care that fall along this continuum. Where a person is placed will depend on the needs identified in their assessment. The 5 levels are:
- Early intervention.
- Outpatient services
- Intensive outpatient/partial hospitalization services.
- Residential/Inpatient services.
- Medically managed intensive inpatient services
The particular levels of residential care include:
- Level 3.1: The least extreme kind of residential care, which provides a minimum of 5 hours of clinical treatment weekly.
- Level 3.3: Moderately intense care that has counseling personnel available 24 hr a day.
- Level 3.5: The most extreme kind of residential care and can include therapeutic communities or dual diagnosis residential treatment programs. This level includes counseling staff that is available ongoing.
While medically managed detoxing is finished in an inpatient setting, some residential centers offer specific kinds of detox services.At the residential level, detox might include 24-hour support, including peer and social support, however not always medically supervised detoxification (although they might use this service to a specific level of strength). This level of care is appropriate for moderate to moderate withdrawal signs, or for individuals who do not have medical or mental health conditions that may make complex the withdrawal process.
What Provider are Consisted Of in Residential Treatment Programs?
The kinds of services that are used and the settings in which they are offered can differ widely.Individualized care permits treatment to be customized to meet a person’s special requirements, which considers the substances being utilized and psychiatric, social, emotional, and legal factors.
Individualized care can also consist of treatment that serves customized groups, such as:
- LGBTQ+ people.
- People with co-occurring disorders.
- People who are homeless.
Residential treatment programs use an array of services that can be combined to assist address substance use disorder and improve an individual’s capability to work in daily life.These might consist of:
- Cleansing: Scientifically handled detox in a residential facility normally uses 24-hour guidance that’s characterized by peer and social assistance. If a person needs more intensive healthcare, they may be described an inpatient or detox facility.
- Behavior modification: Typically utilized in group and individual settings to assist individuals discover healthy coping skills, manage stressors, and establish favorable pastimes. Therapy sessions may happen in both group and individual settings and consist of cognitive behavioral therapy (CBT), family therapy, or other therapeutic practices.
- Medication-assisted treatment (MAT): This includes using medication in combination with other therapies to help individuals recover.
- Support system: People may be strongly urged or required to attend support system conferences throughout treatment. This uses a chance to connect with others and establish a strong assistance network, which might reduce the transition back to daily life after treatment is total.
How Long is a Stay in Residential Treatment?
The length of time an individual spends in residential treatment differs depending upon different factors, consisting of:
- The level of care determined by clinicians.
- An individual’s specific physical, psychological, and medical requirements.
- The kind of substances being used.
- The seriousness of an individual’s substance use disorder.
- Prior attempts at treatment.
- Co-occurring mental health disorders.
- Problems with detox.
- Legal problems.
Certain kinds of residential treatment programs are most likely to be associated with particular timespan, such as:
- Short-term residential treatment programs, which can last in between 30 and 90 days.
- Long-lasting residential treatment, or therapeutic communities, which frequently involve stays between 6 and 12 months.
Studies have demonstrated that although longer durations of treatment might show improved results, any treatment length can be useful.
Participating in a drug or alcohol residential treatment program can be efficient in assisting a person abstain from utilizing compounds and acquire the abilities needed to live a healthy, efficient life devoid of compulsive substance use.
When to Pick a Residential Treatment Program
Those who get in residential treatment programs normally show a need for a greater level of supervision and structure than what’s discovered in an outpatient program. At the same time, they may demonstrate that they do not need the medical focus and consistent monitoring that characterizes lots of intensive inpatient programs.
Individuals looking for admission to residential programs are commonly dealing with a severe substance use and/or mental health disorder that necessitates 24-hour care. Residential treatment might also be suggested after completing inpatient treatment to support sobriety while preparing to live independently.
When selecting a residential treatment program, there are numerous different elements to think about in determining the type of support an individual requires for a successful recovery. Taking time to learn more about the program and getting in touch with the treatment facility will help in making proper treatment options. Some factors to consider are:
- Accreditation: Inspect to see if the facility is recognized by the Commission on Accreditation on Rehabilitation Solutions (CARF), which looks for to promote the quality of health and human companies.
- Staffing: Check if the facility provides medical guidance and what type of credentials the personnel holds.
- Treatment techniques: Inspect that the facility provides treatment that aligns with the level of care required.
- Cost: The cost of residential treatment programs varies depending upon facilities, services, and type of treatment. You may be able to find totally free or inexpensive or state-funded rehab choices. Examine to see if the facility accepts your insurance strategy, or if they provide financing choices or scholarships.
- Location: Some people prefer to seek treatment close to home, while others might want to be farther away. Make certain to examine what the facility’s visitation policies are and if they enable routine visitation.
- Facilities: Facilities differ depending on the treatment facility but can consist of personal spaces, pool gain access to, chef-prepared meals, massage, and more. Luxury features may impact the cost.
- Particular populations: Some residential treatment programs are for particular populations, such as men/women, LGBTQ+, adolescents, veterans, or individuals who are homeless.
- Treatment for co-occurring mental health disorders: Treatment that addresses
co-occurring SUDs along with an individual’s other mental health disorders (e.g., anxiety or stress and anxiety disorders) may result in much better results than simply dealing with one without the other(s).