What are the main differences between inpatient and outpatient rehab?
03 November, 2023Articles, News
Inpatient and Outpatient Rehab
Treatment facility programs generally fall into 1 of 2 categories; inpatient or outpatient. While both are equally focused on rehabilitation, each type has specific features and benefits to offer. Inpatient treatment programs are intensive and are designed to treat serious substance use disorders and addictions.
Outpatient treatment on the other hand are part-time programs that allow for some level of flexibility so a patient can attend treatment without missing work or school responsibilities.
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When a physical dependency is not being fulfilled, the affected person undergoes withdrawal. Withdrawal is particularly severe for heavy users, and for users of alcohol, heroin, and benzos. This severity is dangerous not only to a person’s health, but to their recovery.
If a person undergoes withdrawal but has access to their substance of choice, the urge to relapse will be very strong. Withdrawal is the first, and perhaps the most difficult, block to your recovery.
Because withdrawal symptoms are so severe, doctors strongly recommend against going through withdrawal alone. Instead, doctors recommend that patients seek detox treatment at an inpatient treatment facility.
Detox is normally only offered in inpatient facilities because of the worry that withdrawal symptoms could harm patients once they leave an outpatient program for the day.
Inpatient Rehab Features
While inpatient programs can vary between facilities, many have some similar features, including:
An average length of 28 days
Individual, group and family therapy
Medication management, if deemed clinically necessary
Care for co-occurring mental health conditions
Participation in 12 step fellowships
Medically supervised detoxification period
Features of Outpatient Rehab
Like inpatient programs, the programs used during outpatient treatment can vary widely between facilities. However, most outpatient services include most or some of the following features:
An average length of 28 days
Individual therapy
Referrals for medication management
Participation in 12 step fellowship meetings
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The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
"Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
Dual diagnosis treatment is a comprehensive and integrated approach designed to address the complex needs of individuals who suffer from both substance use disorders and co-occurring mental health conditions. This specialized treatment recognizes that these conditions often intertwine and exacerbate one another, making it crucial to tackle both aspects simultaneously for effective recovery. Dual diagnosis treatment typically involves a combination of evidence-based therapies, including counseling, medication management, psychoeducation, and behavioral interventions.
Dual Diagnosis as the name suggests, is when a person has a diagnosis of both a substance use disorder and a mental health disorder. Dual Diagnosis is a combination of diagnoses which can be treated at the same time. Most people who struggle with substance addiction mostly have underlying mental health issues which have not been adequately addressed and treated. Crossroads Recovery Centres, specializing in dual diagnosis treatment, are renowned facilities dedicated to helping individuals on their journey to recovery from substance abuse and co-occurring mental health disorders.
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With a strong commitment to holistic healing, Crossroads provides a safe and nurturing environment for clients in Johannesburg and Pretoria, South Africa. We understand that dual diagnosis, which combines substance use and mental health issues, requires a comprehensive approach.
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There are some symptoms which are aligned to dual diagnosis and some of these include:
Using substances while overlooking the dangers that are associated with using substances.
Behaviour or Personality Changes
Isolating one’s self from family and friends.
Recurring abuse of alcohol and drugs
Unable to function without substances due to cravings
Swift mood swings
No control over substance use
There are common mental disorders which are associated with substance abuse and the examples of dual diagnosis can include, bipolar, anxiety, depression, schizophrenia, and behavioural disorders. The most common examples of a dual diagnosis are:
Meth addiction and Psychosis
Prescription drugs addiction and anxiety
Alcohol addiction and Depression
Opioid addiction and Post-Traumatic Stress Disorder
Marijuana addiction and Schizophrenia
Benzodiazepines addiction and anxiety
Alcohol addiction and Attention- Deficit Hyperactive Disorder.
Dual Diagnosis Treatment
The ideal treatment for a dual diagnosis is a holistic approach where both disorders are treated and addressed with an integrated approach. Crossroads Recovery Centre provides clients with a safe and nurturing environment where clients work together with their health care providers to understand how each of the disorders in a dual diagnosis affects the other.
Crossroads Recovery Centre also makes use of Psychosocial treatments in their treatment of a dual diagnosis, which include family interventions, motivational interviewing, relapse prevention group work, group and individual therapy sessions, individual counselling sessions as well as cognitive and behaviour therapy sessions. Mindfulness and psychosocial assessments are also utilised in the treatment of a dual diagnosis.
Start your dual diagnosis treatment with Crossroads Recovery Centre, where we provide individual clients with proper treatment and support to enable and empower clients to manage their conditions and live healthy lives filled with joy and happiness.
No Obligation Addiction Assessment
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The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
"Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
There are a number of rehabilitation centres in Johannesburg, each with their own model of how to treat addiction. At Crossroads Recovery Centres, we take a number of approaches to treatment, including group therapy, individual counselling, peer support programmes and goal-setting groups. However, what sets Crossroads Recovery Centre apart as one of the best rehabilitation centres in Johannesburg, is the application of the 12 steps as the foundation of recovery.
During the treatment process, clients will be introduced to the 12-step programme that coincides with their particular addiction. These 12-step fellowships host a number of meetings throughout the city, some of which include meetings for drug addicts, meetings for alcoholics, meetings for co-dependents and meetings for sex and love addicts. The 12 steps is a tried and tested method of recovery that subscribes to the disease model of addiction. An introduction to the 12 steps is one of the critical tools needed to live a life free from addiction. Why? Because it helps the addict or alcoholic to build an invaluable support network before they leave treatment. This support network for many, is indispensable.
Group therapy takes many different forms, For example, at Crossroads Recovery Centres, therapists host a number of different groups that focus on different issues. Process groups for example, are facilitated by an addictions counsellor. They are spaces within which addicts can become vulnerable and share their story with peers who relate completely to what they are going through. There are also spiritual groups, where counsellors address a number of issues related to spirituality. It is important to note that as one of the leading rehabilitation centres in Johannesburg, Crossroads Recovery Centre is not affiliated with any one religious or spiritual group. Like 12-step fellowships, which are spaces that are open to anyone from any religious or non-religious group, Crossroads Recovery Centres are not prescriptive about what clients should believe. Instead, the centre offers guidance and encouragement, helping addicts to connect with themselves, the world around them and their beliefs- drawing strength from those beliefs in learning how to live free from the clutches of addiction.
If you or a loved one needs assistance with addiction – know that help is readily available. The road to recovery is not always an easy one but getting yourself or your loved one the best possible care from the team at Crossroads Recovery Centre, provides you with a map to sober, healthy living. No matter how bad things seem, there is hope and it’s only a phone call away. If you or anyone close to you needs help with an addiction to sex, gambling, substances, alcohol or food, please contact us for a free assessment.
Start a new life free from drugs, alcohol and process addictions.
No Obligation Addiction Assessment
Book a No Obligation Confidential Assessment at your nearest Treatment Centre Today.
The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
"Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
“Most of us have been unwilling to admit we were real alcoholics. No person likes to think he is bodily and mentally different from his fellows. Therefore, it is not surprising that our drinking careers have been characterized by countless vain attempts to prove we could drink like other people. The idea that somehow, someday he will control and enjoy his drinking is the great obsession of every abnormal drinker. The persistence of this illusion is astonishing. Many pursue it into the gates of insanity or death.”
-Insert from Big Book of Alcoholics Anonymous pg 30, MORE ABOUT ALCOHOLISM.
Denial and addiction go hand in hand, and once identified should not be dismissed, as overcoming denial is the initial step into seeking help or treatment and opening the door to change and recovery.
WHAT IS DENIAL:
Denial is the common defense mechanism which is used to avoid painful emotions associated with the reality of addiction. These emotions cause discomfort. Unfortunately denial is only a short term solution as nothing has been done to address the problem nor any attempt made to change the situation or resolve the problem. The shortened version of denial is a case of saying “it isn’t so” or “it is not true”, despite the reality that is obvious to other’s involved and witnessing the results of an addiction. Outsiders are often quicker to identify the denial, however, may too, be in denial around the severity of the addiction and struggle to recognise if the situation is denial or simply normal destructive behavior. Denial happens when a person can’t or won’t face what they know deep down to be true.
Commonly when or once a decision has been made to seek treatment for addiction, a huge web of denial and mistruth’s around the individual and their thinking patterns have been altered and formed to accommodate depenance or addiction. Treatment for addiction includes the undoing of these patterns and thinking and is a vital part of the change required for the road to recovery and change.
CHARACTERISTICS OF DENIAL PATTERNS:
Being able to honestly
identify and or admitting to the following will be able to establish
if any denial is present.
Difficulty in identifying true feelings.
Tend to minimise the intensity of feelings.
Identifying as a selfless being.
Tend to project negative traits onto others.
Resist or put down any help from others.
Lack empathy for others.
False belief that one is self-sufficient.
Mask pain with other negative emotional states, like sarcasm, anger, and frustration.
Tendency to covert uncomfortable feelings to aggression.
Lacking in insight or poor interpersonal relationships
INDENTIFING DENIAL:
It could be helpful to
consider these questions which could assist in seeking treatment and
overcoming the fact that there is denial around addiction:
Refusing criticism or honest loving comments from others who express concern around signs of addiction or addictive behavior
Unwillingness to see that the behaviour around substances is contributing to a deterioration in all areas of life
Worried about the stigma associated with addiction or afraid to seek or accept help
Lost a job or been reprimanded as a result of behaviour or substance abuse
Lost time at workplace for unexplainable illness or increased absence from workplace
Family negatively affected by addictive behaviour
Repeatedly tried and failed to stay clean or sober
Given up on goals or personal dreams as a result of been stuck in addiction
No longer care about broken promises made to loved ones
Overcoming denial is possible and it may be that the denial is so evident that the individual decides to face the truth and seek help and treatment. On the other hand, the denial may be so embedded that it appears improbable to acknowledge that there is a problem and a need for treatment and change. Often, after years of denial that there is a problem with addiction, there is an undeniable accumulation of evidence pointing to a need for treatment for addiction and loved ones may need to intervene to allow the addict access to treatment and recovery.
COMMON DENIAL PATTERNS:
Common denial patterns have been indentified that keep an individual trapped in resisting any change or seeking treatment for denial and addiction. The presence of these denial patterns will not resolve the problem and the sooner these are addressed the sooner the problem is addressed.
AVOIDANCE:
This is when there is a blatant refusal to talk about the problem. Individuals completely avoid any attempts to talk about the problem and are firm in the belief about not having a problem.
ABSOLUTE DENIAL:
An adamant belief that there is no problem. The absolute idea that everything is alright. Complete unwillingness to consider that there is a problem.
MINIMISING:
A tendency to minimise the effect of the addiction, and assume that the situation is not as bad as others makes it out to be.
RATIONALISING:
The ability to justify the behaviour to oneself or others. A tendency to find reasons for the behaviour.
BLAMING:
This involves
putting the blame on others and the inability to take any
responsibility for the situation.
COMAPARING:
This is a constant comparing of the situation or problem and is usually done with a person who is worse, in an attempt to feel better about their current situation.
COMPLIANCE:
This is when there is pretence to do what is required, which simply masks the problem and does not do anything to address the situation.
MANIPULATION:
People affected by the addiction and denial are manipulated, usually in the form of pushing them away, anger or temper tantrums. Another form of this is to please the other party in an attempt to not look at the problem.
FLIGHT INTO HEALTH:
The addict attempts to mask the problem by pretending to be in good health physically and emotionally to show that they have been cured and no further problem exists.
RECOVERY BY FEAR:
Fear of change and consequences cause an addict to avoid looking at the problem or treating the problem.
HOPELESSNESS:
This is seen when
a person believes that there is no solution to the problem, and as
result they do not address or seek treatment for the problem.
DEMOCRATIC:
When a person is finds comfort in the “sick role” and tends to get defensive about getting support or treatment.
CONCLUSION:
Breaking through denial and admitting that there is a problem is one of the most challenging aspects of seeking treatment for addiction, and looking at one’s own truth’s and realities is painful. Once these beliefs and ideas are broken, the ability to engage in effective treatment is possible, and new tools are given to cope with the pain and reality of addiction. The addict can ultimately find recovery and a new way to live.
If you or a loved one needs assistance with addiction and denial – know that help is readily available. The road to recovery is not always an easy one but getting yourself or your loved one the best possible care from the team at Crossroads Recovery Centre, provides you with a map to sober, healthy living. No matter how bad things seem, there is hope and it’s only a phone call away. If you or anyone close to you needs help with an addiction to sex, gambling, substances, alcohol or food, please contact us for a free assessment.
The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
"Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
