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Inpatient Drug Rehab in New Hampshire

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In New Hampshire, the addiction treatment system includes levels of care that include:

Public insurance programs, such as Medicaid or private insurance companies, pay for many of these services.

Medication-Assisted Treatment (MAT)

Due to the opioid epidemic, NH has carried out several actions for:

  • Addiction prevention 
  • Early identification
  • Overdose prevention

To go along with these programs, the state is making an effort to expand the availability of addiction treatment by investing in and promoting medication-assisted treatment for opioid use disorders (OUDs). The NH Department of Health and Human Services, Bureau of Drug and Alcohol Services gathered a panel of healthcare providers to review current practices. These healthcare providers also worked to identify key elements and best practice recommendations from the American Society for Addiction Medicine (ASAM) and other nationally-recognized systems. The goal is to provide expanded capabilities to treat more people with OUDs across a variety of settings.

Detox

Most inpatient drug rehab programs in New Hampshire begin with detoxification and medical assistance to help individuals manage their withdrawals. Detox is the process of ridding the body of all toxic substances. The only substances that people can take during detox are prescription withdrawal medications. Prescription withdrawal medications can come in the following forms:

– Opioids
Alcohol
– Benzodiazepines
– Barbiturates and other sedatives

But detox alone doesn’t address the psychological, social, and behavioral problems linked with addiction. Therefore, it typically doesn’t produce the lasting behavioral changes needed for recovery. That’s why detox should be followed by an evaluation by a medical professional and a referral to an addiction treatment program.

What Is Inpatient Drug Rehab?

Studies of addiction treatment usually have classified programs into several general types. Approaches to treatment and individual programs for addiction continue to evolve and branch out. As a result, many drug rehab programs today don’t fit into traditional addiction treatment categories. 

People sometimes call inpatient treatment, residential treatment. Inpatient drug rehab provides patients with medically supervised care 24 hours a day, usually in non-hospital settings.

Long-Term Residential Treatment

The best-known residential treatment design is the therapeutic community (TC). The duration of this treatment model is usually between 6 and 12 months.  The goal of a TC is the “resocialization” of the person. It uses the program’s whole community, including other residents and the staff as active parts of the treatment. 

Addiction is seen in the framework of a person’s social and psychological deficiencies. So treatment focuses on developing personal responsibility and accountability along with socially productive lives. Because long-term residential treatment is highly structured, it can be confrontational at times. 

There are activities meant to help residents examine their harmful beliefs about themselves and their destructive patterns of behavior. As a result, such residents can adopt more peaceful and constructive ways to interact with others. 

Research has shown that TCs can be changed to treat people with special needs including:

  • Women
  • Homeless people
  • Adolescents
  • People with serious mental disorders
  • People in the criminal justice system

Short-Term Residential Treatment

 A short-term treatment program generally provides intensive but comparatively brief treatment based on a 12-step approach. Originally meant to treat alcohol addiction, many rehab facilities began to treat other addictions during the cocaine epidemic of the mid-1980s. The original residential treatment model was a 3- to 6-week hospital-based inpatient treatment phase followed by continued outpatient therapy and participation in self-help groups like AA (Alcoholics Anonymous). 

After completing treatment in residential programs, it’s important for individuals to continue taking part in outpatient treatment programs and aftercare programs. Doing this helps to reduce the risk of relapse after the person leaves the residential setting.

Common Treatment Methods

After detox, there are several treatment approaches that may be used to address the psychological effects of alcohol or drug addiction

Behavioral Therapies 

Behavioral therapies are evidence-based and proven to be effective treatment tools because they can be used for many types of addiction. Some common behavioral therapies are:

Cognitive Behavioral Therapy (CBT)

CBT is based on the theory that the way a person perceives a situation is more closely associated with his or her reaction than the situation itself. CBT helps people recognize their thoughts and evaluate how realistic they are. When they learn to think more realistically, they feel better and can cope better. This way, they can identify triggers and develop coping skills. 

Dialectical Behavior Therapy (DBT)

Dialectical behavior therapy is a type of CBT but its main goals are to help people learn how to:

  • live in the moment 
  • develop healthy ways to deal with stress 
  • regulate emotions 
  • improve relationships

DBT teaches people to accept and tolerate the situations that they’re in while also building their coping skills and making positive changes in their lives. 

Psychotherapy (Talk Therapy)

Individual Therapy

Individual therapy is a close collaboration between the patient and their therapist. During these one-on-one sessions, the individual builds trust with the therapist and discusses any underlying issues that he or she may have. Many times, people can discover co-occurring disorders during individual therapy sessions.

Group Therapy

Group therapy typically involves a group of 5 to 15 participants with 2 or more therapists. Peers challenge and support one another during group therapy sessions while in rehab. 

Family Therapy

When one member of a family has an addiction, it affects and transforms the entire family. For treatment to be successful, strong relationships with family and friends are necessary. Counseling approaches include spouses and other family members.

Research has shown that family therapy results in lower rates of relapse, increased family happiness, and helps children of addicted parents manage their situations.

Medications

Medications are especially important in addiction recovery when combined with behavioral and other therapies. Some medications during addiction treatment can be used to:

  • Reduce cravings
  • Improve mood
  • Reduce addictive behaviors

Lofexidine reduces cravings and helps people manage their withdrawal symptoms while in treatment for opioid addiction. Acamprosate is a medication that helps reduce drinking behavior.

What’s the Difference Between Inpatient and Outpatient Treatment?

The main difference is that during inpatient drug rehab in New Hampshire, the patient lives at the treatment facility. Patients of inpatient drug rehab in New Hampshire have 24-hour medical supervision and a structured lifestyle that protects them from the people, situations, and other triggers of the outside world. 

People in residential care learn how to live a substance-free life and substitute healthy behaviors for unhealthy behaviors. Still, outpatient treatment provides the same therapy treatments and medical maintenance as inpatient care but at different intensities, or, levels of care such as:

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Partial Hospitalization Program (PHP)

A partial hospitalization program is one where a patient stays in the facility no more than 20 hours per week, typically during the day. PHP patients don’t stay in rehab facilities overnight.

A PHP is a blend of outpatient group and individual counseling in an environment with medical services. Many people enter PHP after completing an inpatient drug rehab program. Some people enter PHP treatment because they’ve relapsed and need stabilization.

Intensive Outpatient Program (IOP)

People in IOPs will have individual treatment plans that are based on their needs. They will have the services of the same variety of medical professionals as in the PHP or inpatient drug rehab programs. 

Individual counseling is part of the IOP treatment, however. IOP treatment also provides group therapy. Generally, people enter an IOP from a more intensive level of care. Patients usually spend 3 to 4 hours a day, three days a week in IOP treatment.

Standard Outpatient Program (OP)

An outpatient program is only different from an IOP in that OP patients spend less time in treatment. An OP is a good way to continue treatment and still be able to keep up with family, school, or work obligations. 

Drug Rehab in New Hampshire

Live Free Recovery Services can provide you or someone you care about with comprehensive treatment for drug or alcohol addiction.  Our outpatient programs offer the same intensive therapy and support that can be found in residential facilities, except with the benefit of being able to go home each night. 

In addition, we specialize in sober living. Thus, if you still don’t feel confident in your sobriety after you complete your outpatient treatment programs, you can stay in one of our sober living homes to help you transition back into an unsupervised life. 

Let us help you find your way back to your life the way you imagined it. Contact us today and get your addiction recovery journey started.

References:

www.dhhs.nh.gov/dcbcs/bdas/treatment.htm
www.depts.washington.edu/uwbrtc/about-us/dialectical-behavior-therapy/