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What types of treatment programs are available? |
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- Several types
of treatment programs are available:
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- Partial
hospitalization or day treatment
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- Outpatient and
intensive outpatient programs
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- Methadone
clinics (also called opioid treatment programs).
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| Inpatient
treatment,
provided in special units of hospitals or medical clinics, offers both
detoxification and rehabilitation services. Several years ago, many
hospital-based treatment programs existed. Today, because of changes in
insurance coverage, inpatient treatment is no longer as common as it
used to be. People who have a mental disorder or serious medical
problems as well as a substance use disorder are the ones most likely to
receive inpatient treatment. Adolescents may also need the structure of
inpatient treatment to make sure a full assessment of their substance
use and mental disorders can be done. |
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| Residential
programs
provide a living environment with treatment services. Several models of
residential treatment (such as the therapeutic community)
exist, and treatment in these programs lasts from a month to a year or
more. The programs differ in some ways, but they are similar in many
ways. |
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| Residential
programs often have phases of treatment, with different expectations and
activities during each phase. For example, in the first phase, an
adult’s contact with family, friends, and job may be restricted. An
adolescent may be able to have contact with his or her parents but not
with friends or with school. This restriction helps the person become
part of the treatment community and adjust to the treatment setting. In
a later phase, a person may be able to start working again, going “home”
to the facility every evening. If your loved one is in a residential
treatment program, it is important that you know and understand the
program rules and expectations. Often residential programs last long
enough to offer general equivalency diploma (GED) preparation classes,
training in job-seeking skills, and even career training. In residential
programs for adolescents, the participants attend school as a part of
the program. Some residential programs are designed to enable women who
need treatment to bring their children with them. These programs offer
child care and parenting classes. Residential programs are best for
people who do not have stable living or employment situations and/or
have limited or no family support. Residential treatment may help people
with very serious substance use disorders who have been unable to get
and stay sober or drug free in other treatment. |
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| Partial
hospitalization or day treatment
programs also
may be
provided in hospitals
or
free-standing clinics. In
these
programs, the person
attends
treatment for 4 to 8
hours per
day but lives at
home. These
programs usually
last for at
least 3 months and
work best
for people who
have a
stable, supportive
home
environment. |
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| Outpatient and
intensive outpatient programs
provide
treatment at
a program site,
but the
person lives elsewhere
(usually at
home). Outpatient
treatment is
offered in a variety
of places:
health clinics, community
mental
health clinics,
counselors’
offices, hospital
clinics,
local health department
offices, or
residential programs
with
outpatient clinics. Many
meet in the
evenings and on
weekends so
participants can
go to school
or work. Outpatient
treatment
programs
have different
requirements
for
attendance. Some programs
require
daily attendance;
others meet
only one
to three times per
week. |
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| Intensive outpatient
treatment
programs require a
person to
attend 9 to 20 hours
of treatment
activities per
week.
Outpatient programs last
from about 2
months to 1 year.
People who
do best in an
outpatient
program are willing
to attend
counseling sessions
regularly,
have supportive
friends or
family members,
have a place
to live, and have
some form of
transportation
to get to
treatment sessions. |
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| Opioid treatment
programs (OTPs),
sometimes known as
methadone clinics, offer medication-assisted outpatient treatment or
people who are dependent on opioid drugs (such as heroin, OxyContin, or
vicodin). These programs use a medication, such as methadone or LAAM, to
help a person not use illicit opioids.
OTPs provide
counseling and other services along with the medication. |
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