Rehabilitation
Residential rehabilitation is a Tier 4 service. Tier 4 services are specialist drug and alcohol services offering intensive and structured programmes delivered in controlled residential unit or other controlled environments. It is recognised that people with complex problems related to drug use may require respite and an intense residential programme of support and care, which cannot realistically be delivered in a community or outpatient setting.
Before beginning and during a residential rehabilitation:
- Clients are comprehensively assessed
- Client choice is respected
- Care is planned and reviewed frequently
- Departure and aftercare are planned
Residential rehabilitation programmes are quite diverse in the
way they operate but most provide a structured programme of
treatment, which shares the following basic features:
- Maintenance of abstinence from illicit drugs, and some
prescription drugs
- Communal living with other drug users in recovery
- Emphasis on group counselling and shared responsibility by
residents
- Relapse prevention – orientated counselling and support
- Improve skills and activities for daily living
- Residents are willing to accept restrictions to their liberty
for the duration or for some of the residential programme
- Residential rehabilitation programmes are averagely 3-6 months
long
- Service users may have to make a financial contribution towards
their placement. (FACS criteria)
- Provision of aftercare and support
Location
Residential rehabilitation services are based around the country
and there are many different types of treatment programmes. The
choice of unit relevant to service users needs will be highlighted
and discussed in the assessment of need carried out by a care
manager from the Substance Team in your area.
Models of rehabilitation
Generally Rehabilitation Programmes are based on differing
combinations of the following models
Minnesota Model of treatment
These programmes involve an intensive rehabilitation programme
involving the 12 steps of recovery followed by extended
participation in 12 –step, self-help groups such as Narcotics
Anonymous, Cocaine Anonymous or the newly formed Methamphetamine
Anonymous.
Cognitive Behavioural Model
One frequently used drug rehab treatment is cognitive
behavioural and relapse prevention.
In drug rehab service users are taught new ways of acting and
thinking that will help them stay off drugs. Counselling sessions
are mandatory. Any drug using lapses are viewed as ‘slips’ rather
than a failure.
Social Education Model
This model is based on opening new ways of using time, such as
college courses and voluntary work. Service users are encouraged to
use nutrition and supplements to aid their diets in an effort to
avoid drug taking.
Supporting Documents
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