Recovery from addiction is a process that is ongoing, although appropriate support networks can often make the greatest impact with rehabilitation, especially over time. In many cases, the first steps to rehabilitation are detoxification, treatment, and therapy that are conducted in a safe and isolated facility. This practice can be highly effective, especially since it removes patients from possible triggers, including the substances themselves.
While treatment centers can be highly effective there are a number of considerations that should be evaluated before making this choice for rehabilitation.
- Expenses – some rehabilitation centers are fully covered by insurance, while other facilities may still require a considerable out of pocket co-pay.
- Scheduling – making time for an inpatient facility can be challenging, especially since this represents a complete removal from all regular responsibilities for between one to three months.
- Comfort zones – some patients have difficulty in responding well to treatment when they do not feel that they are in a safe space. This can be an issue for some individuals in in-patient treatment.
- Real world applicability – although the teaching and therapy that are given through rehab centers give valuable tools for learning to cope with stressors and to work at overcoming addiction, these are also presented in an environment where they cannot be fully tested through actual experience.
Depending on the drug of addiction and any existing health conditions, patients can chose an alternative rehabilitation option that is home based. This can address many of the possible obstacles that an in-patient treatment facility can pose, and can also establish a real world support network that is engaged in the process from the start.
Getting Started on Change
In any treatment or rehabilitation effort, the desire for making a change does need to be the first step. This includes admitting that there is a problem and addressing viable means of taking action to create change. In establishing a program for drug addiction rehab at home, the patient also has the opportunity to fully commit to this change by becoming involved in the planning and the process.
This can often establish a strong foundation for the psychological transformations that are also necessary for effective rehabilitation. Further, the planning process can allow for personal goals to act as a guide in scheduling and considering different services that can be required. In-home nursing agencies often have specialty staff for these types of scenarios, and even in-patient facilities utilize visiting nurses for home specialty care. Collaborating with professional care providers can further facilitate the process of at home drug treatment.
It should also be noted that certain drugs can have extreme detox and withdrawal reactions. These can include physical and psychological crisis situations and should be monitored by a health care professional. In-home nursing services can attend to these wellness needs, and can also oversee the detox process, as this can vary in time span and expression from one individual to another.
Further reasons for retaining a medical professional for in-home rehabilitation is due to the fact that other health concerns may also be present.
Some problems that are common to be addressed include:
- Organ damage
- Infections and wounds
Since the rehabilitation process can preclude the use of certain pharmaceuticals, it is extremely important that a specialized care provider is involved, especially in the earlier stages of drug treatment at home.
Establishing a Network of Resources
Regardless of whether the entire rehabilitation process is monitored by an in-home nurse or whether the patient relies on other professionals during the treatment, having a network of resources for support is integral to success. With at home treatment, family members and close friends who will be involved will also need to be properly educated in regards to expectations. This can be especially important with friends of the patient, as negative influences and peer pressures will need to be eliminated for effective results.
However, in establishing a positive support network of loved ones throughout the rehabilitation process, the patient will often find that they feel more confident when they are faced with triggers, since they are aware of where to turn for help. This network can further extend to addiction support groups that are either online or locally based. All of these resources will become the long-term basis for helping the patient navigate balance in everyday life.
Familiar, but not too Familiar
Along with medical in-home care, the patient will also benefit from professional counseling during the rehabilitation process. Psychiatric nurses can be utilized for at home services, while some private and public therapists may also work with patients out of their home. Insurance coverage for these services can vary greatly based on the provider, but professionals who work through in-home care agencies will often be able to accommodate more easily with payment options.
While this convenience of at home rehabilitation is also thought to encourage breakthroughs by presenting introspection in a safe and familiar space, it is also important that this comfort does not turn into complacency. Triggers within the home, including boredom, depression, memories, and family dynamics do need to be addressed in a positive manner for treatment to have an impact.
As a result, having a therapeutic plan that includes activity as well as rest is also integral to the process. This can be a collaborative effort between the in-home practitioner and the patient, or it may be plan that is guided by support group and experiential input from other resources. Regardless, the important aspect is that a productive outlet is available when addictive urges may begin to surface. This type of outlet is one of the coping tools that is frequently utilized in addressing addictive behaviors and emotional repression.
Overall, the most important factors to consider in starting drug addiction therapy at home include:
- Personal therapy – this can be included in group sessions but the effectiveness of one on one should also be evaluated when looking into services.
- Family therapy – group sessions and family support groups are advised for any loved ones who are participating in the process.
- Medical services – this can address possible health crises that can result during detox or withdrawal, and can also attend to other health issues.
- Educational classes – these may be conducted by a clinical or psychiatric nurse in the home, but may also be accessed through support and public health organizations.
- Relapse prevention – this can include the use of family and peer support networks, but also includes an action plan for coping in the event of a trigger.