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Alcohol and drug rehab is accessible in the United Kingdom. The government can help you to overcome your alcohol or drug addiction by providing you with free outpatient services. If you need inpatient services, however, you need to take a few more steps.
But first, let us discuss who needs inpatient and who needs outpatient rehab. Is there a difference?
If you are addicted to alcohol and/or drugs, and you have found the courage to change, you may feel daunted with these terms. Are you in such a bad state that you need to be admitted? Is it that bad?
In both alcohol and drug rehab, there are three phases:
Phase One: Detoxification or Medically Assisted Detox
Phase Two: Rehabilitation
Phase Three: Maintenance or Aftercare
You can also be treated as an inpatient or an outpatient in all of three phases.
The National Health Services (NHS) provides free Outpatient treatment. NHS also has an option for inpatient care. However, the process of admitting patients for inpatient care is very selective. Most people opt for private rehab centers instead, especially because when it comes to inpatient care, private clinics have a higher success rate.
Now, you would like to ask. Do you need inpatient or outpatient care? Who determines it?
Inpatient rehab means:
Staying in the facility for up to a month or 28 days
You have 24 hour support by trained staff.
You have to follow the program set by the center.
Something to consider if your alcohol or drug addiction is severe. “Severe” means your addiction is causing you mental anguish, it is causing you problems with other people, and it is making your life burdensome.
Outpatient rehab means:
Staying in the center for programs, but going home afterwards
You can still go to work because there are different schedules for therapy sessions you can choose from
You can somehow control your addiction—you are not easily swerved by “temptations”; you can commit to attending the therapy sessions.
It is important to note that nobody can force you into rehab. If you want to change, you must take the first step and move forward.
Ultimately, it is up to you to choose if you want to be an inpatient or outpatient in a clinic.
In phase one of rehab, detox, the NHS provides free community-based detox. This is designed for people with mild to moderate dependence, and is administered by local GPs. If you want free inpatient detox, you would have to go through the following steps:
Go to your local alcohol and drug treatment service (your GP will give you a referral).
You will be assessed by a keyworker to find out if you qualify for detox.
If you qualify for detox, you will have to wait for a few weeks.
If you are done with detox and you want to make use of the NHS free rehab services as an inpatient, you need to follow the following steps:
Go to the local authority and drug service. They will determine if you qualify for inpatient care.
You will be further assessed if you qualify as an inpatient.
If you qualify, the local authority and drug service will try to find funds for your treatment.
NHS Rehab authorities will interview you.
Once you are approved by the rehab and the funds are in order, you will be admitted as an inpatient, either by the NHS or by a private facility (the government will pay private rehab cost, partially or in full).
NHS offers free outpatient rehab services.
If you do not want to wait, and you want to begin your recovery from addiction immediately, you can choose private drug rehab treatment instead. Most private facilities offer medically assisted detox.
It is good to remember that detox is best done in a dedicated facility, not at home. In a dedicated facility, you will be given medication attention if you have headaches, gastrointestinal upsets, tremors, and other complaints. When you are going through a rough period in your life, wouldn’t you want 24 hour care and support?
In private rehabs, some people opt to detox as an outpatient, and some people opt to take detox as an inpatient. They can also decide to just take the detox or the full almost-one-month-long treatment. In a month long treatment, all the three phases of care are provided.
In addition to a one-month stay, some people decide to stay in the facility longer. There are people who opt for long-term inpatient care and spend up to six months recovering.
Private alcohol and drug rehab facilities charge up to £1000 a week, amounting to £4000 a month. Some facilities charge £895, and some charge up to £20,000 per week.
Private rehab centers are affiliated with private health care providers. Check with your insurance company to be sure.
There huge range of prices in private rehab can be pinpointed to several factors.
The cost of accommodation – the kind of accommodation, location, food, facilities and maintenance of facilities
Payment for staff and support staff
The center has to pay for its own insurance
The center needs to comply to government regulations, they need to pay fees and fulfill the requirements set by the government
The length of stay in treatment programs (detox program only inpatient or outpatient services)
The last option for rehab services is cross-border healthcare. Some private rehab clinics can assist you if you choose this option.
As for Maintenance of Aftercare, which the last phase of rehab, the NHS will refer you to Alcoholics Anonymous and Narcotics Anonymous. If you seek private rehab aftercare, you can avail of services which include:
Counselling (Individual, group or family)
Relapse Prevention Therapy
12 step and non-12 step support groups
In aftercare, you will be given support for relapse prevention. The aim is to help you develop coping skills to recognize your triggers and avoid them. After care is focused on getting you to recover fully by changing your old habits.
Many people make lasting friendships with the people they meet in aftercare support groups. When you have a relapse prevention plan, new friends who support your new habits, and new tasks to occupy your mind, you are on your way to be fully recovered indeed.
Are there people who are predisposed to be addicted to drugs or alcohol?
What personality types are associated with addiction? Is there an “addictive personality”? What can you do if you have addictive personality? Can you change it?
One of the ways psychologists describe personality is by using the Big Five Personality Traits. These are Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism.
The Five Factor Model Theory was developed by psychologists Robert McCrae and Paul Costa to describe prominent facets of our personality.
Let’s discuss these traits and how they apply to a tendency to use and abuse drugs.
People who are highly open have the tendency to explore new things. When given a choice between something they know and something they are unfamiliar with, they tend to choose the new item.
They also tend to fantasize a lot. Objects that are pleasing to their eye tend to be highly prized.
Some people call these types of people the “the artistic type”. They also tend to be highly idealistic.
People who fall into this category are more likely to be addicted to drugs, possibly because using drugs is a novel experience.
Conscientious people tend to see achievements as important. They are comfortable around rules; they have a high regard for authority figures.
When you see someone like this, you often say, “Oh, that person is level-headed, trustworthy, law-abiding and dependable.”
People who are less conscientious tend to use drugs because they do not see the value of following rules to some degree.
They are not very diligent, they tend to be late, and aren’t likely to be consistent.
You could see how a combination of these tendencies would be difficult for somebody seeking addiction treatment.
People who succeed in rehab need help in this area.
They would constantly need encouragement to see the value of staying in track; they also need feedback and guidance when achieving their sobriety goals.
Both introverted and extroverted people use drugs. But some people who are extroverted have a higher tendency to be drug addicts.
Some extroverted people have a hard time sitting still (They find it boring.) Some extroverted people find it difficult to supress an urge.
If you are extroverted and you have a difficulty in both of these areas, then you are prone to using drugs.
Psychologists use the term “sensation seeking” to refer to a tendency to look for new highs (new feels, new thrills).
Meantime, they use the term “impulsivity” to refer to problems arising from a difficulty in controlling sudden whims and cravings.
Extraverted people who are sensation seeking and impulsive tend to get addicted to drugs.
A recent student has also shown that if you like sweets and you tend to try out new things, you are at risk of alcohol addiction.
There is also a study that the area of the brain controlling sensation seeking and impulsiveness are the same for obesity and drug use.
This trait explains how cooperative you are around people. People who are highly agreeable tend to go along easily with others.
On the other hand, people who are less agreeable tend to stand out. They are not the types to mingle with others in a social event.
Both agreeable and less agreeable people do not differ in terms of the tendency to abuse drugs.
The last factor is called “Neuroticism”. People who are high in this area:
Tend to have a lot of anxiety
Tend to have a hostile or unfriendly attitude
Are described as “high strung” or “temperamental”
Do not have a lot of friends
Have a depressed mood
Could get easily upset or hurt
High neuroticism has been associated with drug abuse. Consequently, we know that many people who are addicted to drugs also have mental health problems.
Using the Five Factor Model to help us figure out the personality traits of the addictive personality. In essence, there is no “addictive personality”.
There are only traits that are high or low associated with the terms “addictive personality”. But what scientists can say is that they are close to finding out an endophenotype of drug addiction.
Scientists are on a quest to discover an endophenotype of people who are addicted to drugs. An endophenotype consists of specific and identifiable biological and psychological traits that are inherited. An endophenotype for drug addiction can predict if a person is prone to drug addiction or not.
Scientists have a phenotype for diabetes and heart disease, but the endophenotype for drug abuse is yet to be refined. Recent discoveries point to poor impulse control and looking for stimulating feelings or highs.
So, if you have the endophenotype for drug addiction, does that automatically mean you become a drug addict?
Well, no. You are at risk, but it is not a 100% you will become addicted to drugs. Drug abuse runs in families—so does cancer and diabetes.
What causes this to happen is an interplay of genetics and behaviour patterns. We copy behaviour we see from the people that surround us. Sometimes, the simplest reason a person ever tries drugs is the fact that it is tolerated at home or in school, or in the community.
Appalling as it is, sometimes it could be the norm in the community. What if you try it and your genes and brain make-up make you vulnerable to drug abuse? Surely, that is a recipe for disaster.
But that is not the end of the story. If you start experimenting with drugs and if you know you are in the wrong path, there are many resources available to help you quit.
If you are sober (drug-free) for a year, you are less likely to be a long-term drug addict. For teens, the first three years of drug use are crucial.
Act as soon as possible when you know something is wrong. We may not chose our predispositions or genes, but we have the power to change what we can.
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