Wednesday, May 23, 2012

Why 90 Days For Substance Abuse medicine

Inpatient Alcohol Rehab - Why 90 Days For Substance Abuse medicine
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For many individuals contemplating treatment for substance abuse, ninety or more days of residential treatment can be a daunting thought; even difficult for some to reconsider beyond the once-mainstay "30 day" outpatient treatment program. While many programs still use this "30 day" model, this duration was not based on study or science. It was plainly the time duration that guarnatee carriers agreed to supply coverage in the 1940's and 1950's, and so was adapted as the model for treatment.

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Fast-forward nearly seventy years. The wisdom found in experience, combined with large outcome studies, have clearly shown that patients completing at least 90 days of residential treatment have a significantly reduced relapse rate compared with those who stay for shorter time periods. The National originate of Drug Abuse (Nida) now considers 90 days of treatment as the "gold standard". With longer treatment for addiction or substance abuse, patients have more time to fully partake in a meaningful level of treatment. They are able to begin applying and "practicing" real-world skills leading for their saving in the relative security of a residential program.

Detoxification from alcohol and other drugs, especially in the face of other bodily and psychological issues, may be continued and may take some days up to some weeks to complete. Within that timeframe, a outpatient may just begin inspiring in the treatment process towards recovery, which is continued and reinforced during the longer stay in residential treatment.

The length of detoxification can vary greatly due to manifold factors that must be accounted for at the start. An uncomplicated detoxification from alcohol in a relatively salutary outpatient may be as short as 48 hours. Conversely, patients with a history of relinquishment seizure from alcohol, or a dependence to benzodiazapines (i.e. Valium, Xanax, or Ativan) commonly need a longer "controlled" taper off of these drugs with medication that will prolong detoxification. The Betty Ford town employs state-of-the art detoxification protocols that affect the duration of detoxification based on manifold factors in a patient's history.

At the onset of treatment, a multitude of factors can make it more difficult for a outpatient to engage in treatment quickly, and increase the need to increase treatment for up to 90 days or more. These may include a continued detoxification as discussed, or complications that may originate during the Detox duration (such as high blood pressure or high blood glucose levels, for example) that need closer, longer monitoring. Of course, a outpatient may be lacking motivation to begin treatment immediately, or may be in frank denial of their disease that would slow inspiring into the treatment process.

Addiction or substance abuse to alcohol or drugs is also rarely an isolated event. Many serious problems coexist, including manifold drug addictions, legal and criminal problems, mental and bodily condition disorders, pro licensure issues or a family home-life that is not conducive to new recovery. study again has shown that the return to drinking or drug use is considerably lower after 90 days of treatment even when these complicating problems are present. At the Betty Ford Center, for example, alcoholic/ addicted physicians who undergo a 90 day treatment schedule enjoy an impressive 78% long-term sobriety rate, with a five to seven years of continued monitoring.

The primary 30-day treatment schedule may indeed be standard for many patients. However, a longer length of stay allows a outpatient to focus on recovery, while learning new tools to avow long-term sobriety.

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