What Does A
Top Alcohol And Drug Rehabilitation Centre Program Entail?
To begin,
any treatment center for substance abuse must be in compliance with the
regulations that have been set down by the state in which it plans to operate
in order to maintain its license. Licensure, accreditation, or certification
are some examples of the standards followed by the top alcohol rehab centres
in India. In general, what criteria can be used to distinguish between
effective and ineffective drug rehabilitation programs?
When
selecting the best drug rehabilitation centre in Delhi, there are multiple
factors that necessitate consideration. The following five (5) elements are
deemed essential prerequisites for any top drug rehabilitation center in
India:
The optimal
drug rehabilitation outcomes can be achieved by ensuring the presence of five essential
components.
Licensing
Enrolling
in a certified treatment program at one of the top 10 rehabilitation centres
in India holds significant importance. Initially, it is advisable to verify
whether the treatment program at the best rehabs in India has obtained
accreditation from the state in which it is situated. Ideally, the
certification of the facility by third-party agencies in addition to the state
license is desirable which is usually the case when it comes to the luxury
rehab centres in India.
Tailored
Programs Personalized To Meet Your Specific Needs.
The
etiology of addiction is multifaceted and varies among individuals. The
implementation of a standardized treatment plan may not necessarily result in
favorable outcomes for the patient. It is advisable to examine and contemplate
drug rehabilitation programs that offer a range of treatment modalities. A
facility of high quality such as one in the top rehabilitation centers in
India possesses the necessary resources, expertise, and personnel to customize
treatment methodologies for every individual. The aforementioned procedure
commences with a comprehensive assessment and an in-depth analysis of the
patient's medical background. The best rehab centers in Delhi will subsequently
develop a program comprising of therapies that are grounded in empirical
evidence and are deemed to be most advantageous for the individual.
It Is
Recommended That The Involvement Of Family Members Be Incorporated Into The
Treatment Process.
Reintegrating
into the familial structure following a period of enrollment in a substance
rehabilitation program can prove to be a challenging and disconcerting process.
The optimal treatment programs provided by the luxury rehabs in India
afford individuals an opportunity to reestablish connections with their
familial network during the course of their rehabilitation. This practice
facilitates the establishment of a robust relationship characterized by the
setting of clear expectations and the observance of appropriate boundaries. The
formulation of a recovery plan during a rehabilitation program can facilitate
the process of reintegration into the household upon completion of the
rehabilitation program at the top rehabs in India.
The first
family-based Substance Use Disorder (SUD) treatment strategy that was widely
employed by providers was psychoeducation. The incorporation of family systems
in treatment has been recognized as a valuable component of SUD treatment
programming for several decades. Psychoeducation encompasses a broader scope
than merely imparting knowledge to families regarding the trajectory of
addiction and the recuperation journey. The objectives encompass involving
family members in the treatment process, imparting knowledge, augmenting social
support systems, cultivating proficiency in problem-solving and communication,
and furnishing continuous support and referrals to other services within the
community. [1][2].
Family
psychoeducation has been identified as a leading therapeutic intervention for
individuals who are grappling with concurrent substance use disorders (SUDs)
and mental health conditions [3]. The intervention has exhibited efficacy in
mitigating relapse rates among this demographic in the medium-term [4]. The
aforementioned is a CBT-based therapeutic approach for preventing relapse in
individuals with substance use disorders, which has been substantiated by
empirical evidence [5].
An
Aftercare Treatment Plan Constitutes A Fundamental Component Of Rehabilitation.
The
achievement of sustained recovery over a prolonged period is influenced by
various factors, such as the relapse vulnerability traits of the individual as
outlined in the Witkiewitz and Marlatt framework, the nature and length of the
treatment regimen, including post-treatment support, and a range of extraneous
factors encountered during and after the formal treatment phase.[6][7][8]
The crucial
roles of continuing care in the process of recovery encompass the preservation
of abstinence and initial treatment progress, management of relapse and
non-response, which includes the mitigation of relapse severity, facilitation
of patient connection to supplementary support systems, and resolution of other
recovery-related concerns such as employment, housing, recreation, and
participation in meaningful and pleasurable activities. The chronic care model
developed by Wagner et al. incorporates various interventions aimed at
enhancing patients' self-efficacy and skill levels, prioritizing goal-setting,
identifying obstacles to goal attainment, devising strategies to overcome these
obstacles, providing support for patient self-management, and establishing
connections to community resources.[9][10]
It is
imperative that the selected program at the best alcohol rehabs in India,
for oneself or a loved one provides a well-defined course of action to adhere
to after being discharged. The proposed plan ought to encompass a comprehensive
range of strategies, such as stress management techniques, avoidance of hazardous
circumstances and interactions, provision of support group recommendations, and
relapse prevention measures. Establishing a therapeutic alliance between
patients and their therapists during their periods of heightened vulnerability
is crucial. It is advisable to select a program from best drug rehabs in
India that provides consistent follow-up and validates the progress made
after the treatment.
Accurate Maintenance
of Medical Records.
The medical
records serve as a documentation of the individual's duration in a top
rehabilitation centre program. It is imperative for the best
rehabilitation centers to maintain
standardized documentation that comprehensively captures the patient's medical
history, diagnostic procedures, and treatment interventions. This data is
crucial for all healthcare providers involved in the continuum of care, as well
as for any future providers who may assume responsibility for the individual in
question.
Effective
Drug Rehabilitation Programs At The Top Rehabs In India Typically Incorporate
The Following Components.
Behavioral
therapy and psychotherapy are two forms of psychological treatment.
Psychotherapy serves as the fundamental component of a high-quality addiction
treatment regimen. The implementation of these therapies may potentially
augment the efficacy of pharmacological interventions and prolong the duration
of treatment adherence among individuals.
Pharmacological
interventions, such as the administration of medications, can aid in the
restoration of typical brain function and the reduction of relapse occurrences
and cravings. At present, pharmacological interventions are available for the
treatment of drug addiction, including naltrexone, buprenorphine, methadone,
and short-term prescription of anti-depressant and anti-anxiety medications.
The majority of individuals who suffer from severe addiction issues are known
to be poly-drug users, meaning they consume multiple substances, and therefore
necessitate comprehensive treatment for all the drugs they misuse.
What Are
The Various Drug Rehabilitation Programs That Exist?
The primary
objective of drug rehabilitation is to cease drug consumption and equip
individuals with the necessary skills to lead a secure and consistent lifestyle
within their familial, occupational, and communal spheres. Nevertheless,
accomplishing this objective may necessitate diverse approaches to therapy.
Therefore, the identification of an appropriate treatment that caters to one's
individual requirements is of utmost importance. The provision of drug
addiction treatment cannot be generalized as a uniform approach, as it is
contingent upon individualized factors. Although drug addiction treatment can
be administered in diverse settings utilizing various behavioral methodologies,
there exist fundamental benchmarks of service that ought to be considered. Drug
rehabilitation programs at the best luxury rehabilitation centers in India
may offer a variety of significant options, which may include:
The
modality of inpatient treatment necessitates the patient's residency within a
medical facility, such as a hospital, clinic, or onsite establishment, for the
duration of their rehabilitation program. The duration of the residency may
range from a minimum of 5 days to a maximum of 14 days for detoxification
purposes, and may extend up to a month or more for relapse prevention
encompassing holistic management.
Outpatient
rehabilitation is a suitable option for individuals who exhibit a strong desire
for change, require the ability to maintain employment, and possess a
supportive domestic setting. The standard duration of outpatient treatment is
approximately 10 weeks, with a frequency of 3-9 hours of treatment per week. However,
in some cases, the treatment may extend up to a year.
Long-term
inpatient care involves receiving round-the-clock treatment for an extended
period of time in a non-hospital environment during residential drug treatment.
The therapeutic community (TC) is widely recognized as the most prominent
residential treatment model, characterized by a structured and intensive
program that typically spans from 6 to 12 months in duration. Therapeutic
communities (TCs) prioritize the process of "resocialization" for
individuals undergoing treatment, whereby the program's communal environment,
encompassing fellow residents, staff, and social context, are integral
constituents of the therapeutic regimen.
Short-term
residential programs offer a concentrated but comparatively brief intervention
that is grounded in a modified 12-step methodology. These interventions aim to
mitigate the likelihood of recurrence of symptoms following a patient's
discharge from a residential facility. The typical duration of stay ranges from
one (1) to three (3) months.
LIST OF REFERENCES-
1. Substance Use Disorder Treatment and Family Therapy: Updated 2020
[Internet]. Rockville (MD): Substance Abuse and Mental Health Services
Administration (US); 2020. (Treatment Improvement Protocol (TIP) Series, No.
39.) Chapter 3—Family Counseling Approaches. Available from:
https://www.ncbi.nlm.nih.gov/books/NBK571088/
2. McFarlane, W. R., Dixon, L., Lukens, E., & Lucksted, A.
(2003). Family psychoeducation and schizophrenia: A review of the literature.
Journal of Marital and Family Therapy, 29(2), 223–245.
doi:10.1111/j.1752-0606.2003.tb01202.x
https://pubmed.ncbi.nlm.nih.gov/12728780/
3. McFarlane, W. R., Dixon, L., Lukens, E., & Lucksted, A.
(2003). Family psychoeducation and schizophrenia: A review of the literature.
Journal of Marital and Family Therapy, 29(2), 223–245.
doi:10.1111/j.1752-0606.2003.tb01202.x
https://pubmed.ncbi.nlm.nih.gov/12728780/
4. Zhao, S., Sampson, S., Xia, J., & Jayaram, M. B. (2015).
Psychoeducation (brief) for people with serious mental illness. Cochrane
Database of Systematic Reviews, (4), CD010823.
doi:10.1002/14651858.CD010823.pub2
https://pubmed.ncbi.nlm.nih.gov/25854522/
5. Sudhir, P. M. (2018). Cognitive behavioural interventions in
addictive disorders. Indian Journal of Psychiatry, 60(Suppl. 4), S479–S484.
doi:10.4103/psychiatry.IndianJPsychiatry_15_18.
https://pubmed.ncbi.nlm.nih.gov/29540917/
6. Dennis ML, Scott CK. Managing addiction as a chronic condition.
Addict Sci Clin Pract. 2007;4(1):45–55. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797101/
7. McKay JR. Continuing care research: What we’ve learned and where
we’re going. J Subst Abuse Treat. 2009;36(2):131–145. doi:
10.1016/j.jsat.2008.10.004.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670779/
8. McKay JR. Making the hard work of recovery more attractive for
those with substance use disorders. Addiction. 2017;112(5):751–757. doi:
10.1111/add.13502.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315690/
9. McKay JR. Impact of Continuing Care on Recovery From Substance Use
Disorder. Alcohol Res. 2021 Jan 21;41(1):01. doi: 10.35946/arcr.v41.1.01. PMID:
33500871; PMCID: PMC7813220.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813220/
10. Wagner EH, Austin BT, Davis C, et al. Improving chronic illness
care: Translating evidence into action. Health Aff (Millwood) 2001;20(6):64–78.
doi: 10.1377/hlthaff.20.6.64.
https://pubmed.ncbi.nlm.nih.gov/11816692/
AUTHOR-
Dr.
Niharika Singh (MBBS, MD Psychiatry, MIPS)
Dr.
Niharika Singh received her MBBS degree from Kurukshetra University, following
which she went on to complete MD Psychiatry from Rajiv Gandhi University of
Health Sciences, Bangalore. During her residency program she pursued her thesis
on psychosocial factors and personality profile of early and late onset Alcohol
dependence syndrome. With a view to stay up-to-date with the latest
developments in the field of mental health, she then continued to train
regularly with premier institutes such as Harvard Medical School - McLean
Hospital (USA) in Mind-Body Medicine, Beck Institute (USA) in Cognitive
Behavior Therapy, NIMHANS (Bangalore) in Addiction Psychiatry, Behaviour
Medicine, Clinical Neurophysiology and Non-Invasive Brain Stimulation and has
completed Fellowship in Transcranial Magnetic Stimulation from Duke University
(USA). After post-graduation, her goal has been to inform the public on
addiction issues. Her mission is to help those in need of treatment find the
best option for them. And with this being her consistent vision, she believes
in de-stigmatizing the field of addiction psychiatry and rehabilitation center
treatment in India and has been working at a licensed dual-diagnosis facility
in New Delhi. Through her contributions to rehabsindia.in she aims at providing licensed, professional
rehabilitative care choices to patients and their families.
REVIEWED
BY-
Sudipta
Rath (M. Phil in Clinical Psychology)
Sudipta
Rath has completed her MPhil in clinical psychology from Utkal University in
Odisha (India) in 2020 and is currently practicing in New Delhi as a clinical
psychologist at dual diagnosis facility. She is a licensed RCI practitioner
specializing in all forms of psychotherapy. Addiction and mental health are
personal subjects for her, and her goal is that she can give a helping hand to
those seeking healthy and lasting recovery.