Inpatient rehab Pennsylvania

What Is Inpatient Rehab?

Inpatient rehab is 24-hour treatment that includes housing and medical services. It's also called residential treatment or residential care, depending on the type of program.

• Hospital-based inpatient: A medically managed stay for detoxification, acute withdrawal management, stabilization, or other specialized services
• Residential treatment center: Intensive behavioral health services and counseling with a planned length of stay

Inpatient programs are designed to help people overcome serious addiction problems. They're also often used for dual diagnosis disorders. These types of disorders include mental illness and substance use issues.

The level of care a person receives depends on their treatment needs. A thorough assessment can determine if an inpatient program is right for you or your loved one. It can also tell you which type would be best.

Inpatient care provides 24-hour support, counseling, and medical supervision for people who need it the most. An individual in recovery can focus on their health and well-being without having to worry about stressors such as work or family obligations that might otherwise distract them from their goal of maintaining sobriety.

Inpatient vs Residential vs Outpatient Treatment

Residential programs provide 24-hour care in a non-hospital environment. They often combine OUD treatment with other health issues or social services.

Inpatient treatment provides all-inclusive 24-hour care in a hospital environment. Some people stay in these programs for only a few days or weeks. Others stay until they are ready to leave. Inpatient facilities provide medical and psychiatric services.

Outpatient treatment is a lot less intensive than either residential or inpatient programs. It does not include living at the facility. Instead you only visit for scheduled appointments. Outpatient programs often include a combination of medication and behavioral therapies.

Outpatient programs include regular visits to an office, clinic or community facility where you receive counseling and behavioral therapy. They may or may not have group meetings, depending on the program. Outpatient can be combined with MOUD to help prevent relapse after treatment.

Hospital Inpatient and Non-Hospital Residential Programs in Pennsylvania

In Pennsylvania, hospital inpatient programs are categorized as Level 4.0 Medically Managed Intensive Inpatient Services for individuals who require intensive monitoring and treatment of their biomedical, emotional, behavioral or cognitive problems that interfere with recovery. Hospital detoxification is provided by hospital staff under a physician's supervision.

The Pennsylvania Department of Drug and Alcohol Programs regulates these programs. Inpatient hospital and non-hospital residential programs in Pennsylvania provide care to persons who need detoxification or rehabilitation under medical supervision.

Who Needs Inpatient Treatment?

People who need inpatient treatment often have many challenges in their lives that make it hard for them to get and stay sober on their own. They may also be experiencing severe physical or mental health symptoms as a result of chronic alcohol use, which can sometimes be life-threatening if left untreated.

Inpatient care provides people with 24-hour monitoring and support to help them deal with these issues as they work on their sobriety.

You may need this treatment if you have:

• been hospitalized due to alcohol withdrawal or delirium tremens.
• a mental health disorder, such as depression, bipolar disorder or schizophrenia.
• a physical problem caused by alcohol use, such as heart disease.
• difficulty remaining abstinent in an outpatient program.
• had several failed attempts at quitting drinking.

Detox and Withdrawal Management During Inpatient Care

People with moderate-to-severe withdrawal may need inpatient detoxification (detox). During detox, the person is monitored for symptoms of withdrawal, such as high blood pressure, fast heartbeat, shaking hands, sweating, nausea, vomiting, seizures, confusion, or hallucinations. Medicines can be used to ease these symptoms and to prevent them from becoming more severe.

During the withdrawal period, you will not be given alcohol or other substances that may have been involved in your substance use disorder. A doctor or other health care professional will carefully monitor you for signs of withdrawal. He or she may also give you medicines to help manage discomfort.

Inpatient treatment is a good option if you:

• Have moderate-to-severe symptoms
• Had trouble stopping alcohol before
• May need to be watched around the clock because of severe withdrawal symptoms

Alcohol detoxification must be performed under close supervision of a medical professional because severe complications-including death-may result from the process. Alcohol withdrawal syndrome (AWS) can include anything from shaking and sweating to hallucinations, seizures and delirium tremens (DTs).

A detox program can prepare you for treatment and make it easier to stick with it afterward.

Medication-Assisted Treatment in Inpatient Rehab

Medication-assisted treatment in inpatient rehab means treating substance abuse disorders with medications to treat cravings and withdrawal symptoms. The most common medications used for MAT are methadone, buprenorphine, and naltrexone.

Methadone and buprenorphine are opioid replacement drugs that block the effects of other opioids on the brain. These medications can be used to treat addiction to heroin or other opioids as well as prescription painkillers. Naltrexone blocks cravings for alcohol or opioids by blocking their effects in the brain.

This therapy can help people who suffer from alcohol use disorder as well. A combination of medication with counseling is often recommended in these cases too.

As part of their long-term recovery from drug and alcohol abuse, many individuals need medication-assisted treatment (MAT). This type of treatment combines medications with counseling to treat the disease of addiction.

Treatment for Co-Occurring Mental Health Disorders

Co-occurring mental health and substance use disorders, also known as dual diagnosis, require an integrated approach to treatment. Treatment can be challenging due to the complex relationship between mental illness and substance use disorders, which often exacerbate each other. Integrated treatment programs address both conditions simultaneously using evidence-based practices such as cognitive-behavioral therapy (CBT), motivational interviewing (MI), dialectical behavior therapy (DBT), or family therapy. Medications may also be used to manage symptoms of mental illnesses while reducing substance use.

For example, if someone has schizophrenia and a drug problem, the symptoms of schizophrenia can make their substance use worse, and using drugs can worsen their psychotic symptoms. If you are addicted to alcohol and have depression, drinking alcohol could make the depression worse, and being depressed could make it harder for you to stop drinking.

Behavioral health can be affected by both a substance use disorder and a mental health condition. Many people who suffer from addiction have experienced or will experience depression, anxiety, bipolar disorder, PTSD, or another co-occurring mental illness. To treat the whole person effectively, it is important to address both conditions together.

What a Day in Inpatient Rehab Looks Like

A typical day in inpatient rehab includes:

• Wake-up call
• Breakfast
• Morning therapy session
• Individual counseling
• Lunch
• Afternoon activity
• Family therapy
• Dinner
• Evening therapy session
• Bedtime

The schedule is flexible, but it's structured to promote recovery. The main goal of inpatient rehab is to help you get well and stay sober.

There are different types of treatment, such as group therapy, individual counseling, cognitive behavioral therapy, and 12-step programs. These will help you address the underlying causes of your addiction and give you tools to cope with triggers.

How Long Does Inpatient Rehab Last?

How long inpatient rehab lasts depends on each individual and their specific needs. There are several factors that can affect the length of time needed, including:

1. The severity of your addiction or alcoholism
2. Your medical history
3. Any co-occurring mental health disorders you have
4. Whether you relapsed in the past

The amount of time you need to be in treatment is based on several factors, such as the type of addiction, length of history, and severity of your case.

Some people receive residential care for up to a year, while others spend several months or just a few weeks.

Paying for Inpatient Rehab: Medical Assistance, Insurance, and County Funding

If you're having trouble paying for behavioral healthcare services, there are several options available. You can apply online through COMPASS or by calling your local County Assistance Office. If you need help applying for MA, a Single County Authority (SCA) can assist you.

Another way to pay for behavioral health services in PA is to go through your private insurance provider. To find out if your plan covers these services, contact your insurer directly.

If you're a Pennsylvania resident without insurance or MA coverage, the Single County Authorities (SCAs) can help determine your eligibility for county funding.

The Behavioral HealthChoices (BH-C) Program provides mental health and substance use disorder services to PA Medicaid beneficiaries in need of these services. Each county has its own BH-MCO, or managed care organization responsible for providing behavioral health coverage.

How to Get Admitted to Inpatient Rehab in Pennsylvania

To get admitted, start with your county Single County Authority (SCA). They can help determine if you need detox or medication-assisted treatment. If so, they can connect you to those services.

As previously mentioned, there are several options to receive treatment. If you or a loved one require hospitalization or residential care for a drug or alcohol problem, contact your local Single County Authority (SCA). They can help you determine the type of treatment that would best suit your needs and whether you qualify for coverage through Medicaid or other insurance programs.

Your county SCA can also assist with determining which level of care is needed.

It's important to know which level of care is best for someone who needs help with their alcohol use disorder or other substance abuse problems. The first step in figuring out what kind of treatment will work best for each person is doing a full evaluation of their problem and any complications they may have as a result.

After Inpatient Rehab: Step-Down Care and Aftercare

After inpatient rehab, many people continue in a step-down level of care that allows them to transition back into their everyday life while still having access to treatment services. This can include outpatient counseling, intensive outpatient treatment (IOP), or partial hospitalization programs (PHPs).

Step-down care (also called continuum of care) describes the process of transitioning from higher levels of care to less intense or restrictive settings as a person's recovery progresses. After leaving inpatient treatment, most people will receive some form of outpatient treatment before returning to their normal routines and activities. Step-down care offers a structured environment that promotes sustained recovery from substance use disorders.

Types of step-down treatment include:

• Intensive Outpatient Program (IOP). Typically, patients attend two to four group sessions per week, and sometimes individual counseling as well. Because patients live at home during this period, they are able to return to work, school, and other responsibilities without disrupting their schedule.
• Partial Hospitalization Program (PHP). PHPs involve daily attendance for group therapy sessions. Patients also receive medication management, educational lectures, and some individual or family counseling. Like IOPs, PHPs allow patients to live at home during treatment.

Aftercare usually includes one-on-one or group counseling, relapse prevention training, and peer support in self-help groups such as Alcoholics Anonymous (AA). It may also include social services.

Finding a Licensed Inpatient Program

Substance abuse treatment facilities are licensed by DDAP to provide specific levels of care for individuals experiencing alcohol or drug disorders. These levels include medically supervised withdrawal (also known as detoxification), inpatient rehabilitation, residential rehabilitation, partial hospitalization, intensive outpatient programs, and outpatient programs.

These levels represent the continuum of care offered in Pennsylvania substance abuse treatment facilities. The level of care at a facility depends upon the number of hours spent per week on treatment, whether the person lives at the facility during treatment, and whether he/she receives medically supervised detoxification.

A person may enter substance abuse treatment in one level of care and be discharged into another. For example, a person may go through medically supervised withdrawal and then receive intensive outpatient services.

In Pennsylvania, DDAP licenses inpatient and residential facilities that can provide medically monitored detox services to patients as well as residential treatment services with medical monitoring.

Treatment Atlas can help you find the appropriate level of care by providing an assessment and a list of questions to ask your provider.

Inpatient rehab by Pennsylvania city

Addresses and phones are on each city page.