Residential rehab Pennsylvania

What Is Residential Rehab?

A residential rehab program allows an individual to remain at the facility for extended periods while receiving intensive therapy. The main goal of this type of treatment is to provide individuals with a comfortable and secure environment where they can receive round-the-clock care and support.

There are many types of residential rehabs, including:

• short-term inpatient programs
• long-term residential programs
• therapeutic communities

While there are differences between the two, both residential treatment centers and inpatient rehab focus on helping individuals recover from addiction or a mental health condition.

The primary difference is that an individual who goes to an inpatient program will be placed in a hospital setting with medical staff around the clock.

On the other hand, residential treatment centers provide more flexibility because they are not located within a hospital and do not require 24/7 medical supervision.

Residential Levels of Care (ASAM 3.1, 3.5, 3.7)

ASAM Level 3.1 is low-intensity residential such as a halfway house that provides structured counseling and other services.

ASAM Level 3.5 is high-intensity residential that provides rehabilitative or habilitative care.

ASAM Level 3.7 is medically monitored intensive inpatient services that provide round-the-clock professional evaluation, observation, monitoring and treatment for people whose substance use disorders are complicated by biomedical, emotional, behavioral or cognitive problems.

Levels 3.1 and 3.5 are residential treatment programs in which clients are not in hospital beds, but receive intensive counseling and rehabilitation services from licensed substance use disorder counselors, psychologists, physicians, nurses or other qualified personnel.

Residential treatment programs are designed to support clients as they move from a substance use disorder to independent living and can serve as a transition from detoxification or hospitalization to outpatient care or other levels of care.

Short-Term vs Long-Term Residential Programs

Long-term residential care often lasts six months or longer for some patients. Patients will find that long-term treatment allows them to work on issues such as underlying trauma and co-occurring mental disorders.

Patients who need help with a substance abuse problem but don't have serious underlying psychological conditions may benefit from short-term residential treatment. They are able to get clean and sober, while also learning the skills they need to maintain that sobriety after leaving the program.

Patients with mental health issues and substance abuse problems may benefit from long-term residential care. They are given plenty of time to focus on their psychological needs, as well as their addiction recovery. They are able to learn coping skills that help them manage symptoms of their mental illness. These skills also help them to avoid relapsing after they leave treatment.

Therapeutic Communities

Therapeutic communities are long-term residential programs where people are able to recover from a substance use disorder in a supportive environment. Residents are required to participate in a daily schedule that includes individual and group counseling sessions, work assignments, recreation and other therapeutic activities. Although the duration is usually between six months to one year, some therapeutic communities are significantly longer.

In this approach, patients become the primary agents of change in their recovery, mobilizing their own resources for full rehabilitation. The Therapeutic Community is a specific treatment philosophy that is widely practiced. It includes an emphasis on social learning theory, which suggests that people are influenced by modeling behaviors that they see others exhibiting. It also uses cognitive behavior modification techniques, and relies heavily upon peer support.

The community in the TC model is composed of a group of patients who live together during treatment. The staff plays the role of facilitators and teachers for the members who seek to learn new ways of coping with problems. Staff may also be in recovery themselves and act as mentors or sponsors.

A therapeutic community is a treatment environment in which participants support each other in recovering from drug addiction by sharing personal experiences and learning from one another. TCs use the program's entire community to promote positive change, with peer pressure and social support helping to initiate and maintain behavior changes.

What Residential Treatment Includes

Counseling in residential rehab can be individual and group therapy. Many people benefit from having more time for counseling than they may get during other types of treatment. The counselors help you to find out what your triggers are, so that you can avoid them or prepare for them. This is also a chance for you to learn how to cope with cravings and other urges.

Some programs include family counseling as well. Family members may feel lost when a loved one goes into treatment. They might feel that they have done something wrong or don't know how to help. But the right kind of therapy can help them deal with their emotions and make sure everyone is working toward the same goal: sobriety.

Most programs also include group therapy. This is a good way to meet others who are going through similar situations and learn from each other's experiences. Group counseling may be led by a therapist or counselor or it could be peer-led.

A typical day in residential care might include:

• Individual and group counseling
• Family education
• Support meetings for addiction recovery (e.g., Alcoholics Anonymous or Narcotics Anonymous)
• Vocational and educational support

Treatment for co-occurring mental health disorders is essential to achieving sobriety and maintaining it. If you suffer from both substance abuse and mental health problems, you should seek out dual diagnosis treatment so that all of your issues can be addressed simultaneously instead of being treated separately.

Rules and Daily Structure in a Residential Program

Residents follow a fixed daily schedule that includes a variety of activities designed to promote learning, growth, and development. These may include individual or group counseling sessions; life-skills training; group meetings, where residents discuss their problems, fears, hopes, and progress with others who are facing similar challenges; drug education classes; and recreational or social activities.

Residential rehab programs have rules that residents must follow. The rules are designed to ensure your safety and the safety of others as well as create a structured environment for healing. Rules may vary depending on the type of program you enter, but there are some basic rules most residential programs will require you to follow:

• You cannot leave the facility without permission.
• You must stay sober throughout your treatment, including abstaining from all drugs and alcohol.
• You cannot possess any contraband items.
• You must attend counseling sessions as scheduled.
• You must keep your room clean and organized.
• You must participate in recreational activities as requested.

Daily life in residential rehab is structured around scheduled counseling sessions, meals, and recreational activities. In most programs, all meals are provided.

In some cases, residents are allowed to leave the facility for scheduled visits with family members or friends during off-hours but must return before curfew.

The treatment programs are often based on the principles of cognitive-behavioral therapy. During these therapies you will learn about:

• The relationship between thoughts, feelings, behaviors, and substance use
• Ways to recognize and change your own thought patterns and behaviors
• Strategies for coping with and reducing stress
• How to manage difficult situations without using drugs or alcohol

Family Involvement During a Residential Stay

Family members can take part during a patient's stay at a residential rehab center. This may include:

• Family counseling sessions
• Regular family updates from staff
• Participation in family therapy groups and educational classes
• Family visits (some programs are open to family visits; others require a formal visitation schedule)

Family involvement with the resident's care is encouraged by staff whenever possible and appropriate. Families are an important part of recovery and are also a valuable resource for information that will assist in developing the client's treatment plan. Family counseling and educational sessions are available during the length of stay to further enhance family functioning and support the resident's recovery process.

Families and significant others can help residents remain motivated by encouraging them, supporting them, or offering rewards for positive progress.

Programs for Pregnant Women and Women With Children

Gender-specific treatment programs can be particularly effective for women who have children, because many women enter drug treatment to protect themselves and their children from drug use-related risks.

Some programs serve only women with children, while others have separate program components for women and their children.

Treatment programs that serve pregnant women and women with children often provide the following services:

• Parenting courses for women who are pregnant or have young children
• Childcare or referral to childcare
• Case management
• Assistance in obtaining housing and transportation
• Medical care
• Family therapy and couples counseling, including relationship violence education and prevention

All pregnant women in treatment need specific prenatal care such as pregnancy counseling; drug and alcohol abuse education, including the effects of substance use during pregnancy on the fetus; appropriate referrals for prenatal care and transportation assistance to these appointments; information on breastfeeding and infant care and feeding techniques; and support services.

Paying for Residential Rehab in Pennsylvania

If you are covered by private insurance, Medicare, Medicaid, or Tricare, you may also be able to have some of the cost of residential treatment paid for. Your coverage will depend on a number of factors including the type of plan and provider you have as well as the extent of care required.

Other ways you can pay for treatment include using a payment plan, or getting financial assistance from local and state agencies.

Leaving Residential Treatment: Halfway Houses and Recovery Housing

After residential care, some people move into halfway houses or recovery housing, which offer a transition from the structure and support of inpatient care to independent living. The level of structure is less than that provided in inpatient or residential treatment.

Halfway houses are a type of residential treatment that combines aspects of inpatient care with the freedom that comes from living outside of an institution. The goal is to ease individuals back into mainstream society while giving them the help they need to stay sober. The services typically provided at halfway houses include life-skills training, vocational support, and 12-step programs. Many residents also take part in individual or group counseling.

Halfway houses are facilities licensed by the state as 3.1 level of care residential programs, which provide services within community settings and serve as a transition between an institutional setting and home. Halfway houses typically require clients to attend self-help meetings, work, and outpatient treatment, such as individual therapy, group counseling, or intensive outpatient programming.

Recovery housing offers a place for people recovering from alcohol and drug problems to live.

In Pennsylvania, licensed drug and alcohol recovery homes must meet standards set by state law and regulations and provide residents with a safe, supportive living environment that supports their recovery.

How to Choose a Residential Program

When choosing a residential program, ask about:

• Treatment approach: Does the facility address both drug abuse and any associated medical, psychological, social, vocational and legal problems?
• Credentials: What is the experience of the treatment staff? Is it accredited by an independent review board?
• Length of stay: What is the appropriate length of stay for this particular program?
• Family and other support groups: Does the facility encourage family involvement in treatment? Will the staff work with me to involve my family?
• Aftercare support: Will I be offered follow-up care after I leave this program?

When looking for inpatient treatment, be sure to check that the program uses evidence-based practices. Evidence-based practices are techniques backed by research showing they work best. Find more information on these programs and providers in Pennsylvania at the Treatment Atlas.

Levels of care may vary. Look for programs using evidence-based practices. Ask how long each level of care lasts. It's important to know that a person may need to move between levels of care as recovery progresses.

A complete assessment can determine whether inpatient or outpatient treatment is needed.

Residential rehab by Pennsylvania city

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