5 Key Things to Look for in a Rehab Center

5 Key Things to Look for in a Rehab Center

Addiction of any kind, be it to alcohol or drugs, is a dreaded affliction. Not only does it tend to destroy the individual who is addicted, but also impacts everyone in his network – friends or family. Many rehab or addiction treatment centers have effective substance abuse treatment programs that can help the individual overcome his/her addiction and restore a semblance of balance and normalcy to their lives.

With the presence of so many rehab facilities and addiction treatment programs, it is often difficult to figure out which one fits the individual’s needs; and one that also increases the chances of staying sober post-treatment. The right program is crucial to entering recovery successfully and maintaining sobriety. SO, it is important to make the right choice.

outpatient drug treatment

Rehab or addiction treatment centers follow a variety of approaches to addiction treatment and their results vary. Sometimes their success may be measured differently. Therefore, before you choose a rehab facility, be cognizant of your strengths and weaknesses and know your needs. You definitely want to choose an addiction treatment center that believes in Medication Assisted Treatment (MAT), because multiple have proven it to be more effective in sustaining sobriety.

In MAT, buprenorphine, naltrexone or methadone is utilized to address withdrawal symptoms and cravings (see suboxone withdrawal) in order to alleviate physical discomfort and enable a person suffering from a substance use disorder to engage in therapy needed to effect lifestyle changes.

To help you, we have listed down five aspects you should consider while choosing a rehab center.

Access from Home

Traditional wisdom held that the addiction treatment facility should be far from the patient’s home so that the patient is removed from the environment that enabled his addiction. It was deemed safer for the individual suffering from addiction, as it removed triggers to substance abuse such as usual haunts, toxic family relationships and enabling friends. The major flaw with this approach is that it treats addiction as a behavioural problem and not as a chronic disease that it is.

In this approach, treatment equals incarceration. Patients are sent away to learn to modify their behaviors in a sterile environment. However, individuals suffering from addiction resent this treatment as they feel they are being punished for being addicted. While other chronic diseases such as diabetes, hypertension and even contagious HIV are treated in an outpatient setting, addiction treatment has remained an exception.

Even today over 95% of detoxification, the most acute phase of addiction treatment, is performed in an inpatient setting. Besides, many people, especially women, hate to be torn away from their home environment in order to access treatment as they feel guilty about abdicating their responsibilities at home. Over the past decade or so, the availability of medications to treat addiction have expanded and MAT has proved effective.

Consequently, Outpatient detoxification, rehab and other treatment should be preferred over inpatient treatment, as it allows the integration of the home environment into treatment and helps to deliver better results. Outpatient or Ambulatory Detoxification has grown in popularity over the years as it has delivered far better results that inpatient detoxification.

Ambulatory detoxification is now offered for all substances of abuse – alcohol, benzodiazepines, opiates, painkillers, suboxone, kratom, anesthetics, ketamine and for poly substance abuse. Unless the patient’s living environment is compromised or the patient suffers from acute medical conditions that require 24-hour monitoring, it is always preferable to choose outpatient detoxification, rehab and other levels of treatment.

Length of Treatment

Addiction has been proven to be a chronic disease, and generally, the longer the length of treatment, the better. As explained below, changes in the brain take years to correct. While treatment usually does not last for a long time, self-help groups are important to maintain sobriety and provide a sense of community and shared values in order to stay on the path to sobriety.

drug rehab nj

A common marker utilized is 90 days of sobriety – after which it is said to become increasingly easier to maintain sobriety. However, the brain changes when a person gets addicted – the brain gets used to a rush of dopamine (the feel good neurotransmitter) due to stimulation from drugs and literally produces less than needed dopamine in response to usual stimuli such as food, sex, hobbies, or games. This change in the brain takes years to correct and individuals recovering from abuse of drugs or alcohol do not feel “normal” for 2-3 years after they stop using.

Having said the above, detoxification, the most acute phase of treatment, is key to putting people on the path to recovery. This is because individual suffering from withdrawal symptoms and cravings need to feel physically stable and comfortable in order to continue to engage in therapeutic treatment to effect lifestyle changes.

Longer length of stay in detoxification assures a much greater level of physical comfort at the end of detoxification, allowing individuals to be physically comfortable enough to engage in other levels of therapeutic treatment. Most inpatient programs offer detoxification for only 5 or 6 days because health insurance companies do not cover that level of treatment after that.

However, health insurance companies allow 12-14 days of stay in Ambulatory or Outpatient detoxification because of lower costs. This is beneficial for the patient, as the medication taper can be much more smoother eliminating the withdrawal symptoms and cravings patients experienced at the beginning of the process.

Approaches to Treatment

Basically there are two approaches to addiction treatment, whether inpatient or outpatient. One utilizes medication to assist with withdrawal symptoms and cravings, and the other is cold turkey with only talk therapy to assist. While the utilization of medication to assist with withdrawal symptoms and cravings was looked down upon as “drug-for-drug” substitution for a long time, it has now become the norm as studies have proved it to be vastly superior in delivering favourable outcomes.

Advances in medication have made a huge difference in addiction treatment. They have provided a useful tool in managing physical symptoms associated with quitting drugs and/or alcohol, enabling the individual suffering from the disease of addiction to become physically comfortable in a relatively short period of time and be able to engage in therapy to effect the lifestyle changes needed to maintain sobriety.

Consequently, it is recommended that medication assisted treatment be chosen over the alternative. The other major option in treatment is to get treated on an inpatient or outpatient basis. This has been discussed previously and we clearly prefer outpatient detoxification and rehab.

Expertise In treatment

rehab clinic

While most of the higher quality facilities offer detoxification and other levels of treatment from all substances, some offer only detoxification from opiates. Since most people who are addicted to drugs or alcohol rarely abuse just one drug, it is preferable to pick a facility that treats addiction to just one substance. Worse is that some facilities without the broader expertise needed to detox individuals off of multiple substances, just detox the individual off of one substance, and completely ignore the abuse of other substances. This can be dangerous as it could lead to negative medical events.

Needless to say, a facility that can deal with the abuse of multiple substances should be preferred over ones that focus on only one substance.

Medical treatment can be expensive and out-of-pocket cost is a major factor. As a rule-of-thumb, addiction treatment facilities that enjoy in-network status with major private health insurance companies offer the most value. This is because treatment for addiction is almost always covered and deductibles and co-pays are the lowest possible.

There are many facilities that accept the same private health insurance but are in an out-of-network status with the same private health insurance companies but they cost more because the health insurance providers cover a smaller portion of the cost of treatment at these facilities. The remaining cost almost always fall on the patient, and adds to the stress.

Consequently, it is better to access treatment at facilities that enjoy in-network status with your health insurance provider.

Why Choose CNT?

Why Choose CNT?

If you have a family member or friend who suffers from addiction or you find yourself trudging down a path of self-destruction and need help, it brings you to the daunting task of identifying the right detoxification center as more often than not, it is the key to effective treatment.

There are numerous detox centers in NJ, but how do you select the right one? Read on to learn more about the Center for Network Therapy (CNT), New Jersey’s very first rehab center licensed to provide outpatient ambulatory detoxification to deal with the abuse of alcohol, benzodiazepines, opiates (like heroin and methadone), anesthetics, stimulants, and suboxone withdrawal.

CNT believes in gaining the trust of each individual and forging a relationship as the path to recovery can be painful and long. But the ability to take action need not be: an individual can gain admission within 12 hours. Each case manager offers individualized support since every case is different.

rehab centers for addicts

Counselors provide one-on-one sessions as well as multiple sessions of group therapy each week. CNT realizes that people suffering from an addiction or substance use disorder can feel lonely and isolated; as such, the involvement of an individual’s family plays a crucial role for the person to feel supported while they recover, as well as helps avoid a relapse.

There are various programs and family therapy sessions designed to help the individual and their family members deal with difficult situations.

Although there are several approaches to addiction treatment, CNT evaluates each individual to identify and draw up a treatment strategy best suited for that person. A team of physicians, nurses, and therapists, led by an ASAM-certified addiction psychiatrist, then administers evidence-based therapies (like the Matrix Model and Motivational Enhancement Therapy) to treat and monitor the progress of individuals.

CNT offers a host of treatment options, including the Partial Care or Partial Hospitalization Program (PHP), the Intensive Outpatient Program (IOP), and the Ambulatory (Outpatient) Detox (Medically Monitored Ambulatory Detoxification – MMAD.)

The duration of a PHP is short-term and requires 20+ hours each week. It involves intensive therapy and programs for those individuals who require treatment for a comorbid psychiatric condition as well as addictive behavior, including substance abuse. Clinicians at CNT offer individual and group therapy in a confidential and secure environment, with a clear focus on recovery and, most importantly, relapse prevention skills. Although medication is prescribed, the patient can go home at the end of each day.

An IOP comprises 9 hours of clinical treatment each week. Patients participate in individual therapy sessions and group therapy spread over 3-5 days during the daytime or in the evenings. As the program does not require hospitalization, patients can undergo outpatient detoxification and, at the same time, continue with their work or study commitments.

Regular meetings are held to enable patients to successfully recover through a 12-step-based program. CNT believes that an IOP bridges the gap between residential treatment and outpatient treatment, offering all the advantages of continuing frequent and regular addiction treatment or therapies. These programs enable patients to return or adjust to their routine without disrupting treatment.

Ambulatory (Outpatient) Detox serves as an alternative and, often, better option to inpatient detoxification programs as it emphasizes the integration of the environment at home into the treatment. CNT has a proven track record of providing outpatient detoxification programs successfully for more than five years. Patients are taught skills that they apply in their daily lives; they participate in sessions and then discuss their successes and failures in implementing the lessons.

outpatient alcohol rehab

If a patient is struggling with a personal issue and feels too self-conscious talking about it in a group session, individual therapy is offered as an alternative. Patients are more relaxed as they can stay in the comfort of their own homes after each session and do not feel isolated from family members and friends.

CNT also admits patients showing symptoms of acute withdrawal. Although medicine-assisted treatment is the best approach for patients suffering from severe addiction, CNT lays equal emphasis on the inclusion and involvement of family and friends to ensure that a patient continues with the therapy after detox.

The doctors at CNT firmly believe that the continuum of care defines the levels of intensity of treatment offered to patients. Before treatment is started, a series of evaluations are done to assess the needs of every patient.

Levels of the continuum of care include medically supervised detoxification programs, IOP, PHP, outpatient services, and aftercare. Apart from PHP and IOP for patients who want to continue treatment at CNT, individuals can gain admission directly to these levels of care as well.

CNT, located at 333 Cedar Ave. (Bldg. B) in Middlesex, NJ is open seven days a week. The friendly and caring staff guarantee patients a pleasant experience whilst undergoing treatment at the facility. CNT provides and administers all medications for detoxification at the facility. Patients are allowed to use their mobile phones and have access to Wi-Fi. Meals, snacks and beverages are also available.

No more hiding behind a veil of shame or anger – or feeling confused about where to seek help. Let the experts at CNT fight with you, by your side, in your battle to achieve sobriety.

Insurance

In-network with:

Aetna
AmeriHealth
Anthem BCBS
Beacon Health Options
Emblem BCBS
GHI
Empire BCBS
Horizon BCBS (EPO, HMO, PPO)
Oscar
QualCare
United Health/Optum/Oxford
Emblem GHI*
Humana*

 

* If the QualCare logo is on the
insurance card