Outpatient drug and alcohol detoxification and treatment has generally proven to be more effective than inpatient treatment, but some support at home is needed.
There are similarities between inpatient and outpatient drug and alcohol treatment: both offer detoxification from all substances (alcohol, anesthetics, benzos and opiates); both utilize medication assisted treatment to detox individuals off their substance of choice; both offer group and individual therapy and teach coping and relapse prevention skills. However, the key difference is in outcomes; Outpatient detoxification and treatment delivers much better results relative to inpatient treatment.
Outpatient detoxification and treatment offer multiple advantages for the patient. Firstly, health insurance companies authorize longer length of treatment, and outcomes improve with longer treatment.
In outpatient detoxification/treatment, the patient is able to go back home at the end of each day and apply coping and relapse prevention skills learnt in treatment in a real life environment – they come back to treatment the next day and process it and make adjustments. Family can be more involved in treatment and family interventions bring the patient and their loved ones closer by dissolving conflicts – this also helps to elevate the support the patient receives at home permanently.
Outpatient detoxification/treatment also allows the patient to be in touch with family and work, which lowers the stress for the patient, However, for outpatient detoxification/treatment to be fully effective, the patient would need some level of support at home from family of other loved ones.
While therapy to teach relapse prevention and coping skills happen in an inpatient setting also, the patient gets no real time experience applying these skills. The patient is isolated from their home/living environment and the skills they learn are on a theoretical level and have never been tested in the real world. When patients return home after treatment, they have lost access to their treatment providers and receive no guidance when they are unable to apply the skills learnt while in treatment.
Consequently, relapses are more common after inpatient detoxification/treatment.
Outpatient alcohol treatment in NJ helps patients overcome their addiction to alcohol and they also learn how to identify and avoid triggers. Ambulatory (outpatient) alcohol and drug treatment/rehab programs include detoxification, partial care and intensive outpatient (IOP) services. Detoxification and partial care programs run during the day, while IOP programs typically run in the evening.
Given the above facts, it is easy to see why Ambulatory (Outpatient) Detoxification and other outpatient programs are becoming more common.
Dr. Cidambi is a leader in addiction treatment and innovator of safe and effective ambulatory (outpatient) detoxification level of care for alcohol, benzodiazepines, opiates, and suboxone. Prior to founding the Center for Network Therapy, she completed her residency in Psychiatry at Maimonides Medical Center in Brooklyn and an Addiction Medicine Fellowship at NYU/Bellevue Hospital in New York. Due to the successful detoxification program, Dr. Cidambi was featured frequently by media outlets, including NPR, CBS, NY Times, and Wall Street Journal.