When you or your loved one make the brave decision to seek drug and alcohol addiction recovery treatment, it’s essential to find the right treatment. While it may seem like an easy task, it is quite challenging to determine the level of care you need. There are a variety of options when it comes to levels of care in substance abuse treatment. Each facility may offer an assortment of levels or even just one level of care.
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Addiction Levels of Care Options
Treatment
Levels of Care
It is important to distinguish between general levels of care in addiction and alcoholism treatment and standard levels of care outlined by the American Society of Addiction Medicine (ASAM). ASAM has established these Levels of Care to help a person find the right treatment. These care levels are based upon length and severity of substance use, the number of times someone has received recovery treatment, and whether there is treatment at the facility for mental health disorders.
According to ASAM, the levels of care were developed with the following principles in mind:
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1. Needs
2. Obstacles
3. Liabilities
4. Strengths
5. Assets
6. Resources
7. Support Structure
With the integration of these aspects, care is administered across a continuum. Clinicians using the ASAM Criteria conduct a thorough assessment sometimes called a bio-psycho-soc. This means that the plan of action will be based on biological, psychological, and social needs to increase the likelihood of continued recovery.
The levels of care include early intervention and four broader levels of clinical care. These are categorized so one understands what is most beneficial for their needs. The following are the ASAM level of care categories:
1. Level 0.5: Early Intervention Services
2. Level 1: Outpatient Services
3. Level 2: Intensive Outpatient/Partial Hospitalization Services
4. Level 3: Residential/Inpatient Services
5. Level 4: Medically Managed Intensive Inpatient Services
While the above levels of care are the broad categories utilized by drug and alcohol addiction treatment centers worldwide, many identify care levels in an even more general manner. The three general levels of care are detox, inpatient rehab, and outpatient rehab.
Addiction Treatment Levels of Care
Understanding the differences in care levels is the first step in determining the right treatment facility and treatment plan. For many, a comprehensive treatment plan begins with a medically supervised detoxification, followed by residential treatment, a partial hospitalization program, an intensive outpatient program, and finally, outpatient counseling/therapy.
Drug Detox and Alcohol Detox
The starting point for many people’s recovery is detox. It is a supervised environment in a residential facility where an individual is monitored while stopping drug and alcohol use. During detox, there is access to 24-hour clinical care and therapy, performed mainly on a one-on-one basis with an addiction therapist.
Detox will focus on the body’s well-being by monitoring reactions to the absence of drugs. Within this structured environment, medical professionals and therapists oversee treatment, paying particular attention to any acute withdrawal symptoms. Massage, acupuncture, and medication may be included, depending on a person’s needs, treatment plan, and what substance they have been using.
Everyone experiences withdrawal symptoms differently. Withdrawal may be extremely uncomfortable and can be life-threatening without proper medical attention. By ensuring a safe environment and providing comfort and accountability, the inpatient detox setting offers a person the best chance to succeed in their recovery.
Inpatient Rehab
Detox is often followed by inpatient rehab. Once someone has safely detoxed and made it through the worst of the withdrawal symptoms, they can be transitioned to a residential care level. Residential programs offer a continuation of the therapy that begins in detox, including one on one therapy, group therapy, activities, and support groups such as AA or NA.
By creating separation from the pressures of home life, work, and friends or family, residential care is an opportunity to focus entirely on building a recovery foundation. Providing a stable environment in which one can thrive in their recovery journey is a primary inpatient rehab goal.
Outpatient Rehab
Following inpatient treatment, outpatient treatment is next in the continuum of care. Partial Hospitalization Programs (PHP) offer multiple group therapy sessions per day, led by therapists and caseworkers who specialize in addiction. During this time, people will continue their one-on-one sessions with a therapist. Due to the number of groups and sessions, many programs will offer housing for clients. Behavioral health technicians supervise clients and assist them with tasks like grocery shopping and getting a haircut.
Intensive Outpatient Programs (IOP) are a continuation of the groups and therapy at the PHP level of care. People live at home or in a halfway house (sober living) and return to work or school at this point in recovery. One’s time will be split between treatment and home life. IOP is an excellent transition to re-engage in life activities while continuing to focus on healing with the support of addiction professionals.
Continuum of Care
The value of following a continuum of care is immeasurable. Evidence-based treatment programs have repeatedly proven that following these care levels is beneficial to getting and remaining sober. Each person has different needs and may not follow the same linear path; however, by being an active participant in their recovery, they will follow the best path for them as an individual.
At Dignity Healing, we are best-in-class drug detox and alcohol detox in a residential setting. Our treatment facility and professional staff will help find the right treatment option for you. Our patients find that living in our comfortable, luxurious facility allows them to focus entirely on getting sober in a safe way.
Are you or a loved one ready to stop substance abuse once and for all? We are here for you. Call (844) 978-1524
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Medical Disclaimer: Dignity Healing uses fact-based content about recovery treatment, addiction medicine, and behavioral health conditions in order to improve the quality of life for those struggling with drug and alcohol addiction or mental health disorders. While the information provided is researched and reviewed by licensed medical professionals, it is not intended to replace professional medical guidance, diagnosis, care, or treatment. This information should not be used as a substitute for advice from a qualified healthcare provider and/or your physician.
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