Treatment FAQ

continuity of care when it comes to addiction treatment

by Duane Leannon Published 2 years ago Updated 1 year ago
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The continuum of care covers the delivery of healthcare over a period of time. Another term for continuum of care in the addiction treatment or behavioral health space is what is called a “Recovery-Oriented System of Care” (ROSC).

Full Answer

What is continuum of care in addiction treatment?

This term refers to the various components of the addiction treatment process. In fact, the continuum of care concept promotes an integrated system of care that guides and tracks patients over time through a comprehensive variety of health services spanning all levels of intensity of care.

Are substance use disorder patients engaged in continuing care?

Continuity of care practices and substance use disorder patients' engagement in continuing care Continuity of care practices predicted engagement in continuing care only for patients treated in outpatient SUD programs. More research is needed to identify effective continuity of care practices for patients treated in inpatient/residential programs.

What is continuity of care?

Traditionally, continuity of care is idealized in the patient's experience of a 'continuous caring relationship' with an identified health care professional. For providers in vertically …

Can Collaborative Care help treat substance use disorders?

Mark Duncan, M.D., shares his experience treating patients with substance use disorders in a collaborative care model and shows us that leveraging the strengths of collaborative care for addiction treatment has much promise. —Jürgen Unützer, M.D., M.P.H.

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What are the four steps involved in recovery from addiction?

The four stages of treatment are:Treatment initiation.Early abstinence.Maintaining abstinence.Advanced recovery.

What are the five stages in the recovery process?

The five stages of addiction recovery are precontemplation, contemplation, preparation, action and maintenance....Read on to find out more about the various stages.Precontemplation Stage. ... Contemplation Stage. ... Preparation Stage. ... Action Stage. ... Maintenance Stage.

What techniques are used to treat addiction?

Some of the most common forms of modern addiction treatment include behavioral therapies delivered as individual therapy, group therapy, and family therapy.

What is the first step in the treatment process for addiction?

Detoxification is normally the first step in treatment. This involves clearing a substance from the body and limiting withdrawal reactions. In 80 percent of cases, a treatment clinic will use medications to reduce withdrawal symptoms, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

What is the recovery model of care?

The principles of a recovery oriented approach include understanding that each person is different and should be supported to make their own choices, listened to and treated with dignity and respect.

What are the 5 principles of mental health recovery?

However, central to all recovery paradigms are hope, self-determination, self-management, empowerment and advocacy.

What is the most effective treatment for addiction?

According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.

What are three options for drug abuse treatment?

There are many options that have been successful in treating drug addiction, including:behavioral counseling.medication.medical devices and applications used to treat withdrawal symptoms or deliver skills training.evaluation and treatment for co-occurring mental health issues such as depression and anxiety.More items...•

How do you develop a treatment plan for substance abuse?

Treatment plans should consider how substance abuse impacts all aspects of your life, including your mental, physical, social, and financial health....Here are the main elements of a treatment plan.Diagnostic Summary. ... Problem List. ... Goals. ... Objectives. ... Interventions. ... Tracking and Evaluating Progress. ... Planning Long-Term Care.

What is the process of rehabilitation?

Rehabilitation is the process of helping an individual achieve the highest level of function, independence, and quality of life possible. Rehabilitation does not reverse or undo the damage caused by disease or trauma, but rather helps restore the individual to optimal health, functioning, and well-being.

What are the 6 stages of recovery?

According to The Developmental Model of Recovery (DMR) developed by Terence Gorski, there are six stages people go through during recovery: transition, stabilization, early recovery, middle recovery, late recovery, and maintenance.

What to ask when choosing a treatment center?

One of the first things to ask when choosing a treatment center is about their continuum of care after treatment. A successful aftercare program should include things like referral to sober living and transition to an intensive outpatient (IOP) or outpatient program (OP).

How many people relapse after drug treatment?

Due to the chronic nature of drug and alcohol addiction, relapse after treatment, 40 to 60 percent by some estimates, is an unfortunate reality for many people.

When does a discharge coordinator meet with a client?

When a client is transitioning out of treatment, a member of the discharge planning team meets with them about 1 week before they leave the center to complete their aftercare plan. The plan takes into account if they are transitioning to a local IOP/OP program or traveling back home. The discharge coordinator assigned to the case takes direction from the client’s therapist and listens to what their clinical recommendations are for aftercare.

What is continuum of care?

The definition of “Continuum of Care” is: A concept involving a system that guides and tracks patients over time through a comprehensive array of health services spanning all levels and intensity of care. The continuum of care covers the delivery of healthcare over a period of time. Another term for continuum of care in ...

What is a substance use disorder?

Substance use disorder is a disorder defined on a continuum that goes from mild to severe. And every…. Misconceptions about Patient-Centered Care in Addiction Treatment. Patient-centered care is a healthcare approach that is vital in any discussion of ethical and quality healthcare.

How long is rehab?

Whenever anyone thinks of addiction treatment or rehab, especially someone that has never experienced it or has little knowledge or understanding, invariably the thought is that rehab is a 30 day stay in a resort-like atmosphere. Or, perhaps, they picture it as a month in a locked down hospital.

Why do patients need consistent work?

These behaviors need consistent work in order to be overcome and the patient be able to exist and live and react in normal society without automatically escaping through the established destructive pathways of drugs and alcohol or even the many other similarly addictive behaviors such as sex or gambling.

Is longer term treatment better for addiction?

Above any evidence-based research on addiction, the one common agreed upon fact is that longer term treatment equals better results. The longer a patient is engaged in a continuum with addiction treatment professionals the better the sustained recovery outcomes will be for both patient and family.

Is addiction an acute illness?

The issue is that addiction is not an acute illness, rather it is a chronic, progressive, ultimately fatal illness if left untreated. So why does cancer, heart disease, diabetes and a host of other diseases get necessary long-term care while addiction, with its high rate of relapse and mortality, gets 28 days with a graduation ceremony ...

Does insurance cover inpatient rehab?

Even with parity through the Affordable Care Act, some insurance policies won’t cover inpatient rehab and only a very short time for any outpatient treatment.

What is residential treatment?

Inpatient treatment can involve medically monitored treatment and clinically managed treatment. High-level residential treatment is reserved for people with high-level medical needs who might require medication. Medical monitoring refers to the supervision of medical professionals trained to respond to addiction-related conditions and complications.

How many hours of treatment is required for intensive outpatient?

To qualify as intensive outpatient services, one needs to attend nine or more hours of treatment services each week. However, individuals can attend much more than that.

What is medical detox?

Medical detox involves treatment from medical professionals with the goal of getting individuals through the withdrawal phase or stabilizing other medical needs in the early stages of recovery.

How many hours of outpatient care are there?

Outpatient services include fewer than nine hours of treatment each week. Outpatient care is an important step before total independence. Clients can spend the majority of their time each week, tending to life goals and responsibilities. If they face challenges that come with greater independence, they can take those challenges to treatment to assess and address them.

What is the ASAM criteria?

The ASAM Criteria is an important list of factors treatment professionals can use to determine the right level of care for a person in addiction treatment. When someone enters a rehab facility or treatment program, they will go through an intake and assessment process designed to create a personalized treatment plan for their needs and place them in an appropriate level of care.

How long does a residential treatment center last?

Programs can last 28 days, but longer treatment options up to a year are possible. This level of care is appropriate for an individual who has found it difficult to stay clean on their own and needs more intensive treatment. A residential treatment program can include individual or group therapy, peer recovery and MAT.

What is Ascension Recovery Services?

Ascension Recovery Services offers program development services for individuals and hospital systems that are creating substance use disorder treatment programs. One of the main questions that our clients ask is, “Which service should I offer?”

What is an intensive outpatient program?

Intensive outpatient programs (IOPs) are comprised of individual and group therapy, typically for three hours a day for three days a week. This level of care would be appropriate for an individual who has been through residential treatment and would like to continue with treatment as they reintegrate back into daily life. It may also be the first step of care for an individual who did not need residential treatment, e.g. a man or woman who can stop using drugs on their own. They are able to continue with their personal and work responsibilities but need intensive therapy in the beginning. A general outpatient program would be similar to IOP but may require fewer hours a week.

How long does detox last?

Typically, detox will last seven to ten days in a safe environment. An individual may also need Medication Assisted Treatment (MAT) during this time. After, it may be recommended the individual enter a residential treatment program, partial hospitalization program, outpatient program, or sober living.

What is partial hospitalization?

Partial hospitalization programs (PHPs) are also known as day-treatment. An individual will receive treatment for five hours a day, five days a week during this time. PHP is similar to residential treatment; however, the individual will be able to return home at the end of the day. This type of treatment can be appropriate for those who need a high level of care but are not able to enter a full residential treatment.

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