Inpatient programs vary in length of stay, amenities and philosophy. A typical stay in a program like this varies from facility to facility, but holds the same basic principle; removal from your triggers and time to concentrate on your recovery. Evidence shows that most individuals with chronic and late stage addictions seeking treatment see the most success after a stay in an inpatient or residential program.
Families operate as a system, no matter how functional or dysfunctional that may be perceived to be. Each family member has a role. It is not necessarily an assigned role, it is often an assumed role based off of learned actions and reactions. Families which have one or more members who suffer from addiction will most likely find the entire system to be organized by the disease. When someone is suffering from addiction it is often the family members who notice and experience the consequences first before the actual person does. The consequences felt by others are real; they are not perceived and therefore in an effort to adapt family members begin to change their role to lessen the consequences they experience. Change is slow, especially for the one suffering from the disease, so as a result the family balance begins to shift. Think of it as a baby’s mobile above a crib, not all the toys hanging from the mobile hold the same weight yet it hangs in the balance in its own unique way. What this looks like in real life is a family which is trying to increase consistency and structure in a system which is becoming more and more unpredictable and chaotic.
This manifestation of specific roles is not always noticeable while it is happening; incremental change is hard to see while it is happening. A common way a family comes to realize this shift is once the family member suffering from addiction decides to start on the road to recovery. They may go off to treatment and be ready to work a program only to come back to their family and realize the new role they want is not conducive to how the family system was functioning before. A similar example is a veteran who returns home from war and has trouble reintegrating into their family and society. The family and the individual do not always know how to adjust, even if the desire to change is positive. Claudia Black Ph.D. has taken the work of Virginia Satir on family roles and adapted it to the addictive family. People do not always fall into one category or another cleanly; sometimes family members take on different roles for different situations. Where do you see yourself fitting into these categories and what implications can you draw from them?
FAMILY HERO (RESPONSIBLE ONE)
3. Leadership Skills
2. Difficulty Listening
3. Inability to Follow
4. Inability to Relax
5. Lack of Spontaneity
7. Unwilling to Ask for Help
8. High Fear of Mistakes
9. Need to be in Control
PLACATER (PEOPLE PLEASER)
3. Good Listener
4. Sensitive to Others
5. Gives Well
1. Inability to Receive
2. Denies Personal Needs
3. High Tolerance for Inappropriate Behavior
4. Strong Fear of Anger or Conflict
5. False Guilt
7. Highly Fearful
SCAPEGOAT (ACTING OUT ONE)
2. Less Denial, Greater Honesty
3. Sense of Humor
4. Close to Own Feelings
5. Ability to Lead
1. Inappropriate Expression of Anger
2. Inability to Follow Direction
6. Social Problems at Young Age
LOST CHILD (ADJUSTER)
3. Ability to Follow
4. Easy Going Attitude
1. Unable to Initiate
3. Fearful of Making Decisions
4. Lack of Direction
5. Ignored, Forgotten
6. Follows Without Questioning
7. Difficulty Perceiving Choices and Options
1. Sense of Humor
3. Able to Relieve Stress and Pain
1. Attention Seeker
4. Difficulty Focusing
5. Poor Decision Making Ability
As mentioned, roles are assigned and assumed based off of learned behavior in the past. It is important to understand how roles can be restricting in our life. The label alone has implications for how someone is perceived by others and in turn views themselves. There isn’t a specific role which someone should strive to be, each role has strengths and deficits. It is more beneficial to be self-aware of our own strengths and shortcomings so we can attempt to use the information to maximize the positives and minimize the negatives in our day to day life. The disease of addiction affects the whole family, there are some things one can control and there are others that one cannot. If you are a loved one of someone who suffers from addiction consider reaching out to a 12-step fellowship near you such as Al-Anon or Families Anonymous:
You may also be interested in reading: Addiction in the Family: The Roles We Play
Written by: New Hope Recovery Center
"The Art of Recovery” by Roger Moy is a wonderful book showcasing the important contributions that art therapy makes towards a client’s recovery program. Moy’s book gives the reader a snapshot of the important work that’s done in treatment like at New Hope Recovery Center where we have found art therapy to be a wonderful addition to our holistic approach to addiction treatment – mind, body and spirit. Art therapy encourages self-expression, self-discovery and emotional growth and is a wonderful adjunct approach to the treatment of addiction. Individuals are encouraged to visualize, and then create, the thoughts and emotions that they cannot talk about in a traditional therapeutic setting.
Jeff Zacharias, LCSW, CAADC, BRI-I, CSAT Candidate President – Clinical Director New Hope Recovery Center
Finding the right drug and alcohol treatment center can be overwhelming with all the different types of programs available. With so many terms, acronyms and levels of care, many are overwhelmed before they even decide on a program. Residential Day Treatment, Partial Hospitalization, Intensive Outpatient, Inpatient are just a few of the more commons ones. The most well known, inpatient and residential is what has become synonymous when people think of “drug and alcohol rehab.”
The main factor with this type of program is that you live under the care of your treatment center. This can be in the form of a hospital like care facility or in the form of a less structured sober living environment. The basic premise is the same though; you are in a structured and sober environment that’s conducive to your recovery. These facilities vary in length of stay, amenities and philosophy. A typical stay in a program like this varies from facility to facility, but holds the same basic principle; removal from your triggers and time to concentrate on your recovery. Evidence shows that most individuals with chronic and late stage addictions seeking treatment see the most success after a stay in an inpatient or residential program.
Though these programs differ, most will consist of group therapy, individual therapy and group inclusion activities; regardless of the facility. Residential facilities come in many different shapes and sizes, but all exist for the sole purpose of helping someone get sober. Most people who have completed a residential stay will tell you that if it wasn’t for a treatment program, they would not be sober today. If you’re looking for a structured, safe and secure way to get sober, residential treatment is always a reliable way to do it. Checking yourself into a residential treatment program can be difficult, frightening and hard to do, but the reward is always greater than the risk. The hardest part about treatment is the initial phone call. The sooner someone takes the step, the sooner they are on the path to recovery and living a life free of drugs and alcohol.
If you think you have a problem, residential treatment is one of the best ways to get the help you need. If you or someone you know is looking for some type of treatment, call a treatment center and learn more about their services. Most residential programs can answer any questions you may have about treatment and can help relieve some of the anxiety of the unknown over a phone. While residential treatment is not the only form of help for someone suffering from addiction, it is never a bad place to start the journey of recovery. New Hope Recovery Center is happy to answer any questions over the phone, in person, or via email. Contact us today!
Want to read more about Residential Treatment? Check out these related articles:
Written by: New Hope Recovery Center
The reason for having health insurance is to alleviate the large financial burden when dealing with any type of illness. However, insurance providers are not forthcoming with all the information related to an individual with chemical dependency or substance abuse treatment needs. Insurance providers claim there are no “limits” on benefits for rehab, but all benefits are based on medical necessity. What often goes unstated, is the insurance provider is the sole entity determining what constitutes to be medically necessary.
With the onset of managed care, insurance providers are less willing to cover the costs of the traditional 28-day inpatient rehab. Insurance providers operate with the belief that if substance abuse or alcoholism can be detected in the early stages, it’s better for all parties - the client doesn't get into the late stages of addiction and the insurance provider doesn't have to pay out for medical consequences and potentially long stays in rehab. Instead, insurance providers are opting to pay for other levels of care including brief interventions, outpatient treatment, educational sessions and individual therapy sessions.
The length of stay for someone seeking chemical dependency or substance abuse treatment is now averaging approximately 10-18 days of inpatient rehab before requiring the client to “step-down” to a lower level of care. Often, Intensive Outpatient treatment benefits are easier to obtain, but may also be restricted by the insurance provider based on medical necessity. Unfortunately, this is forcing clients to fast forward through crucial steps in the recovery process in order to avoid accruing large medical bills. We understand this is not fair.
Since these changes with managed care, New Hope Recovery Center and many other treatment programs have had to alter its method of billing and treatment planning. New Hope Recovery Center bills for Partial Hospitalization 5 days a week for as long as the managed care/insurance company will allow, which is generally 10-18 days. We then step the client down to our Intensive Outpatient Program which is 4 to 5 days per week. Once the client has successfully completed Intensive Outpatient treatment, they transition into our Aftercare program. Aftercare meets once per week for an hour. Aftercare usually doesn't need pre-certification and most insurance providers will continue to pay for Aftercare for approximately 5 months.
Evidence based practices have confirmed that the longer a client is in treatment and connected to the sober community, the better their chances at achieving long term sobriety. Even though insurance companies won’t provide 28 days of inpatient rehab, there are many treatment centers that will work with their clients to use their benefits effectively and make sure they get the most out of their experience.
The best way to approach the financial responsibility of treatment is to be informed. Helpful tips:
- Call your insurance company prior to calling a treatment center
- Ask about your substance abuse/chemical dependency coverage (often it is coupled with "mental health" benefits)
- Inquire about whether pre-certification is required
- Find out what treatment centers in your area are in-network with your insurance company
- Call the in-network treatment centers and talk to the finance/billing department and ask them what they do when coverage is no longer approved and how much the treatment center bills per day for inpatient
There are many different treatment centers and substance abuse professionals, being informed will help you decide which treatment center is right for you. If you or a loved one is suffering from alcoholism or other addictions, call New Hope Recovery Center (773.883.3916) and we will help guide you as you take your first steps towards recovery.
Written By: New Hope Recovery Center
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