Therapeutic stages of drug addiction treatment
1. Treatment of withdrawal symptoms
2. Full residence centers, divided into:
§ Private Department Hospital
§ Therapeutic community (principle)
A religious therapeutic community
§ Dar recovering implements the 12-step program
3. Intensive/normal outpatient clinic
4. Support groups, the most important of which are the 12-step groups
5. Alternatives: methadone and buprenorphine
6. The capsule (rivea)
First: Treating withdrawal symptoms
Treatment of withdrawal symptoms is the first stage of addiction treatment and is done at the beginning of treatment, which is important and essential but not sufficient. It is only a stage of withdrawal of the drug from the body. The duration of treatment of withdrawal symptoms ranges between 5 to 10 days for heroin, banjo and hashish, the treatment period is five days. Treatment is required for a longer period of about ten days with the presence of medical attention due to the seriousness of the withdrawal symptoms of the two substances.
Second: full residence centers
§ Private Department Hospital
Accommodation in psychiatric hospitals must be in a special department to work on the stages of addiction treatment. It is not useful for the addict to stay with other psychiatric patients. The treatment is effective in the case of different therapeutic activities and not only drug treatment, and these activities must be practiced daily, for times and types. Suitable and includes:
Treatment groups led by therapists trained in group therapy
Individual sessions
Cognitive behavioral therapy program (relapse prevention)
Occupational Therapy / Sports Therapy / Art Therapy / Hair Therapy
§ Therapeutic community (principle)
It is a place of full residence for the addict who spends a long period of treatment up to 12 months, which depends on the existence of a specific principle such as the principle of the onion, which means that the person is like an onion, he continues to raise the outer layers of his personality and allows others to enter into the depths and know him as he is. Basic as it depends on the treatment of violent confrontation groups. In order to call the place a therapeutic community, the daily program must contain therapeutic activities for a period of 6-8 hours per day.
A religious therapeutic community
It is also a place of full residence for the addict and the program lasts for a long period of 12 months. It is a religious program based on religious studies and preaching with work periods. The daily program must contain therapeutic activities for a period of 6-8 hours per day, this therapeutic community does not apply the 12-step program But it may encourage clients to attend the 12-step groups outside the therapeutic community.
§ Dar recovering implements the 12-step program
It is a place with full board that applies the 12-step program. The daily program also contains treatment activities of 6-8 hours per day. The work is carried out by a treatment team of recovering addicts and professionals, and the optimal ratio is 60-80% of recovered addicts and 20-40% of professionals. It is recommended that The authority is divided between them and this form achieves the greatest results in recovery. The addicts apply the 12-step program inside this place with the presence of a supervisor responsible for following up on the addict during treatment and assisting him in implementing the steps. This supervisor must be a recovering addict who has applied the steps before, and the duration of stay in This program is from 3 to 6 months.
Sometimes the steps are applied from a Christian or Islamic religious perspective, in which the superpower is defined according to each religion.
The 12-step program is one of the most effective and continuation of the 12-step groups provides long-term follow-up and a healthy new community for the recovering addict.
There are also several elements that must be available in the therapeutic places to raise the results of recovery, as stated in a study conducted by the scientist (Moos), which are as follows:
1. Program clarity
2. Support and care
3. Integration (not to be bored) The program should be lively and attractive
4. Caring for personal problems such as relationship concerns / sexual problems
5. Practical problems and assistance in joining a job or study and judicial problems….and so on
6. Order and hygiene
7. Employees control the progress of the program, but without notifying customers of control
8. Automatic
9. Independence
10. Expressing anger
Third: Intensive / regular outpatient clinics
Intensive outpatient clinics are places where the addict receives services during the day and does not require accommodation. Intensive care requires the addict to spend 8 hours per day in the outpatient clinic for 3-6 days per week, and during these hours the therapeutic activities are practiced between individual sessions / treatment groups / relapse prevention classes
Studies have also proven that individual sessions that apply long-term relapse prevention lessons bring recovery results of 28.9% if preceded by a full stay in a therapeutic place for a month.
If you combine it with the 12-step program, you will get 62% recovery results.
The 12-step alone program achieves 49% recovery results.
Regular outpatient clinics practice the same activities, but the addict only needs to be present 2-3 times a week
Outpatient clinics are suitable in the phase of abuse or simple addiction or follow-up, while full-fledged centers achieve the greatest results for moderate and severe addiction.
According to the DARP study, which was applied to 44,000 addicts:
Therapeutic communities are effective as an important addition to other programs, and alternative therapy is effective, but with conditions.
Fourth: Support groups, the most important of which are the 12-step groups
One of the treatment methods is for the addict to attend the 12-step groups and implement the program without residing in a therapeutic community, but he recovers only by attending the groups and applying the program with the presence of a supervisor who helps him in implementing the steps and the 12-step program. He can practice the steps with the client, but he can facilitate the matter for him so that he can attend the meetings, by introducing him to the application of the 12-step program.
Studies have proven the results of recovery when applying the 12-step program as follows:
10% of those who attended the 12-step groups abstained from long-term use
50% of those who attended the groups were continuously present for a year and abstained from drug use for a period of 5-7 years
85% of those who attended the groups for 3 years continue to cancel
Fifthly: methadone
It is a narcotic and is used as an alternative to heroin, but if it is taken with psychological counseling and then transferred to other treatments, this is useful and vice versa if only methadone is used, this is not considered an effective treatment
Sixth: the capsule (rivea)
It is a capsule placed under the skin that makes the addict do not feel any euphoria when using and does not have any effect as a result of drug abuse, but one of the dangers of using the capsule is that the addict takes a large amount in order to obtain an effect and is exposed to an increase in the dose, which may lead to death.
