Benefits of Aftercare

  • best results: long continuum of care
  • structure is important over long periods of time
  • should we include statistics for each part of the journey? I.e. leave after inpatient = 5% success rate
  • separate pitch video – scribbly mess of addiction journey – beacon lighting the way through
  • beacon can be dropped in at any moment to provide clarity through the journey

Step 1: Assessment + Plan

  • understanding of the different levels of care (see below)
  • understanding that a continuum of care has a higher success rate than a standalone program
  • unified communication between family/relevant parties
  • initial boundary setting i.e. failure to participate in xyz will leads to xyz
  • empower the family to make decisions and take control back

Step 2: Intervention

  • presenting said plan to the individual
  • boundaries/consequences (can be both positive and negative) are made clear
  • can be done with the help of a licensed interventionist

Step 3: Detoxification (if necessary)

  • creating a separation from existing environment
  • 24hr medically managed care
  • managing and lessening the withdrawal symptoms

Step 4.1: Residential Treatment

  • provide treatment services with onsite living quarters
  • last 1 month to a year or more
  • has programming 7 days a week
  • safe enclosed environment away from the temptation and issues found in everyday life
  • help people that have been unsuccessful in other types of treatment
  • more effective for people with severe SUD than lower level of care
  • round the clock support staff immediately available
  • helps monitor client’s health concerns day to day
  • offers intensive programming that includes group and individual therapy sessions

Step 4.2: Partial Hospitalization

  • also known as day treatment
  • includes 4-8 hours of programming per day but clients live at home or in off-site housing
  • usually 5 days a week but can go to 7 days
  • works well for people with a supportive home environment or that don’t need round the clock on-hand support
  • allows clients to practice skills learned from programming in day to day life
  • great way to transition down from residential treatment
  • more cost effective than residential treatment usually
  • focuses more on life skills and reintegration to real world
  • can allow people to still meet some home or work obligations while in treatment
  • uses both group and individual therapy sessions

Step 4.3: Intensive Outpatient

  • allows for greater flexibility when seeking treatment
  • usually 3 to 5 days a week for 3 hours at a time often in the evenings
  • may still meet most or all home and work obligations while getting help
  • can transition to this level from Residential or Partial Hospitalization in a continuum of care plan
  • sometimes required as a first attempt at treatment by insurance companies before seeking a higher level of care
  • good for people that cannot set aside daily life to go to residential or partial hospitalization
  • focuses on coping mechanisms and life skill integration
  • uses both group and individual therapy sessions

Step 4.4 Supportive Outpatient

  • consists of 2 group meetings a week and over time reduced to one a week and eventually once a month
  • progress based and can last anywhere from 1 month to a year
  • includes individual sessions
  • helps create independence and self-reliance
  • part of continuum of care when stepping down from higher levels
  • one of the lowest levels of care

Step 5: Recovery Housing (can be used in conjunction w/ PHP/IOP/OP)

  • self-esteem
  • stable friends
  • job security and building financial freedom
  • school and/or volunteering
  • life skills: honesty, communication, decision-making
  • scheduling and punctuality
  • continued self-awareness
  • boundary setting
  • positive coping mechanisms in a real world setting
  • help in working to build your own support system
  • day-to-day life sober
  • “bills, laundry, etc.”
  • “life on life’s terms”
  • goal setting
  • possibility of early-intervention / relapse-prevention
  • having fun in sobriety / finding a sense of purpose
  • smoothing out the transitional period out of Residential Treatment (“mind the gap”)

Step 6: Case Management / Monitoring

  • continued support and guidance as you step into the real world
  • contentment and happiness in sobriety
  • “if you’re miserable sober > chances are you’ll start using again”
  • central point of communication
  • finding common ground and setting expectations
  • family empowerment
  • building a continued (long-term) base of sobriety
  • more freedom and flexibility for the individual (w/ still having 3rd party accountability)
  • individual goal setting and verifiable follow-through
  • verifiable action (commitment to sobriety, drug testing, etc)
  • possibility of early-intervention / relapse-prevention
  • smoothing out the transitional period out of Sober Living (“mind the gap”)