Benefits of Recovery Aftercare Programs

  • 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 – Lighthouse Recovery lighting the way through
  • Lighthouse Recovery 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 rehabilitation 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
  • 24-hour 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 addiction 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”)