Rehab Centers in Los Angeles
Rehab centers in Los Angeles such as Matrix Institute offer drug and alcohol rehabilitation for addiction to street, prescription, and designer drugs as well as alcohol. We are fortunate in California to have many options for treatment and Matrix Institute has multiple locations for people diagnosed with substance use disorders. Accepting most insurance and state funding, we believe that any addict or alcoholic seeking treatment can begin their recovery.
- Understanding Modern Drug and Alcohol Addiction
- What Is Outpatient Drug Treatment?
- The Types of Addictions Treated in Outpatient Facilities Rehab Centers in Los Angeles
- The Benefits of Outpatient Drug Treatment for Drug and Alcohol Addiction
- Types of Counseling in Outpatient Drug Treatment
- How Do You Pay For Drug and Alcohol Treatment?
- Learn more about Matrix rehab centers in Los Angeles
Understanding Modern Drug and Alcohol Addiction
Drug abuse, dependency, and addiction continue to be a significant problem in this country. The face of addiction is changing, however, with different drugs rising and dropping in popularity. For instance, there seems to be a new heroin epidemic because people addicted to prescription opioid painkillers are finding it increasingly difficult and expensive to have access to such drugs, therefore turning to the cheaper heroin. The other element of addiction that is changing is public and governmental perception. It is now accepted that addiction is a disease and that it should be treated as such. Furthermore, there is a greater understanding of the prevalence of co-occurring disorders, or comorbidity, of both addiction and mental health problems.
In order to understand the extent of these problems, Substance Abuse and Mental Health Services Administration (SAMHSA) conducts a yearly National Survey on Drug Use and Health (NSDUH). This provides a detailed glimpse of substance use this country, focusing on different variables, such as gender, geographical region, age, ethnic background, and others. One of the short reports that the NSDUH also provides is the Services Offered by Outpatient-Only Opioid Treatment Programs: 2012 report, which looked at opioid treatment programs (OTP) delivering outpatient services, and their effectiveness. From this report, there seems to be a chasm between the types of services provided at the more-medical OTPs and other drug treatment facilities:
“Specifically, a larger proportion of OTP than non-OTP facilities offered opiate detoxification and discharge planning. Although screenings for mental health disorders, mental health assessments, and medications for psychiatric disorders were provided by a smaller proportion of OTP than non-OTP facilities, OTPs provided more educational and testing services for communicable diseases compared to non-OTPs.”
Awareness of Addiction Treatment Options
Unfortunately, it seems that the biggest issue with substance abuse is not the availability of treatment programs, but rather the very low percentage of people who actually use them. Because of this, there is a lot of emphasis on making people aware of the availability of treatment, raising people’s understanding of the dangers of addiction and the help that is out there, and signposting people to the locations that they can go to.
A specific area of focus seems to be on outpatient drug treatment, which breaks through some of the most common barriers (time, cost, location) to people receiving the help they need. An outpatient rehab center offers the same core treatment options as residential centers, such as counseling, detox, and aftercare. In fact, SAMHSA lists both under the same heading in their explanation of treatment options.
“An alternative to inpatient or residential treatment is partial hospitalization or intensive outpatient treatment. After completing partial hospitalization or intensive outpatient treatment, individuals often step down into regular outpatient treatment which meets less frequently and for fewer hours per week to help sustain their recovery.”
There are important differences between residential (inpatient) and outpatient rehab, of course. With a residential treatment, patients are fully removed from their home environment, and from the environment in which their addiction was facilitated. The focus, therefore, is 100% on their recovery. However, while this certainly has important benefits, it also has significant drawbacks:
Drawbacks to Residential Treatment
- It is costly (many facilities in the range of $30,000-50,000 per month).
- It takes a lot of time.
- Returning to a home environment after treatment can be very difficult.
If any of the three above barriers, or another barrier, stands in the way of patients getting the help that they need, then outpatient facilities are available to them.
What Is Outpatient Drug Treatment?
Simply put, it is a treatment through which individuals receive counseling, therapy, and education without having to live at a facility. Outpatient drug treatment facilities follow the same principles of effective treatment as inpatient/residential facilities.
“Because drug abuse and addiction have so many dimensions and disrupt so many aspects of an individual’s life, treatment is not simple. Effective treatment programs typically incorporate many components, each directed to a particular aspect of the illness and its consequences.”
Outpatient drug treatment may use a clinical, behavioral, medical, and/or psychological approach to treatment. The nature of outpatient programs also provides patients with the freedom to continue to meet their personal, social, professional, and/or educational responsibilities. Intensive outpatient programs, or IOPs, do require a significant time commitment, both in terms of time and in willingness to participate. Usually, particularly in the early stages, at least nine hours per week will have to be spent at the center, three hours per day, 3 days per week.
Goals of Outpatient Rehab Centers
Outpatient drug treatment has a number of very specific goals. The first, and most important one, is recovery. Hence, patients learn how to manage life’s stresses and difficulties in a way that does not involve substances. Settings will also strongly encourage harm reduction strategies. Other common goals include:
- To help you become abstinent.
- To help you deal with a variety of psychosocial problems.
- To help you reduce levels of criminal activity and antisocial behavior.
- To help you create a support system that is positive in nature.
- To help you become healthier.
- To make changes in order to have a better personal life.
- To encourage you to be socially productive by improving your ability to attend school and/or work.
- To resolve legal issues, such as child custody
- To deal with psychological and psychiatric problems.
Typical Procedures for Outpatient Addiction Treatment Programs
During intake, a patient is screened by staff, who follow a range of diagnostic criteria as set out by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
“The substance-related disorders encompass 10 separate classes of drugs. […] These 10 classes are not fully distinct. All drugs that are taken in excess have in common direct activation of the brain reward system, which is involved in the reinforcement of behaviors and the production of memories.”
During screening, it will be determined whether you are a good candidate for outpatient drug treatment in one of the rehab centers in Los Angeles. If not, then alternatives will be suggested. Some of the key factors that will be discussed during screening include:
- Your physical condition
- The nature of the abuse problem
- Your psychological functioning
- Your available outside resources and support
- Whether you have been to drug abuse treatment in the past
- Your level of personal motivation
Patients who are classed as candidates for outpatient services will then have to complete various forms and questionnaires, including an intake sheet. They are then assigned their primary counselor.
Orientation is an opportunity to find out how the program works and what its goals are. Conduct rules are discussed, as well as what happens during infractions. Other details, such as opening hours, client rights, and costs are also discussed.
A key element of this type of treatment is the assessment. The goal here is to determine your strengths and weaknesses, which problems you are facing, and what specific needs you might have. Put together, this helps to create an individualized treatment plan. Trained staff assess the condition, determine the nature of the dependency or addiction, and discuss treatment options.
After assessment, a full drug test will be performed. This is a formality, and the results do not influence whether someone will be accepted or not. Rather, it helps to paint a picture of the extent of the problem, and it ensures everyone will be safe. At Matrix, we use drug testing as a clinical tool to give you accountability and to celebrate your abstinence, not for punishment.
Outpatient treatment relies a great deal on group therapy. However, these facilities may also offer:
- Case management
- 24-hour crisis coverage
- Family Education and involvement
- Community-based support groups
- Monitoring of drug use
- Individual therapy
- Employment services and vocational training
- Psycho-educational programming
Group therapy is at the core of these services, however, as this ensures patients are provided with the opportunity to improve their communication skills, while at the same time developing healthy social relationships. This is a very useful form of interaction, because most people with a substance abuse problem only socialize around drugs. Through group therapy, an environment is created whereby everybody supports, helps, and confronts one another. Doing so reinforces that being safe and supportive, and staying away from substances, is the best way forward, and the only way to recover.
Once patients complete their outpatient program, they must remain empowered to stay on the road to recovery. This includes creating an individual support network. At Matrix, we encourage patients to attend Social Support Group for 52 weeks, which is free of charge after finishing treatment. Other helpful treatments for aftercare include:
- Adult education
- Adjunctive therapies (Mindfulness, Meditation, etc.)
- Parent skills training
- Nicotine cessation treatment
- Recreational activities
It is hard to say how long someone has to remain in outpatient drug treatment. This depends on the facility’s philosophy, but more so on the needs of the patient. The Matrix Model IOP treatment is 16 weeks, although others have stayed in treatment for as long as a year or even more. Special programs are available for those involved in the criminal justice system, such as those in Drug Court programs.
The Types of Addictions Treated in Outpatient Facilities Rehab Centers in Los Angeles
According to the National Institute on Drug Abuse (NIDA) there are 28 different classifications of drugs, all of which have the potential to be treated in outpatient rehab centers in Los Angeles.
“Most drugs of abuse can alter a person’s thinking and judgment, leading to health risks, including addiction, drugged driving and infectious disease.”
It is also common for someone enrolled in outpatient services to suffer from more than one addiction, or to have a co-occurring disorder. This makes treatment more challenging, but not impossible.
The Benefits of Outpatient Drug Treatment for Drug and Alcohol Addiction
There are numerous benefits of drug treatment for people suffering from drug or alcohol addiction:
- That it enables patients to continue with their career. Some time will be available, which can be particularly beneficial for those who have been open at work about their problem, or those who run their own business.
- That it enables people to continue to look after their home and family. If someone has young children or are the head of the household, it can be impossible to leave them behind to enter inpatient treatment. In outpatient facilities, people can return home each day. That said, again, it is important to be realistic about both the time commitment and the impact of this type of treatment.
- It ensures people are geographically close to their support network. In some cases, patients have to be removed from the environment in which their drug abuse was facilitated. However, ideally, those who are in recovery will have a strong support network of friends and family members around them. These people will also be vital to ensure that recovery is sustainable.
For Whom Outpatient Drug Treatment Is Not Advisable
While outpatient drug treatment is incredibly convenient, it isn’t for everybody. For the following people, inpatient facilities are the only way to ensure recovery is possible:
- Those with a history of frequent relapse. Some people need inpatient treatment to stay away from drugs and alcohol and truly recover.
- Those living in a destructive, violent, or oppressive home environment. It is often the stress in this type of environment that causes people to turn to drugs in the first place. Hence, remaining in this environment will not be conducive to recovery.
- Those who are a danger to themselves or to others. This can happen with very serious addictions or with those who have co-occurring disorders. People in this situation need emergency help and should call 911 or go to the nearest emergency room.
Types of Counseling in Outpatient Drug Treatment
All addiction programs focus on counseling and therapy. It is during these sessions that patients can really determine what is the underlying cause of their addiction. This means that they will find the source of the problem and treat it there. Three different types of counseling are generally offered in an outpatient treatment center:
- Individual counseling, whereby a recovering patient speaks privately with a trained counselor or therapist, discussing various issues.
- Group counseling, whereby individuals get together with others in a similar situation. This is highly supportive, because patients can learn from peers, as well as become mentors to others. Group sessions can be highly confrontational, but that is often what is needed for people to truly understand the extent of their problem.
- Family counseling, whereby families come together in a supportive, rather than judgmental environment and learn how to rebuild bonds and build bridges. On the one hand, the patient will gain an understanding of how they have affected their loved ones through this and, on the other hand, loved ones can learn how they can better support the patient.
- Family education, which is different from Family counseling, and is an important part of treatment at Matrix. Both the patient and family learn more about the disease of addiction and gain tools to improve communication and relationships.
How Do You Pay For Drug and Alcohol Treatment?
The costs of addiction treatment at drug rehabs in Los Angeles vary more than those in any other kind of healthcare. The price can range from free to $50,000 per month (or more). Many people ask: How can anyone afford addiction treatment? One of the best ways to pay for treatment is to use any available health insurance you may have. Medicaid and Managed Care insurance cover drug and alcohol treatment, but you may have to do some searching. For insurance-based treatment, you want to look for facilities that are in-network with insurance. You will only have deductibles and co-pays if the facility is in-network. Out-of-network facilities come at a higher price and usually only accept patients with PPO plans.
If you or a loved is seeking treatment in the Los Angeles area – the Matrix Institute welcomes your call. We believe we can help you find recovery in one of our outpatient drug treatment programs. We are in network with most insurances and also have state and county funded programs.
Learn more about Matrix rehab centers in Los Angeles.