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Alcohol Abuse Treatment - Inpatient or Out-Patient?

It is difficult to make a decision to continuity of program, staff, and
seek treatment for alcohol abuse, facility.
dependency, or addiction. But having made The drawback is that the client isn't
that choice it becomes even more isolated or protected from their usual
confusing when seeking an appropriate stresses and temptations. But is this
type of program. Essentially the first really a negative point?
decision comes down to opting for either Nearly anyone can modify a behavior in a
Inpatient or Out-Patient. controlled environment for a short period
First consider In-Patient, commonly of time. People do lose weight at spas;
referred to as "Residential." Generally they get into shape at camps; they quit
these programs run from 30 to 90 days at drinking in rehab. But they almost always
an average cost of $1000/day, though some return to their old patterns when they
may run three or four times that amount. return to their usual lives and problems,
Usually the client is confined to a people and jobs, neighborhoods and
facility, shielded from outside families. All that has changed is that
pressures, assessed, counseled, and they've had a very expensive vacation.
released to aftercare which usually The harsh reality is that change takes
consists of weekly groups at a hospital, place within the individual in their
clinic, or other local facility and the usual surroundings, or it doesn't last
mandate "don't drink, attend AA, work for long. That said, Out-Patient
your program." treatment is more effective because it
The benefits are fairly straightforward: works with all of the day-to-day problems
removal from immediate stressers; that must be coped with. It's cheaper,
isolation from temptation; appeasement of and you can always stay at a hotel for
family and employers; time to regroup and awhile if you need to escape long enough
collect one's thoughts; and a period away to clear your head and develop some
from the usual alcoholic fog. plans. It's more inclusive, again because
The drawbacks are equally apparent: it is done within the context of your
expense; disconnection from reality; real life. It's also less prone to
labeling; depression; and re-entry shock labeling you with a permanent diagnosis
which generally leads to relapse within a which may or may not be accurate and is
month or two and a return to old usually demeaning.
behaviors which will now necessitate Finally, modifying behaviors over time is
out-patient services if you can can more apt to result in lasting change. It
afford them either financially or takes time to alter behavior, thirty days
emotionally. to break a habit and a year or more to
Out-patient, on the otherhand, allows the replace the activity. If you want to
client to gradually modify behaviors succeed, expect to give yourself the time
within the ongoing context of their daily you deserve in the most efficient ways
life. It also provides assessment and available.
counseling and followup, but with




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