Inpatient detoxification provides 24-hour supervision, observation, and support for Guests who are intoxicated or experiencing withdrawal. Since this level of care is relatively more restrictive and more costly than a residential treatment option, the treatment mission in this setting should be clearly focused and limited in scope. Primary emphasis is placed on ensuring that the Guest is medically stable (including the initiation and tapering of medications used for the treatment of substance use withdrawal); assessing for adequate biopsychosocial stability, quickly intervening to establish this adequately; and facilitating effective linkage to and engagement in other appropriate inpatient and outpatient services. The detoxification program is not designed to resolve the long-standing psychological, social, and behavioral problems associated with alcohol and drug abuse.
Inpatient settings provide medically managed intensive inpatient detoxification. At this level of care, physicians are available 24 hours per day by telephone. A physician will be available to assess the Guest within 24 hours of admission (or sooner, if medically necessary) and will be available to provide onsite monitoring of care and further evaluation daily. An RN or another qualified nursing specialist will be present to administer an initial assessment. A nurse will be responsible for overseeing the monitoring of the Guest’s progress and medication administration on an hourly basis if needed. Appropriately licensed and credentialed staff will be available to administer medications in accordance with physician orders.
Not all persons who have ingested intoxicating substances need medical detoxification. Preliminary screening by a substance abuse professional is necessary. Preliminary screening involves a brief review of a person’s presenting problem, medical status, previous behavioral health services to determine the person’s eligibility for substance abuse services and the level of services required. The gathering of initial information to be used in determining a person’s need for assessment or for a referral.
Evaluation entails testing for the presence of substances of abuse in the bloodstream, measuring their concentration, and screening for co-occurring mental and physical conditions. The evaluation also includes a comprehensive assessment of the Guest’s medical and psychological conditions and social situation to help determine the appropriate level of treatment following detoxification. Essentially, the evaluation serves as the basis for the initial substance abuse treatment plan once the Guest has been withdrawn successfully.
Stabilization includes the medical and psychosocial processes of assisting the Guest through acute intoxication and withdrawal to the attainment of a medically stable, fully supported, substance-free state. Stabilization services shall be provided as an initial phase of detoxification.
This often is done with the assistance of medications, though in some approaches to detoxification no medication is used. Stabilization includes familiarizing Guests with what to expect in the treatment milieu and their role in treatment and recovery. During this time practitioners also seek the involvement of the Guest’s family, employers, and other significant people when appropriate and with the release of confidentiality.
Fostering the Guest’s entry into treatment/supportive counseling involves preparing the Guest for entry into substance abuse treatment by stressing the importance of following through with the complete substance abuse treatment continuum of care. For Guests who have demonstrated a pattern of completing detoxification services and then failing to engage in substance abuse treatment, a written treatment contract may encourage entrance into a continuum of substance abuse treatment and care. This contract, which is not legally binding, is voluntarily signed by Guests when they are stable enough to do so at the beginning of treatment. In it, the Guest agrees to participate in a continuing care plan, with details and contacts established prior to the completion of detoxification.
All three components (evaluation, stabilization, and fostering a Guest’s entry into treatment) involve treating the Guest with compassion and understanding. Guests undergoing detoxification need to know that someone cares about them, respects them as individuals, and has hope for their future. Actions taken during detoxification will demonstrate to the Guest that the provider’s recommendations can be trusted and followed.
The POSR Guests participate in supportive counseling daily unless the individual is not sufficiently stable. Supportive counseling sessions are offered daily and enable staff to make reasonable decisions regarding the individual’s need for other services. Services are directed toward ensuring that the individual’s most immediate needs are addressed and encouraging the individual to remain engaged in treatment with a seamless accessible continuum of care and to follow up on referrals after discharge.
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The Henslin’s invites you to explore Pearl of the Sea Retreat to see if our unique retreat approach to treatment is right for you or a loved one. To learn more, give us a call today at 866-962-1907.