Name of the Procedure:

Alcohol and/or Other Drug Treatment Program, Per Hour (H2035)

Common names: Addiction Therapy, Substance Abuse Counseling, Drug Rehabilitation.

Technical/medical terms: Behavioral Health Intervention, Substance Use Disorder Treatment.

Summary

An hourly treatment program designed to help individuals overcome addiction to alcohol and/or other drugs. This involves various therapeutic techniques to address the psychological and behavioral aspects of addiction.

Purpose

Medical Conditions or Problems It Addresses:

• Alcoholism
• Drug addiction
• Substance Use Disorder (SUD)

Goals or Expected Outcomes:

• Achieve and maintain sobriety
• Improve mental and physical health
• Reintegration into daily life without dependency
• Develop coping strategies and life skills

Indications

Specific Symptoms or Conditions:

• Chronic use of alcohol or drugs
• Withdrawal symptoms
• Relapse prevention needs
• Legal or social consequences of substance use

Patient Criteria:

• A diagnosis of a Substance Use Disorder
• Motivation and willingness to participate in treatment
• Medical clearance for ongoing therapy

Preparation

Pre-procedure Instructions:

• Complete an initial assessment by a healthcare professional
• Disclose all medications and supplements currently taken
• Possibly undergo detoxification for severe cases of addiction
• Arrange for a support network (family, friends) for encouragement

Diagnostic Tests or Assessments:

• Substance use history evaluation
• Mental health assessment
• Physical health examination
• Blood and urine tests for substance levels

Procedure Description

Detailed Steps:

1. Intake and Assessment: Comprehensive evaluation of the patient’s medical and psychological history.
2. Individual Therapy: One-on-one sessions with a licensed therapist to address specific needs.
3. Group Therapy: Participation in group sessions for peer support and shared experiences.
4. Educational Sessions: Information on the effects of substances and strategies for coping with triggers.
5. Skill-building Activities: Exercises to improve life skills, such as stress management and communication.

Tools, Equipment, or Technology:

• Therapy rooms
• Audio-visual aids for educational purposes
• Workbooks and handouts

Anesthesia or Sedation:

Not applicable.

Duration

Typically, sessions are conducted on an hourly basis, with the overall duration depending on individual treatment plans and goals. Programs can last from several weeks to several months.

Setting

Typically performed in outpatient clinics, community health centers, or specialized rehabilitation facilities.

Personnel

• Licensed therapists
• Addiction counselors
• Psychiatrists or psychologists
• Social workers

Risks and Complications

Common Risks:

• Emotional distress from discussing personal issues
• Initial increase in cravings or withdrawal symptoms

Rare Risks:

• Severe emotional triggers leading to relapse
• Potential for insufficient support leading to premature discontinuation

Management:

• Continuous monitoring by healthcare professionals
• Adjustments to therapy methods as needed
• Safety plans for managing severe emotional responses

Benefits

Expected Benefits:

• Reduction in substance use
• Improved mental health and emotional stability
• Better relationships and social functioning
• Enhanced life skills and coping strategies

Time Frame for Benefits:

Benefits may start to be realized within a few weeks, with significant improvements over a few months of consistent therapy.

Recovery

Post-procedure Care and Instructions:

• Regular therapy sessions as recommended
• Ongoing participation in support groups (e.g., AA, NA)
• Medication management if prescribed

Expected Recovery Time:

Varies: ongoing support may be required for months to years.

Restrictions or Follow-Up Appointments:

• Abstinence from all substances of abuse
• Regular follow-ups with therapists and healthcare providers

Alternatives

Other Treatment Options:

• Inpatient rehabilitation programs
• Medication-Assisted Treatment (MAT)
• Self-help groups (e.g., 12-step programs)
• Holistic therapies (e.g., acupuncture, yoga)

Pros and Cons of Alternatives:

• Inpatient rehab offers intensive support but is less flexible.
• MAT helps manage withdrawal but involves medications with potential side effects.
• Self-help groups provide peer support but lack professional therapy.
• Holistic therapies can improve overall well-being but may not be sufficient alone.

Patient Experience

During the Procedure:

• Engaging in conversations and therapeutic exercises
• Participation in group discussions
• Learning and practicing new skills

After the Procedure:

• May feel emotional but supported
• Potential for increased motivation and hope
• Pain management usually not required, but emotional support is critical.
• Comfort measures include a supportive and empathetic environment.