Name of the Procedure:

Alcohol and/or Other Drug Treatment Program, Per Diem (H2036)

Common terms: Substance Abuse Treatment, Inpatient Rehab, Residential Drug Treatment Program

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

Summary

This is a structured treatment program designed to help patients with alcohol or drug addiction. The program provides comprehensive care on a daily basis, including medical, psychological, and social interventions to support recovery from substance abuse.

Purpose

Medical Conditions:

• Alcohol Use Disorder
• Substance Use Disorder
• Dual Diagnosis (substance abuse co-occurring with another mental health disorder)

Goals:

• Achieve and maintain abstinence from alcohol and/or drugs
• Improve psychological and emotional health
• Equip patients with coping mechanisms to prevent relapse
• Enhance social functioning and quality of life

Indications

Symptoms/Conditions:

• Chronic or severe substance abuse
• Failed outpatient treatments or frequent relapses
• Co-occurring mental health disorders
• Severe withdrawal symptoms

Patient Criteria:

• Physically and mentally stable for intensive treatment
• Willingness to participate in a structured program
• No immediate medical conditions requiring hospitalization

Preparation

Pre-Procedure Instructions:

• Undergo a thorough medical and psychological evaluation
• Detoxification if required, ensuring the patient is substance-free before starting the program
• Arrange time off work or other commitments, as the program requires full-day participation

Diagnostic Tests:

• Blood tests for liver function and other organ assessments
• Psychiatric assessments
• Substance use history evaluation

Procedure Description

• Step 1: Intake evaluation, including medical, psychological, and social history
• Step 2: Individualized treatment plan development
• Step 3: Daily therapeutic activities, which may include group therapy, individual counseling, educational sessions, and skill-building exercises
• Step 4: Medical monitoring of withdrawal symptoms and any co-occurring mental or physical health issues
• Step 5: Inclusion of family therapy sessions if relevant
• Tools/Equipment: therapeutic materials, medical monitoring devices, educational tools
• Anesthesia/Sedation: Not applicable, as the program is non-invasive; however, medications may be used to manage withdrawal symptoms

Duration

Programs typically run daily and can last anywhere from a few weeks to several months depending on the patient's needs and progress.

Setting

The treatment is conducted in a specialized residential treatment facility, hospital, or dedicated inpatient rehabilitation center.

Personnel

• Addiction Specialists
• Psychiatrists
• Psychologists or Therapists
• Certified Counselors
• Nurses
• Social Workers

Risks and Complications

Common Risks:

• Emotional stress or discomfort during intensive therapy ##### Rare Risks:
• Severe withdrawal symptoms requiring medical intervention ##### Management:
• Continuous medical supervision
• Adjustments to treatment plans based on patient response

Benefits

• Reduced or eliminated substance use
• Improved mental and physical health
• Better social integration and support networks
• Long-term wellness and relapse prevention

Recovery

Post-Procedure Care:

• Attend follow-up outpatient therapy or support groups
• Possibly engage in transitional living arrangements like sober living homes

Expected Recovery Time:

• Varies; initial recovery can take weeks to months, with long-term follow-up often recommended

Restrictions:

• Avoidance of substance-use environments
• Continued participation in therapy or support groups
• Medication management if prescribed

Alternatives

• Outpatient Treatment Programs: Less intensive but allows the patient to live at home
• Medication-Assisted Treatment (MAT): Combines medication with counseling
• Self-help Groups: Such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA)

Pros and Cons:

• Inpatient Program (H2036): Intensive and structured but requires full-time commitment
• Outpatient Programs: Flexible and less disruptive to daily life but may be less intensive
• MAT: Effective for some but requires strict adherence to medication

Patient Experience

During the program, patients may experience a range of emotions from distress to hopefulness as they engage in intensive therapy. Pain management is generally not a concern, although discomfort from withdrawal symptoms may occur initially. Comfort measures include emotional support from staff and peers, comfortable living conditions, and structured daily routines.