Residential Treatment in California

Often, those who suffer from severe substance abuse are left wondering where to turn for help. It can be challenging to know who to call or where to get the best assistance for addiction recovery. Here at Harmony Place, we offer residential substance abuse treatment to those who are struggling with addiction. Residential treatment can assist those who suffer from the following challenges:

  • trauma
  • eating disorders
  • substance abuse
  • cognitive development
  • problems related to personality
  • addictive and compulsive behaviors

Here at Harmony Place, we offer a comprehensive and client-centered approach to residential rehab. Our clients can rest assured that we are committed to walking them through this new chapter of their lives!

What is Residential Substance Abuse Treatment?

Residential substance abuse treatment gives individuals the chance to experience around-the-clock care while facing the challenges of addiction and mental health. In a residential treatment facility, people can receive a higher level of care than can be provided in individual, group, or family therapy alone. Individuals can receive treatment in residential treatment. Treatment programs can range in length from 28 days to 6 months and longer.

There is growing recognition that safe and stable living environments are important in recovery for individuals with substance use disorders (SUDs) that need structured care.  A residential treatment program is a structured, 24-hour level of care that provides an opportunity to focus on intensive recovery activities. 

The purpose is to help people with SUDs and a high level of psychosocial needs become stable in their recovery. This is important before returning to an unsupervised environment or an outpatient setting which could be harmful to their recovery. It needs to be mentioned again, the length of the program may vary.

What’s Included in Residential Substance Abuse Treatment?

While in residential, or inpatient treatment, people may participate in these programs:

  • Group therapy
  • Family counseling
  • Behavioral therapy
  • Individual counseling
  • Therapeutic Community (TC)
  • Medically assisted treatment
  • A 12-step program used by Alcoholics Anonymous (AA) and Narcotics Anonymous (NA)

Most treatment programs start with a detox. Detoxification is the process of clearing the body of substances and is meant to manage the severe and possibly dangerous physical effects of withdrawing from drug use. However, detox does not concentrate on the psychological and behavioral problems associated with addiction. As a result, detox and withdrawal are the first steps in addiction treatment, no matter what treatment program a person enters.

Long-Term Residential Treatment

Long-term residential treatment is generally considered to be a treatment that lasts six months or longer. However, the most common long-term treatment centers will have a stay of at least 30 days. Most of the time, it’s 90 days and longer. But there are also some programs that have residents stay for a year or more.

In a long-term residential treatment program, individuals can receive medical supervision 24-hours a day, generally in a non-hospital facility. Benefits of long-term residential treatment include:

  • Therapy sessions that encourage growth and understanding
  • Learning to support each other and form healing relationships
  • Practice adopting positive values that encourage a healthy quality of life
  • Learning personal responsibility as they see how their actions affected others
  • A supportive structure that helps residents manage the tasks of daily life such as taking medications and practicing good self-care
  • A cooperative environment where trained therapists, psychiatrists, nurses, residential staff, and others meet regularly to discuss the needs of each resident. This allows for specialized care

Although outcomes can vary from program to program, studies show that long-term residential programs lead to lasting change more often than outpatient settings.

Short-Term Residential Treatment

Short-term residential programs provide intense but comparatively brief treatment. These short-term programs were designed originally to treat alcohol addiction. But during the cocaine epidemic of the mid-1980s, many facilities began to treat other substance use disorders (SUDs).

The original residential treatment model included a 3- to 6-week hospital-based inpatient treatment followed by extended outpatient therapy. This would include participation in self-help groups such as AA (Alcoholics Anonymous). After completing residential treatment programs, it is important for individuals to stay involved in outpatient treatment programs or aftercare programs. These programs help reduce the risk of relapse after leaving the residential setting.

Therapy in Residential Treatment

Residential centers typically provide a variety of evidence-based therapeutic approaches as part of the treatment process. A combination of therapies (group and individual) are often strengthened by family therapy sessions. This helps promote the healing process after treatment.

The approach of the treatment center may differ, based on the issues being treated, and the people providing the services. However, these are the common therapies used in treatment:

Individual Therapy (Psychotherapy)

Individual therapy is a confidential process between a client and a therapist. It is also sometimes called therapy, counseling, psychosocial therapy, or talk therapy. Most people have found that it’s best to take part in both group and individual therapy. Taking part in both can improve the chances of making lasting changes.

Many people avoid talking about past hurts and worry that discussions that take place in treatment won’t stay confidential. It’s important to understand that therapists are trained professionals who support those in recovery and maintain confidentiality. They have experience helping people work through painful and embarrassing issues.

Group Therapy

Group therapy can be an ideal choice for those who are suffering from addiction. A group therapy session usually involves one or more psychologists who lead a group of about 5 to 15 clients. Talking about yourself in front of strangers sounds intimidating at first, but group therapy provides benefits that individual therapy might not. Such as:

  • Groups can serve as a support network and sounding board. Group members can help individuals work through difficult situations and hold them accountable.
  • Listening and talking to others can help people put their own problems in perspective.
  • Groups give people a chance to see how other people handle problems. This can help individuals to discover new strategies for handling personal own issues.

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy examines the differences between what we want to do and what we actually do. For example, addiction is what a person does. But what the individual wanted to do was solve a life issue. CBT is a short-term goal-oriented treatment that uses a practical path to solving problems. The ultimate goal of this type of therapy is to change the patterns of thinking or behavior that led to addiction.

CBT is another type of talk therapy that looks at the behavior and thought patterns (cognition) of the client. Through this evidence-based therapy, the client can begin to understand how their negative thoughts and attitudes directly affect their behavior. By adding cognition to behavior therapy, cognitive behavioral therapy was born. 

How It Works

It works by changing one’s attitudes and behaviors. This is done by highlighting the individual’s thoughts, images, beliefs, and attitudes. In addition, it looks at the relationships a person has that cause the individual to behave in certain ways to deal with emotional problems. Thus, it’s a combination of talk and behavioral therapy.

Psychotherapy stresses the importance of the personal meaning we feel for things and how thinking patterns start during childhood. Also, CBT identifies the relationship between our problems, behavior, and thoughts. Once you begin to see the connections, you can begin to learn ways to cope and manage your thoughts and emotions during treatment and beyond.

Dialectical Behavior Therapy (DBT)

DBT was first developed to treat borderline personality disorder. Since then, research has shown it to be successful in treating depression, bulimia, binge-eating, bipolar disorder, SUDs, and PTSD.

Dialectical behavior therapy typically includes individual therapy sessions and DBT skills groups. The individual sessions are one-on-one with a trained therapist. The therapist will help clients to stay motivated, apply the DBT skills to daily life, and discuss problems that may come up during the course of their treatment. 

Those who participate in skills groups learn and practice skills along with the other members of the group. They are all invited to share their experiences and offer mutual support. Clients learn new skills to manage their emotions and decrease conflict in relationships. The skills learned are in four main areas.

DBT Skills

Mindfulness: This helps improve one’s ability to accept and be present in the moment.

Distress tolerance: This works to increase an individual’s tolerance of negative emotions instead of trying to escape them.

Emotion regulation: It includes strategies to change and manage intense emotions.

Interpersonal effectiveness: These are methods to allow people to communicate with others in an assertive manner that maintains self-respect and strengthens relationships.

Family Therapy

When a family member struggles with a substance use disorder, the whole family is affected. The normal balance of a family shifts as each member adjusts and changes to fit the situation. Typically, family members will respond by becoming overly responsible and controlling

Family therapy is a type of psychological counseling that helps members improve communication and solve conflicts. The goal is to clarify the family relationships and encourage closeness and repair if the members choose to. According to SAMHSA (Substance Abuse and Mental Health Services Administration), family therapy can help families become more aware of their needs. And it helps keep substance abuse from moving from one generation to the next.

Therapeutic Communities (TCs)

TCs are a common type of long-term residential treatment for substance use disorders. Originally, TCs were run only by peers in recovery. In response to the changing needs of the participants over time, many therapeutic communities include the professional staff with substance abuse or mental health training. Some of the staff are also in recovery themselves.

Today, TCs often have medically trained psychiatrist consultants, nurses, and methadone specialists as staff members and most will offer medical services. According to a national survey of these programs, more than half of TC staff members are in recovery. Many have also earned certification in addiction counseling, bachelor’s- or master’s-level degrees.

Medically Assisted Treatment (MAT)

Medication-assisted treatment is the use of medications in combination with counseling and behavioral therapies. This is especially useful in the treatment of opioid use disorders (OUD), and can help some individuals maintain recovery.

There are 3 drugs approved for the treatment of opioid dependence:

  1. Buprenorphine
  2. Methadone
  3. Naltrexone

All three of these drugs have proved to be effective when in combination with counseling and psychological support. Due to the chronic nature of OUD, the need for continuing MAT should be re-evaluated and adjusted periodically if necessary.

12-Step Programs

Twelve-step programs like AA and NA (Alcoholics Anonymous and Narcotics Anonymous) are also peer support groups. They can be an important part of recovery. However, they are not the same as group therapy. 

Still, many public and private SUD treatment programs subscribe to the 12-step based approach which is organized around the 12-step  principles of Alcoholics Anonymous. An important goal of 12-step programs is the building of compatibility between the client and the AA or NA meetings. The purpose is to teach the new member that continuing to take part in the group meetings after treatment is important for continued recovery. 

Getting Residential Treatment in California

It’s a daunting task for sure. Going through treatment for addiction is hard work. But it is work that can literally save your life. So, where can you go for truly personalized treatment designed specifically for you? Harmony Place offers treatment on a highly personal and caring level. Your treatment will be developed just for you and you will never be just another face in the crowd. Take a chance on yourself. Take a chance on us and contact us now.