Many individuals enter treatment after a medical event due to pressure from family members, as part of a court program, or other “external” motivators. You may recognize that you need certain types of help but feel reluctant to start intensive treatment methods like detox or inpatient rehab. Addiction treatment includes a wide range of interventions and treatment stages aimed at helping a person recover from alcohol and drug addiction. Addiction treatment is not a one-size-fits-all approach but is often tailored to meet a person’s individual needs. While you may be inspired as you prepare to start an alcohol or drug rehabilitation program, you may be wondering what to expect. Desert Visions is a federally-operated adolescent residential center whose purpose is to provide substance use and behavioral health treatment to American Indians and Alaska Natives.

Of great importance is the surprising and paradoxical finding (now replicated) that offenders with severe psychopathy who are given intensive treatment re-offend more frequently and more seriously than offenders with psychopathy who go untreated (Hobson et al. 2000; Reiss et al. 1999, 2000). In other words, treatment may be contraindicated for offenders with severe psychopathy. A chemical substance that binds to and activates certain receptors on cells, causing a biological response. 7 in 10 adults who ever had a substance use problem considered themselves to be recovering or in recovery. Chapter 6 more thoroughly delineates how the public tier of programs differs from the private tier.

Motivational enhancement therapy (MET)

Patients entering residential and methadone programs today are similar to those of earlier years but generally have higher levels of nonopiate use, especially cocaine. Seldom opiate users, these clients were and are heavy users of marijuana, alcohol, and now cocaine. Clients often enter treatment as a self-conscious strategy to achieve partial recovery. Finally, most forms of drug treatment, if implemented according to best clinical practice, are rigorous. These programs impose environmental schedules and controls and require a substantial amount of emotional work and behavioral change on the part of the client. Their requirements range from such logistical conditions as restrictions on mobility, keeping appointments for psychotherapy, and urine testing to more deep-seated issues such as clinical frankness and movement toward behavioral and emotional maturity.

Additionally, we’ll discuss the importance of considering external support systems and monitoring your progress to make necessary adjustments along the way. A medical team may prescribe medication to stabilize your brain chemistry, help alleviate withdrawal symptoms, and reduce cravings.1 The type of medication differs depending on the substance used. For example, opioid addiction treatment involves specific types of medications (e.g., methadone or buprenorphine). Treatment planning for individuals who present with an intermittent threatening behavioral disorder is complex. If these behaviors are fairly frequent, it will be impractical to manage the individual in a mainstream program.

Strategies to Reduce Harm

Examples of procriminal values include intolerance for personal distress and unwillingness to accept responsibility for behaviors that adversely affect others. Procriminal values and attitudes, coupled with a longstanding pattern of antisocial and criminal behaviors, are the key elements of psychopathy. As an approach, harm reduction emphasizes kindness and autonomy in the engagement of people who use drugs. It also increases the number of touchpoints (and opportunities) that peers and/or service providers have with people who use drugs.

In this sense, a therapist can rely on the client’s own view of their strengths rather than being effusive in noting positive qualities in the client as a means of boosting their efficacy and esteem. Because a large proportion of the available research literature on patterns of drug treatment motivation is drawn from studies of heroin addicts entering methadone residential treatment in the 1970s, caution should be used in generalizing those findings to drug users of today. The heroin addict was distinguished largely by a strong preference for that drug, assuming its availability.