In Home Treatment: A look into the future of addiction recovery services

For decades much addiction treatment has followed the status quo: a 28-day stay in an in-patient treatment center and a discharge often lacking the necessary supports for people in recovery to successfully stay in recovery. For most of the last 75 years, addiction treatment has been defined as a process involving a fixed amount or duration of treatment, such as a week in detox or a month in rehab, with the message to families that the problem will be “fixed”.2 Addiction is treated as an episodic “crisis” that can be “cured” by going away to a center, rather than a chronic disease that requires management over the long term in the community. This model is authoritarian based - the person with the problem (PWP) is told what to do with little or no regard for their opinion.  

 

Aware Recovery Care, with the support of Anthem Blue Cross and Blue Shield is looking to change that with the implementation of a new, evidence based, in-home approach to addiction treatment. In-home treatment provides people in recovery with access to supportive services and treatment over the course of many months instead of the standard 28 days. These supportive services include an addiction psychiatrist supported by an addiction nurse, an individual therapist, a certified recovery advisor, in-home detox with regular drug testing (when safe), and family therapy services (which is extremely uncommon at in-patient treatment center). The goal of the team is to assist each client with learning the new skills and daily habits they must have to lead lives free of alcohol and/or drugs - in the comfort and privacy of the communities where they live instead of forcing a major transition onto them upon discharge. This in-home model provides for much greater respect for individual preferences.  The PWP experiences the freedom and independence of outpatient care with the intense diagnostic curriculum and accountability of inpatient care. Person centered care is the only way forward. 

 

The relapse rates of in-patient treatment speak volumes: 75% of patients who receive treatment in long term residential programs have been there multiple times.2 Relapse does not equal failure, but it does beg the question: is there a better way for some? Possibly a way that allows someone to maintain continued support necessary for sobriety for longer than their stay at an in-patient treatment center? Extensive research has shown that receiving medical care and monitored support in the home promotes faster recovery, improves outcomes, and increases the patient’s overall physical and psychological wellbeing. By providing private, personalized care for people seeking individualized drug and/or alcohol addiction rehab treatment while living in their own homes. For those currently receiving inpatient care, in home services provides a seamless home transition.

 

 

 

 

 

 

 

 

1 “The substance abuse treatment industry will completely change within the next ten years", Ellen Lockard Eden’s MD, MPE

2 “New Innovative In-home Treatment Program for Addiction comes to New Hampshire", Anthem Blue Cross and Blue Shield, January 11, 2017


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