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Drug & Alcohol Rehab Retford

Learn about drug and alcohol rehab and detox in Retford. The rehab clinic offers a robust admissions process and supervised detox and evidence-based treatments.

    Drug & Alcohol Rehab Retford

    This year, there have been over 39 accounts of drug crime in Retford, where the drug crime rate per 1,000 residents is 0.69. The crime count in Retford North is significantly lower (393) than in Retford South (805).

    Over the COVID lockdowns in 2020, there was a shift in crime:

    • Anti-social behaviour increased by 48%
    • Burglary decreased by 38%
    • Criminal damage and arson increased by 52%
    • Shoplifting decreased by 28%
    • Theft from the person increased by 150%

    Lockdown not only heightened some aspects of crime, but also left people battling with addiction. Action on Addiction charity says there was a 86% rise in those seeking rehabilitation this year compared with last year.

    Isolation did not only exacerbate substance issues, but it also created a mental health crisis. Those that struggle with mental health tend to self-medicate with drugs and alcohol, believing it will relieve their symptoms or withdrawals.

    This is far from the case – most, if not all, substances have negative mental health side effects, the most common being depression and anxiety. This means that those with mental health problems use drugs and alcohol to self-medicate, and those that already use substances in Retford are likely to end up with ill mental health.

    Research has shown that physical health and mental health are interlocked. This means that when lockdown hit, most people suffered social isolation, where anxiety, depression and rates of suicide saw a dramatic increase.

    A study by Flaudias et al evaluated the range of factors linked to stress and addictive behaviours during COVID-19.

    Their results were conclusive:

    • Women reported a 95% increase in stress
    • 95% of highly stressed students reported less social support
    • 95% of students worried about lockdown
    • In over 90% of students, alcohol-related issues were prevalent

    The levels of high stress strongly correlated to four variables:

    1. Characteristics
    2. Addictive behaviours
    3. Lockdown-specific conditions

    If you believe you are struggling with addiction, or believe a loved one is at risk, it can help to know what the nature of their addiction may be, in order to understand the type of treatment that is required in Retford.

    Start your long-term recovery journey today by calling our expert team on 0800 088 66 86

    Defining Addiction

    woman-drinking-coffee

    There are multiple definitions of addiction, including alcoholism. The DSM-V characterises addiction as a relapsing disorder, defined through the desire and compulsion to seek drugs and alcohol consistently. Users struggle to control intake or cut themselves off, where they experience extreme withdrawals once they stop administering the substance. [1]

    In order to identify whether you are struggling with addiction in Retford, the DMS-V defines both substance addiction and substance dependency, two slightly different conditions. [2]

    Substance dependency is characterised by a pattern of substance use, resulting in severe distress and significant impairment. If you are struggling with dependency, your tolerance for that specific substance will increase, and you will require more of the substance more often, to achieve the euphoric effects you experienced when you first started using.

    If you don’t use the substance when you are dependent on it, you will experience severe withdrawal symptoms, both physical and mental. When the substance is being abused, and the user has become addicted, they are not able to meet nor fulfil their regular obligations and responsibilities they normally do in Retford.

    To receive the treatment suited to the nature of your addiction in Retford, at-home questionnaires have been designed to assist this. The most popular questionnaire for alcohol addiction, now modified for drug use, is the CAGE questionnaire. [3]

    CAGE Questions for Alcohol Use:

    1. Have you ever felt you should CUT down your drinking? YES/NO
    2. Have people ever ANNOYED you by critiquing your drinking? YES/NO
    3. Have you ever felt bad or GUILTY about your drinking? YES/NO
    4. Have you ever had a drink first thing in the morning to steady nerves or in order to get rid of a hangover? YES/NO

    CAGE Questions Adapted to Include Drug Use (CAGE-AID):

    1. Have you ever felt you ought to cut down on your drinking or drug use? YES/NO
    2. Have people annoyed you by criticizing your drinking or drug use? YES/NO
    3. Have you felt bad or guilty about your drinking or drug use? YES/NO
    4. Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover (eye-opener)? YES/NO

    CAGE is based on a YES or NO answer, you will receive a score of 1 for a yes answer, and 0 points for a no answer. For each subset of questions, a score of 2 or more is classed as medically significant, where you should receive advice and help in Retford.

    For alcoholism, a more developed questionnaire is called an AUDIT, an ‘alcohol use disorders identification test. If you come out as ‘fast+’, continue onto the next set of 6 questions, and reach out for alcohol use help.

    AUDIT questions:

    1. How often have you had 6 or more units if female or 8 or more if male, on a single occasion in the last year?
    2. How often during the last year have you failed to do what was normally expected from you because of your drinking?
    3. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
    4. Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut it down?

    Are you FAST+?

    1. How often do you have a drink containing alcohol?
    2. How many units of alcohol do you drink on a typical day when you are drinking?
    3. How often during the last year have you found that you were not able to stop drinking once you had started?
    4. How often during the last year have you needed an alcoholic drink in the morning to get going after a heavy drinking session?
    5. How often during the last year have you had a feeling of guilt or remorse after drinking?
    6. Have you or somebody else been injured as a result of your drinking?

    Once you have completed either one or both AUDIT and CAGE questionnaires, you will have more of an idea about the nature of your addiction and the treatment you require in Retford. Once you have done this, it is time to think about intervention, before rehabilitation in Retford.

    Start your long-term recovery journey today by calling our expert team on 0800 088 66 86

    Intervention: Pre-Rehabilitation

    group-therapy-group-hug

    It is common for users of drugs and alcohol to be unmotivated to seek help and start treatment, mainly because they refuse to admit that they have a substance abuse problem.

    Most users, over 80% in fact, contemplate getting help and treatment for dependency or addiction, but do not feel ready to do so. [4] Research also suggests that users who seek help early in the stages and cycle of addiction are more successful in rehabilitation and in relapse prevention.

    The aim of the intervention is to change the path of addiction and to motivate the user to seek treatment through therapy or rehabilitation. It can be helpful to know the different types of intervention, as they are all tailored towards different types of addiction.

    Every user’s story is different, so is their addiction and therefore so is their treatment. Everyone around the user is affected by the addiction, known widely as a brain disease.

    Therefore, intervention is usually done by either concerned family and friends or a professional, to help the user get the treatment they need.

    There are four main types of addiction intervention:

    1. Simple intervention
    2. Classical intervention
    3. Family system intervention
    4. Crisis intervention

    A simple intervention is where a loved one takes the time to chat with the user, rather than having an old confrontation, the one-to-one intervention has proven to be more effective.

    Classical intervention is planned, where everyone but the user is present in the meeting. This is defined as the Johnson Model of Intervention, where counselling and education are provided for close family and friends.

    The role the members play and their attribution towards using is discussed, along with how they can help.

    There are 7 elements to the Johnson Model of Intervention:

    1. Mediation crew
    2. Planning
    3. Care-focused
    4. Notes and proof
    5. Addiction focus
    6. Therapy for intervention
    7. Options for treatment

    Family System Intervention is based on the hypotheses of ‘family framework’, where the methodology focuses on dependence and family bonds. All relatives and close concerned others are asked to partake in both family guiding and family training, aiming to educate the user on family insight.

    Crisis intervention is impromptu. This form of intervention is specifically designed for when the addict becomes a high risk and a danger to themselves and others.

    CRAFT Intervention is a ‘community reinforcement and family training’ approach, intended to aid family members to educate themselves and using positive reinforcement. CRAFT is not an old-school type of intervention; family and friends gather together to discuss the effects of addiction and different types of treatment.

    This is more scientific, based on the changing of the brain’s reward pathways.

    When concerned others positively reward pro-social and anti-using behaviour, the user then starts to learn the positive side effects of sobriety. CRAFT then prioritises mental health and well-being, improving happiness for all those involved.

    During phase 1 of CRAFT, the concerned others (COs) are asked to learn specific skills and routes that can help change the user’s behaviour, and help their engagement with treatment.

    Phase 2 of CRAFT regards the users that have started treatment. Over 72% of those that start CRAFT end up in treatment, remaining one of the most effective courses of intervention.

    Rehab in Retford

    rehab-house-outside

    Once the intervention has started, it is important to know the different types of treatment, and how treatment can be moulded to suit the nature of your addiction.

    The ASAM has created a criterion to help shape treatment for each user. The ASAM states 6 dimensions, all based on risk factors.

    The dimensions are then rated from 1 to 4, 1 being low risk and 4 being the highest risk. [5]

    • Dimension 1Acute intoxication and/or withdrawal: will the patient suffer from withdrawals concerning the addicted substance? Or are they vulnerable to withdrawal symptoms?
    • Dimension 2Biomedical conditions and complications: will any outstanding medical conditions intervene or interrupt addiction treatment?
    • Dimension 3Emotional, behavioural, or cognitive conditions and complications: what is the emotional state of the user? Is it stable?
    • Dimension 4Readiness to change: does the user seem sufficiently motivated to change?
    • Dimension 5Relapse, continued use, or continued problem potential: is it possible that the user will relapse, or do they seem vulnerable to relapse?
    • Dimension 6 Recovery/living environment: does the user seem very social? Possibly to the point that certain people or places will interrupt treatment.

    The higher the risk for each dimension, the more focus the treatment will place on that area of rehabilitation in Retford. Once the primary focus is isolated, then you will move on to select which type of treatment you require.

    There are 2 main types of treatment, inpatient and outpatient. Outpatient treatment in Retford for drugs and alcohol means you will remain living at home. You will attend the rehabilitation centre in Retford to receive therapy, monitored medication, and any other selected support. This is usually funded and referred to you through the NHS.

    Inpatient treatment in Retford is not usually funded through the NHS, so you will most likely have to pay for this private treatment yourself. Although the cost is remarkably higher, inpatient treatment is all-inclusive, paying for rent, medication, therapy, food and a lot more.

    That being said, the inability to be entered for inpatient treatment and its ‘out of reach’ costs are fuelled by social media, specifically celebrities. This cost can actually range from £14,000 to over £80,000 per week.

    The time spent in facilities can range, according to the nature of your addiction. However, it is commonly advised that you spend around 28 days in either outpatient or inpatient treatment, with a minimum of 7 days if you require a detox.

    Detox is only required if your addiction is physical, such as addiction to heroin and alcohol. Substances such as cocaine and marijuana, are not physically addictive so they do not require detox in a rehab centre in Retford.

    Start your long-term recovery journey today by calling our expert team on 0800 088 66 86

    Therapy in Retford

    group-therapy

    Following successful rehabilitation in Retford, there is also therapy available during or after rehab to ensure you stay on the right side of sobriety and avoid relapse.

    Cognitive behavioural therapy, known as CBT, is founded on negative patterns of thoughts and behaviour. CBT was first based to help those struggling with mental conditions such as extreme anxiety, to help break cycles of thought.

    It has now been sufficiently adapted for co-occurring conditions and addiction. CBT focuses on the link between a negative thought, to a negative habit, act, or use of the substance. [6]

    Dialectical behavioural therapy, coined DBT, is a form of CBT, but specifically adapted. DBT focuses primarily on overwhelming emotions, suitable for those that feel their emotions intensely, making daily life more difficult.

    There are 6 main parts to DBT, all helping users to accept and try to understand their feelings and why they feel overwhelmed by them:

    1. 6 weeks of emotional regulation
    2. 2 weeks of mindfulness
    3. 6 weeks of distress tolerance
    4. 2 weeks of mindfulness
    5. 6 weeks of interpersonal effectiveness
    6. 2 weeks of mindfulness

    Motivational interviewing (MI) is a different style of counselling, developed to explore the nature of motivational change in behaviour. This was created by Rollnick and Miller, as a guiding style to help users identify their strengths and weaknesses, evoking feelings of motivation and autonomy in decision making.

    Motivational interviewing (MI) is grounded in 4 objective assumptions:

    1. What we say and how we say it are both equally as important
    2. Both listening and understanding are critical to the process of change
    3. People will change when they want to, not when they are told to
    4. When solutions are found by the users, they are the most effective

    Holistic psychotherapy also referred to as holistic therapy, is based on energy and balance. Holistic therapy is an all-inclusive therapy, grounded in re-aligning and balancing the energy between the body, soul, and mind.

    This is done through a variety of different types of holistic therapy, such as:

    The success a user, or ex-user, gets from rehabilitation and therapy in Retford depends on motivation, support, and availability of services. This is why aftercare is so important.

    Alcoholics Anonymous (AA) is a classic example of alcohol addiction aftercare. Past and present alcoholics group together anonymously and share their own private experiences of addiction, including triggers, causes, and relapse techniques.

    The AA had 12 fundamental principles, developed by the founders of the group: [7]

    1. We admitted we were powerless over alcohol – that our lives had become unmanageable.
    2. Came to believe that a Power greater than ourselves could restore us to sanity.
    3. Made a decision to turn our will and our lives over to the care of God as we understood Him.
    4. Made a searching and fearless moral inventory of ourselves.
    5. Admitted to God, to ourselves and to another human being the exact nature of our wrongs.
    6. Were entirely ready to have God remove all these defects of character.
    7. Humbly asked Him to remove our shortcomings.
    8. Made a list of all persons we had harmed and became willing to make amends to them all.
    9. Made direct amends to such people wherever possible, except when to do so would injure them or others.
    10. Continued to take personal inventory and when we were wrong promptly admitted it.
    11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
    12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and practice these principles in all our affairs.

    The most common relapse issues are:

    • Money and finances
    • Relationships and bonds
    • Boredom and unemployment
    • Certain places you used to use
    • Certain people, you used to use with
    • Intense emotions such as sadness and anger

    If you feel you are at risk of relapse, then aim to try meditation, mindfulness and natural techniques such as group exercise and proper nutrition.

    Contact us today to discuss rehab options and aftercare support available to you in Retford.

    Start your long-term recovery journey today by calling our expert team on 0800 088 66 86

    References

    [1] Theoretical Frameworks and Mechanistic Aspects of Alcohol Addiction: Alcohol Addiction as a Reward Deficit Disorder. George F Koob, 2011. Part of the Current Topics in Behavioral Neurosciences book series (CTBN,volume 13) https://link.springer.com/chapter/10.1007/978-3-642-28720-6_129

    [2] Center for Substance Abuse Treatment. Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2012. (Treatment Improvement Protocol (TIP) Series, No. 54.) Exhibit 2-6, DSM-IV-TR Criteria for Substance Abuse and Substance Dependence. Available from: https://www.ncbi.nlm.nih.gov/books/NBK92053/table/ch2.t5/

    [3] https://www.mdcalc.com/calc/1729/cage-questions-alcohol-use

    [4] Jhanjee S. Evidence-based psychosocial interventions in substance use. Indian J Psychol Med. 2014 Apr;36(2):112-8. doi: 10.4103/0253-7176.130960. PMID: 24860208; PMCID: PMC4031575.

    [5] American Society of Addiction Medicine (2021) ASAM: Quality and Science. available @ASAM Home Page.

    [6] https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/cognitive-behavioural-therapy-cbt/overview/

    [7]  https://www.alcoholics-anonymous.org.uk/about-aa/the-12-steps-of-aa

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