Levels of Addiction Treatment Care: Detox To OP

Hi guys, my name is Allie Severino with Addiction Helpline America. Addiction Helpline America is the easy to use and navigate online directory for addiction to human resources. It helps you find addiction treatment resources all across the country, in all 50 states. If you are a loved one or looking for any resources, please visit addictionhelplineamerica.com, scroll through the site, pick your state, and find all the resources near you.

Today we’re going to talk about the different levels of care that are offered through addiction treatment services. These levels of care include detox, inpatient residential treatment, partial hospitalization programs, also known as PHP, intensive outpatient programs, also known as IOP, as well as regular outpatient.

We’re gonna go through all of these talk about some of the benefits, talked about the differences and help you figure out what level of care might be best suited for you and your needs. Let’s get into it.

The first level of care we’re going to talk about is the most common and it is called detoxification. I’m sure you’ve all heard it before. Detox is huge. The first step in the addiction treatment process because it’s so important to get all those toxins out of your body. The detox process typically lasts about 7 to 10 days but could last a little bit longer depending on certain people’s circumstances. The detoxification process typically happens in a hospital like setting where you have 24 hour care from nurses and doctors who are able to help you manage your withdrawal symptoms. It can be difficult to manage on your own, so it’s great to do it in a hospital setting with medical staff that’s there and trained and prepared for these withdrawal symptoms to happen, and they know how to make you feel better.

Depending on what you’re using, there are a wide range of withdrawal symptoms that vary from nausea, muscle spasm, diarrhea, vomiting, muscle pains, muscle aches, weakness, fever, hallucinations, agitation, depression, anxiety, insomnia, and ability to eat, and inability to hold food down depending on how severe your addiction is. Your withdraws are going to vary. While you’re there, you’re going to be able to get medication medical attention and therapeutic needs met.

While we’re talking about the detox setting, I just wanted to show you guys a detox. This is Future Now Detox, and I know we keep saying a "hospital setting", but as you can see, it’s a lot more comfy than that. Places to lounge, watch TV, sleep, eat, rest and get better. So just want to show you guys what a detox looks like.

Towards the end of the detox. You’ll talk to your case manager or your therapist about the next step that’s best for you. So you’ve finished detox and now you have to figure out what is next. The next level of pairs that we’re going to break down for you are going to be residential or inpatient treatment, PHP also known as partial hospitalization programs, IOP also known as intensive outpatient programs, and OP which is an outpatient program.

So residential treatment is basically a 24 hour well structured level of care where you reside where you seek treatment. So you are you are not going home at the end of the day. You are staying in this facility. You are living there you are eating there you are playing games there.

So like I showed you guys a detox, I wanted to show you what an inpatient residential treatment facility looks like. This is a place in Colorado at 64,000 square feet, and basically every single thing that you need is inside of it. So I know, kind of, you think "Oh, I’m in a facility 24 hours a day, I feel like that would be really uncomfortable". But as you see, they have an onsite pharmacist, they have all different group rooms for different activities, therapist, places to eat, places to hang out outside, you’ll have your own living quarters, places to do your laundry, places to get your haircut. They usually have little workout areas and gyms inside these residential treatment facilities. So I just thought it was a really good example to show you guys, you know, maybe you won’t expect something exactly like this, but they’re all pretty similar. You see this girl putting her stuff away. They’re hanging out with little doggo throughout the day. I just thought it was really great, because it’s really does show a good example of what an inpatient residential treatment facility could look like.

Residential treatment is the highest level of care possible after detox. Throughout the day, you’ll have a ton of groups. There are different kinds of residential treatment. So short term residential treatment is usually about one to six weeks. Long term can be all the way up to a year. There are also things called therapeutic communities. The therapeutic community, it’s super cool. The clients and the providers like the therapists, they all live together on the same compound. So it’s 24 hour care and structured care and it’s also long term. And many of these therapeutic communities are focused on co-occurring disorders, like addiction and depression, or addiction and anxiety, or eating disorders, etc. While residential treatment facilities are awesome, the care that you get there is consistent and structured. Some people can go to residential treatment program so they’ll opt for a lower level of care. Sometimes even your provider will suggest a lower level of care if they think it’s best for you.

So now we’ve gone detox, residential inpatient treatment, right below that is PHP, also known as partial hospitalization programs.
When you are in a PHP program, you are spending 20 hours a week in a facility. Being that PHP is a lower level of care, you do not actually have to live in the facility 24 hours a day. You can possibly live in a sober living house, or you can even live in your own house. And basically you’re going to go to attend this program 20 hours a week. The therapy is very similar to inpatient, it’s just not the 24 hour care aspect. When you do go home you are on your own, but this also allows some perks and benefits. The benefits of PHP programs are really freedom. This might be good for somebody who has a child at home or has a job because you’re able to continue your life while still attending a treatment program room you’re going to do different groups like 12 step programs, process groups, art therapy, relapse prevention, stress management, anger management groups, and more. A person will usually stay in a PHP program for about 30 days, or until your provider feels that you are ready to step down to the next level of care.

The next level of care down it would be IOP, IOP is intensive outpatient basically what intensive outpatient is it’s a step down from PHP. So PHP, you’re there 20 hours a week i o p, you are at the facility for nine hours a week, going to therapy, doing groups doing process groups, anger management, all that good stuff. Just like PHP, and I hope you’re not living at the facility. You’re either living at home or sober living environment. Again, this could work really well for someone who has a job, has kids, or for some reason cannot go to a residential treatment program for a week, or a month, or six months. So these are definitely lower levels of care that work, and are effective for the right client.

And all of these levels of care include drug testing, which is so important after you’re done with IOP, which you could be in for three months or longer, you drop down to OP. OP is just regular old outpatient. So Now instead of going three times a week, for nine hours, you might go one time a week for three hours. And it’s really nice to have these levels dropped like this because you can continue to get the care that you need. When you’re at PHP, you might get to a point in your recovery where you don’t need to go to a treatment facility 20 hours a week. That is the hope after all. So after you have gone down the entire spectrum of treatment levels from detox, to residential, to PHP, IOP and OP... what’s next? You can continue on an outpatient level of care usually for a pretty long time. It’s only one time a week. This could even be lower to every other week and once a month, depending how far along you get your outpatient process. You can usually stay in outpatient for a good amount of time, but also you’re just checking into a facility and you’re living at home, and you’re working or going to school, or raising your family or whatever it is that you do.

At the end of the day, guys. There’s no one size fits all in recovery. That’s why it’s so important to know all the different levels. of care that are available to you. Some of you might feel that a therapeutic community will be the most effective for you and your personality. Others might feel that for their circumstances, they prefer an IOP level of care. Remember, detox hospital setting seven to 10 days residential total inpatient setting, and this can last 30 days. Typically, we could last up to three months, six months or a year depending if it’s short or long term residential program. You have therapeutic communities, which usually are long term as well. Below that you have PHP or partial hospitalization programs, which are 20 hours a week at a rehab facility. The rest of the time you are either living at home or in a sober living house. Below that is IOP or intensive outpatient programs. And that is nine hours a week at a treatment facility and the rest of the time you are living at home or in a sober living environment. After that you have OP, which is just once a week for three hours to go see your therapist.

Our website addictionhelplineamerica.com lays out every single level of care and goes even more in depth than I did into what to expect when you’re going to each and every one of these levels of care. If you want to know more, go to our website addictionhelplineamerica.com. I hope that you guys get all the information that you need. And I hope that you have a fantastic day. Please like, share and subscribe for more videos. And if you want a video on something specific, please comment down below. You guys are the best. I hope you’re having a great day and I will talk to you soon. Bye!


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