The addiction treatment industry has been growing year over year in the state of Tennessee as the unfortunate need for treatment increases. More and more people of all ages and from diverse backgrounds are finding themselves needing help for problems with addiction, and in response the Tennessee drug rehab industry has grown to offer many levels of care and addiction recovery related services. In this blog post we will discuss the various addiction treatment services, recovery support services and professional roles in treatment to provide explanation for those who may be seeking help or for those interested in learning more about the industry.
Within the Tennessee drug rehab industry there are different types of addiction treatment centers offering various levels of care. These include Inpatient Detox, Inpatient Rehab, Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), General Outpatient (OP or GOP), Individual substance abuse or mental health counseling and Medication Assisted Treatment (MAT) Clinics. Each of these addiction treatment centers and specialties have their purpose and add value at different stages of an individual’s addiction recovery journey.
Tennessee Addiction Treatment Centers: Detox Centers
The first stage of treatment for many people seeking assistance for substance abuse is an addiction treatment center called a Detox Facility. There are standalone detox units, detox programs attached to inpatient addiction treatment centers and hospital-based detox facilities that offer a full medical detox. Detox is for people who have a physical dependency to their substance of choice. While people who use other addictive substances may benefit from a detox program, most often detoxes are utilized by people with alcohol dependency, opioid dependency and people with dependency to benzos or benzodiazepines. The severity of an individual’s dependency to a substance along with other health related complications they may have will determine whether they need a hospital-based detox like Genesis Detox or addiction treatment centers with attached private detox units. Detox typically last five to seven days. Various medications are prescribed for withdrawal management and for withdrawal symptom alleviation during detox. Detox is a more acute level of care so patients in detox centers are cared for by nurses and physicians. Often times group therapy will begin in detox, but not to the frequency that occurs in an inpatient drug rehab program.
Tennessee Addiction Treatment Centers: Inpatient Drug Rehabs
The next level-of-care, LOC, or type of addiction treatment center which is typically the second stage to the addiction treatment process is inpatient rehab. There are typically two different types of addiction treatment centers: primary substance abuse treatment centers and dual diagnosis treatment centers. Primary substance abuse treatment centers or drug rehabs focus on treating people who only suffer from a substance abuse issue while dual diagnosis treatment centers, like Magnolia Ranch Recovery Center, treat people with substance abuse issues and mental health issues. Inpatient rehab typically lasts 28 days and is where a patient will eat, sleep and receive full-time therapy or treatment. A patient in a Tennessee drug rehab has a daily schedule of individual and group therapies. These groups include gender specific groups, didactic groups and experiential groups, holistic programming and peer support groups. Addiction treatment centers like Magnolia Ranch Recovery Center offer fully individualized programs that are designed uniquely for each patient and are accompanied by more intensive one-on-one sessions with a therapist along with a broad scope of holistic programming. Additionally, some inpatient drug rehabs, like Magnolia Ranch offer ancillary programing like equine therapy, art therapy and physical wellness programs like yoga and fitness training. These evidence-based modalities of addiction treatment offer better outcomes and success rates. Other modalities of treatment patients receive in inpatient drug rehab is CBT or Cognitive Behavioral Therapy, DBT or Dialectical Behavior Therapy, ACT or Acceptance and Commitment Therapy and EMDR or Eye Movement Desensitization and Reprocessing. While there are many other forms of treatment these are the most common evidence-based practices found in inpatient drug rehab.
Addiction Treatment Centers: PHP Partial Hospitalization in Tennessee
PHP or Partial Hospitalization Program is a level of care offered in outpatient addiction treatment centers. It is the first level of outpatient addiction treatment offered once someone completes detox and inpatient rehab. While it is an outpatient level of care, it is considered full-time addiction treatment because it is usually offered five days a week at a minimum of six hours per day. Similar modalities, or types of therapy, are offered in PHP that are offered in inpatient drug rehab programs. PHP patients are assigned a primary addiction therapist that manages their treatment plan while several other counselors or clinical support staff offer supplemental groups and recovery classes. Many PHP addiction treatment centers also provide mental health counseling as part of the clinical curriculum. Patients in PHP programs can live at home but sometimes live in supportive recovery housing, also known as halfway houses. Clinical addiction programming in PHP programs often includes services to reintegrate recovering addicts back to independent living. As such, classes on life skills and vocational counseling is often a part of the programming.
Addiction Treatment Centers: IOP Intensive Outpatient Treatment in Tennessee
After a patient completes PHP, they typically step down to IOP. IOP or Intensive Outpatient Program is the next outpatient level of care offered in the continuum of care in addiction treatment centers. IOP is part time outpatient addiction therapy and is usually offered three days a week for four to six hours each day. Recovering addicts and alcoholics enrolled in IOP often live at home and have part time and even full-time jobs. Many addiction treatment centers offer daytime and evening IOP to accommodate people who are employed. Counseling in IOP programs is similar to the clinical modalities offered in higher levels of care. Group types include didactic and experiential groups that teach patients about the disease of addiction. Other group types may include gender specific programming for men and women, and holistic groups that include spirituality and physical wellness. Regular one-on-one sessions between a patient and their primary therapist are also common.
OP or GOP Outpatient Program or General Outpatient Program
OP, Outpatient Programming also called GOP or General Outpatient Programming is typically the lowest level of care offered by addiction treatment centers. These are usually once a week for a couple hours and are a subsequent level of care to PHP and IOP. Recovering addicts in OP have developed a significant amount of Recovery Capital. (Recovery Capital is a term used to measure how well developed a person is in areas concerning physical, social, spiritual and mental wellbeing.) OP patients typically live completely independent from the addiction treatment program. They usually have full-time jobs and are at this point completely self-sufficient. OP patients have a primary therapist that they see once a month in a one-on-one counseling session and attend three group sessions per month led by clinicians and certified peers.
Individual Addiction Therapy
Once a person completes all levels of care provided by addiction treatment centers, they may continue their recovery with Individual addiction counseling and private mental health Counseling. These offer ongoing support to aid in a person’s long-term recovery and are usually provided by private therapists or small group practices.
MAT Medication Assisted Treatment
MAT or Medication Assisted Treatment is often incorporated into the addiction treatment process or offered after a person completes inpatient addiction treatment. MAT medications include Suboxone, Sublocade, methadone and vivitrol. Suboxone is the brand name for an orally administered dissolving film medication that is comprised of a combination of two drugs: an opiate replacement drug called buprenorphine and an opiate blocker called naltrexone. Sublocade is a subdermal injection similar to Suboxone in that it is a brand name extended-release form of the combined drugs buprenorphine and naltrexone. Suboxone is a daily medication while Sublocade is a monthly injection. Both are used to aid in the addiction recovery of opiate addicts, and both are prescribed by certified doctors. Methadone is also a resource for opiate addicts. Methadone is both opiate replacement therapy and opiate blocker in one. Methadone is a daily administered oral medication that is distributed solely at designated clinics rather than being prescribed commonly by doctors. Vivitrol is a monthly subdermal injection form of Naltrexone, the opiate blocker. Vivitrol is used to curb cravings and block the effects of both opiates and alcohol. MAT has grown significantly in popularity and availability over the past ten years.
12 step fellowships
After people attend inpatient addiction treatment centers and after, or sometimes during, subsequent outpatient levels of care it is common that they attend meetings in 12 step fellowships. There are now several common twelve step fellowships including Alcoholics Anonymous, Narcotics Anonymous, Celebrate Recovery, Cocaine Anonymous, Addicts Anonymous. 12 step fellowships provide aid in addiction recovery through the therapeutic value of one addict helping another through sponsorship, and through the group dynamic of meetings. Success rates of long-term recovery are significantly greater for people who attend and fully participate in 12 step fellowships after they have completed a stay in maybe a detox center and an inpatient drug rehab or addiction treatment center.
Insurance types and coverages
Paying for treatment or for a drug rehab in Tennessee is a common barrier for people who need to get help from an Addiction Treatment Center. Understanding the various insurance types is valuable when trying to find drug rehabs an individual is eligible to attend. Financially speaking, there are two classifications of addiction treatment centers: those that accept commercial insurances and private pay and those that accept Medicaid or Medicare. Commercial insurances are those like Aetna, Cigna, Blue Cross, Ambetter, etc. and come in two classifications HMOs, In-Network only, and PPOs, Out-Of-Network possible. Commercial insurances are paid for by the consumer, by a person’s employer or by the military if a person is a vet or active duty. Military insurances include those like Tricare and usually cover the individual and their family. Addiction treatment centers that take commercial insurances are either In-Network or Out-of-Network. In-Network addiction treatment centers are facilities that have a contract with the insurance company and are usually accompanied by no or low out of pocket fees. Addiction treatment centers that are Out-of-Network typically cost the consumer more in out-of-pocket fees. Medicaid and Medicare insurance is free or mostly free and is offered to those with disability or lower income status. People who attend Medicaid based addiction treatment centers have no out-of-pocket fees.
Roles within treatment
Understanding the various professional roles in addiction treatment centers is helpful for those in need of addiction treatment services. The first interaction people have after making the decision to go to a drug rehab is usually the admissions department. The admissions department is made up of admissions counselors who take calls from people seeking treatment, verify insurance benefits and perform assessments to determine a person’s eligibility for inpatient addiction treatment.
The next interaction once a person has arrived at the addiction treatment center is the medical department. The medical department is comprised of doctors and nurses who take vitals, conduct medical history assessments and provide medication for withdrawal management.
The next interaction a person has in an addiction treatment center is the clinical department. The clinical department is made up of counselors, therapists and support staff often called rehab techs or clinical aids. The clinical department is responsible for all the individual counseling sessions, group sessions, and various didactic or educational sessions throughout a person’s stay in an addiction treatment center. Additionally, there are often specialty clinicians who run ancillary groups like equine therapy, art therapy, yoga, meditation and more. In the back office there is the billing department and utilization review team who gets authorizations from the insurance companies for a person’s continued stay and financial coverage. After a person completes an addiction treatment center they are usually introduced to an alumni team or alumni coordinator who links them together with other addiction treatment center graduates for ongoing peer support.
We hope you have found this information educational and meaningful. Today in the US 10% of all people will at some point in their lives need addiction treatment. Our goal is to be an answer and solution to anyone seeking recovery from substance abuse related issues. Please continue to read our blog posts and consider us a resource for addiction treatment and addiction disease related information.
