Studies are mixed as to whether inpatient or outpatient is better. As years have gone by that data indicates that they are fairly equivalent.
Inpatient is probably better suited, or is suited, for those that do not have a good support system and that are in the throes of an addiction that is out-of-control. That is addiction that has escalated in terms of amount used and money spent and social costs such as job loss.
If the candidate has resources to buy their drug of choice and has overwhelming cravings outpatient rehab will be a challenge.
Inpatient rehab provides a secure safe situation in which one can give themselves over to being monitored. The person is saying “I need help” in a very empathic way. “I cannot do this on my own.”
Outpatient rhab should be applicable to the majority of people that have a problem. The biggest stumbling block is for anyone to admit to having a problem and that they need help. A good outpatient program should have the majority of the components of an inpatient program.
The advantage is that one continues to live in the community; they do not have to be absent from the job and they can be with their support system of friends and family.
In the case of opiate addiction with inpatient or outpatient treatment we have the great advance of using the drug buprenorphine (Trade names, Suboxone, Zubslv and Bunavail) if one chooses this route. This formulation, in almost all patients, serves to stabilize ones mood and stop cravings. It always needs to be appreciated that it is an opiate type drug and you will be medically addicted to it.
The beauty of buprenorphine treatment is that one can literally be back at work within 48 hours.
1) We have an interview.
2) The patient stops using whatever they are using for 24 hours.
3) You come into the office and are given a small amount of buprenorphine (Suboxone, Zubslv or Bunavail) and at the end of that hour you should be able to go about your business.
4) We will develop a long term plan for recovery.
5) In selected cases a two week taper is appropriately attempted. This is of people you have had a short term addiction to opiates.
Services that will be provided:
Initial detox : This will consist of three sessions with the doctor.
Subsequent therapy: You will meet once a month with the doctor for a fifty minute session.
The physician will be available for email and phone consolation on an ad hoc basis.
It should be made clear that the base cost is for buprenorphine care and follow-up but other services can be negotiated.
Part of the requirement in the program will be to documents 4 hours a week of spa or other sanctioned activities such as meetings other therapy sessions and cultural activities.
The cost of periodic drug testing will be covered.
There will be a onetime 50 dollar book credit for Amazon eBooks related to the material covered in the sessions
As needed sessions with a dietian is provided.
Help with billing will be provided, on a monthly basis, for your personal submission to insurance companies.
Ref: Inpatient or outpatient: http://psychcentral.com/lib/differences-between-outpatient-and-inpatient-treatment-programs/0007531
Ref: Buprenorphine: http://buprenorphine.samhsa.gov/about.html