When it comes to making the right choice for you or your loved one for quality treatment services, you have to look very closely at the alternatives for substance abuse treatment. Also, in difficult economic times, making the right choice can have a big effect on your pocketbook. The cost of treatment varies widely. Unfortunately, quality of treatment also varies. There are distinct differences between Inpatient and Outpatient detoxification.
This grid will help you assess your options and make the right choice.
General Comparison
- Insurance companies frequently now are reducing coverage of inpatient detox services
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Interruption in ability to work
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Interruption in going to school
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Leave of absence required
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Medically supervised
- NBRC detox services embraced by most insurance companies
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Offered
yes
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(5-7 Days)
- Set detox treatment plan - no flexibility
- Relapse rates are very high
- Patients typically experience intense Post Acute Withdrawal Symptoms (PAWS)
- No optional Intensive Counseling
- Insurance rejecting coverage of opiate detox frequently
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Offered
yes
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(1 day-a few weeks)
- Slow steady step down taper
- Flexible treatment planning, the patient has say in treatment plan
- Slow steady taper results in less Post Acute Withdrawal Symptoms (PAWS)
- Comprehensive After-Care plan available
- Optional intensive counseling plan available
- Opiate detox usually covered by insurance for opiates
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Offered
yes
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(4-7 days)
- Relapse rates are very high
- Patients typically experience intense Post Acute Withdrawal Symptoms (PAWS) for an extended period of time
- low likelihood of success
- No optional Intensive Counseling
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Offered
yes
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(individualized)
- Extremely slow step down taper when necessary
- Patients typically experience mild
- Mild if any Post Acute Withdrawal Symptoms (PAWS)
- Higher likelihood of success
- After-Care plan available
- Optional intensive counseling plan available
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Offered
yes
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(5-7 Days)
- Rapid alcohol detox can result in patients leaving with substantial cravings and higher likelihood of relapse
- In-Patient setting may be more appropriate in certain acute cases where patient consumes very large amounts of alcohol daily
- Relapse rates are very high
- Patients typically experience intense Post Acute Withdrawal Symptoms (PAWS) for an extended period of time
- Very little focus on medications to prevent cravings
- little focus on restorative medications / therapies- i.e. vitamin, mineral, testosterone injections
- No followup medication management program with Vivitrol® or Campral® to manage ongoing cravings for alcohol post detox
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Offered
yes
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(3-15 day program)
- Slow steady decline in medications and extended use of anti-craving medications result in less likelihood of relapse
- Most cases of alcohol dependant individuals can in fact be handled safely on an Out-Patient basis
- Cases of binge-drinking can be easily managed on an Out-Patient basis
- Patients typically experience intense Post Acute Withdrawal Symptoms (PAWS) for an brief period of time
- Major focus on medications to prevent cravings
- major focus on restorative medications / therapies- i.e. vitamin, mineral, testosterone injections
- Extensive followup medication management program with Vivitrol® or Campral® to manage ongoing cravings for alcohol post detox
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Offered
NO - or limited
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Offered
yes
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(individualized)
- NBRC has comprehensive program to treat those dependent on Ambien, Lunesta or any sleep aid medication
- Very similar to Benzodiazepine detox
- We specialize - have treated 100's
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Offered
NO
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Not Available
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Offered
yes
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Available (2)
- Most clinics will turn cocaine detox patients away
- We have an effective protocol to address cravings and other acute symptoms
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Offered
NO
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Not Available
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Offered
yes
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Available (3)
- Most clinics will turn meth detox patients away
- We have an effective protocol to address cravings and other acute symptoms
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Offered
NO
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Offered
yes
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Comprehensive Detox Program Available
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Offered
NO - or limited
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Limited Available
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Offered
yes
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(6)
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Some detox programs start as low as $700.00 for limited brief detox
(6)
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(1) 7-10 days is a very fast taper for benzodiazepines. Our detox is extremely comfortable with very small incremental taper steps. Some patients mat tolerate a more rapid taper - each treatment plan is individualized.
The following note is taken fromProfessor C Heather Ashton DM, FRCP -PROTOCOL FOR THE TREATMENT OF BENZODIAZEPINE WITHDRAWAL - University of Newcastle, Neurology and Psychiatry:
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"There is absolutely no doubt that anyone withdrawing from long-term benzodiazepines must reduce the dosage slowly. Abrupt or over-rapid withdrawal, especially from high dosage, can give rise to severe symptoms (convulsions, psychotic reactions, acute anxiety states) and may increase the risk of protracted withdrawal symptoms. Slow withdrawal means tapering dosage gradually, usually over a period of some months."
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The aim is to obtain a smooth, steady and slow decline in blood and tissue concentrations of benzodiazepines so that the natural systems in the brain can recover their normal state. Long-term benzodiazepines take over many of the functions of the body's natural tranquillizer system, mediated by the neurotransmitter GABA. As a result, GABA receptors in the brain reduce in numbers and GABA function decreases. Sudden withdrawal from benzodiazepines leaves the brain in a state of GABA-underactivity, resulting in hyperexcitability of the nervous system. This hyperexcitability is the root cause of most of the withdrawal symptoms. However, a sufficiently slow, and smooth, departure of benzodiazepines from the body permits the natural systems to regain control of the functions which have been damped down by their presence. There is scientific evidence that reinstatement of brain function takes a long time. Recovery after long-term benzodiazepine use is not unlike the gradual recuperation of the body after a major surgical operation. Healing, of body or mind, is a slow process."
(2) Almost all In-Patient detox facilities will not detox from cocaine and crack. Our unique protocol for this detoxification addresses all aspects of these very real and intense withdrawal syndrome.
(3) Almost all In-Patient detox facilities will not detox from methamphetamines. Our unique protocol for this detoxification address all aspects of these very real and intense withdrawal syndrome.
(4) Almost all In-Patient detox facilities will not detox from Kratom Our unique protocol for this detoxification address all aspects of these very real and intense withdrawal syndrome.
(5) Most In-Patient detox facilities cannot or do not detox methadone due to the fact that it take too long and it becomes quite costly. The length of stay for methadone detox could be as long as 10-12 Inpatient days. Our approach is very comfortable and is done over several weeks and is a very gradual taper. However, some patients may desire to detox faster. NBRC takes the individual treatment goals in mind when treatment planning.
(6) Our costs are based on " pay-as-you-go" to make it easier on the pocket. All detox programs geared towards maximum comfort and safety.
