Types and Approaches To Cocaine Treatment

When cocaine abusers enter treatment, they encounter a variety of physical and mental health issues. Withdrawal is the variety of symptoms that occur after cocaine use is reduced or stopped. Length of withdrawal and symptoms vary.

Detoxification is the process of allowing the body to rid itself of a drug while managing the symptoms of withdrawal. It is often the first step in a drug treatment program and should be followed by treatment with a behavioral-based therapy and/or a medication, if available. Detox alone with no follow-up is not treatment.

Residential Drug Treatment
Rehabilitation, after detoxification, is usually the next step in the recovery journey. An individual case manager may work closely with the patient to address the accompanying behavioral, emotional, and spiritual aspects of the addiction problem. Inpatient treatment traditionally consists of more than a 30-day stay in a hospital or residential treatment facility, during which daily activities such as self-help groups, group psychotherapy, individual counseling, art, recreational and experiential therapies, educational discussions and relaxation techniques are provided in a structured format. Generally supportive and sometimes confrontational in nature, inpatient treatment is aimed at combating clients’ denial and initiating participation in the 12 steps of recovery originally delineated by Alcoholics Anonymous (AA).

The major goals of most inpatient treatment programs are detoxification from the influence of chronic substance use and beginning the process of engaging with self-help programs such as AA and Narcotics Anonymous (NA). Treatment components include didactic learning about the processes of addiction and recovery as well as experiential techniques. Often the client’s family is involved in special Family Programs to acquaint them with these issues. Most residential programs, both long-term and halfway houses, are staffed at least in part by people who are themselves in recovery. Adolescent and Adult Treatment Programs are tailored to the specific age group. Many programs are also gender-specific.

Outpatient Services
An outpatient drug rehab is a program designed to provide long-term abstinence from cocaine and other drugs. Outpatient behavioral treatment encompasses a wide variety of programs for patients who visit a clinic at regular intervals. Most of the programs involve individual or group drug counseling and may use many other techniques. These techniques include a wide range of approaches including problem-solving groups, specialized therapies such as:

  • Insight-oriented psychotherapy
  • 12-step programs
  • Cognitive Behavioral Therapy, which seeks to help patients recognize, avoid, and cope with the situations in which they are most likely to abuse drugs.
  • Multidimensional Family Therapy, which addresses a range of influences on the drug abuse patterns of adolescents and is designed for them and their families.
  • Motivational Interviewing, which capitalizes on the readiness of individuals to change their behavior and enter treatment.
  • Motivational Incentives (contingency management), which uses positive reinforcement to encourage abstinence from drugs.

Similar to other drug rehabs, the individual may stay in the program for several months or longer. Those who attend an outpatient drug rehab do not live at the drug rehab as they would an inpatient cocaine treatment facility. Outpatient rehab programs vary in the types and intensity of services offered. Low-intensity outpatient drug rehab programs may offer little more than drug education and counsel. Other outpatient drug rehab models, such as intensive day treatment, can be comparable to residential programs in services and effectiveness, depending on the individual’s characteristics and needs. All in all, the ultimate goal of an outpatient drug rehab is to help the individual recover from drug addiction so that they may re-enter society and lead responsible, successful cocaine free lives.

Family Programs
Programs are designed around the premise that when the patient returns to the family environment, the dynamics of the family will change. Chemical dependency is a family illness and all members of the addicted person’s family are affected. Understanding the disease concept is an integral part of the family’s education. Every family member faces their own issues as they relate to the patient’s dysfunction and process. Learning how to distinguish between codependency and the appropriate display of love and support is also an important issue for the family in recovery. Every treatment center has a different program and they can range from weekend stays to week long stays.

Aftercare Programs
Success in recovery is an ongoing process. This means that the patient is never “cured” but has begun to build a foundation for recovery during the residential stay. Often a structured day or evening outpatient program is recommended by the treatment team upon completion of residential care. Referral to a sober living environment may also be advised. At the very least, a specific plan for participating in alumni aftercare groups and 12-Step meetings in the community is essential.

Most people try in vain to stop drinking or using drugs on their own. Through treatment, one can experience the powerful strength of support, recovery and learn the coping skills and strategies to stay clean and sober for a lifetime.

If you would like further information on these types of cocaine rehab programs, please call: 877.762.3765

Source: National Institute on Drug Abuse: Principles of Drug Addiction Treatment