Detox is only a preliminary step in rehab. After detox, recovery treatment begins. This can be residential (or inpatient) or outpatient (IOP or PHP).
If your SUD reached a point where detox was necessary, you probably also need residential treatment to unlearn these behaviors. It’s an easy transition at Chapters Capistrano because detox and residential treatment take place in the same house.
Some health insurance won’t cover the cost of residential treatment, only detox or outpatient care.
What happens in residential treatment?
Residential treatment involves removing people with substance use disorders from their former environments, from the triggers—people, places, situations—associated with their substance abuse so they can learn not to use these substances again.
Rehab is a reeducation program. Substance use disorders (SUD) are diseases in that some people have a genetic predisposition to substance abuse while others, even those who consume more of the substances more often, can and do stop with no problem. But SUD is also a habit, a behavior. Recovery requires that people with SUD learn new, less problematic behaviors.
Residential treatment removes most distractions and opportunities for relapse when the client is most vulnerable: after detox. Substance abuse isn’t just behavioral: it physically changes the brain. It disrupts the production of feel-good chemicals called neurotransmitters, making individuals dependent on drugs or alcohol to feel normal, let alone good. This makes the temptation to resume use very strong.
Abstinence alone might not be enough, so clients remain at Chapters Capistrano for the duration. The day is structured, beginning with a wakeup time, a full schedule of events—meals, classes, individual and group therapy, time and facilities for recreation and meditation—until lights out.
Clients are encouraged to bring books and other reading materials (nothing pornographic), a journal, and personal knick-knacks. Electronic devices are allowed and there’s good Wi-fi.
This level of care is necessary when the clients’ abstinence is new, shaky, or fragile. They may have just completed detoxification: medically monitored withdrawal from drug use.
There are also opportunities for physical activities such as hiking, swimming, and exercising.
Most importantly, there are therapies to cope with the urge to relapse and teach better ways to cope with life’s problems.