Stimulants, such as tobacco, cocaine or prescription amphetamines, stimulate the brain and nervous system, causing increased alertness. Depressants, such as barbiturates and benzodiazepines, slow activity in the brain and nervous system, causing relaxation. Hallucinogens, such as LSD and PCP, drastically disrupt the way the brain and nervous system communicate, causing hallucinations. Rehab: Last Week Tonight with John Oliver (HBO)
High Success Rates. Most drug rehabs keep track of the recidivism, or relapse, rates of their patients and the most effective programs keep in close contact with clients as much as possible after they are graduated from treatment. The success rates for different drugs and situations can help patients compare the efficacy of different theories behind addiction treatment. The Discovery House - the best drug rehab center in Los Angeles, Virtual Tour.
The official diagnosis of drug addiction by the Diagnostic and Statistic Manual of Mental Disorders (2000), which makes distinctions between drug use, abuse, and substance dependence, is flawed. First, diagnosis of drug use versus abuse can be arbitrary and reflect cultural norms, not medical phenomena. Second, the term substance dependence implies that dependence is the primary pharmacologic phenomenon underlying addiction, which is likely not true, as tolerance, sensitization, and learning and memory also play central roles. It is ironic and unfortunate that the Manual avoids use of the term addiction, which provides the best description of the clinical syndrome.
Having 24-hour supervision, intensive care, and access to treatment are some of the major benefits of inpatient rehab, as they increase the chance of recovery. Another benefit of inpatient rehab is the change in scenery. Individuals battling drugs or alcohol, or with a co-occurring disorder, often associate a particular place or even person with the struggle. For some people, it might be their basement or the local bar. For others, it might be their “drinking buddies.” And for others, just being home alone might be enough to trigger substance use or symptoms of a particular mental health disorder.
Alcohol is known for lowering inhibitions, but when alcohol is combined with risky activities, such as driving/operating machinery or taking drugs (either prescription or recreational), this may be an indication that alcohol is being taken in at abusive levels. The National Institute on Alcohol Abuse and Alcoholism warns that mixing alcohol with medication can cause internal bleeding and heart problems, as well as cause liver damage and make the medications toxic to the body.
The Hazelden Betty Ford Foundation is a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs. As the nation's leading nonprofit provider of comprehensive inpatient and outpatient treatment for adults and youth, the Foundation has 17 locations nationwide and collaborates with an expansive network throughout health care. With a legacy that began in 1949 and includes the 1982 founding of the Betty Ford Center, the Foundation today also encompasses a graduate school of addiction studies, a publishing division, an addiction research center, recovery advocacy and thought leadership, professional and medical education programs, school-based prevention resources and a specialized program for children who grow up in families with addiction.
Nicole Lee works as a paid consultant in the alcohol and other drug sector. She has previously been awarded grants by state and federal governments, NHMRC and other public funding bodies for alcohol and other drug research. She is a member and past President of the Australian Association for Cognitive and Behaviour Therapy. She is a registered Psychologist who has previously worked in private practice.
Friends and family: The loved ones of those who are addicted to drugs or alcohol often want to help but aren’t always sure how to bring it up. It’s worth it to ask loved ones if they are willing to assist with the cost of treatment, even if one is embarrassed to do so. Perhaps it could be discussed as a loan that the individual can work to pay back over time. This may be a last resort for some, and even for those who ask, the answer may be no, but it’s a chance for loved ones to be involved and invested in recovery.
There are many places to turn for help. Not everybody requires medically supervised detox or an extended stint in rehab. The care you need depends on a variety of factors, including your age, drug-use history, medical or psychiatric conditions. In addition to doctors and psychologists, many clergy members, social workers, and counselors offer addiction treatment services.
Once you complete the rehabilitation stage, you will begin to gradually acclimate yourself to daily life. It’s important to give yourself time to ease back into the swing of things. Attending support groups, such as Alcoholics Anonymous or Al-Anon, that offer encouragement and engagement with others in recovery, group leaders and sponsors can be a positive way to make a lifestyle change and maintain sobriety.
Alcohol dependency is different for different people. Although many sufferers share things in common, their relationships with alcohol might at first seem to be nothing alike. This can make it difficult for people to identify themselves as alcohol dependent, even as drinking has an increasingly more damaging effect on their relationships, health, and enjoyment of life.
A dependency on sleeping pills often begins forming when a person increases their prescribed dose without consulting their physician first. They may believe that taking more pills will improve their quality of sleep. Over time, a person will feel the need to take larger amounts each time in order to fall asleep, which often leads to an overwhelming addiction.
When a person is struggling with both a mental illness and substance use disorder, it can be difficult to identify the issues and treat them both. Many treatment facilities focus solely on the symptoms of substance use, without treating the mental health issues that may contribute to addiction. Finding a center that specializes in co-occurring disorder treatment can help identify the roots of a substance use disorder and equip patients with the tools they need for lifelong recovery.
Alcohol rehab is often the only way that an individual who’s struggling with addiction can get help. There are rehab centers all over the country that offer individualized programs to treat alcoholism, regardless of how long the disease has been present. Alcohol treatment programs take many factors into consideration, including the person’s age and gender, and the extent and length of the addiction. Many alcohol rehab centers also offer various aftercare options and recommendations to help clients maintain their sobriety, such as group therapy. What is a typical day like in an inpatient drug rehab center?
Cocaine is a stimulant drug that causes dangerous physical effects such as rapid heart rate and increased blood pressure. Cocaine is extremely addictive due to its short half-life and method of action. It keeps a steady stream of dopamine in the brain while users are high, preventing further dopamine production and closing down dopamine receptors. When withdrawal sets in, the brain starts to crave the lost dopamine the drug once provided, making it extremely hard to recover from.10 Couples Drug Rehab Florida Couples Rehab Near Me Florida Detox Treatment Couples Inpatient Rehabs
Therapeutic communities, which are highly structured programs in which patients remain at a residence, typically for 6 to 12 months. The entire community, including treatment staff and those in recovery, act as key agents of change, influencing the patient’s attitudes, understanding, and behaviors associated with drug use. Read more about therapeutic communities in the Therapeutic Communities Research Report at https://www.drugabuse.gov/publications/research-reports/therapeutic-communities.
Sie werden dabei unterstützt, einen Weg aus der Abhängigkeit und ihren möglichen seelischen und gesundheitlichen Folgen zu finden. Die hauptamtlichen Fachkräfte in den Krankenhäusern und den Beratungsstellen bieten Betroffenen und ihren Angehörigen vorbehaltlose Hilfe auf neuestem wissenschaftlichen Stand an und respektieren dabei immer die individuellen Lebenslagen. Drug Addiction : How to Stop Smoking Crack
Naltrexone was approved by the FDA in 1994 for the treatment of alcoholism; however, it is currently prescribed for the treatment of opioid addiction. Sold in oral or injectable forms (ReVia and Vivitrol), naltrexone can help block the effects of opioids on the brain, making it less pleasurable to use these powerful drugs. Naltrexone is prescribed for opiate users who have been through the withdrawal phase and who are motivated to stick to a recovery program.
UKAT treatment centres view addiction treatment as a way of giving you the best chances of long-term recovery from alcoholism. As such, treatments are individually designed with that goal in mind. Your addiction treatment will meet you where you are. Your treatment plan will be geared toward your unique circumstances, and it will lead you through the recovery journey and on to a healthier, happier life.
Holistic recovery programs focus not just on treating alcoholism as a physical or psychological disease, but on healing the body, mind and spirit. In addition to the core components of alcohol rehab — individual and group therapy, family counseling, 12-step meetings and behavioral modification — treatment addresses the patient’s spiritual and emotional needs through activities like art therapy, recreational therapy, guided meditation, yoga, acupuncture and massage. The goal of holistic therapy is to promote healing on all levels so the patient can build a meaningful, rewarding life.
We respect that your time and energy is limited. You want to make up for lost time with your friends and family, and commit yourself to your responsibilities. You are more than your past addiction, and while it is important to maintain strong bonds with the recovery community, it should no longer take up your whole life. Searidge’s aftercare program offers a variety of options that will work with your specific daily responsibilities and needs.
As with other diseases and disorders, the likelihood of developing an addiction differs from person to person, and no single factor determines whether a person will become addicted to drugs. In general, the more risk factors a person has, the greater the chance that taking drugs will lead to drug use and addiction. Protective factors, on the other hand, reduce a person's risk. Risk and protective factors may be either environmental or biological. Trib Talk: Fraud and abuse in rehab centers
The gap between men and women affected by alcohol abuse and addiction has closed too. In 2016, an analysis of sixty-eight studies from around the world with a combined sample size of over four million people was carried out. The results showed that in the early 1900s, men were 2.2 times more likely to drink alcohol than women. They were also three times more likely so experience problem alcohol use and 3.6 times more likely to experience harm from their alcohol use.
If the patient has an antisocial personality (ie, severe problems with family, peers, school, and police before age 15 y and before the onset of alcohol problems), recovery is less likely. If the patient has primary depression, anxiety disorder, or another potentially contributory disorder (the other disorder must antedate the problems with alcohol or it must be a significant problem during long periods of sobriety), treat this primary problem aggressively.
Assessment and evaluation– Treatment typically begins with a complete physical and psychological assessment to establish which method of rehabilitation should be used. This is completed by both physicians and treatment counselors. Medical and mental health records are read. Family and alcohol-use histories are also reviewed. This process helps to chart the best course of action. Oftentimes, follow-up reviews are necessary to update or adjust treatment measures. Every aspect of care is based on a personalized treatment plan.
There are several differences between inpatient and outpatient care. Inpatient care is a more intense level of care than outpatient care, which is often a step down from inpatient care. Unlike inpatient care, outpatient treatment does not require clients to stay overnight. Clients can come to the facility regularly (daily, weekly, etc.) for a set number of hours a week, and go home after their session. This allows them to maintain their work schedule and tend to any other off-site responsibilities. Care is less intensive than the inpatient level, as clients typically no longer require round-the-clock care.
Alcohol is a legal controlled substance that slows down the body’s vital functions when consumed in excess. Its many forms include beer, wine and liquor. Some of the physical effects of heavy alcohol consumption are slurred speech, loss of coordination and slowed reaction time. Psychological effects include inhibiting judgment and lowering a person’s ability to think rationally. Typically, drinking alcohol in moderation does not signify a problem. However, consuming more than four alcoholic beverages per day for men – or more than three per day for women – can indicate an alcohol use disorder (AUD).
In the United States, there are many government-issued services and resources that can help with alcoholism. One of the most common, the Substance Abuse and Mental Health Services Administration (SAMHSA), serves as an information hub and treatment referral service. Additionally, more states are focusing on affordable treatment options to make sure anyone who is in need of treatment receives help. Unfortunately, with an increasing demand for alcoholism treatment services, many government-funded programs have wait lists and other requirements such as financial and medical need.
2. Then, alcohol detox if necessary – Alcohol withdrawal generally begins 3-5 hours after the last drink, but may not require anything more than medical supervision. During the detox period of alcohol rehabilitation, you will be monitored by medical staff 24-7 to make sure that the withdrawal is not complicated or dangerous. In extreme cases of alcohol withdrawal, medication may be necessary to prevent or treat seizures or DTs (delirium tremens). But in most cases, medical staff will only need to monitor you to ensure safety.
When you choose a complete alcohol rehab programme, you are choosing to be treated holistically. That is, you are choosing to address your alcohol problem physically, mentally, and spiritually. We firmly believe this is the best way to go. Treating the whole person constitutes a comprehensive treatment. Treating just one aspect is equal to treating just one part of the problem.
Nitrous oxide, also sometimes known as laughing gas, is a legally available gas used for purposes that include anesthesia during certain dental and surgical procedures, as well as food preparation and the fueling of rocket and racing engines. Substance abusers also sometimes use the gas as an inhalant. Like all other inhalants, it's popular because it provides consciousness-altering effects while allowing users to avoid some of the legal issues surrounding illicit or illegal drugs of abuse. Abuse of nitrogenous oxide can produce significant short-term and long-term damage to human health, including a form of oxygen starvation, called hypoxia, brain damage, and a serious vitamin B12 deficiency that can lead to nerve damage.
The important thing to remember is that relapse doesn’t mean drug treatment failure. Don’t give up. Call your sponsor, talk to your therapist, go to a meeting, or schedule an appointment with your doctor. When you’re sober again and out of danger, look at what triggered the relapse, what went wrong, and what you could have done differently. You can choose to get back on the path to recovery and use the experience to strengthen your commitment.
Addiction treatment at Priory is based on the world-renowned 12-Step approach, which is an abstinence-based addiction treatment model that was first pioneered by the organisation Alcoholics Anonymous (AA). The 12-Step philosophy provides a set of guiding principles for the addiction treatment and rehabilitation process, and focuses on your motivation to change your unhealthy behaviours and thought patterns, whilst also drawing upon elements of spirituality within the treatment and recovery process.
Substance dependence, also known as drug dependence, is an adaptive state that develops from repeated drug administration, and which results in withdrawal upon cessation of drug use. A drug addiction, a distinct concept from substance dependence, is defined as compulsive, out-of-control drug use, despite negative consequences. An addictive drug is a drug which is both rewarding and reinforcing. ΔFosB, a gene transcription factor, is now known to be a critical component and common factor in the development of virtually all forms of behavioral addiction and drug addictions, but not dependence.
Rehabs.com is a comprehensive guide for the entire treatment process - from spotting issues to find and enrolling into rehabillation. Yet it’s more than that; it’s also an extensive educational resource that includes up to date statistics, policy and regulation information as well as a section on careers in the industry. If that’s not enough, this site also cover a list of hot button issues that can be found on the blog and in the infographics library.
^ "Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition)2014 102 Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition) Washington, DC American Psychiatric Association 2013 xliv+947 pp. 9780890425541(hbck);9780890425558(pbck) £175 $199 (hbck); £45 $69 (pbck)". Reference Reviews. 28 (3): 36–37. 2014-03-11. doi:10.1108/rr-10-2013-0256. ISSN 0950-4125.
Without a proper withdrawal recovering alcoholics are at risk of experiencing some or all of the symptoms mentioned above. The most common ones are chills or sweats, anxiety and depression and irritability and mood swings. More severe cases can lead to seizures, blackouts or DTs (delirium tremens). Untreated withdrawal symptoms peak in the first few days of detoxification. Every individual experience of detox is different, depending on the level of alcohol abuse. This can last from a few days to six with a varying level of severity. Our experienced medical team will work to help alleviate the associated risks and symptoms.
These individuals may not know that there are options for them. Free rehab centers and public assistance for rehab do exist. Exploring treatment avenues such as these is a good idea as it may reveal detox programs and other recovery options available to you at little or no cost. There are also opportunities to defray the cost of treatment or to have it covered by another entity. Many of these options are outlined below.
There are several ways to approach addiction, and every case is different. The best approach is usually one tailored to the specific needs of the individual with a clear goal in mind. Selecting the right drug treatment program begins with the first call or interaction. Intake coordinators at The Recovery Village ask a number of questions regarding the nature of the substance use disorder to find the best treatment program to meet the individual’s needs.
The concept of group therapy encompasses a number of equally important goals. For example, one of the goals is to facilitate an environment in which recovering alcoholics can learn from one another. In your case, you have thoughts and experiences that could help someone else in the group. Likewise, what other people have to share could prove beneficial in your recovery.
Searidge Drug Rehab is located in the famously picturesque Annapolis Valley, Nova Scotia overlooking the Annapolis Basin and just minutes from the seacoast. Throughout the year the lush scenery reflects the healing cycle of nature’s seasons in all their beauty. The serenity of being surrounded by nature on an extensive acreage helps to heal the mind, the body, and the spirit.
When you stop using alcohol altogether, you may experience withdrawal symptoms. The detoxification stage is the first step in the recovery process. It involves eliminating alcohol from your body completely. The most severe withdrawal symptoms generally surface within the first 24 to 48 hours after your last drink. While some symptoms are minor, others can be more serious. Your treatment specialist will be able to give you medications in order to help alleviate some of the pain.
It is important to recognise that without expert support, your alcohol addiction has the potential to become increasingly worse over time, resulting in a detrimental impact on all areas of your life including your ability to function, your relationships with others, your performance at work, and your general health and wellbeing. Untreated alcohol addiction may also lead to the development of drug addictions and other behavioural addictions. This why seeking expert help is crucial in order to overcome your alcohol addiction and resume the healthy, fulfilling, addiction-free life that you deserve.
Because Ecstasy affects the brain’s response to the neurotransmitters dopamine and serotonin — naturally produced chemicals that affect mood — the drug can also cause mood swings, depression, and anxiety. Ecstasy is often thought to be non-addictive, but research shows that regular users experience the signs of physical and psychological dependence, including increased tolerance to the drug and the compulsive need to obtain and use it.
According to NIDA, genetic factors are responsible for 40 to 60 percent of a person’s vulnerability to drug addiction. Studies show that a person’s predisposition to drug addiction positively correlates to their degree of genetic similarity to a relative who has a history of drug dependence or addiction. Mental disorders and medical conditions are also risk factors.
As alcohol abuse progresses from dependency to addiction, your need for alcohol will become increasingly overwhelming. You may start to spend more and more of your time drinking or thinking about drinking, leaving little time for anyone or anything else. This can affect your ability to take care of responsibilities at home and work, and can have a negative impact on your relationships with family members, friends, and work colleagues. Addiction Recovery: 12 Steps and Beyond (TTA Podcast 321)
One study tracked the weekly drug use among individuals who attended residential treatment centers. After one year post discharge they discovered that there is a correlation between retention rates and the length of stay at a facility. Individuals coming form programs of 90 days or more showed a lower relapse rate than those coming from programs of less than 90 days. Drug Addiction : How to Help Someone with a Meth Addiction
It is important that you know how to act when triggers or cravings present themselves. If you have a plan in place, it can help to prevent a full-blown relapse. It may be that you will get in touch with your counsellor or sponsor, or perhaps distraction will help. You might find that going for a walk or doing something else to keep you busy can help the cravings subside. Inappropriate Things to Say at a Meeting (Recovery Comedy)
Mountainside treatment center is a relatively young treatment center founded in 1998. They claim to be one of the first centers to use a holistic approach to recovery alongside traditional methods of treatment. Treatment ranges from traditional 12-step programs to adventure-based counseling. Mountainside has a multidisciplinary, certified treatment staff with a reputation for being truly empathetic toward their patients.
Although Ecstasy declined in popularity after its introduction to the underground club scene in the 1980s and 1990s, a new generation of young users has discovered the drug. Many teens and young adults perceive Ecstasy as a non-addictive, relatively harmless psychedelic drug. However, Ecstasy can cause dangerous side effects, including nausea, vomiting, high blood pressure, dehydration, liver and kidney damage, an irregular heartbeat, and aggressive impulses.
Ever since drug addiction first emerged as a recognised medical condition, a huge number and variety of different treatment methods have emerged. Some of these are medically approved, tried and tested; others are of extremely dubious efficacy, and can even be extremely dangerous to those going through them. It is absolutely vital that if you are an addict seeking help for your condition you do not embark on any course of treatment that is not medically approved; always consult your GP and/or an addiction specialist before beginning any treatment.
The best alcohol addiction treatment programmes combine detox with rehab therapies and follow-up with aftercare services. This is the kind of addiction treatment you need if you are suffering from alcoholism. It is a treatment that is administered with the knowledge that what you are suffering from is a chronic illness rather than just a lack of willpower.
Before taking Antabuse you should give your doctor your entire medical history. You may not be a able to take Antabuse if you have a significant medical history of heart or blood vessel disease, diabetes, an underactive thyroid, brain disorders (e.g., seizures, brain damage), kidney disease, liver disease, a history of severe depression, a history of psychosis, or a history of suicide attempts. Antabuse can alter the metabolism and blood levels of certain drugs, especially tricyclic antidepressants, Dilantin (phenytoin), coumadin, isoniazid, and theophylline.
Alcohol rehabilitation is the process of combining medical and psychotherapeutic treatments to address dependency on alcohol. The goal of both, drug and alcohol rehabilitation (inpatient or outpatient) is for the patient to remain permanently abstinent and gain the psychological tools for long-term sobriety. Who should attend rehab treatment? Anyone who’s life, health, work or relationships are affected by chronic alcohol or drugs use. The intent of rehabilitation is to enable a patient to be successful in life and avoid the drastic consequences that alcohol abuse can cause.
Research shows drug use is more common among arrestees than the general population. The Office of National Drug Control Policy reported that 63 to 83 percent of people arrested in five major metropolitan areas in 2013 tested positive for at least one illicit drug. The three most common drugs present during tests were marijuana, cocaine and opiates, and many people tested positive for multiple drugs.
An inpatient rehab facility is the most structured treatment environment for those overcoming alcoholism. Generally, these rehabs are geared toward treating the most severe forms of alcoholism and require individuals to remain on-site for the duration of the program – 30, 60 or 90 days. Treatment specialists provide around-the-clock care and will prepare you for life after rehab. This may include information on how to overcome triggers, the importance of sobriety maintenance programs and what to do in the event of a relapse.
Overcoming an alcohol addiction starts with a qualified treatment center that can help address underlying and co-occurring disorders. Because of alcohol’s prevalence throughout our culture, recovering alcoholics are constantly bombarded with triggers. Treatment centers must be equipped to help the recovering user find effective ways to manage triggers and cravings in order to be effective. Drug Rehab London Ky | Before And After | Drug Rehabilitation Centers Near Me
Group therapy tends to involve a licensed professional and multiple patients. Although group therapy sessions can occur at inpatient facilities, they are more likely to happen in the other rehabilitation programs. Group therapy sessions can last up to an hour. These sessions tend to be particularly useful because they help confront one of the primary issues of addiction. Corona Alcohol & Drug Rehabilitation Center
Some people are able to stop drinking on their own or with the help of a 12-step program or other support group, while others need medical supervision in order to withdraw from alcohol safely and comfortably. Which option is best for you depends on how much you’ve been drinking, how long you’ve had a problem, the stability of your living situation, and other health issues you may have.
Die Suchtselbsthilfegruppen ergänzen seit mehr als 40 Jahren im Deutschen Roten Kreuz (DRK) das professionelle Suchthilfeangebot. Die Betroffenen finden dort aus eigener Kraft zu einem Leben in zufriedener Abstinenz und stärken gegenseitig ihre Ressourcen. Die Gruppenmitglieder arbeiten teilweise anonym und fangen Hilfesuchende in schwierigen Situationen unterschiedslos auf.
What emerges from relationships with poorly defined boundaries is a survival mentality where family members assume roles to help cope with stress. Though these roles can temporarily lessen stress, they increase confusion and anxiety because the underlying issue of the substance use is never directly dealt with. Rehab can help you understand where these boundaries get tangled up and show you ways to keep them healthy.
The first step in treatment is brief intervention. The physician states unequivocally that the patient has a problem with alcohol and emphasizes that this determination stems from the consequences of alcohol in that patient's life, not from the quantity of alcohol consumed. Emphasizing the effects on family, friends, and occupation, as well as any physical manifestations, is important. Pointing out that loss of control and compulsive use indicate alcohol dependence also is important.
^ Jump up to: a b c Malenka RC, Nestler EJ, Hyman SE (2009). "Chapter 15: Reinforcement and Addictive Disorders". In Sydor A, Brown RY. Molecular Neuropharmacology: A Foundation for Clinical Neuroscience (2nd ed.). New York: McGraw-Hill Medical. pp. 364–368. ISBN 9780071481274. The defining feature of addiction is compulsive, out-of-control drug use, despite negative consequences. ...
It’s vital to bear in mind that the process of recovery is not complete the moment you leave rehab – in fact, it is often best to work on the basis that recovery is never complete, and that it is a lifelong process at which you need to work continually in order truly to protect yourself from temptation and the chance of returning to the terrible condition of addiction.
While casual or moderate drinking has some potential advantages – relaxation, heightened enjoyment of stimuli, etc. – problem drinkers are unable to enjoy these advantages without alcohol. In other words, casual or moderate drinkers will be able to find other ways to relax or enjoy themselves even if alcohol is not present, or they make the choice to abstain. But if someone is completely unable to function for pleasurable reasons without alcohol, they cannot conceive of having a good time without getting drunk, or reaching for the bottle is their first response to any kind of trigger (either stressful or pleasurable), then this is a sign that they are abusing alcohol and need help to stop. Be Recovered: Breaking free from the Disease of Addiction | Dean Taraborelli | TEDxSedona
But perhaps the biggest indicators of an alcohol problem are the withdrawal symptoms if a problem drinker goes without alcohol. A casual or moderate drinker can cut off their intake of alcohol with no adverse effects. If a problem drinker tries to do the same, they may feel some effects of withdrawal within eight hours of their last drink, such as the following: Residential Inpatient Alcohol and Drug Addiction Treatment Process