Overview of the ARC 90 Day Treatment Program
The Authentic Recovery Center offers a 90 day inpatient rehab Los Angeles, California. The facility offers comprehensive treatment options designed to meet the needs of every individual seeking help. Our programs essentially are three-way clinical models that break down into three phases. Each phase employs increasingly nuanced therapeutic modalities to encourage addicts to better understand themselves, their recovery, and their addiction. Practically speaking the programs break down into 30, 60, and 90 day stays. All stays receive family counseling, couples’ counseling, individualized treatment programs, and assorted aftercare services. Aftercare services include day or night care, extended care and aftercare, and participation in ARC’s alumni program. Regardless of the duration of each stay, the focus is on discovering the foundational causes of addiction, while simultaneously stressing the importance of translating these discoveries into practical action that fosters long-term recovery.
90 Day Inpatient Rehab and Treatment
To date, current research indicates that a 90 inpatient rehab is necessary to foster long-term recovery. This is not an ARC claim with regard to our own success record or statistics. It is a proposition backed-up by clinical and empirically based studies, both government and academic. All these studies assert that physiologically the body and brain generally take approximately 3 months to resume baseline functioning. The data goes on to assert that the neurological damage produced by consistent abuse manifests as the brain’s inability to regulate the production of Serotonin and Dopamine. Both these neurotransmitters associate with the pleasure center and reward circuitry in the brain.
Success Outcomes and Research
According to a NIDA (National Institute of Drug Abuse) research monograph conducted in 2003, individuals who complete 90 consecutive days of residential treatment are 35% more likely to maintain 5 years of unbroken recovery than people who do not complete a 90 day inpatient rehab. To be clear, treatment protocols need to be as nuanced and individualized as the people seeking help; and that working from statistical generalities is a dangerous course to take with regards to creating effective interventions that honor the needs of the individual. From an operational standpoint, what is effective for one person does not necessarily help another. Having stated this, there also exist predicable features of addictive pathology with regards to both detoxification and clinical interventions that manifest across the entire spectrum of abuse and recovery, regardless of age, ethnicity, or the kind of substances the person has been abusing.
Phases of Care
ARC’s methodology and treatment services are a combination of the most current, evidence-based techniques available, in addition to traditional therapeutic modalities and non-traditional modalities, both of which are designed and employed with an eye to reaching people who have previously been unsuccessful in other treatment settings. In practice, ARC’s 90 day inpatient rehab program is broken down into 3 Phases, in much the same way as 30 or 60 day stays. The 3 phases include:
- 1 – Medically Managed Detoxification Services
- 2 – Primary Care Treatment
- 3 – Aftercare and Extended Care
Treatment at ARC commences with comprehensively assessing the addict and establishing personalized, diagnostic criteria, which enables our treatment team to create individualized treatment protocols that uncover the root causes of the person’s addiction while creating a nurturing and safe environment in which the individual has the best possible chances for recovering.
Dual Diagnosis Services
Of necessity, one of the distinctive features of ARC’s 90 day program is its continuing commitment to treat the psychological issues that have been uncovered during the first 2 months of rehabilitation. The growth that is achieved in the first 30 and 60 days must be measured against the neurological complications that have emerged as a result of sustained addiction or prolonged exposure to a medication or drug. Bearing in mind the conclusions of the long-term studies cited, one of the key benefits of ARC’s 90 day inpatient rehab treatment program is that the brain is given the time necessary to adjust to being substance-free and settle into a baseline functioning from which further clinical tools can be applied.
Typically, a medically-managed detox takes roughly a week, although there are circumstances in which acute withdrawal symptoms can last significantly longer. Be that as it may, the brain and body require considerably more time to acclimate and stabilize than is provided by the detox phase. This situation is complicated by the presence of what is referred to as post-acute withdrawal syndrome (also referred to as PAWS).
In addition to the presence of what are referred to as co-occurring disorders (for clarity, a person who manifests co-occurring disorders – who suffers from both addiction and another mental health disorder – is known as dual diagnosed) which manifests as a set of lingering symptoms that can plague the addict for weeks or months, and in extreme cases For example, cases where a person has been abusing a class of medication called Benzodiazepines, which include Valium and Xanax, the post-acute symptoms can remain active for upwards of a year. This physiological damage cuts across ethnic boundaries and socioeconomic status, and is present in individuals regardless of age or sex.
Objectives of Treatment
One of the features of service provisions that distinguish ARC is its focus on accomplishing three, fundamental objectives over the course of the 90 day program. These goals include:
- First Month – Assessment and Diagnosis
- Second Month – Targeted Treatment
- Third Month – Supported Transition
The approach outlined by ARC, the level of personalized attention, coupled with the expertise provided by our cross-disciplined, clinical staff coalesces to form comprehensive strategies that address the entire spectrum of addiction therapy services. The phases of treatment employed over the course of a 90 day stay at ARC include:
Phase One – Assessment and Diagnosis
Typically, during the first month of treatment, we uncover and identify issues that often require time to address and heal. A ubiquitous feature at this juncture of treatment is balancing the need to delve into core issues, against ensuring that the client is ready to accept certain truths about their condition. At this point, clinical protocols are employed in a general way, because each individual’s needs are different. For most people who are dual diagnosed, emotional and mental insight occurs slowly; with periods of stasis punctuated by moments of sporadic growth. Therefore, the longer one stays in treatment, the better their chances are of stabilizing, continuing to grow, and maintaining long-term recovery outside of a clinical setting. Services employed during phase one include:
- Acute and post-acute withdrawal treatment onsite
- Medical concierge services
- Medication management
- Toxicology screening
- TB testing
- Lab work
- Daily individual sessions
- Psychiatric evaluation
- Psychological assessment
- Bio/psych/social assessment
- Personalized treatment planning
- Multiaxial diagnostic assessment
Phase Two – Targeted Treatment
One of the unique aspects of ARC’s 90 day inpatient rehab is that it incrementally facilitates internalization of a person’s responsibilities to their own growth. This internalization process is in part contingent upon addressing issues of neuro-stabilization. During the first 30 days of treatment, diagnostic measures can be hindered by the neurochemical dysfunction brought about by prolonged addiction. Essentially this means that individuals are frequently misdiagnosed at this juncture of their treatment because their withdrawal symptomology is easily mistaken for symptoms of alternative, co-occurring mental health disorders.
At 60 days of treatment, the sub-acute and post-acute withdrawal process can generate lingering symptoms that resemble symptoms of anxiety disorders, depressive disorders, and other mood disorders. As people participate in individual therapy and group therapy and delve deeper into the core issues that have fueled their addiction, these symptoms tend to diminish while simultaneously gaining clarity.
Unfortunately, misdiagnosing symptoms is a common pitfall for treatment professionals. And it is common for therapists and physicians to confuse the anxiety symptoms of post-acute syndrome for symptoms of an actual anxiety disorder. It is imperative to long-term recovery that the client gets enough supervised time to enable an accurate psychological and emotional profile and baseline to be established. From there diagnostic procedures can proceed. Through continued observation, both individually and on a group level, our trained professionals are able to distinguish between temporary symptomology and root psychiatric conditions.
As with all stages of psychological development, the 60 day period is transitional. Personal growth measures against the body’s adjustment to being drug-free. In addition, the person’s native traits, characteristics, and core mental health issues surface. It is during the second and third months of treatment that ARC’s residents earnestly begin to cultivate the life skills and coping strategies that will enable them to process their emotions and resolve conflicts in a healthy manner once they have graduated from treatment.
Life Skills Development
One of the strategies ARC employs at this juncture is to encourage residents to start taking overnight passes. The purpose of overnight passes is to gently expose them to their home environment. This also provides the clinical team time to address any areas of concern that surface. It is inevitable that issues emerge that remained elusive in the primary phase of treatment. The continued clinical services include:
- Ongoing post-acute withdrawal treatment onsite
- Medical concierge services
- Medication management
- Ongoing daily individual sessions
- Ongoing psychiatric and psychological consultation
- Career and aptitude testing
- Passions and interests assessment
- Ongoing personalized treatment planning
Individual Clinical Modalities
- Grief therapy
- Abuse therapy
- Trauma therapy
- Somatic therapy
- Reflective therapy
- Analytical therapy
- Insight-based therapy
- Reason-based therapy
- Psychodynamic therapy
- Cognitive behavioral therapy
- Dialectical behavioral therapy
Specialized Additional Clinical Modalities
- Exposure therapy
- Experiential therapy
- Neurofeeedback–BrainPaint Biofeedback Program
Phase Three – Supported Transition
The final phase of ARC’s 90 day inpatient rehab program focuses on keeping the client engaged in the issues uncovered during rehab. In addition, we prepare them to deal with these issues outside the structure and sanctuary of the residential setting. Ironically, although this final stage represents the end of treatment, it actuality marks the beginning of the next phase of their recovery. That is, the commencement of a new life guided by new priorities, new life skills, new coping strategies, and newly acquired communication techniques. During this stage of substance abuse aftercare, new problems inevitably surface once the goals and objectives of each personal treatment plan conclude.
Holistic Support and Aftercare Planning at a 90 day Inpatient Rehab Los Angeles Offers
This is an entirely natural development and easily surmounted with proper guidance. As we identify new problem areas, the client’s clinical team continues to recalibrate the person’s treatment. This can manifest in a number of different ways; vocational counseling, educational consulting, family therapy, exposure therapy, or continued couples’ counseling, etc. Each aspect of the client’s life is considered and contingency plans drafted that address the “what ifs” and “what mights.” These “what ifs” often occur after treatment ends.
This entire process is an intense form of aftercare planning. Following graduation, people often choose to stay locally and stay connected to ARC’s community. They enroll in either ARC’s sober living or one of our affiliated sober livings. Clients may also participate in the day patient or evening outpatient programs. Regardless, aftercare planning takes all of these factors into consideration to provide real-time recommendations. Aftercare ensures the highest chance of continued recovery.
Ongoing aftercare services include:
- Family therapy program
- Aftercare planning
- Participating in the alumni program
- Sober living
- Continued couples’ counseling
- Ongoing individual therapy
Whether it’s 30 day, 60 day or 90 day inpatient rehab Los Angeles offers for your addiction treatment, we can help you recover from drug or alcohol addiction. Call ARC at 866-256-0051 to learn how to live in recovery.