Is getting into rehab a difficult process?
It shouldn’t be. There is an assessment process, but it shouldn’t be difficult or drawn-out. Processes will vary depending on the area, but will look something like this:
- First, your keyworker will do an initial assessment of your suitability for rehab and to establish whether you need a detox
- Next, you will be assessed by local authority social services care manager or a local drugs service – this is a community care assessment to check if you meet the local authority’s eligibility criteria for residential treatment. If you want to find out more about the eligibility criteria, speak to your keyworker
- The local authority and drug service will then agree funding for your rehab place
- The rehab will also want to interview you and do their own assessment before you can start. This may involve a visit to the selected rehab so you can see it for yourself
- If detox is required first, your keyworker will advise you on suitable options and timescales and your detox arrangements will be coordinated with your start date for rehab
- Once the funding arrangements and start dates are in place and detox, if required, has been completed, your social worker will assist you with your travel arrangements to rehab.
Do I need to detox before I go to rehab?
How do I know which is the right rehab for me?
Who pays for my rehab?
How long do I have to wait to get into rehab?
How can I prepare for rehab?
How long will the programme take?
What can I expect when I start rehab?
What you can expect will depend on the programme of the rehab you are in. You will be allocated a keyworker at the rehab who will agree a clear ‘care plan’ with you, which you will review in 1-to-1 keywork sessions. The care plan will set out your goals for treatment and include information about the aftercare that will be available when you finish the programme. There should also be a discussion about what will happen if you leave in an unplanned way.
You will also be expected to participate in regular group-work sessions with other residents, a range of tasks around the house (domestic duties or gardening, for example) and to be able to access leisure facilities either on or off site. Most rehabs will provide ‘reintegration’ support around your housing, education, training and employment needs. This will be identified at the outset of your rehab treatment and should build on any goals that you identified at previous community drug/alcohol services. You should check out the level of ‘reintegration’ support that is provided with individual rehabs before selecting the one for you, as this is key to remaining drug-free after you leave rehab.
Rehab Online provides information on the type of programme and support provided by each rehab.
What happens if I don’t like it?
What happens if I use drugs when I’m in rehab?
What happens when I finish my rehab?
Once you have been through any type of structured treatment, you will need help with staying drug-free in the community. The ‘reintegration’ support that you will need around housing, education, training and employment will have been discussed at various stages in your treatment and planning for this should have been made well in advance of you leaving rehab. This is also referred to as ‘Aftercare’. From the start of your rehab programme, and even earlier in your community-based treatment, your care plan(s) should clearly indicate the reintegration support that you will receive when you complete the last stage of your treatment. There are two main types of reintegration/aftercare support that you may need:
- Drug-related support – this may include additional, less intensive, support from community services, help in preventing relapse, and peer support groups known as ‘mutual aid’ such as Narcotics Anonymous and Alcoholics Anonymous
- Non-drug-related support – this is the support that you will need to help improve your life and to remain drug free. Careful planning before leaving treatment will identify the best way to achieve this and may involve close liaison and joint work with the employment expertise in Jobcentre Plus. It may also require ongoing support from a community drug worker around your housing needs, or by the rehab staff if they provide an aftercare service.
It is important that these plans are put in place before completing treatment, otherwise you may be at risk of returning to old patterns of behaviour associated with your drug use.
Your treatment providers (residential and community) and your social worker should work together to ensure that you have the right kind of support in place for when you complete treatment as this will help you to maintain the freedom from dependency that you have achieved in rehab.