Rehabilitation is the process of helping a person achieve the highest possible level of function, independence and quality of life. Rehabilitation does not reverse or undo the damage caused by illness or trauma, but rather helps to restore the person's optimal health, functioning and well-being. A rehabilitation process brings about improvements in the role and environment of the disabled person. The installation of a ramp, elevator or handrail in the environment of a person with a disability is an example of such an improvement.
Pain management, physical therapy and occupational therapy are also part of the rehabilitation process. The first step in the rehabilitation process is to conduct a detailed interview with the patient and other important persons. The second step is to administer a comprehensive neuropsychological assessment to arrive at an individual-specific neuropsychological profile. The third step is based on identifying strengths and weaknesses so that cognitive retraining tasks can be developed.
Tasks must be simple, practical, empirically based on theory, and must allow measurement in terms of time and error. Tasks must allow modifications in terms of complexity as retention progresses. Must be tailor-made for individual patients. Cognitive tasks are given to the patient every day for an hour.
Tasks are managed in gradual difficulty and the saturation indication method is followed. The managed cognitive tasks must reach an optimal level and, once the level is maintained for 3 to 4 days, the difficulty of the task increases. Constant changes are made depending on the patient's performance, and psychological mediation of behavior is performed using principles of reinforcement and contingency management. The treatment process is different for each person.
People who have used drugs for years usually require more intensive treatment than people who have been addicted for a few months. People with severe substance use disorders may require months of inpatient therapy. Each person begins the rehabilitation process by searching for a certified treatment center. Ideally, you'll have the option to choose from several accredited centers.
Realistically, other factors, such as location, waiting lists, and insurance coverage, determine which facility you attend and what type of treatment you receive. If this is your first attempt at rehabilitation, you'll need to learn how to find a quality addiction treatment center. Different treatment facilities offer different services. Some centers only offer detoxification, which does little to treat the underlying causes of addiction.
Other centers only offer outpatient therapy or treatment for specific addictions, such as alcohol addiction or opioid addiction. The different phases of rehabilitation often include a spectrum of services that overlap each other. For example, you may be briefly introduced to group therapy at the end of detoxification. You will likely attend intensive group therapy during residential treatment and less intensive group therapy during outpatient treatment.
The first few days of detox are usually the worst. By the end of the first week, you should start to feel better. Some people receive supplemental therapy or services near the end of detoxification. Other centers do not introduce therapy until patients formally move to the next phase of rehabilitation.
If you have mild substance use disorder and a safe living environment, you can detox while living at home. Outpatient detoxification involves attending appointments every day and seeing a doctor or therapist. If you are following a medication-assisted treatment regimen for an opioid use disorder, you may receive methadone or buprenorphine during outpatient detoxification. Learn more about alcohol and drug detoxification After inpatient detoxification, most people transition to therapy.
This phase of treatment may also be referred to as intensive inpatient therapy or residential therapy, depending on the intensity of the treatment. During partial hospitalization, you can live in a sober living home affiliated with your rehabilitation center. You will receive therapeutic programming at the rehabilitation center throughout the day, but you may sleep at another center at night. Some centers offer a partial hospitalization program and a living space in the same center.
The only difference between this treatment phase and residential treatment is the number of hours scheduled. PHP is associated with less programming than residential treatment. It is also possible to live at home during PHP. Once again, the difference between PHP and outpatient therapy is the frequency and intensity of programming.
After PHP, you will go completely to outpatient therapy. Depending on the services, outpatient therapy may be called intensive outpatient or simply outpatient. Treatment may include weekly individual therapy sessions or multiple individual and group therapy sessions per week. If you started treatment with inpatient detoxification and inpatient therapy, outpatient therapy may begin about a month after starting rehabilitation.
If you attended an outpatient detox, you can begin outpatient therapy within a few days of starting rehabilitation. Some people meet with a counselor or therapist weekly or monthly for the rest of their lives. Others stop attending outpatient therapy after months of prolonged sobriety. Sober Living Households Provide In-Home Peer Structure and Support for People in Early Recovery.
Some people live in them for months during PHP or outpatient therapy. Others live in sober homes for years after they stop going to therapy. Most people are surprised to find out how their injury and the ensuing recovery period can lead to muscle weakness and loss of stamina. Objective measures of muscle weakness and wasting are commonly observed after injury and surgery within 4 to 6 weeks.
Minimizing muscle loss and strength deficits are important rehabilitation goals set out in your physical therapy program. When you ask for help from a professional alcohol and drug rehabilitation program, you begin the first stage of your recovery, the beginning of treatment. Challenges at this stage of treatment include cravings, social pressure to drink, and high-risk situations that can trigger alcohol consumption. It is during this early stage of abstinence that your addiction counselor will begin teaching you the coping skills you need to lead a sober lifestyle.
The tools you learn to use now will help you throughout your recovery. Early abstinence issues being worked on at this time of treatment, such as learning about the physical and psychological aspects of withdrawal, learning to identify triggers for alcohol use, and learning to manage alcohol cravings without drinking. After approximately 90 days of continuous abstinence, you will move from the initial stage of recovery abstinence to the third stage, maintaining abstinence. If you started in a residential treatment program, you will now move to the ongoing counseling or follow-up phase of your rehabilitation program on an outpatient basis.
Also during this stage of your rehabilitation, you will learn to use the tools you learned in early abstinence in other areas of your life, so that you can continue to live a truly sober lifestyle. You'll find that your future quality of life depends on more than just not using. The maintenance phase of abstinence of rehabilitation will begin approximately three months into your rehabilitation program and will last until you reach approximately five years clean and sober, at which point follow-up counseling will usually end. A rehabilitation process can be initiated at the time of disability and continue until the patient's range of functions is maintained.
Planning for aftercare may begin during the admission process or may occur towards the end of a hospital stay. The concept of neuroplasticity applies to the ability of the adult brain to remodel pathways, as occurs in the rehabilitation process in people with stroke or brain injury. Patients initially ask numerous questions, and answering these questions is very important, as this can facilitate the participation of patients in the process of cognitive rehabilitation. There is also increasing evidence that the rehabilitation process has many social, vocational, emotional and psychological benefits.
Robert Fishman from Advanced Recovery Systems discusses common questions people ask during the rehabilitation admissions process. This means that PsyR services and professionals do not separate treatment and rehabilitation processes. As shown in Table 2, a variety of psychological interventions have been successfully implemented to alter the psychological responses, rehabilitation processes, and rehabilitation outcomes of athletes with injuries, particularly knee injuries. You're likely to participate in group therapy and self-help groups throughout the treatment process.
If you commit to the entire treatment process, you have a good chance of recovering from addiction. Even after patients have completed their initial rehabilitation program, they are not done with the recovery work—in fact, recovery is a lifelong process. A rehabilitation process, in the context of workplace safety, is a series of specific measures taken to help a disabled (or previously injured) person to reach his or her maximum operating potential in his or her particular environment. Initial acute rehabilitation processes tend to focus on minimizing deficiencies, with the goal of achieving functional independence.