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What Is the Criteria for Inpatient Rehab? How Will You Know What’s Right for Your Family?

In the case of inpatient or residential treatment, separation and insulation are powerful conditions for successful recovery. An intensely supported 24/7 program can serve to halt addiction and jumpstart the road to recovery. But what is the criteria for inpatient rehab? Is it right for you? And what about your family?

As an intensive intervention, inpatient rehabilitation or residential treatment may mean the difference between continued substance use and cessation with subsequent recovery. It is a key step in the gradually advancing continuum of care which starts with intensive, heavily supported and accountable inpatient treatment programs and transitions progressively to more flexible, increasingly independent outpatient contacts.

If you are struggling to decide where you or a family member fits on that treatment continuum, there are some important considerations. Examining the admissions criteria for inpatient rehabilitation will help you understand the medical requirements and to determine what’s right for you and your family.

Clearing the First Hurdle: A Medical Detox Program

In many cases, the first step in the treatment of drug or alcohol addiction will be detoxification and stabilization. Generally, successful detox programs involve inpatient care, including experienced clinical support. Client’s vital signs can be monitored around the clock, and medical staff may offer appropriate support for symptoms.

This support can make the withdrawal process more comfortable and also help to manage cravings that might lead someone to use again. Typically, within a week or two, the worst symptoms will have passed, and medical stability will be achieved. Getting through withdrawal successfully can be the first hurdle on the road to recovery, but additional treatment is needed.

While the state and the insurance company may have official criteria to determine when inpatient rehab is appropriate, there are other specific factors you should consider in order to decide what type of treatment is best for you or a family member.

What Criteria Do You Meet for Inpatient Rehab?

Once the physical dependency has ended, it is time to address the psychological dependency. For many, the best choice will be an inpatient program that offers a greater degree of support and accountability. Inpatient rehabilitation refers to a 24/7 residential treatment program where an individual takes a break from their day-to-day life and moves into the facility. This allows a person to give their full attention to recovery but requires them to step away from family, school, and work responsibilities.

Deciding whether inpatient rehab is the appropriate next step will involve consideration of several key factors. These criteria will be used by medical professionals in determining the best course of action and will also factor into the insurance carrier’s decision as they authorize treatment coverage.

The Texas Administrative Code specifies:

How the Criteria for Inpatient Rehab May Affect You

While the state and the insurance company may have official criteria to determine when inpatient rehab is appropriate, there may be factors you should consider in order to decide what type of treatment is best for you or a family member. Experts offer these suggestions for consideration.

Finding a rehab center with an integrated treatment pathway will give you a strong chance for long-term success. In this scenario, the center has a complete continuum of rehabilitation services that include medically-assisted detox, inpatient/residential care, day treatment, intensive outpatient, and post-discharge programs. A patient can enter the continuum at the corresponding point and move along the pathway at their own unique pace, stepping down as appropriate to their own progress.

The value in this type of program is the overlap and coordination that occurs between the different levels of care. This coordination allows staff to plan for and manage transitions between programs for greater success for their clients. A warm handoff occurs when a client has met and interacted with members of the multidisciplinary team in the next stage of recovery. Transitioning with this level of continuity and support increases the likelihood of success and continued engagement regardless of your entry point on the continuum.

If you are wondering what is the criteria for inpatient rehab and questioning what’s right for your family, it’s time to get the facts. The addiction medicine specialists at New Choices Treatment Centers can help you decide exactly where you fit on our continuum of care. We have an integrated treatment pathway, and our multidisciplinary staff members will walk it with you every step of the way. Contact us to get answers to your questions or call (726) 888-7003 to get started on the recovery pathway today.