All treatment providers we recommend are regulated by the Care Quality Commission (CQC) or Care Inspectorate.
Unfortunately, alcoholism is a common sight in the UK, due largely to a strong drive for social drinking.
What ever substance addiction you or a loved one may be suffering from, Rehab 4 Alcoholism is here to help.
Our expert advisers will match you with a range of expert rehabs in Manchester, giving you the best chance of overcoming your addiction and taking control of your life again.
Manchester is experiencing a worrying increase in drug and alcohol cases.
There has been a 74% increase in drug-related deaths over the last decade in the Greater Manchester area, 50% higher than the national average.
There were a record number of drug-related deaths in the Manchester area during 2019 with 268 deaths recorded.
Local authorities are concerned by how this is affecting the local economy, as they have estimated that they have spent close to £1.3B tackling the negative consequences of excessive substance use.
Heroin and morphine related deaths remained high, but there has also been a huge surge in the number of deaths related to cocaine, cannabis and prescription drugs.
The disease model sees people who become addicted as having an illness, just like any other ailment or physical condition.
The disease model believes that people become ill through no fault of their own, but as a result of the way addiction directly effects the brain.
Whatever the reason behind the illness, the person is not at fault for their condition and has very limited control over their ability to stop.
Addiction is a mental illness.
As such, there is a strong likelihood that anyone who attends rehab may have another mental health condition co-occurring with their addiction.
If this is recognised by a medical expert, this is called a dual diagnosis.
Dual diagnosis cases are complicated due to the unique set of experiences and needs each person will have.
It may be the substance misuse was caused or exacerbated by another mental health condition, or that an existing mental health condition caused the substance misuse.
For example, people with depression have been known to drink alcohol to cope with their low mood, but on the other hand excessive drug-taking can interfere with our brain chemistry and make us feel anxious and depressed.
Medical science has developed successful treatments to tackle mental health conditions and addictions.
These biological and psychological treatments have proven to be successful due to the clinical trials that have been devised to assess their effectiveness.
There is a strong evidence base demonstrating that rehab treatments are effective and safe.
Rehab services have a clear goal of ensuring that all patients entering their service are supported towards complete abstinence from substance use.
There are some policies whose main aim is to reduce drinking to a manageable level or minimize harm as opposed to abstinence, however these are not as successful as complete abstinence.
Once a person has become dependent on a substance their body and mind are never the same again and they are vulnerable to relapsing.
Just being exposed to the substance once can trigger a significant relapse.
Abstinence is the best way forward in recovery as it is better for people to set themselves a clear boundary of not drinking any alcohol at all, leaving no ambiguity about what they need to do to recover.
There are several benefits to engaging in rehab in Manchester, including:
Rehabs exist both as private centres and free, council funded services.
The pros and cons of each are explored below.
Being able to fund treatment yourself means that you can begin the programme immediately, with fewer administrative barriers to overcome.
You will have access to a wider range of psychological therapies as well as recreational and holistic therapies if their budget allows.
There is a first-class aftercare service that will carry on monitoring your progress for several months after you leave treatment.
A high staff-to-patient ratio guarantees your needs will not be overlooked.
The cost of the treatment can be expensive, ranging from £10,000 upwards depending on your treatment plan.
It is therefore vital to budget carefully and only pay for your essential treatment.
Money does not guarantee a successful outcome, anyone attending rehab must work hard on their recovery.
Anyone with a positive attitude determined to overcome their addiction can apply for local authority funding to gain access to treatment.
Over the last 20 years, the addiction and substance misuse field has been well researched, and a great deal of treatment specialism has developed to provide a selection of widely available and effective treatments.
Waiting for the funding to come through in order to begin the treatment can, unfortunately, take a long period of time, as can the application process.
Even if the funding is approved it may not cover all the treatments that you feel you require.
It is likely that funding decision-makers may only approve funding for you to engage with outpatient services.
There may be various inconsistencies along the way when you do finally get to begin treatment: you may find you do not always have access to the same therapist, or you may have to travel to another venue at times for treatment.
Many people will get fantastic benefits from rehab, but is important to establish whether inpatient treatment is a suitable option.
Each person will have their own unique pattern of drug or alcohol consumption and there are those that drink excessive amounts of alcohol (over 30 units per day) who need to be monitored closely to check that their health is not deteriorating rapidly.
Anyone drinking under 30 units a day could find that their treatment needs could be met by accessing local alcohol and drug services as an outpatient if there is no immediate concern regarding their health.
It must be added though that if a person has attempted to give up drugs or alcohol several times and failed as an outpatient, residential rehab will likely be their best option.
It is recommended that anyone diagnosed with a severe substance use disorder and a severe mental health condition attend a clinical service that is able to meet the needs of both conditions which not all rehab locations are adequately prepared for.
Not all residential rehabs are equipped to do this.
Patients diagnosed with Schizophrenia and Anti-Social Personality Disorder, in particular, could be considered high-risk clients who tend to have poor treatment outcomes in residential rehab settings.
There may well be patients who have drunk excessively for a long period of time for whom withdrawing from alcohol may trigger a severe health conditions such as Delirium Tremens (DT).
DT occurs when a patient has experienced 3 to 5 days of withdrawal without receiving any medical treatment.
Symptoms for DT include:
People who have reached this level of physical decline should be receiving high levels of medical care to treat their condition before they embark on rehab programmes.
There are some individuals who have been diagnosed with mental health conditions such as Anti-Social Personality Disorder who can display aggressive and violent behaviour.
If they have a history of harming others, then they could pose a risk to the safety of staff and fellow patients in a rehab setting.
It may also be that people with severe mental health conditions may be judged to be a suicide risk by psychiatrists or social workers, making a residential rehab not a suitable environment.
There are alternative areas of support in Manchester for people who decide rehab is not for them.
All of the services we recommend provide first-class support based on up-to-date research.
There will be no shortage of opportunities to attend fellowships related to your addiction in Manchester throughout the week.
There will be frequent support groups where you can receive support and understanding from people who have been through similar experiences.
Supports groups such as Alcoholics Anonymous and Narcotics Anonymous can be invaluable for helping people take the initial step in admitting they have been engaging in problematic behaviour and then seeking further support.
There are also support meetings available in the Manchester area for family members and close friends of people who have developed problematic behaviour towards substances.
It can be a stressful and overwhelming experience being in a close relationship with someone who has a drug or alcohol dependency.
The support and understanding of speaking with people who have been through similar experiences can help people make sense of what has happened to them.
Anyone deciding that residential rehab is not for them will still have the opportunity of having treatment as an outpatient through various community drug and alcohol services.
These can include local charities, government initiatives and NHS facilities.
Both detox treatment and psychological therapies are available through outpatient services.
Your GP will work with local pharmacies to set up and monitor your home detox treatment schedule and provide the support and education needed to help you successfully complete the treatment.
SMART recovery is a renowned charity that offers specialist psychological and educational programmes related to addictive behaviours which people throughout the UK can access.
Their trained programme facilitators will guide clients in understanding and implementing the philosophy of SMART recovery, which encourages personal growth.
There is a strong cognitive element to their programme as people will learn to deal with urges, manage their own thoughts, feelings and behaviour, and maintain high motivation levels to develop the discipline to live a balanced life.
Anyone seeking to access rehab treatment in the Manchester area will undergo a comprehensive assessment which will form part of the admissions process.
The person conducting the assessment will ask questions to gain information that will form the foundation for your treatment plan.
The assessment will cover 6 key dimensions that are key for designing a suitable recovery plan.
The assessor will provide a risk rating for each dimension ranging from 0 (positive) to 4 (negative), and the risk scores will help form your treatment plan.
The 6 dimensions seek to explore:
It is also important to diagnose the severity of your SUD.
There are three categories of severity in which people can be placed depending on how many of the 11 DSM5 criteria they meet.
If the individual meets:
The AUDIT is a 10-item questionnaire that seeks to investigate the degree to which a person is dependent on alcohol.
The items on the questionnaire investigate the amount and frequency of a person’s alcohol intake and whether they experience any negative consequences relating to injury, memory loss or unpleasant feelings as a result of this consumption.
The AUDIT can provide a good indication if a person is dependent on alcohol and act as a foundation for formulating a treatment plan.
If a client’s questionnaire score receives a score of over 13 then they are judged as having a dependency on alcohol, whereas a score of over 8 indicates a cause for concern.
An intervention is a targeted, strategic plan with a structured approach towards changing behaviour, usually based on psychological theory.
There are several family-based interventions available to achieve this and the CRAFT method is one of them.
Family members play a key role in this intervention as their response to the behaviour of the substance user is key in persuading them to change.
The family need time to understand the nature of this approach, which is based on the theory of operant conditioning, which involves shaping behaviour through the use of punishments and rewards.
After being trained in effective communication techniques, family members are encouraged to respond in certain ways to the behaviour of their relative, so abstinent behaviour is rewarded (e.g., buying a gift) and taking substances is not.
The cost of rehab depends on many factors, namely:
Having a room to yourself is more expensive and costs in the region of £8,000-£12,000 should they stay in rehab for one month.
However, if they choose to stay in a multi-occupancy room for the same period of time, it will cost approximately £6,000.
The length of your stay also determines the overall cost .
a person was just requiring a 10-day detox only and receive no psychological therapies then they will pay in the region of £3-£6,000 to stay in a room of their own, and £2,000-£4,000 should they opt for sharing space with other patients.
Please feel free to call our team of advisors to obtain a more detailed quote of how much your overall treatment is likely to cost.
It is essential to do your research on all the available rehab options available to you.
You may wish to contemplate the following points when choosing a suitable rehab location:
Anyone who stops consuming alcohol suddenly is like to experience withdrawal symptoms as the substance leaves their body.
These can include:
People who have a severe alcohol disorder are particularly at risk of experiencing seizures and convulsions if they stop drinking.
Anyone who has been drinking for a long time is likely to have high levels of alcohol in their body and will feel unpleasant withdrawal symptoms which can only be relieved by drinking alcohol.
This maintains the process of physical dependence.
Someone who has reached this point would greatly benefit from a detox procedure that eliminates the toxic presence of alcohol from their bodies with minimum risk.
Doctors use substitute drugs to perform detox as they reduce withdrawal symptoms and do not cause psychological dependence.
Librium is used to achieve this because it has anti-convulsant qualities, limiting the risk of convulsions and seizures.
As soon as the alcohol levels have been stabilised and withdrawal symptoms are under control, people can start to commence a 3–4-week treatment programme that will address the emotional factors that contributed to their addiction.
Any recovery programme will include individual and group therapy sessions to provide an educational component.
A person is likely to stay in rehab for 28 days, however this is not a set limit.
A person going through a detox procedure for an opioid drug or severe alcohol addiction may need to devote several weeks to this before engaging with psychological therapies, which may result in a 6-8 week stay.
Detox treatment is available for opioids, alcohol and benzodiazepines as these are dangerously addictive drugs that produce high levels of physical dependency.
This means people quickly develop a tolerance and then experience strong withdrawal symptoms when they stop taking the drug.
Cannabis and cocaine have a less intense effect on our bodies and produce milder physical withdrawal symptoms, which can be managed by medication.
A psychologically addictive drug such as alcohol triggers the area of the brain known as the reward centre which makes us feel pleasure and relaxation.
The more people consume substances the quicker they become addicted as they have built up a tolerance.
This means they will need more of the drug to produce the same effect.
Cocaine is a stimulant drug, meaning that if someone becomes dependent on it they may experience intense emotional withdrawal effects.
This can include:
Due to the chemical structure of cocaine, there is no option for a detox procedure.
Treatment therefore will focus on alleviating withdrawal symptoms through specialist medication and ensuring that the patient receives emotional support throughout the process.
Cognitive Behavioural Therapy can be offered to help change a person’s thoughts and behaviours that led to their substance misuse.
When addressed properly, there is a high success rate for recovery from cocaine misuse.
Initially, treatment for heroin will focus on removing the drug from your body to eliminate physical dependence.
This will be carried out by a detox procedure using a substitute drug with similar chemical features to heroin.
The substitute drugs used in the detox treatment for heroin are methadone and buprenorphine, and it can take up to three weeks to stabilise heroin levels in the blood.
Once a patient has been physically stabilised, they can engage with psychological therapies to help them address the emotional and psychological factors that contributed to their dependence.
Many people use cannabis use for its therapeutic qualities.
It has been claimed that 10% of people who take the drug become dependent on it.
Cannabis is not as addictive or physically harmful as heroin or cocaine, but becoming dependent on it can lead to negative consequences.
There is no specific detox treatment for cannabis, so psychological therapies and emotional support will play a key role in recovery programs.
There are a wide range of psychological treatments available for you to engage in as part of your rehab treatment plan, these include:
CBT is an effective therapy for helping people identify the triggers for their substance use and modifying any destructive thought patterns.
During the sessions, CBT therapists will teach their clients to identify and challenge the thoughts and feelings that lead to them using substances.
This may involve assertiveness training or developing drug refusal skills so that they are less inclined to be swayed by peer pressure.
DBT is an excellent therapy for those who have developed an SUD, being specially adapted to work with substance misusers.
DBT helps people deal with strong emotions that trigger drug related behaviour.
Working with the therapist enables people to gain an understanding and acceptance of their emotions and at the same time develop strategies that will lead them to recovery.
Brief interventions are suitable for people whose drinking could become a cause for concern in the future if they continue consuming substances at their current rate.
Such interventions can be vital in instigating a change in attitude in the client which could have long term health benefits.
Therapists aim to engage the client in a dialogue in which their current drinking habits will be explored.
Through this discussion, the client may become aware of their behaviour and its consequences.
The client is encouraged to acknowledge the consequences of their substance use and to take responsibility for changing.
They are provided with several options to help them make an informed decision.
This is a specialised form of one-to-one counselling designed to elicit behaviour change in a client.
It is important that the therapist adopts a supportive and empathic stance when using MI as any aggressive challenging may lead to the client becoming resistant and less motivated to change.
MI facilitates the client’s potential to make a decision to change their substance use whilst also getting them to accept responsibility.
During the sessions the client and therapist will seek to explore both the positive and negative aspects of their substance misuse.
From this, the client should be able to gain insight into the reasons for any resistance they have.
Many holistic therapies also possess huge benefits for clients and are used in rehab settings.
Creative therapies like art, drama and music play a key role in helping people unlock negative emotions that have been stored inside them for years, possibly as a result of trauma.
It allows people to use their creative energy to channel out these negative emotions, as people may not possess the vocabulary or understanding to express these feelings verbally.
Creative therapies have been able to successfully help substance misusers come to terms with and work through issues relating to shame and denial.
We all know any interactions with animals make us feel good and people who have participated in equine therapy have reported an increase in their self-esteem and communication skills, as well as a reduction in anxiety
Horses are able to provide people with important feedback about the way they are interacting with them.
The therapist will act as a conduit between the client and the horse to explain the reactions of the horse.
For example, if you tend to be slightly too aggressive in your body language the horse will be able to detect this.
Health professionals have known about the therapeutic value of being around nature for a long time.
Indeed, it has been found that even placing ourselves in a different environment from the one we normally spend time in can do us a lot of good.
Anyone engaging in adventure therapy will find themselves acquiring practical skills such as map reading and rock climbing by taking part in challenging activities.
These activates often take place in beautiful natural surroundings such as forests, coastlines and mountainous regions.
Group therapy provides the opportunity to connect with other people who have been through similar experiences.
It allows addiction sufferers to share their story, which in itself is hugely therapeutic, as well as fulfilling a basic need for social support.
It also enables us to show support and understanding towards others.
Through this people can experience a feeling of “universality” as they come to realise that they are not alone in their suffering.
Individual therapy can help serious addiction sufferers regain some structure back in their lives.
Building a strong, positive relationship with a therapist who displays a non-judgemental manner can provide an invaluable foundation to help people move forward and give them the confidence to take responsibility for their life.
Therapy can enable people to make sense out of the life events that contributed to their substance misuse and to help them find solutions to the problems that they are facing, whether it concerns relationships, career, or other lifestyle choices.
The experiences a person went through during their early years can have long-lasting effects on their individual psychology.
The interactions they had with family members and the nature of the family system in which they grew up can have adverse effects on their emotional and psychological development.
Research has indicated that disruptions in early attachment and unhealthy family dynamics can lead to people developing a dependency on substances as a way of helping them cope with psychological distress.
Family therapy helps to untangle all the problematic family dynamics and enables the family to operate in a more supportive manner.
A key part of the treatment involves respecting and embracing the concept of fellowship which provides the basis for all members to make positive progress.
One of the early steps involves acknowledging that you are powerless over your substance use.
Other steps involve reflecting on your past behaviour and character flaws in order to understand how your addiction developed, and which people have been hurt by your behaviour and how you can make amends for this
Another step involves identifying and connecting to a higher power that can help you abstain from using substances.
A key educational component in rehab treatment involves understanding the concept of relapse prevention (RP) and how to use cognitive strategies to ensure that recovery is maintained.
RP involves developing the client’s awareness of future situations in which they may become vulnerable to relapsing.
Once these scenarios have been identified the client can work with a therapist to design strategies they can implement when they encounter high-risk situations.
A high-risk situation could include a social event such as a work function.
There are a wide range of approaches to improving a person’s cognitive skills so they can avoid relapsing.
An example of this is stimulus control techniques, in which clients are encouraged to anticipate situations and cues in the environment which may be likely to trigger their cravings.
These situations can either be avoided, or an escape plan can be devised in order to leave the situation.
Relapse rehearsal involves working with a therapist and role-playing through high-risk scenarios in which they feel they are vulnerable to relapsing.
By doing this they can develop strategies that they can implement when faced with the real situation
Our feelings and body states can also make us vulnerable to relapsing.
The HALT approach is used to educate people on how certain states may make us more likely to relapse.
These states are:
By helping people to anticipate when they may be susceptible to relapsing, they are able to put a contingency plan in place that they can follow when these states arise.
People are vulnerable to relapsing when they feel stressed and unable to cope.
Stress management and relaxation training exercises are vital in improving a person’s psychological resilience, so they are able to cope with everyday stressors.
It is also important for people in recovery to try and achieve a healthy balance in their lives.
Failure to achieve this may make them more vulnerable to seeking gratification or some form of indulgence.
The term “substitute indulgences” has been used to describe this aspect of a lifestyle balance.
These substitute indulgences should give us pleasure and be less harmful physically and mentally than substances.
For more information about how Rehab 4 Alcoholism can help you take that first step on the road towards sobriety, contact us today.
Our friendly, non-judgemental experts will conduct an initial assessment, allowing us to put you in touch with the best-suited treatment providers in Manchester.
This will give you the best chance of making sure your newfound abstinence is strong and lasting.
There are various types of rehab centres available in Drug & Alcohol Rehabs in Manchester, including inpatient alcohol rehab, luxury alcohol rehab, and private drug rehabs.