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The UK is struggling to combat drug and alcohol addiction, and the Wiltshire is sadly included.
Addiction is not a problem exclusive to those who directly suffer from it: it impacts their entire community.
Addiction can destroy relationships, inflict emotional trauma and worsen the already serious burden on public services.
However, although substance abuse has increased in intensity across the UK, rehabilitation practises have grown as well.
Research has revealed that 1 in 4 adults in the UK drink too much alcohol, but that increases to 1 in 3 adults in the Wiltshire area.
It has been reported that the treatment services for young people saw an increase in those seeking treatment for substance use in 2019.
There is some uncertainty whether this is due to an increase in the number of people consuming substances at high levels, or due to the fact that young people have been brave enough to come forward for treatment.
This latter point can be attributed to the excellent work done in the area to raise the awareness of substance misuse treatment.
It appears that substance misuse is more common in males than females in both adults and young people.
Although, worryingly, the level of substance misuse in school-age children in Wiltshire is similar in girls and boys something the area.
Addiction rehab services tend to promote the disease model to explain why people become addicted to a substance.
The disease model states that addiction is like any other illness that people develop.
Whatever the reason, this disease is not the sufferer’s fault and they have no control over how quickly they recover.
Addiction is therefore seen as an illness and people who become addicted should be treated with compassion and kindness and not be judged negatively or seen as morally or mentally weak people.
A substance use disorder (SUD) is classed as a mental illness.
It is possible that anyone booking in for rehab treatment will have also received a diagnosis for another mental health condition, such as bipolar disorder, post-traumatic stress disorder or depression.
Clients who have been diagnosed with two mental health conditions that co-exist together are referred to as dual diagnosis patients.
Clients with SUDs have lost control of their ability to control their consumption of drugs or alcohol and have become physically and psychologically dependent on a substance.
Addiction is a mental disorder that requires a very specialist form of treatment.
Extra care must be taken when working with dual diagnosis patients due to the complicated nature of being diagnosed with two mental health conditions.
It is difficult to work out which condition the client developed first.
There is a strong crossover in symptoms between mental health conditions and a SUD, as a SUD can cause a person to develop another mental health condition.
However, it is also possible that having a mental health condition can instigate an addiction.
This is seen in the cases such as when those suffering from post-traumatic stress disorder take substances to cope with the distressing symptoms of the condition.
Our specialist practitioners are extremely adept at understanding how addiction and mental health conditions interrelate with each other, and will develop a plan to treat both conditions simultaneously rather than separately.
Dual diagnosis patients will receive evidence-based treatments to help them deal with the symptoms of their conditions.
Evidence-based treatments have been proven in trials to be highly effective in treating mental health conditions.
For example, cognitive behavioural therapy is also used to treat clients with anxiety and depression and is regularly used by the NHS as part of their extremely successful talking therapies programme.
Rehab centres advocate the abstinence model of recovery.
Made famous by Alcoholic’s Anonymous, this model states that clients should aim to give up taking substances entirely.
This is because continuing to do so at any stage whether, now or in the future, could trigger a major relapse that will have negative consequences for them.
There are some policies that advocate the harm reduction approach to control the level of substance use.
However, for people who have become physically dependent on a substance, abstinence is the more beneficial option for them to help them maintain their progress.
Drug and alcohol rehab services in Wiltshire offer many advantages for addiction sufferers, including:
There are two ways in which clients fund their substance misuse treatment: privately-funded and council-funded.
The pros and cons of these two funding avenues are discussed below.
Having your own funds means you can be admitted to a treatment centre straight away, avoiding the delays associated with needing to have funding approved.
You will have a greater range of treatment options open to you including holistic therapies, recreational activities and enlist the help of technological equipment (such as vitamin analysis) to aid your recovery.
You can be assured to receive a comprehensive aftercare service for a longer period of time once your treatment is over.
If you are a dual diagnosis patient, you will receive a high-quality specialist service to treat you.
Private funding clients can afford extra quality services (e.g. specialist diet, or a location in pleasant surroundings) that will make their stay more comfortable as council funding will only pay for basic treatment.
The overall cost of treatment can be very high, running into thousands if not tens of thousands.
It’s important to work out exactly what your treatment needs are and forego any unnecessary luxuries if you are on a budget.
Private funded clients still need to work as hard as council-funded clients in rehab and engage fully with treatment.
Money cannot buy recovery: only effort and dedication can lead to recovery.
There is funding available for treatment for people who can prove they are highly motivated to change their behaviour.
Any funding that is approved will pay for effective and reliable treatment for substance misuse.
These biological and psychological treatments are based on extensive research and are delivered by highly skilled professionals.
There are several free and NHS-run addiction treatment services throughout and near to Wiltshire, including:
Address: Bythesea Rd, Trowbridge BA14 8JQ
Address: HMP Erlestoke, Erlestoke House, Erlestoke, Devizes, SN10 5TU
Telephone: 01380 814250
Address: Woodcock Court, Queen St, Gillingham SP8 4DZ
Telephone: 01225 751 568
Address: The Beehive, Beehive Yard, Avon, Bath BA1 5BT
Telephone: 01225 329 411
You can also reach out to a number of free helplines, including Rethink Mental Illness, Papyrus, Change Grow Live, We Are With You, the National Institute for Health and Care Excellence (NICE), Samaritans, Turning Point, Mind UK and Young Minds.
The application process can be both time-consuming and confusing, you may need to complete several forms and contact several people to help back up your application.
There will unfortunately probably be delays while you wait for your funding to become available.
You may not get all the treatment options you were hoping for, and the people approving your funding may only deem your case worthy of outpatient treatment.
There is always a chance that your treatment may not run smoothly when you finally have it approved.
The location of your sessions may differ each week and you may not always see the same therapist.
Anyone who is thinking about engaging with drug and alcohol rehab services in Wiltshire should consider the possibility that residential rehab may not be suitable for them.
Clients who fall into the following categories may be more suited to finding other services to meet their treatment needs.
Everyone attending residential rehab will be accepted due to the fact they are regularly consuming high volumes of alcohol.
Rehab clinics tend to use 30 units of alcohol consumption a day as the yardstick for meeting the criteria necessary for admission to treatment.
Any person drinking at this level or above would be in urgent need of treatment before they significantly worsen their health.
The regular care and monitoring provided by rehab centres would guarantee that clients will be well supported.
Clients drinking less than 30 units a day will still be able to engage with treatment on an outpatient basis and receive all the psychological therapies necessary to help them give up alcohol.
They will also be able to receive home detox treatment if required.
It is very likely that many clients seeking treatment in residential rehab will also have a co-existing mental health condition.
However, there maybe be clients who have been diagnosed with severe mental health conditions -such as schizophrenia and anti-social personality disorder- who experience intensely distressing symptoms
These individuals may require specialist support that is not available at treatment centres that primarily deal with addictions.
Delirium Tremens and Wernicke-Korsakoff syndrome are the results of extreme and excessive alcohol consumption over many years.
People who have been diagnosed with these conditions have damaged their health to such an extent that there is very little chance that they will be able to fully recover.
Anyone with Wernicke-Korsakoff syndrome is in need of regular medical care to tend to the consequences of this condition, which include symptoms similar to fever and significant mental confusion.
The nature of these two diseases means that it is highly unlikely that patients will be physically and psychologically capable of engaging in treatment for addiction, as their medical needs are so substantial.
Individuals who have been prone to violent behaviour will be required to have a risk assessment carried out to ensure their presence in rehab does not place staff or fellow clients in danger.
If there is any doubt over whether they may pose a risk, then it is likely that they will be advised to look to other services for treatment.
Clients who are judged to be a suicide risk will also not be considered suitable for rehab, as rehab centres will not have the resources to balance the needs of the individual concerned with the demands of their treatment programmes.
Should you feel that attending residential rehab for treatment is not the most suitable option for you, there are many other sources of support available to you in the Wiltshire area.
There are numerous support groups meetings available for those looking for assistance and guidance for substance use.
Taking place throughout the week, these meetings allow you to connect with others who have been through similar experiences to you and share your feelings and experiences with them.
All support groups are keen to receive new members and offer a warm and inviting environment.
Al-anon is a support group for family members of individuals who have developed an SUD.
Attending these group meetings will help you talk to people who know exactly what you are going through, offering a listening ear and giving experienced advice to help you come to terms with what has happened.
There will be an opportunity to receive outpatient treatment from several local providers in Wiltshire.
There will be local NHS services, local charities and drug rehabilitation services set up by the local council offering medical and psychological support for substance misuse.
These services work together to ensure everyone looking for addiction treatment is directed to the most suitable programme.
Alongside a wealth of free educational material, there is also a chance of arranging a home detox procedure should it suit your treatment requirements.
SMART Recovery is a national charity that runs personal development programmes to help people recover from addictive disorders.
Similar to AA, it’s focus is on enabling people to overcome their addictions themselves.
It has a network of facilitators who work with clients on their online portal to teach them the necessary cognitive skills to resist cravings, deal with extreme emotions and maintain motivation.
SMART recovery understands the importance of achieving balance in one’s life and this forms a crucial part of their philosophy and techniques.
Once you have agreed to enter treatment at a rehab clinic, you will be required to undergo a thorough assessment as part of the admissions process.
In order to devise your individual treatment plan, the assessor working with you will refer to the 6 dimensions of the ASAM criteria.
The key information that the assessor is interested in is:
You will be allocated a risk rating for each dimension.
Those dimensions identified as high risk will require special consideration when developing your treatment plan.
The assessor will also be able to assess the severity of your SUD, which will help construct your treatment plan.
This will be achieved by considering the 11 DSM-5 criteria;
Clients that meet 6 or more of the criteria will be diagnosed with a severe SUD.
Those who meet 4-5 of the criteria will be judged as having a moderate SUD, whilst those who meet 2-3 of the criteria will fall into the mild SUD category.
Another assessments tools which substance misuse practitioners have at their disposal is the AUDIT questionnaire.
This is a 10-item questionnaire designed to establish the degree of a person’s alcohol dependence.
The questions focus on a person’s alcohol consumption patterns and the consequences their drinking behaviour has had on their physical and mental health.
The AUDIT tool is very helpful in providing the necessary information to plan the next course of action for the client.
A score of 8 or over would suggest that the client needed to think about modifying their drinking patterns, whereas a score of over 13 means that the patient is advised to seek help immediately.
The family will receive training advising them on how to interact with their family member.
This methods usually focus on facilitating effective communication and behaviour.
One of the most popular techniques is the CRAFT method.
This is based on the theory of operant conditioning and involves them responding in specific ways to the behaviour of the targeted person.
For example, if it is apparent that their relative has been using substances, then the family would respond with a negative consequence.
However, if the substance user had managed to avoid consuming substances, then they would act in a positive way towards them.
This approach has been effective at persuading people to seek treatment.
If a patient has developed a high level of physical dependence on a substance, then they may be required to undergo detox treatment .
This will slowly decrease the presence of the substance in their body.
This needs to be completed in a safe manner ensuring that any withdrawal symptoms that they may experience are kept to a minimum.
Regular substance use over a prolonged period of time can harm both a person’s nervous system and cardiovascular system.
Therefore, detox treatment must be carried out slowly to ensure there are no medical complications as the body can react erratically during the withdrawal process.
To ensure any client undergoing detox treatment for alcohol is carried out safely and efficiently, a drug called Lithium is used.
Librium possesses anti-convulsant properties which significantly reduce the chances of a patient having seizures.
Librium has proven to be an effective drug for decreasing the amount of alcohol from the bloodstream and has proven to be successful in preventing other withdrawal symptoms associated with alcohol.
All drugs have a unique chemical make-up and because of this act on the brain and body in different ways.
This means that there is only detox treatment around for certain substances and not others.
For example, there is no detox treatment available for cocaine and cannabis but there is for heroin, alcohol and benzodiazepines.
If an individual is showing signs of tolerance to a substance, they will require more of the substance for it to still have the usual effect.
Anyone who has developed a tolerance to a substance will find they may experience withdrawal symptoms when they stop.
People who become addicted will also develop a psychological dependence on a substance.
This is because the drug has had an effect on their brain which is so powerful that they are motivated to continue taking the substance.
The reason this effect is so powerful is because these substances trigger the dopamine pathway in the brain, which is responsible for producing pleasurable feelings.
The rehab centres in Wiltshire provide excellent treatment to aid recovery from cocaine addiction,
Overall, there is a high recovery rate for people who seek treatment for cocaine dependence.
Cocaine is a stimulant drug, meaning that when users try to come off the drug, they will experience symptoms similar to depression, anxiety, paranoia and low mood.
A key aspect of the treatment will be to offer emotional support, advice and encouragement to clients as they go through this challenging withdrawal phase.
The medical staff will also be able to advise clients on any specific medication that may alleviate any uncomfortable withdrawal symptoms, as there is no detox procedure available for cocaine addiction.
It is also advisable for clients to engage with the psychological therapies on offer, which have been effective in treating addiction.
There are several established rehab centres in Wiltshire that offer comprehensive treatment for heroin addiction.
Treatment for heroin addiction involves two separate areas, both of which use proven and effective interventions.
The first involves supporting clients as they go through detox treatment to tend to their physical dependence.
This is achieved by using a substitute drug such as Methadone to slowly reduce the level of heroin in the body whilst staving off any withdrawal symptoms.
Detox treatment can take between 1-3 weeks to stabilise a patient, although many patients can be on small amounts for longer.
The second part of the treatment involves clients engaging in several psychological therapies such as CBT, group therapies and the 12-step programme.
This aspect of treatment will take place for 4 weeks after the detox phase has finished.
Despite the fact that cannabis is viewed as the least harmful of all psychoactive drugs, people can do lasting damage to their cognitive processes and mental health through long-term use.
Cannabis is a highly used drug due to its sought-after effects of pleasure and relaxation, meaning it can induce psychologically addiction.
Luckily there are first-class treatment programmes available to help people conquer their cannabis addiction.
Treatment programmes tend to initially support people as they go through the withdrawal phase.
There is no detox treatment for cannabis, so medical staff will help patients manage their withdrawal symptoms through emotional support and some conventional medicines.
After this the client will receive psychological therapies to help them work through any emotional problems that may have contributed to their addiction.
All residential services available for drug and alcohol rehab in Wiltshire utilise a range of psychological therapies as part of their treatment programmes.
Some of the most common therapies used in the area of addiction are:
Engaging in CBT sessions during your rehab stay will enable you to extinguish any unhelpful thought patterns you may have developed over the years which may have lowered your self-esteem.
You will gain a more accurate perspective of events so that you interpret them in different ways, rather than blaming yourself.
CBT will also help you change your beliefs, expectations and attitudes towards substances.
For example, you may have the inaccurate belief that smoking cannabis is the only way possible for you to relax, which of course is untrue.
Many substance misusers have reported taking substances to help them shut out difficult feelings.
DBT is an extremely effective treatment for helping clients cope with strong feelings that they are unable to tolerate.
This therapy provides a safe place for clients to work with therapists to understand the nature of their emotional life and to develop strategies to help them tolerate uncomfortable feelings.
Once they have practised these strategies, they should be in a position to put them into practice when these feelings arise in their day to day lives.
There are short term counselling approaches (4-6 sessions) used to encourage change in clients who are showing signs of increasing their substance use, but are not yet considered to be in the “dependent” category.
The aim of brief interventions is for the therapist to engage the client in a dialogue about their behaviour.
The therapist will be supportive and understanding when interacting with the client, acknowledging that it is the client’s choice whether they decide to change their behaviour.
The therapist will make the client aware of the nature of their substance use, the effect it is having on them and the options them.
These brief sessions have proven invaluable in encouraging the client to stop taking substances.
MI is used by addiction counsellors to help them overcome any resistance they may be exhibiting at any stage during their treatment programme.
This could be at the beginning treatment, halfway through or right at the end.
Counsellors at the rehab centres will be with you all the way to help you work through any resistance, helping you to make sure that you remain on track with your goal of abstinence.
You can be safe in the knowledge that, whichever stage of treatment you are in, your therapists show empathy, compassion and understanding when working with you.
Holistic therapies are a feature of many addiction treatment programmes these days.
They offer an alternative way to express emotions and communicate thoughts to the traditional talking therapies that tend to be offered to clients.
Creative therapies have been very successful in enabling clients to communicate their thoughts and feelings on their substance misuse.
Not everyone has the ability to find the right vocabulary to convey their feelings.
Clients who have experienced traumatic events do find it hard to talk about these events, as the memories associated with them have not been fully processed.
Art, music and drama therapy provide another avenue for people to express their feelings.
The creative therapies have contributed greatly to helping victims of trauma heal their wounds, and also towards helping substance-dependent people work through feelings relating to shame and denial.
These sessions take place with a horse and an equine therapist.
By observing how the horse interacts with you, it is possible for the therapist to make inferences on how you tend to relate to others in social situations.
Horses are very adept at reading human body language and the way the horse reacts to you in sessions can provide vital insight into any unconscious communication patterns you may exhibit.
The therapist will make you aware of such behaviour so you can begin to change it to improve the quality of your relationships in the future.
Equine therapy has also been effective in improving clients’ confidence, reducing stress and anger levels and improving their social relationships.
Adventure therapy has developed a strong reputation for the positive impact it has on a person’s self-esteem levels, sense of competency and their social and team working skills.
Research has shown that spending time in natural environments can have immense therapeutic value for us.
By organising a range of activities in natural surroundings, such as mountains and forests, clients benefit from the positive effects of being outdoors whilst simultaneously engaging in new activities which boost their knowledge and skill set.
Participating in group therapy sessions during rehab will enable clients to build strong human connections with people who have been through similar experiences.
This may have been something that is missing in their lives, as it has been proposed that many substance users have had difficulties in forming and maintaining healthy relationships.
There are many positive aspects to engaging in group therapy, including providing a strong sense of belonging.
Group participants will learn important traits that foster good relationships with people, and will help give them an appreciation that they are not alone in their struggles.
Engaging in one-to-one sessions with a qualified counsellor will help clients process all the events and factors that have led to their addiction.
All people who are diagnosed with a SUD have experienced trauma or emotional difficulties that they are struggling to come to terms with.
Talking these through in a therapy session will help you to reduce the psychological and emotional stress, you are experiencing which will help you think more clearly and provide the foundation to move forward in your life.
Research has indicated that many people who suffer from addiction have experienced difficulties in their relationships with family members, whether this is due to insecure attachment patterns or dysfunctional family dynamics.
These early experiences often set the foundation for the way we view and conduct our relationships.
Family therapy will help address the early, unhealthy interaction patterns in the family that may have played a role in some of the family members turning to substances.
Poor relationships and conflict can play a key role in instigating addictive behaviours.
For example, the family may be encouraged to be more open in its communication and not keep secrets or to talk about emotions more freely than they previously did.
Co-dependent people, as a result of childhood trauma, find it difficult to understand the nature of their psychological needs.
This adversely effects the quality of their relationships with others, tending to overly focus on the needs of others rather than their own.
Treatment for co-dependency involves individual and possibly group therapy that will help co-dependent people recognise their own needs, leading to more fulfilling and authentic relationships.
Twelve-step therapy has become a key aspect of a treatment plan for substance use recovery.
It is based on one of the fundamental aspects of the AA’s recovery programme.
The 12-step approach provides a series of challenges and reflections for people to work through,
These will guide them towards accepting what has happened to them and arm them with the tools and belief that they can move forward in their lives.
The first step involves admitting that they have become powerless in their ability to control their substance misuse and they need to seek help.
They will also be required to identify who they have harmed over the years as a result of their behaviour.
Later steps encourage clients to consider their spirituality more deeply.
All clients in rehab will learn relapse prevention skills before their treatment programme comes to an end.
During these sessions, clients will work under the direction of a counsellor to identify high-risk situations in their lives that may make them vulnerable to relapsing back into using substances.
For example, a client may identify that a lot of their alcohol occurred when attending sporting events with certain friends.
Once you have identified high-risk situations that are pertinent to you, you can work with your counsellor to develop a plan to initiate when these high-risk situations transpire.
Researchers investigating the area of drug and alcohol relapse have concluded that we are more susceptible to relapsing when our bodies are experiencing certain states/emotions.
The HALT approach suggests that we are most vulnerable to relapsing when our body is in certain physiological states
The acronym HALT stands for Hungry, Angry, Lonely and Tired.
Reflecting back on how our substance taking behaviour corresponds to these 4 states can make us understand ourselves more deeply.
This help us put strategies in place to minimise the chances of us relapsing in the future when we find ourselves in one of these 4 states.
It’s important to understand that, as soon as you leave rehab, you cannot just go back and pick up your life where you left off.
You cannot rely on willpower alone to maintain your recovery.
People who make good progress in their recovery analyse all aspects of their lifestyle to help them keep the momentum of their recovery going.
For example, if you thought that stress was a significant factor in using substances, then you should introduce stress management techniques and relaxation exercises into your weekly diary.
Achieving a healthy work/life balance has also been reported as being is important in reducing people’s vulnerability to searching for the gratification obtained from substance use.
Research has also suggested that people who avoid relapsing have been able to find meaning in their lives, whether this is through a newly found spirituality, newly discovered recreational activities or becoming involved with the local community.
For more information on going to rehab in Bedfordshire, contact Rehab 4 Alcoholism today on 0800 111 4108.
This call will only last a few minutes, but it may change the rest of your life for the better.
Ensure your rehabilitation is highly tailored and effective by contacting us today.
Every rehab in England and Wales that we work with is overseen by the Care Quality Commission.
Every caller will be fully assessed to ensure any recommendation we make is tailored to your unique rehab needs.
There are various types of rehab centres available in Drug & Alcohol Rehabs in Wiltshire, including inpatient alcohol rehab, luxury alcohol rehab, and private drug rehabs.