Bracebridge Hall is a private, 550-acre estate on the Eastern shore of the Chesapeake Bay in Earleville, Maryland. The Bracebridge Hall property includes a 40000 square foot mansion and sprawling grounds that encourage patients to take advantage of the natural surroundings. They offer a high clinician-to-resident ratio, a regulation tennis court, full basketball and sports court, a flat screen HD TV in every room, waterfront yoga, a 1500 sq. ft. outdoor putting green, four miles of natural and paved walking trails, 150-foot dock overlooking the Chesapeake, and bird watching.
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The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services. Established in 1992 by congress, SAMHSA's mission is to reduce the impact of substance abuse and mental illness on American's communities.
SAMHSA Listed: Yes
The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care.
Joint Commission Accreditation: Yes
Accreditation Number: 586020
State Licenses are permits issued by government agencies that allow rehab organizations to conduct business legally within a certain geographical area. Typically, the kind of program a rehab facility offers, along with its physical location, determines which licenses are required to operate legally.
State License: Maryland
License Number: 906545
The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.
CARF Accreditation: Yes
The National Association of Addiction Treatment Providers (NAATP) is a professional association that represents organizations in the field of addiction services. Founded in 1978, NAATP's mission is to advance addiction services and ensure that high-quality addiction treatment is available and accessible.
NAATP Member: Yes
Member ID: 10857
Methadone maintenance or ORT (Opiate Replacement Therapy) is the use of methadone as a substitute for someone who is addicted to opioids (heroin, OxyContin, codeine, Dilaudid, Percocet and others), helping with the recovery process reducing the cravings for the opioids or used as part of the admittance process to a substance abuse treatment facility that requires complete abstinence.
Psychotropic medications (aka psychodynamic medication) are any medicines used specifically to affect and/or alter a patient's mind, emotions, and behaviors. Such psychiatric medicines are often used to change chemical levels in the brain that impact a person's mood and behavior. These medications include mood stabilizers, antidepressants, anti-ADHD drugs, and anti-anxiety medications.
Buprenorphine (brand name Subutex, among others) is an opioid medication used to treat opioid addiction. Buprenorphine can prevent or significantly reduce withdrawal symptoms, making it easier to get and stay off opioids. Sometimes used alongside naloxone, dosage depends on the severity of each case. Many people stay on buprenorphine long-term, although some gradually reduce the dosage to come off it.
Naltrexone is an FDA-approved medication used to treat opioid and alcohol addiction. Naltrexone helps reduce cravings and prevent relapse, making recovery easier. It comes either in pill form (ReVia, Depade), taken once a day; or in an injectable form (Vivitrol), administered monthly. Patients must not have any illegal opioids or opioid medication in their system for at least 7-10 days before starting naltrexone (this includes methadone, so if youâre switching from methadone to naltrexone, you must wait until your system is clear).
Vivitrol is an injectable prescription medicine used to treat alcohol and opioid dependence. Administered only with medical approval, VIVITROL blocks opioid receptors in the brain, which helps reduce cravings and prevent relapse. VIVITROL is non-addictive and extended-release, so it only needs to be taken once a month. Before starting VIVITROL, you must be opioid-free for at least 7-10 days in order to avoid sudden opioid withdrawal symptoms.
Medication-Assisted Treatment (MAT) is the use of medications along with counseling and therapy to treat substance abuse. MAT is mainly used to treat opioid addictions (i.e. heroin and/or prescription drugs like OxyContin or Vicodin). Medications like buprenorphine are used in MAT to help normalize brain chemistry, block the effects of alcohol and/or opioids, relieve cravings, and stabilize body functions, making sobriety easier to maintain. All medications used are approved by the FDA, and every MAT program is tailored to the patientâs specific needs.
Level of Care:
When you arrive, they complete a comprehensive evaluation to determine the best level of care and develop a personalized plan for your treatment. Each patient receiving inpatient treatment works with the medical staff to develop a personal iPlan. The RCA iPlan delivers a customized clinical treatment program based on an individual patientâs needs, under the guidance of a licensed clinician, medical director, and personal case manager.
Partial Hospitalization Program:
A partial hospitalization program (PHP) is a short-term form of intensive rehab, usually for those with acute symptoms that are hard to manage but donât require 24-hour care. PHPs have structured programming (i.e. individual and/or group therapy), and usually meet 3-5 days a week for around 6 hours (i.e. 9am-3m). Some PHPs are residential (patients sleep on site) and some are not, so patients sleep at home. PHPs can last from 1-6 months, and some offer transportation and meals.
Intervention services helps family or friends of addicts stage an intervention, which is a meeting in which loved ones share their concerns and attempt to get an addict into treatment. Professional intervention specialists can help loved ones organize, gather, and communicate with an addict. They can guide intervention participants in describing the damage the addict's behavior is causing and that outside help is necessary to address the addiction. The ideal outcome of an intervention is for the addict to go to rehab and get the help they need.
Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
12-step programs are addiction recovery models based on Alcoholics Anonymous (AA). A number of substance abuse programs (including some drug and alcohol rehab centers) use the 12 steps as a basis for treatment. Beginning steps involve admitting powerlessness over the addiction and creating a spiritual basis for recovery. Middle steps including making direct amends to those who've been hurt by the addiction, and the final step is to assist others in addiction recovery in the same way. The 12 Steps to recovery are steeped in Bracebridge Hallâs various workshops and sessions. They offer regular, on-site 12-Step meetings and include the spiritual principals of the program in everything they do.
Intensive Outpatient Programs (IOP) are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Residential treatment at Bracebridge Hall provides intensive individualized care each day. When you arrive, they complete a comprehensive evaluation to determine the best level of care and develop a personalized plan for your treatment.
Medically Assisted Detox:
Drug and alcohol addiction often takes a heavy toll on one's body. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Medical detox is done by licensed medical professionals who monitor vital signs and keep you safe, healthy, and as comfortable as possible as you go through detox and withdrawal.
Completing a drug or alcohol rehab program shouldnât spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. Theirr Alumni Program provides a variety of beneficial opportunities after you leave recovery at Bracebridge Hall. They want you to remain connected to the network of people who understand your journey and will continue to stay on the right path with you.
Rather than focusing solely on addiction, holistic treatment facilities treat patients in terms of their whole being. Holistic treatment is about more than just addiction and sobriety â it addresses the personâs life in its entirety, including career, physical, familial, and spiritual aspects.
24-Hour Clinical Care:
At certain points in the recovery process, it's important to have support available 24/7. 24-hour clinical care offers a safe environment in which to recover from drug or alcohol addiction in peace, knowing medical detox and other treatment will happen with professionals on hand.
SMART (Self-Management & Recovery Training) is a method addiction recovery, often seen as an âalternativeâ to 12-step programs. It emphasizes 4 core areas: Building Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance. The SMART approach views substance use as a dysfunctional habit (not a disease), emphasizes the latest scientific research on addiction, and believes each individual finds his/her own path to recovery. Notably, relapses are seen as a normal part of the change cycle and good learning experiences if handled properly. SMART can be put to use anywhere (any rehab facility or group).
Mental Health and Substance Abuse:
A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.
The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.
Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.
Rational Behavior Therapy:
Rational Behavior Therapy (RBT) is a form of cognitive behavioral therapy meant to be short-term and comprehensive. It was intended to help clients become more self-sufficent and move forward without the need for expensive, ongoing therapy. It includes an emotional self-help method called ârational self-counseling,â the purpose of which is to give clients all the skills needed to handle future emotional issues by themselves, or with significantly less professional help.
In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.
Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.
Cognitive Behavioral Therapy:
Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.
Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.
Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.
Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.
Eating Disorder Treatment:
Eating disorders include anorexia, bulimia, binge eating, and dysfunctional eating patterns. Many psychologists and other mental health professionals consider eating disorders to be food addictions, meaning food is being used in an addictive way (similar to drug or alcohol addiction). Certain substance abuse treatment programs will have treatment for eating disorders as one of the services offered. An eating disorder may also present as a co-occuring disorder or dual diagnosis alongside drug and alcohol addiction.
Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.
Creative Arts Therapy:
Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself.
Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.
Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.
Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.