VA Long Beach Healthcare System – Tibor Rubin VAMC

Alcoholism

Alcoholism, or alcohol use disorder (AUD), is defined by alcohol dependence. This is a state the body reaches when it experiences withdrawal symptoms in the absence of alcohol. A person who has AUD craves alcohol and continues to drink despite adverse consequences. Because withdrawing from alcohol can pose health risks, individuals with AUD should seek professional alcohol rehab in California to overcome their alcohol addiction. This process typically involves medical detox, rehabilitation, and maintenance.

Drug Addiction

Drug rehab in California teaches participants constructive ways to stay clean and sober. Treatment revolves around helping individuals stop using the substance they are addicted to and learn healthy habits to avoid relapse.

Dual Diagnosis

In California, dual-diagnosis addiction treatment programs offer comprehensive care for individuals with co-occurring mental health and substance use disorders. Programs include medically assisted detox, intensive outpatient, outpatient, residential rehab, and partial hospitalization. Using an evidence-based approach, clinicians utilize therapies like cognitive behavioral therapy, or dialectical behavioral therapy and mindfulness to address substance use disorders and co-occurring mental health challenges. Additional services include 12-Step recovery, group therapy, family counseling, and relapse prevention to promote sustained recovery.

Mental Health and Substance Abuse

California drug and alcohol rehabs also provide dual-diagnosis treatment for individuals seeking help for both mental health and substance abuse. These programs are usually offered on an inpatient or outpatient basis. You can usually expect a mental health assessment and personalized treatment plan, evidence-based therapies, like cognitive-behavioral therapy (CBT), experiential therapies like equine therapy, skills groups, and counseling to simultaneously address both mental health and substance abuse and drastically increase your chances of long-term sobriety.

Opioid Addiction

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.

• Private insurance
• Self-pay options
• Military insurance
• Medicare
• Per session
• 90 day cost: $1,316
• Financial aid
• Financing available

• Adult program
• Elderly program
• Hearing impaired program
• HIV/AIDS program
• LGBTQ program
• Military program
• Program for men
• Program for women
• Young adult program

Outpatient

Clients receiving treatment at an outpatient rehab typically do not require hospitalization or intensive supervision and support. Outpatient addiction counseling and recovery education are often offered during the morning, evening, night, and weekend, allowing clients to tailor treatment to their own schedule. Partial hospitalization (PHP) and intensive outpatient (IOP) programs are the most time-intensive and are designed for clients who are at an increased relapse risk and/or who need more robust therapeutic support.

Inpatient

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. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.

Partial Hospitalization Program

Commonly known as “day treatment,” a partial hospitalization program (PHP) is an intensive form of outpatient treatment where clients meet during the day and return home in the evening. PHP treatment doesn't require 24-hour care and often serves as an alternative to inpatient hospitalization or a step-down after a residential program. With PHP treatment, you can receive daily support for 6 to 8 hours which includes evidence-based therapies and medication management. The cost of PHP treatment typically varies but averages 90 days.

Medically Assisted Detox

When addicted, quitting your drug of choice suddenly can be dangerous. That’s why experts agree a medically assisted detox is the safest way to remove addictive substances from the body. Usually done in an inpatient setting, your vitals signs and overall well being are consistently monitored and rechecked in order to keep you safe and ensure the detox is successful.

Aftercare Support

Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).

12-Step

Participants engaged in 12 step programs receive intensive peer coaching (sponsorship) and community support. Spiritual development as a means of achieving psychological and emotional healing and growth is the cornerstone of 12 step recovery, but religious affiliations are not required. Meetings are free, anonymous, and open to the public, though specialized formats are available, including groups for seniors, teens, and family members. Evening, night, and day meetings are conducted year-round in most communities.

Intensive Outpatient

Intensive outpatient programs (IOP) support clients’ sustained sobriety as they exit detox or step down from inpatient programs. They are also designed for clients who are at an elevated risk of relapse. Intensive outpatient treatment typically requires clients to engage in a minimum of nine hours of therapy per week, but clients may receive up to 20 therapeutic hours weekly. IOP treatment modalities often combine psychotherapy, recovery-focused life skills training, and medication assisted treatment (MAT).

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.

Couples Therapy

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.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Electroconvulsive Therapy

ECT is a form of treatment in which controlled electric currents are passed through the brain, sometimes causing short seizures. Treatments are done under general anesthesia. ECT appears to change brain chemistry for the better, and has been shown to provide fast and sometimes dramatic improvements in severe mental health conditions that can exist alongside addiction, including depression, bipolar disorder, psychosis, and suicidality. ECT is also often used by those who prefer it to taking medication.

Experiential Therapy

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.

Family Therapy

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.

Fitness Therapy

Fitness therapy blends exercise with psychotherapy for a fun, inspiring, and effective way of treating addiction and other issues. By incorporating movement into counseling sessions, clients become more empowered, motivated, and goal-oriented, all while strengthening their bodies and becoming more flexible. Fitness Therapy is usually used to complement a course of treatment (inpatient or outpatient) to make it even more successful. Increasing the connection between a patient’s mind and body helps both with healing as well as in creating new, healthy habits.

Group Therapy

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.

Individual Therapy

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.

Life Skills

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

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.

Nicotine Replacement Therapy

Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.

Nutrition Therapy

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.

Recreational Therapy

Recreational therapy (aka therapeutic recreation) uses creative and fun activities to help with addiction recovery. Recreational therapists lead patients in entertaining and engaging activities like sports or games; art (drawing, painting, sculpture); drama, music, and dance; and/or community outings (field trips) to improve patients' physical, social, and emotional well-being.

Trauma Therapy

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.

• Residential setting
• Private setting
• Private transportation
• Acupuncture room