Wilmington VA Medical Center

Alcoholism

Alcoholism, also known as alcohol use disorder (AUD), is a pattern of experiencing difficulty controlling alcohol consumption and a failure to stop drinking even when it causes problems. Treatment for this addiction is typically customized for each person, but generally follows a three-step process. Alcohol rehab in Delaware begins with supervised detox, followed rehabilitation, then maintenance.

Drug Addiction

Recovery is possible for those who complete drug rehab in Delaware. These programs specialize in providing an environment that encourages sobriety and a professional staff that provides the tools to overcome addiction. Participants receive a customized treatment plan tailored to their needs.

Dual Diagnosis

Delaware offers specialized dual-diagnosis addiction treatment programs to address the prevalence of mental health conditions co-occurring with substance use disorders. These programs provide various levels of care, including outpatient, inpatient, and partial hospitalization programs. Addiction experts use a combination of evidence-based therapies, such as cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT), together with skills training, recovery groups, and education, to simultaneously treat both conditions and improve overall mental and physical health.

Mental Health and Substance Abuse

Dual-diagnosis rehabs in Delaware offer comprehensive care for individuals needing mental health and substance abuse treatment. The phrase “Dual-diagnosis” meaning an individual has two mental health conditions, like addiction and depression, at the same time. Typically, you can expect these rehabs provide various levels of care, including inpatient, detox, and outpatient. You’ll receive a mental health assessment and individualized treatment plan, medication (if necessary), counseling, mindfulness groups, and behavioral therapies, like cognitive-behavioral therapy (CBT).

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
• Medicare
• Military insurance
• Financial aid
• Medicaid

Adult program

Elderly program

HIV/AIDS program

LGBTQ program

Military program

Program for men

Program for women

Young adult program

Outpatient

Clients in outpatient rehab have often completed inpatient treatment and are stable and progressing in their recovery journey. Others may have elected to move straight from detox into outpatient care to minimize disruptions to their work or family life. Because outpatient clients’ needs may vary widely, treatment programs and levels of care are also often diverse. Clients requiring more frequent and substantive psychotherapy and recovery support may enroll in intensive outpatient (IOP) or partial hospitalization (PHP) programs.

Medically Assisted Detox

Since quitting your drug of choice cold turkey can be uncomfortable (and even dangerous), a medically assisted detox is typically suggested. It takes place in an inpatient setting, where clinical staff can monitor your vitals, provide medications if necessary, and keep you as safe and comfortable as possible throughout the process.

Intensive Outpatient

Clients may enroll in an intensive outpatient program (IOP) immediately following detox or after completing inpatient treatment. IOP programs involve a step-down approach in which treatment frequency and intensity gradually decrease until the client is stable enough to enter standard outpatient (OP) care. Most intensive outpatient programs offer a minimum of nine and a maximum of 20 treatment hours. Therapeutic modalities typically include medication assisted treatment (MAT), psychotherapy, recovery skills training, and complementary care.

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.

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).

Partial Hospitalization Program

A partial hospitalization program (PHP) offers intensive rehab tailored for those who don't need 24-hour care. PHP treatment is ideal for serious disorders that may not fully respond to regular outpatient therapy. It can serve as an alternative to inpatient hospitalization or as a step-down option and is often fully covered by insurance. With daily sessions lasting 6 to 8 hours, up to 5 days a week, PHP treatment can provide medication management, relapse prevention strategies, and behavioral therapy interventions.

Sober Living Homes

There are many benefits to a sober living home in Delaware, also referred to as a halfway house. This transitional housing offers accountability, structure, 12-step programs, and sober fellowship. Residents have the opportunity to develop positive friendships that encourage them to abstain from substances. These relationships provide crucial support when individuals have completed inpatient rehab treatment and are preparing to return to normal day-to-day living.

12-Step

The 12 step program model has become a standard in addiction recovery. It combines peer coaching with spiritual development to address the root causes of addiction while providing those in recovery with robust, judgment-free support. Participants self-select a sponsor to guide them through their recovery journey, engage in regular group meetings, and “work the steps” to achieve healing emotional, psychological, and spiritual growth. Though 12 step recovery is spiritually-focused, religious affiliation is not required.

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.

Family Therapy

Sometimes, as part of a Veteran’s treatment, some members of the Veteran’s immediate family or the Veteran’s legal guardian may be included and receive services, such as family therapy, marriage counseling, grief counseling, etc. Family members might learn how to recognize symptoms and support recovery. In some treatment settings, a brief course of couples counseling or family therapy may be offered.

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

Wilmington VA Medical Center offers medical education, support, counseling, stress management techniques, self hypnosis techniques, and other guidance that can be of benefit in helping Veterans quit smoking and stay quit. Pharmacotherapy is an integral part of the treatment. Pharmaceutical products to help you quit can be obtained from your providers or when you seek counseling at the programs.

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.

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 “rational self-counseling,” 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.

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