According to Ealing Council statistics, it is reported that there are 2,464 opiate and/or crack users (OCUs) in Ealing.
This means that 10.5% of people aged between 15-64 in Ealing use cocaine.
Out of the 153 counties and unitary authorities in England, Ealing ranks 104th for OCUs.
In Ealing, there are an estimated 3,499 people in need of treatment for alcohol dependency.
On average, there are between 500-520 referrals for substance treatment per year.
The thought of entering rehab can be daunting.
Fortunately, for those based in Ealing, there are plenty of options available.
To help alleviate some of the stress and to give insight into rehab in Ealing, this article will discuss what is available and what to expect when entering rehab.
A common question that people ask, is whether they have a substance dependency.
The reason for this is that dependency is not always initially evident.
The most evident signs are both psychological and physical -this includes changes in mood, behaviour and appearances.
The reason for this is that these substances are highly addictive, meaning that with extended use an individual will become dependent upon the substance.
Without it, people experience a range of withdrawal symptoms including:
If a person is unaware that they have a substance dependency, a good way to tell is to see if they are experiencing withdrawal when they have not consumed a substance.
Further signs of addiction include the impact that substances have on both personality and behaviour.
They distort perceptions and reduce motor skills and functioning.
The byproduct of this can vary, but often includes a person becoming slower, more fidgety or being less cognitively aware.
In terms of personality, people with substance dependency tend to be more anxious, paranoid and irrational.
If you are still unsure about where you are in the stages of addiction, there are several professionally developed tools available that can help.
One example is the CAGE questionnaire.
The CAGE questionnaire was originally developed to help medical professionals determine if someone had an alcohol addiction.
However, a variation exists also helps determine drug addiction.
CAGE is an acronym, standing for:
Based on the acronym, a medical professional will ask four yes or no questions.
The purpose of the questionnaire is to ask questions that remove the stigma surrounding dependency.
Studies suggest that the questionnaire has a 93% success rate in identifying those with a dependency.
The questions for alcohol dependency are:
As previously mentioned, substances harm the brain and reduce cognitive function.
This, in turn, can lead to distorted perceptions.
One outcome of this is that it is not uncommon for people with a substance dependency to refuse to believe that they have a problem.
For loved ones, this can lead to a variety of difficulties when trying to encourage a person to seek help.
As a result, many families will attempt to organise an intervention.
An intervention, essentially, is this process of family and friends coming together to convince the concerned person that they might have a substance problem.
Usually, this will involve each person taking turns to express their feelings and concerns.
For an intervention to be effective, studies have found that several elements must be covered.
Persuasion refers to the need to convince the person that they might have a problem.
Tips for successfully doing this might include a calm explanation of noticeable changes in behaviour, personality or physical appearances.
Accountability refers to the person coming to terms with their addiction.
In other words, taking responsibility for both the addiction and the need to seek help.
Preventing enabling behaviour is aimed at both family and friends and the person with substance dependency.
This might involve refusing to give them money or stop providing them with accommodation.
Interventions are complex and emotionally difficult to orchestrate.
Therefore, it might be worth considering employing the help of a professional interventionist.
Interventionists are trained medical professionals that will be able to help organize and plan the intervention, develop a unique strategy, and guide friends and family in how to better communicate with their loved ones.
A common intervention tool that professionals might implement is the CRAFT method.
The CRAFT method is aimed at those that might not realise, or be unwilling to accept, that they have a problem.
It focuses on preventing confrontation by using positive communication tools.
CRAFT is a home-based family therapy session that occurs over several months.
A professional will visit the home and help conduct the intervention.
This will include regular therapy sessions and assessments.
At the core of the CRAFT method is three objectives:
To achieve this, the negative components of addiction are removed from the intervention.
Instead, CRAFT focuses on step-by-step goals, problem-solving and self-care.
If a person accepts that they have a problem and needs help, there are many options available to them.
With regards to public treatment, treatment for substance dependency is available for free through the NHS.
This is, however, a long process and often only given to those with the most severe addictions.
To access treatment through the NHS, people must first speak with their GP.
Their GP will assess them and advise on what options are best.
Usually, before being considered for residential treatment, people will be expected to have completed several other options.
Ealing Council has also set up an organisation called RISE (Recovery Intervention Services Ealing).
RISE provides some short-term treatment options and offers a free assessment.
For a referral, people are advised to speak to their GP.
If the person is still suffering from addiction after completing these other options, they will be considered for residential treatment.
This will involve a recommendation from a GP and a funding application to the Ealing council from a key worker.
It should be noted that the wait time for residential treatment through the NHS is between 6 months to a year.
However, this can be much longer.
There are, however, many excellent private facilities in Ealing.
Unfortunately, private facilities can be expensive.
Most private rehabs in Ealing range from several hundred to several thousand pounds per-day.
Studies have found that the average cost of rehab in the UK is £495 per day or £14,000 per month.
The cost of rehab in Ealing is dependent upon several factors:
If these options are too expensive, health insurance may cover the cost of treatment.
This is dependent, however, upon the person’s insurance type and whether the facility accepts insurance.
To find out, it is recommended that people contact both their insurance provider and intended treatment facility.
Some employers offer private health insurance plans that cover the cost of rehab.
However, accessing this would likely require you to disclose a substance use problem to your employer.
According to several facilities in Ealing, rehab can last from several days to several weeks and months.
This is dependent, however, on the type of treatment you recieve.
For example, those suffering from either alcohol or heroin dependency are expected to receive more treatment.
Both the detoxification and the therapy can last a lot longer – up to 3 months.
Other substances, such as cocaine or cannabis, tend to involve a shorter period of rehab.
Cocaine rehab, on average, lasts up to 1 month. The same is true for cannabis rehab.
Other factors that contribute to the duration of rehab is how long the person has been using the substance, and whether they attend an inpatient programme or an outpatient programme.
No matter how long you spend in rehab, the important thing is to make the most of your time there.
The two most common forms of substance rehabilitation are inpatient treatment and outpatient treatment.
Although both are similar, inpatient requires the person to stay overnight at a facility, whereas outpatient treatment does not.
During inpatient treatment, people will detox, attend therapy and develop a relapse prevention plan whilst staying at a facility.
Most inpatient treatment lasts between 20-90 days. Once again this can vary, with some people staying at a facility for up to 6 months.
The primary benefit of inpatient treatment is that guests will receive 24/7 medical supervision.
This is particularly useful for those with more severe addictions.
Detoxing from substances such as alcohol and heroin can be dangerous.
Therefore, inpatient treatment may be necessary.
Outpatient treatment is often implemented before inpatient treatment.
In addition, it is more suitable for those suffering from a less severe dependency.
Instead of staying overnight in a facility, people will attend weekly assessments during the treatment process.
Because outpatient treatment is designed to fit around the person’s other engagements, the treatment can last longer than an inpatient programme.
Often outpatient treatment will last for several months to a year – although short-term outpatient treatment is also available.
Regardless of the substance, when attending rehab in Ealing, the treatment process is relatively the same:
The initial needs assessment involves a discussion with the selected rehab about the substance you are dependent upon, what the rehab treatment will involve, and what to expect.
Following this, and when entering the facility, people will undergo a medical evaluation.
This evaluation will assess the severity of the addiction, identify possible physical and psychological needs and issues, determine the initial duration of the stay, and provide a recommended treatment plan.
This might also include checking for a dual diagnosis – the interaction between mental health issues and addiction.
Studies have found that mental health issues, such as depression and anxiety, can lead to substance dependency.
In addition, addiction can cause mental health issues to form.
After the evaluation, people will undergo their detox. This is the process of expelling the substance from the body.
During the detox period, it is likely that people will experience withdrawal.
Withdrawal symptoms and duration are variable, and depend upon the substance consumed, how often and for how long it was consumed, and even the way it was consumed.
Cannabis is considered one of the less severe substances when detoxing.
Although cannabis can stay in a person’s system for up to 3 months, withdrawal symptoms usually end within several days.
Symptoms of cannabis withdrawal include:
With regards to cocaine, withdrawal symptoms usually occur several hours after the final dose and can last up to 7 days.
Symptoms of cocaine withdrawal can range from mild to severe.
Heroin, unfortunately, involves a much more physically and psychologically strenuous withdrawal experience.
This is due to heroin being much more addictive than other substances.
Withdrawal from heroin usually occurs several hours after the final dose and lasts up to several days.
Mild symptoms include nausea, restlessness and stress.
More severe symptoms include hypertension, vomiting, hallucinations, and depression.
Due to the nature of heroin withdrawal, it is common for people to be given some form of medication to help – methadone or naltrexone, for example.
Upon completing detox, people will begin therapy.
This might involve attending one-to-one counselling, holistic therapy or group therapy.
The rehab facility will then work with the person to develop a relapse prevention plan.
People will identify potential triggers and discuss with a professional how these can be avoided.
Upon completing rehab, people will be offered aftercare.
This is an ongoing process of receiving post-rehab support – whether through continued counselling or community services.
When attending alcohol rehab in Ealing, the process is the same as mentioned above: assessment, medical evaluation, detox, therapy and counselling, relapse prevention, and aftercare.
Withdrawal from alcohol, also known as Alcohol Withdrawal Syndrome (AWS), usually occurs between 5-10 hours after the last intake of alcohol.
Mild symptoms include:
More severe symptoms include:
Most symptoms reduce after 24 hours, but some symptoms can last up to 10 days.
Librium is a mild sedative that helps reduce symptoms such as anxiety and restlessness.
As previously mentioned, an important aspect of rehab is the counselling and therapy people receive.
This can be varied, ranging from talk therapy to group therapy.
Some different types of therapy at rehab in Ealing include:
Each of these therapies varies in its approach.
However, each seeks to address the underlying cause of addiction.
This also helps address mental health issues, such as depression, anxiety, and stress.
Therapy in rehab is also aimed at helping people develop the necessary tools to maintain sobriety.
An example of this is, and a common therapy in rehab is Cognitive Behavioural Therapy (CBT).
CBT is a therapy that analyses a person’s thought processes. In theory, negative thoughts lead to negative behaviours.
For example, dealing with anxious thoughts or past trauma might lead to behaviours such as substance abuse.
In turn, then, changing thought processes to become positive, should lead to positive behaviours.
Group therapy is also common during rehab.
This creates an environment where peers can meet and discuss their addiction and struggles with sobriety.
Studies have found that peer groups are useful in encouraging accountability.
Some rehabs also implement family therapy.
For many, their family relationships can be the cause of their addiction.
In addition, having a loved one with a substance dependency can be very difficult.
Family therapy seeks to deal with both of these issues.
It is a type of reconciliation therapy that helps families confront issues surrounding substance dependency.
The final stage of rehab is the development of a relapse prevention plan.
This involves working closely with a trained specialist that will help people plan to maintain sobriety.
This mostly involves discussing potential triggers- which could be a certain location, relationship or environment.
Following relapse prevention, people will be offered post-rehab aftercare.
This will involve continued supervision from a medical professional and continued counselling and therapy.
For more information on rehab facilities and treatment in Ealing, contact Rehab 4 Addiction on 0800 140 4690.
Rehab 4 Addiction offers a free assessment and will help refer you to the right facility.
So long as you are dedicated to recovery, there is no addiction that cannot be beaten.