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What are qualifications for inpatient rehab?
Hey all, what type of situation indicates a need for an inpatient rehab as opposed to an intensive outpatient rehab?
Observed urine test? You mean they watch you pee? OMG I'd never be able to release the stream.
I feel like you have had such a rough road thru this Joy. I wish I could send a hug thru the internet. You are truly coming into a better place in your life though. Its just the path is so damn difficult! A lot of people on here really care about you. Just wanted you to know.
I feel like you have had such a rough road thru this Joy. I wish I could send a hug thru the internet. You are truly coming into a better place in your life though. Its just the path is so damn difficult! A lot of people on here really care about you. Just wanted you to know.
Although I went to the outpt rehab assessment, my assessment did not get done because they called my to be insurance co. and found out I wasn't covered quite yet. It will take another 24 hours. So I will be driving back down there tomorrow. Open enrollement is now for my husbands insurance. I had my first observed urine test at the rehab clinic, interesting, and it was negative of course, thank you very much:) Went to nurse support group that day as well, missed NA/AA because couldn't fit it in and I will be penalized for it through the Board of Nursing. What to do?. Doing the best I can. I decided to tell my husbands family yesterday so that he has someone to talk to. I have all kinds of people to talk to right? He hasn't spoken to anyone about this yet, and would not talk to them without my ok and with Thanks Giving coming up we will see all of them. Now we really have nothing to hide. I'm sure most of them will support both of us. Thanks for replying Debbie and Jaybay. I appreciate it...Joy
congrats on being clean for a month. yuo are going to feel achy,weak, not right for awhile longer. your body has to rid itself of all the poisons you had put into it. check out the health pages on the top of this page. after one month of being clean i don't think you need inpatient. the outpatient can be 2, 3, 4 or 5 days for a few hours a day with regular urine tests being done. don't worry about no insurance, most of the programs work on a sliding scale, they want to help keep you clean. get all the support you can. check out church services also draw strength from wherever you can. keep posting and let us know how things are going. have your husband check out alanon.
god bless,
debbie
god bless,
debbie
I forgot to mention this, but have your husband check on the next period for open enrollment for his insurance. Every company I've worked for had an annual open enrollment period that was usually in December. The policy would take effect in January. It's worth asking about anyway.
How did the rehab assessment go today?
How did the rehab assessment go today?
Oh joy, you're breaking my heart. I was afraid I was too blunt last night so I came straight to this thread this morning ready to type out my apologies. LOL!
I haven't done the alanon route myself, but looking through online resources and learning about addiction (my husband's) with our shrink has helped a great deal. Some people need the face-to-face approach; I prefer the online approach - at least in the beginning. Doesn't really matter as long as the goal is met. I absolutely think it would be good for your husband to attend a few alanon meetings. If nothing else, he'll get a better understanding of what you're both dealing with.
Honestly, it sounds like your husband has been spoiled rotten and has no idea how easy he's had it in marriage. You have pulled the family load for most, if not all, of your married life. He has no clue how to take care of the family without you. That doesn't mean he can't learn. You may have to sit down with him and explain it all in detail. If you typically pay all the bills, you'll have to explain your system of keeping track of it all. Even better, sit down twice a month and do it together. Write down the kids' schedules. If he can't take on transportation and things like that, you'll have to find someone else to do it or let extra-curricular activities slide for a while. Be specific.
My sister gave me some of the best advice I've ever heard many, many years ago. She was making the point that men and women do not see things the same way. We women get PO'd at our men and think it's completely obvious WHY we're PO'd. It's not. You have to be explicit and tell them precisely what they did to p*ss you off. Most of the time, they really are clueless. The first few times I found myself explaining a situation to my husband, I felt like I was dealing with a 6-foot, 170 pound child. "Do I REALLY have to explain this? Isn't it freakin' obvious?!" Nope. It's OK to have an argument, but you have to fight fairly.
You two definitely need to talk. Life is changing for both of you whether your husband realizes it or not. You aren't going to go back to the same old rat race and be everybody's guardian angel. Isn't that what got you here in the first place? Right now, you need somebody else to play that guardian angel role - for you.
I haven't done the alanon route myself, but looking through online resources and learning about addiction (my husband's) with our shrink has helped a great deal. Some people need the face-to-face approach; I prefer the online approach - at least in the beginning. Doesn't really matter as long as the goal is met. I absolutely think it would be good for your husband to attend a few alanon meetings. If nothing else, he'll get a better understanding of what you're both dealing with.
Honestly, it sounds like your husband has been spoiled rotten and has no idea how easy he's had it in marriage. You have pulled the family load for most, if not all, of your married life. He has no clue how to take care of the family without you. That doesn't mean he can't learn. You may have to sit down with him and explain it all in detail. If you typically pay all the bills, you'll have to explain your system of keeping track of it all. Even better, sit down twice a month and do it together. Write down the kids' schedules. If he can't take on transportation and things like that, you'll have to find someone else to do it or let extra-curricular activities slide for a while. Be specific.
My sister gave me some of the best advice I've ever heard many, many years ago. She was making the point that men and women do not see things the same way. We women get PO'd at our men and think it's completely obvious WHY we're PO'd. It's not. You have to be explicit and tell them precisely what they did to p*ss you off. Most of the time, they really are clueless. The first few times I found myself explaining a situation to my husband, I felt like I was dealing with a 6-foot, 170 pound child. "Do I REALLY have to explain this? Isn't it freakin' obvious?!" Nope. It's OK to have an argument, but you have to fight fairly.
You two definitely need to talk. Life is changing for both of you whether your husband realizes it or not. You aren't going to go back to the same old rat race and be everybody's guardian angel. Isn't that what got you here in the first place? Right now, you need somebody else to play that guardian angel role - for you.
Wow, thanks! I need the understanding. I don't want to go back to my old life for sure. Yes, I want to use, but I want love and understanding. The only place I see it truly is the AA/NA meetings I attend so far. I think the outpt and inpt rehab is where I will find it more. My husband did not take care of switching the medical insurance over to his after I lost my job. So we are without. I told him that I needed it done asap three weeks ago, and he failed to get it done. I cannot do it because it is through his work. Now I have my rehab assessment appt. on Monday and only found this out today. It has always been like this around here with him getting these important things done. I reluctanly went back to work full time once again to provide more income and better health insurance for my family. I think over the years I have required too much of myself with the 4 kids, but like I said before, everyone expected it of me. I never wanted more than to take care of the kids. I new my limitations in the back of my mind I think as a 20 something year old, but wasn't allowed to live within those limitations because my husband expected me to work full time. He woudn't go to college to make more money, so I did, knowing we couldn't make it on his income alone. That was 13 years ago. I have had 4 kids in that time, and thought I could handle a lot. But I started using things to help me get through the long hours and many kids. Things like AM 300 that lead to vicodin to percocet to norco which eventually lead to getting fired. The AA/NA meeting 12 step talk about a higher power. I see now that God plucked me out of the mess I was seeing that I was trying to help myself but not getting the job done. He had my nurse director pluck me out of that situation and throw me into recovery. I believe this happens for a reason. Could it possibly to help my husband understand that I cannot do it all? Could that be the case too? I don't think he sees it that way yet. Would alanon, or some other group help him to help me? What do they talk about in alanon?
Joy, you aren't being selfish! It's OK to need help. You've given everyone else your time and energy for how many years? Don't you think it's time you gave that to yourself? And stop the pity party. I mean it! That kind of thinking is what leads to relapse and I know you don't want that to happen.
Yeah, you screwed up. Big deal. You aren't the only one in the world who has to deal with the consequences of addiction. That makes you human - not a monster. Marriage vows contain the words "for better or worse" for a reason. I pray that your husband sees it that way, or eventually will see it that way. Neither one of you is perfect, and right now it is his duty to help pick up the slack while you get back on track. He doesn't have to like it, but that's the way marriage is supposed to work. As long as you're working on your recovery, he needs to pick up his end.
You won't feel like this forever unless you let yourself wallow in all the bad things that have happened and continue to punish yourself. And yes, it's going to take time to learn how to live life sober again.
Is there anything that you can do to get help with the everyday stuff so that you can more easily deal with the deadlines required for the nursing recovery program? Anyone who can help with the kids or even meals once in a while? If you can narrow down the specifics of what is giving you the stress overload, then you might be able to see a clearer solution. Maybe it'll end up being inpatient rehab; maybe it won't. It does sound like you've got way too much on your plate, so you've got to find help with the usual life routines while you work on your recovery.
Never forget that your recovery is the most important thing here. It's not about getting your nursing job back and going back to your "old" life. The ability to take care of everyone else in your life is not the issue either. You're beginning an entirely new life and that's a tough thing to deal with stoned or sober. If you had something like cancer, wouldn't your husband and everyone else be jumping through hoops to help you keep it together? Yes? Addiction recovery is no different save the shame and guilt that interferes. YOU need some help and support now even if it's only someone to keep the house clean and the laundry done. If your husband and family are intent on punishing you instead of supporting you in your recovery, then I say go for the inpatient rehab. But that's just another one of my opinions. :-)
Yeah, you screwed up. Big deal. You aren't the only one in the world who has to deal with the consequences of addiction. That makes you human - not a monster. Marriage vows contain the words "for better or worse" for a reason. I pray that your husband sees it that way, or eventually will see it that way. Neither one of you is perfect, and right now it is his duty to help pick up the slack while you get back on track. He doesn't have to like it, but that's the way marriage is supposed to work. As long as you're working on your recovery, he needs to pick up his end.
You won't feel like this forever unless you let yourself wallow in all the bad things that have happened and continue to punish yourself. And yes, it's going to take time to learn how to live life sober again.
Is there anything that you can do to get help with the everyday stuff so that you can more easily deal with the deadlines required for the nursing recovery program? Anyone who can help with the kids or even meals once in a while? If you can narrow down the specifics of what is giving you the stress overload, then you might be able to see a clearer solution. Maybe it'll end up being inpatient rehab; maybe it won't. It does sound like you've got way too much on your plate, so you've got to find help with the usual life routines while you work on your recovery.
Never forget that your recovery is the most important thing here. It's not about getting your nursing job back and going back to your "old" life. The ability to take care of everyone else in your life is not the issue either. You're beginning an entirely new life and that's a tough thing to deal with stoned or sober. If you had something like cancer, wouldn't your husband and everyone else be jumping through hoops to help you keep it together? Yes? Addiction recovery is no different save the shame and guilt that interferes. YOU need some help and support now even if it's only someone to keep the house clean and the laundry done. If your husband and family are intent on punishing you instead of supporting you in your recovery, then I say go for the inpatient rehab. But that's just another one of my opinions. :-)
Thanks Jaybay for replying. I don't know. I probably just need outpt rehab, but like today, I feel I need inpatient rehab. I ache all over after being clean a month. My kids can see the difference in me because before I was so complacent, now I'm just irritable when I'm here, and gone a lot trying to keep up with this nursing recovery program. I'm stressed out trying to make these deadlines. And to have to depend on my husband to carry his end of it. Yes, I am dealing with doing the everyday things that I only was able to accomplish with pills for about a year or more, and I get worn down very easy. I, for so many years did sooo much for my kids and my relatives pills or no pills. I feel so selfish now. Always not being able to handle much, and the financial strain that goes along with keeping up with the nursing recovery program and the fact that I lost my job r/t drugs almost makes me feel worse than when I used now. So no, my coping skills stink. But I'm not going to get better overnight right? I thought I would once I was clean. Had no idea that I had screwed myself up this much.
That's up to you and of course your medical ins .I think rehab is always the best choice if you can do it followed by intensive outpatient then long term maintenance .Recovery is a life long journey and in patient gives you a good foundation .Its to bad that ins limits so many from getting intensive treatment..
I think it's up to the patient unless it's a situation with a minor and the parents make the decision. The same would apply if a judge determines that an adult patient cannot make decisions or care for himself. In that case, the adult comes under the jurisdiction of the courts or whomever is appointed as conservator. If it's a law-enforcement issue, then it's up to the judge to decide if the person goes to jail or to rehab first.
Nobody can force an adult into any kind of medical treatment against his will unless there is proof of mental incompetence. Then there is the cost to consider. Inpatient rehab can be pretty darned expensive. If insurance is involved, they'll want to keep the stay to a minimum no matter what a doctor has to say about it.
The good thing about inpatient rehab is that it takes all the everyday pressures off you that make you want to turn to drugs and/or alcohol. Being temporarily removed from those triggers and the dealers and users who may sabotage your sobriety removes a lot of the temptation to use again. I see it as a gift of time. You have time to get through the initial detox with medical supervision and begin to learn new ways of coping with life without having to immediately put it into practice. You'll emerge kind of like a newborn. You know some new skills but they aren't on autopilot yet.
Let's face it, most people fall into alcohol and drug abuse in order to cope with the stresses of life. It's a coping mechanism, but a harmful one. If you're in a 'safe' place that is removed from real life, you can learn some new coping skills without the constant temptation to fall back into old and harmful habits.
That's my long-winded opinion, and it's only an observer's opinion. Since I haven't had to do it myself I can't give you any real-life experience or advice. People who go to inpatient rehab only to pacify their loved ones see it as a jail sentence and relapse as soon as they get out. Those who go in to seriously get well will get well and have better odds of staying that way. Ultimately, it's your choice. What do you think will be better for you?
Nobody can force an adult into any kind of medical treatment against his will unless there is proof of mental incompetence. Then there is the cost to consider. Inpatient rehab can be pretty darned expensive. If insurance is involved, they'll want to keep the stay to a minimum no matter what a doctor has to say about it.
The good thing about inpatient rehab is that it takes all the everyday pressures off you that make you want to turn to drugs and/or alcohol. Being temporarily removed from those triggers and the dealers and users who may sabotage your sobriety removes a lot of the temptation to use again. I see it as a gift of time. You have time to get through the initial detox with medical supervision and begin to learn new ways of coping with life without having to immediately put it into practice. You'll emerge kind of like a newborn. You know some new skills but they aren't on autopilot yet.
Let's face it, most people fall into alcohol and drug abuse in order to cope with the stresses of life. It's a coping mechanism, but a harmful one. If you're in a 'safe' place that is removed from real life, you can learn some new coping skills without the constant temptation to fall back into old and harmful habits.
That's my long-winded opinion, and it's only an observer's opinion. Since I haven't had to do it myself I can't give you any real-life experience or advice. People who go to inpatient rehab only to pacify their loved ones see it as a jail sentence and relapse as soon as they get out. Those who go in to seriously get well will get well and have better odds of staying that way. Ultimately, it's your choice. What do you think will be better for you?
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