Treatment - Inpatient or Outpatient?
Do you prefer the standard 12-weeks In-patient or the Accelerated 6-weeks In-patient option? Do you prefer the Outpatient option?
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A double-option treatment for addiction is available at the Fountain of Hope Treatment Centre (FOHTC) namely the standard 3-months or 90-day inpatient rehabilitation program and the accelerated 45-day inpatient rehabilitation program. The decision about which program best suits a particular client/patient is made during the intake/admission multi-disciplinary assessment of the patient and takes into account the patient's preference viz-a-viz the bio-physical, psycho-social and spiritual assessment findings for the patient.
The Outpatient option is also available at FOHTC including the revolutionary TSM method. This is recommended for people with a mild to moderate problem and who possess a strong social safety net around them. Our team of experts will make an assessment of each patient at the beginning of treatment and advise the patient and family about the suitable treatment option to choose and how long the outpatient program will last. Notably, in the outpatient program, we use the revolutionary TSM method on selected patients and we continue to record good outcomes.
As a rehabilitation facility run by full time and experienced health professionals, FOHTC in both its treatment options takes a holistic approach to the treatment of the individual suffering from alcohol, drug and other forms of addictions. This approach includes comprehensive medical treatment in case the patient has pre-existing psychiatric or medical conditions, has suffered physical injuries or shows signs of alcohol and drug withdrawal or malnutrition. Each patient is therefore prescribed a personalized treatment regime based on a number of factors peculiar to them for example, the kind of substances that he or she has been abusing, duration of addiction, their general health status and their personal treatment preferences. This notwithstanding, both our 45-day and 90-day in-patient treatment programs include the following key elements:
Detoxification and Medically Managed Withdrawal
This involves helping the patient's body to clear itself of the harmful toxins that accumulate in their bodies due to prolonged abuse of drugs and alcohol. Due to the acute and potentially dangerous physiological effects that result from sudden stopping drug use, we use special medication to help the patient manage the effects of the withdrawal and to flush out the toxins that have accumulated in their bodies. This process is administered by our doctors and nurses and is key in sobering up the patient and preparing him or her for the next stage of treatment called the psycho-social treatment stage.
Medical Management of Addiction
Fountain of Hope Treatment Centre offers addiction rehabilitation using a combination of evidence proven approaches key which includes medications to directly treat addictions. This is a rare finding in the treatment of addictions in Kenya whereby almost all other existing rehabs only offer enforced abstinence, counselling and social support. Empirical evidence today shows that the success rate of treating addictions without directly and medically intervening to stop the disease process is low. We offer therapy based on approved addiction medications like Naltrexone, Acamprosate and Disulfiram. We also offer the TSM method which has been shown to be revolutionary in the outpatient treatment of alcohol and drug use disorders in selected patients.
Individualized Counseling
This type of counselling focuses on reducing and eventually stopping the use of illicit drugs or alcohol. It also addresses issues related to impaired functioning — such as career growth, family and social relations, as well as key aspects of the patient's journey to full recovery. Through its emphasis on the attainment of set behavioural goals, individualized counselling helps the patient develop coping strategies and tools to abstain from drug use and maintain abstinence. The addiction counsellors use the 12-steps program for the rehabilitation and make internal referrals for needed supplemental services such as psychiatric care when our in-house psychiatrist attends to all cases requiring mental health care.
Group Counseling
Our group therapy capitalizes on the social reinforcement offered by peer discussions to help individuals to promote drug-free lifestyles. Research has shown that when group therapy is offered in conjunction with individualized counselling, positive outcomes are achieved.
Family Therapy
Most of the issues surrounding addiction to alcohol and drugs emanate and perpetuate within the addict's family. At Fountain of Hope, we involve the family intensively in our treatment programs. Family therapy sessions are occasions to counsel the whole family and get an in-depth understanding of their family member's addiction and how to treat it.
Naltrexone Therapy
In our standard 3-moths or 90-day rehabilitation program, Naltrexone is an optional treatment whose use is usually discussed between the patient, the family and our medical professionals. In the (accelerated) 45-day program Naltrexone implantation is mandatory. Naltrexone is a very effective prescription medicine that is designed to inhibit cravings associated with drug and alcohol abuse. Since its initial approval for use in the United States over 30 years ago, medical professionals across the world have used this amazing tool to help thousands of people fight their addictions. In our 6-week intensive in-patient rehabilitation program, option Naltrexone implantation is a part of the treatment we offer to patients who merit and choose this option.
The Naltrexone implant slowly releases the medication into the body for 3 months and can be re-implanted as often as is required. Within days after the implantation procedure, Naltrexone begins to block receptors in the brain responsible for cravings associated with alcohol and opioid usage. This effectively helps reduce a person’s physical desire to continue using these substances and therefore improves the effectiveness and maintenance of the addiction recovery process.
Residential (In-patient) Treatment
Our residential treatment programme provides care 24 hours a day in a Christian-based therapeutic community setup. The duration of stay is usually dependent on the severity of addiction and the patient's response to treatment. However, for most patients, the rehabilitation period lasts 90 days (3 months).
Besides offering medical treatment to the patients, residential care also focuses on"re-socialising" the individual into normal productive life. The approach is based on the understanding of addiction as shortcomings in an individual’s social and psychological approach to life, and so treatment focuses on developing personal accountability and responsibility as well as socially productive lifestyles.
Our residential treatment programme is highly structured, with activities designed to help the patients to examine damaging beliefs, self-concepts, and destructive patterns of behaviour and adopt new, more harmonious and constructive ways to interact with others. Besides helping the patients to appreciate the value of their professional skills (some of our patients are highly learned and experienced professionals), we also assist the patients to rediscover their passions and talents, including arts, music, and sports.
After completion of the residential treatment programme, we encourage the patients to remain engaged in outpatient treatment programs or mutual support groups near their homes, such as Alcoholic Anonymous. These programs help to reduce the risk of relapse once a patient leaves the residential setting.
Family Day
We usually hold a Family Day once every month during which the patients can interact with their family members and discuss their progress with treatment. It has been proven that such family visits are key in reassuring the patients of their families' support through the recovery process. This is more so considering the fact that some patients might have perceived their being put on rehabilitation as a form of punishment for their anti-social lifestyles. Family days are also important forums through which family members learn how they could support their patient\'s recovery after the residential treatment at our centre.