Approach to Recovery

Hope Trust is a rehabilitation centre for recovery from alcoholism, drug addiction and gambling, located at Hyderabad. It provides effective, ethical and confidential treatment for addictive behaviours and dual diagnosis, with a high recovery rate. The protocols of the rehab have been evolved over the years, based on evidence-based practices and experience.

Hope Trust rehab is a pioneer in the field and has helped hundreds of families from all over the world for over a decade (established in 2002).

Hope Trust rehab has a holistic program addressing all affected areas - physical, emotional, mental, social and spiritual. A structured and interdisciplinary program based on the 12 Steps includes detox, Yoga, meditation, therapy classes, CBT, expert medical and psychiatric inputs, group therapy, individual counselling, daily moral inventory, audio-video inputs, attendance at AA/NA meetings and recreation. The treatment also includes family support, relapse prevention and follow-up programs.

How does it work?

The Hope Trust Inpatient Recovery Program

Each client at the Hope Trust rehab is assigned a Primary Counselor who plans and executes an individualized recovery plan with inputs from the team that meets daily. Moreover, the therapy team has weekly strategy meetings where each case is discussed in depth to evolve individual strategies based on the individual’s unique requirements. Thus, the collective knowledge, skill and experience of the entire team are sourced to benefit each client, while each patient gets individual attention.

Each client is exposed to all of the following elements: 

  • Detox – withdrawal management under expert round-the-clock medical supervision
  • Comprehensive medical assessment – for most physical parameters
  • Psychiatric assessment – by a psychiatrist for any co-occurring or underlying psychiatric issues
  • Orientation – by an addiction therapist who also gives a ‘Welcome Kit’
  • Daily Yoga and meditation – early morning sessions
  • Mindfulness training – a 3 week/ 6 sessions special program designed and conducted by an expert based on ancient therapeutic meditation techniques
  • Input sessions – interactive group sessions by several therapists on a variety of relevant topics followed by individual processing
  • Individual counselling – by the assigned primary counselor on a regular basis
  • Daily AA/ NA meetings – in-house meetings sometimes attended by outside fellowship members
  • Emotional management group sessions – practical CBT model for identifying thoughts and emotions
  • Audio-video inputs – viewing and listening to relevant films and audio tapes sourced from all over the world
  • ‘Autobiography’ writing – writing of the life story and sharing with the counselor/ group
  • Working the Steps – writing intensive workbooks on Steps 1, 2 and 3 of Alcoholics Anonymous, Narcotics Anonymous and/ or Gamblers Anonymous
  • Weekly negative character traits and emotions Charting – identifying the most prominent negative personality traits and emotions and evolving strategies to address these
  • Group Feedbacks – getting structured feedback from fellow members
  • Family interventions and meetings – helpful in denial breaking, boundary settings and resolving long standing issues including marital and parental aspects
  • Psychological intervention – in cases identified with acute co-occurring psychological issue, a clinical psychologist is brought in for in-depth diagnosis and support
  • Psychiatric support – for those with dual-diagnosis, regular sessions with the psychiatrist are arranged and becomes a part of the individual’s treatment plan
  • Making goals – both long term and short term goals
  • Relapse Prevention – identifying individual relapse triggers and learning how to deal with them
  • Family Communication – special sessions prior to discharge aimed at re-building relationships
  • Follow-up – Dates fixed for structured follow up sessions to address ongoing challenges in recovery

 Meanwhile, Hope Trust’s Family Support Program, which runs concurrent to the inpatient treatment of the individual, is designed to provide critical support to the family members. This includes: 

  • Psycho-education – learning about addiction based on latest scientific information
  • Orientation – knowing what to expect and how to cooperate with the therapy team for maximizing the impact of recovery on the individual and family
  • External support - introduction to family support groups, such as Al-anon
  • Family intervention sessions – preparing and participating in structured intervention sessions with the individual in treatment
  • Communication exercises – between the individual and family members to resolve and rebuild relationships
  • Relapse prevention – family shares and participates in the relapse prevention plan
  • Attending classes – conducted regularly at the facility covering various aspects of addiction and recovery

Treatment

Recovery at Hope Trust Rehab – multi-dimensional yet individual

At Hope Trust rehab, clients are gradually taught to lead a disciplined and healthy lifestyle through an intensive schedule of Yoga, meditation, therapy classes, daily moral inventory, emotional management sessions, group / individual counselling, 12-step work, regular attendance at AA / NA / GA meetings and recreation. All this is backed by 24-hour expert medical and psychiatric services with regular updates to family.

The recovery program is a structured process with clearly defined protocols to address individual issues through various stages of recovery and is based on proven methodologies of addiction counselling and rehabilitation. The staff reviews every case on a daily basis and evolves individual strategies.

The services of the rehab include detox, inpatient and outpatient treatment options, family support, relapse prevention and follow-up program.

At Hope Trust rehab the drug and alcohol addiction treatment is designed to address the specific needs of each individual. Individuals, their history or cultural backgrounds differ. There are varying degrees of abuse. Some individuals may have a history of prior attempts to end their abuse patterns and failed. For those who fall into this category, long term inpatient residential treatment in a rehab may prove fruitful.

Individuals with years of heavy drug or alcohol abuse may have a more difficult time when it comes to ending their abuse patterns. The difficulty may lie in the fact that their lifestyle has consisted of drug or alcohol use for such an extended period of time that it may be difficult for them to imagine living without substances.

This type of individual may greatly benefit from choosing a drug treatment or alcohol treatment method by attending a long term inpatient rehabilitation program. This type of treatment generally involves a stay in rehab for a period of at least three months, so as to provide the individual with an extensive change of environment as well as support twenty-four hours a day. Research has proven that this may be the most successful type of treatment for those who have a history of heavy substance abuse spanning over many years.

For some, recovery has become a revolving door of treatment centre after treatment centre. This need not be the case. Drug and alcohol recovery is possible.

Drug and Alcohol Abuse Recovery Program – multi-faceted approach

Learning about various aspects and consequences of drug and alcohol abuse is an important part of recovering from addiction. In substance abuse treatment, the goal of treatment is to return the individual to productive functioning in the family, workplace, and community. While in treatment, recovering persons learn about addiction, recovery and relapse while addressing misguided beliefs about self, others and their environment. Attending a treatment program in an inpatient rehab helps the recovering drug abuser make lifestyle changes, manage feelings, develop coping tools and drug refusal skills. In addition, they learn to identify relapse warning signs and challenge thoughts that may lead to relapse.

The treatment at a rehab also aims to improve self-esteem and self-worth of the addict and his or her family, heals core traumas, and learn life-skills, gain control over addictive patterns, improve health of the body and learn stress management. Treatment focuses on helping each person to rebalance their lives and gain the skills they need to live a successful, satisfying life, free from substance abuse. Those who attend treatment at a rehab find that they have more skills and confidence in creating the lives they want, complete with good relationships, a satisfying job or career, and enjoyment of day to day life.

Detox – the first step

Detox is the first step in treatment. The definition of detoxification is: "A treatment for addiction to drugs or alcohol intended to rid the body of the addictive substances, and the physiological and mental readjustment that accompanies the process." This definition refers to the physical withdrawal symptoms of alcohol and abuse, as well as the psychological symptoms experienced while in detox.

Alcohol and drug addiction requires detox before beginning the recovery program. When alcohol and drug residuals remain in the body, cravings will continue and recovery from alcohol addiction will be very difficult to achieve. At Hope Trust rehab, detox is done under the care of a medical team comprising physicians and a psychiatrist and constantly monitored by nursing staff. The individual is monitored for physical and psychological symptoms during detox.

Assessment – physical and psychological

Soon after admission at the rehab, each client is assessed by a physician and psychiatrist for any physical and/ or psychiatric issues. Appropriate medication and treatment is initiated after assessment.

Long Term Treatment in a Rehab – proven benefits

Long term stay in a rehab is especially useful individuals spending a substantial amount of time on their drug addiction treatment program. Generally, it is conducted in residential treatment facilities. When an individual enters a long term treatment program they know that they have truly dedicated themselves to recovering from their addiction.

At Hope Trust it generally lasts anywhere from 3 to 6 months and is focused on the "resocialization" of the individual. The inpatient treatment is conducted within a recovery community comprising other residents, staff, and the social context, as active components of treatment. It focuses on developing personal accountability and responsibility aiming at socially productive lives. It is highly structured with activities designed to help residents examine damaging beliefs, self-concepts, and patterns of behavior and to adopt new, more harmonious and constructive ways to interact with others.

Some thoughts on duration: Generally, the more drug treatment an individual receives the better the outcome. Those who stay in treatment for at least three months (the Gold Standard) usually have better outcomes than those who stay less time. Over the last 15 years, studies have shown that long term stay in a rehab for addiction treatment works to reduce an individual's craving and drug and alcohol use. Research has also indicated that those who have successfully completed an addiction treatment program at a rehab are more likely to be employed.

Interventions – key to insight and motivation

At Hope Trust family intervention is a process that helps an addict recognize the extent of their problem. Individuals who are addicted to drugs or alcohol usually do not know that their addiction is out of control. These individuals need objective feedback on their behaviour. It is through a non-judgmental, non-critical, systematic drug intervention process that the individual is able to see their own lifestyle choices. When they truly understand the impact that their alcohol dependence or drug addiction has on others, they may truly begin to see they are hurting those around them, thus providing motivation for change.

The goal of interventions is for the addict to accept the reality, gain insight about the enormity and gravity of their drug and alcohol addiction and to seek help.

Residential Treatment in a Rehab – history and benefits

Residential drug treatment for drug abuse and alcohol addiction has existed for over 40 years. The idea behind residential treatment in a rehab is that the individual having alcohol, drug or gambling issues is able to live in an environment which is drug free. They begin to learn how to live life without indulging in their addictions through their time spent away from their previous environment. As time progresses they are able to handle more and more responsibility within the residential treatment rehab and are expected to be part of the community in which they live. This means helping those who are just beginning as well as those around them. It also means living a healthy, structured lifestyle – getting up, eating, attending sessions and going to sleep on time.

Residential drug treatment in a rehab allows the individuals are to leave their destructive environment and enter into a clean and sober atmosphere. Their reminders of drugs such as the cabinet where they kept their alcohol or the drawer where they kept their stash are no longer a temptation reminding them of their drug addiction or triggering a craving. Additionally, individuals are able to associate with others who share their same goal of addiction recovery 24 hours a day 7 days a week. This availability of individuals and staff at any hour is invaluable when a person is going through residential drug treatment. Gradually they begin to enjoy natural sleep, appetite and simple joys of life such as laughter, sharing and celebrating events without alcohol or drugs.

Family - Rebuilding relationships

Hope Trust rehab also facilitates rebuilding relationships which are adversely impacted. During inpatient or outpatient treatment, communication is re-established within the family members. Honesty and open-minded approach is encouraged. Resentments or misunderstandings are cleared, issues such as trust and trauma are addressed, and new methods of exchange are initiated to rebuild wholesome relationships. This is done in interventions, communication exercises, and therapy sessions with family which includes psycho-education about the various aspects of addiction.