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The three components of treatment (evaluation and stabilization as well as fostering patient's entry to treatment) all require compassion and understanding. Patients going through detoxification must feel that someone cares, is compassionate, understands their needs, and has hope in their future. The provider's recommendations will be followed and trusted by the patient through their actions during detoxification.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV–TR), a substance-related condition is a "disorder that results from the use of a drug of addiction (including alcohol), to side effects of a medication and to exposure to toxic substances" (APA 2000). The term substance could refer to a drug of addiction, a medication or a toxin (APA2000, p.191). The term substance can be used to refer to alcohol or other drugs of addiction.


We provide treatment, information, and resources for people who struggle with addiction or related conditions.
When you have severe withdrawal symptoms, such as seizures, rapid heart rate or difficulty breathing, you should visit the emergency department (ER). However, detoxing at the ER is not always the best option. Many emergency rooms do not have the expertise to treat addiction. If you just show up, and there is no medical emergency, the doctor might refer you to a local substance abuse treatment facility.

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Treatment can take time and is dependent on the patient’s individual needs and history of substance abuse. Studies show that most patients require at the least three months of treatment. However, longer treatment periods are associated with better outcomes. Prescription drug addiction doesn't discriminate. It can have devastating consequences for people of all walks of society.
There are many factors that influence the length of detox. The withdrawal symptoms of alcohol can be relieved in a matter of days. However, it is possible for the detox to last up to two weeks.
An alcohol detox program provides specialized treatment for withdrawal symptoms such as headaches, anxiety, insomnia, panic, and physical discomfort. Additional symptoms can be caused by withdrawal from alcohol, such as seizures and hallucinations. These severe conditions require immediate treatment. These symptoms can be dangerous and require immediate attention from a detox center.

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If you are otherwise healthy and have not been using drugs for a long time, an at-home detox might be a good option. If you feel it is the best option, consult your doctor before you begin. As a minimum, it is advisable to have close family and friends watch you throughout the process.
Al-Anon is a support group for people with an addiction to alcohol, drugs. Nar-Anon is for their family and friends. These groups exist to support loved ones and show them that they are not alone in their struggle. Al-Anon & Nar-Anon focus on addiction as a family illness. They also provide loved ones with effective communication and coping strategies.
After detox, substance abuse treatment programs are the key to long-lasting and genuine recovery. We offer a variety of substance abuse treatment programs to help people in our care.

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This publication can be used for your personal use without NIDA's permission. You are welcome to cite the source by using the following language. Source: National Institute on Drug Abuse U. S. Department of Health and Human Services.
Public intoxication used to be a crime before the 1970s. It was common for people to be arrested to drink and were then taken to local jails' "drunk tanks". They were subjected to withdrawal with very little or no medical intervention. Social policy, perceptions of addiction and changes in medical practice have all changed the way people with drug dependency, including alcohol, are treated. Two important events have been pivotal in changing attitudes. In 1958, the American Medical Association declared that alcoholism is a serious disease. This declaration stated that alcoholism was a medical condition that required medical intervention. 1971 saw the adoption of Uniform Alcoholism And Intoxication Treat Act by the National Conference of Commissioners on Uniform Statute Laws. This law recommended that alcoholics "not be subject to criminal prosecution due to their consumption of alcohol but rather should be provided with a continuum of therapy in order for them may lead normal lives and be productive members of society." (Keller und Rosenberg 1973. p. This recommendation, while not binding on the law, made significant changes in the legal consequences of addiction. These changes made it possible to provide more humane treatment for those with addictions.

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Detoxification refers specifically to the treatment of withdrawal and acute alcohol intoxication. It refers to the removal of toxic substances from the body of an acutely intoxicated patient or someone who is dependent on drugs of abuse. The goal of detoxification is to reduce the physical damage caused by substance abuse. This TIP doesn't cover the specifics of detoxification.
Inpatient rehabilitation programs offer the opportunity to receive treatment in a secure environment, free of distractions and temptations. The medical team will design a treatment plan specific to the individual that will address the mental and physical consequences of the substance use disorder. The plan will include therapy and medication if needed.

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This publication is freely available and may be reproduced in full without NIDA permission. The following language is acceptable for citation: Source: National Institute on Drug Abuse U. S. Department of Health and Human Services.
Public intoxication was a criminal offense prior to the 1970s. It was a crime to arrest people for. They were kept in "drunk tanks" at local jails, where they had to undergo withdrawal without any medical intervention. Sadd and Young 1987. Social policy, perceptions of addiction and changes in medical practice have all changed the way people with drug dependency, including alcohol, are treated. Two significant events played a pivotal role in changing attitudes. The American Medical Association (AMA), declared that alcoholism was a disease in 1958. This declaration indicated that alcoholism is a medical issue that requires medical intervention. The Uniform Alcoholism Treatment Act was adopted by the National Conference of Commissioners on Uniform States Laws in 1971. It recommended that "alcoholics should not be prosecuted for their drinking of alcohol" and that they be given a range of treatment options so that they can live normal, productive lives. (Keller & Rosenberg 1973, p. Although the recommendation did not have the force of law, it was a significant step in changing the legal landscape of addiction. These changes led to a more compassionate treatment of those suffering from addiction.
This TIP offers medical information on detoxification strategies for specific substances. The TIP is not meant to replace medical texts but it does provide an overview of medical considerations.

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