Addiction | 4 min read
Designing a Comprehensive Substance Abuse Treatment Plan
Medically Reviewed By
On August 15, 2024
Written By
On February 25, 2019
What you will learn
- A comprehensive substance abuse treatment plan is an important part of success with addiction recovery.
- Substance abuse treatment plans should involve a thorough screening about the patient, their substance use history, current risks, and health background.
- The elements of a comprehensive treatment plan for substance abuse include physical, mental, emotional, and social needs.
- Ongoing case management is necessary to adjust therapy, support, and resources based on the patient’s progress and treatment goals.
- Treatment should be customized to include the patient’s cultural influences to improve engagement and outcomes.
Getting clean is the primary focus for many seeking to escape the distressing effects of substance abuse and addiction. While this is a very important first step, a good treatment plan will incorporate more than just this initial procedure. A comprehensive substance abuse treatment plan must consider the ongoing obtainment and utilization of the tools necessary for sustaining wellness beyond the detox stage.
Learn more about the elements of a treatment plan for substance abuse, what factors are considered, and what to expect from the experience.
What Is a Substance Abuse Treatment Plan?
Most treatment programs include an initial screening. The staff obtains basic information about the potential patient during the screening process. This gathered information may include the patient’s age, substance type, and current risk levels. These factors can help the treatment center to decide whether the patient’s needs are a good fit for admission. More in-depth information about the patient can be obtained following a screening process.
To ensure the best outcomes of sustained sobriety, validated assessment tools should be administered before, during, and after the initial course of treatment. These assessments can determine a patient’s strengths and pinpoint areas that need extra support during recovery. An example of the types of areas present in effective screening tools can be found on the Substance Abuse and Mental Health Services Administration website.[1] Ideally, these assessments will be conducted by a highly trained professional familiar with the specific substance addiction and the assessment design.
Elements of a Comprehensive Substance Abuse Treatment Plan
Utilizing the information obtained from these assessments, a comprehensive substance abuse treatment plan can be developed. The term comprehensive refers to the idea that all aspects of a recovering person’s life will be considered during treatment. Both the current situation and the patient’s goals are incorporated into the plan. The major areas of life focus are physical, mental-emotional, and social needs.
Physical Needs
Maslow’s Hierarchy of Needs demonstrates the importance of addressing physical needs as one recovers from substance abuse and addiction.[2] In this model, our physical needs form the base of our entire growth system. Without the basic provisions of food, safety, and healthcare, our physical bodies tend to stop working, making further progress impossible. For this reason, a comprehensive substance abuse treatment plan should address the patient’s primary needs:
- Housing: Where will the patient be staying during recovery?
- Transportation: How will the patient get to and from the facility?
- Medical: Which medications will be most efficient in treating this particular withdrawal? What are other health concerns present?
- Safety: What steps will be taken to ensure that the patient is well cared for?
Mental & Emotional Needs
As the initial symptoms of physical withdrawal from a substance subside, many former users find that their levels of stress, depression, and anxiety increase. This may be because the drugs masked preexisting mental health issues for some. For others, the change of ceasing to depend on a substance can bring on stress. In either case, studies have consistently shown that those who continue receiving ongoing mental and emotional treatment following initial detox are more likely to abstain from substance abuse successfully.[3] Comprehensive substance abuse treatment plans should, therefore, include components such as the following:
- Education: What does the patient need to know about maintaining sobriety?
- Therapy: What mental health issues does the patient struggle with? What do the patients need to discover about themselves and others?
- Compassion and Support: Which type of struggles are unique to this individual, and how can we help?
Social Needs
Human beings are social creatures. There is not much of what we do in life that is not somehow connected to another human being. Both the use of drugs – and abstaining from them – can have a tremendous impact on our social life. Aspects of our social life include interactions with those in our family and friends groups and our experience within the workforce and with the law. Some social questions that are addressed in a comprehensive treatment plan are as follows:
- Family and Friends: What does the recovering person need from loved ones? What do loved ones need from the recovering person?
- Work: What needs to happen for the recovering person to obtain, or maintain, employment?
- Legal: Are there any legal hurdles that have occurred as a result of the substance use or cessation? Which legal resources are needed?
A comprehensive treatment plan should be a dynamic and evolving guideline for wellness. Through ongoing case management, the plan can be adapted and modified as necessary. Situations requiring modification of initial treatment plan factors can include the patient’s concerns about the treatment, changes in the patient’s life circumstances, or the discovery of new information which would be beneficial to include within the plan.[4]
In addition to the services the treatment center is providing, a comprehensive substance abuse treatment plan will also include access to referral and community resources. In many cases, the treatment center will already work with the patient’s primary care physician. Further resource integration can include plans for interacting with local therapeutic facilities and programs, such as scheduling ongoing attending of religious or other support group meetings. The treatment plan should also include a road map for cessation of intensive intervention, as the patient’s sobriety eventually enters the long-term maintenance phase.
The most evolved form of substance abuse treatment planning also considers cultural factors. A person’s culture can refer to specifics such as race, sex, family status, and even residency location. Many studies have indicated how and where we grow up can impact how we view the world. These unique perspectives on life lend themselves to customized approaches toward generating mindsets and motivations for sustaining wellness. Without considering a person’s culture, treatment providers may be less successful in connecting with a patient’s needs and goals.
Seek Help for Drug and Alcohol Addiction
Having an individualized treatment plan for substance abuse is a crucial part of success with lasting recovery. Are you or a loved one seeking alcohol, drug, or opioid treatment in New York? Contact our detox facility to learn more about our treatment options and programs.
Frequently Asked Questions
The assessment process considers the whole person, including their physical and mental health, substance use history, previous treatment history, support networks, and individual preferences.
Treatment programs are varied and may include medical detoxification (detox), inpatient or residential treatment, outpatient programs, support groups like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), and therapies like cognitive behavioral therapy sessions or motivational interviewing.
Treatment plans can vary widely depending on individual factors. They can also change based on progress. It’s important to discuss the duration of treatment, including ongoing therapy, relapse prevention, and aftercare planning.
Assessing the level of care for addiction treatment is based on the severity of the addiction, any co-occurring disorders, safety concerns, and individual circumstances. For example, someone who lacks a stable home environment and needs support in the early stages of recovery may be best in a residential setting with 24/7 care and supervision, while someone who needs to balance their treatment with work or home responsibilities may be best for outpatient treatment.
Yes, family members and loved ones are often involved in the substance abuse treatment plan to ensure that there’s plenty of support. In some cases, family therapy may be recommended for everyone’s well-being.
Co-occurring disorders, such as depression or anxiety, may be present with substance use disorder. Because co-occurring disorders influence one another, integrated treatment that addresses both conditions simultaneously is often necessary for recovery.
Treatment plans may be adjusted if a patient experiences changes in their mental health status, fail to progress through a treatment plan, or experience recurrent relapses.
It’s important for family and friends to offer encouragement and support for their loved ones in recovery. This may include attending family counseling sessions or educating themselves about addiction. However, friends and family may need to address the effects a loved one’s addiction had on them and set boundaries to provide effective support that’s conducive to recovery.
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MEDICAL CONTENT WRITER
Amanda Stevens, B.S.
Amanda is a prolific medical content writer specializing in eating disorders and addiction treatment. She graduated Magna Cum Laude from Purdue University with a B.S. in Social Work. Read more
- SAMHSA. Resources for Screening, Brief Intervention, and Referral to Treatment (SBIRT). Published April 14, 2022. Retrieved from https://www.SAMHSA.gov/SBIRT/resources on 2024, July 17.
- Mcleod S. [Maslow’s Hierarchy of Needs]. Published online April 4, 2022. Retrieved from https://www.simplypsychology.org/maslow.html on 2024, July 17.
- Daley, D. C. (2013). Family and social aspects of substance use disorders and treatment. Journal of Food and Drug Analysis, 21(4), S73–S76. https://doi.org/10.1016/j.jfda.2013.09.038 on 2024, July 17.
- Hayes-Bautista, D. E. (1976). Modifying the treatment: Patient compliance, patient control and medical care. Social Science & Medicine (1967), 10(5), 233–238. https://doi.org/10.1016/0037-7856(76)90005-6 on 2024, July 17.