Our goal is to help you maintain abstinence from addictive substances and behaviours. Within this model, you are the agent of change. However, you will be encouraged through the application of best practices in the treatment of substance abuse, addiction disorders and dependence.
"A JOURNEY OF RE-DISCOVERY"
THE REHABILITATION OF SUBSTANCE ABUSE PROCESS
The main priority for someone new in treatment is to identify the denial aspect of their addiction. The main reason why someone would stay in a denial phase longer is ultimately dependent on their understanding of addiction.
Assignments are instrumental to focus on finding out how they reflect on different areas of their lives.
Individual Treatment Plans consists of goals and objectives which are measured by indicators.
Clinical Disciplines are used to equip the client with tools for effective changing of behaviour and thinking.
Individual & Group Therapy exposes clients to various topics related to addiction and the treatment thereof.
The 12-Steps Program thrusts a client into multi-faceted aspects of their life and aims to break through barriers.
Aftercare focuses on accountability, compromise, attitude and lifestyle needed to maintain early recovery.
The rehabilitation of substance abuse process does not end after inpatient addiction treatment. Taking measures to live a sober lifestyle is a long-term commitment and understanding the nature of the illness is crucial to monitor triggers, behaviours, boundaries and consequences. Assisting clients to transition into their new sober life ensures less risk of relapse.
12 Step Recovery Program
12 step rehabilitation centres in South Africa are synonymous with the concepts of recovery and lasting sobriety. 12 step recovery has been instrumental in changing the conversation surrounding addiction since its inception roughly 80 years ago.
12 step recovery programs have become a global, community-based program that was created to help those struggling with problematic drinking get sober with the support of their peers through daily meetings and discussions surrounding addiction.
12 step methods have been adapted to address a wide range including alcoholism, drug addiction, substance abuse, gambling, sex addiction, compulsions, dependency and other behavioural problems.
The structure of the 12 steps program is symbolically represented in three dimensions: physical, mental, and spiritual. The basic premise of this model is that people can help one another achieve and maintain abstinence from substance abuse and dependence. It allows for mental and emotional transformative practices and tools.
The ability to recognize and admit that one has an addiction problem.
Surrender to the fact that the addiction exists and a decision to seek control through an outer guide.
Self-observation and awareness of the behaviours that were part of and arose from the addiction, as well as those that help promote self-restraint.
A chance to practice that restraint and build self-esteem in one’s positive capabilities.
Achievement of self-acceptance and the ability to change behaviours.
Compassion, both for those who have been affected by the addiction and for others who similarly struggle with addiction.
Tools that make the process continual practice throughout the individual’s life.
Dedicated coaches, step work slots, “just for today” meetings, as well as fellowship meetings, are maintained throughout the programme and is likely to remain a cornerstone of many people's aftercare efforts, if not their overall recovery journeys.
Evidence-based approaches to the rehabilitation of substance abuse in South Africa are designed to address aspects of behaviour modification and highlights the consequences and steps to recovery for the individual, family, and society.
Evidence-Based Therapy (EBT) for substance abuse rehabilitation addresses the psychological symptoms and involves CBT, DBT, REBT, Gestalt Therapy and Family Systems Therapy.
You will learn to:
Distinguish between thoughts and feelings,
Become aware of the ways thoughts influence feelings,
Evaluate whether thoughts are ‘accurate’,
Develop skills to notice, interrupt and correct thoughts.
Cognitive and Behaviour Therapies (CBT) focusses on the ways that a person’s cognition, emotions and behaviours are connected and affect one another. Thoughts can influence feelings, and emotional response to a situation comes from one’s interpretation of that situation.
The commonality in the approach to combine cognitive and behaviour therapy:
the mutual understanding that the counsellor has theoretical and technical expertise, you are the expert on yourself.
counsellors seek to help you discover that you are powerful and capable of choosing positive thoughts and behaviours.
skills are taught and these therapies require to practise.
treatment is goal-oriented and thus progress gets tracked.
Dialect Behaviour Therapy (DBT) pushes behavioural changes through a type of cognitive behaviour therapy.
Rational Emotive Behaviour Therapy (REBT) is an action-oriented approach to managing cognitive, emotional, and behavioural disturbances.
Gestalt Therapy is a client-centred approach to psychotherapy that helps clients to focus on the present and understand what is really happening in their lives right now, rather than what they perceive to be happening based on past experience.
Family Systems Therapy draws on systems thinking in its view of the family as an emotional unit.
Neuro-linguistic programming (NLP) is an approach to communication, personal development, and psychotherapy. Through NLP you think in a more effective way and communicate in a clearer, more dynamic manner.
Coaching is a client-centred, positive psychology intervention that operates in the wellness paradigm. Coaching is not therapy or counselling. It is not concerned with dwelling in the past and revisiting old traumas, nor with diagnosing and labelling the client. In the coaching space, the client is not sick, they are considered well and capable of creating the life they desire. The coaching conversation seeks to empower the client to clarify their current reality and to define their values, needs and wants in order to formulate goals and plans that will allow them to move from where they are to where they would like to be.
“Coaching is a professional, collaborative and outcomes-driven method of learning that seeks to develop an individual and raise self- awareness so that he/ she might achieve specific goals and perform at a more effective level.” – COMENSA
What does coaching involve:
Understanding strengths and weaknesses
Identify life values
Creating action driven plans
Recovery coaching seeks to rebuild recovery capital in the physical, mental, emotional, social and spiritual areas of life and to develop a personalised recovery plan in line with the client’s unique goals, dreams and aspirations. It is about setting long term goals and developing short- term plans to move the individual towards their desired reality.
By asking questions that enables the client to find their own answers, the coach helps them to become aware of and challenge automatic negative thinking patterns and behaviours that are both a result and a cause of substance use disorder. The dialogue leads the client to discover why they act the way they do, which beliefs about the world and themselves stop them from taking certain actions, what their options are and how they can best go about getting the right results.
Dual Diagnosis Treatment
Substance abuse is often driven by an underlying psychiatric disorder and cannot be ignored when treating addiction.
Dual Diagnosis Treatment in South Africa is a relatively new innovation in the field of addiction recovery but affects as much as 45% of people diagnosed with a substance abuse disorder. Until the 1990s, people who were experiencing symptoms of a mental health disorder were treated separately.
Instead of drawing a hard line between psychiatric health and addiction, PRC Recovery treats these areas as part of a continuum, blending the most successful aspects of mental health care and substance abuse treatment into its philosophy for treating drug abuse and alcohol dependence.
If you meet the diagnostic criteria for a mental health disorder (depression, bipolar disorder, anxiety disorders, a personality disorder, etc.) and for an addictive disorder (alcoholism, drug addiction, gambling addiction, sex addiction or another behavioural addiction), you may be classified as a Dual Diagnosis client when you enter treatment. Effective treatment for Dual Diagnosis involves considering both your addiction and your mental illness as you go through the recovery process.
Psychological and medical assessment to screen for possible barriers.
Intake assessments with life history questionnaire to identify possible previous diagnosis and challenges.
Daily inventory to establish thinking and behavioural patterns and monitor progress in key areas.
A mood journal to identify emotions and/or to help see reoccurring patterns. Also used to monitor adverse effects of medication which prompt for undiagnosed illnesses.
Personality typing and strength survey to help the client in effective one-on-one counselling.
Integrated treatment plan addressing both disorders as interconnected mental issues.
Group therapy and one-on-one counselling sessions that provide coping skills and strategies as well as education.
Physical and nutritional program to promote healthier lifestyles.
Aftercare planning to take into consideration any barriers and relapse prevention.
Strategies for effective measures in the case of a relapse.
Positive screenings are referred to our consulting clinical psychologist and/or consulting psychiatrist for confirmation of screening and possible therapeutic and medicinal intervention.
Substance Withdrawal Management
There are a number of different rehabilitation options for substance abuse in South Africa. It is important to choose the right treatment for you.
In detoxification treatment or with substance withdrawal management, medication is prescribed to reduce withdrawal symptoms, control craving, and block or change the effects of alcohol and other drugs.
Medication, however, alone is not enough to achieve lasting recovery and the medications prescribed may be ‘substitutes’. This means the medications are similar to the drug upon which the person is dependent, but they can be used with fewer risks and with less intoxicating effects.
Detoxifying the body is also not a cure for tolerance and dependence alone and without follow-up treatment, the person is likely to relapse and start using alcohol or other drugs again. This is because their brain chemistry has changed in response to the alcohol or other drug being constantly present. Therefore, withdrawal treatment and detoxification should follow with outpatient, inpatient rehabilitation, or medication-assisted treatment.
Lasting recovery is the end goal and that includes complete abstinence at the end of treatment. That means stopping the use of all alcohol and other drugs that are not prescribed for medical purposes. However, our rehabilitation programmes for substance abuse in South Africa do encourage a medication-assisted approach; sometimes called pharmacotherapy or, in the case of treatment for opioid use, opioid substitution therapy.
This approach has proven to be very effective in the management of substance withdrawal. While withdrawal symptoms are similar in drugs and alcohol they do vary in severity and duration. Symptoms are very unpleasant and that is often why these programs independently fail and withdrawal can be life-threatening as well. That is why consulting a medical professional or speaking to us during your pre-admission is crucial to ensure the best treatment options for substance abuse have been discussed and considered.
You may need a combination or sequence of services and because people change, you may need a different mix of services at different times. PRC Recovery provides this mix including the rest, counselling, nutrition, vitamins, and medications you expect from residential rehabilitation and medication-assisted treatment.
A range of public and private services provide substance withdrawal programs. Contact us to find out how we can help you.
Coaching, Counselling and Sponsors
There are a variety of rehabilitation options for substance abuse in South Africa and there comes a point when you recognise that you need support, but where do you turn for help?
Do you call a 12-step sponsor? Do you seek out an addictions coach? Or do you engage the services of a professional counsellor?
Why not just settle for all three. PRC Recovery is a multi-disciplinary team of addiction professionals that works with you and guides you through the steps to recovery. Each component individually executed but integrally combined into a complete effective addiction treatment programme.
Most people in recovery are familiar with the concept of a sponsor. A sponsor is someone in recovery who has experience with both the 12-step program and the process of working the steps. Our sponsors help newcomers learn about the program, how it works and what the expectations are. They actively assist clients in navigating the steps, offering suggestions, encouragement and monitoring progress.
Branching off from the life coaching profession, recovery coaching is fairly new within the recovery community. Coaching is focused on establishing, incorporating and maintaining general life goals, while recovery coaching incorporates specific goals that are helping addicts recover and maintain sobriety. Our recovery coaches monitor client goals over a longer range - from the pre-treatment stage, throughout active recovery, and long after inpatient rehabilitation treatment services have ceased.
A professional counsellor or therapist is bound by ethical and legal requirements which assurances the confidentiality in the counselling relationship and proof of expertise in the area in which the clinician provides services. Addiction does not happen in a vacuum. Our counsellors work on the precipitating issues and/or life events that caused the client to seek self-medicating options. Counsellors can also screen and treat co-occurring mental illness.
Using substances is one way to numb and avoid difficult emotions and mental experiences. For long-term sobriety, it is necessary to address the underlying issues associated with substance abuse. Learning more about the roles, expectations, limitations and guidelines related to each type will give you the information you need to find the best match for your recovery.
Choosing the best treatment CENTRE FOR YOUR LOVED ONE
Admittedly, numerous treatment centres pop up on search engines but what are the key factors when choosing which one to go to? The important factor to hold onto is that you’ve taken a big step already.
The disease of addiction is multi-faceted. Chances are if you’ve never been for treatment, you would not know which programme to choose. PRC Recovery is a short and long-term treatment centre and can advise you.
Choose a holistic treatment approach that focuses on the mind, body and soul. Ask for the contents, resources and structure of the treatment programme. Many rehabs only treat the problem and not the person.
Amongst other factors, you can read more about, aftercare planning is vital. Being realistic and knowing the work isn’t over is but another step in recovery. Without proper aftercare, potential relapse is such a prominent fear.
Try jot down a few notes on what you think is important for you before choosing a rehab for your loved one. Think of the type of support you’ll need to follow through on your commitment.