Treatments for addiction vary widely according to the types of drugs involved, amount of drugs used, duration of the drug addiction, medical complications and the social needs of the individual. Determining the best type of recovery program for an addicted person depends on a number of factors, including: personality, drugs of choice, concept of spirituality or religion, mental or physical illness, and local availability and affordability of programs.
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People who misuse alcohol are often addicted to the act of drinking, as much as the alcohol itself. For that reason, you may need to learn skills and coping mechanisms to help you avoid alcohol once you leave a treatment center or return to familiar environments where the urge to drink may be stronger. Your doctor may refer you to a counselor or other treatment program to help you learn those skills and coping strategies.
Even if you are aware of the harm that prolonged heavy drinking causes to the body, you will tend to believe that you would never let it get to that stage because you would be sure to stop long before then. But the truth is that drinking causes great harm to the body long before you can see the effects, and the most serious consequences might not be that far off. An idea of the extent of the negative health impacts of drinking can be seen in the NHS finances, which show that alcohol consumption is responsible for over 10% of the cost of healthcare in Britain.
Some addicts may require a detoxification cycle before beginning addiction treatment. This is perhaps one of the most significant misconceptions of drug rehab. Many people assume that detoxification is standard practice and is the “only” thing that occurs in a rehabilitation clinic. However, this is not the case. Drug rehab clinics seek to address the root problem to help break the long-term cycle of addiction.
Family members of rehab patients can seek drug rehab information by talking to the counselors and doctors at the facility. Friends and family members can help and support patients by learning about drug addiction. They may do this by participating in counseling sessions with the patient. Counselors in rehab facilities can also teach family members and friends of patients how they can help. They can learn about the coping skills that the patients are learning, the different drug abuse triggers, and the best ways to show love and support.
We eliminate the need to travel to meetings by offering therapy sessions over the phone. Our alcohol addiction group therapy sessions are conducted by a counsellor from Searidge Alcohol Rehab and consist of 5 to 6 alumni, some of whom you may know. Being in therapy with those you know well and who know you well, makes these group sessions effective and efficient. Since we already know you and your specific obstacles well, we can continue to work with you where we left off at Searidge at a much deeper level. If you prefer, individual counselling is also available by phone.
Nalmefene, an opiate antagonist that is similar in its chemical structure to naltrexone, is one of the most recent drugs being investigated for the treatment of alcoholism. Like naltrexone (sold as ReVia, Depade, or Vivitrol), nalmefene deprives the person struggling with substance use of the pleasurable feelings associated with drinking. But nalmefene is less toxic to the liver than naltrexone. As of 2013, nalmefene was still undergoing clinical trials through the U.S. National Institutes of Health before receiving FDA approval.
The price tag for drug rehab treatment depends on the type of rehab you choose. You need to know what is included, what will be added to your bill as a fee-for-service program, and what services your health insurance will cover. This makes it extremely difficult to compare prices by simply asking the question - "What does rehab cost?" The best way to find out the range of costs for rehab is to talk to an intake advisor. You can discuss your insurance coverage or your financial concerns and they will help you narrow down your choices to what best meets your needs in the most affordable way. Transcending addiction and redefining recovery: Jacki Hillios at TEDxBoulder
Scientific research since the mid-1970s shows that drug abuse treatment can help many drug-using offenders change their attitudes, beliefs, and behaviors towards drug abuse; avoid relapse; and successfully remove themselves from a life of substance abuse and crime. Many of the principles of treating drug addiction are similar for people within the criminal justice system as for those in the general population. However, many offenders don’t have access to the types of services they need. Treatment that is of poor quality or is not well suited to the needs of offenders may not be effective at reducing drug use and criminal behavior. Robin Williams: Alcohol, Cocaine, & Rehab
Drug abuse takes a financial toll on all Americans. The use of illicit drugs such as heroin, cocaine, meth and ecstasy costs the U.S. $11 billion in health care. According to the U.S. Department of Justice, total yearly costs in terms of hospitalization, emergency medical care, lost work productivity, premature death and criminal behavior surpassed $193 billion in 2007.
Historically, drug addiction and those suffering with it were maligned as morally weak people who made bad choices. This pure behavioral model, however, fails to account for the biological changes that addiction triggers in the body and brain. Furthermore, it overlooks the issue of comorbidity; many people who are addicted to drugs also suffer from mental health problems and use drugs to self-medicate for those problems.
Thanks to years of research, doctors and health professionals now have a full menu of options to treat alcohol use disorders. Building on this progress, scientists continue to work on new medications and discover new ways to improve the effectiveness, accessibility, quality, and cost-effectiveness of treatment for people who have alcohol use disorders.
Orientation. The first few days of treatment are focused on helping the patient to feel comfortable in the program and assisting the medical team in better understanding the needs of the individual patient. The doctors and therapists must be familiar with the patient’s drug history, mental health history and medical history in order to create a personalized treatment plan that will be effective.
We recommend residential treatment for people who need specialised therapy for the simple fact that specialisation is not always available in an outpatient setting. Outpatient treatment programmes tend to be more generic in nature, while residential treatment is more tailored to the individual. In short, we recommend residential treatment to anyone who needs specialised care and individualised therapy.
Assess how you’re experiencing the craving. Sit in a comfortable chair with your feet flat on the floor and your hands in a relaxed position. Take a few deep breaths and focus your attention inward. Allow your attention to wander through your body. Notice the part of your body where you’re experiencing the craving and what the sensations are like. Tell yourself what it feels like. For example, “My craving is in my mouth and nose and in my stomach.”
Ongoing support and aftercare are essential to this type of sustained, long-term recovery. Many drug abuse rehab centers feature robust aftercare programs, including ongoing individual therapy sessions on a periodic basis, group therapy meetings, and alumni events. Oftentimes, alumni are also encouraged to get involved in their own recovery community by participating in 12-step meetings or residing in a sober living home. If recovering addicts have people they can turn to for support when they are tempted to relapse, they are more likely to stand strong and resist the urge to use again. Drug and Alcohol Treatment Centers ► What You Don't Know
For individuals addicted to prescription drugs, treatments tend to be similar to those who are addicted to drugs affecting the same brain systems. Medication like methadone and buprenorphine can be used to treat addiction to prescription opiates, and behavioral therapies can be used to treat addiction to prescription stimulants, benzodiazepines, and other drugs.
Gateway Foundation is a national provider that has 17 convenient drug treatment centers in Illinois, Delaware and California to serve our patients in the places and communities they call home. We put our patients at the center of their substance abuse treatment—life-saving treatment that stays with them throughout their lives. Through individualized treatment, we’re able to help them discover what will work best for them in their journey to overcome drug and alcohol addiction. Brene Brown Knows! Toxic Shame & Trauma in Addiction Treatment w/ Gerald Loren Fishkin
One study performed in Norway demonstrated that brief advice given early can affect gamma glutamyl transferase levels and reported alcohol consumption. Early warning makes a difference to persons who drink heavily. In a study of 200 workers with alcoholism, recalling a physician's warning about drinking at the beginning of the study was associated with a better prognosis 2 years later. Unfortunately, less than 25% had received warnings from their physicians, again illustrating the problem of missed diagnosis.
Getting alcohol out of the addicted person’s system is the first part of recovery. People with a severe alcohol addiction can experience intense withdrawal symptoms. A supervised alcohol detox is usually necessary for people addicted to alcohol to prevent potentially fatal complications. Shaking, sweating, seizures, and hallucinations are possible alcohol withdrawal symptoms.
Alcohol issues are not limited to a certain demographic or race of people. The 2012 National Survey on Drug Use and Health reported that in the category of heavy drinking, men outdrank women by 10.9 percent to 3.6 percent. Racial demographics of respondents in the same category were led by Native Americans at 9.3 percent, followed by Caucasians at 8.1 percent, and African-Americans coming in third at 5.1 percent.
There is a wide range of alcohol rehab programs, including inpatient, outpatient, day-patient, and evening programs. Inpatient rehab facilities are the most structured. Generally, these programs run for 30, 60, or 90 days. There is a benefit to stepping out of your environment so that you can completely focus on recovery without any distractions, as in an inpatient program. However, that is not an option for many people.
Tobacco: Nicotine replacement therapies have several forms, including the patch, spray, gum, and lozenges. These products are available over the counter. The U.S. Food and Drug Administration (FDA) has approved two prescription medications for nicotine addiction: bupropion (Zyban®) and varenicline (Chantix®). They work differently in the brain, but both help prevent relapse in people trying to quit. The medications are more effective when combined with behavioral treatments, such as group and individual therapy as well as telephone quitlines.
Be upfront about your history of drug use when seeking medical treatment. If you need a medical or dental procedure done, be upfront and find a provider who will work with you in either prescribing alternatives or the absolute minimum medication necessary. You should never feel ashamed or humiliated about previous drug use or be denied medication for pain; if that happens, find another provider. Drug Rehab Near Me
Cognitive–Behavioral Therapy can take place one-on-one with a therapist or in small groups. This form of therapy is focused on identifying the feelings and situations (called “cues”) that lead to heavy drinking and managing stress that can lead to relapse. The goal is to change the thought processes that lead to excessive drinking and to develop the skills necessary to cope with everyday situations that might trigger problem drinking.
“Most drugs start off being rewarding,” former National Institute on Drug Abuse Director Dr. Glen Hanson told DrugRehab.com. “That gets the person interested in them… As the addiction proceeds, then some of that shifts. It goes from the reward being the attraction to a compulsive behavior. Compulsive behaviors aren’t necessarily rewarding behaviors.” *** ABOUT MY TIME IN REHAB: ALCOHOL REHAB STORIES
A program with principles that contradict the patient’s religious beliefs or personal values is unlikely to be effective. For instance, a patient who objects to spiritually-based recovery probably won’t be comfortable at a facility that places a strong emphasis on 12-step programming. When choosing a treatment facility, look for a program that meshes with the individual’s spiritual nature and cultural heritage.
In the precontemplation phase, the individual does not express any interest in the need for change. Many individuals with substance use problems are firmly entrenched in this stage. The options in dealing with patients in this stage are limited and include pointing out the discrepancy between patient action and patient goals, suggesting that the patient bring a family member to the next appointment, and suggesting a 2-week abstinence trial.
The legalization of marijuana in several states and the growing acceptance of this drug in the medical community correspond with a rise in use and abuse of this substance. Marijuana, or cannabis, is a plant-based substance that can be smoked, vaporized, or ingested in foods and liquids that contain the drug. When smoked or consumed, marijuana binds with receptor cells in the brain that respond to substances called cannabinoids. Many of these receptor cells are located in the same parts of the brain that control judgment, reasoning, motor coordination, and spatial perception.
"The most robust finding in the study is that those receiving any medication did much better than those who received no pills at all," says Professor Barbara Mason, Scripps Research Institute, and an author of the study. "This should be a wake-up call. With less than one percent of those seeking help for alcohol dependence receiving a prescription, medication is underutilized. Medication for alcoholism can offer patients an advantage for their recovery, especially in a real-world setting." 9 Signs Of A High Functioning Alcoholic
While detox is often looked upon as one of the most difficult aspects of the recovery process, addicts aren’t in the clear once they make it through withdrawal.5The real work of recovery takes place post-detox in the therapeutic portion of treatment. In therapy, both individual and group, recovering addicts uncover the root causes behind their substance abuse, helping them to address these issues so they don’t cause them to return to substance abuse at a later date.3 Connor's Battle with Pills to Heroin | True Stories of Addiction | Detox To Rehab
Outpatient treatment programs give you the flexibility to continue to live at home and work or attend school while participating in a program. There are varying levels of outpatient treatment depending on the level of care the patient needs. Some outpatient programs may involve several hours of therapy per day while others might require varying amounts of time throughout the week.5 Program requirements vary, and you can research the various programs to find what works best for you.
Inside the magnificent grounds at Passages, you'll find the most comprehensive and sophisticated treatment program in the world. When founders Chris and Pax Prentiss created this program in 2001, they began with one goal in mind — to create the world’s finest team of treatment professionals. Your team will be comprised of nurses, psychologists, family therapists, trainers, acupuncturists, hypnotherapists, spiritual counselors, and many others, ensuring your complete satisfaction from the day you check in until the day you graduate from our world-class drug rehab center.
Set in the heart of Essex, the facility is close to London and very accessible from the rest of the UK and wider world. Trust your loved ones with us – we will change their lives. The clinic was founded and is operated by people in long-term recovery, and our treatments, facilities and ethos make it the best possible drug & alcohol rehab for you or your loved ones. Drug Rehab Nc | You Won't Believe | Drug Rehabilitation Centers Near Me
At Costa Rica Treatment Center we ensure that every aspect of our client’s stay is delivered at the highest standard of professional care. We pride ourselves in offering the highest staff to patient ratio in the region. Our multidisciplinary team is comprised of Psychiatrists, Psychologists, Family Therapists, Trauma Specialists, Counselors, Art Therapists, Yoga Teachers, Life Coaches, Social Workers, Occupational Therapists, and Recovery Mentors. Collectively, our team is responsible for creating the client’s individual addictions treatment plan.
Bradford Recovery Center’s fully accredited drug rehab center is nestled in the rolling mountains of north central, Pennsylvania. Our integrated drug and alcohol programs were designed to address the complex needs and challenges arising from alcoholism, drug abuse and drug addiction. We specialize in several levels of care including Drug & Alcohol Detox, Inpatient Residential Rehab and PHP. Our team is comprised of caring professionals with decades of experience in the identification, evaluation & treatment of alcoholism and drug addiction.
For alcohol rehab and drug rehab in the UK, Sanctuary Lodge offers the most comprehensive treatment available for substance abuse and dependence. Clients are given the very finest care, while enjoy the luxury surroundings from the moment they arrive until the moment they leave – and even then, all clients receive a year’s free aftercare treatment as well.
Nitrous oxide, also sometimes known as laughing gas, is a legally available gas used for purposes that include anesthesia during certain dental and surgical procedures, as well as food preparation and the fueling of rocket and racing engines. Substance abusers also sometimes use the gas as an inhalant. Like all other inhalants, it's popular because it provides consciousness-altering effects while allowing users to avoid some of the legal issues surrounding illicit or illegal drugs of abuse. Abuse of nitrogenous oxide can produce significant short-term and long-term damage to human health, including a form of oxygen starvation, called hypoxia, brain damage, and a serious vitamin B12 deficiency that can lead to nerve damage. Drug and Alcohol Addiction - "Audio Rehab" - Brainwave Entrainment Music Therapy
Whether you’re struggling with an addiction to prescription drugs, street drugs, marijuana, or other substances, we’re here to help. At The Recovery Village, we offer specialized treatment services to support you through the rehabilitation process, from detox to therapy, discharge planning, and aftercare. Call our intake counselors at any time for information about our recovery services.
Binge drinking has become the most widespread form of alcohol abuse in the United States, according to the Centers for Disease Control and Prevention (CDC). Over 30 million adults in the U.S. (approximately 15 percent) admit to binge drinking within the past month. Most of these drinkers are white males between the ages of 18 and 34. Forty percent of college students report episodes of binge drinking.
All drugs–nicotine, cocaine, marijuana and others–affect the brain’s “reward” circuit, which is part of the limbic system. This area of the brain affects instinct and mood. Drugs target this system, which causes large amounts of dopamine—a brain chemical that helps regulate emotions and feelings of pleasure—to flood the brain. This flood of dopamine is what causes a “high.” It’s one of the main causes of drug addiction. Making the Decision to Get Help - Alcohol Rehab Review
The definition of recovery remains divided and subjective in drug rehabilitation, as there are no set standards for measuring recovery. The Betty Ford Institute defined recovery as achieving complete abstinence as well as personal well-being while other studies have considered "near abstinence" as a definition. The wide range of meanings has complicated the process of choosing rehabilitation programs.
Treatments and attitudes toward addiction vary widely among different countries. In the US and developing countries, the goal of commissioners of treatment for drug dependence is generally total abstinence from all drugs. Other countries, particularly in Europe, argue the aims of treatment for drug dependence are more complex, with treatment aims including reduction in use to the point that drug use no longer interferes with normal activities such as work and family commitments; shifting the addict away from more dangerous routes of drug administration such as injecting to safer routes such as oral administration; reduction in crime committed by drug addicts; and treatment of other comorbid conditions such as AIDS, hepatitis and mental health disorders. These kinds of outcomes can be achieved without eliminating drug use completely. Drug treatment programs in Europe often report more favorable outcomes than those in the US because the criteria for measuring success are functional rather than abstinence-based. The supporters of programs with total abstinence from drugs as a goal believe that enabling further drug use means prolonged drug use and risks an increase in addiction and complications from addiction.
This quote might best sum up the topic of proclivity for acquiring a drug addiction: “Most people who become addicts are subject to a combination of risk factors.” Anything from childhood trauma and having alcoholic parents to being exposed to drugs at an early age can influence whether a person takes their first hit or their first drink. And whether addiction will develop.5
How the drug is taken. Smoking a drug or injecting it into a vein increases its addictive potential.33,34 Both smoked and injected drugs enter the brain within seconds, producing a powerful rush of pleasure. However, this intense high can fade within a few minutes. Scientists believe this starkly felt contrast drives some people to repeated drug taking in an attempt to recapture the fleeting pleasurable state.
Drug rehab centers range from very basic facilities to luxury treatment centers. The type of center a patient attends depends upon his or her budget and level of insurance coverage. While luxury centers offer more amenities than basic facilities, they are not always the best treatment centers. Patients should investigate a rehab facility before making a final decision.
Opioids: Methadone (Dolophine®, Methadose®), buprenorphine (Suboxone®, Subutex®, Probuphine® , Sublocade™), and naltrexone (Vivitrol®) are used to treat opioid addiction. Acting on the same targets in the brain as heroin and morphine, methadone and buprenorphine suppress withdrawal symptoms and relieve cravings. Naltrexone blocks the effects of opioids at their receptor sites in the brain and should be used only in patients who have already been detoxified. All medications help patients reduce drug seeking and related criminal behavior and help them become more open to behavioral treatments. A NIDA study found that once treatment is initiated, both a buprenorphine/naloxone combination and an extended release naltrexone formulation are similarly effective in treating opioid addiction. Because full detoxification is necessary for treatment with naloxone, initiating treatment among active users was difficult, but once detoxification was complete, both medications had similar effectiveness.
Inpatient or residential treatment is the most intensive level of care, with round-the-clock monitoring and clinical management to alleviate withdrawal symptoms and provide structure. After the detox phase, the patient lives at the facility full-time while receiving therapy, group counseling, medication management, holistic therapies and other services.
Our highly qualified treatment team possess extensive clinical experience in treating alcohol addiction, and are able to deliver a wide range of established techniques to help you to address your alcohol addiction symptoms, and resolve the underlying causes and triggers for your alcohol addiction. We ensure that each individual who seeks support with us is placed at the centre of their alcohol addiction treatment and rehabilitation journey and is involved in any decisions that are made about their care. This ensures that you benefit from a truly collaborative and personalised treatment experience and the most positive outcomes for you as an individual. Our non-judgemental, highly compassionate addiction treatment environments provide you with the ideal setting in which to address your challenges and achieve and full and sustainable recovery. Rehab Drug and Alcohol Detox Treatment Centers | BLVD Treatment Centers
How pro-active is the Treatment Center’s approach toward preventing relapse? Does the Treatment Center place greater priority on profit or on getting people free from addiction? What precedence does the Treatment Center set on educating residents about drug and alcohol abuse? What is the philosophy or view of the Treatment Center on healing drug and alcohol addiction? Is healing drug and alcohol addiction perceived as a process that is forged through developing a stronger spiritual relationship with God? Is God acknowledged as part of the healing process at the Treatment Center? Are residents in the Treatment Center embraced as a community and nurtured by those that have completed the process?
An influential cognitive-behavioral approach to addiction recovery and therapy has been Alan Marlatt's (1985) Relapse Prevention approach. Marlatt describes four psycho-social processes relevant to the addiction and relapse processes: self-efficacy, outcome expectancy, attributions of causality, and decision-making processes. Self-efficacy refers to one's ability to deal competently and effectively with high-risk, relapse-provoking situations. Outcome expectancy refer to an individual's expectations about the psychoactive effects of an addictive substance. Attributions of causality refer to an individual's pattern of beliefs that relapse to drug use is a result of internal, or rather external, transient causes (e.g., allowing oneself to make exceptions when faced with what are judged to be unusual circumstances). Finally, decision-making processes are implicated in the relapse process as well. Substance use is the result of multiple decisions whose collective effects result in a consumption of the intoxicant. Furthermore, Marlatt stresses some decisions—referred to as apparently irrelevant decisions—may seem inconsequential to relapse, but may actually have downstream implications that place the user in a high-risk situation.
Depending on your treatment priorities, you may also want to consider a facility that shares your philosophy. For instance, some people prefer faith-based rehabs if their religion is important to them. Others may choose to enroll in a holistic treatment center that utilizes alternative and complementary practices, such as acupuncture, meditation, and yoga. Regardless of the treatment program you choose, it’s important to confirm that it possesses the above-mentioned qualities.
The second reason is because you want to do your recovery on your own. You've always been self-reliant and you want to be self-reliant in your recovery. But recovery involves learning to ask for help. Doing it on your own is overrated. You need to ask for help from your doctor, treatment program, 12 step group, and sponsor. Antabuse is just one more thing you can use. It is not an alternative to your supports. It complements them.
A large body of scientific evidence has been gathered in recent years to show that addiction can run in families. In fact, children of alcohol-addicted parents are four times more likely to develop alcohol addiction in later life than those born to parents without alcohol addictions. How this works is complex, and there is no one ‘alcohol gene’ to blame for this; instead a number of genetic variations, which mean some individuals are more pre-disposed to alcoholism than others.
Although Ecstasy declined in popularity after its introduction to the underground club scene in the 1980s and 1990s, a new generation of young users has discovered the drug. Many teens and young adults perceive Ecstasy as a non-addictive, relatively harmless psychedelic drug. However, Ecstasy can cause dangerous side effects, including nausea, vomiting, high blood pressure, dehydration, liver and kidney damage, an irregular heartbeat, and aggressive impulses.
Whether you’re seeking rehab for drug addiction alone or in conjunction with depression or any other mental disorder, you can find it with one of The Recovery Village’s locations. Although intake coordinators will ask you a list of questions when you call, keep in mind that you have the liberty to ask questions of your own to be sure you’re choosing the best facility to meet your needs. Knowing what to ask in advance and documenting the answers can help you be more prepared to make a confident decision about addiction recovery treatment.
In-House Treatment Centers provide drug and alcohol rehab for individuals and their families that are suffering from moderate to severe addiction to alcohol, substance abuse, and co-occurring disorders. As differentiated from Hospital Drug and Alcohol Rehab Programs, In-House Treatment Centers are often located in resort-style, private facilities designed to treat the whole person with a more personalized and compassionate approach to recovery. Psychology of Drug Addiction & Substance Abuse Disorder, Causes & Solutions
I will start out by writing that the Costa Rica Treatment Center has saved my life...I was at rock bottom. Robert and Eric came and picked me up in Jaco, in very bad shape, and they persistently, lovingly, gently, firmly, medicinally, therapeutically, turned me back around, cared for me taught me, changed me...I lived here for one month, and just felt safe and secure. They slowly brought me back to good health. I have grown spiritually, mentally, physically, and emotionally, and can never repay what has been given to me. From Gernot and Maggie (owners of this beautiful home), Robert (administrator, jefe) full of life and play but very disciplined, Eric (assistant manager, wonderful strong, positive, caring energy), Arturo ( Yoga instructor, who gave me daily 5 am classes, with meditation, and a chef), Donia Sonya ( housekeeping), Sheila(psychotherapist), Diego and Marianna(psychologists), Diego (MD), and other persons, in Recovery, who will remain anonymous, who have given their time and advice, and lent an ear to me...I feel this is the best place for you, if you are struggling with an addiction that is out of your control. They just "know" here, how it feels, they understand, without judgement, and their goal is to help you manage your addiction, and move forward into a good life full of purpose, kindness and happiness...This home is beautiful, spacious, room for togetherness and privacy, serene, alcoves, patios, gardens, my room was so cozy, I was able to get much needed rest. I will continue to keep Costa Rica Treatment Center a part of my life, with much gratitude to all of you for returning me to the old, and new Allison...very, very thankful...
Addiction is a complex but treatable condition. It is characterized by compulsive drug craving, seeking, and use that persists even if the user is aware of severe adverse consequences. For some people, addiction becomes chronic, with periodic relapses even after long periods of abstinence. As a chronic, relapsing disease, addiction may require continued treatments to increase the intervals between relapses and diminish their intensity. While some with substance issues recover and lead fulfilling lives, others require ongoing additional support. The ultimate goal of addiction treatment is to enable an individual to manage their substance misuse; for some this may mean abstinence. Immediate goals are often to reduce substance abuse, improve the patient's ability to function, and minimize the medical and social complications of substance abuse and their addiction; this is called "harm reduction". Best Drug Rehabilitation Graduation