Drug and alcohol rehabs in Australia – The Providers: Who, How and Why?
They are either day programs or residential, and operate in two sectors: non-profit and private. In the non-profit sector the Commonwealth and State Governments both provide contributions, and the balance is funded by the clients’ Centrelink allowances. If the client is not on Centrelink, the personal contribution would be around $470 per fortnight.
Like it or not, the Private sector is a vital component in the drug and alcohol rehabs in Australia supply-demand equation, and offers a two-fold benefit. Firstly, it allows those who can and need to pay privately, to do so. Secondly, it diverts demand from the over-subscribed and under-supplied non-profit and State sectors, thereby freeing up valuable drug and alcohol rehabs beds for those who can’t or won’t pay. And when we say pay, the obvious question is ‘how much?’ At SafeHouse Rehab Center Thailand, a 30-day program costs US$7,850 and includes return flights and outpatient detox. Further 30 day periods are discounted. This level of fee compares very favourably with most residential drug and alcohol Rehabs in Australia, which can be as much as US$77,000 per 30 days.
And why is the Private sector so important? The answers are multi-faceted. The number of funded beds that are available in any given State vary. For example, clinics in Victoria might suggest clients seek admission opportunities in New South Wales which has more funded beds. And in some States, in-patient withdrawal management or detox, for example, are operated by mostly by the State Governments, rather than the non-profit (or even the private) sector. Overall, the availability of different elements of the full range of services differ significantly between the States. Good co-ordination and communication between State Governments and non-profit services work well together to deliver treatment options, including residential drug and alcohol rehabs in Australia, to as wide a range of clients as possible. However, both Government and non-profit services have priorities and demands which they need to manage in isolation, before considering other agencies’ needs. The agencies all certainly do their level best, but addiction and alcoholism is a sector where the supply and demand ratios make it almost impossible to serve as they would wish. There are simply not enough services or funds available to provide the necessary residential drug and alcohol rehabs in Australia.
And For Those Needing Services?
And for those needing these services, it is not easy or straightforward to reach out for help. Publicly funded beds can be very difficult to access, and the complexity is magnified if inpatient withdrawal/detoxification, and onward referral to residential drug and alcohol rehabs in Australia is required. In some instances, if appropriate, clients can undergo community based withdrawal via their General Practitioner, but then the waiting time for publicly funded drug and alcohol rehabs in Australia thereafter can be ridiculously long. Any benefits the client may have derived from undertaking the miserable community based withdrawal, will probably be long-lost through relapse by the time a rehab bed comes available. Even the inpatient withdrawal places have long waiting lists, and co-ordinating immediate transfer to residential rehab thereafter is can be somewhat perplexing via the Government or non-profit sectors.
On hearing that there are considerable waiting times to access in-patent detox – let alone inpatient beds in residential drug and alcohol rehabs in Australia – and many multi-agency hurdles to be negotiated and co-ordinated, many clients, their families and significant others, see little hope of a speedy resolution. This adds to the already immense stress that alcoholism and addiction foist upon everyone involved: including the care-giving agencies and clinicians who work tirelessly to improve matters, but concede the major issues involved.
When clients and families are faced with these very difficult and time-consuming challenges, they will look for other admission opportunities other than Governmental and non-profit residential drug and alcohol rehabs in Australia, and consider the private sector. Why would they not, when witnessing the long and degrading descent towards the degradation – and ultimately death – of the addict or alcoholic?
There is of course, the private hospital route, which offers insured and uninsured patients various length of stay options of rehabilitation or treatment.
There are quite a few private hospitals in Australia that offer ‘detox’ or as it now commonly called ‘withdrawal management’. Some provide medicated withdrawal and some do not unless medically indicated. Some have group programs during the detox phase of withdrawal which can be a useful distraction from unpleasant withdrawal symptoms. Some have short term rehabilitation attached with access to psychology and psychiatry. Private hospitals sometimes offer quicker admission than the public sector, but such short term residential drug and alcohol rehabs in Australia via this route cannot alone solve the addict’s problems, nor those of the family.
Many people believe once detox has occurred then everything will return to normal. This is rarely the case, as overcoming the physical dependence is only the beginning. Many people relapse and return to previous self-destructive behaviours unless they learn new positive behaviours and coping mechanisms very quickly. Therefore, post detox rehab is hugely beneficial, and admission thereto should be co-ordinated well in advance.
The Private Rehab Sector
Which leaves the private residential rehab category, effectively the immediate, one-stop shop, which generally offers the full range of detox, withdrawal, treatment and rehabilitation options. And let’s face it, for most alcoholics and addicts, this full range of services, provided in an immediate and synchronised fashion, is exactly what is needed to give the client the best chance of turning his or her life around.
Some residential drug and alcohol rehabs in Australia, as well as the wider world, have minimally qualified or experienced staff. Some have very experienced and qualified staff. Some are expensive and exclusive and some are affordable to the wider population. Crucially, most have places available immediately. At SafeHouse Rehab Center Thailand, we always have condos available for clients, as, in addition to our own 16 condos, we are able to rent as many more as we need, all within our own condo block!
Most residential rehabs, including SafeHouse and the majority of residential drug and alcohol rehabs in Australia, encourage their clients to stay an absolute minimum of one month, with two or three months being more effective in providing a long-term solution that will benefit the client and their family. This allows the client to settle in the rehab community and get some understanding of their problem, and the solutions. The lengthier the stay, the more opportunities to receive constructive feedback and practice what they learn in a safe environment- skills that will help will shape the success of their ongoing recovery after rehabilitation. Discharge from a rehab centre such as SafeHouse is always co-ordinated with a sound and structured aftercare plan, utilising all individually appropriate care options available.