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days to allow patients to have a full 28 days on the treatment programme with the additional 4 days for the settling in, initial assessments, detoxification and preparation for discharge.

For many patients another couple of weeks in treatment can offer huge benefits to their recovery.  For some there may be underlying issues such as trauma that would be best addressed with a few more weeks in the safety of the treatment facility.  Those in treatment should always remain open minded about an extension of stay.  

During any extended Primary Care period patients are often given a little more ‘freedom’ whilst still remaining within the safety of the residential unit -  perhaps a visit alone to a local
AA or a half a day sightseeing.  When this is suggested a number of safety elements are incorporated to ensure a quick and safe return to the residence can be arranged.  Facing the reality of recovery in the outside world is important and to be able to experience it and then bring back any difficulties into therapy can be of tremendous benefit to the recovery process.

Unfortunately the home environment hasn’t changed while you are in treatment but at some stage you have to return.  This can be a daunting and even dangerous situation to be confronted with.  Suddenly alone in the world fresh from rehab but stripped of all the safety that residential care offers.  There is an alternative.

If you live close by going home to sleep and coming back in for a graduated reduction in therapy is an option. Stepping down from 7 days a week to 6:5:4:3:2 days per week and then eventual discharge offers an opportunity to bring back to therapy the problems you have encountered living back in the community with family and friends.

For those whose home is not nearby we offer another option: We will help identify a suitable apartment in a safe locale and close enough to make the daily journey back to NVRC. If you have a driving license we will provide a small car which will allow you a little extra ‘freedom’ that you never had in treatment.  And, of course, with it that extra bit of responsibility that you need to start taking in your recovery programme.

For the first week spent in the apartment it is probable that you will return to the treatment centre everyday and even spend much of your free time with your familiar peer group. But soon you will be encouraged to take a day out and start to spend time alone to ensure you feel confident enough in your own company.  The following week two days out and so on until the treatment team and you mutually feel it is time to go home.  During this whole process you are safe in the knowledge that there is 24 hour support just a phone call away. When this day comes you will have enough experience under your belt to return home confident that you can successfully negotiate the difficulties of early recovery.

Some take this option to stay close to the treatment centre as they make important decisions about their future.  On line further education or training can be facilitated as well as help with CV’s and facilitating job search. Life Coaching is available for those who need a change of direction but just don’t know which way to go.

This step down supportive treatment phase takes you away from the institutional approach of many of
the secondary establishments and helps restore trust and responsibility.   As far as we are aware we
are the only addictions treatment facility that offers this option and it has been very successful
with a number of our past patients.
At many private residential treatment facilities the usual length of stay in Primary Care is 28 days. This has become so ingrained in our language that they even made a Hollywood film of the same name.  

But is 28 days long enough? If a patient is de-toxing this can keep them from the programme for 2 or 3 days or longer, towards the end of their stay patients preoccupation is inevitable about going home. Effectively 28 day programmes therefore only offer 3 weeks of therapy. Our programme is 32
Recovery is for Life