What is “At Home” Recovery Like?

“My biggest fear in early recovery was that I would never have fun again. The beautiful truth is that recovery has given me freedom and the confidence to go out in the world and leave my own mark.”

Tom Stoddart, British photographer

Is recovery at home possible?

There are individuals who will decide that they need to adopt a homecare/home recovery approach to kick start the process of withdrawal and subsequent recovery. While they may appreciate what a clinic has to offer, it might not be for them for several reasons. Some will balk at being separated from family or loath to shelve work commitments—others may need to preserve the daily routine essential to their functionality, especially if they are neurodivergent. They may simply prefer to opt for a medically supervised detox from the comfort of their own surroundings. It really is subjective.

It’s possible to start one’s recovery journey from home and go on to lead a full and renewed way of life. At Addcounsel, we have built an impeccable reputation with our ‘one client at a time’ methodology, recognising the importance of tailoring a personalised recovery programme to meet the needs of the client. And this includes a homecare package. Overseen by a consultant psychiatrist with a specialisation in addictive disorders, we can create robust supportive plans to treat a range of dependency issues, as well as co-occurring mental health disorders.

What’s needed from the client to make it work?

Here are some of the actions which will increase the chances of a successful outcome of a homecare package:

Making a commitment

A homecare package will require a firm commitment to follow through on a recovery programme in the same way one would approach treatment in one of our luxury residential clinics in Mayfair and Knightsbridge. This means following through with appointments, ensuring to prioritise availability for consultations with a health professional, keeping to therapeutic practices, and so on. We recognise that one of the primary reasons for an individual opting fora homecare package is a need to adhere to a demanding schedule, or maintain a public profile and that there may be the occasional unavoidable disruption. However, we strongly encourage a serious commitment to the programme which has been formulated for each client.We’ll do everything possible to make this work and to accommodate the client during this sensitive time.

Removing compromising paraphernalia

If an individual has an alcohol dependency and keeps alcohol at home, it’s important to discuss this with our team. Again, there is no “one size fits all” model. A spouse of an alcohol dependent person may wish to continue drinking in moderation or need to host events for family/clients.

Be open-minded to the process

Open-mindedness and a willingness to accept change are key prerequisite components of a successful outcome to any recovery programme. There may be challenging moments, but rest assured that our 24-hour community psychiatric nurse, psychiatrist and therapeutic team will be there to monitor and support you.

Communicate your needs

Expressing your needs is crucial. Some clients are so accustomed to being completely self-sufficient, that there may be a resistance to expressing doubts or any preconceived idea of vulnerability. While self-sufficiency can be a desirable quality in other aspects of life, it can have the opposite effect in recovery if an individual finds it hard to communicate their struggles and attempts to “soldier on” unaided. A medically supervised detox, and early recovery is going to be challenging, and so it’s natural for self-doubt, regret, anger, and shame to be experienced. Communicating these emotions with a health professional will ease the burden and assist you to stay focused on successfully completing your homecare treatment.

Follow through on your tailor-made recovery programme

Addcounsel will create a unique tailor-made recovery programme for you to integrate with the support of our team. If you see this through, (even during the most challenging times), the foundations for a solid long-term recovery will have been laid. Your programme will be discussed at length, emphasising the importance of hydration and nutrition as well as psychiatric and therapeutic practices. Again, if at any point during the detox phase or subsequently, things become too taxing, it’s crucial to let us know so that we can support you. We know how hard it is in early recovery. We understand.

What does at home recovery look like?

At Addcounsel, we can provide a homecare package and a visiting (community) package. Here’s what you can expect from both successful approaches:

Homecare package

  • Comprehensive clinical management from a CQC registered community mental health service
  • Full medical assistance, 24-hour community psychiatric nurse and psychiatrist
  • Full withdrawal management (detox) for a range of substances, including alcohol, opiates and stimulants
  • Medical management of eating disorders
  • Management, monitoring of adherence to medication, for a number of co-occurring mental health conditions such as schizophrenia, bipolar affective disorder and personality disorders
  • Nutrition and blood monitoring for a range of co-occurring mental and physical health conditions, including but not limited to diabetes and fibromyalgia
  • Psychology services
  • Yoga, mindfulness, and meditation
  • Spiritual development
  • Recovery and social coaching

Visiting (community) package

Visits from consultant psychiatrist, recovery or therapeutic support worker, psychotherapist, yoga, mindfulness coach, and social engagement support. These packages of care are subject to a comprehensive risk assessment. Detoxification services vary in frequency and intensity, dependent upon the severity of diagnosis.

Additional services to support the reparative process required to unite the family are also provided and actively encouraged as part of a comprehensive programme of care.

This approach, whilst requiring a high level of personal commitment, is discreet, supportive to the specific needs of our patients and achieved without the level of disruption that can often come with admission to a treatment facility.

Clients may transition from in-home, to visiting packages over the duration of their treatment experience. The range and frequency of the service can be adapted to suit the specific needs of the client, allowing Addcounsel to offer a truly personalised service.

Is it safe to detox at home?

A home detox is safe provided it is medically supervised and monitored by a competent, compassionate, and experienced medical team.This is, however, contingent upon the physical condition of the client. An individual may be detoxed because of an alcohol dependency or complex health problems such as cirrhosis of the liver. There are specific requirements before a psychiatrists will administer a home detox. Health conditions and one’s history related to an addiction(s) will all be carefully considered during the assessment. Our very own medical director, Dr Farrukh, and his world-class team of experts will provide the best possible assessment.

There can be an acute reaction to a withdrawal from alcohol and/or any other powerful mood-altering substance such as opioids, benzodiazepines, or painkillers. In some cases, there will be intense symptoms or side effects, some of which may be dangerous.Prescribed medication is often administered by a psychiatrist to reduce and ease the uncomfortable or distressing feelings and sensations associated with a withdrawal. During an alcohol detox, medication will help to prevent the danger of seizures.

During this stage of a homecare package, disclosing the experience of body sensations and withdrawal symptoms such as nausea and aches is essential. It’s important for you to communicate every time you experience different or unusual sensations which will then be used to make necessary adjustments to your detox plan.

In an article Alcohol Withdrawal published by National Library of Medicine writes: “Patients should be kept calm in a controlled environment to try to reduce the risks of progression from mild symptoms to hallucinations. With mild to moderate symptoms, patients should receive supportive therapy in the form of intravenous re-hydration, correction of electrolyte abnormalities, and have comorbid conditions as listed above ruled out.”

The authors continue: “The hallmark of management for severe symptoms is the administration of long-acting benzodiazepines. The most commonly used benzodiazepines are intravenous diazepam or intravenous lorazepam for management. Patients with severe withdrawal symptoms may require escalating doses and intensive care level monitoring. Early consultation with a toxicologist is recommended to assist with aggressive management as these patients may require benzodiazepine doses at a level higher than the practitioner is comfortable with to manage their symptoms.”

Am I expected to attend support groups (mutual aid)?

Attending mutual aid groups can be very beneficial because they provide additional support and foster a focus on recovery during and post treatment. However, they’re not for everyone. If an individual is concerned about security and guaranteed anonymity, privately held groups (not accessible to the public) are available. Some clients who may be involved in medicine, politics, banking or have a very high public profile will often prefer to attend private meetings. Such meetings may vary from a casual conversation over coffee/tea about everyday struggles, to 12-step meetings held in a secure and private environment. Some ultra-high-net-worth individuals may wish to attend a regular support group to bring a different dimension to their homecare package. One of our team will escort you to the type of group you opt for, and should additional security be required, a class one advanced driver, security and fully operational protection specialists will be made available. These options can be discussed in advance.

Contact us today

Addcounsel’s team of experts will leverage the world’s most extensive menu of treatment services to help you recover from addiction or a mental health condition. We create a robust aftercare programme to support re-integration into your family and lifestyle.

We offer treatment for addiction at one of our private, luxury rehab facilities in Knightsbridge, Chelsea, and Mayfair, London, which take place in an intimate, one-to-one setting – no groups, no other patients. Your comfort, safety and privacy are our priority. Contact us today to start your recovery.



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