Long-Term Therapy

Precondition
The preconditions for therapy/rehabilitation are: making contact with our counselling team (admission meeting), a positively completed physical withdrawal or partial withdrawal, and the clarification of the assumption of costs.
If a combination of the following points is present then long-term inpatient therapy is advisable:

  • many years of SUD
  • physical and/or psychological comorbidity
  • preponderant lack of social structures (work, housing, relations etc.)
  • inadequate coping strategies
  • previous unsuccessful therapy attempts
  • co-dependent reference system
  • continuing cross-generation history of SUD


Duration
Long-term inpatient therapy lasts for 6 to 18 months, with the possibility of extension, and takes place in the association’s various inpatient institutions.

Target groups
Long-term inpatient therapy is intended for young people, adults with SUD, couples or mothers with children, multimorbid clients and people who need to reorganise and reorientate themselves and their lives. It is suited for people who have abused multiple addictive substances over a long period of time (polysubstance dependence), for people with SUD with psychiatric diagnoses, personality and/or socialisation disorders, psychiatric or physical secondary conditions and psychosocial anomalies.

Therapy/re­ha­bi­li­ta­ti­on
In the run-up to admission, together with those affected the Grü­ner Kreis counselling team works out a therapy plan for long-term inpatient therapy. In the process an appropriate inpatient option will be selected corresponding to the individual requirements and the existing problems. The clients are then prepared for the stay in the therapeutic community and admitted to the envisaged inpatient institution.
The “living together” in the therapeutic community is the most important basis for the therapy/rehabilitation of people with SUDs and the underlying psychiatric problems. The protective framework, the prescribed daily structure, the emotional cohesion and handling tasks together as they come up are all important. Psychological damage, behaviour and relation patterns that have developed out of the individuals’ background history become visible in living together as a community and can be worked on through the contact and support of the group.

Objective
The therapy objective is the experience of supportive, inter-personal relations and the recognition and understanding of connections between SUD and one’s own life history. As a result, new, meaningful purposes in life can be found, new coping strategies tried out and practical life skills can be acquired.
This form of support and therapy represents an opportunity for sustainable physical and psychological stabilisation and the discovery of new purposes in life and coping strategies. The objective is the sustainable rehabilitation and integration of clients. The focus is on getting used to leading an orderly working life that is abstinent or substituted without co-use, a secure housing situation, financial security, the discovery and promotion of resources, and making job decisions and/or starting occupational training.

Further mentoring as an outpatient is essential after an inpatient stay!