When you leave residential rehab or intensive outpatient therapy, that isn’t the end of your journey. The support you receive in the weeks following rehab treatment is crucial in preventing relapse and staying sober.
In order to make sure your chance of relapse is as low as possible, it is important to continue with continuing care. For us at CATCH Recovery, it is one of the essential building blocks of sustained recovery.
Continuing Care: Online and in London
Inpatient or residential rehab is just the first stage of addiction treatment. This stage typically lasts from 4 weeks up to 4 months. It is an intensive form of treatment, with structured days, and a variety of expert staff involved in your care.
Staying focussed on treatment, and working through difficult emotions, and cravings is easier to do in this kind of structured and supportive environment. Transferring these new-found skills and behaviours to your home life is a key part of treatment, and when the time is right you and your therapist will start preparing this transition.
For many people, leaving treatment will involve moving back home. For others, it might mean to move into a sober-living programme, or into an outpatient programme. In medical terminology this is referred to as a step-down process because you are moving from a high intensity into a lower intensity and longer-term stage of treatment.
Even for those returning home, leaving rehab should not be the end of your treatment journey. Nowadays everyone can easily continue their treatment from home as an outpatient. Group and individual therapy is proven to be effective online as “tele-health” or “tele-therapy”, and the majority of our continuing care services are provided in this way.
Benefits of recovery continuing care
CATCH Recovery delivers an intensive 24 week continuing care course. We have over ten years of experience in delivering online therapy with Castle Craig Hospital.
The benefits of joining our continuing care course include:
- Build self-esteem and a smooth transition to a more meaningful sober life,
- Identify potential drug and alcohol relapse triggers,
- Learn coping skills to reduce the effects of cravings,
- Develop self-help support networks to ease the social reintegration and maintain sobriety,
- Learn techniques to manage and reduce cravings,
- Improve self-care and self-compassion,
- Learn stress-management techniques,
- Re-build family relationships.
What happens after rehab?
When you leave residential rehab, your journey has only just begun. It can be a daunting experience, coming back to your home, your family and friends and work colleagues, especially when some of them may not even know you have had treatment for addiction. Relapse can happen, and it often does, but at CATCH Recovery, we aim to minimise the chance of that by offering a fully integrated continuing care package that will help ensure long-lasting recovery.
Our online aftercare course is accessible to from any location. In-person therapy sessions are available to those in London or can travel to London.
The CATCH Recovery team works remotely and in London and together their team will oversee your outpatient journey after leaving rehab. CATCH Recovery offers a range of treatment packages that provide structured and seamless continuation of treatment as you leave inpatient treatment and transition back to living at home. The standard and minimum continuing care treatment duration is 24 weeks, although this can be extended as you approach the end of your care.
During your continuing care planning meeting, you can choose a higher intensity of treatment activity depending on your needs. Treatment consists of individual therapy, and recovery coaching, and you can also sign-up for group therapy. Individual therapy sessions can be opened up to include partners or family members on occasions – this can be arranged in consultation with your therapist.
Continuing Care Outpatient 24 Week Programmes
This is the standard and minimum package. The reason it is spread over 16 sessions across 24 weeks is that many patients like to have regular weekly sessions at first, but after a certain time, they might change those sessions to fortnightly. It also helps to keep the cost of the package more affordable, and spreads this support out over a longer time. However, there is nothing to stop you ‘topping-up’ your treatment and booking additional sessions with your therapist as you progress through your continuing care.
This more intensive package allow for more regular therapy time. There is also more scope to combine the services of a therapist and a recovery coach who can alternate and provide a different type of support at different times of the week.
This more intensive form of continuing care is highly valuable for people who are returning to challenging family or work situations, may not have easy access to AA / NA or are not intending to make regular use of mutual aid groups.
You can sign up for group therapy during your continuing care planning meeting, but you can also sign-up for it at a later date when you’ve discussed it with your continuing care therapist and feel ready to make this commitment. You will need to make a commitment to attend regularly for the sake of forming a cohesive and supportive group. Group therapy is currently available in person in London, or online as a tele-health group. We keep these groups small, so that members get to know each other over the weeks and months. We recommend extending in blocks of 12 and of joining the group for at least a year. It’s an inexpensive, and highly effective long-term treatment option, but we only offer it to patients who are engaged in individual therapy.
CATCH Recovery offers access to additional services upon request that are not included as part of your continuing care packages. These additional services may be provided by CATCH Recovery or might involve a referral to a range of external partners who we know and trust.
- Additional specialised therapy services such as trauma therapy, couples therapy etc.
- Psychiatrist appointments (external)
- Sober retreats, workshops, and meet-ups
- CATCH’s services are provided via tele-health. However, CATCH does have group meeting rooms and therapy rooms located in central London.
- For an additional fee of £30 per session, individual therapy services can be provided in-person in central London
- For an additional fee of £10 per session, group therapy can be provided in-person in central London. As our communities grows, we will be able to offer additional in-person group settings in the future at different locations around the country
- Sober Companioning services
- Sober Transport services
- Testing / laboratory investigations (external)
Free Support Services
Castle Craig and CATCH Recovery also provide a range of free support services to all patients who have completed treatment and moved into continuing care.
Alumni Support Group
Castle Craig facilitates a weekly “support group” free of charge to all patients who complete treatment at Castle Craig for up to 6 months after discharge. We call this the alumni support group, and it is different from group therapy, with up to 20 or 30 people attending at a time. However, it is a great moment in the week to check-in with other people in recovery, and to share your experiences of the week – whether positive or challenging – with a facilitated peer group.
After 6 months, patients can request to extend their participation for a further 6 months.
Family Support Group
There is also a monthly support group for family members for up to 1 year after discharge. This is open to family members who have attended the weekend family workshop facilitated by our Family Therapy lead therapist. Details of this are shared with family members.
Ray, Recovery Chatbot
Ray is our Recovery Chatbot and is there to keep you accountable and to assist if you are in need of immediate support. The software is free to download. Terms and Conditions are included in your Patient Folder. Stay on track with your recovery plan Ray is an artificial intelligence (AI) chatbot that accompanies you in your early recovery to help smooth the transition between treatment and everyday life. Ray reaches out to you every morning and evening to check in. But you can chat with Ray any time. Daily check-ins provide encouragement and help at times of crisis.
Conversations may include:
- Daily commitments
- Reflection on feelings
- Motivational quotes and videos
- Gratitude exercises
- Planning your day
- Reflection on your recovery process
- Meeting attendance
- Learning nuggets.
Every year, Castle Craig hosts an annual reunion that takes place on the last Sunday in June. Email invitations are sent out to all former patients; however, it is your responsibility to remember this regular date, and to check with us in case you don’t get a reminder or an invitation to attend.
What happens when you reach the end of your Continuing Care?
Once you reach the end of your 24-week course of therapy, we will arrange to call you, and offer the option to extend your continuing care with us. If you do not need or wish to extend your individual or group therapy any further, you can still discuss whether you would still like any of our free services to remain available to you for up to one year. These include:
- Ray, Recovery Chatbot (up to 1 year)
- Alumni support group (up to 6 months)
- Our Case Managers are always available for you to reach out and check-in
What is the difference between coaching and therapy?
Recovery coaching is all about developing the lifestyle and the life skills required to stay sober and achieve other goals of your recovery. Coaches are not generally considered clinicians, and do not treat mental health conditions. Therapists on the other hand do treat mental health, and in fact some addiction therapists are also trained recovery coaches.
Alcoholics Anonymous, Narcotics Anonymous and Mutual Aid
Alcoholics Anonymous, and Narcotics Anonymous groups and other self-help groups are a valuable and free service and offer a forum that brings together people with similar experiences helping each other overcome problems.
They will support you on your journey of renewal, making use of the 12 steps or dealing with issues as they arise during your recovery journey. There is strong researched-based evidence that mutual aid is effective in supporting you throughout your recovery.
People with higher levels of support and greater participation in dual-recovery mutual aid reported less substance use and mental health distress and higher levels of well-being. Participation in mutual aid was indirectly associated with recovery through perceived levels of support (Laudet et al., 2000; Magura et al., 2007; Magura, 2008).
Mutual aid groups are for example:
- Alcoholics Anonymous
- Narcotics Anonymous
- Cocaine Anonymous
- Gamblers Anonymous
- Al-Anon – for family members
- ACA – Adult Children of Alcoholics
- Emotions Anonymous
- UK SMART Recovery (UKSR) – a CBT based mutual aid programme.
Evidence to support continuing care
Research indicates that most patients need at least 3 months in treatment to significantly reduce or stop their alcohol or drug use and that the best outcomes occur with longer durations of treatment. For many of our patients, their stay in treatment will only last 5 or 6 weeks – meaning that further treatment needs to be delivered when they return home.
Ongoing engagement with AA and NA and other mutual aid groups will play an important part in your ongoing recovery, however, studies have shown that the best outcomes for addiction treatment are achieved by combing AA and NA attendance with continuing care from trained professionals.
CATCH Recovery in London provides individual, group, family and gender-specific therapy for patients returning from residential facilities, as an outpatient option for those that cannot go to residential, and for families to get the support they need to help their loved ones recover. The behavioural therapy provided by CATCH can help patients understand the causes of their addiction, improve their relationships, and learn healthy coping techniques.
What is relapse and why does it happen?
Addiction recovery is a lifetime commitment – and a lot can happen in a lifetime!
On the recovery path, people may experience a relapse back into misusing drugs and alcohol, believing that your time in rehab has cured you of the addiction. This is normal for many people to experience and should not be seen as a failure – we firmly believe it is something to learn from and grow from. Relapse happens for many reasons – you can struggle with work issues and personal problems, such as managing responsibilities and maintaining family and workplace relationships.
Aftercare prepares anyone in recovery from an addiction to cope with these issues when they arise.
Prevention of drug and alcohol relapse
Learning how to stay sober is an essential skill during the recovery process when dealing with dependency. Using special techniques to manage stress can prevent relapse. Aftercare solutions can help patients whose brain is affected by long term substance abuse. Addiction can damage both mental and physical health, and patients may need continued counselling during therapy sessions.
Local London support groups can help patients. Sharing thoughts, experiences and progress with a group that understands the challenges of addiction may have a positive impact.
Our support for you continues after inpatient or outpatient treatment at CATCH Recovery.
Our team knows that returning home and to your local community can cause fear or anxiety for people who experienced residential rehab and want to continue their recovery process.
You may associate the familiar environment of your house with the way you felt before receiving addiction treatment or with the struggle to make a living while battling addiction.
Completing an outpatient or inpatient programme is an amazing achievement that allows you to successfully detox, choose a new way of life, nurture your body, and start to identify underlying mental health problems through counselling.
Recovering patients usually are concerned with how their family and friends will react, how they will handle things at work, how to cope with triggers and cravings, how to find AA meetings and who to trust when difficulties occur.
WARNING If you have been detoxified from any drug, especially opioid drugs such as heroin or methadone, you will have a markedly reduced tolerance to these drugs. Consequently, your risk of a fatal overdose is very greatly increased.
Contact us for more information about our continuing care programme.