WellSpring Resources Rehab

WellSpring Resources
(618) 462-2331
www.cccnmc.org
2615 Edwards Street
Alton IL 62002

Drug Rehab Concierge

Mental health services
Services Provided: Substance abuse treatment, Methadone Maintenance, Methadone Detoxification
Type of Care: Outpatient
Special Programs/Groups: DUI/DWI offenders

The Matrix Model

The Matrix Model is a framework for engaging stimulant abusers of methamphetamine and cocaine in treatment and helping patients achieve abstinence. Patients learn about issues critical to addiction and relapse, receive direction and support from a trained therapist, become familiar with self help programs under go urine testing to monitor drug use. The therapist functions simultaneously as teacher and coach, fostering a positive, encouraging relationship with the patient and using that relationship to reinforce positive behavior change. The interaction between the therapist and the patient is authentic and direct but not confrontational or parental. Therapists conduct treatment sessions in a way that promotes the self esteem, dignity and self worth of the patient. A positive relationship between patient and therapist is critical to patient retention. Treatment materials draw heavily on other tested treatment approaches and include elements of relapse prevention, family and group therapies, drug education and self help participation. Detailed treatment manuals contain worksheets for individual sessions. Other components of the Matrix Model include family education groups, early recovery skills groups, relapse prevention groups, combined sessions, urine tests, 12-step programs, relapse analysis and social support groups. A number of studies demonstrate that participants in recovery using the Matrix Model show statistically significant reductions in drug and alcohol usage, improvements in psychological indicators and reduced risky sexual behaviors associated with HIV transmission.

Paying for Drug Treatment

Finding ways to pay for treatment to recover from dependence on alcohol or drugs takes some research. Addiction treatment can be quite costly and the wrong program can be ineffective. The severity and duration of the substance a person abuses and the type of treatment the person requires all contribute to the costs.
Some treatment for drug and alcohol dependence costs more than others. Residential treatment is more expensive than outpatient treatment. The location of the facility, amenities offered and staffing also influence treatment costs. Chronic alcoholism or drug abuse may require longer-term treatment and that can become very costly depending on the treatment facility.

Private Insurance

The most commonly used payment for drug and alcohol treatment is through private insurance. The insurance coverage may pay for some or a great portion of the drug and alcohol treatment program. The websites of some addiction treatment centers may mention specific insurance carriers, particularly if the facilities are preferred addiction treatment centers for national insurance companies such as Blue Cross, Aetna, Cigna and others. Whether or not private insurance covers any portion of drug and alcohol treatment depends on whether the facilities are ERISA or non-ERISA plans. The Employee Retirement and Income Security Act (ERISA) is a federal law that sets standards for certain health plans offered by employers. If the plan is ERISA, it may or may not cover drug and alcohol treatment, as it is not required to. Non-ERISA plans and other group health plans, are required to provide at least four inpatient detox admissions (of up to 7 days each) in a lifetime, at least 30 days per year (lifetime 90 days) of non-hospital residential treatment and at least 30 days a year of partial hospitalization or outpatient services.

Military Insurance

Members of the armed services who need alcohol or substance abuse treatment may have some or most of the costs paid for through military insurance.

Medicare, Medicaid and Medical

Many treatment facilities advertise that accepting Medicare, Medicaid and Medical. Medicare Part A covers some drug and alcohol treatment received at a hospital (including room, meals, nursing and some other services), while Part B covers some services provided by alcohol and drug professionals (inpatient or outpatient), lab tests, partial hospitalization and outpatient therapies. Be aware that Medicare does not cover the total cost of most treatment and services and patients pay deductibles and co-payments.

Self Payment

The two major things to consider when evaluating self payment for addiction treatment are that the first attempts at drug and alcohol treatments do not always work. Ongoing addiction usually has high mental and financial costs as well as increased risk for other problems.

Personal Savings

It may come down to the having to tap into personal savings to pay for rehab treatment, especially if a person has a high insurance deductible, no insurance at all, does not qualify for scholarships or does not want to take out a loan. Again, be sure to find out exactly what the cost break down is to estimate if it will exhaust a savings account.

Family Assistance in Paying

Asking family for assistance to pay for the drug and alcohol treatment can be an option. If a person is genuinely committed to quitting the abuse, family members may be willing to help. If the aunt or uncle says that rehabilitation treatment will be a loan, be sure to draw up a loan agreement and make good on the promise to pay them back.

Creative Payments

One-Time Pay Assistance

Some treatment centers offer some type of financial assistance on a one-time-only basis.

Scholarships

Several drug and alcohol treatment centers in California offer scholarships to those individuals who cannot afford to pay for treatment out of pocket or who do not have insurance. In fact, some of these treatment facilities may be required to make a certain number of beds available for scholarship recipients as part of state licensing requirements--depending on what type of license the facility has. If a person qualifies for a scholarship, it will pay for the entire cost of the treatment. Scholarships are for those individuals who really have no other option.

Self-Pay Sliding Scale

Another popular payment method for drug and alcohol treatment is one where a patient pays what he or she can, according to a sliding scale. This assures that the patient will get the necessary treatment to kick alcohol and/or drugs, but will not break the bank.

Loans

Some facilities may offer loans that patients can take out to pay for the treatment. Be sure to find out everything that the loan covers in the treatment and understand exactly what the terms of the loan are. No one wants any hidden fees or surprises. Ensure that someone explains anything there is a fee-for-service, as this would be in addition to the treatment costs.

Facility that Meets Needs and Budget

The next step seeking treatment is to locate the right treatment facility to meet the needs and budget. Whether an inpatient hospital or residential treatment center specializing in addiction treatment or outpatient treatment, determine which treatment facility can best address the particular addiction situation.

The following step is to contact each of the treatment providers on the list and ask a series of questions. Some people may visit the clinics that seem well-matched in order to see firsthand how these facilities operate and to get a better sense of the kind of care a patient will be receiving at the facility. Ask for literature and inquire about all costs associated with the treatment and various treatment options each may offer. Some residential treatment facilities, for example, offer outpatient treatment, aftercare treatment and other services.

In order to shorten a long list of possible treatment facilities it is best to examine in-depth exactly what the costs of the programs are. Some facilities require an initial assessment first, in order for professional staff to determine the best and personalized program for a patient. In fact, whichever treatment facility ultimately chooses, no treatment can begin without a comprehensive assessment. This assessment involves an interview to learn about patient background, family history, type of substance and duration of abuse and other issues important to the treatment. Some treatment centers require patient detoxification in order to be admitted to the treatment program. This will be determined at the time of the assessment. No one can enter treatment without being free of traces of drugs or alcohol.

Don’t Let an Inability to Pay Defer Treatment

Employer-Sponsored Programs: Find out if an employer has a substance abuse program. This may be a part of the employer-paid insurance coverage or it may be separate.
Federal, State, County or Local Assistance: Check with the Department of Health, county or local organizations to inquire about assistance with treatment programs or treatment at a sponsored facility. There may be citizenship, residency and income limits applicable before treatment.

The best advice anyone can give is to fully explore all the options to getting treatment to quit drugs and alcohol. Be honest and upfront about the financial and insurance situation and ask for help to get the treatment need.