1. Outpatient Vs. Inpatient Treatment Outpatient Treatment - A type of care used to treat those in need of eating disorder treatment, drug rehab, or pain treatment, to name a few. These types of programs can be very useful to those who must continue to work or attend school. Programs for outpatient treatment vary depending on the patient’s needs and the facility but they typically meet a couple of times every week for a few hours at a time. Inpatient Treatment - A type of treatment in which a patient is provided with 24 hour care at a live-in facility . Both psychiatric and physical health assistance are included in this treatment. In most cases, patients will stay at inpatient treatment facilities for months at a time .

2. Decision Criteria For Inpatient Patient is at high risk for complicated withdrawal. Current overdose-in-progress compromising vital signs, mental status or cardiac function, or life-threatening stupor. Head trauma, seizure, hallucinations, or symptoms of delirium tremens within the past 24 hours. Patient is at high risk for biomedical complications: B iomedical problem(s) requiring treatment, such as, impending hepatic decompensation, acute pancreatitis or other condition requiring parenteral therapy, active gastrointestinal bleeding requiring monitoring, etc. Chemical use gravely complicating existing biomedical condition, or worsening of a condition making immediate abstinence critical to avoid severe morbidity or mortality. Patient is at high risk for psychiatric or behavioral complications: Uncontrolled behavior endangering self or others Impairment of cognitive function, mental confusion or fluctuating orientation, or extreme depression such that activities of daily living are impeded. E vidence of disorientation to self, alcoholic hallucinosis, or toxic psychosis.

3. Decision Criteria For Outpatient We can say that patients are appropriate for outpatient detoxification if they do not meet criteria for inpatient detoxification. Patient is at minimal risk of severe withdrawal: With minimal or no medication that might mask signs or symptoms of withdrawal. Reliable history that use of substances in combination does not pose a significant risk of complicated withdrawal. Presence of support services to ensure commitment to complete detoxification and enter treatment. Patient has, and responds positively to, emotional support combined with treatment, and evidences decreased emotional symptoms by closure of initial treatment session.

4. Similarities Inpatient and outpatient addiction treatment programs have many characteristics in common. For instance, both types of programs generally utilize individual and group therapy. Because addiction has an effect on the entire family, most provide couples and family therapy. Inpatient and outpatient programs also educate the addict and the family about the nature of addiction while guiding the addict through goal setting and monitoring of those goals.

6. Participants : This study includes 95 participants: 52 female and male patients in the treatment group and 43 in a comparison group. Results: The participants of the treatment group were able to maintain or stabilize their mental health better than the participants of the control group. The participants’ dependence on insurance benefits was also reduced. Nevertheless, no significant differences arose between participants and the comparison group during the periods of paying into insurance. The results of this long-term follow-up study suggest patients receiving an aftercare treatment have better chance to support their state of health. This study shows significantly that aftercare participants are able to maintain or even improve on their diminished level of symptoms or complaints achieved after inpatient treatment and following aftercare. Results of long-term follow-up study of inpatient psychotherapy followed by systematic outpatient psychotherapeutic aftercare. Case Study