What is Residential Supportive Treatment?

Residential Supportive Treatment or Bed-Based Substance Use Treatment

Introduction

Bed-based treatment facilities provide a supportive 24-hour, substance-free environment for individuals dealing with alcohol and other substance use disorders (SUD) (CRISM, 2023). These facilities offer a range of services and treatment models tailored to the unique needs of each individual. Core offerings typically include:

• Individual and Group Counselling

• Life Skills Training

• Peer Support Groups

Many programs also provide specialized services such as vocational training, medical and mental health care, and couples/family counseling (CRISM, 2023).

The American Society of Addiction Medicine (ASAM) 2022 criteria guide referrals to bed-based treatment programs, highlighting several key considerations:

• Individuals who have not benefited from multiple previous treatment attempts.

• Those with co-occurring substance use or mental health disorders, or medical conditions.

• Individuals in social environments that do not support their treatment goals.

• Pregnant individuals who require more intensive care to improve pregnancy outcomes.

Key Features of Bed-Based Treatment:

• Supervised, Abstinence-Based Housing: Offers a structured residential care environment with 24-hour support.

• Medical Support: While medical support is available, it is typically more limited than that found in hospital-based services.

• Psychosocial Interventions: Emphasis on counselling, relapse prevention, and cultural/spiritual activities.

• Duration of Stay: Treatment programs generally last between 30 and 90 days, although our program extends to 120 days, tailored to client strengths and needs.

Treatment Focus:

• Relapse Prevention and Abstinence: Programs provide structured support to address psychosocial and cultural needs.

• Transition Support: This is ideal for individuals stepping down from hospital-based services or those needing high-intensity treatment with reduced medical and psychiatric services.

ASAM Levels of Care:

• ASAM Level 3.1: Low-intensity residential care, typically providing about five hours of clinical services per week.

• ASAM Level 3.5: High-intensity residential services that offer 24-hour structured care.

Our program is designed to support individuals at various stages of their recovery journey, emphasizing comprehensive care tailored to their unique needs.