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Continuing Care

Our care for you continues after leaving residential rehab at Castle Craig

We know that returning home and to your local communities can cause some anxiety for people who have been through residential rehab and are new to recovery.

The last time you were at home you were sick with an addiction to alcohol or drugs and your life was unmanageable.

 I am here for Alcohol | Drugs | Other addiction

It is an incredible achievement to have been through detoxification, cleared all substances from your body, embraced a new way of life, built up a healthy body, and begun addressing underlying mental health problems and unresolved experiences through psychotherapy; you have also joined a new worldwide fellowship of over 2 million members (AA) and can now return home to embrace your new-found freedom from all alcohol or drugs.

  • But this will cause some anxiety too – how will your old friends react?
  • How will your colleagues react and how will you respond to pressure at work?
  • How will you cope with relapse triggers?
  • How will you find a local AA meeting?
  • Who can you turn to if you are experiencing difficulties? 

We make sure that no patient leaves us unprepared. We consider continuing care essential to reduce the risk of relapse and we provide a personalised two-year continuing care plan continuing all the information and support you need for your return home.

Benefits of rehab continuing care

Our goal is to help you sustain and build on all the important work that you have achieved at Castle Craig so that you achieve a long-lasting recovery.

Our continuing care programme aims to:

  • Ensure a smooth transition to a stable and meaningful sober life,
  • Identify alcohol and drug relapse triggers and risky situations,
  • Learn coping skills to handle cravings,
  • Learn techniques to manage and reduce cravings.
  • Improve self-care and self-compassion,
  • Learn stress-management techniques as situations arise in real life,
  • Build self-esteem,
  • Re-build damaged family relationships,
  • Develop self-help support networks to ease social reintegration.

Our 24 week Continuing Care Programme

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.

It is possible for individual and group therapy to be delivered effectively via online platforms such as Zoom and Teams on computers and smart phones. This is referred to as “tele-health” or “tele-therapy”, and the majority of our continuing care services are provided in this way.

addiction therapy help

 

Telehealth – Online Continuing Care

When you come to the end of your stay at residential rehab, going home can feel like a daunting experience. Even if you are excited to leave and looking forward to getting back to work or to your family, the first few months are likely to be a big adjustment.

Through our Continuing Care Programme, we offer a 24-week continuing care plan for people when they are at a vulnerable stage after residential rehab and need extra guidance to navigate their new lives.

This programme is provided by CATCH Recovery, our clinic in London. Sessions are delivered via Zoom in the comfort of your own home.

What happens in online Continuing Care

Our Continuing Care programme helps you implement the principles of recovery directly into your daily life:

  • Implement the principles of recovery;
  • Refine your relapse triggers;
  • Learn alternative coping strategies for difficult situations,
  • Manage negative moods, anger and depression;
  • Explore opportunities to renew relationships; enhance social support network systems;
  • Personalised relapse prevention;
  • Contingency planning for emergencies;
  • Moving forward, review your continuing care plan.

Package 1

This is the standard and minimum package. Some people ask why it is 16 sessions across 24 weeks. The answer 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.

Package 2

This more intensive package allows 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.

Group Therapy

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. The thing about group therapy is you 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.

Additional Services

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
  • 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 Transport services
  • Sober Companioning services
  • Testing / laboratory investigations.

Two people engaging in a Teletherapy video call at Castle Craig

Evidence in support of online CBT Therapy

Online CBT therapy has been proven to be as effective as in-person therapy which is why we offer it as part of our aftercare programme. 

Findings in a study published in the Cureus journal of medical science, showed that ICBT (internet-based CBT) is effective in the treatment and management of various psychiatric disorders such as depression, GAD and social anxiety, panic disorders, phobias, addiction and substance use disorders, adjustment disorder, bipolar disorder, and OCD.

Our own results, from over ten years of delivering teletherapy at Castle Craig, have shown that online aftercare therapy is an effective way of helping patients make the transition from residential rehab back into their everyday lives, and we have supported some people for many months via teletherapy.

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, regardless of whether they have purchased a continuing care package.

Alumni Support Group

We hold a free weekly alumni group over Zoom for people who have left treatment in their 6 months of recovery. 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. It is a great chance in the week to check-in with fellow people in recovery, and to share your experiences of that week – whether positive or challenging – with a peer group led by a therapist.  Castle Craig Netherlands organises its own continuing care programme in Holland. Smarmore Castle, Republic of Ireland, organises continuing care meetings at Smarmore. These are free of charge. After 6 months, patients can request to extend their participation for a further 6 months.

Family Support Group

Many family members come to us asking for therapy and support for themselves so we hold 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 Recovery Workshop facilitated by Teri, our Family Therapy lead therapist. Details of this are shared with family members who attend. 

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:

  • Planning your day
  • Daily commitments
  • Motivational quotes and videos
  • Gratitude exercises
  • Reflection on feelings
  • Reflection on your recovery process
  • Meeting attendance check-ins
  • Learning nuggets.

Annual reunion

Every year, Castle Craig hosts an annual reunion that takes place on the last Sunday in June. This event is a highlight event for alumni, staff and friends of Castle Craig. It’s a great opportunity for alumni to touch base with Castle Craig staff, meet with old friends in recovery and feel the Castle Craig spirit again. Email invitations are sent out to all former patients and the event is publicised on our social media channels; however, it is your responsibility to remember this regular date (last Sunday in June), 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.

For more information on availability and prices of our rehab aftercare course please contact Castle Craig or CATCH Recovery London.

 

Other continuing care services we offer include

Joining our Alumni

You will join our large group of alumni automatically upon leaving. Alumni receive a butterfly badge to represent their recovery at Castle Craig, and an occasional newsletter with news about Castle Craig and alumni activities. Our main alumni event is the annual reunion each summer, to which we invite everyone who completes treatment.

Follow-Up & Case Management

We will contact you on occasion to find out how you are doing and whether you need any additional support. This happens at 1 week, 1 month, 6 months and 1 year after leaving treatment.

During the first week after you leave Castle Craig, a member of the CATCH Recovery team will get in touch via telephone to check in with you and find out how you are getting on. This is an opportunity for us to make sure that your continuing care plan has clicked into place, and that you are on track during these challenging first days back home.

If there are any gaps in your recovery resources, then we will seek to help you fill them – for example, we can help you to find a local recovery contact, or a sponsor, or a home group to attend. We will continue to follow-up with you on other occasions throughout the continuing care phase, and you are also welcome to call CATCH Recovery during office hours with any questions or if you need any assistance either urgent, or non-urgent.

Recovery Capital

At Castle Craig we are committed to monitoring the outcomes of all our patients, for their own needs primarily, but also for the enhancement and development of our treatment programme.

To assist with this process, we are using a tool called Recovery Capital, which is an outcome measurement tool, and charts your recovery journey at regular intervals.

This tool is a simple method for you, your therapist and us to monitor your recovery progress and adjust support accordingly, if needed. You will be asked to fill in the form at admission, at discharge and then regularly every 90 days, which can be done on a computer or on a mobile device.

As soon as a check-in is due, daily reminders will be sent directly to you until you have updated the form. Should you happen to forget to fill out the form, someone from CATCH will be in touch with you via phone call to check in and assist you with any questions you might have.

Support within your Community

Recovery is for life and life-long sobriety is the answer to beating addiction. When you leave residential treatment we ensure that you are equipped with the right tools and contacts to support you in your early recovery in your home and community.

  • We refer you back to your GP, private therapist, Psychiatrist, community addiction team, or any other medical practitioners involved in your care.
  • We arrange for a contact within the local AA / NA fellowship, usually a former patient of Castle Craig, to act as a ‘sponsor’ and help provide an introduction to these essential support networks. With thousands of people who have successfully been through treatment at Castle Craig, from all over the UK and Europe, we can always set you up with the right person to help guide you.
  • Even if you come from the other side of the world we will make sure you have support when you go back home.

Planning your aftercare

Your focal therapist will be your key point of contact in planning your continuing care, and various discussions may take place throughout treatment in which you reflect on some of the challenges and issues you will face when you leave treatment and return home.

Towards the end of treatment at Castle Craig, your therapist will arrange a discharge and continuing care planning meeting along with a Case Manager at CATCH Recovery, or the Continuing Care Coordinator.

At this meeting you will have the chance to review and discuss the details of your continuing care arrangements. Most patients will already have a package in place and funded, but you may wish to opt for a more intensive plan, or some bespoke services that address your needs.

By the end of the meeting, the goal will be to have finalised your continuing care plan, and to have paid for any additional services on top of what has already been funded. 

Funding your continuing care

Starting in 2022, nearly all patients arriving into treatment at Castle Craig will have purchased a combined inpatient treatment and outpatient continuing care package.

In some cases where treatment is being funded by an insurance company, it may be necessary to make a separate application for outpatient funding.

Castle Craig works in partnership with funding bodies (such as the NHS, or Tricare) and with treatment providers, such as Start 2 Stop in central London, and in some cases continuing care will be funded and / or provided by a third party.

In some cases, patients will already have a good relationship with a therapist at home, and it would be more appropriate to return to the care of that therapist. In these cases, we can work with your therapist and you to create a bespoke package of continuing care in conjunction with your existing therapeutic relationship.

If you are unsure what continuing care arrangements are in place for you once you leave, then it is important to speak with your therapist. It may be necessary to apply for funding early-on in treatment, rather than leaving it until the last minute.

Continuing Care Coordinator

This page has been approved by Victoria Greenshields,  MSc, Castle Craig Continuing Care Coordinator, and Senior Specialist Therapist.

Victoria ensures quality continuing care planning for every patient at Castle Craig who is completing their inpatient treatment. Victoria helps keep a strong link between Castle Craig and the next step in your recovery journey.

She believes that continuing care is just as important as the inpatient stage of care for patients leaving alcohol and drugs behind.

 

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    Page last reviewed and clinically fact-checked January 28, 2022