Psychiatric Emergencies

SHARE ON SOCIAL MEDIA:

Psychiatric emergencies are a subset of medical emergencies. They can be defined as “clinical situations that acutely jeopardize a patient’s mental state or the safety of those around them.”

Psychiatric emergencies are common, affecting about 2% to 4% of people admitted to general hospitals and 8 to 10% of those admitted to psychiatric facilities. In psychiatric settings, the most common psychiatric emergencies are suicide attempts and acute psychosis.

Most patients presenting a psychiatric emergency have a psychiatric illness. However, this is not always apparent to clinicians at the beginning of assessment as they may be suffering from an acute exacerbation or side effect of their medication. In addition, some people without a psychiatric history experience a significant reduction in their resilience or coping mechanisms due to bereavement, become unemployed, substance abuse, or experience homelessness. These people may appear to have no psychiatric history, and therefore it can be difficult for clinicians to assess them with an accurate priority.

Clinicians need to be aware that the presentation of each psychiatric emergency is unique, which can make an assessment for mental health treatment more difficult.

Psychiatric Emergency Caused by Mental Disorders

Psychiatric emergencies can occur in all settings (inpatient, outpatient, emergency room) where mental illness exists. The most common cases in emergency psychiatry are suicide attempts, acute psychosis, and substance abuse withdrawal. Mental health professionals are skilled at treating and handling mental disorders and psychotic disorders such as:

Delirium

Symptoms: confusion, hallucinations, and disorganized behavior.

Treatment: Ensure the person is safe from themselves and others by employing supportive care such as providing hydration etc. If delirium is suspected or diagnosed, you must obtain a CT or MRI to rule out any organic cause, e.g., meningitis, encephalitis, etc.

The following medications will also help benzodiazepines (sprinkle helps but does not last as long and should be avoided in the elderly); antipsychotics (chlorpromazine and haloperidol are two examples); antiemetics; antihypertensive; anticonvulsants.

The prognosis for delirium is good – it should resolve within a few days or weeks; however, if the underlying cause of the fever persists, the patient may have an ongoing problem. In this case, they will require to follow up with their GP and possibly be referred to a psychiatrist.

Suicide Attempts

Symptoms: depression, feelings of hopelessness, and suicidal thoughts.

Treatment: The priority is to keep the patient safe from themselves- this includes not having access to any means or methods to harm themselves (e.g., razor blades). Suppose the person makes a suicide attempt while at the hospital, their life will be in danger. A psychiatrist should be informed immediately even if the medical staff are unaware of thinking about suicide.

Other medications that can help include those listed under delirium, as some people may have an underlying medical problem that has led them to feel depressed and suicidal. In this case, it is essential to consider these and talking therapies such as cognitive behavioral therapy for managing mental illness during recovery.

The prognosis for suicide attempts varies – some people make one attempt and recover while others will continue to make multiple attempts over their lives; 5% of people will not survive- many of these people are euthanasia cases or cases where the person has allowed themselves to become terminally ill (euthanasia is illegal in New Zealand).

Psychosis

Symptoms: delusions, paranoia. Disorganized speech and behavior may also occur.

Treatment: Administration of antipsychotics (effective in 70-90% of cases). Benzodiazepines may be used for associated anxiety or agitation but should not be used as the primary treatment due to their risk of dependency. The patient may require admission to a psychiatric ward for observation and assessment of their condition.

Cognitive impairment is common in psychosis – this can be assessed by the Mini-Mental State Examination (MMSE) test.

If antipsychotics are not effective, electroconvulsive therapy (ECT) may be considered an alternative therapy. ECT has been proven effective but may not be used in some patients (e.g., if they are perplexed due to delirium, elderly, pregnant, etc.).

The prognosis for psychosis is variable – it can last for a few weeks or months; however, hospitalization is often required if the symptoms are severe (e.g., the patient is at risk of suicide or needs urgent medical assessment).

Depression

Symptoms: depressed mood (unhappy, fearful, etc.), loss of interest in activities that they previously enjoyed; sleep disturbance; appetite disturbance; psychomotor agitation or retardation; decreased energy levels and suicidal thoughts. A person who is depressed may also have delusional beliefs, e.g., a depressive with low self-esteem may believe that they are responsible for a nuclear disaster, despite evidence to the contrary.

Treatment: The patient will require treatment using a combination of therapies, e.g., antidepressants (over 80% effectiveness), psychological therapies such as Cognitive Behavioural Therapy (CBT) and interpersonal therapy (IPT), group therapy, family therapy, etc. Psychotherapy is preferable to medication alone as it has been shown to provide a longer-term effect.

If the patient is at risk of suicide, they must be treated as a psychiatric emergency and referred urgently to a psychiatrist for assessment.

The prognosis for depression is variable – it can last for months or years; however, some patients may have a chronic illness. Patients with recurrent episodes of depressive illness are thought to be at increased risk of developing dementia later in life.

Bipolar Disorder

Symptoms: Mood changes, e.g., mania (elevated mood, over-activity, increased energy, etc.) and depression. The patient may also experience delusions and hallucinations.

Treatment: Lithium is used to reduce the severity of manic episodes; mood-stabilizing medication such as olanzapine is often used in addition to lithium to treat mania. Antipsychotics are used for psychotic Symptoms (e.g., delusions or hallucinations).

The prognosis for bipolar disorder is variable – it can last for months or years. However, some patients may have a chronic illness.

Alcohol or Drug Withdrawal

Symptoms: Symptoms will vary depending on the substance being abused, i.e., a person who has been abusing alcohol may experience delirium tremens (DTs). Generally, people who have been using substances for a long time and at high doses are most likely to experience severe withdrawal symptoms.

Treatment: If possible, the patient should be referred to an addiction treatment service for assessment and appropriate treatment. Involuntary admission to the hospital may be required in severe cases or if no other help is available.

If seizures occur due to alcohol withdrawal, they must be treated as a medical emergency, e.g., with the administration of diazepam rectal gel or intramuscular lorazepam in addition to intravenous fluids and nutrition.

The prognosis for substance withdrawal is variable as it depends on the patient’s circumstances. Some people may experience mild symptoms that resolve within hours or days; others can have severe Symptoms lasting weeks or months.

Personality Disorders

Symptoms: There are many different types of personality disorders, and they can be divided into three clusters: Cluster A (e.g., paranoid, schizoid), Cluster B (e.g., antisocial, borderline), and Cluster C (e.g., avoidant, obsessive-compulsive). Negative Symptoms will include low motivation, anhedonia, etc.; these are common in all psychiatric conditions but may present as the main problem, e.g., the patient believes that they lack empathy or have no feelings towards others even though this is not true – it may help to explain to them that everyone has feelings and this is not related to their relationships with other people I.

Treatment: The most effective treatment approach for personality disorders is long-term psychotherapy. However, if the patient is distressed or impaired by their symptoms, they may require admission to the hospital.

The prognosis for personality disorders varies – some people have stable patterns of behavior that improve over time with treatment, whereas others continue to experience significant impairment in functioning.

Borderline Personality Disorder (BPD)

Symptoms: BPD is characterized by emotional instability, impulsivity, and difficulties managing relationships with other people due to splitting (the patient believes that a person can be either ‘all good’ or ‘all bad). The patient may experience suicidal ideation and engage in self-harm, e.g., cutting themselves or burning themselves as a way of coping with these feelings. They may also engage in substance misuse and experience brief psychotic episodes.

Treatment: Long-term psychotherapy is the most effective treatment for BPD, and it will include time spent focusing on specific problems, e.g., self-harm, suicidal ideation, etc. Patients who are suicidal may need to be admitted to the hospital or referred to an emergency psychiatric service to ensure that they do not harm themselves.

The prognosis for BPD varies – many people have periods of stability interspersed with times when their symptoms worsen.

Schizophrenia

Symptoms: People with schizophrenia will experience several positive Symptoms, e.g., delusions, hallucinations, etc.; negative Symptoms are also common and may include social withdrawal, poor motivation, etc.

Treatment: In an emergency, it may be necessary to admit the person to the hospital – this will usually only be done in severe cases when they are at risk of harming themselves or others or need additional help from medical professionals. Inpatient admission is also used if the person has been withdrawing from substances causing physical health problems (e.g., alcohol, opioids).

The prognosis for schizophrenia varies – some people may experience one or two episodes during a lifetime and make a complete recovery. In contrast, others will continue to have psychotic experiences throughout their lives.

Epilepsy

Symptoms: The patient may experience seizures (usually characterized by convulsions). They will also have periods of confusion which can be distressing for them and others.

Treatment: The person may need to be admitted to the hospital if they have experienced several seizures or are at risk of injuring themselves.

The prognosis for epilepsy varies depending on the type– some people have no Symptoms between seizures, whereas others will experience ongoing problems with their mental health or substance use.

Anxiety

Symptoms: The patient will experience physical signs, e.g., sweating, trembling, shortness of breath, etc.; they may also feel emotionally distressed and may cry/shout/be unable to respond appropriately – these Symptoms can make it difficult for family members to understand what is happening to them.

Treatment: The patient may require admission to the hospital if they are anxious about being left alone, if their anxiety is very distressing for them and their family members or if they cannot cope with daily activities.

The prognosis for anxiety varies – some people may experience one or two episodes during a lifetime, whereas others will have ongoing problems.

Violence or Excitement

Symptoms: The patient may become aggressive and be a danger to themselves or others. They may also experience periods of great excitement during which they will need additional monitoring, e.g., someone experiencing mania/psychosis can harm themselves, other people, or property if they are not carefully watched…

Treatment: In an emergency, the patient may require admission to the hospital – their condition will be monitored closely, and any necessary medication is given to managing their Symptoms effectively.

The prognosis for violence varies – some people recover quickly from the episode, and others have more long-term problems with mood disorders such as depression or bipolar disorder.

Postpartum Psychosis

Symptoms: The patient will experience Symptoms similar to schizophrenia (e.g., delusions, hallucinations) and may also be highly agitated; this can place great strain on their family members, who may feel helpless in caring for them…

Treatment: In an emergency, the person may need to be admitted. If they are at risk of harming themselves or others, they may require sedation/restraint until they calm down; once the acute episode has passed (which could last days or weeks), they must receive ongoing psychiatric support.

The prognosis for postpartum psychosis varies – some women recover quickly, whereas others have long-term problems with mood disorders such as depression…

Mental Health Services: Emergency Assessment and Management

After a person comes to A&E in an emergency, an urgent psychiatric examination should be conducted as soon as possible – this will entail asking the patient questions about present circumstances/Symptoms, history, and so on; taking account of what has occurred, e.g., if they are suicidal, this should be recorded in great detail; diagnosing any immediate life dangers (e.g., self-harm), making arrangements for their future care, e.g., transferring them to another service.

Individuals who are medically stable and no longer in peril should have their mental state evaluated as soon as possible – this will allow staff to assess the person’s condition and see whether it is suitable for them to go home. It may also point out any issues, such as psychosis/mania, that need closer monitoring or care.

Organizing your inquiries into general background questions (e.g., age, current situation), physical examination, risk factors/safety plan, and treatment plan is helpful while assessing a patient with acute behavioral disturbance.

How to Assess Psychiatric Emergencies in Mental Health Care

The assessment of a psychiatric emergency involves using clinical skills to identify, assess and manage risk related to mental disorders. A systematic, stepwise approach is vital to ensure that promptly perform a thorough assessment.

Step 1: Introduction

  • Introduce yourself by your role and explain why you are assessing them
  • Provide reassurance as patients may be feeling anxious or fearful due to their presenting Symptoms
  • Is this the first time you have felt like this?

If not, what has made you feel better before? Can they think of anything else that might help at the moment?

If yes, then ask: When was the first time that you had these feelings/Symptoms?

Step 2: Assess Level of Risk

  • Ask the patient what they are thinking of doing?
  • How did you think these thoughts up? Did it just ‘pop’ into your head, or had you been thinking about it for some time?
  • Have you made any plans on doing this, e.g., taking medication or getting hold of some items?

If yes, ask: Has your plan got as far as what/when/how/where will you do it, i.e., some detail?

If no, ask: Do you have a plan at all, or is it just an idea that keeps popping into your head right now?

When someone talks about suicide in vague terms only (i.e., saying “I wish I were dead” or “I can’t cope anymore”), it is more likely that they are expressing a wish to die than attempting.

Step 4: Assess Medical/Physical Causes

  • Ask if the patient has any current medical conditions? If yes, ask about their current level of function and medication compliance.
  • Ask about any alcohol/drug use (including prescribed drugs) – both regular and ‘binge’ intakes.
  • Have there been recently high levels of stress in the person’s life, e.g., death in the family, financial issues, etc.?

If yes, ask: Has this affected your sleeping pattern at all? Do you find yourself sleeping more than usual less than usual?

What do you think might be causing these feelings?

Perform a physical examination for any current medical conditions, including respiratory rate and heart rate

If you suspect the person may be acutely unwell and at risk of self-harm:

  • Assess for risk of self-harm: Ask: Do you have any thoughts about hurting yourself or others right now?
  • If yes to question 2 or 3, take immediate precautions to ensure they are kept safe. This may involve removing access to sharp objects such as kitchen knives, medication, etc.
  • Assess if the person is intoxicated with alcohol/drugs (i.e., not ‘sleeping it off’) – assess for potential withdrawal Symptoms, e.g., tremors, anxiety, etc.
  • If the person is acutely unwell and at risk of self-harm:

You will need to be seen by a doctor as soon as possible. In an emergency where it would not be safe or appropriate to transport the patient yourself, call for an ambulance immediately.”

Level of Risk

The level of risk depends upon the presenting Symptoms (see below) and how far these thoughts have gone, e.g., making a plan or accessing any medications/items needed to carry out the project. Risk should be considered high if:

  • The patient has made a specific plan, even if it is vague
  • Someone else might also be at risk (e.g., children and elderly)
  • The patient is intoxicated with alcohol or drugs
  • The patient is talking about suicide or self-harm

Patients who are not at high risk should be referred to the local mental health service. Generally, risk assessment tools are not recommended for low-risk patients as they often fail to identify high-risk patients.

Drugs that can cause psychiatric emergencies:

1) Alcohol intoxication – similar to alcohol withdrawal in that patients may experience confusion, agitation, and hallucinations. Hallucinations may be visual, tactile, olfactory, and auditory. Other Symptoms may include disinhibition, poor judgment, fatigue, and muddled thoughts.

2) Amphetamines (including dexamphetamine prescribed for ADHD) – patients may experience delusions, paranoia, and aggression (similar to amphetamine withdrawal). Hallucinations are also possible, e.g., auditory hallucinations.

3) Cocaine – may cause paranoia, panic, and perseverative thoughts (similar to cocaine withdrawal). Hallucinations can also occur, e.g., visual and tactile hallucinations.

4) Hallucinogens (e.g., LSD and magic mushrooms) – patients tend to experience confusion, sometimes agitation, and delusions; vivid hallucinations are common.

5) Synthetic cannabinoids (e.g., spice) – may lead to paranoia, delusions, and disorganized thinking.

6) Antidepressants – particularly SSRIs can cause agitation, confusion, and in some cases psychosis, e.g., patients may become deluded or have hallucinations related to their delusions, i.e., patients may experience paranoia where they believe that the hallucinations are real. Treatment involves supportive care, e.g., reducing stimuli and monitoring closely for seizures.

Treatment for Psychiatric Patients

Treatment always occurs in the context of risk assessment and management, i.e., at all times, you should use your judgment to determine whether or not to involve police or other agencies, e.g., protective services for children at risk, mental health service, etc. The first step is to identify which emergency it is (although this should be done concurrently with risk assessment) and provide supportive care. The two main strategies for supporting a patient in a psychiatric emergency are:

1) Minimise the need for physical intervention, e.g., providing a quiet, safe environment so that you do not have to restrain the patient. You can also employ staff or contact local services to remove a patient from a potentially unsafe environment.

2) Treat any underlying medical conditions, e.g., alcohol withdrawal, delirium tremens, and seizures. Refer to local guidelines/protocols for instructions on how best to manage this, i.e., the correct medications and doses that should be used, etc.

In some cases, you may need to physically intervene, e.g., if the patient is at risk of harming themselves or others are at risk of harm from the psychotic patient. In these cases, you should follow your local guidelines/protocols for physical intervention.

If symptoms do not improve after providing supportive care, further assessment and management may be required. This may involve psychiatric review via a mental health service/mental health triage etc. Initiating a telephone conversation with a family member or carer can also help determine how they were when the patient was not acutely unwell and may indicate whether there are any immediate precipitating factors.

If symptoms do not improve, you may need to undertake physical intervention, e.g., sedation with a benzodiazepine or physical restraint depending on the patient’s presentation, i.e., you may use one in combination with the other if necessary. Several treatments have been proposed for violent patients, including safe rooms, seclusion, and restraints, but there is limited evidence supporting their use.

In general, the approach to a patient in a psychiatric emergency is to ensure they are safe from themselves and others by employing supportive care until Symptoms resolve or an underlying cause has been identified, which can be treated. If this does not work, physical intervention should be used, e.g., drug treatment or physical restraint depending on the presentation.

What is Intensive Psychiatric Care?

Intensive psychiatric care hospitals provide 24-hour observation and treatment services for those patients who are both acutely unwell and responded poorly to standard management. The aim is to deliver intensive treatment for those with severe mental illness, e.g., schizophrenia, bipolar disorder, etc.

Some standard features of an intensive psychiatric care unit include:

1) Continuous availability of medical staff, i.e., no gaps in coverage/shifts with no medical presence. This reassures patients that they are being monitored closely and ensures all aspects of their care are being met.

2) Frequent assessments, e.g., every 4 hours by a medical staff member to assess the patient’s level of distress, whether they need any medications, what side effects they are experiencing, etc.

3) Treatment, e.g., medications physical interventions (if required), are immediately available to all medical staff.

4) Seclusion rooms are available, i.e., for those times when the patient is not safe to be with others, poses a risk of harm, or needs to be isolated from others due to their behavior. These are different from standard isolation rooms, which are used purely for safety, i.e., prevent the patient harming themselves or others by keeping them separated/isolated from others briefly while assessing whether they need any medications, what side effects they are experiencing, etc. The seclusion room is intended to provide calming influence on the patient by limiting stimulation, e.g., noise, visual stimuli, etc. It may also be beneficial for the patient to see that they are being cared for in some way, e.g. if they need help with toileting or personal hygiene.

5) A medical staff member is on-site 24 hours a day, i.e., this provides reassurance to patients that someone can immediately assist them with any concerns, problems, etc.

Intensive psychiatric care units are usually only available at public hospitals with emergency department/mental health services. They are staffed by psychiatrists, nurses, and psychologists specializing in mental health issues, e.g., intensive psychiatric care teams. They provide an essential service for people experiencing acute mental illness and those who require ongoing management of their condition, e.g., patients with schizophrenia bipolar disorder.

Patients in an intensive psychiatric care unit are typically voluntarily admitted by their family or are compulsorily detained under a psychiatrist’s Mental Health Act. Compulsory detention aims to protect the patient from harming themselves or others and can be done on the spot without further assessment, e.g. when the police bring the patient directly to the hospital. It should, however, not be confused with forensic psychiatry, which deals with those who have committed criminal offenses and require treatment as part of their sentence. Psychiatric emergencies may require immediate assistance such as calming/sedating the patient, ensuring they do not harm themselves or others, and undertaking physical interventions if necessary, e.g., sedation with benzodiazepine physical restraints.

Prevention is better than cure:

Patients at increased risk for psychiatric emergencies, such as those who have had bipolar affective disorder and are in the early phases of recovery who have just stopped taking lithium, should receive prophylactic benzodiazepine treatment. This will prevent manic episodes, which raises the risk of hospitalization. Patients on long-term therapy with drugs like lithium or valproic acid should monitor their blood levels to ensure that the medicine is still effective.

Treatments such as CBT (cognitive behavioral therapy) can help treat symptoms associated with psychological conditions, such as psychosis, mania, and delusions. They aid in recognizing triggers that might cause a relapse and offer coping methods for dealing with them. It is now evident that CBT may be just as effective as antipsychotics at managing schizophrenia Symptoms.

The risk of harm should be considered in every case of an unexpected psychotic episode, mainly when one has been incurred after the use or withdrawal of drugs. Patients at a higher risk will need a psychiatric evaluation by a psychiatrist specializing in treating psychiatric emergencies, which can include hospitalization.

Patients who are in severe discomfort and unable to communicate vocally owing to delusions/paranoia, have threatened suicide or exhibited violent outbursts, such as leaping from a window, require higher-level care that may necessitate hospitalization due to the risk they pose for themselves and others if their delirium persists. Patients who have suffered a closed head injury and subsequently develop mental illness should be evaluated right away by an expert mental health professional, such as a psychiatrist or nurse practitioner.

If a drug must be taken, an empathetic explanation for potential adverse effects should be offered before it is given. This will imply being put on the naloxone oral antidote in certain jurisdictions, which is a type of opioid antagonist.

Patients may notice a difference in their health condition within a few days following treatment. Still, they should remember that complete recovery from an acute episode might take several weeks or months, depending on their history, length of illness, and other factors. Symptoms might not entirely go away for up to six months in some instances.

While it is essential to ensure that the treatment of a patient does not cease once they have been admitted to the hospital, it is even more critical not to forget about them once they’ve been discharged. The Symptoms of mental health crises, such as psychosis and suicidality, can be distressing and difficult to deal with. However, it must be kept in mind that those experiencing these conditions are still human beings with feelings and emotions. It may take time for them to trust the doctor seeking to assist them in getting better, which might include developing rapport, using open-ended questions to empower patients, giving straightforward explanations regarding therapy/injuries, etc.

People who have been released from the hospital must regularly see a mental health professional to assess the situation and prevent relapse. This will generally be a community psychiatric nurse (CPN) or mental health expert who can see individuals at least once a week, more frequently if necessary.

Conclusion

A person experiencing a psychiatric emergency should seek medical assistance without delay. Calling 911 may be necessary in some cases, such as when suicidal behaviors are involved or when the individual is with someone else and cannot call themselves. It might also be required when the person lacks the mental capacity to make an informed decision about seeking help.

Get Well. Stay Well.

So, whether you need partial care or outpatient services, our Quantum staff is ready to help you restore hope and peace of mind.

Want to talk to someone who can help?

To get help now, Call  Us.

"Hope is being able to see that there is light despite all of the darkness."
– Desmond Tutu

The Quantum Process - Outpatient Rehab NJ

Make The Call

Contact our Quantum Team at (609) 993-0733 to get started.

Complete Your Intake

This streamlined process includes a series of questions and discussion of your unique needs and goals.

Get The Best Care Team Possible

After your intake, you’ll meet your Care Team, a group of amazing professionals dedicated to helping you make recovery reality.

On-Going Support

After you meet your Care Team, you’ll start to receive treatment based on a Care Plan that’s designed to help you achieve and sustain your recovery.

ARE YOU READY TO BEGIN YOUR JOURNEY TO RECOVERY?

You could be Completely Covered. Verify Your Insurance Today.

New Jersey's #1 Outpatient Addiction Treatment Center

Quantum is New Jersey’s premier outpatient addiction center for rehabilitation and addiction treatment in New Jersey. Outpatient rehab is a broad term that is different from inpatient treatment as it encompasses several different types of substance abuse and substance use disorder treatments, including intensive outpatient programs (IOPs), partial hospitalization programs (PHPs) and partial care programs (PCs).

Addiction is a personal experience, and every person who has a substance use disorder has had different experiences. You never know what a person has been through, which is why at Quantum, we believe that providing a safe place for our clients to come, with a calming atmosphere and judgment-free, trauma-informed staff is important.

Some of the most common substances people become addicted to include:

  • Alcohol
  • Cocaine and crack cocaine
  • Opioid painkillers and heroin
  • Benzodiazepines and other sedative drugs
  • Amphetamines like Adderall or crystal meth

Signs you may need help for an addiction include:

  • Drinking or using drugs alone, in the morning, or hiding your use from loved ones
  • Feeling guilty about your substance use habits
  • Beginning to lie or steal, or act recklessly while under the influence, or to obtain more of the substance
  • Developing an increased tolerance for the substance or needing to take more to get the same effect
  • Your social activities begin to be all about obtaining, using, and recovering from the substance, and you begin to avoid or miss other social gatherings, hobbies, and events to use the substance
  • You experience withdrawal symptoms when you are not taking the substance, and begin to worry or think a lot about when you can next use it
  • Keeping drugs, paraphernalia, and/or alcohol in stashes around the house, workplace, or on your person
  • Missing or performing poorly at work, school, and other obligations because of substance use
  • Continuing to drink or do drugs even when it causes serious health problems, relationship issues, and/or financial troubles

At Quantum Behavioral Health Services, we customize each patient’s comprehensive rehab program to suit their unique needs and preferences, so that you are getting the care you need through our cost-effective and highly rated partial care day programs, intensive outpatient programs, and outpatient rehab treatment plans.

Whether you are in our program for alcohol rehab, opiate rehab, cocaine rehab, heroin rehab, or rehab for drug abuse with mental health issues, we can help you stop substance misuse, helping you get your life back on track and remain in long-term recovery.

IOP NJ- New Jersey

One of the most popular programs at Quantum treatment centers is our intensive outpatient program (IOP). This is an outpatient program where you can live at home or live inside a sober living residence, keeping your usual schedule with work, school, or childcare, and come in for treatment at our outpatient center for a minimum of nine hours per week.

Every client has unique needs based on factors such as:

  • What substance(s) you are recovering from and whether you were taking several types of drugs and alcohol at one time
  • How long you were using the drugs and/or alcohol, how much you were using at one time, and the amount you were using each time
  • What your physical health is like, as drug and alcohol use can affect the heart, lungs, brain, liver, kidneys, teeth, and your overall wellness
  • Whether you have insurance coverage, what your insurance plan will cover, and how much you will have to pay out-of-pocket
  • What your mental health is like, as co-occurring disorders and comorbid mental health issues are common with addiction
  • Your own personal history with addiction, relapse, and your mindset when it comes to recovery

Because the IOP is created to work around your life, there are several options for times you can come in, including mornings, evenings, and weekends. This way, you do not need to uproot your entire life to get the treatment you need. This type of scheduling is very important for some people who may be at risk of losing their job, child custody, or scholarships for college if they were to go into inpatient rehab for one to three months.

Alcohol & Drug Rehab

Alcohol and drug rehab is a general term for several types of intensive supervised programs that have been created by professional doctors, psychologists, psychiatrists, and addictions specialists to help people to stop using drugs or alcohol, while providing the tools needed to live a healthy life.

A rehab program usually begins with detoxing. This is the process the body goes through when you stop using the substance(s) you have become physically dependent on. If you have an addiction and cannot stop or cut back on the substance without experiencing withdrawal symptoms, even if they are mild, it is not recommended that you attempt to detox on your own.

The safest and most effective means of detoxing from drugs and alcohol is a medication assisted treatment (MAT) plan for withdrawal management. Checking into a medical detox facility will provide you with 24-hour medical supervision, clinical care, psychiatric care, and some form of therapy and counseling. You will also be given the option to take FDA-approved, prescription medications to help you with the pain, anxiety, stomach issues, discomfort and restlessness associated with withdrawal.

The most important part about medical detox is that your withdrawal symptoms will be managed to keep you safe, and if a serious medical emergency were to come up, doctor’s care would be immediately available to you.

Detox is not where rehab ends. It is only the first stage of a life-long process called recovery. The next step for many people is a 30 to 90 day stay in inpatient rehab, where the patient lives inside a rehab facility 24 hours a day. This is beneficial to those who have cooccurring mental illnesses, physical health problems, or who have serious addictions like a heroin addiction, benzodiazepine addiction, or other opioid drug addiction. The biggest benefit to an inpatient rehab is the safe, sober, structured environment. It will keep the patient away from drugs and alcohol during their most vulnerable time in early recovery.

Not everybody needs to go to inpatient rehab. Some people can move straight from detoxing into outpatient care. Outpatient programs are also recommended as the next step after an inpatient treatment program. These programs vary depending on which institution you go to, but each will likely have these things in common:

  • Medication management and/or medical support
  • Individual therapy and psychiatric care
  • Group therapy
  • Counseling
  • Case management services
  • Integration into sober communities
  • Relapse prevention programs

The patient will remain living at home or move into a sober living facility, and commute into the treatment center for medical and psychiatric appointments, group therapy, one-on-one therapy, and other customized programming.

Rehab programs not only help you become drug- and alcohol-free, but they are designed to help you stay that way, by helping you get the parts of your life back that you may have lost due to substance abuse. This looks different for each person, but some examples include:

  • Learning how to make a resume, apply for jobs, and interview
  • Learning skills like budgeting and time management
  • Family therapy to regain trust and rebuild relationships with your loved ones that may have been damaged by addiction
  • Learning life skills for independent living like personal hygiene, cooking, and cleaning

Outpatient Drug Rehab NJ

Drug rehab is a very broad term for treatments, therapy, and care for a myriad of conditions related to drug abuse, physical dependence on drugs, and drug addiction. Rehab programs throughout the country offer all types of therapy, treatments and programs. Some common treatments include:

  • Cognitive behavioral therapy (CBT)
  • Dialectical behavior therapy (DBT)
  • Rational emotive behavioral therapy (REBT)
  • Group therapy
  • Dual diagnosis
  • Experiential therapy
  • One-on-one psychotherapy
  • Family therapy
  • Counseling
  • Trauma-informed therapy
  • Eye movement desensitization and reprocessing (EMDR)
  • Educational programs about addiction
  • Life skills and vocational training programs
  • Case management services
  • Relapse prevention programs
  • Physical fitness and exercise programs
  • Holistic therapies like massage, meditation, or acupuncture
  • Connections to local 12-step groups (Alcoholics Anonymous or Narcotics anonymous) and SMART recovery groups

At Quantum, our team offers:

  • Traditional behavioral therapy
  • Counseling
  • Meditation
  • Yoga
  • Art therapy
  • Music therapy
  • 12-step integration
  • Evidence-based treatments
  • Vivitrol treatments to help with alcohol and opioid relapse prevention

Addiction can be an all-encompassing illness, not only of the brain and body, but of the spirit as well. For this reason, we incorporate 12-step programs that ask participants to relinquish control to a higher power, and we offer alternative treatments like yoga and meditation for a whole-patient spiritual healing that, even if you are not traditionally religious, will increase your overall well-being, promote inner peace, and help you to release unhelpful or painful emotions.

Our evidence-based treatments are all provided by trained, educated, and accredited staff who are knowledgeable in their respective fields. Through individual therapy, group therapy, and behavioral therapy, you will get to the root of your addiction, work through the issues that are on your mind, gain useful recovery tools and strategies, and work through the social aspects of addiction. Recovery is a life-long commitment, so learning relapse prevention skills and coming up with a long-term plan for yourself is a crucial aspect of drug and alcohol addiction treatment. Our facility is welcoming and secure, so you will feel safe and comfortable in all treatments.

We provide consistent, on-going contact with your family members and loved ones, ensuring that everybody who is involved in the healing process is informed and on the same page. Creating a social support network for yourself while in recovery is also crucial to your success. Family and couples’ therapy can help you mend relationships with those who were affected by your substance abuse (because addiction affects many more people than just yourself) and will also allow your loved ones to learn more about your addiction and how they can best help you. You will improve communication, work on problematic habits and behaviors like codependency and enablement, strengthen your bonds, and heal old wounds together.

Outpatient Alcohol Rehab NJ

Alcohol rehab is the next step to take after alcohol detoxification is complete. Quantum has IOP and partial care day treatment programs, along with long-term outpatient rehab options that can be tailored to meet you wherever you are on your own personal road to recovery. We will not force you to get more treatment than you need, and we will always take your personal comfort and wellness into account, allowing you to increase or decrease the intensity of your program as your needs evolve.

The outpatient program (OP) at Quantum New Jersey rehab is a long-term, ongoing program that is often offered after a patient has completed more intensive detox and rehab treatments, or if the treatment is for a person with a mild addiction with a low risk of relapse and without a co-occurring mental illness or physical health issues that need closer monitoring.

Outpatient alcohol rehab is fewer than nine hours per week of treatment and programs. It is a completely customized program, so your level of care will be determined by your comfort level and your progress in recovery, offering continued support, sober community connections, and therapy for alcohol addiction to help you to stay well long-term. With Quantum, you will always have the addiction support, alcoholism treatments, structure, and care that you need, even months or years down the road if you wish.

Outpatient vs Inpatient Mental Health

Dual diagnosis is a large part of some peoples’ recovery journey. Mental health issues and addiction are often very deeply connected, and treating the underlying cause of both conditions at the same time, in integrated treatment programs is the best way to break the cycle of using substances to control symptoms of mental illness, ultimately becoming even more unwell.

Some of the most common co-occurring disorders include:

  • Depression
  • Generalized anxiety disorder
  • Social anxiety disorder
  • Panic disorder
  • Bipolar disorder
  • Post-traumatic stress disorder (PTSD)
  • Attention deficit disorder (ADD)
  • Attention deficit hyperactive disorder (ADHD)
  • Borderline personality disorder (BPD)
  • Eating disorders
  • Schizophrenia
  • Suicidal tendencies

Some people have a genetic predisposition that leads to addiction and mental illness, and others develop a chemical imbalance in the brain that causes these issues to occur or worsen over time.

Drugs and alcohol can also interfere with prescription medications you are already taking for your mental health, and using substances to mask symptoms of conditions like social anxiety or major depression can cause those issues to worsen. You will lose confidence in your own abilities to handle stress and difficult situations without substance abuse, and you will not gain the coping tools you need to get through stressful times. Drowning your sorrows in alcohol may cause depressive issues to become worse, and using substances to run away from disturbing intrusive thoughts and debilitating trauma will reinforce the avoidance, pushing the issues deeper and strengthening them instead of healing.

Medications may be prescribed as a part of a dual diagnosis treatment to ease symptoms in an appropriate and safe way, along with targeted therapy that will provide strategies and coping methods for symptoms of mental health issues.

There are pros and cons to both inpatient and outpatient mental health and addiction rehab centers. With inpatient rehab you will:

  • Have full access to doctors, nurses, and medical staff day and night, 24 hours a day
  • Live full-time inside the facility, with medication management and monitoring to see how your psychiatric medications and health treatments are working for you
  • Have a more structured daily life, with the entire day planned out for you by professionals

With outpatient mental health care, you will:

  • Have the ability to live at home or live in a sober home with the ability to see your friends and family during the days for love and support
  • Get the help you need without having to sacrifice your career, drop out of school, or miss out on important obligations
  • Be able to try out new strategies and tools provided by your therapist, then report back with your findings
  • Have the opportunity to live independently, go to work or school, and take care of life’s responsibilities as you learn to manage your mental health condition safely
  • Have more affordable addiction treatment and care options, as you may not need to pay for full-time housing

If you require a dual diagnosis for a co-occurring mental illness or trauma, you will likely need to be placed into a comprehensive program that integrates traditional therapy with holistic approaches like meditation and psychiatric medication. This type of program is not easy, but with the proper support, treatments, therapy, counseling, and medication, you will be able to manage your symptoms of mental illness, while working through your detox and rehabilitation plan at the same time.

Outpatient Rehab NJ - Alcohol & Drug Rehab

Another form of outpatient rehab we offer at Quantum recovery center along with our IOP and our outpatient rehabilitation programs is the partial care (PC) program. In partial care, you will live at home or in a sober living residence and commute into our treatment center for a minimum of 20 hours per week of treatment.

This program will work best for people who do not require 24-hour psychiatric or medical care, but still wish to access mental health, physical health, and emotional health care services. We provide Vivitrol treatments to help treat alcohol dependence and opioid dependence after detoxification is complete.

Former substance abusers with co-occurring mental health issues may wish to enter this type of program if they are successful in staying on their medications and attending all therapy and treatment programs. These services are offered during the day, so that you will be able to receive the best possible treatment and the most support, as this is when the majority of staff and caregivers are on duty.

Rehab After Work NJ

New Jersey after work rehabs are the perfect solution for people who have responsibilities in life that they cannot ignore. These facilities allow patients who have mild to moderate addictions to continue their lives, maintaining work schedules and their home lives as they also focus on their recovery. Unlike an inpatient rehab center, you do not need to check into a full-time, 24-hour controlled environment. An after-work rehab center is much less restrictive, allowing you the freedom to attend rehab nine or fewer hours per week.

Because outpatient rehab at Quantum drug rehabs was created to work for people who have left residential rehab and for those who could not enter a full-time inpatient drugs and alcohol rehab facility because of important family, career or school commitments, it was made to be flexible enough that you can work or go to school, and then attend rehab afterward. Like many impatient rehab programs, when you enter our after-work rehab, you will be granted access to addiction treatments provided by medically trained professionals, therapists, and addictions experts within a safe environment in which you can focus on your sobriety and the causes of your addiction.

The most common reason a person would choose to go to an after-work rehab program is because of their responsibilities to their families, so for this reason, most of these programs, Quantum included, will allow as much family involvement and support as you would like. Family support will help encourage you and remind you what you are doing this for. There are family therapy sessions and support groups available for loved ones, partners, parents, and friends to attend to ensure your social network remains solid through this difficult time.

Intensive Outpatient Program NJ

The intensive outpatient addiction treatment program for New Jersey residents offers several benefits, including:

  • The freedom to continue going to work, going to school, and living your life the way you want to, as you continue to access the addiction treatments, therapy, structure, community and care you need
  • Continual real-life opportunities to apply the drug and alcohol abuse treatment skills you have learned in the IOP to your daily interactions with people and the world around you, with full support and the ability to debrief and go over possible solutions each time you return to the outpatient treatment center
  • A strong connection to your local sober community through meetings, peer support groups, sports and exercise programs, sober activity centers in New Jersey, and connections you may make during your group therapy sessions

Intensive outpatient programming is an excellent choice for many people looking for a treatment plan that incorporates everyday sober living with long-term strategies and treatment programs that include behavioral therapy, holistic treatments, group therapy, and strong support.

Outpatient Rehab in South Jersey

At Quantum, our New Jersey drug and alcohol treatment facility is a warm and inviting place that you can come to get the help you need. We provide a safe, comfortable, private, and inviting environment that is low stress, so you can focus on your own healing and continue on your path to wellness. We treat drug addiction, alcohol addiction, and dual diagnosis, integrating all therapy and care into one comprehensive program that will be molded to best suit your preferences, needs, and life goals.

If you are from out of state, you may wish to travel to New Jersey to access treatment. Traveling for outpatient rehab offers positive benefits to patients like:

  • Making it easier to maintain your privacy, especially if you are from a small or close-knit community, or if you are a well-known individual in your area
  • Traveling to South Jersey will provide you with the feeling of getting a new lease on life, with a fresh start and a new beginning
  • You may receive a better quality of treatment at Quantum than you would in your hometown
  • It will put a physical distance between yourself and the people, places, and usual circumstances that may trigger a relapse
  • You will be away from life’s routines and the everyday stresses that come with being at home

Addiction can take away a person’s hope for the future and we aim to reinspire each of our clients, providing you with the tools, skills, and coping mechanisms that will inspire you to embrace life once again by treating the physical, psychological, and social components of substance use disorders.

Why Choose Quantum for Rehab After Work - Outpatient, IOP, or Partial Care Treatment

When you choose Quantum for your outpatient rehab, intensive outpatient program and partial care, you are choosing a facility where your individual needs are put first. We believe that a combination of evidence-based treatments along with holistic care for substance abuse and substance use disorders, for a whole-patient approach to healing is the best way to attain long-term sobriety. You are not just an addiction that needs to be managed, you are a whole person, with your own thoughts, preferences, experiences, and history. Getting to the underlying causes of addiction is as important as treating the physical symptoms of drug or alcohol dependence.

Our phone number is (609) 993-0733. When you call, the person on the phone will ask you a series of questions, and will have a conversation with you about your recovery goals and what you require out of our program. We have a streamlined process that will help us get to know about you and your needs, so we can tailor a customized program to your unique needs. Once you are accepted, you will come into the center and meet your care team and get started, so you can move into recovery as quickly as possible. Contact the Quantum Behavioral Health Services treatment center today to verify insurance coverage, to ask questions about rehab, or to get started on your journey today.

See What Our Clients Have to Say