Some patients can be successfully detoxed from Alcohol on an outpatient basis. This will reduce significant cost of inpatient stay while maintaining the comfort of home. These patients typically are those who have mild to moderate alcohol withdrawal symptoms as assessed by the withdrawal instruments (CIWA), and are ambulatory, have low risk of medical complications, no previous history of seizure or DT's and have good support system. Once it is determined by the doctor if the patient is suitable for outpatient alcohol detox or not, if the patient does not meet the criteria for outpatient detox, they will be referred to an Inpatient Detox or ER. Patients suitable for outpatient detox will be seen daily for 3-7 days depending on the need. The patients will have to be accompanied by family/friends for these visits. After successful detox, the patient will have options to be enrolled in individual group therapy, Intensive outpatient program and are strongly encouraged to attend AA meetings in their community. Successful Detox is only the first step towards sobriety and healthy living.
In my practice, after initial stabilization I will utilize all latest and approved medical interventions including anti-craving and relapse prevention medications as well as injections to maintain sobriety, increase functioning and prevent relapse. During each visit behavioral and psychosocial aspects of addiction will be fully addressed. Patients will also be provided with references for home reading materials regarding addiction, alcoholism and relapse prevention strategies.
