Residential Detox Treatment

Withdrawal management is for those who do not require 24/7 medical monitoring.

Withdrawal Management or post-acute withdrawal takes place within Sanford's residential treatment facilities. Sanford House at Cherry Street for Women, Sanford House at John Street for Men and Sanford West SUD all provide detoxification during residential treatment. Clinical therapists also provide education about post-acute withdrawal syndrome (PAWS) in group therapy sessions and in the Family Program.

post acute withdrawal library
Education about PAWS is helpful for patients and their families

What is Residential Detox?

Withdrawal Management in residential treatment is for those who do not need/have completed medical detox. This level of treatment focuses on non-medical detoxification, management of post-acute withdrawal symptoms, and empowering individuals to succeed in recovery. Withdrawal management is appropriate for those with no medical or neurological symptoms requiring 24/7 medical monitoring, and is directed by trained paraprofessionals who are supported by Sanford nursing and clinical staff.

Each person seeking admission to non-medical detoxification/withdrawal management while under the influence, or while undergoing withdrawal of alcohol or other drugs, is assessed for medical needs prior to admission. And our goal is to determine a clinically appropriate placement for everyone in the least restrictive level of care.

Post-Acute Withdrawal Syndrome

Post-Acute-Withdrawal Syndrome (PAWS) refers to symptoms similar to those found in mood disorders and anxiety disorders, including mood swings, trouble sleeping, and increased levels of anxiety. PAWS can persist for weeks or months after abstinence from alcohol or other drugs. Symptoms include:

  • Irritability
  • Lack of memory recall or problem solving ability
  • Anxiety or panic
  • Depression
  • Cravings
  • Sensitivity to stress
  • Insomnia

Environment - Why Sanford for Residential Detox?

residential addiction treatment john front hall
Welcome! The John Street front hall.
The Residential Team

We take pride in providing sophisticated residential treatment programs. Our programs are backed by a multi-disciplinary team of medical and clinical professionals with therapeutic modalities that can be tailored to each of our patients. Group, individual, and family therapy complement withdrawal management. 

In residential addiction treatment, staff members are on site 24/7. The assigned providers are knowledgeable about the physical signs of withdrawal, the taking of vital signs, the implication of those vital signs, and emergency procedures. Competent, trained service providers implement physician-approved protocols for observation and supervision, determination of appropriate level of care, and facilitation of a patient’s transition to continuing care. They are supported by nursing staff who assist in administering medication, documenting vital signs, monitoring for signs/symptoms of withdrawal, and answering medical questions. Staff members are also knowledgeable about facility-required education, evidence-based practices, training, safety, and policies.

An individualized case management plan is developed for all our patients prior to discharge to the next appropriate level of care. Likewise, and based on the patient’s severity of symptoms, each patient is assessed to determine where on the continuum of care they most appropriately fit.

Restorative, Safe Surroundings

Sanford Behavioral Health provides a safe, welcoming, and culturally/age-appropriate environment for withdrawal management services within their gender-specific addiction treatment facilities. At this level of treatment, clinical modalities are the primary concern, but non-medical does not mean non-caring or lack of attention to detail. The withdrawal management environment within our historic homes and the Sanford West campus, provide comfortable beds, delicious food, and healing surroundings.

A licensed physician is on call 24/7. Sanford Addiction Treatment Centers has a written plan for emergency procedures approved by a licensed physician.

Continuum of Care

Sanford Behavioral Health considers all our programs as entry points to the recovery continuum of care. Early attention to moving individuals along the continuum helps everybody stay focused on looking ahead to the next steps. This is integral to our patient’s ongoing care and smooth transition from one level of treatment to the next. Successful treatment of substance use disorders typically requires evaluation and adjustments, similar to the approach taken for other chronic diseases. And our goal is to determine a clinically appropriate placement for everyone in the least restrictive level of care. We do recognize the importance of a long-term continuum of treatment programs, classes and resources. Because of this, we work directly with our patients to transition them into a safe, long-term environment after residential treatment.

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