Inpatient Detoxification at Gosnold Treatment Center

Medical Detoxification and Stabilization (4–8 days)

Gosnold Treatment Center, located in Falmouth, MA, is a 50-bed medical stabilization and detoxification unit where patients receive medically monitored withdrawal treatment.  Gosnold uses a variety of medications to treat withdrawal to minimize discomfort and avert complications.  Care is managed by our clinical team of physicians, nurses, counselors, case managers and recovery aides—all trained and practiced in addiction treatment. 

During detoxification, patients undergo a psychosocial assessment to identify treatment needs.  Individual and group counseling, addiction education, and an introduction to twelve-step programs help patients better understand the nature and severity of their addiction. 

Continuing Care:  A continuing care plan helps patients continue the progress made during their detoxification treatment.  Patients who continue in treatment do much better in sustaining their recovery.  Gosnold’s ongoing multidisciplinary team reviews each patients’ specific needs to determine the best recovery support post-discharge. 

 

What to Expect During Your Stay:

 

What is detoxification?

Detoxification is a natural process that the body undertakes to rid itself of toxic substances such as alcohol, opiates, and other drugs.  The organ primarily responsible for this action is the liver, and depending on the drug and the level of individual consumption, it can take anywhere from 48 to 96 hours for the liver to rid the body of the toxin.  The detoxification can take longer if your liver is diseased or damaged.  Patients who have other physical maladies may also experience longer detoxification times. 

What is withdrawal?

Persons who become dependent on alcohol or other drugs will experience a variety of symptoms when they abruptly stop using the substances.  This experience is referred to as withdrawal, and its severity depends on a variety of factors including the type of drug being used, consumption levels, general physical condition, and length of time using the drug.  Symptoms of withdrawal vary with the type of drug.   Alcohol and benzodiazepine withdrawal are the most serious and can be life-threatening.  Symptoms include tachycardia, tremors, nausea, anxiety, and—in more severe cases—seizures and delirium tremens.  Opiate withdrawal symptoms include nausea, sweating, bone pain, and symptoms reminiscent of a bad case of the flu.  While these are uncomfortable, they are not life threatening. 

How does Gosnold treat withdrawal?

Our medical staff of physicians and nurses are trained to identify and treat withdrawal proactively to ensure minimum discomfort.  We use medications that lessen symptoms and make it less likely that you will experience complications requiring more intensive hospital care.  We use these medications until you no longer experience the withdrawal symptoms.  Generally, this will range from three to seven days. 

What I do while in detoxification?

During the detoxification treatment, you are encouraged to participate in group education and therapy groups.  Patients who are physically able could attend as many as five group sessions a day.  You will also meet with counselors or case managers to discuss continuing care options.  Because the detoxification treatment is of short duration, our staff will initiate this discussion as soon as possible. 

How effective is the detoxification process?

The medical treatment during detoxification is highly effective.  At Gosnold, less than one-half of one percent of patients experience withdrawal complications that require transfer to a general hospital.  Medical detoxification treatment alone is insufficient to produce lasting remission.  A critical component of the care is your agreement to engage in further treatment.  Addiction is a chronic condition and extended periods of remission require varied treatment over a long period of time.  This could mean longer periods of inpatient rehabilitation care; it almost always involves outpatient treatment, twelve-step groups, or other self-help. 

Should I bring my medications from home?

You should bring all prescribed medication that you have been taking.  All medications need to be in the original bottle with the original label that includes doctor’s name, name of medication, dosage schedule, route, and correct amount.  Our physician will review the medication and make adjustments as necessary.  Do not bring any supplements or over-the-counter medication, as they will be disposed upon arrival.  Our physicians will not prescribe new medications or re-initiate medications that are not current. 

What Should I Bring With Me? 

 

LIST OF APPROVED ITEMS: 

  •  Floss
  •  10 Pairs of clothing (Pair = One top and One Bottom along with applicable undergarments)
  •  Makeup & Cosmetics (Only 5 Items)
  •  Cigarettes (NO opened cigarette packs are allowed and Rolled Permitted/Encouraged to come with equipment and must be rolled in front of Staff)
  •  Wallets/Purses
  •  1 Book
  •  1 Planner OR 1 Journal

LIST OF PROHIBITED ITEMS:

  •  Laundry Detergent
  •  Shampoo/Conditioner 
  •  Non-medical powders 
  •  Cash-in any amount 
  •  Body lotions unless it is prescribed by a doctor
  •  Electronic devices; cellphones, smart watches, tablets, phones, computers, e-readers
  •  Any over the counter medication or medication that is not prescribed by a doctor
  •  Electric razors
  •  Any sharp objects; pocket knives, Swiss army knives
  •  Mouthwash containing alcohol
  •  Markers/sharpies, or colored pencils/coloring books
  •  Knitting and crochet supplies
  •  Chewing tobacco, dips, e-cigarettes, cigars, vapes, Juul
  •  Aerosol deodorants
  •  Feminine hygiene products (supplied by Gosnold)
  •  Any hair products
  •  Any clothing with inappropriate wording; glorifying violence, drug use, racial slurs• Any candy, snacks, food, drinks
 

Gosnold Treatment Center Clinical Services

Individual Counseling

Each patient at Gosnold Treatment Center is assigned a primary counselor, and is additionally part of a two person clinical team.  Your primary counselor will assist you in navigating your treatment, developing and meeting your treatment goals, and will work with you to develop a comprehensive continuing care plan in order to support your ongoing recovery.

Process Groups

Counselors as part of their clinical teams lead 7 small process groups each week with their patients, these process groups are center around solving and/or addressing presenting problems through clinically facilitated interventions, as well as peer support and feedback.

Psycho-Educational Groups

  • Living a Life of Recovery
  • Relapse Prevention: Understanding Triggers
  • Changing Thoughts in Recovery
  • Overdose Prevention & Awareness
  • HIV / Hepatitis C / Tobacco Education
  • Meditation as a Stress Coping Strategy
  • What to Expect in Early Recovery
  • Introduction to Belief Systems
  • How We Change: Stages of Change
  • Medication Assisted Treatment
  • Step Work: Keys to Freedom
  • Addressing Fear and Anxiety in Recovery
  • Continuing Care: Options & Importance
  • Embracing Vulnerability in Recovery
  • Emotions in Recovery
  • Dealing with Setbacks
  • Mental, Physical, & Spiritual Aspects of Recovery
  • Living a Balanced Life Style
  • Tools for Recovery
  • Utilizing Positive Affirmations

Case Management Services

As part of the clinical team at Gosnold Treatment Center we have staffed 2 full-time case managers who are responsible for the implementation of the comprehensive continuing care plan you will have developed with your counselor.  The case managers will work in collaboration with you, your counselor and other providers (internal and external) in order to insure that your continuing care plan is in place prior to your completion of our program.