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.
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.
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.
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.
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.
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.
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.
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.
**Non-medical powders are not allowed under any circumstance. Any/all medicines, including medical powders, should be provided to Nursing Staff. Any items not captured on this list will be placed in Contraband Closet**
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.
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.
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.
For patients that leave Against Medical Advice and has received protocol medication within 24 hours, will not be given access to their car keys until the next day due to the potency of the protocol medication and the possibility of impaired driving.
Gosnold’ s Acute level of care services has provided at least 8 different protocols to suit patients needs during their course of treatment.
Gosnold Acute level of care services ranked the 3rd lowest facility in the state regarding leaving Against Medical Advice.
91% of Gosnold’ s patients agreed that “The intake process was efficient and completed in a timely manner.”
94 % of Gosnold’ s patients agreed that “The intake staff was courteous and attentive to my needs.”
90% of Gosnold’ s patients agreed that “Staff were sensitive to my language, cultural and spiritual needs.”
94% of Gosnold’ s patients agreed that they were satisfied with treatment.
90% of Gosnold’ s patients agreed that they felt safe while at Gosnold.