What Is Acute Hospital-Based Detox?

Detoxification is defined as a medical protocol that is conducted under the supervision of a physician to systematically reduce the amount of the addictive substance in a person’s body.

An initial medical examination is conducted by a physician, nurse practitioner, and/or physician’s assistant under the supervision of a physician who works with the team to prescribe any and all necessary pharmacological medications necessary to secure safe withdrawal. Orlando residents considering detox and addiction treatment should familiarize themselves with such steps in order to ease their recovery process.

When Is Acute Hospital-Based Detox Recommended?

Abruptly stopping the use of any drug results in withdrawal symptoms, but certain drugs cause a physical addiction and stopping the use of those drugs may pose a more difficult and dangerous period of detoxification. Medically supervised detox is recommended for Orlando residents if they are addicted to:

  • Alcohol
  • Benzodiazepines (Xanax, Valium, Ativan, etc.)
  • Opiates (such as heroin)
  • Opioids (such as OxyContin or hydrocodone, etc.)
  • Methamphetamine
  • Cocaine or crack cocaine
  • Marijuana

The complications associated with withdrawal from these substances require a closely monitored detox regime.

Goals of Acute Hospital-Based Detoxification

The primary goals of acute hospital-based detox are to relieve withdrawal symptoms under constant observation so that any potential hazards can be managed safely. Additionally, hospital-based detox is intended to provide Orlando patients services such as the following:

  • Management and elimination of medically dangerous withdrawal symptoms
  • Reduction of the physical discomfort associated with withdrawal
  • Medical management of any co-existing medical or emotional disorders
  • Development of a long-term plan to remain abstinent from drugs

The goals of acute hospital-based detox have been proven to be attainable; however, there are strict guidelines by insurance companies to cover this level of care.

Is Acute Hospital-Based Detoxification Covered by Insurance?

Many insurance companies have criteria that Orlando residents must meet for them to be covered including the following:

  • The Individual’s symptoms or condition must meet the diagnostic criteria for a DSM Axis I or ICD 9 Substance Dependence diagnosis
  • All services must meet the definition of medical necessity in the Covered Individual’s plan document
  • Nature and pattern of use of abused substance (including frequency and duration) predicts the potential for clinically significant withdrawal necessitating 24 hour medical intervention to prevent complications and that is not appropriate for a lower level of care
  • Presence of active withdrawal symptoms that can not be safely or effectively managed at a lower level of care
  • Covered Individuals who experience severe psychological withdrawal symptoms may require 24 hour care, even though they do not meet the detoxification criteria.

The hospitals also must meet criteria including the following:

  • Documentation of blood and/or urine drug screen upon admission
  • Multi-disciplinary problem-focused treatment plan which addresses psychological, social, medical, substance abuse, and aftercare needs, which is amended in a timely and appropriate manner as indicated
  • Physician visits at least daily, seven (7) days a week
  • 24-hour skilled nursing
  • Medication management of withdrawal symptoms tailored to the individual’s need
  • Discharge planning is initiated on the day of admission and includes appropriate continuing care plans with the preferred outpatient visit within one week of discharge
  • Coordination of care with other clinicians such as the outpatient psychiatrist, therapist, and the Covered Individual’s PCP
  • Evaluation for medication that may improve the member’s ability to remain abstinent; document the rationale if no medication is prescribed
  • All therapeutic services provided by licensed or certified professional in accordance with state laws

Insurance coverage differs by carrier so it is important to understand what your or your loved one in Orlando’s insurance will cover should you believe the acute hospital-based detox is the right choice for you.

Finding Out About Acute Hospital-Based Detox

If you or someone you know in Orlando could benefit from acute hospital-based detox, call our toll-free number today. Our admissions coordinators are available 24 hours a day to answer any questions you might have about acute hospital-based detox services.