Are drug rehabilitation centers government funded

therapy


Every drug-dependent citizen in Germany has the right to acute medical and weaning-oriented treatment, because according to international diagnostics (ICD 10) and the case law of the highest courts in Germany, addiction is a disease that requires treatment. In order to avoid delays, misunderstandings and rejections, the expert advice of voluntary and professional helpers should be sought as early as possible.

How is addiction treatment treated?

According to the agreement on addiction disorders dated May 4, 2001, treatment includes acute medical care (detoxification or withdrawal) as well as rehabilitation treatment (weaning), which is based on social medicine and psychotherapy and can be carried out as an outpatient or inpatient form of medical rehabilitation.

The acute medical detoxification treatment (with withdrawal means the same form of treatment) is usually carried out at the request of a doctor or as an emergency in the corresponding departments of the state psychiatric clinics or general hospitals. The cost of the detoxification treatment is borne by the health insurance company or the social welfare institution. Treatment can last up to 3 weeks (including a motivational phase as part of 'qualified withdrawal treatment').

The withdrawal treatment (medical rehab) should follow the detoxification measure as seamlessly as possible. Depending on the diagnosis and indication, it can either be started
  • in a recognized counseling center or specialist outpatient clinic (outpatient rehab) or
  • in a day clinic (full-day outpatient or partial inpatient rehab) or
  • in a specialized clinic or the weaning department of a psychiatric hospital (inpatient rehab).
The inpatient treatment usually lasts between 3 and 9 months, depending on the indication, if necessary an adaptation treatment follows as a second phase of medical rehabilitation to support reintegration. The costs of the withdrawal treatment are borne either by the responsible pension insurance agency or by the health insurance company or the social welfare agency. No recipient of social benefits should fear being treated worse than an insurance patient. Unemployed and older citizens also have an enforceable right to weaning or their financing under the law.

In the case of civil servants, the applicable civil service provision regulations must be observed. Unfortunately, most of the private health insurance companies have contractually excluded addiction treatment from their benefits; if necessary, the costs can be covered on a goodwill basis. Self-payers can contact the clinic directly via the counseling center after the social, medical and financial questions have been clarified.

What can I do as a victim?

Anyone affected can and should seek detailed advice. Qualified advice is possible in the hospital (social service) or at psychosocial advice centers. Self-help groups are also available to offer advice and assistance. The addresses of counseling centers and self-help groups can be obtained from the associations of the independent welfare organization (Diakonie, Caritas, Paritätischer, etc.), from the abstinence associations (Blue Cross, Friends of Addicts, Guttempler-Orden, Kreuzbund, Anonymous Alcoholics, etc.) as well as from the social welfare and health authorities be asked. Information is also available from the association's facilities and office.

Criteria in terms of form and content are decisive for applying for treatment.

Formal criteria:

  • The minimum insurance periods / premium payments must be given (advice from your insurance company),
  • a medical report must confirm the necessity of treatment for withdrawal (doctor, counseling center),
  • a social report must be prepared (advice center, social service),
  • a formal application must be made (advice center, social service), ensure that all documents are complete.

Content criteria:

  • All cost bearers demand a minimum of insight into the disease and the courage for therapy and follow-up care (so-called motivation) from those affected. The voluntary nature of those affected is therefore a mandatory prerequisite for the therapy.
  • There must be a prospect that after the withdrawal treatment, productivity in working life can be restored. This can also be the case in the event of unemployment, because inpatient treatment (occupational therapy, internships) in particular improves the chances of employment considerably.
A decision on the application must be made within six weeks (approval procedure); in special cases, an 'express procedure' is possible. If all these requirements are met, the service provider (pension insurance) must approve the measure. If there is no favorable prognosis for reintegration into working life, health insurance or social welfare must finance the treatment. A negative decision must be justified, an objection to this is possible (free of charge). Experience shows that such objections are often successful. Detailed information on withdrawal treatment, the prerequisites for benefits and the application and approval process can be found on the website of the German Pension Insurance under 'Rehabilitation> Services> Medical Rehabilitation'.

How do I find the right clinic?

Once the need for treatment has been diagnosed and the aforementioned prerequisites are met, the consultation with the counseling center or social service will focus on which type, location and duration of therapy is most suitable for the person affected (indication). The focus here is always on the individual's own ideas. An answer must be found to the following questions:
  • Is an outpatient or all-day outpatient weaning measure sufficient or does inpatient treatment in a clinic make sense (combinations are also possible)?
  • What duration of treatment does the clinical picture require? This question can also be decided during the inpatient therapy; shortening or lengthening is possible on an individual basis.
  • Does a clinic in the region (accessible for family and friends) or further away, e.g. with a corresponding specialization, make sense? The advantage of regionality is direct contact with self-help groups, advice centers, companies, employment offices, etc.
  • Which type of furnishing is suitable? Depending on your personal constitution, a women's or men's clinic is preferable to a 'mixed' one, or a smaller house to a larger one ... and vice versa. The range of services offered by the clinic for certain target groups is also important (e.g. accompanying psychological illnesses, admission of children).
If the person concerned has already wished for treatment in a specific facility (in self-help groups, with colleagues) or through counseling, this request must be recorded in the social report and binding for the cost bearer (right to request and choose of the insured person). If the suggestion in the social report and the request of the citizen concerned are not complied with, this must be justified by the service provider. Objections to the negative or modifying notification are possible. In the majority of cases, the ideas in the social report are then followed. Overall, it should be noted that although the service provider determines the type, location and duration of the withdrawal treatment, taking into account the severity of the illness and the personal circumstances of the person suffering from addiction, the suggestions contained in the social report and the wishes of those affected are appropriate when determining the institution, i.e. according to the obligation Discretion must be taken into account.

At www.therapieplaetze.de you can find further information about the therapy offers of the member institutions of the buss.

Federal Association for Inpatient Addiction Aid e.V. | Wilhelmshöher Allee 273 | 34131 Kassel, Germany
Telephone: 05 61/77 93 51 | Fax: 05 61/10 28 83 | Email: [email protected]