ENGLEWOOD, NEW JERSEYEnglewood located in Bergen County, New Jersey has a population of 28,500 people, the population is 100% urban with no rural area. Englewood is surrounded Englewood Cliffs borough, Teaneck, Tenafly borough, Leonia borough, Bergenfield borough, Fort Lee borough, Bogota borough and Cresskill borough. Neighbourhoods in Englewood are Downtown Shopping area, East Hill neighbourhood and Englewood South neighbourhood.The average age of Englewood residents is 39 Yrs. who earn about $81,809 per household which is relatively high than the rest of New Jersey. Englewood residents have education above high school with 47% of them having received a bachelor’s degree. The unemployment rates are lower than the state average of 5.4%. The poverty level of Englewood is around 11.5% which is relatively low compared to the other neighbouring counties in the state. DRUG AND SUBSTANCE ABUSEEnglewood has a relatively lower crime index of 117.7 compared to the national crime index of 280.5. This makes Englewood relatively safer than other parts of New Jersey. Most of the arrests related to drugs and substance abuse in Englewood involve crack cocaine, alcohol, marijuana, “molly” – a form of ecstasy and heroin. These drug related activities have increased the crime rate in this area. These are also the major causes for detox and rehab for drug users in this area with alcohol and marijuana topping the list with 27% and 34% respectively from substance abuse admissions, followed by heroin at 16% and cocaine/crack at 13%. New Jersey is a hot spot for drug trade and abuse because of its proximity to major drug trafficking areas like New York, Philadelphia and Camden.Due to the high drug trafficking affecting New Jersey, there are some tough laws in place to deal with these offences which are also enacted in Englewood. These New Jersey drug laws relate to marijuana, addiction treatment, blood borne Disease Harm Reduction and drug court program that has been around since 1996.ADDICTION TREATMENT IN ENGLEWOOD.The first step with every addiction is to accept that there is an addiction problem in the first place in order to start looking for treatment options. The support system around the addict should be strong in order to fully help the addict to recover because the process can be gruelling on the individual. The biggest hurdle with addiction treatment is financing and any financial options available. In Englewood most of the centres accept insurance and private pay. Some offer affordable payment programs for those who feel like treatment is too expensive. Englewood does not have many treatment centres as compared to other parts of New Jersey. Despite this the city offers many options, both low cost and luxury.ASSESSMENT.This is the process of accepting that there is an addiction present, how far along the addiction is, how often it has been reoccurring. The cause and environment of the addiction will also be assessed. Also noted is the condition of the addicts’ other medical issues apart from the addiction that is chronic conditions, sexually transmitted diseases and physical disabilities. Any legal issues affecting the addict are checked into as well. Assessment determines the level of support the addict gets from the family and people around them during and after treatment. Assessment find out the individual needs of the addict and it continues throughout the treatment process and after, always changing depending on how the addict is responding to the recovery process.INTAKE.After narrowing down the list based on one’s finances then it is best to communicate individually with the viable recovery centres. Intake is basically the process of ascertaining whether a specific recovery centre is a good fit for the addict. This is done best by calling the centre or visiting them and asking questions relating to what precise information you are searching for, if you are comfortable with their services and if they are the right fit for you. Some of the things that might make a centre attractive to you might be facility’s financial payment plans, comforts, food, and quality of housing, recreational activities, allowed or restricted visitations. The centre will also have questions for you in order to ensure that you are a good match for them too. This process is the same through inpatient and outpatient facilities.AMENITIES In Englewood treatment centres provide drug Treatment, medical detox, rehab educational services, recovery meetings in inpatient and outpatient programs. After assessment a treatment plan is created custom to the addict which will determine if the patient will be enrolled in either inpatient or outpatient program.OUTPATIENT PROGRAMS.Outpatient programs are ideal for people who have realised their addiction problem earlier on and want to overcome this problem. Outpatient means that the addict gets to go home and continue with daily life after treatment every day. This program is generally cheaper and is preferred by people who are the main caregivers at home and can’t stay away from work.Outpatient programs include therapy and partial hospitalization. The choice for suitability of whatever program is entirely dependent on the level of addiction and individual needs.Partial Hospitalization.Partial hospitalization involves spending more than five hours in the hospital or treatment centre everyday where the recovering addict’s progress is strictly monitored and tracked. This treatment may be intensive so the living conditions for the recovering addict should be stable and people involved in the recovery process should be dependable.Therapy.Therapy is not generally considered a blanket recovery option. It is typically incorporated with other treatment procedures as support to the other outpatient and inpatient programs. Therapy ensures the recovering addict identifies the cause of the problem and the different healthier ways of copying without resorting to addictions.Therapy is also a good way for the recovering addict to rebuild damaged relationships with the family and other loved ones. The family and loved ones should also undergo therapy so as to smoothen the re-entry into society for the recovering addict.Benefits of outpatient.Flexibility- outpatient programs work around the daily schedule of the addict so the patient never falls behind on what is going around them or their loved ones making sure they are living as normal as possible. Flexibility also means that there is quick change of treatment plans when desired results are not being realised. Support- family and loved ones give the best kind of support for a recovering addict. Wit outpatient programs, one can experience this first hand every day and this goes a long way in helping the recovery process; therefore reducing the chance of relapses.Cost- as stated earlier outpatient programs are relatively cheaper compared to inpatient programs. Cost plays the biggest role when choosing treatment options so outpatient is agreed upon because it is less costly. For Englewood their programs are a bit expensive compared to other parts of New Jersey. INPATIENT PROGRAMS.Inpatient means the recovering addict stays in the treatment facility for a specific period of time without the option of going anywhere until the duration of inpatient treatment is over. Again this treatment option is chosen for the addict if it is the best way forward against addiction. Inpatient can be short term or long term.Short termShort term inpatient programs can keep the patient for a period of about 30-90 days. These programs concentrate on abstinence, medical stabilization and lifestyle changes. They are also suitable for people who are not that far along in their addiction. Short term is also agreeable to people who can break away for a short time for instance students who have summer as their only long term break before going back to school.Long termLong term inpatient programs can last for as long as a year maybe more depending on the recovery of the patient. The recovering addicts are monitored around the clock in the drug free environment. The treatment plans are more rigid and slow in showing results if effected in shorter periods, ultimately they will show desired results if done under longer lengths of time.Benefits of inpatient programIt is noted that patients who stay in long treatment programs are better placed in staying sober compared to others. So this can be taken into consideration when coming up with a treatment.The recovering addict is completely removed from the toxic environment that might have led to addiction.DETOXThis is the process of firm withdrawal from the cause of addiction in a medically controlled environment. Drug and substances addiction will lead to agonising withdrawal symptoms such as seizures and extreme dehydration that need to be strictly monitored by the doctors during recovery. Detox is formulated to address the physical dependence of the drugs in the body and removal of the toxic contents left by the chemicals.Detox is practised in both inpatient and outpatient programs whereby inpatient detox patients have round the clock care with close monitoring from doctors which in the long run may speed up the process of detoxification. Outpatient detox may be rapid that may take 3 days to be complete, making it faster and less costly.The type of detox program to choose entirely depends on the conditions surrounding the addiction such as the drug of choice, history of the abuse, age of the patient, other medical conditions and psychological concerns. Detox program is customised for each patient once treatment is sought out. Assessment is done to determine the level of medication required and the long term treatment plan. Once the withdrawals kick in the physicians and councillors provide support and may encourage other addiction treatments to reduce the withdrawal symptoms. Withdrawal symptoms include mood changes, anxiety, depression, nausea and vomiting and irritability.The length of detox program depends on the drug being used and the will of the patient. It can be three of five days in alcohol detox, 72 hours for cocaine and marijuana, seven days for heroin and opioids. These are the detox periods of the drugs in Englewood and its environs.The side effects of detox is both physical and psychological as the chemicals alter the physical and mental capabilities of the body.RECOVERY MEETINGS.After the intensive detox the patient needs a support system that will ensure no relapses in the future. These meetings keep the patient centred and focused on recovery. The meeting bring together patients undergoing recovery depending on the drug they were depending on and basically talk about their lives post addiction; the challenges they are facing and how they are overcoming them in a healthy way. The patients relate the different lifestyle changes they have had to adapt to after addiction. These meetings are a complement that follows one on one therapy, they are actually considered a form of group therapy sessions. Anonymity is very important during these meetings, they give the patients freedom during the interactions but still maintaining their privacy. The meetings are mostly outpatient but can incorporated in long inpatient programs. The recovery meetings available in Englewood and its environs are Narcotics Anonymous (NA), Alcohol Anonymous (AA), and Marijuana Anonymous (MA).Compared to other parts of New Jersey State, Englewood has a low drug and substance abuse recording minimal admissions in treatment centres and lower crime related drug activities.