Outpatient Treatment in Johannesburg
At changes rehab, we believe that, where applicable, clients should be encouraged to take responsibility for their recovery whilst coping within their society, which is why offering an effective outpatient treatment programme is so important to us
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Rationale For Outpatient Treatment
At Changes Rehab, we believe that, where applicable, clients should be encouraged to take responsibility for their recovery whilst coping within their society, which is why offering an effective outpatient treatment programme is so important to us. An assessment is performed to ascertain the client’s needs and which option best suits their profile and specific needs.
Ideally, if a client is not physically addicted, has a semblance of functionality, has an ability to hold down gainful employment or attend to their studies, has a strong support structure, doesn’t have a string of harmful consequences due to their chemical abuse and cannot leave their lives to attend treatment, then outpatient treatment may suit their needs.
Many South Africans binge drink or use drugs and can go a while without chemicals yet feel tremendous shame and guilt when they do use or drink. Many people also do not understand what is ‘wrong’ with them and do not know how to stop this vicious cycle.
Inpatient or outpatient treatment could be the solution! In saying so, we highly value client-treatment match and our team is driven primarily by the client’s best interests. Hence, if during the assessment or early outpatient treatment a client needs more containment and/or alternative treatment, admission into the inpatient programme might be advisable.
Comprehensive Treatment
We believe that a comprehensive treatment programme can transform your life and give you an opportunity to heal. We recognise that after your body normalises, the upliftment to your psyche, spirit, mind and body can be profound. If you do not effectively treat your chemical dependency disorder and other process addictions, you will likely return to your unmanageable and disorganised behaviour and way of life.
Choosing to do an outpatient programme versus an inpatient programme depends upon where you are in your addiction cycle. An assessment is necessary to evaluate your appropriateness for outpatient treatment. An outpatient programme is not meant to replace inpatient treatment and the two are vastly different. Specific criteria need to be met in order to be a candidate for outpatient treatment.
We treat addictions to alcohol and other drugs, eating disorders and process addictions namely gambling, love or sex.
The outpatient programme option allows clients the space to heal and recover whilst they live at home, attend work, university or school. Please note that medical aid does not pay for outpatient treatment and full payment is required before admission. There is an option to claim for individual therapy from your medical aid, but it will come out of, and be dependent on, the savings portion of your scheme. The programme runs for three months and can be extended if needed. Please discuss this with your team.
It’s important to clarify mutual responsibilities for the outpatient therapeutic process. Once you enrol in our programme, the therapeutic staff, other group members and yourself are making a commitment of time and energy to each other. It is, therefore, crucial for you to know what you are agreeing to and what you can expect. Please read this contract carefully and sign it before we all begin working together.
On commencing treatment clients must test negative for drugs and alcohol, failing which we would suggest a period of inpatient rehab or detox. As substance use disorder or alcohol use disorder (SUD/AUD) impacts all areas of life and changes addicted peoples’ roles and functioning (family, work, health etc.) our treatment has to meet patients’ physical, emotional, spiritual, legal, mental, familial and vocational needs.
We do this through using lectures, individual counselling, group therapy, family conjoints, our family programme, alcohol and drug testing as well as our multidisciplinary team of psychologists, psychiatrists, GP, addiction counsellors, social worker, occupational therapist and referral to other professionals where required. There is reading and written work and this focused attention is a useful tool is rewiring the addicted brain from hijacked to ‘normal’. This work includes writing and presenting your ‘life story’, 12-step peer recovery meetings, meeting a different group member for coffee each week and phoning every group member for the first three days of your programme. We supply all materials and handouts. We also offer ongoing aftercare and counselling options.
We know that people may miss the occasional group due to family or work commitments. But, if this becomes a regular issue, it will need to be addressed. Missed groups will be added on, so that you get the full benefit of the programme.
Addiction is a chronic relapsing brain disease. Not everyone slots into abstinence immediately. No-one slots into a perfect recovery instantly. A relapse means that there is something that you are doing that you’ll need to learn to stop doing, or something you’re not doing that you’ll need to learn to start doing. We can help with a relapse “autopsy” and help you move forward. If a relapse continues the patient will have to join the inpatient programme.
Your Path to Recovery
Our experienced team is dedicated to supporting your journey to a healthier, more fulfilling life. We understand that addiction affects not only the individual but also their loved ones, and we’re here to help you and your family heal together.
Our outpatient treatment program is designed to fit seamlessly into your daily life, allowing you to continue working, studying, and attending to personal commitments while receiving the support you need. We believe in empowering our clients to take responsibility for their recovery in a supportive and compassionate environment.
Every individual is unique, and so are their recovery needs. During your initial assessment, our team will work with you to create a personalised treatment plan that suits your specific situation. Whether you’re dealing with alcohol or drug addiction, eating disorders, or process addictions like gambling or sex, our comprehensive approach covers all aspects of your well-being.
Why Choose Outpatient Treatment?
- Flexibility: Continue living at home and maintain your daily routines while receiving treatment.
- Support: Benefit from a strong support structure of family, friends, and our dedicated team.
- Accessibility: Ideal for those who are not physically addicted and have a functional lifestyle.
- Comprehensive Care: Our multidisciplinary team provides a holistic approach to treatment, addressing physical, emotional, mental, and spiritual needs.
What to Expect
Our three-month outpatient program includes:
- Individual Counselling: One-on-one sessions with experienced therapists.
- Group Therapy: Share and learn in a supportive group setting.
- Family Program: Strengthen family bonds and support networks.
- Educational Workshops: Gain insights into addiction and recovery.
- Ongoing Support: Access to aftercare and continuous counselling options.
A Commitment to Your Success
We believe in mutual commitment and responsibility. Our therapeutic staff, group members, and you will work together to ensure a successful recovery process. Attendance and participation are crucial, and our program is designed to be adaptable to your schedule while maintaining its effectiveness.
If at any point you need more intensive support, we offer seamless transitions to our inpatient program. Your health and recovery are our top priorities, and we are here to guide you every step of the way.
Get Started Today
If you’re ready to take the first step toward recovery, contact us for more information on our outpatient treatment options. Our team is here to support you, every step of the way.
Assessment
A private clinical assessment clarifies risks, co-occurring concerns, and immediate next steps. We gather history, current symptoms, medications, and family input to match the right level of care. If admission is appropriate, we help you plan timelines and documentation so things move quickly. Learn how assessments work and what to expect on the day.
Withdrawal is managed under medical oversight to reduce risks and improve comfort. Nursing support is available 24/7, with medication protocols tailored to clinical need. Detox prepares patients for therapeutic work—sleep, nutrition, and stabilisation come first. See what to bring, typical timelines, and how we coordinate pre-authorisation.
The first 21–42 days focus on routine, safety, and daily therapy. Patients engage in individual and group sessions, psycho-education, and family contact where appropriate, supported by a multidisciplinary team. Primary care builds early momentum for change and prepares the plan for the next stage.
Secondary care deepens the work on patterns, triggers, and trauma in a calmer setting. With structured days, therapeutic groups, and coached routines, patients practise skills that hold at home. Families are updated and involved appropriately. Explore typical lengths of stay and why secondary care improves long-term outcomes.
For step-down care or when residential treatment isn’t possible, outpatient combines evening groups, one-to-one therapy, and accountability. The focus is integrating recovery into daily life—work, study, and family responsibilities—while maintaining structure and support.
Sober living provides a structured, supportive home environment with curfews, chores, coached routines, and ongoing therapy. It bridges the gap between inpatient treatment and independent living, reinforcing accountability and community while returning to work or study.
Patients learn how to spot risk early and respond fast—managing triggers, cravings, and high-risk situations. We build practical routines, communication plans, and support networks, with clear steps families can take too. See typical tools and how they’re practised before discharge.
Continuing care sustains progress after discharge: scheduled check-ins, group support, individual sessions where needed, and a plan for setbacks. We coordinate with families and community resources to keep recovery anchored in daily life.
The First 3–6 Weeks of Care
Consistent daily structure and sleep routine are early markers of stabilisation.
