Recovery does not end at discharge. Siam Rehab provides post-discharge monitoring built around a written continuing-care plan, scheduled telehealth contact, and a defined escalation pathway for clients who need a higher level of support after leaving the residential programme. This page describes how those pieces work. It is part of the wider Siam Rehab Continuum of Care.
1. Discharge Planning
Discharge planning is a structured process involving the client’s primary counsellor and the clinical team, completed before residential treatment ends. The client leaves with a written continuing-care plan rather than a verbal summary. The plan may include a relapse-prevention plan, personal warning signs and triggers, coping strategies and emergency steps, medication or psychiatric follow-up recommendations where applicable, a telehealth schedule, sober living or step-down referrals where appropriate, and contact recommendations for a local therapist, GP, psychiatrist, or support group in the client’s home country. Where the client consents, it can also address family involvement and the return to work.
This plan is developed within the same individualized treatment planning approach used throughout residential care, rather than as a separate document produced only at the point of discharge. Because admission already includes a psychiatric evaluation at or shortly after intake, any medication or psychiatric follow-up needs identified during treatment are carried directly into the discharge plan rather than being assessed for the first time on the way out.
2. Post-Discharge Telehealth
Post-discharge telehealth support runs weekly for twelve weeks following residential treatment. After that period, support does not stop automatically; clients can continue with the same counsellor by telehealth on request, though sessions beyond the included twelve weeks carry an additional fee. Separately, Siam Rehab’s psychiatric oversight includes a weekly on-site clinic, seven days a week, and telehealth availability between 08:00 and 20:00, with on-call emergency authorization for medication management and psychiatric needs.
Continuing with the same counsellor, rather than transferring a client to a different clinician for aftercare, means the twelve-week telehealth schedule builds directly on the individualized treatment plan and personal history developed during residential care, rather than starting over with someone unfamiliar with the client’s case.
3. Alumni and Peer Support
Siam Rehab maintains an alumni and peer-support network that allows former clients who wish to stay connected to remain in contact with the recovery community. Past clients are sometimes invited to share their experience or act as peer role models, subject to privacy, consent, and clinical appropriateness. This is not a formally scheduled group; it is presented as ongoing connection rather than a fixed meeting cadence.
4. Sober Living and Step-Down Referrals
Siam Rehab can help clients explore sober living and step-down options after residential treatment, including referral options in Thailand or overseas depending on the client’s location, budget, clinical needs, and recovery goals. For clients returning to the Netherlands, this can include a Safe House placement, a number of which are funded by Dutch local authorities. For clients remaining in Thailand, referral options include sober living houses in Hua Hin and Chiang Mai. With the client’s consent, Siam Rehab can share handover information with the receiving provider. These are referral relationships, not managed placements or formal partnerships.
5. Escalation and Emergency Pathways
Siam Rehab’s medical protocol includes a defined escalation pathway that extends to the post-discharge period through the psychiatric on-call authorization described above. Within the residential and detox setting, emergencies are handled through activation of Thailand’s 1669 emergency medical service, with Mae Chan Hospital located approximately 22 kilometres away for emergency transfer. Planned stabilization needs are directed to Kasemrad Sriburin Hospital in Chiang Rai. A transfer report is completed within 24 hours of any hospital transfer, followed by a 48-hour internal clinical review. This same clinical governance structure, including on-call psychiatric authorization, extends into the aftercare period for clients requiring urgent intervention after discharge.
6. Clinical Oversight Behind Monitoring
Aftercare monitoring is carried out by the same clinical team responsible for residential care: a psychiatrist serving as Medical Director, two psychologists, and four counsellors, supported by three registered nurses, at an overall staff-to-client ratio of approximately 1:1.3 and a counsellor-to-client ratio of approximately 1:4 to 1:5. This team undergoes weekly internal supervision and monthly external supervision, with a minimum of 24 continuing professional development hours required annually. The same supervision structure that governs clinical decisions during residential treatment applies to decisions made during telehealth follow-up and escalation after discharge.
7. Outcomes Data
Internal follow-up data collected by Siam Rehab between 2022 and 2025 across 250 clients recorded a 30-day relapse rate of 9% and a 90-day relapse rate of 18%. Over the same period, the residential programme recorded a 97% completion rate, with 3% early discharge and 80% of clients choosing a voluntary extension of their stay; average length of stay was 7.75 weeks. Clients reported approximately 60% reductions in cravings and anxiety and an approximately 80% improvement in overall wellbeing, with a Net Promoter Score of +78 and an average therapeutic alliance rating of 6.2 out of 7.
These figures are based on internal follow-up reporting, not all of which reaches a 100% response rate, and should not be read as a guarantee or prediction of individual outcomes. Aftercare planning, including telehealth, alumni contact, and referral options, focuses on managing relapse risk; it does not offer a guarantee of lifetime sobriety.
