Finding the Right Addiction Treatment Facility
There is a wide variety of programs available to treat drug, alcohol, and other substance use disorders. But individual needs and circumstances, as well as difficulty navigating available treatment options, can often be a barrier to accessing help. The following information provides insight into many American’s attitudes toward addiction treatment:
- In 2014, an estimated 22.5 million people in the U.S. needed treatment.
- Of those 22.5 million, only 11.6% received professional help at a treatment facility.
- Approximately 4% of the 19.9 million who did not receive professional help believed that they needed treatment.
- Among the 19.9 million who did not receive treatment, 1.2% made an effort to get help.
- Common reasons for not getting help include cost, lack of insurance, and inability to find treatment or specific types of treatment.
- Nearly 1.1 million people received treatment at a residential rehab facility in 2014.
When to Seek Treatment for Addiction
Knowing when to seek help might also be challenging because the signs, consequences, and severity of the problem can appear very differently for each individual. Signs of addiction and other substance use disorders include:
- Repeated unsuccessful attempts to cut down or stop using a substance.
- Loss of control, using more than intended, or breaking one’s own rules.
- A strong urge or craving to use.
- Spending too much time seeking, using, or recovering from the effects of a substance.
- Inability to fulfill major obligations at home, work, and other important areas of life.
- Giving up or cutting down on activities that were once enjoyable.
- Repeated use of a substance in hazardous situations.
- Problems in social relationships with family, friends, coworkers, and others.
- Continuous use after recognizing that the substance causes physical or psychological harm.
- Tolerance to a substance, meaning a person needs larger amounts to feel the desired effects or feels a lowered effect with the usual amount.
- Withdrawal symptoms when not using, or using a substance to avoid withdrawal symptoms.
Options for Addiction Treatment
A number of treatment options are available to people considering treatment for themselves or a loved one. These options account for different needs, different financial situations, and different flexibility in schedules.
The most common addiction treatment settings are outpatient substance abuse/mental health facilities and inpatient or residential rehab facilities. Outpatient treatment allows people to remain in their community and continue to work and live at home. The various types of outpatient programs offer a range of therapeutic services including individual and group therapies, peer recovery support, medication management, and additional education and support programs.
Residential rehab provides a more intensive level of treatment. It might offer a greater degree of safety and round-the-clock support when a safe living environment isn’t available elsewhere. Like outpatient settings, rehab facilities might feature various services that can help during early recovery. These features include detox, individual and group counseling, skill-building activities, and in-house self-help groups.
Residential and outpatient treatment can take place in a variety of settings. Depending on the individual’s needs, someone might consider undergoing treatment at one of the following places:
- Residential facilities. Residential rehab facilities include standard, luxury, and executive programs. Standard programs provide structure and support during early recovery and prepare individuals to transition to outpatient care or a recovery program in the community. Luxury and executive facilities are more exclusive rehab options. While wellness and recovery remain the focus of treatment, these facilities offer more privacy and premium amenities resembling those found at high-end hotels or resorts. The duration of treatment in each rehab program will vary, but often range from a month in brief inpatient programs to 3 to 6 months or more for long-term residential stays. The appropriate length for addiction treatment depends on individual needs, but factors such as cost, length of time, and distance from home might limit a person’s ability to receive long-term care.
- Specialty rehab facilities. People who struggle with addiction are a diverse group. While many share common problems related to their addictions, each individual is unique and has specific needs. Some rehab facilities might not comprehensively address factors such as trauma, stigma, serious mental illness, religion and spirituality, and culture. Some facilities offer specialized programs to meet the specific needs and preferences of those seeking addiction treatment. Programs might be gender-specific or tailored toward youth, LGBTQ individuals, those with co-occurring mental health and substance use disorders, and other special populations. Non-traditional rehabs also exist for those seeking holistic care or alternatives to abstinence-based and 12-step approaches.
- Partial hospitalization and intensive outpatient programs. A less all-encompassing counterpart to residential rehab is partial hospitalization or intensive outpatient treatment (IOP). This level of treatment offers the flexibility of outpatient care but involves multiple visits to a treatment center and several hours of participation a week. These programs might be more appropriate than standard outpatient care when more structure and support are needed to reduce risks during early recovery and establish a solid recovery program.
About Addiction Treatment
Rehab generally begins with an intake process to assess physical and psychological health, addiction severity, and risk issues. A thorough assessment can help identify individual needs and treatment goals to establish a customized treatment plan.
Before treatment begins, an individual might need to go through detox to clear the body of alcohol and other drugs. Detox providers might prescribe medications to treat withdrawal symptoms or feature drug-free social detox, which provides a safe environment to achieve abstinence and stabilization prior to entering treatment. Some rehab facilities offer detox services in-house. In other cases, people in treatment might need to visit specialized detox facilities before arriving at rehab.
Treatment services in rehab facilities vary by program length and treatment model but generally include a combination of individual and group therapies, 12-step meetings, educational and support services, and healthy leisure activities that promote a clean and sober lifestyle. Depending on location, family therapy and visitation might also be encouraged. As a person nears completion of a rehab program, relapse prevention therapies and aftercare planning prepare him or her to transition to outpatient care or a self-help recovery program.
Choosing an Addiction Treatment Facility
Choosing the right rehab facility can be a challenging process as there are many factors to consider. Preparing a list of questions to ask a rehab placement specialist might help a person make an informed choice and enter the most appropriate program. Things to consider when seeking rehab include:
- Program cost and health insurance coverage.
- Distance from home, family, and loved ones.
- Visitation policies at the facility.
- Facility rules and restrictions.
- Amenities such as rooming, meal options, and recreational items.
- Facility and staff licensure.
- Staff-to-patient ratio.
- Success rates and testimonials.
- Other factors related to personal needs or preferences.
Availability of adequate treatment and support services should also be addressed before choosing a rehab program. The National Institute on Drug Abuse recommends that the following factors be considered when seeking treatment:
- Evidence-based practices. There’s no single “best” treatment for addiction, but there are several therapies and treatment models that are well-researched and have shown effective results. Evidence-based treatments might include individual, group, and medication-assisted therapies.
- Individualized care. All people who receive addiction treatment have unique needs. Addiction disrupts various aspects of life, and individuals might need additional rehabilitation to develop job or social skills, to address physical and mental health, or to deal with any variety of other issues in order to return to a healthy and productive lifestyle.
- Adaptable treatment plans. People in rehab experience challenges and success throughout the treatment process. As needs change and goals are achieved, treatment plans should be adjusted accordingly. Therapies and support programs may be added, removed, or modified to help patients in their present condition.
There are other factors to consider when determining which program is best suited to individual short- and long-term needs. These include:
- Program duration. Time can be a significant factor in treatment success. The right amount of time varies by individual, but longer stays in treatment are associated with more positive results. If long-term residential rehab isn’t an immediate option, a person can continue treatment in outpatient care following a brief inpatient program.
- Self-help programs. Rehab and other addiction treatment programs can be helpful beginnings to recovery programs, but they’re temporary. During treatment, patients are generally introduced or reengaged with self-help programs such as 12-step groups and other forms of peer support. A quality treatment program should include a self-help component, either in the rehab facility or through references to programs in the community.
Getting Help for Addiction
For more information on drug and alcohol addiction treatment services, call 1-888-744-0789 Who Answers?. Our rehab placement specialists can answer questions and help you find an addiction treatment facility that is right for you. Call today to get started on the road to recovery and a substance-free life. Alcohol and drug rehab programs can provide real help.
- Han, B., Hedden, S., Lipari, R., Copello, E., Kroutil, L. (2015). “Receipt of Services for Behavioral Health Problems: Results from the 2014 National Survey on Drug Use and Health.“
- National Institute on Drug Abuse. (2013). “Seeking Drug Abuse Treatment: Know What to Ask.“