Detox Programs
The American Society for Addiction Medicine (ASAM) outlines 4 main levels of care that people typically experience in addiction treatment. Detox programs are considered the highest form of treatment. Detox treatment centers help physically separate people from substances in a medically intensive environment. They’re usually needed for individuals who have severe or fatal withdrawal symptoms as with alcohol addiction.
Detox facilities range in their costs and experience. For instance, private pay facilities can sometimes cost upwards of $2,000 per day or more. However, their medical services and staff quality may be much better than alternative programs. Conversely, state run facilities usually provide the bare minimum in services and quality of care. Regardless, all treatment options with these programs are designed to keep their patients alive while they detox.
Residential Treatment Centers
After completing detox, most people tend to go to residential treatment centers (RTC). These step down programs usually last between 30-90 days and vary greatly in cost and services. For example, some programs cost over $2,000 per day but come with some incredible amenities. These might include ski trips, massages, higher staff to client ratios, etc. On the other hand, medicare/medicaid programs may include the bare minimum such as group and individual therapy. In general, all programs should provide group and individual therapy, 24/7 staffing, and medication management. The type of clinical treatment may vary but all programs should include some sort of clinical education.
Additionally, most programs are funded by insurance. However, a majority of policies only cover 14-21 days of treatment. Some programs will provide cash rates to extend treatment past maximum insurance coverage. The typical daily cost for residential treatment centers are roughly $1,000-$2,000 per day.
After completing RTC, some people elect to go to a sober living facility. Similar to residential treatment, sober living is designed to provide a living environment conducive to support addiction recovery. Unlike RTC, sober living usually doesn’t include 24/7 staffing, clinical education, or medication management. Additionally, insurance doesn’t cover the cost of sober living, they are financed solely through private pay. The rates for these programs vary greatly in both cost and services provided. As a general rule, the more you pay, the better your program usually is. You can expect to pay as little as $800/month and upwards of $10,000/month for high end facilities. Regardless, when selecting a program that’s right for you, you should inquire into the types of amenities and services offered for each program.
Outpatient Treatment Programs
The next level down from here are outpatient treatment programs. This level of care includes partial hospitalization (PHP), intensive outpatient (IOP) and outpatient (OP). PHP usually occurs when people leave residential treatment and lasts for 2-4 weeks. Most programs include at least medication management, group/individual therapy, case management. Usually programs include some type of amenities such as yoga, fitness or nutrition education. The key difference is group therapy consists of 5 hours per day, 5 days per week.
The next level down is intensive outpatient, which is 3 hours of group therapy, 3-5 times per week. IOP typically provides case management, group and individual therapy, medication management and amenities. This program usually lasts for 3-6 months but is dependent on each clients’ needs. After successful completion, clients move to outpatient programming. This level is encompassed by a 3 hour group therapy session 1-2 times per week. Outpatient programs typically provide all the same services described above except for occasionally medication management.
Each of these services are almost always covered by insurance. Some exceptions include IOP and OP where programs provide sober living in addition to these outpatient services. Additionally, the clinical education varies from program to program but most include evidenced based therapy.
Recovery Coaching
The final treatment option is recovery or sober coaching, which is considered prevention or early intervention. Recovery coaching is a great solution for people who had a brief relapse or recently left outpatient programming. Recover coaches are essential peer to peer support systems to help hold individuals accountable. They typically provide support in: engagement with recovery programs, setting and achieving goals, setting boundaries, improving communication skills, working through emotional roadblocks and more. Two important things to consider are that recovery coaches don’t accept insurance and by and large, aren’t licensed therapists. If you’re considering a recovery coach, you should inquire into any certifications they may have as well as services they offer.
If you or your loved one is struggling to maintain sobriety, our team is here to help. Contact us today to learn more about our services and ability to help you achieve a life in recovery.