An Introduction to Rehabilitation, Recovery & Addiction Treatment

You have questions. We have answers. 

The first step in recovering from any addiction is to acknowledge the addiction and choose to recover. It sounds simple, but it the process can be daunting. The rehabilitation process can take time and will often require an addict to greatly change their lifestyle or environment, and like with anything, the fear of the unknown can be intimidating – but they’re not insurmountable.

If you would like to learn more about what to expect when seeking treatment keep reading. We’ve compiled a few of our most commonly asked addiction and rehab questions. It is our hope that these answers will help you feel better and more at ease with your path to sobriety.

If after reading these responses you still have questions, call us. The REHBS recovery consultants are here to answer your questions and help make your transition as smooth as possible.

Which Is Better — Inpatient or Outpatient Rehab?

The short answer is – maybe.

Either may be a better fit for you and your personal situation. There are a number of factors to consider when debating whether enroll in inpatient or outpatient drug rehabilitation. Inpatient facilities differ from outpatient facilities in a number of ways the type of addiction, the presence of any comorbid issues, relapse risk, financial and insurance restraints, familial obligations, career or work obligations, and other environmental factors should all be considered.

Inpatient rehabilitation centers operate and are staffed 24-hours a day by professional staff and generally speaking offer medical support at all times. While detoxing from certain substances, such as alcohol, this can be a much needed necessity to ensure a safe transition to sobriety and to discourage a patient from relapsing simply to alleviate withdrawal symptoms that are the hallmark of negative addiction and the detox process.

Most inpatient programs or stay rehab facilities include group therapy, individual therapy and often other complementary or holistic therapies – such as exercise, meditation, animal therapy or outdoor activities. Inpatient treatment more often than not represents the most comprehensive form of addiction treatment. Being removed from the stress of their regular lives, as well as the environments and lifestyle choices that lead them into their downward spiral into addiction, patients are free to focus fully on recovery and to dedicate their efforts to combating their addiction.

Inpatient facilities often cost more than outpatient programs for the simple fact that they provide more to the patient including meals, lodging and activities.

Outpatient addiction therapy is similar to inpatient in many ways, with one main exception – the patient may go home at the end of their treatment sessions. The nature of outpatient treatment allows patients more flexibility in regards to work, school or family life while seeking treatment.

Like any treatment, there is no one size fits all option and outpatient programs do vary. Some outpatient programs involve all-day sessions, where other programs may only treat patients for an hour or two per day. As there are significantly fewer amenities  provided and fewer staff hours involved in direct care, outpatient programs tend to cost much less than equitable inpatient treatment programs and facilities.

REHBS recommend inpatient rehab for those with long-standing addictions, relapsing patients, addictions to multiple substances, and dual diagnosis or comorbid conditions. If you have been through the rehabilitation process previously, it is generally not recommended that you seek outpatient addiction treatment. Outpatient rehabilitation is best for those with short-term addictions.

What kind of inpatient programs are there?

Treatment methods can vary significantly, adapted to fit the specific needs of different forms of addiction. But that said, the culture of a facility may vary widely even among similar treatment systems. Regardless of whether you are religious (Christian, Jewish, Catholic, Scientologist), spiritual,  vegan, vegetarian, agnostic, atheistic, rich, poor, gay, straight, fat, small, skinny or tall, there are rehab facilities available to you that can help you feel more comfortable. There are even single gender facilities, specifically designed to help those who may feel more comfortable recovering without the distraction of the opposite sex.

Can I go to rehab in another state?

Absolutely! Many individuals find that leaving their hometown can help distance themselves from distractions and many of the root causes of their addiction. While we would never compare a rehab stay to a vacation, it is by nature a form of a get away, and there is nothing saying that you can’t go somewhere beautiful, tropical, warm or cooler for your treatment. There are a number of facilities located in Hawaii, California and Florida, some of whom do take most forms of insurance. Though it is important to note that in most instances the patient is responsible for some if not all of the costs associated with getting to the rehab facility.

How Long Does Rehab Take?
It’s hard to say. When it comes to rehab, there is no set timeframe that applies to everyone.

Some addicts find they need a 90-day stay at an inpatient treatment facility to recover, others get by fine enrolling in a shorter length 30-day program. The addiction in question, the individual’s addiction history, comorbidity, and the individual’s specific physical, mental, emotional and spiritual needs are all factors that should be considered while seeking rehabilitation.

Though it is important to note that studies have found that longer term stays do tend to be associated with higher success rates and longer bouts of sobriety. It is believed that longer stays allow patients to spend more time focusing on the root causes of addiction, and by addressing these issues directly individuals have a better chance of resisting the temptation to relapse.

Does recovery end with rehab?

Most drug addicts and alcoholic find addiction to be a lifelong struggle, a life skill that needs to be both learned, practiced and honed over time, a process that rarely concludes when a patient exits rehab.

Long-term recovery often involves ongoing support therapy, such as 12-step meetings like Alcoholics Anonymous and Narcotics Anonymous, and participating in both group and individual cognitive therapy. Some patients find other activities, such as meditation, yoga, exercise, and art, to be helpful aids in the effort to maintain sobriety.

It’s unfortunate, but relapse happens. Relapse should never be viewed as a failure, it’s simply one more obstacle, a wrong term on the path to lifelong sobriety. In fact, many addicts attend rehab multiple times. If you or someone you love has relapsed into addiction, they still can recover and they can find a rehab program that provides the support and help they need to once again become sober.

How Much Does Rehab Cost?
Rehab programs that treat drug and alcohol addiction can dramatically vary in price. The variance in cost is dependent on a wealth of factors, such as whether the rehab is an inpatient or outpatient facility, if the program provides luxury amenities, comorbidity, and what the program provides as far as detoxification services and medical support.

There are some low-cost rehab options that charge as little as $7,500 per month. High-end luxury programs, however, may cost as much as $120,000 per month. That said, a good number of evidence-based facilities are priced in the $18,000 to $35,000 per month range.

There are five basic factors affecting the cost of a rehab:

  • Addiction Types Treated
  • Amenity Offerings
  • Program Length
  • Location
  • Program Type

Program amenities can include anything from animal therapy to pool access to professional chefs. High-end and higher cost programs generally offer more alternative therapies that can aid the recovery process, such as acupuncture, yoga, and massage therapy. Luxury programs are also more likely to offer patients private rooms whereas rooms are generally shared in low cost and lower cost options.

The length of the program also affects its overall cost. Much like a hotel stay, the cost of a program is determined primarily by the length of stay, so it is important to take this into consideration. During your intake session, a counselor will discuss the amount of time they recommend you stay in the program for the best shot at recovery.

A facility’s location is another factor in overall cost. Unsurprising, facilities located on beachfront property and other desirable locales will generally demand higher price tags. Another cost to consider how you will get to the facility. Traveling out of town may require modest considerations by patients for airfare or other costs.

Inpatient programs almost always cost more than outpatient programs for the simple fact that they assume the cost of patients living at the facility and provide medical care during all hours of operation. It may be worth inquiring with the facility as to what amenities are included in your stay cost as some programs do charge extra for certain premium activities.

Why is rehab so expensive?

Simply put, because it’s worth it.

As high as the cost associated with inpatient treatment may be, it’s important to remember the cost of addiction. Drugs are expensive, addiction can negatively affect productivity at work and even cost you a job, it can incur criminal and civil fines, and generate a slew of what would under normal circumstances be unnecessary medical costs. Addiction can take its toll on other aspects of an addicts life, destroying personal and family relationships as well as an individual’s happiness or sanity.

Another thing to consider is the simple cost of room and board. Chances are you’re not paying $30,000 a month for your mortgage or rent. But how much would you pay to stay at a hotel every night for a month? Now imagine you ordered room service for every meal. Then saw a doctor and therapist every day. As you can plainly see, the costs associated with treatment add up quick.

Thankfully, most addicts are not forced to pay the cost of rehab outright and entirely out of pocket. Since 2012’s Affordable Care Act legislation, most insurance plans offer at least partial coverage for medically necessitated rehabilitation programs. There are also a number of charity and federally funded programs that can help assist with the cost of your rehab stay. Many facilities, even the so called “cash” programs, offer payment plans, allowing addicts to finance their stay over time or later when they are in a better position to maintain a steady job and pay off their treatment costs.

 

Is Insurance Accepted?
Insurance is often accepted at drug rehabilitation programs; however, this will vary according to the particular facility, your form of addictions, comorbidity and the specifics of your plan. Your insurance plan may or may not cover a portion of your rehabilitation stay, so it is important to call your insurance provider prior to enrolling in alcohol or drug rehab. It may be worth noting that some facilities require patients to pay up front, before treatment and then seek reimbursement from their insurance company.

If your insurance plan does not cover the cost of rehab, it may be worth asking about other payment options with the facility you choose. They may offer sliding scale payment options or financing plans to make the cost more manageable.

If you would like more information on whether insurance is able to cover your rehabilitation, we encourage you to contact REHBS.

What Is Luxury Treatment?
Luxury rehabilitation offers posh surroundings and many more “premium” amenities than typically offered by a standard rehab facility. These rehabs are often located in secluded areas, so their patients are provided maximum privacy for the duration of their stay. Luxury rehab centers vary and may offer adventure therapies, holistic treatment programs, gourmet cuisine prepared by professional chefs, and innovative or groundbreaking recovery therapies. High-level executives, celebrities and other public figures often choose luxury rehab for the exclusive amenities, privacy and the increased likelihood that they will be free to recover among their peers.

If you have any other questions about rehab programs, feel free to call us. We would be happy to talk with you about your options.

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