
Drug and alcohol treatment centers provide medical or psychotherapeutic treatment for dependency on psychoactive substances such as alcohol, prescription drugs, and street drugs. Treatment plans are customized to the individual and may include medication for comorbidities, counseling, and sharing experiences with other recovering individuals. Treatment centers can be public or private, residential or outpatient, and may offer age- and gender-specific programs. In the United States, the Substance Abuse and Mental Health Services Administration (SAMHSA) operates a National Helpline that provides free, confidential referrals to local treatment facilities, support groups, and community-based organizations for individuals and families facing substance use disorders.
| Characteristics | Values |
|---|---|
| Treatment type | Inpatient rehab, outpatient rehab, online therapy |
| Treatment style | Age- and gender-specific programs, counseling, medication, group therapy, 12-step programs |
| Treatment goals | Address multiple needs of the patient, confront substance dependence, stop substance misuse, teach new methods of interacting in a drug-free environment |
| Treatment resources | SAMHSA's National Helpline, National Council on Alcohol and Drug Dependence, Substance Abuse and Mental Health Services Administration, local health department, council on alcoholism and drug abuse, social services organization |
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What You'll Learn

Inpatient vs. Outpatient Rehab
Substance use disorder treatment programs generally fall into one of two categories: inpatient or outpatient. While both types of programs are equally focused on rehabilitation, they have unique attributes and benefits.
Inpatient treatment programs, also known as residential treatment programs, are intensive and designed to treat serious substance use disorders (SUDs) and addictions. During an inpatient program, a person's complete focus is on recovery from addiction. Supportive staff is always available to help people during their withdrawal, and they offer education, support, and counseling, and help develop strategies to manage their recovery. Inpatient rehab often begins with medically assisted detoxification, and patients receive 24/7 medical and emotional support. The cost of inpatient treatment programs is usually higher, ranging from $2,000 to $40,000 per month, and insurance might not cover this.
Outpatient treatment, on the other hand, is a part-time program that allows patients to continue their normal day-to-day activities, including work and school, without interruption. It can be a helpful option for someone with a mild substance use disorder, or it can be part of a long-term treatment program. Outpatient rehab can last 3 to 6 months, but it can last over a year for more serious cases. Outpatient treatment is typically less intensive, and while it offers the same programs as inpatient treatment, sessions might be less frequent and less structured. Outpatient treatment is generally much cheaper, with many programs costing under $1,000, and insurance is more likely to cover this.
Both inpatient and outpatient rehab can be the right choice, depending on a person's situation. For instance, someone might begin their recovery journey with a stay at an inpatient facility and then move on to outpatient treatment to practice their newfound recovery skills.
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Treatment specialities
Treatment specialties vary across drug and alcohol treatment centers. These centers offer a range of services, from inpatient residential care to outpatient and online therapy options. The treatment provided is tailored to the individual's needs and can include medication for comorbidities, counseling, and group therapy.
Some centers offer age- and gender-specific programs, while others cater to specific populations such as women, adolescents, people who are HIV-positive, and minorities. Certain treatment centers are also known for their affiliation with support groups like Alcoholics Anonymous (AA) and Al-Anon, which provide a 12-step program and a strong sense of community for those in recovery. These support groups are often recommended for family members and friends of the patient as well, to help them understand substance use disorders and learn how to avoid enabling behaviors.
In terms of therapeutic approaches, drug and alcohol treatment centers may offer a variety of psychotherapies, including client-centered therapy, psychoanalytic therapy, and therapies based on learning theories. The choice of therapy depends on the patient's specific needs and goals, with client-centered therapy being a popular and effective approach. This approach empowers clients to take responsibility for their treatment goals and objectives. Additionally, some centers may incorporate spiritual or religious elements into their treatment programs, such as the 12-step programs of Alcoholics Anonymous, which has been subject to legal debate in the United States.
Furthermore, treatment specialties can also refer to the types of substances that a particular center specializes in treating. For example, some centers may focus on alcoholism, while others may have expertise in treating addiction to narcotics, stimulants, nicotine, or other substances. It is important to note that medically assisted detoxification alone is not considered effective treatment for addiction, and comprehensive treatment should address the multiple needs of the patient beyond the addiction itself.
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Treatment goals
Firstly, the primary goal of any drug and alcohol treatment center is to help individuals overcome their substance dependence and achieve abstinence. This involves addressing the underlying psychological and behavioral aspects of addiction, as well as providing medical support to manage withdrawal symptoms and prevent relapse. Patients are taught new methods of interacting in a drug-free environment, and they are encouraged to avoid peers who still use addictive substances.
Secondly, treatment centers aim to provide individuals with the tools and strategies needed to maintain long-term sobriety. This includes teaching coping mechanisms to deal with triggers and cravings, as well as helping individuals develop healthy routines and habits that promote a substance-free lifestyle. This may involve counseling, medication for comorbidities, and sharing experiences with other recovering individuals.
Thirdly, drug and alcohol treatment centers often focus on repairing the damage caused by addiction, which can include improving physical health, addressing mental health issues, and healing relationships. They also help individuals develop life skills, such as stress management, communication, and problem-solving, to enhance their overall well-being and functioning in daily life.
Additionally, treatment centers may offer age- and gender-specific programs to cater to the unique needs of different demographic groups. They also often involve family members and friends in the treatment process, educating them about substance use disorders and providing support to minimize distress and avoid enabling behaviors.
Finally, a key goal of treatment centers is to provide ongoing support and aftercare services to help individuals maintain their recovery and prevent relapse. This may include referrals to support groups, such as Alcoholics Anonymous, or continued counseling and therapy to ensure long-term success.
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Age- and gender-specific programs
Drug and alcohol treatment programs have grown dramatically in the United States in recent years, yet most addiction treatment center programs are designed for all adults, aged 18 and older, and are not differentiated by gender. This broad-based, treatment-for-everyone approach may not be as effective as a more targeted treatment plan.
The benefits of gender-specific treatment are clear when considering the differing mental health needs of men and women. For instance, while more women report mental health problems than men, such as depression, more men commit suicide than women by a ratio of almost 4:1. For this reason, the mental health component of providing treatment solutions for men must adequately screen for and identify their mental health needs. That’s not always easy because men tend to hide mental illness by denying its existence, while self-medicating through alcohol and/or drugs. Gender-specific treatment programs can help men to open up about their mental health and receive the correct treatment.
For women, gender-specific treatment can help those who see themselves as dependent on a male figure, whether that be for financial support or emotional validation. Being in a gender-specific clinical setting helps them to change such beliefs so that they may access their true power as independent and equal women.
Age-specific treatment is also important, as younger and older adults have different life stressors. For example, younger adults may need to learn life skills and how to become financially independent from their parents, while older adults may need to protect their careers and learn how to live sober in retirement. An age-specific treatment program is more conducive to reducing tension in the milieu, as generational differences in social attitudes and behaviors between older and younger adults can create an atmosphere of "us" versus "them".
In some cases, it is necessary to have both age- and gender-specific treatment programs. For instance, when sexual dysfunction, sex addiction, serial relationships, and other sexually oriented pathologies are involved, having a gender- and age-specific treatment program is necessary to mitigate the risk of sexually damaging behavior.
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Treatment plans
Inpatient treatment programs, also known as residential treatment, offer structured programs that address all aspects of an individual's addiction. Patients reside in a substance-free facility and receive 24/7 medical care and therapeutic support. This type of program is particularly beneficial for those with long-term substance use disorders or co-occurring mental or behavioural illnesses.
Outpatient treatment is another option for those with less severe substance use disorders. This allows patients to receive treatment while continuing to live at home and maintain their daily routines. Outpatient programs can vary in intensity and may include individual or group therapy sessions, medication-assisted treatment, and support groups.
Some individuals may prefer a faith-based treatment program that offers specialized therapies and facilities centred around faith and guidance from a higher power. These programs ensure that all medical and service needs can be safely met. Additionally, the involvement of family members in treatment planning and therapy is important, especially for adolescents with substance use disorders, as it can help address dysfunctional aspects and provide support.
The specific treatments offered by drug and alcohol treatment centres can vary depending on the location and resources available. For example, Minnesota is known for its public and private alcoholism facilities modelled on inpatient rehabilitation programs, while California offers community-based social model programs emphasizing a 12-step, self-help approach.
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Frequently asked questions
A drug and alcohol treatment center is a facility that provides medical or psychotherapeutic treatment for dependency on psychoactive substances such as alcohol, prescription drugs, and street drugs. Treatment centers can be public or private and offer a range of programs to address addiction, including counseling, medication, and sharing experiences with other recovering individuals.
There are two main types of drug and alcohol treatment centers: inpatient and outpatient. Inpatient rehab offers a residential setting where patients receive 24/7 care and guidance, while outpatient rehab allows patients to live at home while receiving treatment and support multiple days per week.
At a drug and alcohol treatment center, patients receive specialized treatment for their addiction. This can include medication for comorbidities, counseling by experts, and sharing experiences with other recovering individuals. Treatment centers may also offer age- and gender-specific programs and aftercare services.
There are several resources available to find a drug and alcohol treatment center. SAMHSA's National Helpline (1-800-662-HELP) provides free and confidential referrals to local treatment facilities. Additionally, each state has a single state-level alcohol and drug authority that publishes a directory of licensed treatment programs. Other resources include the National Council on Alcohol and Drug Dependence and the Substance Abuse and Mental Health Services Administration's National Directory of Drug Abuse and Alcoholism Treatment and Prevention Programs.

























