Comparing Recovery Options
Most drug rehabilitation programs can be classified into 2 broad categories: inpatient and outpatient. A comparison of inpatient vs. outpatient recovery programs requires you to understand the definitions, benefits and potential drawbacks of both types.
This page covers:
Why Get Treatment?
Many addictions manifest as intense cravings for a particular drug and the accompanying compulsive drug-seeking (and using) behavior. Drug use may begin voluntarily, but an addict's ability to abstain from future use is eventually compromised due in part to the changes that the drugs may have on the user's brain - including the reinforcing or rewarding effect alluded to earlier.
Many people who develop a substance use disorder find it very difficult to stop using without professional help. If you have decided to seek treatment, you'll need to decide on the type of treatment that's right for you.
Inpatient vs. Outpatient
- Inpatient programs require you to live at the treatment facility.
- Outpatient programs generally entail some amount of daily treatment at a clinic or facility and allow you to return to your home or other living arrangement during non-treatment hours.
Features of Inpatient Treatment
Inpatient drug rehab offers 24-hour-a-day care that allows you to focus solely on recovering from your addiction and your newfound sobriety. Inpatient treatment often includes at least:
- Supervised detoxification.
- Administration of medication, if appropriate.
- Group and individual therapy.
Types of Inpatient Rehab
The most common types of inpatient recovery programs include:
- Residential. These are live-in programs where you stay for the duration of treatment. You attend individual and group therapy sessions, receive medical care and engage in other activities with residents.
- Luxury. Luxury programs offer many of the same services as residential. But they include other amenities and treatments such as massage therapy, swimming, horseback riding, fine dining and private accommodations. They may also be located in desirable settings such as beaches or mountains.
- Executive or CEO. These programs are very similar to luxury rehab programs but offer special features for executives or CEOs such as private meeting rooms, Internet access and work spaces.
Medications are currently available for addiction to certain drugs. The medical aspect of drug treatment becomes more complex for serious addicts, since they are often addicted to more than one drug. As a result, this treatment often must be performed in an inpatient setting.
A few medications are currently used to manage some risky forms of acute substance withdrawal (e.g., for alcohol and sedative withdrawal). A handful of FDA-approved pharmaceutical treatment options (termed medication-assisted treatment) are also available for treating specific types of substance addiction.
- Buprenorphine and methadone both interact with the brain's opioid receptors. They both may strengthen opiate/opioid recovery efforts by mitigating the symptoms of opioid withdrawal and relieving cravings.
- Naltrexone blocks the opioid receptors in the brain, preventing the user from experiencing the euphoric effects of opioid drugs. While naltrexone's use originated in the management of opioid use disorders, it was also found to decrease the desire to drink alcohol.
- Disulfiram (Antabuse) interferes with the body's metabolism of ethanol and, when taken as prescribed, will result in an unpleasant reaction when the user drinks alcohol. It has been used for more than half a century as a deterrent to alcohol abuse.
- More recently, acamprosate (Campral) has become a promising medication in the management of alcoholism. Its mechanism of action is thought to stem from a restoration of various neurotransmitter systems disrupted from long-standing alcohol abuse.
In an inpatient setting, you'll often find various types of therapies, both individual and group.
Because you'll be living at the facility, you'll be able to take part in these therapies without having to worry about other commitments, so you can focus solely on the reasons behind your addiction and moving forward with a healthier mindset and lifestyle.
Benefits of Inpatient Treatment
While some may see staying in an inpatient program for an extended amount of time as a drawback, in terms of recovery, it can be a huge benefit. Inpatient treatment:
- Allows you to get away from your normal environment, which is likely rife with the temptation to use, and focus on your sobriety without distraction.
- Puts you in a healthy environment with addiction treatment professionals and others who are focusing on recovery.
- Provides ongoing skills training and education.
- Is typically associated with higher success rates.
Features of Outpatient Treatment
Like inpatient programs, the features of programs will vary among outpatient programs. Typically, however, the focus will be on therapy to help you focus on your recovery and sobriety.
The specific types of therapy available in an outpatient setting include the following:
- Cognitive behavioral therapy - This therapy helps you recognize thoughts and behaviors that may be unhealthy and contributing to drug or alcohol use.
- Contingency management - You receive positive reinforcement that motivates you to abstain from drug use. This can take the form of movie tickets or gift cards for attending therapy sessions or providing a negative urine sample for a drug test.
- Motivational interviewing - A therapist helps you identify and overcome any hesitation or ambivalence to treatment.
- Matrix Model - This type of therapy combines several different approaches, such as cognitive behavioral therapy, family therapy, drug testing and contingency management. It is primarily used to help people addicted to stimulants stop using drugs and remain abstinent.
- Multidimensional family therapy - This therapy is a method of improving family functioning (commonly used for adolescents).
You may also have access to education programs, skills training, mental health care and more.
The major drawback to outpatient treatment is you will not be fully removed from the everyday temptation to use and put into a completely alcohol- and drug-free environment. For this reasons, outpatient treatment typically works better for those whose addictions are not as developed or severe.
Benefits of Outpatient Treatment
While you may not get the same level of immersive, 24-hour care in outpatient treatment, it does let you:
- Live at home while getting care.
- Continue working or going to school.
- Remain close to a supportive network of friends and family.
- Learn the skills you need to live a sober life through therapy and education.
Find an Inpatient or Outpatient Program
Each recovery program will have varying features, therapy types and price points. It pays to do some research and find the program that is best suited to your own needs. Please call us today at 1-888-319-2606 to learn more about inpatient vs. outpatient recovery program options.