How to Choose Alcohol Rehab?
When you’re looking for the best alcohol treatment center, knowing your options, what to expect during recovery, and what kind of alcohol rehab centers are available is very important.
- How will it fit into your lifestyle, home life, and work?
- How much will it cost and how long will it take?
- Do you need to get away and have a change of scenery, or would you prefer to be close to home and have some flexibility?
Types of Alcohol Rehab Treatment
One of the biggest choices you have in finding the best recovery center for you is deciding which type of treatment you need. There are three options available to treat alcohol abuse.
- Inpatient treatment programs
- Outpatient treatment programs
- 12-step treatment (Alcoholics Anonymous) programs
With various options, it can be difficult to figure out the right treatment strategy is for you. Calling one of our admissions navigators at 1-888-319-2606 Who Answers? can provide you with the information and support that you need to begin your journey toward recovery.
Inpatient Alcohol Treatment Centers
Inpatient alcohol treatment, which includes residential treatment and rehabilitation programs, is provided in centers where you live for the duration of treatment. Many residential alcohol treatment programs offer 24-hour supervised medical care while patients attend individual and group counseling and receive medication. More About Inpatient treatment
Inpatient alcohol rehab may take approximately 30, 60, or 90 days. Your treatment may take place in facilities with amenities that are relatively standard or are more extensive in terms of recreational or treatment options. Learn More About |30 Day | 60 Day | 90 day Treatment Options
Luxury Alcohol Rehab Centers
Luxury alcohol rehab centers tend to have amenities you might find on vacation or at a five-star hotel, such as massage treatments, chef-prepared meals and beautiful surroundings. More About Luxury Treatment Centers
Executive Alcohol Rehab Centers
There are times when a busy professional is struggling with an alcohol addiction but cannot ignore work responsibilities while going through rehab. In those instance, when job commitments threaten a person’s ability to get treatment for an addiction, executive alcohol rehab centers provide executives with the opportunity to maintain their work and family lives while receiving treatment.
These programs give executives who are in rehab the opportunity to continue working—and even see clients and/or travel if necessary.
Outpatient Alcohol Treatment Centers
In contrast to inpatient, where you live at the facility while receiving treatment, you visit an outpatient alcohol treatment center regularly to receive treatment.
There are many outpatient options for people with alcohol abuse problems. These include:1
- Group counseling or psychotherapy.
- 12-Step programs.
- Individual psychotherapy and variations on this, such as cognitive behavioral therapy (CBT), contingency management (CM) and motivational enhancement therapy (MET).
Psychosocial Treatment For Alcoholism
Psychosocial treatment for alcohol focuses on changing behaviors and thought patterns associated with alcohol addiction.
- Cognitive behavior therapy works to solve current problems and change unhelpful thinking and behavior.
- Contingency management therapy is similar, but puts more emphasis on rewarding “positive” (e.g., abstinent) behaviors and punishing the opposite.
- Motivational interviewing or motivational enhancement therapy involves an emphasis on motivations to pursue recovery and abstinence, and it is based on motivational interviewing.
These treatments are often therapist-led and may be enhanced by peer support in group settings. Conversely, 12-step programs emphasize peer support.
12-Step Recovery Support Group
The most common 12-step support group for alcoholism is Alcoholics Anonymous. It is a peer support-based system that helps you through acceptance of, restitution for, and (ideally) resolution of your problems related to alcohol abuse. It may be based on religion and spiritualism, though their inclusion may depend on the person in question. More About AA
Which Type of Alcohol Rehab Programs Should I Consider?
The type of alcohol rehab program you choose depends on a number of factors. These may include:
- Addiction or abuse severity.
- Employment/family responsibilities.
- History of prior treatment.
- Insurance providers and the treatment types they will cover. ( Treatment doesn’t have to be expensive; to better understand if your insurance will cover most or all of the treatment, check your insurance coverage today.)
Outpatient may be a good option if you’re unable to take time away from work or other responsibilities. But inpatient, though more expensive, may be a good choice if you’ve been through outpatient treatment before and relapsed or if you’ve been drinking heavily for a long time.
Consider dual diagnosis treatment if you suffer from a co-occurring condition, such as mental health issues or liver damage. Another service to look for in a treatment facility is dual diagnosis. Recovery centers that specialize in dual diagnosis will assess and treat other issues and conditions that co-occur with alcoholism.
Most People Seek Treatment for Alcohol Abuse
Alcohol is the most common substance of abuse in treatment, a 2017 survey by Recovery Brands shows. Out of all survey responses, 68.85% of people got help for an alcohol abuse problem, and nearly 53% of respondents said that alcohol was the substance that they sought the most treatment for.
What Makes Residential Treatment So Effective?
Residential treatment which can be a short-term or long-term program, typically follows inpatient treatment and provides continued support and monitoring. These programs are successful because they allow patients to continue working toward sobriety while in a controlled environment that keeps them removed from the challenges and obstacles found in their everyday lives.
What Are the Three Types of Residential and Day Treatment Programs?
The three types of residential treatment programs include:
- Short-term residential treatment.
- Long-term residential treatment.
- Therapeutic communities.
Short-term residential programs involve intensive but brief treatment. They may last a few weeks or a few months. Those who participate in short-term residential programs often then move on to extended involvement in 12-step groups and outpatient therapy.14
Long-term residential programs involve less intensive but longer treatment. Treatment may include therapy and medications as well as support services that help with aspect of life including tutoring and job training. The prolonged treatment allows patients to pursue sobriety in a controlled, substance-free environment.14
Therapeutic communities (TCs) are a type of long-term residential treatment that ranges from 6-12 months or even longer. These programs often work to help patients reconnect with the outside world, using all members of the community (staff, other residents, etc.) as part of the treatment. They help patients develop behaviors, attitudes, and self-awareness that help them take control over their lives. This program is especially effective because it focuses on each patient’s social and psychological shortfalls so that treatment then can be aimed at addressing those specific areas with regard to how they shape and impact addiction. TC treatment is highly structured and focuses on helping patients take responsibility and accountability for their lives and choices.14
How Long Do Alcohol Rehab Programs Last?
For inpatient treatment, the length of stay can be 28-30 days, 60 day, or 90 days. For some patients, there might be a need to have their stay extended beyond that amount of time. Typically, most people are admitted for 28-30 days.
Thirty-day inpatient programs allow for an intake evaluation and treatment plan, detox, therapy, and aftercare. This length of time might not be adequate for those who have severe substance abuse issues or are suffering from additional mental health issues.
The length and type of alcohol abuse treatment depend on your needs and responsibilities. Some people may respond well to relatively short-term treatment, but others may not.1
You may want a program that allows you to extend your stay if necessary. This gives you flexibility in case you get to the end of a 30-day inpatient alcohol rehab, for example, and decide that you need more time to focus on your alcohol addiction.
Sixty-day inpatient programs contain the same features as the 30-day programs but allow more time in which patients can address their substance abuse. Treatment plans may involve additional steps and allow for more time to focus on co-occurring disorders (which involves a substance use disorder and another psychological disorder), if they exist. The 60-day programs provide patients with more time to focus on recovery.
Ninety-day inpatient programs are ideal for patients with severe substance abuse problems, those who have relapsed, and those with co-occurring disorders. These programs are shown to be connected to greater success in long-term recovery. Just as with the 30-day and 60-day programs, the 90-day programs include the essential features of shorter programs while providing extended time for intervention and recovery. However, they are also significantly more expensive than the shorter programs.
Outpatient programs allow patients to live at home, and so the cost of treatment is greatly reduced in comparison to inpatient rehab. Treatment in an outpatient program may last between 30 and 90 days, but there is not a set length of time that recovery should last. Just as with inpatient treatment, those who pursue treatment longer often benefit more.
The effectiveness of treatment is often greatly enhanced by aftercare, which can include outpatient psychosocial therapy or 12-Step programs upon completion of treatment.
The goal of aftercare is to keep you focused on recovery and increase the probability of abstinence. More About Aftercare
How Long Does Residential Treatment Last?
Most often occurring following inpatient treatment, residential treatment provides patients with ongoing, 24/7 care and support. Short-term residential treatment provides intensive treatment for a few weeks up to a few months. Long-term residential programs involve treatment that is not as intensive but often lasts between 6 and 12 months.14
How Much Does Alcohol Rehab Cost?
Rehab or residential treatment is often more expensive than outpatient treatment, but it may be worth it if you need or want to avoid abuse cues (e.g., the temptation to drink or visual cues such as advertising material) until treatment is complete. While prices may vary, some examples of prices include:15
- 30-Day Inpatient: Between $400 and $900 per day, or $14,000 to $27,000 total.
- 60-Day Inpatient: Between $300 and $800 per day, or $24,000 to $45,000 total.
- 90-Day Inpatient: Between $200 and $700 per day, or $33,000 to $58,000 total.
- Intensive Outpatient: Between $100 and $500 per treatment session.
The price of an intensive outpatient program varies depending on how long the program is and how often treatment is attended.
Some of these alcohol rehab centers may offer services such as payment plans to manage the cost. Don’t be afraid to ask!
Does Insurance Cover Residential Treatment?
Your insurance may cover residential treatment. The Affordable Care Act (ACA) states that mental and behavioral health services are essential health benefits and requires that all insurance plans cover substance use disorder treatment, as well as mental health inpatient services. While your insurance may not cover every type of program, it is possible that it may cover residential treatment.
To find out what your insurance plan may cover for treatment, click here.
Many insurance companies offer phone or online services for questions about treatment services. For those without insurance, facilities with public funding may be an option.
What’s the Alcohol Withdrawal Process Like?
It is strongly recommended that anyone who plans to stop drinking meet with a medical professional to discuss the risk of developing severe withdrawal and the potential need for supervised detox.
Medical supervision during the alcohol withdrawal process is crucial, in case of severe side effects such as convulsions. Detoxing from alcohol without medical supervision can be extremely dangerous and may even result in death.
Alcohol withdrawal symptoms may include:
- Agitation and/or feelings of anxiety.
- Changes in blood pressure and heart rate.
The severity of symptoms often depends on the rate and length of time you’ve been abusing alcohol.3 In severe cases, delirium (known as delirium tremens) and seizures may occur.3
Symptoms typically begin 8 hours after the last drink and decrease within 5-7 days.
The detoxification process, during which any remaining alcohol is safely allowed to leave your body, often involves medications to manage withdrawal symptoms.
Remember, detox is not treatment but is rather the first stage of alcohol recovery.
Medication-Assisted Treatment for Alcohol Abuse
Many inpatient alcohol rehabs use medication to treat alcoholism. When healthcare providers employ medication-assisted treatment for alcohol addiction, the medications may be combined with psychosocial therapy with the goal of enhancing abstinence and recovery. However, some other forms of treatment, particularly peer support-based therapies such as 12-step programs, may not encourage or permit the use of medications.
Again, any use of medication depends on the needs and preferences of the person.
Any use of medication for alcohol abuse depends on your needs and preferences.
- Naltrexone may help in the treatment of alcohol dependence by reducing cravings.6
- Acamprosate helps to restore the chemical imbalance in the brain caused by alcohol abuse. It may be taken for 3-12 months and may be accompanied by psychosocial treatments.7
- Disulfiram (Antabuse) is a traditional medication in alcohol addiction treatment that creates unpleasant reactions when a person drinks alcohol. It may also be used in the long term.
Does Alcohol Abuse Treatment Work?
Any form of treatment is better than no treatment, and there is little evidence to suggest that one type of treatment is better than another.1 However, this may be related to the low numbers and quality of comparative studies.1
A review of studies on 12-step programs indicates that their effects on abstinence are largely positive but that it is difficult to draw concrete scientific conclusions due to the structure of these programs and that of much of the research conducted on them.12
How Can I Find Alcohol Rehab Near Me?
When searching for the best alcohol rehab centers near you, it’s important to find a legitimate program with a well-trained staff that you feel comfortable with. You’ll also want to make sure the program offers medically supervised detox if you need to go through withdrawal and treatment for any other medical conditions. Make sure to verify that the program offers you the care you need and the amenities you desire when you search for “alcohol treatment centers near me.”
One of the ways to verify that the center offers good care is to read reviews of people who’ve received treatment there. You can search reviews for programs near you on Rehabs.com.
You can also search the directory on this site for outpatient or inpatient alcohol rehabs in your area. Programs are organized by city and state.
- Klimas J., Fairgrieve, C., Tobin, H, Field, C.A., O’Gorman, C.S., Glynn, L.G., Keenan, E… Cullen, W. (2018). Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users. Cochrane Systematic Review.
- Campos, L.M., Yoshimi, N.T., Simao, M.O., Torresan, R.C., Torres, A.R. (2015). Obsessive-compulsive symptoms among alcoholics in outpatient treatment: Prevalence, severity and correlates. Psychiatry Res, 220(1-2), 401-409.
- Muncie, H.L.Jr., Yasinian, Y., Oge, L. (2013). Outpatient Management of Alcohol Withdrawal Syndrome. Am Fam Physician, 88(9), 589-595.
- Hammond, C.J., Niciu, M.J., Drew, S., Arias AJ. (2015). Anticonvulsants for the treatment of alcohol withdrawal syndrome and alcohol use disorders. CNS Drugs, 29(4), 293-311.
- Wong, A., Smithburger, P.L., Kane-Gill, S.L. (2015). Review of adjunctive dexmedetomidine in the management of severe acute alcohol withdrawal syndrome. Am J Drug Alcohol Abuse, 41(5), 382-391.
- Bart, G. (2012). Maintenance Medication for Opiate Addiction: The Foundation of Recovery. J Addict Dis, 31(3), 207-225.
- Plosker, G.L. (2015). Acamprosate: A Review of Its Use in Alcohol Dependence. Drugs, 75(11), 1255-1268.
- Suh, J.J., Pettinati, H.M., Kampman, K.M., O’Brien, C.P. (2006). The Status of Disulfiram: A Half of a Century Later. J Clin Psychopharmacol, 26(3), 290-302.
- Swendsen, J., Burstein, M., Case, B., Conway, K.P., Dierker, L., He, J., Merikangas, K.R. (2011). Use and abuse of alcohol and illicit drugs in US adolescents: results of the National Comorbidity Survey-Adolescent Supplement. Arch Gen Psychiatry, 69(4), 390-398.
- Rowe, C.L., Liddle, H.A. (2006). Family-based treatment development for adolescent alcohol abuse. Int J Adolesc Med Health, 18(1), 43-51.
- Sussman, S. (2010). A Review of Alcoholics Anonymous/ Narcotics Anonymous Programs for Teens. Eval Health Prof, 33(1), 26-55.
- Donovan, D.M., Ingalsbe, M.H., Benbow, J., Daley, D.C. (2013). 12-Step Interventions and Mutual Support Programs for Substance Use Disorders: An Overview. Soc Work Public Health, 28(0), 313-332.
- Malcolm, R., Olive, M.F., Lechner, W. (2008). The safety of disulfiram for the treatment of alcohol and cocaine dependence in randomized clinical trials: guidance for clinical practice. Expert Opin Drug Saf, 7(4):459-472.
- National Institute on Drug Abuse. (2018). Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition): Types of Treatment Programs.
- American Addiction Centers. (2017).
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