What Is an Outpatient Program?
Outpatient rehab is a form of substance abuse treatment that does not include living at the facility. The types of outpatient programs can vary widely, from partial hospitalization to 12-step meetings.
How to Choose an Outpatient Program
Outpatient rehab programs allow you to continue to live at home during drug or alcohol rehabilitation. Outpatient rehab tends to cost less than residential or inpatient treatment, and it may be more suitable for those unable to take extended absences from work or personal obligations.’
Outpatient rehab allows you to get the help needed while also having time to attend work or school.
Before you choose a program, consider which type of outpatient treatment program will work best for you and ask some questions about the program – such as how much it costs, what kind of treatment it offers, and where it’s located.
Types of Substance Abuse Outpatient Programs
There are many outpatient rehab treatment options to choose from depending on your level of addiction and personal needs.
- Intensive outpatient: These programs are similar to inpatient residential programs with respect to service and effectiveness. The major focus is relapse prevention. Intensive outpatient programs (IOPs) usually meet at least 3 days a week for at least 2-4 hours a day. These programs are often scheduled around work or school to accommodate daily schedules.1
- Partial hospitalization: This treatment is specifically meant for people who require ongoing medical monitoring but have a stable living situation. Partial hospitalization treatment programs usually meet at the hospital for 3-5 days a week for at least 4-6 hours per day.
- Therapy and counseling: These treatments are usually combined with other treatment methods or as follow-up support after inpatient rehabilitation. Therapy and counseling can help you identify the root cause of your drug use, repair relationships, and learn healthier coping skills. Treatments include behavioral therapy, group or individual therapy, and family counseling.
Reasons to Choose an Outpatient Facility
Many factors go into determining what’s right for your specific needs. It’s important to consider all of them before choosing a program. Learn more about how to choose between an inpatient or outpatient rehab program, including the key differences between the two.
What Does Outpatient Rehab Mean?
In an outpatient rehab program, you participate in regularly scheduled treatment sessions, but remain living at home or in a pre-arranged sober living setting. The time commitment will vary, but typically you’ll attend recovery sessions at a designated clinic or other rehab program location for, at minimum, a few hours a week. The precise number of days and hours that you attend treatment depends on individual requirements, as well as how the program is structured.
Outpatient rehab allows you to get the help needed while also having time to attend work or school. These programs are also used for people who are transitioning out of more intensive treatment in an inpatient recovery program.
How Serious Is Your Addiction?
You need to understand the severity of your addiction to figure out what type of treatment is right for you.
- Do you think your addiction requires strict detox treatment (detox is the process of removing any remaining drugs or alcohol from the body)?
- Has a recommendation been given to you to undergo a supervised withdrawal period (some substances, when abruptly stopped, can result in an extremely uncomfortable and dangerous withdrawal syndrome when abruptly stopped)?
- Have you tried outpatient treatment before and then relapsed soon after?
- Do you feel you might need to remove yourself from your current environment to focus on recovery?
If so, then inpatient or intensive outpatient rehab may be more effective.
What Are the Benefits?
Outpatient rehab offers many advantages:
- Outpatient rehabilitation allows you to remain in the comfort of your own home while attending a program.
- Outpatient recovery approaches derive from evidence-based practices that have been shown to be effective by research studies.
- Outpatient programs offer support, education, and resources that are helpful in early recovery—and even after maintaining sobriety.
How Long Does Outpatient Rehab Last?
Outpatient treatment program schedules and timelines vary. Everyone progresses through drug addiction treatment at different rates, so there’s no set length of treatment. Programs can run between 1-3 months or longer. Participation is usually recommended for at least 90 days to maintain positive outcomes.2 Based on your recovery progress, the length of a course of outpatient treatment can be extended, following ongoing evaluation and further recommendation from your addiction treatment professional.
Outpatient treatment can include behavioral therapy, medications, or their combination.
When finding an outpatient program, check their schedule to see which days and times they offer treatment to see if it fits with your schedule.
Where Is the Program Located?
If you plan to continue working or taking care of personal commitments during rehab, you’ll probably want to find a program that’s close to your home or work.
What Outpatient Therapy for Drug Addiction is Offered?
Before beginning outpatient rehab, ask the facility about the therapies offered and make sure you feel comfortable with them. Outpatient treatment can include behavioral therapy, medications, or their combination.3 Behavioral therapy is an effective and common treatment method in outpatient rehab, since it empowers you to take control of your addiction.4 A few of the key behavioral therapy tactics include:
- Contingency management therapy: This technique uses positive reinforcement by providing rewards and privileges for compliant behavior such as remaining drug free, participating in counseling sessions, or taking medications as prescribed consistently.5 It is normally a voucher-based system, where the voucher value adds up over time with compliant behavior. Eventually, these vouchers can be exchanged for retail items or services.
- Cognitive behavioral therapy (CBT): This therapy aims to prevent relapse by helping you understand triggers and consequences of drug use.5 It provides you with training to recognize situations or states of mind where you’re most vulnerable to drug use. It also teaches you coping skills when presented with the opportunity to use.
- Motivational interviewing: This therapy style helps you explore and resolve your uncertainty about treatment.5 It’s intended to enhance your self-motivation for change and recovery from addiction.
- Individual or group counseling: Individual counseling focuses on reducing drug use and addressing hard to manage areas of your life like employment status, illegal activity and family relations.3,4 Group counseling is extremely effective due to the social reinforcement offered by peer discussion and support. Many group counseling services follow the 12-step model such as Alcoholics Anonymous or Narcotics Anonymous.3,4
How Much Does It Cost?
The cost of outpatient drug rehabilitation can vary depending on the type of facility, quality of care, and length of treatment. Generally, outpatient programs are less expensive than inpatient programs; however, intensive outpatient programs can often be as expensive as standard inpatient facilities.
There are many options to reduce the cost of outpatient rehab programs. Several facilities accept private insurance. Certain procedures such as drug detoxification, withdrawal monitoring and psychological counseling are covered under insurance plans.2 Additionally, many programs offer payment plans to accommodate those with strict budgets. If you do not have insurance, there are still opportunities to access low-cost or free treatment. Local health and social services departments often run drug treatment programs. Some facilities offer certain services for free, while others subsidize services based on your income. If you are on Medicaid or Medicare, detoxification and withdrawal treatment may be free. Church groups, charities and non-profits may offer free drug and alcohol addiction treatment.2 Contact SAMHSA (Substance Abuse and Mental Health Services Administration) to learn different ways to finance your treatment, as well as rehab centers that cater to those without insurance.
Can the Program Treat Dual Diagnosis?
Drug addiction is often a brain disease and can occur with other mental disorders (including eating disorders and process addictions). Approximately 6 in 10 people with a drug addiction suffer from another mental illness. 3 This is known as “dual diagnosis” or “co-occurring disorders.”
If you’re struggling with a mental health issue and a substance abuse problem, it’s important to enter programs that treat co-occurring disorders by integrating both mental health and substance abuse treatment methods.2
Everybody’s treatment needs are different based on their history of abuse, substance being abused, duration of abuse, and much more.
Look for programs that can treat dual diagnosis if you have a mental illness and a substance abuse disorder.
What Are the Credentials of the Staff?
Make sure the treatment program is accredited by the state it is in and by national organizations such as the Commission on Accreditation of Rehabilitation Facilities.6 These accrediting bodies require programs to meet rigorous standards of patient care and quality treatment.
Additionally, the facility should be run by well-trained, licensed mental health professionals and addiction specialists. This should include a core clinical medical staff (i.e., psychiatrists, internists and nurses), licensed addiction counselors, master’s-level therapists, and social workers.6
Does It Offer Individual Treatment Plans?
Everybody’s treatment needs are different based on their history of abuse, substance being abused, duration of abuse, and much more. Depending on these factors, you may require varying combinations of services and treatment such as a combination of counseling or psychotherapy, medication, medical services and family therapy. Additionally, these needs may change as treatment and recovery progresses.
Therefore, make sure that the outpatient rehab program offers individual treatment plans and a continuing care approach where the treatment intensity varies over time according to your changing needs.3
Does It Work?
Outpatient treatment can be extremely effective. Many who begin and continue treatment stop using drugs and improve their occupational, social and psychological functioning. Intensive outpatient programs can be as effective as inpatient and residential treatments with reduction in problem severity and increased days of abstinence.1,4
Getting Ready for a Helpline Call
When you call a hotline to find an outpatient center, make sure you’re ready to answer questions about the following:
- Your location
- Substances being abused, including alcohol, illegal drugs, and prescription drugs
- The age of the person in need of rehab
- How long they’ve been abusing substances
- Insurance plan information
- How much and how long they’ve been abusing drugs or alcohol
- Any medical or psychological conditions
Answer the representative’s questions and honestly as you can. The more truthful you are, the easier it will be for them to help you find an outpatient rehab near you that meets your needs.
- McCarty, D., Braude L., Lyman, D.R., Dougherty, R.H., Daniels, A.S., Ghose, S.S., Delphin-Rittmon, M.E. (2014). Substance Abuse Intensive Outpatient Programs: Assessing the Evidence. Psychiatr Serv, 65(6), 718-26.
- Budney, A.J., Roffman, R., Stephens, R.S., Walker, D. (2007). Marijuana Dependence and Its Treatment. Addict Sci Clin Pract, 4(1), 4-16.
- National Institute on Drug Abuse. (2018). Principles of Drug Addiction Treatment: A Research Based Guide (Third Edition).
- Substance Abuse and Mental Health Services Administration. (2006). TIP 47: Clinical Issues in Intensive Outpatient Treatment.
- Carroll, K.M., Onken, L.S.. (2005). Behavioral Therapies for Drug Abuse. Am J Psychiatry, 162(8), 1452-60.
- Broome, K.M., Flynn, P.M., Knight, D.K., Simpson, D.D. (2007). Program Structure, Staff Perceptions, and Client Engagement in Treatment. J Subst Abuse Treat, 33(2), 149-158.
- Kosten, T. R., O’Connor, P. G. (2003). Management of Drug and Alcohol Withdrawal. N Engl J Med, 348(18), 1786-95.
You are never too old to improve your health and quality of life!