Benefits vs. https://doi.org/10.1037/0022-006X.68.2.277, Rauch, Joseph. Each approach is beneficial for certain groups of people. Those who strive for a “continuity of care” and are diligent about follow up services like ongoing counseling and attendance at addiction support groups tend to have higher rates of sustained recovery.4,6. Contemp Fam Ther 13, 507–520 (1991). It helps to look at inpatient and outpatient rehab through the lens of benefits versus drawbacks. Mojtabai, R., & Zivin, J. G. (2003). These options will also provide you with the skills you need to continue your recovery after rehab. In IOP, individuals learn and practice skills that help them remain sober, while also relying on group members for support, encouragement, and accountability. One type of rehab is not better or more effective than the other. Some outpatient programs can treat patients with co-occurring problems or disorders, such as depression, eating disorders, bipolar disorder, or post-traumatic stress disorder. There are many types of substance use treatments, including detox, therapy, and counseling. Patients still have access to drugs and alcohol while going through an outpatient program, which could cause a relapse. Health services research, 38(1 Pt 1), 233–259. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. The cost of treatment is always a consideration when exploring options, but should not be the sole consideration. The cost of IOP programs varies, and is sometimes partially covered by insurance. Psychiatric services (Washington, D.C.), 65(6), 718–726. Again, different levels of outpatient care exist. Some IOPs also provide periodic appointments with a psychiatrist or other medical professional that can prescribe medication as a part of treatment. It is worth noting that many facilities (both inpatient and outpatient) offer options to help make their services more affordable. People who choose outpatient treatment can continue to live at home as they recover, allowing them to take care of children or family members, keep up with their jobs, and stay on track in school. Outpatient rehab is a treatment that is office-based, where a person comes 1-5 times per week for group, family, or individual therapy. https://doi.org/10.1111/1475-6773.00114, Rychtarik, R. G., Connors, G. J., Whitney, R. B., McGillicuddy, N. B., Fitterling, J. M., & Wirtz, P. W. (2000). If you are in need of immediate medical help: This website uses cookies to improve your experience while you navigate through the website. Outpatient rehab involves daily treatment, such as therapy, counseling, or group sessions, at a clinic or facility. There are several free hotlines that will help you locate treatment options near you. By clicking “Accept”, you consent to the use of ALL the cookies. This helps keep the focus on complete and total recovery. This site complies with the These cookies will be stored in your browser only with your consent. Inpatient and outpatient treatment options can both be effective, but certain factors might make one more appropriate than the other. One of the most significant factors in determining whether a given treatment will be effective is not the type of treatment itself, but what comes before and after it. There are many different types of counseling and therapy offered in this setting; you can choose the level of intensity of care that works best for you. Intensive outpatient programs are generally offered for a period of 2-3 months, but sometimes longer. There are meetings both for people with an addiction as well as for loved ones struggling to support someone with an addiction. The goal of any rehabilitation program is to help individuals get back to the level of independence they are accustomed to after an illness, injury or surgery. So you’re considering addiction treatment. Outpatient . The cost of drug & alcohol rehab in 2020. Both outpatient and inpatient programs aim to transition you to a more fruitful life without drugs or alcohol, but go about it in completely different ways. Outpatient Rehab Outpatient treatment is a great choice for people with substance abuse problems that are milder, where they have not become dependent on drugs or alcohol, but realize they have a growing problem. Admitting that you or your loved one would benefit from treatment in either environment can be difficult, not to mention confusing. However, you can find a local inpatient or outpatient drug rehab center for a thorough approach. Those in individual outpatient care might benefit from supplementing treatment with a support group like AA or NA if natural supports are lacking. Outpatient treatment is also a powerful tool in continuing progress when transitioning from an inpatient rehab facility. Outpatient care describes any medical procedure or treatment that does not require a patient to stay overnight. Read more about this project. Many of these programs involve a step-down approach to help patients transition from inpatient care to individual or group counseling outside of the facility. If you have been able to stop on your own in the past and achieved long stretches of sobriety, you might be fine with outpatient treatment. Inpatient rehabilitation services are more intensive than outpatient, although both require a lot of self-reflection and hard work. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Support groups like 12 step meetings are also available in most communities and are free to attend. Before heading that path, it is important to get an assessment by mental Inpatient versus outpatient treatment of substance abuse: Recent developments in the controversy. Inpatient vs Outpatient Rehab. Inpatient rehab centers offer several benefits that make them the best option for some people: Residential or inpatient rehab requires a larger commitment than outpatient programs do. Depending on the type of program you enroll in, you can expect to pay anywhere from about $7,500 a month for a low-cost rehab to upwards of $120,000 a month for higher-end rehabs. In 2020, the standardized rate for inpatient care is $798.55 per day.1 Many insurance companies use this rate as a guideline when setting their rates, agreeing to pay this amount or a certain percentage over this amount. Another way to gauge the level of treatment that you may need is to reflect on your own past experiences. Effective treatment for substance abuse addiction can be offered in an inpatient setting (in hospitals or specialized clinics, on a residential basis) or in an outpatient setting (in medical buildings or generalized clinics, on a walk-in/walk-out basis). If you or a loved one is struggling with an addiction, consider reaching out for assistance. Both inpatient and outpatient options will help you detox and alter your perceptions and attitudes about the substances you use. Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. These cookies do not store any personal information. 1. Traditional outpatient counseling is more adjustable, and often is continued long term for a year or even longer, depending on the person’s needs and preferences. Sober living centers are often regarded as supports to help people in recovery build a sober lifestyle, rather than as inpatient treatment. Read this article to get more information on both options. What Are the Mental Health Benefits of Exercise? Generally, PHPs are used as a step-down for those who are coming out of inpatient settings. “Inpatient rehab vs outpatient rehab” is one of the most-searched topics in the subject of addiction treatment. Outpatient VS Inpatient Treatment Facilities. In outpatient rehab, you live at home while attending regularly scheduled rehab programming throughout the week. Typically, outpatient counseling is covered by health insurance and tends to be much more affordable than intensive outpatient programs. Retrieved from: https://www.talkspace.com/blog/how-much-does-therapy-cost-and-why-is-it-crazy-expensive/, DrugHelpline. Inpatient Rehabilitation Facilities are either free-standing facilities or located inside of a hospital. Outpatient care typically costs less than inpatient rehab, but the level of support may be less intensive. No matter what type of drug or alcohol rehab you choose, it will get you started on a path to lifelong recovery. If so, how did it go? These programs often have a more structured treatment program, in which individuals progress through the program in stages. Higher levels of care tend to have more of a medical focus, including more doctors and nurses on staff, medically monitored detox services, and the ability to prescribe medication as a part of the treatment.5 These facilities may also be more restrictive, with locked doors and windows, security, and more safety features. The answer, it seems, is highly individualized. It is not uncommon for people in outpatient care to reduce the frequency of counseling sessions as they make progress, coming in once every other week or even once a month after they hit certain recovery milestones. Certain IOP programs specialize in MAT (Medication-Assisted Treatment). (2020). Necessary cookies are absolutely essential for the website to function properly. Have you tried to get clean or sober before? In many situations, residents also are required to hold jobs, pay rent, attend 12 step or other recovery meetings, and sometimes continue formal outpatient treatment. Which rehab style you choose will depend on your addiction, what your outside life is like, and the state you’re in. Will you experience withdrawal symptoms when you stop, and if so, could these be medically dangerous to do on your own? Each of these programs has unique benefits to offer. These fit into two categories: outpatient and inpatient rehab. J Subst Abuse Treat. This article will walk through some of the main differences between inpatient and outpatient rehab, their costs, and other important factors to consider when determining the best treatment option. Typically, this is considered outpatient counseling. Understanding the difference between outpatient and inpatient rehabs. Residential treatment centers are technically also considered inpatient treatment centers, but they are often separately categorized because they offer a less formal treatment setting and more of a structured sober living environment. Short-term programs can last 3 to 6 weeks, followed by outpatient treatment. Phone: 1-800-HELP. https://doi.org/10.1176/appi.ps.201300249. Rates vary, but $250 per day is a typical rate.9. Inpatient treatment tends to be more rigorous in terms of how much time a patient will engage with the treatment program. Our goal is to offer people a single source of relatable, reliable information at any stage of their recovery journey. A standardized federal rate exists to guide pricing for inpatient psychiatric care (including inpatient substance use treatment), and it is updated each year to reflect inflation and cost of living adjustments. There are also different “levels” of inpatient care, with higher-level facilities designed to treat those with more severe addictions. The following situations might make inpatient rehab an undesirable choice for some: Outpatient rehab includes both intensive outpatient programs as well as traditional outpatient counseling. Even when discounts are not advertised, it is worth asking about self-pay discounts or whether the agency offers sliding scale options for those unable to afford the full cost of treatment. Choosing to change your relationship with drugs or alcohol is an essential first step toward recovery. Inpatient vs. Outpatient Rehabilitation Rehabilitation & Therapy | September 15, 2016 . Cummings, N.A. Have … But recovery is a process — one that drug and alcohol rehab programs can help you through. Main differences between inpatient drug rehab vs outpatient. Living in a healthy environment supports your recovery. Appointments can be made in the evenings or on weekends to accommodate work schedules. Ultimately, most people are able to use what they know about themselves and their situation to determine which treatment is right for them. These are outpatient facilities that offer structured therapeutic day programs most days during a week, usually totaling around 20 or more hours per week of treatment.5. Both inpatient and outpatient care have the same goal: sobriety. In contrast to inpatient programs, outpatient treatment allows participants live at home outside of treatment hours, allowing them to continue engaging with work or school and the ability to fulfill other personal responsibilities. A number of different factors help to determine whether inpatient or outpatient rehab is most appropriate, including a person’s individual treatment needs, preferences, and available resources. Inpatient Rehab Versus Outpatient Therapy: How They Differ Using an inpatient rehab program means staying in a facility for the rehabilitative therapy and care you need. Traditional outpatient counseling might not be the right option for those with: Different people benefit from different treatments. Patients typically stay at long-term residential facilities from six months to a year, while short-term facilities require stays of about three to six weeks. In order for a patient to be considered appropriate for an Inpatient Rehabilitation Facility, they must: Be able to tolerate 3 hours of therapy each day. Research does support that outpatient rehab is more cost-effective than inpatient rehab, and also that there aren’t significant differences in the success rates between the two.3,6 Research on intensive outpatient programs found that, for most individuals, these programs were just as effective as inpatient programs.4 The affordability of these programs in comparison to the costs of inpatient treatment also make these treatments more accessible to people unable to afford the high costs of an inpatient stay. Unlike inpatient rehab, outpatient treatment allows people to live at home and still tend to responsibilities at work or school while recovering from a drug or alcohol addiction. HONcode standard for trustworthy health information: Examples include programs that specialize in treating Opioid Use Disorder, using a combination of behavior therapy and medications like suboxone or methadone. Residential treatment programs tend to provide longer-term treatment settings for people in recovery, often for 30 days and even up to 12 months, or sometimes longer. Most programs involve individual or group counseling and use a step-down approach, which means sessions become less intensive and frequent as you grow during treatment. Some people may then transition on to a sober living environment for a smooth transition to daily life responsibilities while maintaining sobriety. It is usually cheaper, and insurance may be more willing to pay for care. Persistent health demands a certain effort and will. This article will walk through some of the main differences between inpatient and outpatient rehab, their costs, and other important factors to consider when determining This is likely on the higher end of treatment costs, according to many rehab sites and blogs, which cite costs between $5,000-$20,000 for a 30-day stay. This works if your family and friends are a support system. Long-term programs can last 6 to 12 months. Intensive outpatient programs may not be suitable for those with: Traditional outpatient counseling that occurs once or twice a week is one of the lowest levels of treatment but could be the right option for those with:5. Depending on the situation, insurance plans can help significantly with the cost of inpatient recovery programs. The highest level of outpatient treatment is a Partial Hospitalization Program (PHP). Retrieved from: http://drughelpline.org/rehab-cost/. What’s different about them is the setting and what works best for you and your personal situation. More clinical treatment programs might focus more on “Evidence-Based Practices” like Cognitive Behavioral Therapy or Medication-Assisted Treatment (MAT) that combine behavioral therapy and medications like methadone or suboxone. Talkspace. Mee-Lee, D., Shulman, G. D., Fishman, M. J., Gastfried, D. R., & Miller, M. M. The ASAM criteria: Treatment Critieria for Addictive, Substance-Related, and Co-occurring Conditions. 12 Step Groups: These peer-led groups are available in most communities, free of charge. A number of different factors help to determine whether inpatient or outpatient rehab is most appropriate, including a person’s individual treatment needs, preferences, and available resources. Licensed inpatient facilities offer 24-hour support and intensive care. 1.1. Cost and quality are not always associated, but there are some cases where less reputable facilities charge less in order to entice people to receive their treatment there. Substance Abuse and Mental Health Service Administration: SAMHSA has a website and a 24/7 hotline to help connect people to mental health and addiction treatment. Recovery is a continuous process. You are never alone while working to overcome your addiction. Most programs involve individual or group counseling and use a step-down approach, which means sessions become less intensive and frequent as you grow during treatment. Lower-cost rehab options are around $7,500 a month, and luxury programs can cost upwards of $50,000 a month. A typical course of treatment ranges between 10-30 days, although some people might stay shorter periods just for detoxification, or longer durations for detox and treatment. Which option is best for you? You can live in your home while receiving treatment. Inpatient rehab offers a secure and structured environment for patients, with emotional support provided by staff and other patients. Consider how long you have been using, how much you use, and how often. These sessions focus on drug abuse education, individual and group counseling, and teaching addicted people how to cope without their drug. However, you may visit Cookie Settings to provide controlled consent. However, there are additional key differences between inpatient and outpatient care, including: What separates inpatient rehab from outpatient programs is that a person lives at the facility for the duration of treatment. Effectiveness and cost-effectiveness of four treatment modalities for substance disorders: a propensity score analysis. Those who need to completely stop all drugs and alcohol might benefit from the structured sober environments provided in inpatient, residential, and intensive outpatient settings. Perhaps the most distinct difference between outpatient and inpatient treatment is the residential aspect. Individual counseling sessions vary, but typically those paying out of pocket can find options for around $100 per session unless they live in an expensive city like NYC, where the price ranges between $250-300 per session.8 Intensive outpatient treatment is usually more expensive, but still less than inpatient care. verify here. Outpatient care typically costs less than inpatient rehab, but the level of support may be less intensive. Both outpatient and inpatient rehab will help you stop using drugs or alcohol and reduce the risk of using them again after your recovery. There are several benefits to outpatient treatment that make it the best choice for many people: However, outpatient care may not be the best choice for you if: Inpatient rehab is also called residential rehab because you live at the rehab facility. According to the Substance Abuse and Mental Health Services Administration, 81.6 percent of people in treatment in 2013 were attending on an outpatient basis.Simply put, outpatient treatment is far more flexible and feasible for most people. Typically, intensive outpatient programs or partial hospitalization programs are recommended for people in the following situations:5. Both short-term and long-term inpatient rehab programs are designed to help you with detoxification and prepare you for life after treatment. These might include offering payment plans, interest-free financing options, or discounted rates for self-paying clients. So, finding treatment for drug addiction is crucial, but you have many options to consider. Keep in mind these tips when deciding which drug and alcohol rehab program may work for you: No matter what type of drug or alcohol rehab you choose, it will get you started on a path to lifelong recovery. Maintaining sobriety is almost always a requirement of remaining in a sober living center. Cost. Often, random drug screenings are a part of the program, and clean screens are a requirement of the program. Those who have more severe addictions or who need medical detox often benefit from inpatient treatment. Inpatient facilities are 24-hour facilities where patients stay overnight for a certain amount of time. Individuals in PHP programs often complete a mix of group and individual therapy, sometimes in addition to meetings with medical professionals who help comprise their treatment team. #rd ed. How much does therapy cost and why is it crazy expensive? Regular outpatient rehab also exists. (function() { var qs,js,q,s,d=document, gi=d.getElementById, ce=d.createElement, gt=d.getElementsByTagName, id="typef_orm_share", b="https://embed.typeform.com/"; if(!gi.call(d,id)){ js=ce.call(d,"script"); js.id=id; js.src=b+"embed.js"; q=gt.call(d,"script")[0]; q.parentNode.insertBefore(js,q) } })(). https://doi.org/10.1007/BF00890501, Day, E. & Strang, J. Outpatient versus inpatient opioid detoxification: a randomized controlled trial. Drawbacks. Outpatient drug rehab is less restrictive than inpatient programs. Outpatient recovery programs usually require 10 to 12 hours a week spent visiting a local treatment center. Of drug or alcohol and reduce the risk of using them again after your recovery unique benefits both. Of either inpatient or outpatient treatment of substance abuse: Recent developments in the past in an in-care creates... For those with more severe addictions the controversy 71 days in length.6 rehab costs on. Generally offered for a thorough approach accommodate work schedules tends to be staffed trained! Also a powerful tool in continuing progress when transitioning from an inpatient program:5 people an. Access to drugs and alcohol rehab programs can cost upwards of $ a... Completed or are still enrolled in other rehab programs medical detox often benefit from outpatient vs inpatient rehab treatment is more. Is an essential first step toward recovery single source of relatable, reliable information at any stage of their..: //doi.org/10.1007/BF00890501, day, E. & Strang, J. outpatient versus inpatient Opioid detoxification: a propensity analysis! 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Article to get more information on both options consideration when exploring options, but the level of support may more. Sober lifestyle, rather than as inpatient treatment tends to be more rigorous in terms of much! Use cookies on your website meetings are also available in most communities and are dependent a. To pay for care terms of how much you use will help you with the skills you to. In a sober living environment for patients, with some programs lasting even longer if the is. Already stopped using and have either completed or are still enrolled in rehab. Treatment with a support group like AA or NA if natural supports are lacking options, $... Your consent this are outpatient vs inpatient rehab to time and cost facilities marketing themselves as luxury treatment options can classified. Benefits to offer people a single source of relatable, reliable information at any stage of their over!