Inpatient Rehab Treatment for Addictions
There are two main types of rehabs: inpatient and outpatient. The primary difference is where the treatment takes place. Patients who attend an inpatient treatment center will stay on site, while patients who attend an outpatient program will stay offsite and commute to the treatment sessions.
In this article we’ll go over how inpatient rehabs work and what you can expect. Please note that all individuals and situations are different, so there is no “best type of treatment”, or one-size-fits all plan for sobriety. What works for someone might not work for someone else – everything needs to be tailored to the individual by a trained medical professional (if possible).
What is an Inpatient Rehab Like?
Inpatient rehab facilities are also known as residential treatment facilities.
The core purpose is to provide primary treatment for addicts in a managed, all inclusive environment.
Patients stay on-site and staff resources and accommodations are made available 24 hours per day.
Some rehabs provide similar settings to a hospital (they may actually be hospitals in some cases), while others are more like a spa experience (these are colloquially known as luxury rehabs).
Some facilities might specialize in treatment specific conditions, such as alcoholism or co-occurring disorders (PTSD + addiction), while others may cater to members of a particular faith or group (LGBTQ, executives, women, etc) .
As we’ve mentioned in the stages of treatment article, generally patients enter primary treatment following a successful detox program. Some inpatient rehabs provide detox on-site as the initial part of a stay, while others will only accept patients from referrals upon a successful detox.
Due to the vast differences between treatment modalities and accommodations, it’s difficult to describe an average stay at a facility. Mostly though, there are classes that take part during the day – a balance of individual and group sessions, followed by ‘round the clock’ care and access to resources. Many rehabs have doctors and other licensed medical professionals to help oversee the treatment programs. When evaluating a rehab center be mindful of the office hours these professionals keep. It’s not uncommon for doctors to only be on site a few hours a month so the rehab can claim to have a doctor on staff for the brochure. Being on site every so often isn’t enough – access to the medical professionals is key.
Alternative treatments and amenities, such as yoga or mindfulness training can also be offered. It’s worth a tour, or at least a thorough review of the facility to understand their unique offerings. Living arrangements should be detailed and accurately reflected. Refer to online reviews and testimonials from past members (ask them to provide references) if you’re unable to attend a pre-viewing tour.
One of the hallmarks of an inpatient treatment program are the group living conditions and camaraderie that develops between patients. It’s not uncommon for patients to make long-term friends and develop a wide-ranging support network that aids in recovery and relapse prevention directly from the rehab stay. Many treatment centers will facilitate this and help establish support networks post-treatment.
How long are inpatient rehab stays?
Treatment program lengths run the gamut – as with anything in addiction treatment, all good programs are individualized to the patient and his or her specific needs. That said, the most common length is probably around 28 days. Some programs have longer minimum requirements; 90 days, 120 days, even a year is not uncommon depending on severity and treatment modalities.
How much does inpatient rehab cost?
We’ve seen numbers ranging from $2,000 to $40,000 per stay. That’s a large range – but generally shorter stays are cheaper than longer stays. Average daily cost seems between $400-800 per day for most residential facilities, based on anecdotal information given to us by former patients.
Not all of this is out of pocket: insurance does play a part, as do payment plans and financial assistance.
Does insurance cover inpatient rehab?
It depends. Most insurance plans do have some type of coverage, but this varies widely from company to company. Those with public insurance can typically expect some level of government subsidized treatment, and there are options out there specifically for Medicaid and Medicare.
Other financial assistance can come in the form of corporate benefits (check with your HR department) or group related benefits (colleges, associations, veteran status, etc).