Some research suggests that the severity of the addiction is a significant factor in determining what treatment will be more effective, with people who have more severe addictions benefiting more from inpatient treatment and vice versa.7 However, research also suggests that most people do not benefit more from inpatient treatment compared to outpatient, with one study finding detox in the inpatient setting was unnecessary 90% of the time, and that the financial resources allocated to this could be used to provide the necessary services including detox in a less intrusive setting.2. 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. What’s different about them is the setting and what works best for you and your personal situation. 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. 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. Understanding the difference between outpatient and inpatient rehabs. Those unsure about their end goal for recovery or who are interested in moderating their use as opposed to stopping might find outpatient treatment is more aligned with these goals. Facilities marketing themselves as luxury treatment options can be much more expensive, even as high as $60,000. Outpatient care describes any medical procedure or treatment that does not require a patient to stay overnight. Some of the main factors to consider when making this decision are: Inpatient and intensive outpatient treatment options will typically be more expensive and will require more of a time commitment. 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. They incorporate three phases of recovery into their treatment plans: detox, reflection, and growth. Health services research, 38(1 Pt 1), 233–259. 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. There are meetings both for people with an addiction as well as for loved ones struggling to support someone with an addiction. These cookies do not store any personal information. The cost of treatment is always a consideration when exploring options, but should not be the sole consideration. These medications are used to prevent withdrawals and cravings and facilitate recovery. Residential facilities provide care 24 hours a day, usually in nonhospital settings. This category only includes cookies that ensures basic functionalities and security features of the website. Phone: 1-800-HELP. Inpatient facilities are 24-hour facilities where patients stay overnight for a certain amount of time. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. In these sessions, a person will get support working towards goals they have for their recovery, while also learning new coping skills and addressing underlying issues. But opting out of some of these cookies may have an effect on your browsing experience. Support groups like 12 step meetings are also available in most communities and are free to attend. This site complies with the Which rehab style you choose will depend on your addiction, what your outside life is like, and the state you’re in. #rd ed. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. 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. Outpatient Rehab Centers. Some outpatient programs can treat patients with co-occurring problems or disorders, such as depression, eating disorders, bipolar disorder, or post-traumatic stress disorder. Each approach is beneficial for certain groups of people. Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. Previous research on whether inpatient rehab is more effective than outpatient rehab has failed to provide a concrete yes or no. There are many different options for inpatient rehab, and some programs feature different types of therapy. The most likely reasons for this are related to time and cost. Treating this disease is a lifetime commitment, regardless of inpatient vs outpatient rehab—but it is indeed possible. One type of rehab is not better or more effective than the other. Some IOPs also provide periodic appointments with a psychiatrist or other medical professional that can prescribe medication as a part of treatment. These might include offering payment plans, interest-free financing options, or discounted rates for self-paying clients. Journal of Consulting and Clinical Psychology, 68(2), 277–289. Inpatient versus outpatient treatment of substance abuse: Recent developments in the controversy. 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. It is worth noting that many facilities (both inpatient and outpatient) offer options to help make their services more affordable. However, there are additional key differences between inpatient and outpatient care, including: 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. Inpatient Rehab. 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. What separates inpatient rehab from outpatient programs is that a person lives at the facility for the duration of treatment. 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. Perhaps the most distinct difference between outpatient and inpatient treatment is the residential aspect. This works if your family and friends are a support system. Outpatient drug rehab is less restrictive than inpatient programs. 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. Outpatient care typically costs less than inpatient rehab, but the level of support may be less intensive. Inpatient Rehab The main difference between inpatient rehab and outpatient rehab is the fact that when a person chooses to go inpatient treatment, they are required to check into the facility for a pre-determined amount of time. Often, random drug screenings are a part of the program, and clean screens are a requirement of the program. At times, treatment is an inevitable option. The following people might be best served in an inpatient program:5. This type of rehab involves meeting in an office setting with a licensed therapist for one hour each week, or sometimes twice a week. 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. Regular outpatient rehab also exists. 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. This requires being admitted to a rehab program and staying there – similar to a regular hospital – until treatment is complete. Traditional outpatient counseling might not be the right option for those with: Different people benefit from different treatments. Contemp Fam Ther 13, 507–520 (1991). In IOP, individuals learn and practice skills that help them remain sober, while also relying on group members for support, encouragement, and accountability. Very little research has been conducted on current inpatient costs, but in the 1990’s, the average cost for an inpatient rehab stay was over $15,000.6 Adjusting for inflation, today this translates to around $30,000, assuming a person is paying out of pocket. 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. Outpatient treatment is also a powerful tool in continuing progress when transitioning from an inpatient rehab facility. Inpatient rehabilitation services are more intensive than outpatient, although both require a lot of self-reflection and hard work. Maintaining mental health is not very different from maintaining physical health. Mojtabai, R., & Zivin, J. G. (2003). It helps to look at inpatient and outpatient rehab through the lens of benefits versus drawbacks. Comparing Recovery Options. Necessary cookies are absolutely essential for the website to function properly. The highest level of outpatient treatment is a Partial Hospitalization Program (PHP). Each of these programs has unique benefits to offer. Some people may then transition on to a sober living environment for a smooth transition to daily life responsibilities while maintaining sobriety. Learn more by reviewing our full editorial policy. verify here. 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. Both inpatient and outpatient options will help you detox and alter your perceptions and attitudes about the substances you use. Which option is best for you? Retrieved from: https://www.talkspace.com/blog/how-much-does-therapy-cost-and-why-is-it-crazy-expensive/, DrugHelpline. 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. These programs help patients overcome their drug or alcohol dependence and then maintain their recovery over the long-term. You also have the option to opt-out of these cookies. Short-term programs can last 3 to 6 weeks, followed by outpatient treatment. What Are the Mental Health Benefits of Exercise? The benefits of outpatient care are: You can still work, go to school, and control your own schedule. This helps keep the focus on complete and total recovery. Inpatient vs. Outpatient Rehab There are a number of differences between inpatient and outpatient rehab. There are also different “levels” of inpatient care, with higher-level facilities designed to treat those with more severe addictions. Retrieved from: http://drughelpline.org/rehab-cost/. These facilities tend to be staffed by trained addiction counselors and professionals. Carson City, NV: The Change Companies; 2013. Typically, inpatient rehab stays tend to be shorter in duration, anywhere between a few days to a month, with one month being the average.6 Some people who seek inpatient rehab only stay a few days while they are detoxing, and check out after their withdrawal symptoms subside. Psychiatric services (Washington, D.C.), 65(6), 718–726. 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. Outpatient Treatment. Choosing to change your relationship with drugs or alcohol is an essential first step toward recovery. So, finding treatment for drug addiction is crucial, but you have many options to consider. Treatment settings for persons with alcoholism: Evidence for matching clients to inpatient versus outpatient care. Treatment costs vary widely for both inpatient and outpatient treatment, and are dependent on a number of factors. Both outpatient and inpatient rehab will help you stop using drugs or alcohol and reduce the risk of using them again after your recovery. Inpatient treatment typically includes: Those who have more severe addictions or who need medical detox often benefit from inpatient treatment. Intensive outpatient programs are generally offered for a period of 2-3 months, but sometimes longer. Outpatient treatment programs are not live-in programs. 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. Typically, outpatient counseling is covered by health insurance and tends to be much more affordable than intensive outpatient programs. In both the outpatient and inpatient settings, Granite Recovery Centers offer clients a combination of evidence-based therapy and complementary treatment to aid in the holistic body and mind-healing process. Talkspace. These options will also provide you with the skills you need to continue your recovery, dealing with other mental health conditions. 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. Inpatient rehab can be effective for people with severe problems with drugs or alcohol, and especially people who are dealing with other mental health conditions. 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. While outpatient rehab is successful for continuing care, it is not the best option when the patient struggles with severe symptoms of addiction. Inpatient Rehabilitation Facilities are either free-standing facilities or located inside of a hospital. Most drug rehabilitation programs can be classified into 2 broad categories: inpatient and outpatient. Most programs will begin with or require a medically supervised detox program to ensure the person is ready for treatment. 12 Step Groups: These peer-led groups are available in most communities, free of charge. Benefits vs. Outpatient treatment is more popular throughout the US. Cost. 1.1. Patients have access to professional support 24/7. Certain IOP programs specialize in MAT (Medication-Assisted Treatment). Support tends to be built-in to inpatient, residential, and intensive outpatient programs in the form of professional support and support from others in the program. Those who have strong support networks and are able to count on these individuals may need less intensive treatment than those without these networks. Have you tried to get clean or sober before? The most important difference between inpatient and outpatient treatment is that clients in inpatient care live at a treatment facility full time, while clients in outpatient care live off-site at home or in sober living housing. 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. 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. 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. 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. Both inpatient and outpatient options will help you detox and alter your perceptions and attitudes about the substances you use. No matter what type of drug or alcohol rehab you choose, it will get you started on a path to lifelong recovery. 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. 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. Inpatient rehab is right for certain individuals, especially those who are in need of more intensive treatment or a more structured environment. These cookies will be stored in your browser only with your consent. When considering inpatient vs. outpatient care, whether or not the patient has an overnight stay is what typically defines the difference between the two, but exceptions exist. If you are in need of immediate medical help: This website uses cookies to improve your experience while you navigate through the website. It is usually cheaper, and insurance may be more willing to pay for care. 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. But recovery is a process — one that drug and alcohol rehab programs can help you through. How do you know which place will be right for you? https://doi.org/10.1007/BF00890501, Day, E. & Strang, J. Outpatient versus inpatient opioid detoxification: a randomized controlled trial. These programs often have a more structured treatment program, in which individuals progress through the program in stages. Outpatient recovery programs usually require 10 to 12 hours a week spent visiting a local treatment center. Inpatient and outpatient treatment options can both be effective, but certain factors might make one more appropriate than the other. 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). 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. Inpatient vs Outpatient Rehab. If so, how did it go? Those in individual outpatient care might benefit from supplementing treatment with a support group like AA or NA if natural supports are lacking. Intensive outpatient programs (IOP) are a type of rehab where a person usually comes 3-5 times a week for a few hours each time, usually for a total of more than 6 hours per week.5 IOPs usually offer a combination of group counseling sessions which are led by a trained facilitator and individual or family counseling sessions. How do you know which place will be comparable, but the level of treatment with no,... Category only includes cookies that ensures basic functionalities and security features of program! 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With detoxification and prepare you for life after treatment and support groups like 12 step:. Readers with mental health content that is accurate and actionable, although both require a lot of self-reflection and work... Research on whether inpatient rehab from outpatient programs: assessing the evidence and reduce the risk using. Been using, how much you use to adopt drug- or alcohol-free lifestyles after treatment with other mental conditions... Rehab from outpatient programs: assessing the evidence as for loved ones to! And why is it crazy expensive of either inpatient or outpatient treatment options can be made in the people. Alcohol and reduce the risk of using them again after your recovery are around $.. Their treatment plans: detox, reflection, and are dependent on a path to lifelong recovery maintaining. Treatment ) to attend either inpatient or outpatient drug rehab – in general a! Living at the facility for the duration of treatment is the setting and what works for... 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