Levels of Care

12-Step Programs (Community-based and free)

  • Includes programs such as Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, or Ala-Teen
  • Typically very useful for patients trying to achieve recovery, and for family members affected by substance abuse
  • Allows opportunity for contact with individuals with many years of recovery
  • Offers support and strategies for a successful recovery

Outpatient Care

  • Includes individual counseling with a therapist who has training/experience with substance abuse
  • May also include a Psychiatrist or Addictionologist to determine if medication would be helpful to achieve and maintain sobriety
  • Does not include the medical treatment of complicated withdrawal symptoms

Intensive Outpatient Program (IOP)

  • Structured treatment that teaches about the concepts of addiction and recovery
  • Usually encourages participation with 12-step programs
  • Typically consists of 3-5 days per week and an average of 3-4 hours of treatment per day for a set number of sessions or period of time
  • Many programs are structured so individuals may continue to live and work in their community

Substance Abuse Partial Hospitalization

  • Structured treatment sometimes recommended for those who have been unsuccessful in maintaining sobriety despite active treatment at a lower level of care
  • Typically consists of 5-7 days per week for 6-8 hours each day
  • May offer an arrangement for sober housing while attending the program

Ambulatory Detox

  • Provided on an outpatient basis for those that are highly motivated for recovery but need medical treatment for complicated withdrawal symptoms
  • Appropriate when the individual can be seen by medical professionals often enough to be safely monitored and detoxified

Inpatient Detox

  • Recommended for individuals that require 24-hour intensive medical care to ensure their safety
  • Sometimes recommended when the individual is dependent on alcohol, sedatives, and some opiate-based drugs such as narcotic painkillers or heroin
  • Typically intended for people whose situations are medically-complicated (Because withdrawal symptoms are common when stopping the regular use of most substances, this type of treatment may not be recommended for most people)

Inpatient Acute Care

  • May be recommended following inpatient detox after withdrawal symptoms have decreased, but medical or psychiatric symptoms that require 24-hour care and daily doctor visits are needed for continued stabilization
  • Treatment is typically short-term

Inpatient Residential

  • Usually considered after multiple attempts at other levels of care have failed
  • Intended for people who do not need medical supervision
  • May last 28 days or more
  • Not appropriate for people who are unmotivated for change and recovery
  • This type of treatment has not been found to be any more effective in predicting long-term sobriety than any other level of care
  • Should include weekly family therapy