There are many different options for people who are interested in residential rehab. The structure of each program, services offered, and associated costs can vary widely depending on which option is selected. This article will review some of the different types of residential rehab programs for people in recovery from addiction.
- Residential rehab involves addiction treatment that is offered in a residential setting or facility
- There are many different types of residential rehab programs that vary in their structure, cost, and services offered
- Considering your recovery stage, treatment needs, and financial and life circumstances is important when selecting the right type of rehab program for you
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Types of residential rehab programs
Residential rehab is an umbrella term used to describe addiction treatment that is offered in a residential setting. Under this umbrella, there are many different types of residential rehab programs that vary in their structure, level of support, services offered, and cost. Some rehab programs offer specialized forms of treatment that may be best suited for people with certain types of addiction, or those who are in an earlier or later stage in their recovery journey. [1][2]
All forms of residential rehab programs require an individual to remain clean and sober, but may have different methods of monitoring sobriety and responding to relapse. For example, access to drugs and alcohol is more restricted in inpatient and detox facilities, and drug testing may not be necessary. In therapeutic communities where residents go off-site to work or attend treatment, routine urine drug screens are often required to monitor and ensure sobriety. [3]
Short-term vs. Long-term residential rehab
Residential rehab can vary in length, depending on the type of program and facility. Short-term rehab is often used early in recovery to help people detox, safely withdraw, and stabilize. Short-term options include medically monitored detox programs and other inpatient detox settings that provide a lot of medical support. A person early in recovery might stay only a week or two in this kind of setting before transitioning to a different kind of rehab. [1][2]
Long-term rehab may be especially beneficial to individuals who have more severe forms of drug and alcohol addiction, as well as those with complicating risk factors like homelessness or incarceration. [3][4] Long-term residential rehab programs are those that provide support for 12 weeks or longer. [1] In these programs, there is usually less intensive medical support available, making these programs better suited for people who have already detoxed and are stable in their sobriety. Residential rehab programs can last up to a year or longer, depending on the type of program and services offered.
Long-term rehab programs are often best suited for individuals who are in long-term recovery from a drug or alcohol addiction, and benefit from support in developing life skills and learning to live independently.
Medically monitored detox
Medically monitored detox is sometimes the first step in addiction treatment, especially for those who are struggling with significant withdrawals from drugs or alcohol. In a medically monitored detox facility, 24/7 medical staff is available to help ensure individuals safely withdraw and detox from substances. This option may be especially important for individuals withdrawing from alcohol or benzodiazepines, which can be dangerous to do without medical supervision. [2][4]
In a detox facility, medications are often provided to help ease withdrawal symptoms and ensure someone remains stable during the detox process. Most people stay in detox for about a week, which is generally enough time for them to get through the physical withdrawals. After this, they are usually recommended to continue treatment in a different residential or outpatient rehab program.
Therapeutic communities
Therapeutic communities are long-term residential programs where people in recovery from substance use disorders cohabitate in a shared living environment. These programs vary in their requirements, but many charge a nominal rent or fee to live in the community, and also require participation in outside treatment or addiction recovery groups.
Therapeutic communities are often beneficial for people who have struggled with homelessness, unemployment, or incarceration and need to develop independent living skills. These programs may last for 6-12 months, or sometimes longer, and are often more affordable than other residential rehab options. [3]
Dual diagnosis rehab programs
Some rehab programs specialize in helping people who are dually diagnosed with both a substance use disorder and a mental health disorder. In these programs, the staff is often trained in treating both mental health and addiction. Because many people struggling with addiction also have a co-occurring mental health disorder that affects their substance use, dual diagnosis programs can be a good option for treating both concurrently. Dual diagnosis programs will vary in their structure, treatment approach, length of stay, and associated cost.
Luxury and executive rehab programs
Luxury and executive rehab programs are exclusive rehab facilities that cater to a high-profile clientele. Often, these are rehabs that host well-known public figures, celebrities, or wealthy individuals willing to pay a higher cost for a more customizable and luxurious experience. A short stay in a luxury rehab may cost tens of thousands of dollars.
Luxury rehab programs vary considerably in their structure, but many will offer many amenities that are not typically available in other rehab programs. In these programs, individuals may expect a more upscale experience that may include gourmet food, an on-site spa, and facilities that offer a wide range of recreational options.
Specialized residential rehab programs
There are a number of specialized residential rehab programs that are tailored to help people struggling with certain types of addiction or that provide a specialized form of treatment. For example, there are some residential rehab programs that specialize in helping people overcome behavioral addictions to sex, pornography, or gambling. There are other programs that provide specialized treatment options using therapies like CBT, DBT, or other approaches. These programs may provide support for 30-90 days or longer, depending on the program. [1][4]
Holistic and integrative rehab programs
Holistic and integrative rehab programs may specialize in using holistic or alternative therapies and treatments that focus on overall wellness. Holistic approaches to addiction recovery often involve the use of mindfulness, meditation, or spiritual practices. Some may also integrate alternative therapies like acupuncture to support the recovery process. Often, holistic rehab programs are not covered by insurance, and cost may be a barrier for some individuals. Holistic rehab programs vary in their approach, recommended length of stay, and associated costs. [4]
Faith-based addiction rehab programs
Faith-based addiction rehab programs are those that promote a religious or faith-based approach to addiction recovery. In the U.S., most faith-based programs are Christian and are marketed to individuals who want a Christian approach to treatment. Bible study and review of Christian theology may be a part of the program, as well as other faith-based activities. Faith-based programs can vary in their structure, recommended length of stay, and costs. [1]
What a typical day in residential rehab looks like
A typical day in residential rehab can look very different depending on the type and structure of the program you are in. For example, a day in a medically monitored detox facility can feel a lot like a hospital stay, whereas a therapeutic community can feel more like living in a boarding house where you go to work and return at night. Specialized residential programs often include structured daily programs, groups, and therapeutic activities that occur on a set schedule.
Here are some of the activities and programs that may be offered in residential rehab: [1][4]
- Group therapy or skills groups to learn recovery and coping skills.
- Individual therapy to address underlying issues impacting recovery.
- Family therapy to involve outside family and supports.
- Case management for treatment and discharge planning.
- Therapeutic activities that happen on-site in group settings.
- Structured schedule for meals, sleep, and breaks.
How to choose the right program
Because there are so many different types of residential rehab, it can be difficult to select the one that is best for your recovery needs and goals. Consulting with a licensed addiction professional or placement coordinator can help, but here are some questions to consider when selecting the right program for you:
- Program cost: Program costs, insurance coverage, and ability to self-pay.
- Program length: Length of stay and availability to commit to treatment.
- Services offered: Specific services and level of support and treatment provided.
- Stage of recovery: Where you are in your recovery and current treatment needs.
- Treatment approach: What type of approach is used, and whether this aligns with your needs and preferences.
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