When you’re ready to seek help for a substance abuse problem, you’ll want to weight the differences between inpatient vs outpatient treatment. Just making the choice can be stressful. Each type of program has pros and cons. Considering all aspects of recovery treatment as well as your own personal needs is necessary to be successful in your recovery.
What Is Inpatient Addiction Rehab?
A popular option for those looking for recovery from addiction is an inpatient rehab program. The distinguishing characteristic of inpatient addiction rehab is that the person resides at the facility for the duration of treatment. Most of these residential-type of treatment programs last about 30 to 90 days, depending on the specific needs and preferences of the individual.
The first step in the recovery process, participants will go through a period of inpatient detoxification (detox) prior to starting the long-term addiction treatment process. In most cases, the initial detox program will occur in a different facility from the participant’s continuing-treatment location, such as at an IOP facility or a sober living home.
Inpatient vs Outpatient Treatment
Many inpatient and residential programs incorporate a structured detox program into their treatment protocol. In either type of detox setting, medications will be frequently be used to assist with the withdrawal process, especially in cases of severe dependency or addiction to more than one substance. However, medication isn’t used in all instances of detox. You’ll want to discuss this with program staff if you have questions about their detox process.
After detox is complete, treatment must continue. The focus moves from removing substances to from the body (and stabilizing the person throughout the withdrawal process) to developing the skills to stay sober long term. This is done through counseling, therapy, and education about addiction and recovery. This includes outpatient programs.
Making the right choice depends on many things, including personal preferences, severity and duration of the addiction and last but not least, the participant’s financial position.
In contrast to inpatient rehab, some forms of outpatient programs allow participants to live at home outside of treatment hours, allowing them to continue engaging with work or school and the ability to fulfill other personal responsibilities. Recovering individuals will attend group and individual therapy sessions each week, and if needed they can meet regularly with a psychiatrist for medication to manage withdrawal, cravings, and any existing mental health issues. The treatment provided in an outpatient facility is similar to that provided in an inpatient treatment center but is somewhat less intensive.
Outpatient programs might utilize one or more of the following types of therapy:
- Cognitive behavioral therapy — helps participants become aware of unhealthy thoughts and behaviors and provides strategies to change them to healthier ones.
- Contingency management — provides specific incentives or rewards to help people develop regular behaviors such as attending therapy or maintaining sobriety.
- Motivational interviewing — works to identify and modify any feelings that might be barriers to treatment.
- Matrix Model — allows therapists to act as both teachers and coaches, with the focus of treatment being on empowering the addicted individual through positive self-image and confidence. Matrix therapy is a treatment intervention developed specifically for stimulant use disorders.
- Multidimensional family therapy — works to help families function better, especially in cases involving adolescents with drug or alcohol problems.
Pros and Cons of Inpatient Rehab
No single type of treatment fits everyone’s unique needs. Looking at the inpatient vs outpatient treatment options in better detail will help participants decide which course of action is best. First, it’s helpful to understand the differences. Let’s start with inpatient rehab.
- A stable, sober environment.
- Medical and psychiatric monitoring is provided during withdrawal and recovery>This can be especially important for people who have long-standing or severe substance use disorders or co-occurring mental or physical health disorders. Co-occurring disorders are best treated in a rehab facility that focuses on dual diagnosis.
- Reduced risk of relapse due to the substance-free environment and close supervision.
- Intensive group and individual therapy sessions.
- Intense support from staff to help facilitate sobriety.
- Reduced exposure to stressors and relapse triggers.
- Specialized treatment services, such as yoga, exercise, meditation, and animal-assisted therapy (depending on the facility).
- A range of options including upscale facilities, some of which offer luxury amenities or accommodations for the needs of business executives if necessary.
- A higher likelihood of success in recovery when treatment is longer and more intense.
Some potential drawbacks to consider before selecting an inpatient rehab include:
- Limited access to the outside world and potentially limited visiting time from supports like family and other loved ones.
- The need to take time off from work, school, and home responsibilities.
- Increased cost of treatment because of the medical staff and increased amount of care and supervision required.
Pros and Cons of Outpatient Programs
Outpatient rehab programs have their own unique set of benefits and drawbacks.The term “outpatient” sounds appealing, but what does that really mean?
Some of the pros of outpatient addiction rehab can include:
- Reduced cost due to not having to pay for room and board.
- The ability to attend work or school while receiving care.
- Increased access to support from friends and family members
- The ability to practice relapse prevention techniques in the real world during the treatment process.
Cons of attending outpatient programs may include:
- Lack of 24-hour care.
- Easier access to substances.
- Potentially heightened relapse risk if the home environment is unstable or stressful.
Depending on the substance being abused, an outpatient detox protocol may not be able to adequately account for and/or manage the dangerous or life-threatening withdrawal symptoms or other complications.
Inpatient vs Outpatient Treatment: Which is the Best Rehab Option for You?
Getting help for addiction is one of the most important choices you can make. The challenge of choosing a program can seem overwhelming, but it must be done only after careful consideration.
Several factors need to be considered when looking at inpatient vs outpatient treatment options. Understanding the differences and how they might affect your treatment are important considerations. Some honest introspection and self-assessment is necessary. Simply put, you should ask yourself some basic questions before committing to a rehab program:
- Are you exposed to drugs or alcohol in your environment?
- Is your living environment stable and supportive of sobriety?
- Do you have family members who drink or use drugs around you?
- Do you have a strong support network that will help motivate you to stay sober?
- Can you leave your job, school, or home duties for a specified period of time?
- Do you have any other medical or mental health issues that require specialized treatment for co-occurring disorders (dual diagnosis)?
- Can you commute from your home to the facility several times a week?
- Do you need specialized services, such as handicap-assisted or gender-specific rehab?
It’s no secret that celebrities have greater resources at their disposal. They often opt for “celebrity-focused” rehab facilities. These facilities offer resort-like settings, usually near a beach or at a secluded mountain retreat. Interestingly, there’s zero data to support the notion that these type of facilities have any greater success than other facilities.
For most of the population, these expensive facilities aren’t an option — and that’s not a bad thing.
The reality is that any facility one chooses should be free of distractions. Participants aren’t there for a vacation, they’re there to focus solely on recovery.
Rehab, detox and sober living facilities range in services and amenities. As a result, the costs differ widely. Some types of facilities can leverage your family’s healthcare plan to help pay for services. In other cases, MediCare and MedicAid both offer limited coverage for inpatient or outpatient treatment, so you should investigate that, too. There are even companies that provide low interest loans specifically for recovery.
Ultimately, as you ponder the question of inpatient vs outpatient treatment, it’s best to consider all the options and all of the requirements. Recovery comes first. Choose the option that you think will have the best chance for success given your particular issues and circumstances.