Madeline Hodgman-Korth

Once you’ve decided to seek treatment for substance misuse, you’ll need to choose a rehab facility at which to receive treatment Due to the highly specialized nature of addiction treatment, there are several factors that may affect where you choose to go to rehab. Some may want a more intensive treatment track with various types of specialty programs, while others may be more concerned with the cost. Whatever you may choose, it is important to understand all of the options available to you when choosing a rehab facility. How Do I Choose the Right Rehab? Once you have decided to pursue treatment, your next step will be to decide what options for rehab best suit your needs. The National Institute on Drug Abuse’s best practices for addiction treatment recommends that treatment should be specialized to the person and address multiple needs, including their physical, psychological, legal, and occupational functioning.1 For example, if your addiction has caused strain on your spouse or family, you may benefit from a rehab center that offers family counseling. Behavioral therapies are one of the most commonly used treatment modalities in rehab centers, and determining what format will work best for you—individual, group, couples, or family—can help you to narrow down your options.1 Decide Your Rehab Goals and Needs Before choosing a rehab facility, you should seek to understand your medical needs. Addiction is considered a chronic, relapsing medical condition, and just like other health disorders, can be managed with routine medical care and guidance.2 If you have a primary care doctor, you may want to schedule an office visit to discuss your substance use. Your healthcare provider can help you to consider your current medical and psychological symptoms as well as any other chronic health problems you may have. Physicians use a concept called levels of care, created by the American Society of Addiction Medicine, to help determine what setting their patients need for addiction treatment based on the severity of their symptoms.3 Levels of care cover multiple dimensions of functioning, including withdrawal potential, biomedical complications, and relapse risk, to recommend a treatment setting, ranging from least to most restrictive.3 In addition to seeking a doctor’s treatment recommendations, you may also have your own personal goals for entering recovery. For example, you may want to live at home during treatment and prefer an outpatient program for this reason. You may need to find a new job, repair your financial health, or want a supportive living environment after you leave rehab. You can discuss your goals with your treatment providers and your support system to make sure that they are addressed when you choose between different types of rehab. Factors to Consider When Choosing a Rehab Center Now that you have identified your needs, goals, and preferences, you can start to narrow down your rehab center options. Remember that your treatment plan is likely to change over time as you progress in recovery. What is most important is to remain in treatment for the duration of your program—research supports that this is one of the best predictors of success in recovery.1 Inpatient vs. Outpatient Rehab There are two main treatment settings; inpatient and outpatient. Which setting you attend will depend on the severity of your condition. Inpatient programs are held either in a hospital, clinic, or other medical setting and are supervised by medical staff.1 They are considered a higher level of care in that inpatient settings are more restrictive, with participants residing in their facility 24/7 during treatment.3 Inpatient programs range from 3 to 6 weeks in hospital settings to a more intensive long-term residential program, lasting up to 6 to 12 months.1 In contrast, outpatient programs are less restrictive, allowing participants to go home between treatment sessions, making them a more suitable option for people with jobs, families, or outside commitments.1, para 3, pg. 27 Outpatient treatment is a lower level of care and can vary significantly in its duration and format. An intensive outpatient program (IOP) is typically delivered in a group format and can meet several times per week for several hours at a time.1 Other outpatient programs may meet weekly, have longer or shorter sessions, or be delivered in individual counseling sessions.1 Specialty Treatment Programs and Therapies There are also various specialty treatment programs that may be a good fit for you. A common specialty program is dual diagnosis treatment, which addresses both substance use and co-occurring mental health symptoms in one program.4 In the past, substance use was treated separately from mental health symptoms, but research has shown that addressing both issues together is more effective.5 Other specialty treatment programs may be based on the population their facility serves, such as: LGBTQ+ groups: The LGBTQ+ community has been shown to experience substance abuse at higher rates than the general population.6 In response, specialized treatment programs for members of the LGBTQ+ community have been created to provide affirmative, culturally responsive care. Men’s programs: Some rehab centers, especially residential or inpatient facilities, may offer single-gender programs. Men’s programs are designed to address the social, cultural, and other factors that influence men to use substances.7 Women’s programs: Similarly, single-gender women’s rehab programs are tailored to the needs of women in recovery to address the various barriers that may hinder their ability to get sober.8 Veterans programs: Former armed service members can access treatment resources through their local Veterans Administration, including medical care, dual diagnosis treatment, and peer support from other veterans.9 First responders programs: Firefighters, police officers, medical professionals, and mental health providers are at increased risk of developing co-occurring mental health and substance use disorders.10 Because addiction can be so stigmatized in these helping professions, specialized treatment programs exist to help connect first responders with the care they need. Amenities Many residential rehab facilities, especially those that are privately run, offer a variety of amenities to their participants. This can include additional wellness services such as access to a gym or fitness classes, yoga, nutritional counseling, or a pool. A private or “luxury” rehab center can also provide participants with private rooms that include, depending on their location, beautiful views of nature. Location The location of a rehab facility can be a major influence on your decision to attend. For some, remaining near your home may be ideal, whether for comfort or out of practicality, such as to be near family or support system. In this situation, an outpatient program in your geographic area might be a good place to start.1 For others, being in a residential center away from people, places, and things that can remind you of using drugs and alcohol is a helpful fresh start.1 Length of Treatment Length of stay is also an important factor when choosing an addiction treatment plan. Typically, rehab is structured in either 30-day, 60-day, or 90-day formats, and these lengths can vary based on your needs and progress in treatment. Research has shown that for most people, a total duration of treatment that is less than 90 days is less effective, and for this reason, many programs encourage you to stay in aftercare or ongoing counseling after completion.1 Cost Undeniably, cost is a factor for most people making decisions about which rehab to attend. Your out-of-pocket costs can vary a lot based on what rehab you choose, your own insurance coverage, how long you stay in treatment, and more. Some common ways of paying for addiction treatment may include: Private or public insurance. Private pay. VA or other veterans insurance. Loans or scholarships. The Affordable Care Act (ACA) requires all insurance plans to cover addiction and mental health treatment services at least partially.11 This means that if you have insurance coverage, at least part of your stay in rehab will be covered. Depending on what plan you have—private insurance, Medicare, Medicaid, marketplace plans, VA benefits—treatment services will be covered at a different rate. It is important to check your insurance benefits with your provider to find a treatment option that will work for your plan. Does your insurance cover rehab for drugs and alcohol? We can help - check your coverage instantly or text us your questions to find out more. [vob-aktify-cta] How to Find a Rehab Center Near Me Once you have a sense of your treatment needs, your preferences, and how you will manage the cost of treatment, you can start to look for rehab facilities. It is strongly recommended that you meet with a doctor or another medical professional in this process—especially because you may need a referral to enter certain types of treatment, such as detoxification to manage withdrawal symptoms. To find a treatment center in your area, you can visit SAMHSA’s treatment locator. You can also call the American Addiction Centers (AAC) helpline. It's a 24/7 detox and rehab hotline and is available at [phone] by call or by text message. [accordion title="Rehab at American Addiction Centers"] Laguna Treatment Hospital Adcare - Boston Sunrise House Desert Hope Greenhouse Oxford Treatment Center Recovery First River Oaks [/accordion][accordion title="Rehab insurance coverage"] Ambetter American Family Beacon BHO Blue Cross Blue Shield Cigna Connecticare Geisinger HCSC Harvard Pilgrim Highmark Kaiser Permanente Magellan Magnacare Meritain Health Medicare and Medicaid Optum Oxford Health Providence Qualcare Sierra Health Tricare Triwest Tufts United Healthcare UPMC Zelis [/accordion][accordion title="Rehab near me"] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [/accordion][accordion title="Rehab"] Rehab Choosing a rehab center Couples rehab Court ordered rehab COVID-19 and rehab Dual-diagnosis rehab Deciding you need rehab Helping a loved one go to rehab Inpatient rehab Medication asssisted rehab Outpatient rehab Preparing for rehab Relapse prevention State-funded rehab Teen rehab Veterans rehab [/accordion][accordion title="Detox"] Detox 24/7 detox hotlines Inpatient detox Outpatient detox Medical detox Dangers of detoxing at home The cost of detox [/accordion]   [sources] Sources National Institute on Drug Abuse. (2018, January). Principles of drug addiction treatment: a research-based guide (third edition). National Institute on Drug Abuse. (n.d.). The science of drug use and addiction: the basics. American Society of Addiction Medicine. (2022). About the ASAM criteria. National Alliance on Mental Illness. (2020, May). Substance use disorders. Substance Abuse and Mental Health Services Administration. (2022, March 23). The case for screening and treatment of co-occurring disorders. Substance Abuse and Mental Health Services Administration. (2012). A provider’s introduction to substance abuse treatment for lesbian, gay, bisexual, and transgender Individuals. Substance Abuse and Mental Health Services Administration. (2013). Tip 56: addressing the specific behavioral health needs of men. Substance Abuse and Mental Health Services Administration. (2013). Tip 51: substance abuse treatment: addressing the specific needs of women. United States Department of Veterans Affairs. (2022, February 15). Substance use treatment for veterans. Substance Abuse and Mental Health Services Administration. (2022, March 16). First responders and disaster responders resource portal. Healthcare.gov. (n.d.). Mental health & substance abuse coverage. [/sources] ...

Addiction does not just impact the life of the individual using substances—it can profoundly affect the lives of their loved ones as well. This is especially true for couples. Many people whose partners use substances have worried about “covering” for their partner’s addiction, or they may feel worried or ashamed about seeking help.1 However, if you are both using substances, you may be concerned that addiction has made some of the problems in your relationship unsolvable.1 In both scenarios, couples rehab can be a powerful intervention to gain an understanding of how addiction has impacted your lives both separately and together. Understanding what couples rehab entails, how it can help you and your partner, and how to find nearby couples rehab programs can help you and your partner begin your journeys to recovery. Addiction In A Relationship Substance use is a major stressor in romantic relationships. It can impact the physical and mental health of both partners significantly. In couples where one partner misuses drugs or alcohol there are usually significant relationship problems, high levels of relationship dissatisfaction and instability, and there may also be verbal and physical aggression. Relationship dysfunction and substance use has a reciprocal relationship. That is, substance use both causes dysfunction and is also worsened by it.10 Conversely, research indicates that couples who use substances are more committed and willing to care for each other, reinforcing substance use.2 Reducing substance use may reduce relationship satisfaction, and conflict and dissatisfaction in the relationship may increase when only one partner seeks treatment.10 There are many ways that addiction can affect the relationship, such as the following: Codependent behaviors: In relationships where just one partner is abusing substances, the sober partner may find themselves compensating for their partner’s addiction. Whether this behavior is voluntary or not, the sober partner will often prioritize their partner’s needs over their own.3 They may also engage in enabling behaviors by shielding the substance using partner from the negative consequences of their substance use.11 Domestic violence:If one partner is under the influence, they may be more likely to physically harm the other.1 Likewise, partners who have experienced domestic violence are more likely to use substances to cope.4 Abusing substances together:In couples where both people misuse substances, partners may find that using drugs or drinking alcohol together becomes their only shared activity, or the only way they are able to relax or show affection to each other.1 Neglecting responsibilities:The stress of managing responsibilities without support from an addicted partner, or the inability to manage household tasks together when both partners are using, can create a feeling of hypervigilance and stress in couples.5 Neglect or abuse of children: If a couple has a family together, their substance abuse may compromise their ability to care for children, resulting in neglect, abuse, and potentially having their children removed from their home.3 Can Couples Go To Rehab Together? Many rehab programs will allow partners to attend treatment together or will include partners in couples- or family-focused programs and therapy sessions. To participate in rehab for couples, both partners do not need to be using substances—there is still a significant benefit for the sober partner to participate in treatment. A common approach known as Behavioral Couples Therapy takes a step-by-step approach to address addiction in relationships, asking each partner to make a daily commitment to sobriety and to each other.6 This helps couples to rebuild trust as they unpack how addiction has affected their life together. What to Expect in Rehab for Couples Not all rehab programs are the same, but whether only one partner is entering treatment and the other participating or both partners enter treatment together,  rehab typically follows the same steps for a couple as it does an individual and includes the following: Intake assessment:Just as in individual rehab, each couple will have an individualized treatment plan to address their unique needs.2 Detox: Depending on the drug(s) of choice that you and/or your partner use, your treatment plan may include a period of medically supervised withdrawal management, known as detoxification.3 Rehab: The treatment stage of rehab can include individual, group, couples, and family counseling. When both partners participate in therapy, you’ll be focusing on listening, communication, and rebuilding trust.6 Aftercare: Most rehab programs stress the importance of maintaining new habits and preventing relapse after leaving treatment, sometimes called aftercare or continuing care.6 In this stage, partners may attend mutual support groups such as Alcoholics Anonymous and/or Al-Anon or continue with individual or mutual therapy sessions at a lesser frequency to discuss prevention of relapse and other issues impacting the functioning of the relationship. If one or both of you relapse, this can be addressed as well.6 Does your insurance cover rehab for couples? We can help - check your coverage instantly or text us your questions to find out more. [vob-aktify-cta] What Therapies Are Used in Couples Rehab Programs? There are several different approaches that are used in couples rehab programs. Behavioral therapies are some of the most commonly used modalities for addiction treatment, targeting the behaviors that contribute to substance abuse and introducing new behaviors that can promote abstinence.7 When couples gain a shared understanding of these behaviors through therapy sessions, they can then learn new ways of communicating more openly about their thoughts and emotions. Some modalities used in couples rehab programs include the following: Behavioral couples therapy (BCT): A structured approach lasting between 3 to 6 weeks with multiple therapy sessions weekly, in which both partners learn to communicate more openly about substance abuse and maintain abstinence from drugs.6 Medications for Addiction Treatment (MAT): If one or both partners are in treatment for alcohol use disorder or opioid use disorder, medications may be used to help reduce cravings and urges to use substances, which can help prevent a return to substance use.7 In BCT, a client taking medication may be encouraged to do so in front of their partner for accountability and to foster trust.6 Group therapy: Many addiction treatment programs use group therapy to encourage clients to share their experiences with others and create positive relationships during treatment.7 Family therapy: In addition to including intimate partners, therapy may also include other family members in therapy sessions to address the impact of addiction on their home and family lives, especially if they have children.7 Individual therapy: Meeting one-on-one with a therapist can be helpful for anyone in rehab, and for couples this is a good time to be able to process individual thoughts and emotions without the influence of their partner.6 What Types of Treatment Programs Are Best for Couples? What type of rehab program will be best for you and your partner is a highly personal choice. Based on your needs as individuals and as a couple, there are a number of factors that can influence your decision. Some rehab programs have specialized treatment tracks designed to serve specific subpopulations. For example, a gay, lesbian, or transgender couple might prefer to attend a treatment program that is culturally competent and equipped to address the unique needs of the LGBTQ+ community. Survey data indicate higher rates of substance use among adults in the LGBTQ+ community, and there are rehab programs that offer treatment tailored to the LGBTQ experience.8 The same is true for military veterans, too. At the start of rehab, you will have the opportunity to meet with an intake counselor and create an individualized treatment plan together.2 At this time, it is worth considering additional factors, such as the cost of treatment, what is covered by your insurance, the length of treatment, and whether inpatient or outpatient rehab is appropriate. Couples Inpatient and Outpatient Rehab Inpatient rehab for couples typically lasts between 30 and 90 days, and clients stay overnight at the treatment center during this time.7 While in rehab, partners will participate in individual, couples, and group therapy daily or weekly to learn communication strategies, develop healthy coping skills, and process past experiences.6 Inpatient rehab is considered a more intensive option for addiction treatment because treatment typically occurs more frequently than it does in most outpatient programs and clients reside at the treatment center for the duration or treatment. In contrast, outpatient rehab may occur several times per week, but clients go home between sessions.7 Specialized modalities may have a more rigid or manualized treatment schedule. Those participating in Behavioral Couples Therapy, for example, generally receive 12 to 20 sessions over the course of 3 to 6 weeks.6 While outpatient rehab is considered less intensive than inpatient, it can be a highly effective option for couples who need to stay at home due to cost, family, or work obligations. No matter the treatment setting, it is very important that individuals  stay in  treatment for the entire duration.7 How Much Does It Cost To Go To Rehab As A Couple? The cost of couples rehab treatment depends on several factors, such as the following: Type and frequency of care: What modality or approach is used and how often is treatment received? Treatment setting: Is treatment on an inpatient or outpatient basis? If you are staying at a residential treatment center, you may incur a cost for food and lodging. Length of stay: How long does will treatment last? Longer treatment programs may be associated with a higher cost. Amenities: What other programs or accommodations does the treatment center offer? Insurance: What proportion of the overall cost will your insurance plan cover? [accordion title="Other Insurance Providers"] Ambetter American Family Beacon BHO Blue Cross Blue Shield Cigna Connecticare Geisinger HCSC Harvard Pilgrim Highmark Kaiser Permanente Magellan Magnacare Meritain Health Medicare and Medicaid Optum Oxford Health Providence Qualcare Sierra Health Tricare Triwest Tufts United Healthcare UPMC Zelis [/accordion] Does Insurance Cover Rehab for Couples? Under the Affordable Care Act (ACA), all insurance companies are required to cover at least some portion of medically necessary mental health and substance use disorder treatment.9, para 2 If you have any insurance coverage, whether it is through your employer, a marketplace plan, or state-funded insurance like Medicaid or Medicare, your plan will likely cover part of the cost of rehab. It is a good idea to contact your insurance company to determine what your out-of-pocket cost will be before starting treatment. Finding Couples Rehab Centers Near Me Whether you are using substances with your partner, or love someone who is in the midst of addiction, couples rehab can be a powerful step to improving your relationship and your life. If you think that you or your partner could benefit from attending rehab together, start by consulting a medical professional about your concerns. To find a treatment center near you, visit the SAMHSA treatment locator or contact American Addiction Centers (AAC) 24/7 helpline at [phone] or through text. [accordion title="Rehab at American Addiction Centers"] Laguna Treatment Hospital Adcare - Boston Sunrise House Desert Hope Greenhouse Oxford Treatment Center Recovery First River Oaks [/accordion][accordion title="Rehab near me"] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [/accordion][accordion title="Rehab"] Rehab Choosing a rehab center Couples rehab Court ordered rehab COVID-19 and rehab Dual-diagnosis rehab Deciding you need rehab Helping a loved one go to rehab Medication asssisted rehab Preparing for rehab State-funded rehab Teen rehab Veterans rehab [/accordion][accordion title="Detox"] 24/7 detox hotlines Inpatient detox Outpatient detox Medical detox Dangers of detoxing at home The cost of detox [/accordion] [sources] Sources: American Association for Marriage and Family Therapy. (n.d.) Substance abuse and intimate relationships. Simmons, J., & McMahon, J. (2012). Barriers to drug treatment for IDU couples: the need for couple-based approaches. Journal of Addictive Diseases, 31(3), 242-257. Simmons, J., & Singer, M. (2006). I love you ... and heroin: care and collusion among drug-using couples. Substance Abuse Treatment, Prevention, and Policy, 1(7), 1-13. Rivera, E., Phillips, H., Warshaw, C., Lyon, E., Bland, P., & Kaewken, O. (2015). The relationship between intimate partner violence and substance use: an applied research paper. Chicago, IL: National Center on Domestic Violence, Trauma & Mental Health. Radcliffe, P., Gadd, D., Henderson, J., Love, B., Stephens-Lewis, D., Johnson, A…Gilchrist, G. (2021). What role does substance use play in intimate partner violence? A narrative analysis of in-depth interviews with men in substance use treatment and their current or former female partner. Journal of Interpersonal Violence, 36(21-22), 10285-10313. O’Farrell, T., & Schein, A. (2000). Behavioral couples therapy for alcoholism and drug abuse. Journal of Substance Abuse Treatment, 18(1), 51-54. National Institute on Drug Abuse. (2018, January). Principles of drug addiction treatment: a research-based guide (Third Edition). National Institute on Drug Abuse. (n.d.) Substance use and SUDs in LGBTQ* populations. gov. (n.d.) Mental health & substance abuse coverage. Fals-Stewart, Williams, O’Farrell, Timothy J., Birchler, Gary R. (2004). Behavioral Couples Therapy for Substance Abuse: Rationale, Methods, Findings. O’Farrell, Timothy J., Fals-Stewart, William. (2006). An introduction to Behavioral Couples Therapy for Alcoholism and Drug Abuse. [/sources] ...