Because all addiction is different, there are different forms of treatment. Some addictions can be treated with a simple detoxification, and other addictions can be managed with a combination of outpatient rehabilitation and a strong support system at home. More complicated and severe addictions most often require an inpatient rehabilitation program.
But those are not your only options. Residential treatment is a happy mix of inpatient and outpatient rehabilitation that provides for a very thorough and efficient recovery.
What is Residential Treatment?
When most people see the term residential treatment, they automatically assume that it is the same as inpatient rehabilitation in that it requires a person to live within the rehabilitation facility. However, the two treatment programs are actually very different.
Inpatient rehabilitation has a strong focus on the medical aspect of addiction recovery and is used for those just beginning their road to recovery, whereas residential treatment focuses more on a variety of treatment types for an in-depth recovery process – such as individual therapy, addiction education, and medication management – and only uses the more intense medical practices of inpatient rehabilitation when absolutely necessary.
Some of the focuses of residential treatment for addictions include:
- Medically supported detoxification and withdrawal (only when needed). If someone enters into residential treatment at the beginning of their recovery process, they will have to go through detox and withdrawal. Certain addictions – like alcohol, opiates, benzodiazepines, and co-occurring disorders – require medical supervision because they can be extremely dangerous.
- Medication management (only when needed). Some patients benefit from the use of medication to help maintain their sobriety. However, some of the medicines that help people recover from addiction can be risky, so it is easier to manage them within a residential treatment program.
- Comprehensive therapy. Residential treatment provides individualized and comprehensive therapy for their patients, focusing on educating them about what factors contribute to their addictions in an attempt to help them become more self-aware of their addiction and avoid triggers. One specific therapy that is often used is Cognitive Behavioral Therapy, which helps addicts learn to recognize the situations that encourage their addictions.
- Family or Couples counseling and education. Addiction does not only affect the addict; it also affects their loved ones. Family and Couples counseling helps to provide a safe place for discussion and understanding while helping family members and partners of addicts learn more about addiction in order to help the patient recover when they enter into their daily life again.
- Skills building. Residential treatment helps its patients to build skills that will help them within their daily life while they are continuing their recovery outside of the treatment program.
- Establishing Continuing Care and Support. Before you leave your residential program, the counselors and patients will have come up with a plan for continuing care when the patient leaves. Continuing care and support after addiction treatment can include 12-Step programs, recovery group therapies, follow-up interviews and check-ins with the treatment center, and more.
It is clear that residential treatment is incredibly attentive to each individual patient. This is what makes this kind of treatment so successful.
How Can Residential Treatment Help Me?
Once you have admitted that you have an addiction and are ready to seek treatment, you begin your search for a treatment program that works for you.
Before considering your treatment options, you should ask yourself the following questions to gauge your own understanding of your addiction and what kind of treatment you need:
- How often do you use drugs? What time of the day do you use them most often? How much do you use at a time? These questions will help you see the role addiction plays in your life.
- What are the pros and cons or seeking recovery? What are the costs and benefits of continuing to use drugs?
- How does your drug use affect the people and things you care about – like your family, your job, or your education?
- Is there someone that you trust that you can talk to and ask their feelings about your drug use? This will give you an outside perspective and help you notice things you may not see on your own.
- Is there anything preventing you from seeking recovery? Is there anything that would help you succeed with recovery?
Once you have answered these questions and fully acknowledged your addiction, you can begin to search for a rehabilitation option that is right for you. There are three types of rehabilitation treatment programs – inpatient, outpatient, and residential.
Inpatient rehabilitation is the most intense and medically focused treatment of the three and is suggested for the most severe addiction. It requires you to live in the facility itself during treatment. Outpatient rehabilitation is the most casual treatment option, allowing you to live at home and visit a facility for your rehabilitation.
Residential treatment requires you to live within the treatment facility, but it balances the freedom of outpatient rehabilitation and the intensity of inpatient rehabilitation to allow for a more personalized and comfortable recovery. The National Mental Health Services Survey of 2017 defines residential treatment facilities (RTCs) for adults as “facilities [that are] not licensed as psychiatric hospitals that primarily provide individually planned programs of mental health treatment in a residential care setting for adults.”
The most effective and beneficial treatment program that will offer you the most comprehensive treatment is a residential treatment facility. This option gives you the safety of inpatient rehabilitation, the self-sufficiency of outpatient rehabilitation, and the comfort that only comes with the individualized care that residential treatment programs offer.
Residential treatment facilities offer a large variety of therapies and other services that help with recovery. While not all of them will offer every option, they all offer some of the choices.
Note: The following lists of therapies, services, and practices included in residential treatment facilities and the percentages or numbers that accompany them were reported in the National Mental Health Services Survey of 2017 and included information gathered from 871 residential treatment centers for adults around the United States.
The various kinds of therapies (recorded in percentages) that are offered in residential treatment facilities include:
- Individual psychotherapy (60%)
- Couples/Family therapy (20%)
- Group therapy (65%)
- Cognitive Behavioral Therapy (58%)
- Dialectical Behavioral Therapy (31%)
- Behavior modification (54%)
- Integrated dual disorders treatment (44%)
- Trauma therapy (36%)
- Activity therapy (57%)
- Electro-convulsive therapy (less than 1%)
- Telemedicine/Telehealth therapy (10%)
- Medication management (80%)
- Other (3%)
The services and practices (recorded by number out of 871 total facilities) offered in residential treatment facilities include:
- Assertive community treatment (87)
- Intensive case management (135)
- Case management (510)
- Court-ordered outpatient treatment (135)
- Chronic disease/illness management (147)
- Illness management and recovery (334)
- Integrated primary care services (222)
- Diet and exercise counseling (414)
- Family psycho-education (295)
- Education services (218)
- Housing services (374)
- Supported housing (222)
- Psychosocial rehabilitation services (530)
- Vocational rehabilitation services (175)
- Supported employment (153)
- Therapeutic foster care (11)
- Legal advocacy (57)
- Psychiatric emergency walk-in services (51)
- Suicide prevention services (344)
- Peer support services (221)
- Screening for tobacco use (347)
- Smoking/tobacco cessation counseling (317)
- Nicotine replacement therapy (199)
- Non-nicotine cessation medications (163)
- Other (17)
- None (13)
It is obvious that residential treatment facilities are a fantastic option for recovery because of all the therapies, services, and practices they offer. You may have to look into a few facilities before you find the one that matches what you want and need for your specific addiction. However, with 871 facilities around the country to choose from, you are sure to find your perfect place for recovery.
How to Choose a Residential Treatment Center
Once you have decided on entering a residential treatment program, it is time to choose the one that is right for you. Residential treatment settings range from campus-based wilderness settings to halfway houses and group homes to psychiatric-style hospitals. First, you should acknowledge what has made you choose residential treatment.
Residential treatment is a good choice for the following people:
- Those who have failed to recover in less intense levels of care, like outpatient rehabilitation
- Those who do not have a support system at home
- Those who have a long history of substance use and abuse
- Those with co-occurring disorders – mental health issues that occur alongside substance abuse
- Those with particularly dangerous addictions that need medical help during detox and withdrawal
Most rehabilitation centers assess incoming patients to determine the severity and risk factors of their individual addictions, so if you are unable to clearly see your addiction and its effects, the residential treatment center will help guide you to the specific care that you need.
Another consideration you should have when finding your residential treatment facility is the cost. The cost of a stay at any treatment center varies depending on the following factors:
- Duration of treatment
- Staff experience
- Services offered
- Insurance acceptance
For instance, a typical stay at a residential treatment center for adults costs around $600 to $900 per week, totaling between $3,000 and $11,000 for the duration of the treatment. More specialized residential treatment facilities, such as therapeutic communities that require more time to complete, can cost anywhere from $15,000 to $32,000 for the entire treatment program.
Do not let the price dissuade you from choosing residential treatment. Most insurance companies cover most or all of the fees of residential treatment. Additionally, if you do not have insurance, you can discuss payment options with the facility that you choose in order to make your recovery more affordable.
One other factor to consider when deciding on the facility for you is the quality of the rehabilitation the facility offers. The most effective and successful residential treatment programs will include most or all of the following:
- An individualized treatment philosophy. The more personalized care the treatment center can offer, the more successful your recovery will be.
- National accreditation. All treatment centers have to be accredited both locally and with their state to operate, but a facility that has national accreditation is even more impressive.
- Practices based on evidence. Residential treatment programs that rely on scientifically-backed methods and practices are more successful than those that focus on moral or ethical methods.
- Proper care for co-occurring disorders. If the facility is equipped to handle dual diagnosis patients properly, patients who suffer from co-occurring mental health issues and substance abuse disorder can have a better chance at a successful recovery.
- Treatment duration. Typically, the longer a patient stays in their recovery program, the better their chances of maintaining sobriety in their daily lives once they complete treatment.
- Family support and involvement. Since family support during recovery has been proven to significantly increase its chance of success, the best treatment programs will make sure to involve your family throughout the duration of your treatment.
- Qualifications of the staff. Look into the staff of the facility you choose. Make sure that they have the medical and clinical expertise needed to provide you with the best care available. Look into their experience and their certifications.
- Aftercare availability. Rehabilitation programs that are linked with outside support programs, alumni networks, sober living homes, and other continuing care options are a great choice because they can easily link you with aftercare following your treatment to help maintain your sobriety through your daily life.
- Recreational therapies and amenities. These therapies and amenities that can be enjoyed on site during your program encourages patients to find new hobbies, develop new skills, and find joy in order to promote both a successful recovery and all-around wellness.
Residential treatment programs are a very unique treatment option for those that are seeking recovery from both addiction and mental health issues. The individualized care that they offer is unparalleled, and they set their patients up for long-term recovery and sobriety. With the large number of therapies, services, and practices that residential treatment at a facility like The Hills offers, there is sure to be a facility that offers the kind of recovery guidance you need to achieve and maintain sobriety and wellness.
The Hills is located in Los Angeles, California. Our residential treatment facility is staffed by people who know just how difficult the road to recovery can be. We’ll make sure that you get the most out of every single minute of your rehabilitation in our facility. Contact us today to learn more about how we can help you on your own journey to recovery.