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Understanding the Role of Sober Coaches in Addiction Recovery 

The transition from an addiction treatment program to daily life is a fundamental step in the recovery journey. Many people can feel overwhelmed and isolated during this time. These feelings are normal—you’re navigating new territory and adjusting to a new lifestyle.

To make the adjustment period more manageable, some luxury treatment centers will set you up with a support system as part of their continuing care program. Another way to bolster your support network is with a sober coach, also known as a recovery coach. Many sober coaches are affiliated with rehab centers or hospitals. However, some work with free-standing organizations, or as private practitioners. 

Sober coaches can help you feel less isolated, hold you accountable and offer advice and guidance to ensure sustainable recovery as you return to life outside treatment. 

A sober coach may be a good option if you want a more hands-on relationship with a non-clinical professional who can guide you through this particularly sensitive stage. Keep in mind that a sober coach is not a replacement for other parts of your continuing care program. Rather, they supplement aspects of continuing care and offer support that some people may need for long-term recovery. 

Since sober coaching is a relatively new position in addiction treatment, we explore how their role is defined and ways in which they can support your recovery. 

What Is a Sober Coach?

The recovery journey doesn’t stop when a rehab program ends. In more recent years, we’ve seen a rise in new peer-based recovery support services1 that has stemmed from the need to provide people with extra support as they transition from a formal treatment program into their natural environment. A growing number of peer-based recovery support services and new roles have been designed to assist people during that transition period and help them maintain long-term sobriety. One of those roles is a sober coach.

Sober coaches can have many different titles, including recovery coach, recovery manager, recovery mentor, recovery guide and more. Their role remains the same: to provide someone with “non-clinical assistance to support long-term recovery from substance use disorders.”2

Unlike clinical professionals, sober coaches don’t need to have formally acquired credentials. Instead, sober coaches draw on experiential knowledge and expertise3 to help clients achieve and maintain lasting sobriety. Their knowledge generally comes from their own addiction recovery experiences or from helping others recover. 

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), a sober coach offers supportive assistance, rather than directives.4 They can help with a number of recovery-related issues: 

  • Setting recovery goals
  • Developing recovery action plans 
  • Finding new peers
  • Improving job skills
  • Exploring new hobbies and things to do in your spare time 
  • Finding sober housing 
villa paradiso sober coaching
Villa Paradiso Rehab in Marbella, Spain offers aftercare recovery coaching.

Generally, a sober or recovery coach offers the four following types of support: 

Emotional Support

Emotional support includes anything that addresses your emotional concerns. This could range from inspirational coaching to empathetic listening and encouragement. 

Informational Support

Sober coaches can connect you with resources and information that benefit your recovery, like learning a new life skill or developing new coping strategies for dealing with challenges. 

Instrumental Support

This includes assistance with concrete, practical tasks like finding housing and employment.

Affiliational Support

A sober coach can help you connect with  others who can bolster your recovery journey. This might take place through events,activities, or online or in-person communities. 

The Difference Between Sober Coaches and Sober Companions

There are several roles that involve helping people maintain long-term recovery beyond inpatient rehab. It’s important to clarify the distinction between them, to ensure you look for the right type of guidance. 

A common misunderstanding is that sober coaches are like sober companions. However, their roles are markedly distinct. 

Sober Coaches (or Recovery Coaches)

A sober coach is a hired, non-clinical professional who supports your long-term recovery from substance use disorders. Most have been through recovery themselves and are trained on how to help others through the journey. Sessions with your recovery coach occur on a regular basis and are held via phone, online or even onsite at your treatment center. 

Sober Companions

A sober companion is generally more involved in your daily life than a sober coach. They will accompany you throughout your day as necessary, to ensure you have the support and accountability you may need to prevent a relapse.

noosa confidential sober coaching
Noosa Confidential in Queensland, Australia offers sober coaching as part of the aftercare portion of their programming.

Who Are Sober Coaches a Good Fit For? 

Sober coaches offer support through various stages of the recovery journey.5 

A sober coach could be a good fit for you if you don’t have a strong support network, live in an environment with many triggers, or need additional help with daily life. Some people can benefit from having a sober coach in more than one stage of their recovery journey. 

The Pre-Decision Stage

Before you make a decision to enter residential treatment, a sober coach can help you take this big step. They can ensure you feel less isolated through the process and assist with finding a rehab that suits your needs. Once you’ve found a program, they can guide you through the entry process. 

During Treatment

A sober coach who supports you during a rehab program takes on a slightly different role. They are an advocate and will help you foster life skills for lasting sobriety. For example, Hope Rehab Center in Thailand has a treatment model that includes exposure therapy, wherein clients are taken on excursions to experience the outside world. Their on-site sober coach supports you during these encounters to help you handle real emotions that may come up during life after rehab. 

Aftercare

A number of luxury addiction treatment centers across the globe offer sober coaching as part of their aftercare program. Oftentimes, sober coaches that work with rehab centers reflect the same level of care, support and privacy your addiction treatment program offers. 

In Europe, both Villa Paradiso Rehab in Marbella, Spain and Tabula Rasa Retreat in Portugal have aftercare recovery coaches. 

Australia has a number of treatment programs with sober coaches as part of their aftercare, including Noosa Confidential in Sunshine Coast and The Banyans in Brisbane. 

The United States has plenty of options across the country. For example, Oceanside Malibu in California, JourneyPure in Tennessee, Blue Ridge Mountain in Georgia and The Sanctuary at Sedona in Arizona all offer recovery coaching as part of their aftercare programs. 

It’s important to keep in mind that while sober coaches offer valuable support and life skills for sobriety, they should not replace the care you’ll receive from healthcare professionals and therapists during primary treatment and aftercare. 

The Difference Between Sober Coaches and Other Addiction Treatment Professionals

Sober coaches are relatively new in addiction treatment and can perform many different roles in someone’s recovery,6 which sometimes leads to role ambiguity. 

The public still holds some confusion about the responsibilities of sober coaches compared to other addiction treatment professionals. However, there are established differences as outlined in the Great Lakes Addiction Technology Transfer Center’s guidelines for ethical peer-based recovery support.7 It’s important to understand these distinctions to make sure you’re looking for the right professional for your needs. 

Sober coaches are not healthcare professionals. 

Unlike doctors, nurses, or psychiatrists, most recovery coaches don’t have medical degrees. Their role is never to diagnose you or provide you with medical advice or care. 

Instead, a sober coach helps you remove potential roadblocks that might prevent you from seeing a medical professional. For example, they can help you find the right medical professional, or drive you to your appointment. 

Sober coaches are not social workers or addiction counselors. 

Unlike social workers and addiction counselors, sober coaches take on a more informal role and aren’t required to have a degree in social work or formal credentials in counseling. 

Whereas addiction counselors are discouraged from self-disclosure, or using their personal experience to connect with clients, sober coaches are encouraged to share their personal experiences with you. They act as your confidant. 

If you need professional help from a social worker or an addictions counselor, your sober coach will help you get in touch with them.

Sober coaches are not sponsors. 

Unlike with sponsors, you and your sober coach don’t uphold each other’s sobriety.  Some sober coaches haven’t struggled with addiction before, but are there to support you, especially during sensitive transition periods. 

A relationship with a sober coach is more like that of a mentor and a mentee, or a personal trainer with their client.

oceanside malibu sober coaching
Oceanside Malibu in Malibu, California offers recovery coaching as part of their aftercare program.

How to Find the Right Sober Coach for You

Most sober coaches work in affiliation with recovery centers and hospitals. However, some work with free-standing organizations or as private practitioners.  

Since sober coaches don’t need to have formally acquired credentials, it’s important to take extra precautions when searching for one, especially if you plan to look outside of your rehab program. 

If you’re unsure where to start, you could ask recovery centers during an initial phone call if they have any referrals for reputable sober coaches. If you’re already seeing a therapist, you could ask if they have  any recommendations for you.  

How to Search for Rehab Center-Affiliated Sober Coaches

1. Check the addiction treatment center’s reputation and credibility.
Doing this as the first step gives you a good idea of the level of expertise a rehab center would expect from its employees and affiliates.

Reputation Check

Read through the rehab center’s online review. You can also ask around to see if they’re in good standing with other healthcare providers or treatment facilities.

Accreditation Check

In the U.S., there are two national organizations that accredit treatment providers. These include the Joint Commission and Commission on Accreditation of Rehabilitation Facilities (CARF). While rehabs might showcase accreditation logos on their website, you should check directly with the accrediting body.

2. Ask the addiction treatment center for sober coach options.
After you’ve found a reputable rehab center you trust, ask them for referrals of sober coaches. Usually, you would have gone through an initial phone call with an admissions specialist first. They’ll ask general background questions, including questions about your medical history, substance use history and family history. 

Once they have a better understanding of your situation, they will give recommendations for different sober coaches. You can compare their backgrounds and even go through an initial phone call with them to find a sober coach that best matches your needs. 

How to Search for a Private Sober Coach

If your addiction treatment program doesn’t offer sober coaching, you can hire a private sober coach to help you at any point in your recovery journey. Much like rehab centers, there are certain markers you should look out for to ensure you hire a credible, reputable sober coach who matches your needs. 

1. Ask people you trust.

You can start your search by asking people you trust if they have any recommendations for sober coaches. This could be your therapist, psychiatrist or even your doctor. 

2. Check the sober coach’s reputation, accreditations and affiliations.

Important to note: there’s no professional, independent governing body that offers accreditations to sober coaches.

Many private sober coaches have a website. It’s recommended to look through them and use these indicators to check whether the sober coach is reputable and has the level of expertise you’re looking for:

  • Online reviews—These give you a general idea of a private sober coach’s reputation.
  • Feedback—Reach out to people who have used that sober coach’s service and ask for their feedback. 
  • Relevant qualifications—Some credentials to look out for include psychiatric, medical, or social work accreditations or degrees. Keep in mind that if a sober coach doesn’t have the degrees listed above, it doesn’t necessarily mean they’re not qualified.
  • Work experience—Check a sober coach’s work background to see how many years they’ve been a practicing coach and if they have experience with others in similar situations as yours. 
  • Affiliation with treatment centers or hospitals—Check the qualifications of the centers they’ve partnered with to give yourself an idea of their credibility and professionalism.   

Sober Coaches Offer the Extra Support Many People Need for Long-Term Recovery

Adjusting to life after rehab can feel like a difficult prospect. As you journey to create a healthy, substance-free lifestyle, there are resources and tools you can turn to that help make the adjustment easier. 

For many people, sober coaches are a pillar to lean on and offer invaluable support they need for long-term recovery. The relationship is often grounded in trust, health and wellness, which is why finding the right person is so important. 

Many established rehabs either have referrals for sober coaches or have sober coaching as part of their program. To get your search started, browse our collection of luxury rehabs that offer sober coaching.

Frequently Asked Questions About Sober Coaches

What is a sober coach?

A sober coach, also known as a recovery coach, provides supportive assistance to people in long-term recovery. They supplement other aspects of continuing care and can help with setting recovery goals, developing action plans, finding new peers, improving job skills, exploring new hobbies, and finding sober housing.

What’s the difference between sober coaches and sober companions?

A sober coach is a non-clinical professional who supports long-term addiction recovery. They provide regular assistance through phone, online, or in-person sessions. A sober companion, on the other hand, is more involved in a client’s daily life, providing support and accountability to prevent relapse and accompanying them throughout the day as needed.

How can I find a sober coach?

To find a sober coach, follow these steps: 1. Check the reputation and credibility of the addiction treatment center you are associated with. 2. Ask the treatment center for referrals of sober coaches. Compare their backgrounds and have an initial phone call with them to find a match. 3. If your treatment program doesn’t offer sober coaching, you can hire a private sober coach. Ask trusted professionals like therapists or doctors for recommendations and check their reputation, qualifications, work experience, and affiliations with treatment centers or hospitals.

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Privacy in Rehab: How to Keep Your Treatment Confidential

Addiction can affect anyone, including public figures and those in high-profile positions. For these clients, concerns around confidentiality can be one of the biggest barriers when it comes to seeking treatment.

Because of this, privacy is among the most important considerations when choosing a rehab. 

The good news is that you have options. In general, rehabs are at least held to clinical standards of patient confidentiality, and due to the sensitive nature of addiction treatment, most are located in discreet premises and take measures to protect your privacy. Some premium programs cater specifically to clients who need extra seclusion, with many featuring private villas and exclusively one-on-one treatment sessions. Other treatment centers also focus on confidentiality and understand that for certain clientele, like celebrities and recognizable figures, anonymity is essential.  

Understanding the protection you’re entitled to in clinical settings, and learning what to look for in a residential rehab, can give you the peace of mind you need to focus on your recovery.  

Why Privacy Matters

Recovery is a highly personal journey. If opening up to others about your struggle isn’t something you feel comfortable with, that choice is completely valid. 

While mental health stigma is decreasing1 thanks to growing visibility, coming out about a substance use disorder can, unfortunately, have consequences in some cases. In a 2017 study published in Addiction Research & Theory, researchers found that the stigma of being identified as someone struggling with addiction2 can have personal, medical and professional consequences similar to those who are dealing with mental illness. These consequences can be especially high-impact for those who are in the public eye. 

Celebrities, politicians, and high-profile businesspeople often choose to pursue more discreet treatment options. Fortunately, many centers have exclusive programs that cater specifically to this need.

How You’re Protected by Clinical Standards

Healthcare providers in the U.S., including rehab centers, must adhere to certain privacy protection laws. Two important ones that concern addiction treatment include the Health Insurance Portability and Accountability Act, or HIPAA3 and 42 CFR Part 2.4

HIPAA

HIPAA is a privacy law that enforces national standards to prevent the sharing of health information of individual patients without their consent or knowledge. Under this law, you have the right to access and examine your healthcare records and can request amendments or accounting of disclosure of your protected health information.

All healthcare providers, health plans, businesses and healthcare clearinghouses must comply with HIPAA.

paracelsus confidentiality
Paracelsus Recovery in Zurich, Switzerland treats only one client at a time in their completely bespoke program.

42 CFR Pt. 2

While HIPAA applies to all medically-related information, 42 CFR Part 2 applies specifically to those who will enter, who have entered, or who have already gone through addiction treatment programs. 

Under this law, rehab centers are prohibited from disclosing any individual information that identifies or indicates that the patient has dealt with addiction. This is so that people in recovery aren’t treated unfairly in cases of employment, child custody, or divorce. Without your written consent, treatment centers are unable to share any of your information, even with other medical facilities and practitioners.

42 CFR Part 2 applies to any entity that provides a recovery program, so all programs in the U.S. must adhere to this federal law. 

As for facilities outside the U.S., the laws can differ significantly. For example, in Canada, the Privacy Act of 1985 prevents treatment centers from sharing any mental or physical health information5 that might be harmful to the patient.

Because privacy levels can vary from program to program, it’s best to ask admissions staff at centers you’re considering what steps they take to ensure privacy and what kind of regulatory oversight they have in this area. 

While these protection laws are designed to keep the information of rehab center patients safe, there are still ways you can ensure extra layers of privacy if discretion is a major concern.  

Privacy at Different Addiction Treatment Programs

Whether you’re looking for a residential rehab program or an intensive outpatient program (IOP), certain markers can help you identify which ones offer a more confidential experience. On the most exclusive end of the spectrum are luxury rehab centers that cater specifically to clients who need to keep a low profile. 

Residential Rehabs

Here are some of the ways residential rehab programs can offer a more private experience: 

Distance From Your Community
For many people, the fear of bumping into familiar faces during or on the way to rehab prevents them from starting treatment. With residential rehabs, you live onsite for the duration of your program. Removing yourself from your everyday environment not only reduces the chances of being recognized, but also reduces circumstantial triggers. This gives many people the comfort they need to focus on their recovery. 

Discreet Locations
Luxury inpatient rehabs are often located in remote, naturally beautiful settings, which offer the added benefit of total seclusion. These peaceful, awe-inspiring surroundings are the perfect backdrop for inner healing, says Dr. Jasleen Chhatwal, Chief Medical Officer of Sierra Tucson in Arizona:

“Trying to heal in a main metropolis, where you hear cars, sirens and noise is not very conducive. When clients come to Sierra Tucson for treatment, suddenly they’re in a quiet space without extraneous sound. There’s no interference from the outside world and people can really focus inward and take care of themselves.”  

Many luxury rehabs aren’t recognizable as treatment centers from the outside, and some don’t even publicly list their location. 

An Extra Layer of Privacy at Destination Rehabs
If you’re looking for anonymity, you may consider traveling to a destination rehab where you have even more space from your usual surroundings. Local culture can even play into which destination is more appropriate for those seeking an escape from the public eye. 

Jan Gerber, CEO of Paracelsus in Zurich comments on Switzerland’s non-sensationalist culture, and how it can be attractive for clients who want to avoid media attention:

“Confidentiality is Switzerland’s second name. Some of our A-list celebrity clients will go to a local Starbucks, and while they’re recognized, they’re not in the news. Local tabloids don’t write about it and they’re not harassed for autographs either.” 

mercui confidentiality
Mercui Recovery, a single-client rehab with locations in Malibu, Aspen and Costa Palma, Mexico offers a full continuum of care on-site, from initial detox to aftercare.

Privacy Options for Intensive Outpatient Programs

Intensive outpatient programs (IOPs) are for those who don’t need 24/7 care or medical detox. This could be a good option for people who have a milder addiction diagnosis, or as a step-down from a residential rehab program. Some studies show that IOPs are just as effective as residential rehabs,6 as they offer more intensive schedules with additional hours of therapy in comparison to standard outpatient programs. 

If you’re looking into an IOP but are concerned about privacy, keep the following in mind: 

Some IOPs Cater to Your Schedule 
Some luxury rehabs offer IOPs as a step down from residential rehab or as a standalone program. 

These treatment centers understand that many clients who want to attend intensive treatment still need to keep up with their daily responsibilities. Most of their programs are designed to fit your schedule, and are located in metro areas that are more accessible from where you live. 

Passages Malibu in California, for example, has an IOP program designed to help graduates of residential treatment integrate back into daily life. They understand that this is an opportunity for clients to return to work and other day-to-day responsibilities while still receiving a high level of support for their recovery journey.

Virtual IOPs Offer Extra Privacy 
With telehealth on the rise, many treatment providers now offer a virtual IOP option. This is especially beneficial if you’re nervous about being seen at a treatment center. Usually, you can design your schedule to avoid causing any disruptions at work. Additionally, many people feel more comfortable attending treatment from the privacy of their own homes. 

A few luxury rehabs across the United States offer virtual IOPs, including All Points North Lodge in Colorado, Inspire Malibu in California and The Meadows in Arizona. 

Header Name

A small number of rehabs cater specifically to high-profile clients who need very high levels of privacy. They place a special focus into ensuring client comfort and utmost confidentiality. These centers may be in isolated locations, and some even accept only one client at a time.

Paracelsus 

Paracelsus in Zurich, Switzerland is one of the world’s leading and most exclusive luxury rehabs. Catering to the ultra-wealthy, including politicians, celebrities and royalty, their program is designed for those who need to remain completely discreet: they take in only one client at a time. Founded in 2012 as a family business, Paracelsus boasts an incredibly tailored treatment experience, with a team of over 15 therapists and doctors who care for one client. 

During treatment, clients stay at their exclusive lakefront residence, featuring penthouse apartments with a main bedroom and ensuite bathroom plus an additional room for an on-site therapist. Stays here also include a private butler and housekeeper. 

Paracelsus goes to great lengths to accommodate their clients–their CEO Jan Gerber explains why:

“There’s a group of people who are underserved when it comes to addiction and mental health treatment. These are people who come from money or power and require 100% confidentiality and a place they can trust. They have a very specific background and need comprehensive care tailored to their situation. It’s important for our clients to feel at home without any disruption to the lifestyle they’re used to. Such disruptions can be incredibly negative for treatment.”

the banyans confidentiality
The Banyans in Brisbane, Australia takes no more than 8 clients at a time at their luxury residence on 13, secluded acres.

Mercui Recovery 

Mercui Recovery prides itself on its high standards of discreet care. As a top luxury treatment center, their private residences rest amongst some of the most scenic and tranquil surroundings in Aspen, Colorado; Malibu Canyon, California; Ibiza, Spain; and the Pacific coast of Mexico. They take in one client at a time, and you can choose from one of their many locations or select an in-home option. 

Clients can expect five-star service and exclusivity at Mercui Recovery, with a team of dedicated professionals for 1:1 treatment. Their treatment program is hyper-tailored to each individual, with clients ranging from politicians to business elites. Here you’re offered the full continuum of care, from initial detoxification to intensive aftercare.

The Banyans 

The Banyans in Brisbane, Australia is an exclusive treatment center that caters to the privacy needs of clients and places emphasis on the clinical aspect of care. Taking in no more than 8 people at a time, clients are accommodated in a luxury residence on a secluded 13 acres overlooking lush hills. 

Known as Australia’s most therapeutically intense private treatment program, they offer over 9, 1:1 treatments with 6 medically trained doctors as part of your clinical team.

Keeping privacy at the forefront, association of clients with The Banyans is never disclosed. This means they use personal names instead of ‘The Banyans’ on booking and reservations, no uniforms with their logo and unbranded cars for transportation. 

They also offer a 14-day virtual program called The Banyans at Home for those who prefer to receive treatment from the comfort and privacy of their own house.

For a deeper dive into exclusive, ultra-private addiction treatment programs, see our guide to single-client luxury rehabs.

Your Privacy, Protected 

Your ability to focus on recovery and healing can make your addiction treatment experience that much more impactful. Recovery is a sensitive process that shouldn’t be hindered by external factors like privacy issues. 

In addition to standard protections, there are many ways luxury rehabs centers can cater to clientele in the public eye, with solutions that range from single-client intakes to discreet transportation to and from facilities. 

You deserve a safe space for recovery and healing. See our collection of select luxury rehabs to discover a center that could be the perfect fit for you.

Frequently Asked Questions About Privacy in Rehab

How can I ensure privacy during rehab treatment?

When choosing a rehab program, consider facilities that prioritize privacy and confidentiality. Look for rehabs located in discreet premises, offering private accommodations and 1:1 treatment sessions. When calling a treatment center, ask what measures they take to protect your privacy. This knowledge can give you the peace of mind you need to focus on recovery.

Why is privacy important in rehab?

Privacy matters in rehab because addiction recovery is a personal journey. Seeking treatment in a confidential setting helps avoid potential consequences of stigma. Luxury rehab centers often have exclusive programs tailored to clients who need extra privacy, ensuring their anonymity is respected throughout the treatment process.

How can I find a rehab program that offers privacy?

Choosing a program that’s not located in your home community can provide an extra layer of privacy for your treatment experience. Luxury rehabs often have discreet locations in remote and naturally beautiful settings. For those opting for an intensive outpatient program (IOP), luxury rehabs may offer flexible schedules and even virtual IOP options for added privacy and convenience.

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Tips for Staging an Intervention

When most people think of an intervention, they picture the classic scene that’s often shown in TV shows and movies: a group of family and friends gathering for a meeting in the living room. And while this is one way to do it, there are actually many ways to stage an intervention. Everything from the setting to the addiction treatment professionals who help you can be quite different from what the media portrays.

To begin with, staging an intervention requires more behind-the-scenes planning than you may realize. The more prepared you are, the more you’ll increase your chances of convincing your loved one to get the help they need. What you do to prepare will depend on how you want to stage your intervention and what kind of intervention you want to do.  

So whether you’re ready but simply need encouragement, or you know you want to stage an intervention but don’t know where to begin, keep reading for more facts and professional tips on this challenging but important step.

How Interventions Work

Interventions often become necessary because many people aren’t aware how harmful their behavior actually is to themselves or others. This happens frequently with people who struggle with substance or alcohol use disorders, as denial is an inherent part of addiction.1

According to the American Academy of Family Physicians (AAFP), an intervention is a “short-term counseling strategy2 based on motivational enhancement therapy.” In other words, an intervention happens when concerned family and friends gather to try to motivate or convince a loved one to get professional help for their substance use or mental health disorder. 

When successful, an intervention can help your loved one do the following:

  • Stop immediately harmful behaviors (like drug consumption) 
  • Gain a clearer understanding of the benefits of treatment
  • Equip them with the necessary information to get help
  • Take steps to get the help they need

The ultimate goal of an intervention is to get someone to change their behavior, preferably by willingly seeking professional help.

How to Know When Someone Needs an Intervention

An intervention can be done for any loved one who has a problem with using substances or alcohol, or has mental health problems preventing them from living their fullest life. Your partner, friend, or family member doesn’t have to “hit rock bottom” for you to feel like you want to help them. 

If someone you know is showing signs of addiction, like engaging in risky behaviors or neglecting normal daily activities, it’s appropriate to host an intervention. This can be for both substance and behavioral addictions:

If you suspect someone could benefit from an intervention, but aren’t confident moving forward, it’s a good idea to talk to their close friends and family (if you’re comfortable doing so) to have a better understanding of their condition and life situation. Another option is to consult with an intervention professional, which we discuss further below. 

Why Interventions Work

When a group of people, like family members and significant others, gather to show and voice their genuine concern for the welfare of a mutual loved one, this alone can be a powerful tool to show someone the severity of their addiction and to motivate them to change their behavior. Results from several studies also support this idea. 

An intervention is considered a success when a person commits to treatment, according to the US National Council on Alcoholism and Drug Dependence (NCADD). Based on this criteria, the NCADD claims that when performed correctly, intervention success rates are above 90%.3

Another U.S. organization, the National Institute on Alcohol Abuse and Alcoholism (NIAA) reviewed results from numerous studies on the effects of interventions and reported that these studies “suggested that brief intervention can reduce alcohol consumption4 in a substantial number of at-risk or problem drinkers and can facilitate the referral of dependent drinkers into specialized alcoholism treatment.”

What Happens During an Intervention

In general, an intervention involves family and friends meeting with a loved one to motivate that person to seek treatment. Ideally this is done in a nonthreatening manner and environment. The exact details may be somewhat different depending on which approach you decide to use (see the intervention options discussed below). 

The main difference is that interventions can be done with or without the help of professionals. Below we’ll discuss the 2 main ways to stage an intervention: 

  1. Making a plan to do it on your own.
  2. Involving a professional interventionist. 

DIY Interventions

When you do an intervention yourself it simply means you’re planning, preparing and executing the event without a professional interventionist’s help. This is a realistic option for many people if they feel confident and are committed to thoroughly organizing the intervention. 

The key to staging an intervention on your own is choosing someone, whether yourself or another person, to lead the intervention. The best person to lead an intervention is someone who can stay strong throughout the conversations and can quickly and calmly handle any conflicts that arise. It’s important that the leader of the intervention educates themselves on common arguments that people struggling with addictions use so they know how to address these comments if they come up. Lastly, the intervention leader will be in charge of giving the loved one the choice of going to rehab or not. 

Even if you don’t hire a professional interventionist, you can still invite a doctor, a therapist, a spiritual or faith leader, or even a licensed alcohol and drug counselor to the intervention. Just be aware that some of these professionals still require fees for their services. 

Professional Intervention Services

Some mental health specialists are experts at diagnosing disorders and building strategies to solve them. These professionals are interventionists, and if you hire them they can help you through every step of your intervention. 

Working with a professional interventionist is a good idea if the family and friends involved in the intervention (a.k.a. your “intervention group”) have strained relationships, don’t have adequate time to invest in prepping for the intervention, or may be holding on to grudges that prevent them from contributing constructively. In these situations, a professional can act as a “referee,” helping the group process their emotions before the intervention to avoid it becoming a hostile and counterproductive situation. 

As the Mayo Clinic, a U.S. nonprofit medical center, explains, it may also be critical to get help from a professional interventionist5 if your loved one meets the following criteria: 

  • A history of serious mental illness 
  • A history of violence 
  • Suicidal behaviors, tendencies or thoughts 
  • Current use of mood-altering substances
  • Has been to treatment and relapsed 

A professional will know how to safely de-escalate any potentially violent situations and  address self-destructive behaviors during the intervention. 

If you choose a DIY intervention, conflicting emotions and family tensions may come up as you’re preparing. It’s okay to pivot and seek professional help if doing an intervention yourself becomes too difficult. 

To find an interventionist in the U.S., you can call the Substance Abuse and Mental Health Services Administration’s (SAMHSA) national 24/7 helpline at 1-800-662-HELP (4357). The Association of Intervention Specialists (AIS) also provides a network of professional interventionists across North America and Britain.6

Different Types of Interventions

As previously mentioned, interventions don’t always just look like a group gathering in the living room. There are several different types of interventions. These may be based on how many and what kinds of people are present, on how the intervention is organized and handled, or on the approach used.

Interventions Based on People Present

The number of people involved in an intervention can range from one person to a mixed group of loved ones and professionals. 

  • Simple Intervention: This type of intervention happens when one person, such as a close friend or family member, confronts a loved one in a neutral environment to discuss their concerns and develop a treatment plan. 
  • Classic Intervention: A group of people gathering to talk to a loved one in a non-confrontational manner about their need for treatment is considered a classic intervention. Usually the group meets beforehand to set goals, decide each person’s role in the meeting, and plan the event. A professional may or may not be involved, depending on what the group decides.
  • Family Systems Intervention: In some cases family members are collectively involved in enabling a person’s addiction or struggle with substance use disorders themselves. Family systems interventions are intended to address all members of a family and encourage them to get treatment either individually or as a group. Families often have complex dynamics, so this is best done with the help of a professional who specializes in organizing this type of intervention. 
  • Crisis Intervention: This is usually unplanned and happens after a person experiences a potentially threatening or dangerous situation. Family or friends present then confront the loved one and try to persuade them to get treatment. Because of the situations that crisis interventions happen in, emergency workers like paramedics or police officers may be present. 

Interventions Based on Approach

Another way to think about interventions is based on what type of format you’d like it to follow. In general, the following approaches can be used in classic or family systems interventions:

  • Johnson Model: This approach is non-confrontational and focuses on family and friends communicating the facts, evidence and personal effects of a loved one’s substance use with the help of a professional. The interventionist plans the session with the intervention group, who also decide on at least three different treatment options to propose to the person they’ll speak to.
  • ARISE Model: Developed by the AIS as an alternative to the Johnson model, the ARISE approach has three levels that the intervention team works through.
  • Confrontational Approach: This is the type of intervention you usually see in TV shows, and is an aggressive approach that happens when people demand that someone gets treatment. This approach is rarely effective and therefore not recommended by professionals. 
  • Tough Love Intervention: Less aggressive than the confrontational approach, the tough love intervention happens when a group of people surprise a loved one with an intervention in order to persuade them to get help.
  • Love First Approach: The love first approach is less aggressive than the confrontational and tough love interventions. The intervention group typically meets first with an interventionist to develop their plan. Each person also writes a letter to read at the event.

How to Decide Which Approach Is Best for You

Deciding which type of intervention will work best for you, your group and your loved one can be difficult. One of the benefits of working with an interventionist is that they can help you decide the best intervention approach.  

Things to Consider Before Staging an Intervention

If you’ve decided that an intervention is the right next step to getting help for your loved one, you’ll need to know how much money you should plan on spending and what your ultimate goals are before you begin. 

How Much Interventions Cost

Unfortunately, in the U.S., interventions alone are not covered by insurance (though the costs of rehab treatment may be). Which means you will be responsible for any professional fees and costs. 

Interventions can cost anywhere from $1,500 to $18,000. This varies greatly depending on what kind of professional you hire and what’s included in their fees. Some professionals charge up front for all associated costs, while others charge per service offered. In general, you can fund a professional intervention for less than $6,000. 

Besides any costs involved with hiring an interventionist and hosting the intervention, your group may also want to plan for the costs of addiction treatment, such as transportation and facility check-in fees. This way, if the intervention is successful, your loved one can immediately get the help they need. 

According to Laura Herrman, the Marketing and Outreach Director at Gallus Detox Centers:

“Generally the people who thrive here are those who are willing to start their recovery journey. However, we do work with a lot of interventionists that have people come in who aren’t necessarily completely willing yet. And what we do when they’re with us is find that motivation for change.”

If you decide to pay for some or all of your loved one’s treatment, be sure to give yourself enough time to research and choose the best treatment center for your loved one’s circumstances. 

Setting a Goal for the Intervention

It’s important that both you and anyone joining you go into the intervention with a clearly defined intervention goal so you can plan your intervention around achieving that goal. A U.S. Surgeon General’s Report published by SAMHSA, explains:

“The goals of early intervention7 are to reduce the harms associated with substance misuse, to reduce risk behaviors before they lead to injury, to improve health and social function, and to prevent progression to a disorder and subsequent need for specialty substances use disorder services.” 

Examples of intervention goals might include your loved one completing certain actions:  

  • Acknowledging the harm in their behavior and the effects it’s had on others
  • Taking actions to change their behaviors
  • Agreeing to speak to a professional for more information on treatment
  • Checking in to a rehab facility
  • Scheduling another meeting to discuss the situation further 

Your Intervention Preparation Checklist

No matter how you decide to stage an intervention, use the list below to help you prepare.  

  • Decide which kind of intervention you’ll do. If you choose to hire professionals, get them involved right from the beginning so they can help you with the rest of your planning.
  • Plan who will be present. If you want a group of people present, stick to a small number who represent the “core” of close family and friends. This group will be your intervention group, or intervention team, and should be involved in the planning and preparation stages. 
  • Pick your location. The location will differ depending on what kind of intervention you choose, where your team and your loved one are physically located, and where you believe you’ll be most likely to achieve the goals you set. Above all, the setting for your intervention should be a neutral, safe space for all intervention members to express themselves. The U.S. Surgeon General explains in a report on SAMHSA that “early intervention services8 can be provided in a variety of settings (e.g., school clinics, primary care offices, mental health clinics)”
  • Prepare and rehearse what to say. Interventions can be uncomfortable for a lot of people, not just the loved one you’re talking to. Preparing speaking notes or even a script will help everyone keep their emotions in check and stay on topic throughout the process. It’s also a good idea to research and review terms and statements that everyone should avoid saying, like “alcoholic” and “junkie.” 
  • Manage expectations. TV show interventions often skew our perspectives of what we think will happen. People aren’t necessarily happy to accept help or even open to discussing their problems. Which is why it’s important for your intervention group to establish boundaries and predetermine actions each person will take in case your loved one refuses help.
  • Conduct the intervention. All of your preparation leads up to the actual intervention. Many people don’t follow through with their plans and aren’t successful at staging the intervention. It takes as much work to follow through as it does to get to this stage. 
  • Follow up. No matter what the outcome of the intervention is, it’s important that all members uphold statements made during the intervention. For example, if parents say they won’t finance their child’s lifestyle unless they get treatment, they must follow through with that statement.

It’s important to keep in mind that, often, one intervention alone is not enough to motivate someone to take action. And even when someone does take steps to get help, follow-up interventions may be needed to encourage continuing care. 

Start Planning Your Intervention

Staging an intervention requires courage and preparation. Many people see an intervention as their one chance to convince a loved one to get the help they need, which is frequently the truth. That’s why it’s key to make sure you navigate this important moment correctly and with the right intentions.

We hope the knowledge and information above will help you to confidently move forward with planning your intervention. 

For more on available addiction treatment options, explore our collection of luxury rehabs here.

Frequently Asked Questions About Performing an Intervention

How do interventions work?

Interventions are short-term counseling strategies based on motivational enhancement therapy. They involve concerned family and friends gathering to motivate or convince a loved one to seek professional help for their substance use or mental health disorder. The ultimate goal is to get someone to change their behavior and willingly seek treatment.

When is an intervention necessary?

An intervention can be done for any loved one who has a problem with drugs or alcohol, or has mental health problems preventing them from living a functional and fulfilling life. It’s appropriate to host an intervention if someone is showing signs of addiction, such as engaging in risky behaviors or neglecting normal daily activities.

Why do interventions work?

Interventions work because they gather a group of people, like family members and significant others, to show and voice their genuine concern for the well-being of a loved one. This alone can be a powerful tool to demonstrate the severity of their addiction and motivate them to change their behavior. Studies have shown that when performed correctly, intervention success rates are above 90%.

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Finding Help for Treatment-Resistant Depression

Treatment-resistant depression (TRD) has the same symptoms as depression, but with a more complex recovery process. Because of its effect on energy levels, depression can interfere with your capacity to seek help. This makes TRD especially daunting for many people. It takes a great deal of determination to try new treatments, with the knowledge that just finding the right modality may take some time. As difficult as this is, it’s important to stay focused on the goal of getting well. 

Whatever treatment you’re currently trying, you can always continue to learn about this condition. Knowledge is power. The more you know about treatment-resistant depression, the better equipped you’ll be to manage your symptoms and get the depression help you need. 

Lifestyle Changes and Behavioral Health Treatments for TRD

Treatment-resistant depression1 is defined as depression with symptoms that are not alleviated after trying two or more treatment options (medications) for at least six weeks each. Despite the myriad medical and behavioral options for treating depression, many people still struggle to find an effective treatment. One-third of people with major depression have TRD.2 

If you think you may have treatment-resistant depression, you’re likely already familiar with the symptoms of major depression.3 While these criteria are well understood, research is beginning to explore some of their underlying causes. 

Most people understand depression to be related to chemical factors in the brain. There are a number of environmental factors that may contribute to depression4—and it’s not just physical health. Depression has recently been associated with more frequent use of screens (cell phones, computers, etc.), and a lack of access to green space. High levels of air and noise pollution may also exacerbate symptoms. On the other hand, activities that guard against depression include confiding in other people, being part of a sports club or gym, and strangely enough, eating cereal. 

These protective factors paint a clear picture: eating cereal with friends at the gym might be a valid treatment for treatment-resistant depression. In all seriousness, though, most of the activities that diminish the chances of depression include social support. That support doesn’t have to come from friends; it can also come from a one-on-one therapist, a psychiatrist, or a support group. The simple act of reaching out for help can have an immensely positive impact on TRD.

tabula rasa depression rehab
Tabula Rasa Retreat in the Alentejo Region of Portugal uses ibogaine therapy to induce a profound psychedelic state that many clients find helps them to make breakthroughs in healing their depression.

Alternative Therapies for Treatment-Resistant Depression

Holistic and alternative modalities are an increasingly popular way to treat mental health conditions. People with treatment-resistant depression might be particularly interested in these types of therapy. If traditional interventions—like SSRIs, talk therapy, and exercise—haven’t worked, you may be ready to try a radically different strategy. 

Many of these depression treatments , like psychedelic-assisted therapies,5 are just starting to gain traction. However, they are not new. This class of medications was studied extensively from 1943-1970. The political shift of the 1970’s pushed researchers away from the subject, but now, public perception of psychedelics is starting to change. More effective treatments for TRD are very likely on the horizon. 

In this new era, the stigma once associated with alternative therapy is dissipating. It’s an exciting time for anyone who wants to find new ways of treating mental health. That’s true for both clinicians and people dealing with their own diagnoses. Living with treatment-resistant depression might not be straightforward, but the number of safe and readily available treatments is steadily growing.

Ketamine Therapy for Depression

Ketamine is a psychedelic dissociative that can be helpful in treating depression,6 including TRD, and PTSD. It is administered in a supervised setting, rather than being prescribed for daily use. Ketamine IV treatments may be conducted individually or with small groups, and are always closely monitored by a medical team. 

Ketamine therapy is intended to give you space to step back from your emotional experience, and to process your feelings from a more objective point of view. This perspective can be especially helpful in treating depression; simply taking space from your feelings can result in the immediate relief of some symptoms. Clients enter a trance state, during which they gain greater insight into their lives, often returning to full consciousness with renewed energy and a clear sense of how to move forward. The pharmaceutical aspect of ketamine therapy is often, but not always, combined with talk therapy either before or after the treatment itself. This invites clients to process the experience and set intentions for the future. 

Ibogaine Treatment for Depression and Addiction

Ibogaine is a psychedelic that can be used to treat depression and addiction. According to MAPS, it is “a psychoactive alkaloid naturally occurring in the West African shrub iboga. While ibogaine is a mild stimulant in small doses, in larger doses it induces a profound psychedelic state. Historically, it has been used in healing ceremonies and initiations by members of the Bwiti religion in various parts of West Africa.” Modern-day clinicians are finding that clients with treatment-resistant depression also benefit from ibogaine therapy.7

Like ketamine, ibogaine is administered in a protected, controlled environment. Although more research is needed into this form of therapy, ibogaine shows promising results in observational studies.8 Thanks to these positive outcomes, this treatment is becoming more readily available in a number of settings, including rehab facilities. 

For many clients, ibogaine therapy is a transcendent, even spiritual experience. By revisiting past experiences, they are able to reconnect with their higher selves. Álvaro de Ferranti, Founder of Tabula Rasa, explains that this treatment “heals the pain by helping the user deal with deep-seated traumas and emotional baggage. It helps them open themselves up to new possibilities, to let self-love back in, and to simply allow them to get back to self again.”

mountain springs recovery
Mountain Springs Recovery in Monument, Colorado treats depression using an evidence-based approach.

Combined Approaches to TRD Treatment

Pharmaceutical methods are just one way of treating resistant depression.9 Evidence supports the theory that a combined approach, including multiple modalities at once, is the most effective way to affect change. In order to achieve this, you may need to assemble a team of healthcare providers with different specialties. 

Treatment-resistant depression is a mental health condition, but it can also impact your physical health, your relationships, and every other area of your life. Because of this, you can likely benefit from working with not just a psychiatrist and talk therapist, but also a personal trainer, massage therapist, or even an acupuncturist. If you want to kickstart the healing process with intensive treatment, you may want to consider inpatient treatment, or an IOP. As you try various modalities, remember that there’s no one right or simple answer. You might need to experiment with a few different combinations before finding what works best for you.

How to Know When to Try a New Treatment

When you begin treating any condition, whether it’s mental or physical, it’s important to track your symptoms carefully. For TRD, you can do this by journaling, using a mood tracker, or even making a spreadsheet to track how different behaviors affect your emotional state. Working with healthcare providers can also be extremely helpful in this process. A therapist will be able to refer to their notes, and provide objective insight into your progress over time. 

If you decide to try pharmaceutical treatment for treatment-resistant depression,10 it’s absolutely essential that you follow your prescriber’s directions. Brain chemistry changes slowly, and it can be hard to know whether a new medication is working unless you give it adequate time to take effect. Research suggests that it takes at least 4 to 6 weeks on a new treatment before you start seeing results.  That being said, everyone’s brain chemistry is different, and your experience may be different from this. Make sure to work closely with your provider to manage any side effects, and get their advice before stopping a medication. 

When you’re working with an expert in any field, whether they’re a therapist or an interior decorator, it can take time to find the right person for you. If you’ve been seeing a therapist for some time without noticeable results, don’t be afraid to look for a new provider. That being said, don’t jump ship just because it doesn’t feel good. The work of therapy may not be easy or fun; the question is whether it’s helping you make positive, sustainable changes in the rest of your life. 

Because depression often has environmental causes, it can also be helpful to see how your mood changes based on external factors. For example, do you feel worse in rainy weather, or when you don’t have time to see friends? In some cases, you can make behavioral changes to manage these symptoms, such as investing in a sun lamp or rearranging your schedule. However, you’re unlikely to stop encountering common triggers. If these external circumstances have less of an effect on your mood as you continue treatment, it’s a sign that you’re on the right track. 

As Rowland Tweedie, Health and Fitness Manager of Paracelsus Recovery, sees it, “People are 360 degrees. All of us, we’ve got many aspects of our life: our health, our mental state, our physical state.” While the road to recovery may not be simple or straightforward, this process will undoubtedly teach you a great deal about yourself. 

Healing From TRD is an Opportunity

As painful as treatment-resistant depression can be, it can also be an opportunity. If you’re able to cultivate an attitude of curiosity about yourself and your healing journey, the process may be far less arduous. 

When you try several different types of therapy, you’ll learn about yourself from every angle. People are complex, powerful, and multifaceted. That includes you. As you get to know yourself better, you may find that recovery is a creative act. For people with TRD, it means more than finding the right pill. Instead, this is the process of building a better and more fulfilling life. 

To learn more about different TRD therapies, you can connect with an inpatient rehab facility that treats depression.

Frequently Asked Questions About Treatment-Resistant Depression

How do I know when to try a new treatment for treatment-resistant depression (TRD)?

To determine when to try a new treatment for treatment-resistant depression (TRD), you can use tools like journaling, mood trackers, or spreadsheets to track how you feel day to day. Working closely with your therapist and other treatment providers can provide valuable insights into your progress and guide decisions about trying new approaches.

What alternative therapies are available for treatment-resistant depression?

Alternative therapies, including psychedelic-assisted therapies, are emerging as potential treatments for treatment-resistant depression (TRD). These therapies offer new possibilities for people whose depression hasn’t responded to traditional interventions.

How can combined approaches be effective in treating treatment-resistant depression (TRD)?

Combining multiple therapies and working with a team of healthcare providers with different specialties can be the most effective approach in treating treatment-resistant depression. This comprehensive approach addresses the multifaceted impact of TRD and can lead to better outcomes.

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Everything You Need to Know About Calling a Residential Treatment Center

If you’re hesitant about calling an addiction treatment center for the first time, you’re not alone. We understand how it can feel like another hurdle to clear on your way to getting reliable residential care.

But whether you’re seeking treatment for yourself or for a loved one, and whether you’ve researched inpatient rehab centers for weeks or not at all, that initial phone call is the first step to actively getting help. Plus, talking to an admissions specialist will help you determine if a particular treatment facility is the right fit for you.

Knowing what to expect when you get on the phone with a rehab center can give you the confidence you need to make that first call. Keep reading to learn more about inquiring at a residential treatment center.

Who Answers the Phone?

When you call a rehab center, you’ll talk to an intake or admissions specialist. Sometimes a receptionist will answer first and redirect your call. 

It’s important to know that, in general, a rehab’s admissions staff performs the same functions as a sales team. Their job is to sell their rehab center’s treatment to potential clients. Yes, they want you to get the help you need, but typically they want you to get that help through their program. This is especially true if you call a hotline that’s trying to refer you to a rehab center for a fee. 

Residential rehab admissions staff are usually trained to help people going through various mental, emotional, and physical struggles when they call. And all rehab staff should have ethical standards for interacting with potential clients and helping them get the treatment they need. 

Still, there’s no guarantee you’ll receive unbiased information when calling a treatment center. Knowing which questions to ask, and what questions to be prepared to answer, will empower you to get the facts you need and to determine for yourself if the rehab you’re calling is really the right one for you.

What Happens When You Call?

Usually, the admissions specialist will begin the call with a series of questions to learn more about you, your medical and substance use history, and your current condition. This series of questions is often referred to as an “initial assessment,” and is quite standard between different facilities. Initial assessments usually occur via telephone. But you can also do it in-person if you visit a rehab center to see their facilities.

Note: This initial admissions assessment is different from your check-in assessment, which is a much more in-depth evaluation performed by licensed mental health professionals and medical staff when you arrive at an inpatient facility for your stay.

The purpose of the rehab intake assessment1 is for the center to determine what level of care you need and any logistics that need to be arranged for your treatment. As the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) describes, this assessment helps “pinpoint places where there are—or may be—concerns.” 

Having an in-depth conversation about your background and concerns also allows the rehab to determine which standard length of stay is appropriate for you and if their core program needs to be adjusted to meet any of your specific needs. For example, if you’re struggling with sex addiction and not a substance use disorder, you might be scheduled to join Sex and Love Addicts Anonymous meetings instead of Narcotics Anonymous meetings during your stay. 

During your intake assessment you’ll also have the chance to ask any additional questions you have, like details about the center’s facilities or specific therapies offered. And remember—everything discussed during this phone call is to help you decide if the rehab center is the best match for you. 

Basic Questions Inpatient Rehab Centers May Ask

When you call a rehab, the questions you’re asked may vary slightly from center to center. This is because each addiction treatment center’s intake questions1 “depend on the types of clients treated and the kinds of services offered,” as explained in a SAMHSA report on Treatment Improvement Protocol. 

No matter who you call, you’ll probably be asked to share most of the same general information. This includes your basic demographics and background, your medical and family history, and your substance use history. 

According to another SAMHSA report on Substance Abuse Treatment for Persons with Co-Occurring Disorders, you should also be prepared to discuss any “medical issues (including physical disability and sexually transmitted diseases), cultural issues, gender-specific and sexual orientation issues, and legal issues,” which will further aid the treatment matching and planning process.2 Rehabs may ask you questions about the following topics: 

Basic demographics and background 

  • How old are you? 
  • Where are you from? 
  • What is your racial and ethnic identity? 
  • What is your gender and sexual identity?
  • What, if any, is your religious background?
  • Do you actively follow any religious practices? 

Medical history 

  • Do you have any current or past physical health conditions (like cancer, diabetes, heart disease, etc.)? 
  • When were you diagnosed and how old were you?
  • What treatments did you receive?
  • What were your treatment results?
  • Did you, or do you currently, experience any complications during treatment? 
  • Do you have any current or past mental health conditions (like depression, anxiety, PTSD, etc.)? 
  • When were you diagnosed and how old were you?
  • What treatments did you receive?
  • What were your treatment results?
  • Did you, or do you currently, experience any complications during treatment? 
  • Have you had any major or minor surgeries?
  • Did you, or do you currently, experience any complications due to these surgeries? 
  • What are your current and past prescription medications?
  • Have you ever had any negative reactions to medications?   

Family history

  • Do/did any of your parents have problems with alcohol or other drug use? 
  • Does your partner have a problem with alcohol or drug use? 
  • Do any of your second- or third-degree family members have a history of substance or alcohol use disorders? 
  • Do your relatives have any other notable physical or psychological conditions? 

Substance use history 

  • What substances do you currently use? 
  • What substances have you used in the past, but are no longer using?
  • How long have you been using substances and/or alcohol?
  • Do you have any co-occurring conditions or dual diagnoses?
  • Are you, or have you ever taken any prescription medications to treat substance or alcohol use disorder? 
  • Have you ever had any negative reactions to medications? 

Even if you don’t have the answers to all these questions, or some of them are difficult to discuss, understanding your complete personal and family history is the starting point of addiction treatment.1 “The assessment examines a client’s life in far more detail so that accurate diagnosis, appropriate treatment placement, problem lists, and treatment goals can be made,” explains the U.S. Center for Substance Abuse Treatment in a SAMHSA report. “Usually, a clinical assessment delves into a client’s current experiences and her physical, psychological, and sociocultural history to determine specific treatment needs.”

After discussing your general background and history, you’ll have the chance to ask any of your questions about rehab in general and about that facility’s staff, policies, and programs in particular. 

What to Ask a Residential Rehab Center

Before your first phone call with any rehab center, it’s a good idea to write up a list of questions you want to ask. In addition to helping you feel even more prepared, this ensures you’ll get all of the information you need to make an educated decision about your treatment. 

You may have more questions than those listed below, but these are a good starting point to help you make the most out of your call.

Learning More About Residential Rehab—The Basics

How much does treatment cost? 

“How much is this going to cost me?” is the first question on most people’s minds when they call a rehab center. Knowing the costs of treatment upfront will allow you to financially prepare for inpatient rehab, which in turn can give you the mental clarity to fully focus on your recovery while you’re in treatment. 

In the United States, the Affordable Care Act requires most insurance policies to cover up to a certain level of treatment. Heather Charlet, Director of Admissions at Gallus Detox Center in Colorado, explains that coverage “depends on each individual’s policy and what their out-of-network benefits are. We run a verification of benefits for every patient that has insurance to see what we’re able to cover.”

“We also have self-pay rates that are guaranteed, regardless of what they may need during their stay. They don’t get back bills when they’re with us: the cost is the cost.” 

gallus detox center colorado
Gallus Detox Center in Littleton, Colorado.

There are a few additional cost-related questions you should be sure to ask: 

  • Does this treatment center accept my insurance? 
  • If not, what are my payment options or how can I pay for treatment?
  • Is full payment required upfront or can I pay a deposit to hold my spot? 

Read more about how much rehab costs.   

Is there a waitlist? If so, how long is it? 

Many people seeking treatment want to get the help they need as soon as possible. Because of the extensive number of treatment centers available, waitlists are generally not common in the U.S. But in Europe and Australia, where relatively fewer luxury rehabs are sought after by those wanting top-quality treatment, having to wait to check into treatment can be a real concern. 

Because addiction is by nature an urgent issue, whether a center has a waitlist or not may determine if you can, or want to, attend treatment at that facility. Knowing this information right away can save some time in making your decision. 

Tell me more about your center’s treatment philosophies and modalities. 

The path to recovery is an incredibly personal journey: What works for one person may or may not work for another. That’s why so many different methods are used to treat substance use disorders and mental health conditions. 

Faith-based, 12-Step, non-12-Step, and holistic rehabs are examples of rehab treatment approaches that underpin entire programs and may appeal to different types of people. Meanwhile, treatment modalities, or therapies, can range from conventional, such as talk therapy and cognitive-behavioral therapy, to complementary therapies like art therapy and adventure therapy, to name a few. 

The best treatment options for you will depend on your past treatment experiences, your substance use history, and even your personal interests. Maybe you already know what kinds of treatment methods you’re interested in trying or continuing. Or perhaps having a variety of modalities is important so you can try something new or discover your preferences. 

Learn this information so you can reflect on whether the center’s overall approach resonates with you, whether you’re interested in doing any of the particular therapies, and to decide if the treatment philosophies align with your personal beliefs. 

How qualified is your staff? 

Knowing who will be helping you throughout your time in treatment is just as important as knowing what modalities are used. These staff-related questions will help you get a clearer picture of the people overseeing your treatment: 

  • What kind of professionals will I be interacting with on a day-to-day basis? 
  • Who will be on my treatment team? 
  • What are their qualifications? 

Learning More About Residential Rehab—The Details of Your Stay

What types of clientele does your program serve? Do you offer the specific specialized services I need? 

These two questions are important for several reasons:

  • Some rehab centers are tailored to the particular needs of specific clientele. There are luxury rehabs that cater to executives and wouldn’t be appropriate for teens, for example.
  • If you identify with ethnic or sexual minority groups you may require specific resources to address your minority experiences. For example, a transgender person may have trauma around their lived experiences and would likely need an LGBTQ+ affirming environment to safely process this during treatment. 
  • There may be other specialized services that you know you need for a successful treatment experience, such as co-occurring disorder treatment or trauma-informed care.

Whether or not these apply to you, asking this question helps you make sure the rehab center can adequately serve you. In addition to having resources to address certain experiences, the main value of being in a program with similar clientele is that this can create an atmosphere of collective safety and comfort that allows you to do vulnerable therapy and group work. 

Do you offer on-site detox? 

Some people require detox before they begin inpatient treatment. And some residential rehab centers, like Cypress Lakes Lodge and Camino Recovery, are equipped with the facilities and medical staff necessary to offer detox services on-site. Alternatively, other centers may offer detox off-site through partnerships with local medical facilities. 

camino recovery
Camino Recovery in Vélez-Málaga, Spain.

There are different settings for detox treatment and varying levels of care,3 which is why you should discuss if the rehab center can provide you with the appropriate detox program. If needed, detox is an essential step in beginning treatment. In a report on detoxification, SAMHSA describes that “this phase of treatment frequently requires a greater intensity of services initially to establish participation in treatment activities and […] increase the patient’s readiness for and commitment to substance abuse treatment.” 

Please remember that when done incorrectly or on your own, detox can be potentially harmful to both your physical and mental health. Because of this, it’s important to consult with your physician or a qualified medical professional when making any decisions about detox. 

What does the initial check-in assessment include? 

Most addiction treatment centers will carry out additional in-person physical and psychological assessments when you first arrive. The more extensive these check-in assessments are, the better, because this information is used to determine your treatment program. 

“What we find a lot of times is people come to us with multiple comorbidities, very complex situations, so we use an intensive assessment center to fill out our continuum of care,” says Jerry Vaccaro, President of All Points North Lodge. “We firmly believe there has to be multiple options for people who require treatment, so they can plug in where their needs are.”

all points north lodge burnout treatment
All Points North Lodge in Vail Valley, Colorado.

How many clinical hours does your program include? 

A key indicator of a rehab center’s value is how many individual therapy sessions you’ll actually receive per week. The more time you get to spend with your counselors and therapists, the more help you’re directly receiving. Some treatment programs consist mainly of group therapy sessions, while others include more one-on-one time with practitioners. Asking about program details like this upfront can help you avoid unpleasant surprises when you arrive.  

What are the center’s policies and expectations with regards to contacting loved ones? To what extent am I allowed to use my laptop or cell phone? 

Relationships with your partner, family, and friends are an essential part of your life and recovery. Don’t let fear of not knowing whether you’ll be able to maintain your relationships with your partner and/or family be the roadblock that stops you from getting help. 

If relationships are an important factor for you, ask the center what their outside device or communications policies are: 

  • To what extent is my family going to be brought into treatment?
    • Do you have a family program? If so, what does this look like? 
    • Will my partner/family be able to visit?  
  • Am I going to be able to maintain my relationships while I’m in treatment? 
    • Will I be able to video call or chat with my loved ones? 
    • Will I be allowed to use my personal device for these calls?  

Learning More About Residential Rehab—Important Facts About Aftercare

Is it possible for me to extend my stay if necessary? 

Most inpatient rehab programs have set lengths of stay that typically range from 30 to 90 days. Your admissions specialist can help you determine what length of stay is appropriate for you. Still, you never know what’s going to happen and if you’ll feel fully prepared to check out once you’ve reached the benchmark time spent in treatment. And while most centers are happy to allow clients to extend their stay, if yours is waitlisted, this may present an issue. It’s helpful to know whether your center allows their clients to continue receiving residential treatment if required.

What kind of continuing care, if any, is provided? 

Most people require ongoing support and care after their stay at a residential rehab. “What happens after treatment is probably the most important question about treatment, because that’s what people go back to after they leave from treatment,” says Jan Gerber, CEO of Paracelsus in Zurich, Switzerland. “The whole concept of aftercare is maybe even more important than the treatment itself.” 

paracelsus
Paracelsus in Zurich, Switzerland.

Certain components of continuing care, such as ongoing therapy and a strong support network, are essential to relapse prevention. But aftercare options vary greatly between rehab centers. Some centers may not offer continuing care, or may offer these services at an additional cost. So make sure you find out as much information as possible about your rehab’s aftercare program.

Ask the Questions That Matter to You

Asking all of the questions above is a great way to suss out whether a residential rehab center feels like a good fit. These questions may lead to more questions that are specific to your personal needs. For example, if you know you’re going away for a month to receive treatment, maybe you already know you’re going to need specific accommodations or allowances. Or if you have certain issues to address while you’re in treatment, you need to make sure the center can adequately help you.

Don’t be afraid to ask all the questions you have! Only you can decide if a center is going to be able to meet your needs and offer everything you’re looking for during your stay. 

What Happens Next?

Once your initial assessment is over and all of your questions have been answered, you’ll likely receive treatment and length of stay recommendations from your admissions specialist. At this point, you can also schedule a visit to tour the facility, if it’s feasible for you, before you make any final decisions. 

Your admissions specialist will then review the results of your intake assessment with you. This may happen later, over the phone, or even once you’ve checked in to the facility. It’s extremely beneficial to know your results, because “personalized feedback on the risks associated with [your] own use of a particular substance and how [your] consumption pattern compares to norms—especially for [your] own cultural and gender groups—is a powerful way to develop a sense of discrepancy that can motivate change,” according to a SAMHSA report on Enhancing Motivation for Change in Substance Abuse Treatment.

Lastly, if the facility isn’t the best fit for you, or if you decide it’s not possible at this time for you to physically attend residential rehab, you can ask for additional recommendations. The admissions team might connect you with other resources depending on their level of expertise. Ideally, they would be able to point you in the right direction. 

“In my role as admissions coordinator, I help families find treatment for their loved ones,” clarifies Quinn Tremblay, Admissions Coordinator at McLean Fernside. “I guide them through the process, since a lot of families are new to addiction treatment. Sometimes this includes getting them to insurance-based programs, or even helping them get services through their community or state.”

mclean fernside
McLean Fernside in Princeton, Massachusetts.

Figuring Out the Details

Once you’ve chosen the  rehab center that’s the best fit for you and doesn’t have a wait period (or if it does, has a wait period of less than 4 weeks), the admissions team will also help you organize the logistics. This may look like your intake specialist giving you practical, specific advice or taking action on your behalf, like helping you request time off of work for treatment and arranging your travel to the center. 

A rehab admissions specialist should be able to assist you with anything on your to-do list prior to check-in:

  • Scheduling an arrival date 
  • Contacting your insurance provider 
  • Paying for treatment 
  • Requesting time off work 
  • Informing your family and friends  
  • Planning what to pack 
  • Arranging transportation to and from the facility  

Learn more from our ultimate guide to choosing a treatment provider. 

Choosing the Right Rehab Center for You

No matter where you’re at in the process of seeking help, it’s okay to not have all of the answers. The first phone call to a residential rehab is a key first step towards getting the help you need. Before you pick up the phone, be the most prepared you can be with up-to-date, accurate information about residential rehab so you can confidently make an educated choice about which center is the best one for your unique wants and needs.

Browse our collection of luxury rehabs to learn more about available program options.

Frequently Asked Questions About Calling a Rehab Center

What happens when you call a drug rehab?

An intake specialist will ask a series of questions to learn more about you. This helps them determine the level of care you need and other treatment details. It’s also a chance for you to find out more about the center.

What questions should I ask when choosing a drug rehab?

These questions can help you make the most out of your call:

• How much does treatment cost? 
• Is there a waitlist? If so, how long is it? 
• Tell me about your center’s philosophy and treatment methods.
• What kind of specialists do you have on staff?
• Do you offer on-site detox?
• How many clinical hours does your program include?

Who answers the phone when you call a rehab?

An intake or admissions specialist picks up. Sometimes a receptionist will answer and redirect your call. All rehab staff should follow ethical standards when interacting with potential clients.

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How to Request Time off Work to Go to Rehab

It’s common to feel uncomfortable about asking your employer for time off to attend rehab. Many people struggle to bring the subject up with their workplace. But this could be harmful to your health and job security if it prevents you from getting any treatment you may need.

One trap people often fall into is imagining worst-case scenarios. This deters many from requesting time off to attend treatment. But remember: catastrophizing doesn’t paint an accurate picture of reality. If you need time off to focus on your mental or physical health, most employers will understand.

If you’re still on the fence, keep these points in mind:

Most workplaces agree that employee wellbeing is essential. Extensive research proves the importance of wellbeing at work.1 So while it’s natural to think the worst, putting your energy towards your recovery and health is beneficial not just for you, but for your workplace.

Public stigma around mental health issues and illnesses is decreasing. While it’s normal to worry about what others will think, the truth is that we talk more openly about mental health than ever before. Furthermore, public opinion around the matter is more positive than it is negative. If discrimination at work is still a concern, we discuss your employee rights in the next section.

You are protected by employment laws. In many cases, there are laws in place that are designed to protect your job and employment status while you seek addiction treatment. By understanding your rights as an employee, you can feel more confident about approaching your employer to discuss taking time off for treatment.

Disclaimer: this post is for general informational purposes only and should not be construed as legal advice from LuxuryRehabs.com, nor should it be substituted as legal counsel on any subject matters.

Can I Get Fired for Going to Rehab?

If you live in the U.S., you may be entitled to take leave for addiction treatment under the Family and Medical Leave Act (FMLA). You’re also eligible for protection from discrimination against mental health conditions under the Americans with Disabilities Act (ADA). Let’s further explore how these two federal laws are intended to protect your employment.

The Family and Medical Leave Act (FMLA)

The Family and Medical Leave Act2 was created to “help employees balance their work and family responsibilities by allowing them to take reasonable unpaid leave for certain family and medical reasons.”

Since it was enacted in 1993, FMLA has helped millions of people in the United States retain their employment while receiving treatment.

How Might FMLA Protect You for Attending Rehab?

FMLA protects people who receive addiction treatment and any family member who takes care of them during treatment.

If you have a serious health condition,3 which includes substance abuse and mental health issues that meet certain requirements, you’re entitled to take 12 weeks of unpaid leave in a one-year period under FMLA. FMLA also guarantees that you’re employed under the same working terms and conditions as before you left.

Additionally, you may take FMLA leave to care for a family member who is receiving addiction treatment.

You’re entitled to take FMLA-protected leave for addiction treatment, provided you use your leave time for treatment. FMLA does not cover missed work due to substance use.

We recommend checking with your employer on their FMLA policy to ensure you’re protected before you take leave. If your workplace includes a substance abuse policy with provisions on attending rehab, you might not be FMLA covered. As always, it’s best to check with HR on company policies.

Who Is Eligible to Take FMLA Leave?

You’re eligible for FMLA leave if you meet the following criteria:

  • your employer is covered
  • you’ve worked for your employer for at least 12 months (it does not have to be a consecutive 12-month period)
  • you’ve worked for a minimum of 1,250 hours over the past 12 months
  • you’re employed at a site where the company employs 50 or more workers within 75 miles

The following employers are covered under FMLA:

  • a private-sector employer with 50 or more employees
  • any private or public schools
  • any government agency

Workplaces that are FMLA-covered are required to give employees notice of this. Notices can typically be found in your new-hire paperwork, employee handbook or other policy and procedures manuals.

How to Use FMLA Leave to Attend Addiction Treatment

It’s important to follow the FMLA process for requesting leave. This helps safeguard your protection under the law. But as always, it’s best to check with a legal counselor (if possible) or your company’s HR department for specific legal information regarding FMLA.

While each employer has its own FMLA policy, the process generally looks like this:

Find out what leave-related information your workplace requires.

Most workplaces will want to know how long you’ll be in treatment. The admissions staff at your addiction treatment center will help you determine your length of stay.

Additionally, your employer might require a fitness-for-duty (FFD) certification (a certification from your health care provider which confirms that you’re able to resume work) after coming back from FMLA leave. Before you leave for treatment, they should notify you that this information will be required and provide you with a list of essential duties.

File an FMLA leave request.

If the need for leave is foreseeable, and you know when you’re going in for treatment, you must give your employer at least 30 days’ notice.

If this is your first time seeking FMLA-protected leave, you aren’t required to specifically assert your rights under FMLA or even mention FMLA, as long as you provide your employer with sufficient information that makes them aware of your need for FMLA leave.

Your employer responds to your request.

Your employer must let you know the status of your FMLA leave within five business days.

These are some other important things to know regarding your medical records and privacy protection:

  • You are not required to give your employer your medical records unless they specifically ask for it.
  • Any contact between your employer and health care provider needs to comply with Health Insurance Portability and Accountability Act (HIPAA)4 privacy regulations. Under this rule, your direct supervisor cannot contact your healthcare provider.

The Americans With Disabilities Act (ADA)

ADA was created to prohibit discrimination against individuals with disabilities5 in all areas of public life, which includes employment.

Alcoholism and addiction that meet certain conditions are considered special-case disabilities under ADA.

How Does ADA Protect You as You Seek Addiction Treatment?

If you meet the criteria for ADA protection,6 your employer is required to make reasonable accommodations for you as you search for addiction treatment. This includes accommodating a schedule that allows you to attend treatment. The United States Equal Employment Opportunity Commission outlines further specific information about your employment rights under ADA.7

Once you request time off to attend rehab, your employer is required to keep this information completely confidential. On top of that, you’re protected from discrimination in any future hiring processes.

Your state may provide additional protection against being fired from attending addiction treatment under the ADA law. If you can, it’s a good idea to check up on this with your HR department.

It’s important to note that, just like with FMLA, ADA doesn’t protect you if you’re currently using substances.

How to Approach Your Employer About Attending Addiction Treatment

It’s best to approach your employer about your need for treatment as soon as you can. While this may seem daunting, remember that seeking treatment is far less likely to get you fired compared to the negative impact substance use has on your work.

You might imagine worst-case scenarios about talking to your boss, but don’t let it hold you back from getting any help you may need. This type of scenario-building often prevents people from taking required action. Try to identify these scenarios for what they are: rarely rational and, oftentimes, not grounded in reality.

Many employers are sympathetic and understanding, especially because you’re actively seeking treatment. Public stigma around treatment-seeking has decreased as our knowledge of addiction has progressed. According to a National Comorbidity Survey-Replication, which compared data from the early 2000s to 2009, “stigma associated with mental health treatment decreased,8 and support among the general public for treatment-seeking increased.”

On top of that, many detox and addiction treatment centers advocate for stigma reduction and non-judgment. If you’ve found one that makes you feel comfortable and dignified, they can help empower you to reach out to your employer.

According to Laura Herrmann, Marketing and Outreach Director at Gallus Medical Detox Centers, dignity and healing are key components of their program.

“What ‘dignity and healing’ means to us is we believe everybody here is a patient with an illness who’s here to be treated. We treat everyone with the dignity and respect they should have when they enter any medical facility. We’re not here to judge. Our job is to get people better, and do it in a way that makes them feel loved and want to continue on with treatment after they leave.”

What to Say to Your Employer

Start by preparing all the necessary information for your talk. You’ll want to find out if your company is FMLA-covered and familiarize yourself with their related policies. Your employer may want to know how long you’ll be in treatment, so it’s a good idea to have an estimate in mind. A healthcare professional at your treatment center will help you outline your treatment plan, which includes length of stay. You should also know your employee rights going into your conversation.

When you approach your employer, be upfront and honest. You can speak about your struggles with addiction if you feel comfortable doing so. Highlight the steps you plan to take for recovery. You may want to craft your message in a way that explains your need for treatment. The sooner you bring this up, the better.

Addiction is a mental health issue, so if your employer is discriminatory in any way, you may be protected by the law in many cases. Knowing your rights and having a plan before going into this discussion can help you feel more at ease.

Your Recovery Benefits Everyone Around You

Your recovery is positive for everybody, including your employer. If you’re struggling with addiction, it’s best to seek treatment and notify your employer as soon as possible. Don’t wait for any issues to spiral further.

You can ensure your job security by preparing the necessary information before you speak with your employer, and by having that conversation before you attend rehab. This removes a potential external stressor so you can focus solely on your recovery while in treatment.

Finding a treatment facility you’re comfortable with is one of the most important aspects of the recovery journey. They may be able to provide you with information and resources to help you speak with your employer about attending rehab. Explore our collection of luxury rehabs to find one that best fits your needs .

Frequently Asked Questions About Taking Time off Work for Rehab

What are my rights to take time off work for rehab?

Under the Family and Medical Leave Act (FMLA), you’re eligible for up to 12 weeks of unpaid leave per year for certain medical conditions, including substance abuse treatment. Not all employers are covered by the FMLA, so it’s best to check with HR or a legal professional to see if you qualify.

How do I talk to my employer about taking time off for rehab?

Be honest and direct with your employer, and emphasize the importance of your well-being. They may want to know your estimated length of stay in rehab and plans for recovery. You should find out if your company is FMLA-covered and know your employee rights going into the conversation.

What type of documentation do I need to provide to my employer for time off for rehab?

It is best to consult with your employer about required documentation for time off. Generally, they’ll need documentation from a healthcare professional outlining your treatment plan and expected length of stay. You may need to file a Family and Medical Leave Act (FMLA) leave request if your company is covered.

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How Much Does Rehab Cost? 

Getting professional help for addiction at an inpatient treatment center is possible even if you don’t have health insurance or a lot of money in the bank. 

Residential rehab often entails a significant expense. But the good news is that there are thousands of credible facilities offering treatment programs at various price points, from the most affordable to the most luxurious. And, perhaps more importantly, there are several different payment options available that can help you cover the costs of treatment.

Getting help pays off, and may even save you money in total healthcare costs over time. That’s because healthcare costs can be 2-3 times higher if you have a substance use disorder1 in addition to a chronic medical condition. A guide on the principles of drug addiction by the U.S. National Institute on Drug Abuse (NIDA) reports that the total savings of addiction treatment can exceed costs2 by a ratio of 12 to 1. The same NIDA guide goes on to explain that these “major savings to the individual and to society also stem from fewer interpersonal conflicts; greater workplace productivity; and fewer drug-related accidents, including overdoses and deaths.”

We understand how concerns over the cost of rehab may still prevent you from working toward recovery. Keep reading to learn how much rehab costs and what financing options might be available to you.

Price Levels of Addiction Treatment

The variety of treatment options and therapies available for alcohol or substance abuse is extensive. Because of this, there’s not really a standard price for rehab and different programs can have vastly different costs. In the U.S., the cost of residential rehab programs can range from more affordable options that cost less than $10,000 to premium, single-client addiction treatment centers that can cost upwards of $80,000.

Several elements determine how much treatment at different rehab facilities will cost.

the dawn
At The Dawn Rehab in Thailand, “clients coming from Western countries, from the US, from Australia, UK, would be able to get 3 or 4 months’ worth of treatment here for what they would get for a month back at home.”

Factors That Influence the Cost of Rehab

Type of Treatment

The word “rehab” can refer to many kinds of programs. The most common of these are outpatient treatment, partial hospitalization programs (PHP), and inpatient treatment, also known as residential rehab. The difference between most of these is whether you go home every day after treatment sessions (outpatient and PHP) or whether you live and receive care 24/7 for an extended amount of time at a facility (inpatient/residential). 

Typically, more time spent at a center results in higher treatment costs. One study by the U.K.’s National Institute for Health and Care Excellence (NICE) reports that “a course of outpatient treatment averaged less than 10% of the cost of inpatient treatment.”3 Though residential treatment programs may be slightly more effective for some people, “preference might still be given to non-residential treatment based on cost-effectiveness.” 

Location

Highly desirable settings, like the beach or mountains, will likely increase the cost of treatment. But, traveling abroad for substance use treatment can sometimes be less expensive than getting treatment locally because of the cheaper costs of operations in different locales, like Thailand or Bali. Garry Irvin, Admissions Manager at The Dawn Rehab describes the cost of drug rehab in Thailand:

“Clients coming from Western countries, from the US, from Australia, UK, would be able to get three or four months’ worth of treatment here for what they would get for a month back at home.” 

Services Offered

The cost of rehab may increase with additional treatments like detox, medication-assisted treatment (MAT), complementary therapies, or aftercare. These may be offered as optional “add-ons” at an extra cost depending on the facility.

Program Length

The standard length of say at a residential rehab facility is 30, 60, or 90 days. Program rates generally increase according to how long you stay.

Amenities

Treatment at centers with luxurious accommodations and exclusive amenities, like pools and lounges, fully-equipped gyms and sports courts, and business centers or computer labs will likely cost more.

It’s important to remember that the cost of a treatment program doesn’t always correlate with the quality. In other words, just because you’re paying top dollar for a program doesn’t mean you’re necessarily getting the best treatment, and vice versa. 

There are many factors to consider, other than cost, that can help you determine the quality of drug and alcohol treatment programs and facilities. If you’re interested in a particular location or facility, the best thing to do is to call and talk to their admissions team to learn more about any specific benefits, prices, and payment options.

all points north lodge
Most clients at All Points North Lodge use insurance; “the rest either choose not to use it or don’t have it.”

Using Insurance to Pay For Addiction Treatment

Before you can use insurance to pay for addiction treatment, you need to know the following: 

1. Does your insurance plan cover the type of treatment you’re considering

2. Does the center you’re considering accept insurance? 

Will My Insurance Cover Rehab Expenses?

Today in the U.S., most private health insurance policies do cover addiction treatment4 costs. In 2014, the Affordable Care Act (ACA) classified addiction and mental health treatment as essential health benefits,5 thus requiring insurance plans to cover these types of care.

Even though having insurance may increase your opportunity to receive treatment, in 2018 only 13.4% of insured adults with a substance use disorder received treatment.6 Additionally, spending on substance use disorder treatments7 is just 0.6% of overall private insurance spending. 

Understanding what your insurance plan covers can be difficult, but it’s essential to make sure you’re taking advantage of all of your insurance benefits. The best way to know if your insurance plan covers substance use treatment is to call and discuss your plan details with a customer service agent at your provider. 

Which Alcohol and Addiction Rehabs Accept Insurance?

Since the ACA was passed, most US rehab centers will accept insurance in addition to offering multiple payment options. If this information isn’t listed on the center’s website, an admissions officer can give you those details when you call. Per Jerry Vaccaro, President of All Points North Lodge in Edwards, Colorado,

“Because we’re in the U.S. and we’ve got the Affordable Care Act…the vast majority of people who come to us have insurance. Some choose not to use it for a variety of personal reasons. In the facility, I’d say at any one time, probably 70% to 75% of our clients have insurance and are using it and the rest either choose not to use it or don’t have it.” 

How Medicaid and Medicare Can Help Cover Treatment Costs

In the U.S., eligible recipients of Medicaid or Medicare can use these federal- and state-funded health insurance programs to also help pay for treatment. 

Medicaid is free or low-cost health care for people who meet low-income requirements, whereas Medicare is a US federal health insurance program for adults over 65 or under 65 with a disability, regardless of income. As one report explains, “To more broadly cover uninsured individuals, the Affordable Care Act includes a provision that allows states to expand Medicaid coverage. Benefits include mental health and substance use disorder treatment services8 with coverage equivalent to that of general health care services.” 

Each state has different eligibility rules and treatment coverage, which often change annually, and not all facilities accept Medicaid/Medicare as a form of payment. You can find an addiction treatment provider that accepts Medicaid/Medicare by contacting the Substance Abuse and Mental Health Services Administration (SAMHSA).

Paying For Rehab With Grants, Public Funds, and Scholarships

With or without insurance, you may still need additional funding to fully pay for treatment. As the U.S. Surgeon General’s 2016 report on addiction elaborates, although insurance coverage is critical for individuals with substance use disorders,9 “it is unlikely to cover all the services that such individuals may need, such as crisis services (e.g., emergency treatment intervention), housing, supported employment, and many community prevention programs and services (e.g., school-based prevention programs).” 

There are public funds available through government organizations like the U.S. Department of Veterans Affairs, as well as grants from private institutions, like SAMHSA, and even scholarships from some rehab centers directly. 

It’s historically documented that, in the U.S., state and local governments have been “the largest source of spending on substance use disorder treatment.”10 In 2009, excluding Medicaid expenses, their funds covered $7.6 billion—nearly a third—of total spending on substance use disorder treatment. 

These forms of financial assistance to help pay for treatment are available because many institutions, including rehab centers themselves, recognize how vital treatment is and how financially beneficial it is for all of society for people to receive treatment. 

“Although the United States spends roughly $35 billion across public and private payers to treat substance use disorders, the social and economic costs associated with these disorders are many times higher: Annual costs of substance misuse and substance use disorders in the United States are estimated at more than $400 billion,” according to the Surgeon General’s report. “Thus, treating substance use disorders has the potential for positive net economic benefits,11 not just in regard to treatment services but also general health care.”

To find out if a particular rehab center offers scholarships and how to apply for the reduced costs, contact the center directly. An admissions specialist can help you navigate the process of getting funding for treatment. 

Additional Rehab Treatment Financing Options

If you don’t have insurance, or perhaps don’t want to use your insurance coverage for whatever reason, there are other payment options: financing directly from a treatment center, personal loans from family and friends, personal loans from a bank, or paying via credit card.

In general, the main goal of getting financing is to decrease or eliminate your out-of-pocket financial obligations. To that end, choosing a credit card or a loan with low interest rates and manageable payback terms may be preferable. 

Some credit card companies offer deferred interest rates for medical-related expenses, including substance and mental health treatment. Furthermore, some centers offer financing options directly from their own funds or work with third-party lenders to create affordable loan packages. 

Rehab can be a life-changing (and life-saving) experience, but it does often entail a sizable investment.

Please note that it’s important to speak with your own financial advisor before taking action that will financially affect your future. 

Using Your Own Money to Pay for Treatment

Another way to fund treatment is to self-pay using savings or other assets. In fact, this is one of the most common ways to pay for rehab. Do note that many rehab centers require full payment upfront. Alternatively, you can ask about any payment plan options such as putting down a deposit to secure your spot and then paying off your treatment in increments or monthly payments. Heather Charlet, Director of Admissions, explains the process at Gallus Detox Center in Colorado:

“We can put clients on a bit of a payment plan to take a percentage of that upfront and then spread the rest of the payment out over several months. We then also work hard for the verification of benefits to be able to reimburse them as much as possible. We do everything we can to try to make it as cost-effective as possible.”

Again, the best way to know what options your rehab center offers is to call them directly. 

Your Recovery Is Worth the Cost of Rehab

No matter how much residential rehab may cost, it is worth it to get the help you need—both in the short term and in the long run. This isn’t just because treatment may save your life, but also because addressing your addictions or mental health conditions now can help reduce your total healthcare costs throughout your lifetime. 

As the U.S. Surgeon General’s 2016 Report on Alcohol, Drugs, and Health describes, “Costs associated with substance use disorders12 are not limited to health care. The accumulated costs to the individual, the family, and the community are staggering and arise as a consequence of many direct and indirect effects, including compromised physical and mental health, loss of productivity, reduced quality of life, increased crime and violence, misuse, and neglect of children, and health care costs.”

When viewed from this perspective, you can see how the reduction in your future health care costs that are associated with treatment and recovery “would more than cover the cost of addiction treatment.”13 

We know the expense of inpatient treatment can seem intimidating at first. But, your financial concerns don’t have to be roadblocks on your path toward recovery. There are many different paths you can take to get the help you need, no matter what your budget or financial circumstances are.

See our collection of luxury rehabs to find centers offering recovery programs in various price ranges, as well as those that accept insurance.

Frequently Asked Questions About Rehab Costs

How much is rehab?

The cost of private inpatient rehab in the U.S. ranges from under $10,000 for affordable options to over $80,000 for luxury centers. Most 30-day programs at luxury rehabs cost between $25,000 to $50,000.

Is rehab worth the money?

Getting help pays off and can save you money in overall healthcare costs. Total savings from addiction treatment can exceed costs by a ratio of 12 to 1, according to the U.S. National Institute on Drug Abuse (NIDA).

How can I pay for rehab?

You have various options. Most U.S. rehab centers accept insurance and many private health insurance policies cover addiction treatment. You can use Medicaid or Medicare, or public funds and grants if you’re eligible. Some rehabs offer scholarships.

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What You Need to Know About Detox

Detoxing from alcohol or other substances is often the first step in addiction treatment. In fact, many people have their first-ever encounter with the treatment system through detox. And as with any first step, this stage of recovery can profoundly impact the rest of your journey.

As you plan for treatment, you may find yourself asking these questions: 

Do I even need to detox? 

Where do I detox?

Where can I get help planning my detox? 

That’s why we’ve created this guide to drug and alcohol detox, which covers the need-to-know information.

We’ll start by examining the purpose of detox and how it fits into your recovery journey. 

What’s the Purpose of Detox?

The U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) defines detox for substance abuse treatment1 as “a set of interventions aimed at managing acute intoxication and withdrawal.” 

During detox, your body withdraws from alcohol or drugs. For this reason, some medical bodies like the American Society of Addiction Management (ASAM) have actually replaced the term “detoxification” with “withdrawal management.” Alcohol withdrawal can potentially be life-threatening,2 so we can’t discuss detox without stressing the importance of safety. It’s safest to detox under medical supervision, with the support of specialized, experienced professionals.

It’s also important to note that while detox is often the first step towards sobriety, it’s not a lasting solution to changing addictive behaviors. 

According to SAMHSA’s Detoxification and Substance Abuse Treatment manual, “Detoxification, in and of itself, does not constitute complete substance abuse treatment.” Additionally, it stresses that proper treatment involves “ongoing therapeutic services ultimately intended to promote recovery for substance abuse patients.” 

Followed by a comprehensive treatment plan aimed at sustainable sobriety, safe detox can serve as a crucial first step towards lasting recovery. 

Discover residential rehab detox programs and private detox centers at various price ranges, locations, and for different conditions by exploring our collection of luxury rehabs with detox here.

When Is Detox Required?

Whether or not you need detox depends on the history of your substance use, including the length, level of use, and type of substance used. 

Receiving an evaluation from a medical professional is recommended, especially if using benzodiazepines or alcohol as withdrawal from these substances can be life-threatening. You can ask your primary care doctor or psychiatrist to connect you to the right resources. Rehabs also offer over-the-phone detox assessments as part of the intake process, then a more in-depth evaluation with a clinician. 

Director of Admissions Heather Charlet describes Gallus Medical Detox Centers‘ process:

“The detox process typically starts when a loved one, or the person who needs to come in, calls. We talk to them, get some basic information, then complete an over-the-phone assessment for about 20 or 30 minutes. We ask them a series of questions: their basic history, medical history, and their substance use.”

As a rule of thumb, if you notice signs of substance or alcohol abuse as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), you may want to consider getting an evaluation for detox. Some signs of substance abuse include:

  • Cravings to use substances
  • Inability to cut down or stop substance use
  • Taking more substances than you plan to 
  • Using substances for longer than intended
  • Continuing to use substances even when it puts you in danger or otherwise negatively affects your life

Because of the physiological effects of frequent exposure to substances,3 it’s always recommended to consult with a medical professional before attempting to detox. 

When you consult with a medical practitioner, they’ll determine your safest detox option by performing assessments such as:

  • A body exam to check for symptoms like rapid heart rate and shaky hands
  • Blood and urine tests
  • Toxicology screening

Do You Need to Detox Before Rehab?

Most residential rehabs require you to be substance-free for a certain number of days before coming in. You can find out if detox is recommended for you during your initial assessment during the admissions process. 

What Can You Expect From Detox?

Your substance use history will affect the withdrawal experience, how long you can expect to detox, and whether or not you’ll need medication-assisted treatment (MAT). 

Gallus Detox Center in Scottsdale, Arizona
Gallus Detox Center in Scottsdale, Arizona

Here’s what you can expect from detox:

A few hours after you stop using, your body begins to adjust to substances leaving your system. This adjustment process can lead to the development of withdrawal symptoms. It might sound daunting, but keep in mind that the purpose of a supervised detox is to minimize the severity of these symptoms and ensure you’re safely clearing your body of substances. 

Substance withdrawal occurs in stages,4 which are categorized as early, peak, and late stages. 

Early Stage

Depending on the substance, this occurs 6 to 12, or up to 30 hours after you’ve stopped using. Milder symptoms like anxiety and irritability will start to show. 

Peak Stage

This stage occurs 24 to 48 hours after you’ve stopped drinking, or 72 hours for opiates. Symptoms are at their worst and can include tremors, chills and vomiting. Relapse is most likely at this stage, so having a strong support system and medical supervision is advised.  

Late Stage

The body is getting used to the absence of substances and withdrawal symptoms begin tailing off. If you’ve been on a medical detox, medication can be tapered down. 

On average, detox takes 3 to 7 days. Opiates and benzodiazepines are known to take the longest to withdraw from and it can take up to 14 days for withdrawal symptoms to peak. 

In more serious cases, your doctor might recommend medication-assisted treatment:5 medication combined with counseling and behavioral therapy. 

Detoxing From Different Substance Addictions

Withdrawal effects vary by substance, with some posing more dangerous side effects than others. We explore detoxing from different substances below. 

Detoxing From Alcohol

Alcohol detox poses a high risk with potential for severe withdrawal side effects like delirium tremens (DT), a life-threatening side effect of alcohol withdrawal6 that can cause seizures. Delirium tremens symptoms usually show up 2 to 3 days after someone last ingested alcohol. 

  • Symptoms include anxiety, nausea, tremors and other psychological and physical symptoms.
  • The alcohol detox time frame is 5 to 7 days. 

Detoxing From Benzodiazepines

Benzodiazepines detox carries a high risk with potential for severe withdrawal side effects. Unsupervised withdrawal from benzodiazepines can result in lethal side effects,7 including seizures. 

  • Symptoms include anxiety, insomnia, vomiting and other psychological and physical symptoms.
  • The benzodiazepines detox time frame is one day to several months until treatment is introduced.
  • Withdrawal peaks within the first 14 days.  

Detoxing From Opiates 

Australia’s National Drug and Alcohol Research Centre published that opiate withdrawal can be lethal.8

  • Symptoms include muscle pain, anxiety, rapid heart rate and other psychological and physical effects. 
  • The opiate detox time frame is up to 7 days. Those who are detoxing can develop post-acute withdrawal symptoms9  lasting weeks, months or even years.

Detoxing From Cocaine

Cocaine withdrawal is known to be more psychological than physical.

  • Symptoms include agitation, anxiety, depression and other effects on mood. 
  • The time frame for cocaine detox is up to 7 days. 

How Do Different Facilities Handle Detox?

You have several options for detox, so it helps to know what each entails. 

Substance Abuse Detox at Hospitals

After a medical evaluation, your doctor will suggest the best course of treatment. Usually, family and friends aren’t allowed to visit during substance abuse detoxes. However, clinical staff are there to soothe your symptoms and offer round-the-clock support. They should also keep you informed of the status of your progress. 

Detoxing at a Residential Rehab Facility

When you contact an inpatient rehab, you’ll complete an over-the-phone assessment during the intake process. This is usually followed by an in-depth evaluation with a clinician, during which they’ll recommend a detox plan. Some on-site detox centers offer counseling during detox to ease you through its discomforts. And when you’re finished detoxing, you’ll have a smoother transition into treatment.

What to Expect at a Private Detox Center

Many rehabs don’t have in-house detox facilities, but will refer you to a detox center and help you with transfers and other necessary logistics. Admissions staff at private centers can provide an assessment and answer your questions about cost, what to expect in treatment, and your estimated length of stay. Private detox centers are fully equipped to handle everything related to detox, and some may specialize in certain types of cases. 

Douglass Weiss, President & Chief Customer Officer of Gallus Detox Centers, discusses these special cases:

“If a patient is a longer term user or a higher level user of a substance, detoxing can be very difficult and has a significant mortality risk to it. When you have patients taking multiple substances, you have to be prepared in order to deal with those side effects. Residential treatment centers don’t have that level of expertise. So we’re equipped to take the patients that they can’t handle.”

How Detox Is Handled at Home (Outpatient Detox)

If you have a strong support system at home and your condition doesn’t require hospitalization, you may be able to opt for outpatient detox.10 Similarly to the other options, you’ll go through an initial assessment and outline your detox plan with a health professional. You’ll then visit a hospital or clinic daily (weekdays only), either during the day or evening. Outpatient detox programs usually range from 3 to 14 days, with sessions that run from 15 to 30 minutes. However, if your detox program includes a day hospital program,11 your sessions may last several hours. Keep in mind that outpatient detox is only done under the supervision of a medical professional working at the treatment facility you’ve signed up with. 

This arrangement works for people who want to keep up with work or family responsibilities while getting the addiction treatment they need. 

Understanding Your Detox Options

For many people, detoxing is a crucial part of the recovery journey. Given the importance of this step, it’s best to be equipped with accurate, up-to-date information surrounding it. The good news is, our understanding of detox from substance abuse has grown tremendously. Today, a number of different detox programs are available across the globe and it’s easier than ever to find one that fits your needs. And the more you understand about how detox works and what options are available to you, the more equipped you’ll be to find a solution. 

See our collection of luxury rehabs offering detox here.

Frequently Asked Questions About Detox

What is detox?

Detox is the process of removing drugs or alcohol from the body. It’s often the first step in addiction treatment, and it can be a challenging process. However, detox is an important part of the recovery process, and doing so under proper care can help to reduce the risk of relapse.

What are the risks of detoxing at home?

There are many risks associated with detoxing at home. Some of the most common risks include seizures, severe withdrawal symptoms, and relapse.

What are the benefits of detoxing in a medical setting?

Detoxing in a medical setting can improve your safety, comfort, and chances of success as medical professionals monitor you for any complications and provide treatment if needed. It’s also more likely to be successful than detoxing at home, as your care team gives you the support you need to stay sober and can help your develop a plan for long-term recovery.

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Why Do So Many People Choose to Go to Rehab in California?

When you think of California, beaches, travel, and sunshine come to mind. It’s a place people go to soak up the sun and unwind. But some head to the Golden State for another reason: to heal.

California is home to some of the highest-quality addiction treatment centers in the world. They’re known to attract highly trained clinical staff. Many offer upscale amenities for executives and celebrity clientele. And we can’t forget the warm weather, with outdoor excursions available almost year-round.

Where you go for addiction treatment impacts key aspects of your recovery journey. California tops many people’s list of rehab destinations because of its wellness culture and abundance of available activities.

Given the number of addiction treatment options in the state, it can seem overwhelming to find one that meets your needs. Remember that this is a process, and each step—even information gathering—is progress.

To help you learn more about addiction treatment in California, we’ll look into everything from why people choose to go to rehab there, to what to ask an admissions counselor before enrolling.

Why Do People Go to California for Addiction Treatment?

California is often a top choice for addiction treatment. Here are some reasons why:

1. California’s sunny weather is therapeutic.

People love California for its great weather. But did you know it can have a positive impact on your recovery? Research from the University of Michigan shows that warm weather improves mental well-being.1 It often results in more time spent outdoors, which increases our openness to new information and creative thoughts. In addition to being mood-boosting in and of itself, sunny weather increases openness to new ideas,1 which may also make you more receptive to the work you do in therapy.

2. Nature thrives in California.

It’s no secret that nature enthusiasts love the grandeur of California. It’s dotted with breathtaking landscapes and some of the United States’ most iconic national parks. If you love the water, views along the coast reveal scenic seascapes.

Many California rehabs offer the chance to experience the state’s beauty with outdoor activities. Hiking, biking, or swimming are often on the agenda. Some rehabs have hiking trails nearby. Others let you bask in the simple joy of gardening or farming.

Given the year-round temperate climate, people in California love being out in nature. Time spent in nature can help you build a deeper connection with yourself and the world around you.

Rise in Malibu lawn
Residents at Rise in Malibu can enjoy views of palm trees and the ocean from the sun-drenched deck.

3. California has diverse options for treatment settings.

California is home to diverse environmental settings, with rehab options by the coast, in the city, at the beach, or in the countryside (though the latter two are less common). We each respond differently to different environments, so having a variety to choose from works to your advantage.

4. California has a reputation for high-quality addiction care.

People trust California’s quality of addiction treatment.

Some of the highest-rated medical facilities and doctors are located in California. It consistently tops the list of U.S. states with the best health care and this reputation translates to its addiction care. Many California rehabs, including Oro House Recovery and Cliffside Malibu, have been recognized in Newsweek’s list of Best Addiction Treatment Centers in the United States.2

5. California is a haven for holistic therapies.

California is known for pioneering holistic health, and saw the rise of the wellness movement in the ’60s and ’70s. Since then, the quantity and quality of alternative therapies in the state has only grown. If you’re looking for specific holistic and alternative addiction therapies, chances are you’ll find them in California.

6. California rehabs understand the needs of luxury clientele.

California has a higher percentage of luxury rehabs compared to the rest of the U.S. Many have been catering to celebrity and executive clientele for years. They understand the needs of their specific clients. That’s why extra-exclusive stays, specialized amenities, and higher levels of privacy are easier to find here.

AToN Center outdoor
AToN Center in San Diego has luxury amenities including both freshwater and saltwater pools.

How Does California’s History Influence Their Approach to Addiction Treatment?

California has long been at the forefront of addiction care in the U.S.

California was the first state to include an addiction treatment specialty for medical doctors.3

The ‘80s saw a rise in addiction center openings in California. Many of those rehabs are still there and are now well established. And many, like Bayside Marin, are regarded worldwide for their expertise in treating addiction and mental health.

California is a laid-back state, and this influences the types of treatment you can find there today. It’s usually among the first to embrace emerging alternative therapies. They have an impressive selection of holistic and non-12-Step rehabs. And a lot of rehabs offer complementary therapies like acupuncture or energy healing.

Types of Addiction Treatment Centers in California

California is home to various types of addiction treatment centers, each with its own treatment model. Learn about each to discover which one suits you best.

Residential (or Inpatient) Rehab

In residential rehab, you live onsite at the center as you receive treatment. This removes you from many of the triggers and environmental stressors you might encounter back home.

Our environment impacts our mood, so you’ll want to make sure you’re happy with the rehab’s setting and amenities. It’s a good idea to check for these on the rehab’s website or browse LuxuryRehabs.com’s individual listings. We always showcase images of the center and list its amenities, activities, and more.

Anyone struggling with substance abuse or mental health concerns can attend residential rehab. It’s recommended to receive residential treatment if you have high-risk concerns such as co-occurring disorders. Residential rehabs offer hands-on, round-the-clock care by clinicians and support staff that’s so important for some.

Holistic Rehab

California was one of the first states to embrace holistic wellness, but what exactly does ‘holistic’ mean? In medicine, holistic means “considering a whole thing or being to be more than a collection of parts.”4 Holistic rehabs focus on treating the whole person, mind, body, and spirit. This approach can touch parts of your life that traditional therapy may not always address.

A typical holistic rehab program incorporates alternative therapies ranging from reiki to acupuncture. Some may offer a comprehensive nutrition plan that emphasizes healthy, nourishing food. These therapies combined can help you feel more in tune with your body and spirit.

Holistic rehabs are a good option for people who want to make a full lifestyle change. It can also work for someone who favors natural treatments over allopathic medicine.

Several holistic rehabs in California offer alternative therapies that can’t be found in other residential rehab programs. To get an idea of the therapies offered, ask admissions what a typical day in their program looks like.

12-Step Rehab

California has many 12-Step rehabs that follow the well-known 12-Step treatment approach. This approach is based on a series of steps first outlined by the founders of Alcoholics Anonymous. They created it out of the idea that people can help each other maintain sobriety. Today, it’s one of the longest-standing and most common treatment approaches around.

Rehabs based on the 12-Step approach follow its principles for recovery. One of those principles is that recovery is an ongoing process. After completing a program, you’re encouraged to re-work the steps as many times as you need and to stay engaged in the community by attending regular meetings.

Non-12-Step Rehab

Other rehabs don’t follow the 12 Steps. While the 12-Step approach is one of the most common treatment models, it doesn’t work for everyone. Some find that it places too much emphasis on a higher power. Others don’t like labeling addiction as a “disease.”

California’s non-12-Step rehabs offer an alternative approach to treatment. You also have options for non-12-Step support groups as part of continuing care, such as Women for Sobriety or SMART Recovery.

Executive Rehab

You might think you can’t find time for rehab with a demanding profession. But there are rehabs that cater to working professionals. These are known as executive rehabs, and California has plenty of them.

California is home to many entrepreneurs, bankers, and lawyers. Consequently, executive rehabs there have robust experience in treating professionals. Mercui Recovery, for example, has been treating executive clientele since 1999.

Executive rehabs offer a structured schedule with daily intensive therapy. Some executive rehabs slot in work time so you can stay on top of responsibilities during treatment. These rehabs generally have business rooms to work from. A few allow you to bring your laptop and phone to rehab, but it’s best to check with the rehab first.

If you need to detox, some executive rehabs, like AToN Center, provide these services onsite.

Executive rehabs are suited for working professionals suffering from mental health or addiction issues. Work stress can play a significant role in someone’s addiction. Executive rehabs are equipped to address these specific issues.

What Can You Expect From a California Rehab?

To help you feel prepared for your treatment program, we answer some frequently asked questions about attending rehab in California.

What Should You Pack for Rehab?

What you bring to residential rehab depends on the climate, location, and activities offered. Remember that it’s generally warm in California, so you’ll have more opportunity to be outdoors. You may need to include hiking clothes or swimwear.

You can bring your own toiletries, but some rehabs require that they be unopened when you come in. It’s also a good idea to check whether the rehab allows devices like laptops and phones. For a more comprehensive list of what to bring, we’ve outlined a 28-day rehab packing list.

How Do I Get to the Addiction Treatment Center?

Whether you’re in-state or out-of-state, you should have someone assist you to your treatment center. If you can’t get someone to drive you, many rehabs offer pick-up services both in-state and from major airports. Some rehabs in California are located in beautiful but remote settings, making them a little more difficult to access. In any case, admissions can help you organize the logistics of getting there.

What Kind of Activities Do Rehabs in California Offer?

With its Mediterranean climate and iconic coastline, there are some experiences in California that can’t be found elsewhere. You can expect outdoor activities at most California rehabs. At some, you have yoga on a sundeck overlooking the sea. At others, a silent hike through a tranquil mountain trail. Given their proximity to the sea, coastal rehabs might offer beach excursions.

Alo House Recovery sound bath
Clients at Oro House Recovery in Los Angeles unwind to activities like yoga and sound baths.

What Are Some Common Therapies You’ll Go Through in Rehab?

Most rehabs offer cognitive behavior therapy (CBT), an evidence-based therapy that focuses on changing behavioral patterns and improving emotional regulation. CBT is held during one-on-one sessions and sometimes during group therapy.

Because addiction also impacts the family system, many rehabs offer family therapy. This often includes a family program that allows out-of-state family members to visit and attend therapy.

As one of the first states to embrace alternative therapies, rehabs in California usually offer more than just yoga or meditation. There, you can find a whole medley of alternative therapies like energy healing, tai chi, acupuncture, and eye movement desensitization and reprocessing (EMDR).

What Amenities Do Rehabs in California Offer?

The weather in California impacts so many aspects of treatment, down to the amenities offered. You’re likely to find luxury rehabs with pools or hot tubs, an outdoor lounge, and garden area. Many have fitness amenities like a gym, walking trail, volleyball court, or tennis court. And for downtime, some have a spa, sauna, or wellness center.

What You’ll Be Eating at Rehab

A big part of recovery is building up good habits, including nutrition. California has always been at the forefront of health-conscious eating. Here you’ll find rehabs with organic menus, vegan options, and accommodations for dietary restrictions.

What Does a Day in an Addiction Program Look Like?

Here’s what a typical day in a residential rehab program might look like:

  • Wake up early and eat a healthy breakfast with others in the program.
  • Enjoy morning yoga overlooking the sea.
  • Attend individual therapy sessions with a therapist.
  • Have lunch, followed by downtime.
  • Attend group therapy.
  • Go to an educational or support group.
  • Eat a nutritious group dinner.
  • Wind down for the day with a soothing activity like art therapy or individual free time.

Programming and schedules vary depending on the center, so it’s always a good idea to ask admissions staff to take you through a typical day in their program.

How Much Does It Cost to Go to Rehab in California?

Most luxury rehabs in California cost between $25,000 to $50,000 per month, while ultra-exclusive programs can go for upwards of $80,000 a month. Almost all California rehabs offer options for financing your stay.

Many addiction treatment centers in California accept insurance to help cover program costs. If you don’t have private insurance, some centers accept Medicare or Medicaid.

Head over to the center’s website to see which insurance providers they accept. Otherwise, you can call the admissions team and ask them about insurance coverage and how much of the program it covers. You can also browse for rehabs in California that accept insurance using the LuxuryRehabs.com search tool.

On top of that, many rehabs offer in-house financing and flexible payment plans, and some even have scholarship funds available. It’s best to ask admissions about payment options to ensure you have the financial support you need to sustainably cover your treatment program.

How Can I Check the Reputation and Credibility of a Rehab Center?

How do you know if a rehab you’re interested in is trustworthy? We outline some ways to check the credibility and reputation of any addiction treatment center.

1. Read the reviews. You can check reviews on Google, Yelp, Facebook, and on our website.

2. Ask around. It may sound unusual, but you can ask your primary care doctor or therapist if they have ever heard of the rehab center or know someone who has. You can even ask admissions staff at other rehabs you call, which may give you some indication of their reputation.

3. Check their accreditation. The Joint Commission and Commission on Accreditation of Rehabilitation Facilities (CARF) are national organizations that accredit treatment providers. Rehabs usually display accreditation logos on their website, but it’s best to check directly with the accrediting body.

How to Avoid Addiction Treatment Scams

You’ve decided to get help for addiction, which is an incredibly courageous step to take. As you search for a treatment center, you deserve to receive unbiased information so you can choose one that truly fits your needs. Unfortunately, unethical marketing practices and addiction treatment scams do exist.

A common scam involves a fake website or hotline that directs calls to a call center. The call center agents (not caregivers) generate commissions based on the number of referrals they place. Treatment centers involved in this scam will bid for patients and agents auction patients to the highest bidder.

Another malpractice is when someone receives a referral fee for recommending a patient to an addiction treatment center.

Here are some ways to protect yourself from addiction treatment scams:

  • Be wary of free hotlines. They’re often a source of referral fees.
  • See if the rehab center admissions team can give you specific details about their rehab during your initial call. Keep your guard up if they can only offer vague details about the program.
  • Ask upfront if they receive referral fees.
  • Search for rehabs using an unbiased platform.

What to Ask an Admissions Counselor Before Going to Rehab in California

As you narrow down your search, you’ll want to start asking the rehab specific questions to truly get to know them. Keep these few key questions in mind:

  • What is your treatment philosophy?
  • What kind of therapies do you offer (indicate if you have any specific needs)
  • What does your continuing care consist of?
  • What are the credentials of your medical staff members?
  • What does a typical day in the program look like?
  • Will you accept my insurance?

California Remains a Top-Rated Location for Addiction Recovery

Over the years, California has become a popular place to receive addiction treatment. Its therapeutic landscapes and sunny weather makes it difficult to resist. Others want to find holistic rehabs with alternative therapies that can’t be found elsewhere. And some go exclusively for the top-level luxury care they know they’ll receive.

Discover luxury addiction treatment centers in California here.

Frequently Asked Questions About California Rehabs

Why do people choose to go to rehab in California?

People choose to go to rehab in California for a variety of reasons. These might include: high-quality care (California has a reputation for high-quality addiction treatment and top-rated medical facilities and doctors) luxury amenities (specialized amenities and higher levels of privacy), and diversity, which can make it easier for people to find a treatment center that’s culturally sensitive to their needs.

How much does rehab cost in California?

The cost of rehab in California can vary depending on the type of treatment, length of treatment, and location of the treatment center. The average cost of inpatient rehab in California is $30,000 per month. The average cost of outpatient rehab in California is $10,000 per month. The average cost of long-term rehab in California is $50,000 per year. There are many resources available to help people pay for rehab, like insurance, government assistance programs, and scholarships.

What are some of the benefits of going to rehab in California?

Benefits of going to rehab in California include access to specialized facilities, higher levels of privacy, a focus on holistic treatments, and access to top-rated medical facilities and doctors.

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Luxury Rehab: The Benefits of Comfort in the Recovery Journey

When you think of rehab for drug or alcohol addiction, “luxury” might not be the first word that comes to your mind. But there are many paths to healing from addictions and other behavioral or mental health conditions. And for some, a comfortable or even upscale setting can provide the ideal conditions for getting the most out of treatment.

You may already be thinking of seeking treatment at a luxury rehab center. Or perhaps you’re wondering if you can really get the help you need from a luxury rehab that looks, from the outside, like a vacation getaway.

When it comes to getting life-changing (or even life-saving) treatment, it’s important to follow your instincts. If you’re feeling drawn to a particular type of treatment, getting as much unbiased information as possible is essential to making an educated, confident decision about your care.

What Makes a Rehab Center “Luxury?”

The fact of the matter is, any rehab center can call itself “luxury” because there aren’t any internationally standardized requirements for this claim. When a drug or alcohol treatment center identifies as luxury, though, this usually means that it’s an upscale, residential treatment facility.

So, the first step to finding the right luxury rehab center for you is to define what you’re thinking of when you think of luxury. Are you looking for elegant facilities and extra amenities? Or does luxury mean the best medical staff and a wide variety of therapies?

In general, luxury rehabs do include at least some combination of these:

Desirable Location

Oftentimes the setting is remote yet sophisticated, similar to an exotic vacation destination. Luxury rehab centers are available all around the world. Depending on the location, getting there may involve domestic or international travel.

Special High-End Amenities

Facilities might boast swimming pools, hot tubs, saunas, exercise facilities, hyperbaric oxygen chambers, a library or business center, and more. These amenities would most likely be of the same standard, or quite similar to, what you would experience while staying at a 4- or 5-star hotel.

Complementary Therapies

Though many treatment programs today offer complementary therapies, luxury centers might provide even more specialized options like equine therapy, adventure therapy, spa treatments, acupuncture, massage therapy, and more.

On-Site Detox Services

Detox, when required, is often done at a hospital or a specialized detox center before admission to a residential rehab center. Luxury rehabs may have designated detox facilities on their premises with the medical staff and equipment necessary to safely oversee the process.

This discrepancy in the definition of “luxury,” and how it can mean different things at different facilities, is why LuxuryRehabs.com has benchmarks for listing centers on our site. Our searchable collection of rehabs only includes those that, regardless of cost, meet our luxury treatment provider criteria:

Why People Seek Treatment at Luxury Rehabs

Treatment at a luxury rehab center might be a good fit for certain clientele, more so than budget or retreat-style centers. For example, if someone’s used to certain living standards, has specific medical needs, or is looking for exclusive qualities in a treatment program, then luxury rehab might better facilitate the recovery process for such clients.

Some patients seek treatment at a luxury addiction or mental health rehab for other reasons:

Discomfort Could Distract From Treatment

Sometimes a drastic change in environment has the opposite effect of providing a healing space for recovery. If the setting causes discomfort, whether minute or extreme, physical or mental, some people might not be as receptive to implementing the changes necessary for lasting recovery. According to Giles Fourie, Director and Co-Owner at White River Manor,

“The more structure and the more barriers you put in place, sometimes, the more closed off people become. So offering people a place of comfort, a place where there is a great service, I think gives them the better opportunity to immediately open up and engage.”

white river manor
Personal bedrooms are decorated for privacy and comfort at White River Manor in South Africa.

Residential Rehab Is Intensive

The industry standard for treatment at a residential treatment center is about 30 days. And during that time, you’ll face a lot of draining emotional challenges. While beneficial and necessary, these heightened emotional states tend to take a physical and emotional toll. According to Dr. Frederick Goggans, McLean Hospital‘s Medical Director,

“(Luxury rehabs) create an environment where it’s comfortable to be a resident for the length of time that’s involved to do this kind of work. It’s an environment where you’re sleeping well, you’re paying attention to nutrition, making healthier choices, getting daily exercise and building all that into a lifestyle change.”

The comfortable setting and conveniences most luxury rehabs offer helps your body and mind relax and be more prepared for and open to intensive treatment. Resting in these comforts during downtime can actually speed your recovery between treatments and help you integrate what you learn in your sessions.

Clients Receive One-on-One Care

Most luxury rehab centers have a higher staff-to-client ratio, because their higher admittance fees afford them the additional costs of hiring more staff. And more people on staff means each client is more likely to receive higher levels of one-on-one care.

This individualized care may mean the difference between success or failure for some clients. As one study reports, humans “differ from each other at every discernible level. This implies that it would be a miracle if standardized treatment strategies would work for everyone at every stage1 and that patients with the same diagnosis would respond in the same way.”

With this in mind, it’s possible that extra attention and time spent on individual client’s treatment plans could promote better recovery progress.

Budget Treatment Options May Not Have Previously Worked

It’s not uncommon for people seeking treatment to already have experience with different substance or alcohol use disorder programs and facilities. Many people try a variety of therapies or different styles of centers on their journey to find healing.

For some, luxury rehab might offer the pieces that were missing from getting successful treatment results at budget addiction rehab centers. Features like serene, remote environments and guided recreational activities, may help your treatment have better, longer-lasting impacts.

Restrictive Centers Don’t Accommodate Different Lifestyle Needs

Whether you’re a business owner, a celebrity, or a caregiver, sometimes there are obligations and responsibilities that make putting your life on pause for the duration of inpatient treatment impractical.

“One of the main things that deters people from coming to treatment is that they have full-time jobs or children. So it’s difficult to step away and seek treatment,” says Douglass Weiss, President and Chief Customer Officer at Gallus Detox Centers. Which is exactly why some luxury rehabs allow for computer use, cell phone use and even full family stays.

Now that we’ve explored some of the reasons why people seek luxury addiction treatment, let’s examine some benefits that luxury rehab can provide.

Potential Benefits of Attending Rehab at a Luxury Center

No matter what kind of program you attend, you’ll likely get some positive benefits from receiving treatment. Luxury rehabs simply offer additional, or different kinds of, benefits that may help you take that next step to finding lasting recovery.

1. Comfortable Treatment Experience

Many times people suffering from addiction or mental illnesses are in a constant state of stress. Their bodies are flooded with the stress hormone cortisol, and because of this, their fight-flight-or-freeze mode is constantly triggered. One of the most important aspects of rehab is that it provides a safe space for your body to relax and begin to heal.

Ameet Braich, Clinical Director of Camino Recovery, explains:

“Suffering, in any form, really doesn’t have a place in treatment. If somebody needs to get well, they can do it in nice, comfortable surroundings. It only aids the healing process. Being in a peaceful environment where you really get time to reflect and look inward lends itself to a therapeutic process.”

Comfortable surroundings can go a long way in creating a safe space, which helps reduce the body’s stress levels and may increase the therapeutic value of your time in treatment. When you’re in a relaxed, positive physical and mental state, your brain is more likely to retain new information2 and form healthier habits.

camino recovery thumb
The tranquil grounds of Camino Recovery in Vélez-Málaga, Spain

2. Nutritious, Gourmet Meals

Nutrition is a fundamental part of healing from addiction. Many people in recovery have vitamin deficiencies3 due to the depletion caused by prolonged substance use. Nutrient-dense meals provide your body with physical energy and strength to support you during treatment.

Rowland Tweedie, Health and Fitness Manager at Paracelsus Recovery explains the importance of healthy eating in recovery:

“Nutrition is vitally important for all of us, because every time we eat food, it’s information for the body. Having the right type of nutrition helps us to have vitality and energy, and helps with all the systems in the body.”

There are several studies proving that healthy, individualized changes in nutrition can reduce the symptoms of depression, anxiety, and stress.4 Not only that, but some scientists even believe that the gut microbiome is an “important and modifiable mediator of substance-seeking behavior.”

In other words, gut-focused nutrition therapy can reduce some people’s risk of relapse. As Tweedie says, “If we eat the right types of food, we feel and think differently. Nutrition is the foundation of health, really.”

3. Maximum Privacy

Addiction affects people from all walks of life—from celebrities and CEOs to teachers and full-time employees. Clients may not want their personal or professional associates to know they’re receiving treatment. So when a high-profile person, a busy executive, or a wealthy family member needs treatment, privacy concerns may be what prevents them from getting the help they need.

In addition to already being located in remote settings, many luxury rehab centers address these concerns by offering the utmost security and discretion for their guests. Gallus Detox Centers’ Marketing and Outreach Director Laura Herrmann says,

“We’re very discreet. We try to keep ourselves as professional as possible so that when people are coming in, it’s not recognizable as a medical detox.”

Some facilities also offer ultra-exclusive programs for those who can’t mingle with other clients for privacy reasons. Examples include having private accommodations where staff come to you to do sessions, or even attending a completely individualized program where the entire staff serves one client at a time.

4. Wider Variety

At most luxury rehabs, not only are you more likely to receive one-on-one attention, but you’re also more likely to have a wider variety of therapies, counselors, food, and activities to choose from. Although higher costs don’t always equal better quality of care, clients seeking the highest quality of treatment available might be more likely to find what they’re looking for at a luxury rehab.

And, again, if you’ve already tried many different types of treatments or programs, having a wider range of options may make all the difference for you. For example, some studies on addiction have reported that music therapy can reduce substance cravings,5 as it increases your perceived control. So if you’re looking for more personalized treatment options, a luxury rehab might offer more choices.

Oro house recovery sound therapy
Sound baths are one of the many complementary therapies offered at Oro House Recovery in Malibu, California.

5. Flexibility With Technology Privileges

You don’t have to necessarily put the rest of your life on hold to get treatment. Maybe you need to stay connected to the “outside world” for work purposes, to maintain your image, or for family emergencies.

Jan Gerber, Paracelsus Recovery‘s CEO, clarifies:

“Often in treatment, you have to switch off your phone, or even sometimes give up your phone. You can’t open your laptop whilst you’re in treatment, and that’s why people who can’t do that simply wouldn’t go to treatment.”

If absolutely necessary, many luxury rehabs can “do justice to your reality,” as Gerber puts it, and accommodate your need to have internet access and use of your cell phone or laptop. Some even offer executive rehab programs specifically for clients who need more flexibility to be able to work during treatment.

Of course, it’s important to keep in mind that you might still be able to get some of these benefits at other “levels” or types of addiction rehabs. If you’re still wondering whether luxury rehab is right for you, there’s some evidence that further supports the effectiveness of luxury rehab.

Effectiveness of Treatment at a Luxury Rehab Center

Some people might question the effectiveness of getting treatment for a serious problem at an upscale facility, surrounded by a tranquil environment and high-end amenities. That’s understandable, considering these settings can look a lot like vacation destinations. So, what proof is there that receiving treatment for substance use disorders or mental health conditions in a luxury environment  is more effective?

Choosing Your Own Treatment Is an Important Factor

To begin with, some studies show that “clients who were involved in shared decision making, were able to choose a treatment modality, or received their preferred treatment had greater treatment satisfaction, higher retention and completion rates, and better outcomes.” In other words, having a role in choosing where you get treatment can actually increase your chances of success.6

Obviously, this idea is applicable to choosing any type of treatment, whether luxury or not. But, if you’re used to a certain kind of lifestyle and specific types of treatment centers are more desirable to you, there’s a chance you may have better success with recovery in those programs you’re attracted to.

Reducing Stress Helps Your Brain Retain New Information

Even if your initial thinking isn’t to seek treatment at a luxury facility, some experts say that a comfortable setting helps you get the most from treatment. Giles Fourie notes,

“What we’ve experienced having been in the addiction field for over a decade is that a lot of programs are punitive and restrictive. What people do ultimately is conform to the program rather than transform. And we believe that this setting, where we’re offering our clients the comforts they would have at home, really opens them up and ultimately enhances their recovery process and their restoration.”

One reason a comfortable environment, or even a “luxurious” setting, may enhance recovery is because of how it helps our bodies relax, which in turn reduces cortisol levels and improves brain function. Scientific studies have proven that “stress is a potent modulator of brain structure, brain function, and cognition.” So, whether a person experiences short-term, acute stress or long-term, chronic stress, depending on the person,” experiencing excessive stress can be highly detrimental to memory function.”7

If you’re in a stressful environment, there’s a possibility that your memory function will be negatively impaired. This in turn could negatively impact how much of your treatment you retain and are able to access in the future during situations when you need it the most. Again, what’s stressful differs from person to person, so it’s important to know what kind of surroundings will most likely work best for you.

Finding the Best Treatment for You

Ultimately, treatment for addiction and mental health disorders is a highly personal decision. What works for someone else may or may not work for you. That’s why it’s so important to consider all aspects of a treatment program before committing the time, money, and energy required to get help at a residential rehab.

No matter what kind of treatment or facility you’re looking for, remember: despite what a center might claim to be, it’s important to do your own research and make sure the “luxury” you’re signing up for is the type of luxury you’re expecting.

If luxury rehab sounds like an avenue you’d like to explore, you can find treatment centers in nearly every corner of the world. You can also find luxury rehabs within a wide range of costs—many of which take insurance—making this a surprisingly realistic treatment option.

Frequently Asked Questions About Luxury Rehab

What is luxury rehab?

Luxury rehab refers to a treatment program that provides high-end amenities and accommodations in addition to evidence-based therapies for addiction and mental health conditions.

What are the benefits of luxury rehab?

Upscale residential rehabs often provide a comfortable and supportive environment, access to world-class amenities and facilities, individualized treatment plans, and a focus on holistic healing for the mind, body, and spirit.

Who can benefit from luxury rehab?

Anyone struggling with addiction or mental health issues can benefit from luxury rehab, but it may be especially helpful for those who want a more comfortable and private recovery experience, or those who have tried traditional rehab without success.