Substance use disorder affects over 48 million individuals aged 12 and older in the United States. Unfortunately, only 13% of individuals struggling with addiction ever receive any type of treatment. Stigmas surrounding treatment and lack of information are just two reasons many people fail to seek help. For those who do seek help, one of the most common questions is “How long is rehab?” While the answer isn’t the same for everyone, this article will help demystify the process and break down the timelines. Knowing what to expect can make it easier to take this big step.

How Long Is Rehab? Typical Lengths of Stay

For those struggling with alcohol or drug addiction, rehabilitation isn’t a one-time event. It’s often a lifelong journey that involves several different phases. Each phase has a specific purpose and can be different from one person to another.

Medical Detox

Depending on the level of your addiction, you can undergo detox at home or in a treatment facility. However, inpatient detox with medical supervision is always recommended for safety reasons. Medications may also be used to help you get through withdrawal symptoms.

How long does drug rehab take? Withdrawal symptoms from detox are generally worse within the first 48 hours after you’ve had your last drink or drug use. Symptoms tend to improve after 3 to 7 days.

Inpatient and Outpatient Rehab

Individuals seeking drug treatment typically choose between inpatient and outpatient treatment. In inpatient or residential programs, the individual lives in a facility and receives 24-hour care and support in a structured environment. Outpatient care is more flexible and allows an individual to receive treatment during the day or in the evening and return home each day.

But how long is rehab in a rehab facility, and how long is alcohol rehab? As with detox, recovery time depends on addiction length and substance type. Some programs last 30 days, while others can last 90 days or more.

Aftercare

Aftercare includes follow-up visits with a licensed therapist or counselor. It may also include group and family meetings. Aftercare can be an ongoing, lifelong process.

Factors That Affect How Long Rehab Takes

Rehab isn’t a one-size-fits-all option. When you seek help, a medical team will guide you toward the best treatment plan. Typically, the following factors can affect how long rehab will take:

• Type of substance and severity of addiction. The type of substance you’ve used in the past and how long you’ve been addicted substantially affect treatment. Someone who’s been addicted for many years may take longer to detox and recover than someone who’s only struggled for a month. Similarly, someone dealing with an opioid addiction may take longer to recover than someone with alcohol addiction.
• Co-occurring disorders. A co-occurring disorder, also called dual diagnosis, refers to having both a substance use disorder and a mental health condition. Treating both conditions is important for success and generally requires a longer stay.
• Physical health. When an individual has a chronic health condition related to their substance abuse, they may need concurrent medical care during treatment. This can influence the treatment plan and how long it takes.
• Previous treatment history. Individuals who have relapsed and require treatment more than once may need a more intensive program. Longer programs can help address unresolved issues and build a stronger foundation for success.
• Home environment. A supportive home environment is important for recovery from drug and alcohol addiction. Someone with an unstable and unsupportive environment may benefit from a longer stay in treatment.

Why Longer Doesn’t Always Mean Better (and Vice Versa)

Sometimes the quality of the program is more important than the quantity. For example, a high-quality 30-day program may provide better success rates than a poorly structured 90-day program.

The goal is to find the right program for the person. Someone with strong motivation and a stable home life may recover more quickly than someone with a long history of substance abuse and a lack of support.

Insurance and Program Limitations to Consider

Approximately 23% of Americans with a substance abuse disorder fail to get treatment because they can’t afford it. Insurance coverage and costs can affect whether a person seeks treatment.

• Insurance coverage. Many insurance plans cover substance abuse treatment, but the extent of what they cover can vary. Before seeking treatment, contact your insurance provider to see what, if anything, it covers and what the limits are. When you choose a treatment facility, it will confirm your insurance before admitting you.
• Financial costs. For those who have to pay out of pocket, costs can be a limiting factor. Some treatment facilities offer grants to low-income households, while others may provide grants to those with limited means. It’s important to check your options.
• Life commitments. Financial concerns aren’t the only thing to consider when choosing a treatment program. Responsibilities with work, family, school and childcare can also be a determining factor.

How to Know If You’re Ready to Leave Treatment

The decision to leave treatment is made between you and your treatment team. Some of the signs you may be ready to leave include:

• You understand what triggers your addiction, and you’ve developed a solid relapse prevention plan.
• You’ve learned healthy coping mechanisms, including how to manage stress.
• You have a stable living arrangement when you leave.
• You’ve established a supportive network that includes family, friends, therapists and support groups.

Continuing Care After Rehab Ends

Drug and alcohol treatment is just the beginning of recovery. Continuing care helps prevent relapses. Aftercare may include:

• Step-down care. Step-down care may mean transitioning from inpatient to outpatient care.
• Sober living homes. Sober living homes provide a stable environment for those who don’t have other arrangements.
• Individual or group therapy. Some programs include continuing to work with a therapist or attending regular group meetings.
• Alumni programs. Some treatment facilities encourage you to stay connected to the facility and your peers in recovery.

Reaching Out for Help

If you or someone you love is struggling with alcohol or drug addiction, it’s important to seek help. If you want to know how long rehab is and learn about your treatment options, contact Sunlight Recovery for more information.