When it’s time to seriously consider when and where you are going to get treatment for your addiction, you’ll want to spend some extra time thinking about the where. You’ll also want to think hard about what level of care you are willing to consider.
As for the where you might want to consider thinking outside the box. Your natural instincts will tell you to run to the nearest rehab facility and start the treatment process as soon as possible. There’s nothing wrong with doing that if you have serious restrictions that would prevent you from considering getting treatment a little further away from home. If you have some flexibility, you might want to think about getting treatment in another area that’s far away from where your addiction was given life.
As for the type or level of care, you might want/need, that’s a decision you might want to address with the new start clinicians in your addiction treatment rehab of choice. Going forward, we are going to work under the assumption you might not be able to submit to residential care. There are a number of valid reasons why some level of outpatient care would best suit your needs.
If outpatient treatment is your calling, there are three levels worth considering with each one being a little more restriction that the next. The three-level are (listed by most restrictive to least restrictive):
- Partial Hospitalization – PHP
- Intensive Outpatient – IOP
- Standard Outpatient – OP
In the following sections, we are going to offer a comparison of PHP and IOP. For what it’s worth, standard outpatient treatment only requires the client to participate 2-3 days a week for 1-3 hours a day.
When is PHP Treatment Preferable to IOP?
When we mention standard outpatient care in the section above, we gave an indication that a key determinant between the three levels of outpatient care was time spent in treatment.
Partial hospitalization is by far the most restrictive option for clients. They would likely be required to spend 5-7 days a week in the treatment facility where they would undergo treatment for upwards of 6-8 hours a day. Essentially, it’s like having a full-time job and going home to sleep at night.
Intensive outpatient care is a little less restrictive. The client could expect to spend 3-5 days a week in the facility where they would undergo treatment for 4-6 hours a day.
In both cases, the client is expected to meet all programs requirements. That means attending all scheduled appointments and getting to those appointments on time. Should the client show good progress over the first few weeks, they might get “promoted” to a less restrictive level of treatment. If they struggle to meet standards, they might be asked to submit to a more restrictive program or even face expulsion.
Let’s discuss when the PHP option is preferable over IOP.
Depth of Client’s Addiction
If a client enters rehab with a significant addiction to opiates or alcohol, they probably need residential treatment. If their circumstances prevent them from going in that direction, the next level of treatment, PHP, would be preferable. The more significant the addiction and the issues surrounding the addiction, the more restrictive the treatment needs to be.
The Cost of Treatment
The cost of getting treatment should always be a consideration, especially if the clients don’t have insurance. To be clear, PHP is always going to be more expensive than IOP. It’s simply a function of how much time the client is going to be involved in the treatment process. Hopefully, someone who needs PHP will be able to afford such treatment. If not, it’s reasonable for them to drop to the highest level of care that’s affordable.
Rehab staffers are acutely aware of how important it is that each client get the most out of treatment they can. That’s why they will always recommend a PHP solution as the best option. That’s the option a client should also target as long as personal circumstances will allow them to abide by the terms of such a program. If not, it’s reasonable for the client to find a level of care that fits within their life.