Deciding on a Treatment Facility

Deciding on a Treatment Facility

When it comes to deciding on a treatment facility, there are a number of questions you should ask. We’ll review what those questions should be so that you can make an informed decision.


Twenty-three million Americans age 12 or older suffer from addiction to either drugs or alcohol. Addiction can tear families and friendships apart, can cause financial ruin, and can obviously lead to death. While addiction programs like rehab and 12-step programs like Alcohol Anonymous have proven to be effective, it seems obvious that the problem is increasing rather than decreasing.

One of the hardest things is knowing what type of treatment facility will be effective.

Deciding on a Treatment Facility

When a friend or family member is dealing with addiction, the first step towards sobriety is finding a treatment center. While it’s important that you get your friend or family member there immediately, there is some homework that will need to be done. Knowing what to look for in a program can be the difference between long-lasting sobriety and relapsing.

Here are the questions you will want to ask to help you narrow down what treatment facility will be the most effective.


What Result Are You Expecting from Rehabilitation?


Programs view “results” differently. For some, a successful result is a patient that continues to attend meetings while also continuing to take any prescribed medications, such as methadone or Suboxone. Others programs consider the completion of a 28-day program as “successful.” Other programs measure their effectiveness by their relapse rate. And some others view improved family relations and return to a “normal” life as a successful result.

Obviously, your goal for your friend or family member will be complete sobriety, but the road to recovery is a difficult one. You’ll want to ask any rehab programs that you are considering what they use as a measure of their success, and what their success rate is.

Short-term or Long-term?

Typically, a detox and rehab program lasts 28 days. While some last longer, this is the average. You’ll want to know what options are available – is this solely a 28 day program or can it be extended?

Will there be a Treatment Substitute of Another Drug?

Most detox facilities use prescribed medications to help with withdrawal symptoms. In some cases, this is the safest way to ease a patient off of their addictive substance. These prescribed medications include: methadone, buprenorphine or Suboxone. You will want to know if a treatment program simply prescribes these as a “harm reduction program,” or if the program will eventually work to ease the patient off of any drug use. Substitute drugs might not be your goal, and you will want to be clear about how the program uses these substitutes.

Supplemental and Additional Health Considerations?

Some programs emphasize building up a person’s physical health during the recovery process with vitamins, minerals and exercise. This is often effective as it returns a person’s body to a safe homeostasis and can help improve mental calmness and alleviate symptoms of distress for many.

While vitamins and minerals are helpful, some programs will also prescribe medications to help treat underlying symptoms of addiction, including depression. In these instances, a program might prescribe Xanax, which has been shown to be addictive. Some programs will also give an alcoholic a drug like Antabuse to make a patient feel sick he or she if drinks again.

You’ll want to be aware of how the program uses supplemental drugs.

Sufficient Life Skills to Support a Sober Life?

Relapse is a major part of rehab, and how a patient is taught to deal with cravings is the main reason people enter rehab. You’ll want to know how your treatment facility advises addicts on how to deal with leaving the program.

An addict will, without a doubt, be hit by problems, stresses, and influences that might tempt him or her to use drugs or alcohol again. Old friends that abuse drugs or drug dealers will come around again. Other setbacks will be encountered, including job loss, divorce, or other stress.

Does the program have out-patient treatment to help addicts deal with cravings and symptoms after they leave the facility? Will they be able to attend support meetings? Will they be able to contact a therapist or counselor? How available are counselors? What are the support aids that are in place to help deal with life after rehab?

Treatment of Underlying Reasons?

Much of addiction is a way of dealing with underlying issues, such as depression. A trauma-informed approach realizes trauma’s effects and responds by integrating knowledge about that trauma into its method of treatment practices while also seeking to resist re-traumatization. Will the facility take this approach or simply treat the addiction?

Modes of Treatment

Another question you will want to ask is what method or mode of treatment is employed by the facility. There are a wide variety of treatment forms, and a rehab facility will often combine various methods to help a patient’s chance for sobriety. Here are some of the most common modes of treatment:

Medically Based 

Not all addiction treatment programs are based on a medical model. When a treatment program says it uses a medical model, that means that the center or program believes that addiction is a disease and that it is treatable. The center will most likely have doctors and nurses on hand as part of your treatment team, in addition to clinical therapists. The treatment provided at these facilities is based on therapies and medications that have been previously tested in studies and also clinically reviewed for effectiveness.

Psychotherapy and Counseling
Psychotherapy is defined as the treatment of mental health, emotional, and psychiatric disorders. This type of therapy is based in verbal communications and interventions with a trained therapist. The therapist will work to establish a trusting relationship with their patient during specified sessions. During sessions, a patient is encouraged to share the issues they are working through in order to gain new skills that will help them better handle the issues. A therapist will offer an objective ear, while also helping to guide the patient Being able to learn coping mechanisms to deal with daily stressors can help a patient build confidence to be able to overcome obstacles on their own.

Group Therapy

rehabGroup therapy typically involves a group of 6 to 8 individuals. Most commonly, the individuals are all dealing with similar issues, such as alcohol addiction, or opiate addiction. Working in a group environment, where people can listen and work through problems in a safe environment allows group members to work through issues that might take longer in individual counseling. It can provide a safe environment where people are more prone to share their experiences because of a shard community bond.

Individual Therapy
During individual therapy, a patient meets privately with a mental health counselor or psychologist. During that time the patient and counselor or psychologist will review the patient’s person problems and issues. Typically, these sessions happen once a week, and may require a long period of time. This is often an effective way to deal with patients that have already been through extensive therapy, and just need a check-in every week or so to help keep them motivated in maintaining sobriety and dealing with other emotional issues.

Family Therapy
Family therapy can be helpful when there has been a disruption to the healthy family structure. Addiction does not just disrupt an addict, but also effects family members and the relationships that exist between family members. To successfully treat addiction, the family and any disruptions of the family unit must also be addressed.


Lectures can be an integral part of a substance abuse treatment program in that they provide supplemental information for lessons that are primarily taught in group and individual therapies. Examples of drug rehab lectures include: relapse prevention, healthy relationships, anger management, medication management, managing depression and anxiety, and conflict resolution.

12-Step Programs

The 12-step programs found in Alcoholic Anonymous is based on a philosophical and spiritual approach to dealing with addiction. Each day is taken one at a time, and the success of the program is based on the idea that life is here to be lived, and that a greater power and strength can help an addict abstain from drugs and alcohol and live a clean and sober lifestyle.  Within AA, there is a sponsoring program, where individuals help each other and one another to stay clean and sober. 

Seeking Treatment for Addiction

When addiction progresses to a point that your family life, work life, social activities, mental stability, and physical health are adversely affected, you need to seek professional treatment. Dealing with an addiction can be overwhelming. But whether you’ve decided to seek treatment on your own, through the help of family or friends, or because it’s been ordered by court, you will want to seek the help of professionals.  At Detox Rehab we offer an individualized approach to treatment which affords our patients the highest probability of success. We can help you, or a loved one, work through this difficult disease.

Every person is different. Therefore our approach to treatment must be.

DetoxRehab staff has a strong understanding of trauma and client coping behaviors. We are trained to recognize and treat trauma survivors while working to create an environment based on the following:

Safety – We ensure a physically and emotionally safe environment for each individual client.
Trustworthiness – We seek to establish trust and trustworthiness through making client responsibilities clear and maintaining professional and appropriate boundaries.
Choice – We emphasize and encourage our patients to make their own choices.

Collaboration – We focus on creating a collaborative approach with our clients in regards to their treatment.

Empowerment – We stress the empowerment of our clients.

DetoxRehab offers comprehensive outpatient programs providing a structured rehabilitation process that offers a high probability of success. Treatment helps you confront the physical aspects of your addiction while providing counseling and ongoing support services to address your psychological and personal needs. DetoxRehab’s specialized program provides a supportive therapeutic environment where you can work on your addiction while acquiring the valuable life skills needed to build support networks necessary to sustain your recovery to take back your life.

Garrett Guedea
Detox Rehab
(858) 900-0000

Treatment Programs