Category: Assisting Loved Ones

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Finding the Right Rehab for Your Teen or Young Adult

Anyone can struggle with substance use. Whatever your age, gender, job, or relationship status, you deserve to get the care you need. However, it can sometimes be hard to know what interventions would be most helpful. This is especially true for teens with substance use disorders.

Substance use during adolescence may have long-term effects on brain chemistry.1 For example, “cocaine exposure during adolescence may lead to miswiring in the developing brain and result in long-lasting behavioral problems, such as increased risk-taking, in adulthood.” Because of this, it’s especially important to get teens the help they need in order to begin recovery.

Young people may not always be able to recognize that they need help. And even when they do, they may not be legally or financially capable of seeking that help on their own. Whether you’re a teen or an adult caring for a teen with substance use disorder, the good news is that (specialized) treatment is widely available. Many rehabs offer programs created specifically for younger clients.

If you’re considering rehab for your teen, it’s important to understand the different options available. Depending on the client’s age and geographical location, there may be certain types of treatment that are more appropriate. This decision will also be influenced by your teen’s unique history, diagnoses, and treatment goals.

Reasons for Teen Substance Use

Research suggests that “the human brain is still maturing during the adolescent years.2 The developing brain may help explain why adolescents sometimes make decisions that are risky and can lead to safety or health concerns, including unique vulnerabilities to drug abuse.”

Beyond the simple fact of their age, there are many elements that impact a young person’s likelihood to misuse substances. Among them are risk factors, which make substance use more likely, and protective factors, which guard against these behaviors.

These external influences change with a person’s age. While that’s true for all clients, these changes occur more drastically in children, adolescents, and young adults. For example, middle school students who are too harshly disciplined are at greater risk for substance use disorders. Receiving support from extended family, on the other hand, makes substance abuse less likely in this population. Slightly older adolescents are at greater risk for substance misuse3 when they lack adult supervision, and at lower risk when family members set clear expectations.

Also, teens are experiencing heightened stress4 in this turbulent era of history. According to one study, even teens who had not experienced early life stress—such as neglect or abuse—were prone to “increases in anxiety and depression symptoms” during 2020. In this context, young people may be at a greater risk of developing mental health conditions than they once were.

It’s impossible to guard against every single circumstance that increases the risk of teen substance misuse. However, it can be helpful to familiarize yourself with some of the most prevalent risk factors. Whether or not you’re able to protect yourself or your teen from these stressors, knowing what they are may empower you to get help when it’s needed.

Parental Substance Use

If an adolescent is close to an adult who has a substance use disorder,5 they may be at a higher risk for developing one themselves. For some young people, this is simply a way of enacting the same behavior they’ve seen modeled. Others may use substances in order to cope with the stress of an unstable home life.

Strained familial relationships, financial insecurity, and similar issues can be hugely impactful. However, instability refers to more than these external circumstances. These teens may also have genetic predispositions to substance use disorders, as well as other mental health diagnoses.

Co-Occurring Disorders

Certain mental health concerns, such as depression and ADHD,6 make teens and young adults more likely to misuse substances. In some cases, this is an attempt to self-medicate. However, it’s not always that simple.

For teens with multiple diagnoses, the root cause of substance use can easily become a question of the chicken or the egg. As their brain chemistry continues to change, due to either normal development or unhealthy habits, they may begin to develop co-occurring disorders that make substance use even more appealing.

Whatever the cause of this behavior, few teens have the resources to pull out of this cycle without external interventions. In some cases, inpatient treatment is the most effective way to begin recovery.

Choosing a Rehab for a Young Adult

If you’re a parent or guardian supporting a struggling teenager, it can be difficult to know what’s best for them. And even if you’re confident that they should go to rehab, you may or may not be legally allowed to make that decision on their behalf

In some U.S. states, a parent can unilaterally decide to send a teen to rehab. In other areas, minors’ consent is also required. This varies widely based on the client’s exact age and geographical location. It’s best to learn what your family’s options are before making any specific plans regarding residential treatment.

The client’s age will also help determine which treatment program is best for them. For example, while it may seem that children and younger teens are more likely to grow out of a difficult phase, they may actually be in greater need of interventions. According to one study, “people are most likely to begin abusing drugs during adolescence,7 and the longer adolescents defer experimentation, the less likely they are to develop long-term drug abuse problems.”

Many rehabs often treat a wide variety of mental health concerns, not limited to substance use disorders. Teens and young adults may also benefit from rehab if they’re struggling with eating disorders, personality disorders, or even PTSD. Each of these diagnoses requires a slightly different approach to treatment, possibly including different levels of family involvement.

Some teens are able to live at home during treatment, receiving in-person support from family and friends while they begin recovery. Others may benefit from traveling to rehab. This gives clients both physical and emotional space from the challenges of daily life. It can also teach young people to set boundaries with those who enable their substance use. While this change of scenery may seem drastic, it has the potential to be extremely helpful. Remember that there is no one right way to heal; just the right way for each individual person.

Types of Teen Rehab Programs

If and when you’re ready to choose a rehab center, it’s best to learn as much as possible about the available options. Various programs specialize in treating different conditions, and each takes a unique approach to the process of healing. Because of this, it’s best to choose a facility that is qualified to meet your teen’s unique needs.

Substance Use and Eating Disorders

Eating disorders are extremely common among adolescents. As of 2018, as many as 10% of young women suffered from an eating disorder.8 What’s more, a growing body of research links eating disorders with addiction.9 One theory even suggests that anorexia nervosa is in fact “an addiction to the body’s endogenous opioids.” A number of rehabs focus on helping clients with one or both of these diagnoses.

Gender-Specific Treatment

For some clients, having space from people of different genders can feel like a much-needed break. This gender-specific approach to recovery may be especially helpful for adolescents. Studies show that young men and women exhibit “unique patterns of substance use,”10 and may therefore benefit from distinct approaches to treatment.

Some rehabs focus on treating young women. The program at Foothills at Red Oak Recovery, on the other hand, is tailored to meet the needs of young men, as well as non-binary and gender non-conforming teens. Although it is an LGBTQ+-affirming rehab, it is probably not the right fit for cis women.

Foothills at Red Oak
Foothills at Red Oak in Ellenboro, North Carolina has specialized programs for young men, non-binary and gender non-conforming teens.

In this protected environment, clients are invited to explore their developing identities. According to staff, “​​Adolescence is a time of self-discovery and identity formation…If one successfully navigates the tasks during this stage of life, one emerges with a solid sense of identity. This is a sense of knowing oneself despite the chaos and pressures of the world around them and is paramount to making healthy, value-based decisions.”

Experiential Therapy

Experiential therapy can be hugely beneficial for people of all ages. In this group of modalities, you may go skiing, river rafting, or rock climbing. Some rehabs even take their clients on adventure outings, where they might hike the lip of a volcano or swim with the dolphins.

These experiences aren’t just fun excursions; they’re also ways to practice the skills learned in talk therapy in a different context. They can also encourage clients to develop new hobbies, and help to restore the connection between mind and body. The latter is especially important for teens in recovery.

By surfing, horseback riding, or just playing sports, young people can get back in touch with their bodies and learn how it feels to be physically healthy. Experts theorize that this has a lasting impact on their continued sobriety and health. According to one study, “continued physical health for rehabilitated adolescent drug addicts is crucial…since it could enhance the effectiveness of rehabilitation.”11

With this in mind, some adolescent rehab programs have a special focus on physical activity. Pacific Quest, for example, is a wilderness therapy program located on Hawaii’s Big Island. Here, clients participate in outdoor programming which may include hiking, paddle boarding, swimming, sailing, and more. Participants also perform community service during their time in residence. Through this process, they are encouraged to learn how to engage with nature, their communities, and themselves in a healthy way.

Personalized Treatment

There are numerous ways to approach recovery. Although many teens benefit from highly structured rehab programs, others may require a more nuanced approach. For these clients, personalized treatment may be the best option.

Pacific Teen Treatment, for example, treats only six clients at a time. Each teen is assigned a primary, secondary, and family therapist. Their team of providers works together to carry out a highly individualized plan of care. This approach may not be appropriate for all clients—especially those who want to focus on improving their interpersonal dynamics within a larger cohort. But it can be extremely effective for families who are committed to healing their relationships with one another.

Family Therapy

Adolescent substance misuse impacts family dynamics.12 According to one group of experts, “every chemically dependent person has a significant impact on the lives of several other people.” Because of this, it’s important for the parents, siblings, and other relatives of these clients to engage in their own healing processes.

In many cases, family therapy is a productive way to approach this. Most adolescent rehab programs offer some version of family therapy. This may include in-person sessions, video chats, or regularly scheduled phone calls.

Pacific Teen Treatment
A peek inside the calming environment at Pacific Teen Treatment in Malibu, California, where family therapy is a key area of focus.

Some facilities may limit clients’ communication with people outside of their cohort. Often, these programs restrict cell phone use during rehab. Others may prohibit calls or visits at the beginning of the program, but encourage this type of contact after some time has passed. Every rehab has its own unique guidelines, and those guidelines may vary from one client to another.

Therapy isn’t easy. This process may bring up traumatic memories and shine a light on difficult family dynamics. Even so, it is often an essential component of helping a teen recover from substance misuse.

Growing Beyond Substance Use

Substance use disorders are serious conditions. At any age, and especially for teenagers, this behavior should not be dismissed as “just a phase.” That being said, it can be temporary. It’s always possible to heal and grow beyond unhealthy habits.

A person’s adolescent years are powerfully creative. Over time, teens will inevitably learn more about themselves, defining their identities and discovering their own needs, goals, and values. It’s extremely important to connect these clients with the help they need and deserve. It’s also important to trust the process.

To see reviews, virtually tour facilities, and more, see our curated list of adolescent rehab programs.

Frequently Asked Questions About Rehab Programs for Teens

Why are teen rehabs important for addressing substance abuse and mental health in adolescents?

Teen rehabs play a crucial role in providing specialized treatment for adolescents who face substance abuse and mental health issues. Through therapy, education, and support, these programs help teens and young adults overcome challenges and develop skills for long-term recovery.

What treatment approaches are used in teen rehabs?

Teen rehabs use a variety of treatment approaches:

• evidence-based treatment, such as cognitive-behavioral therapy (CBT); 
• individual and group counseling; 
• experiential therapies, like adventure outings;
• family therapy; 
• and more.

These approaches aim to address the unique needs of teenagers and support their physical, emotional, and psychological well-being.

How long do teens typically stay in rehab?

The duration of teen rehab programs vary depending on the severity of the issue, individual needs, and treatment plans. Most programs range from 30 to 90 days, while others extend for longer. The focus is to provide comprehensive support and equip teens with the tools for sustainable recovery.

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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%.