Recovery is an ongoing journey, and intensive treatment arms you with essential tools. After treatment, continuing to use these tools and learn new ones can sustain lasting recovery. Aftercare planning can give you resources for success.
Completing intensive treatment is a milestone to celebrate; however, transitioning back to daily life after addiction or mental health treatment comes with a unique set of changes and manageable challenges. These obstacles can be broad and vary from person to person, but understanding them can help you navigate this phase more effectively.
One of the most significant difficulties in this transition is applying lessons learned in treatment to your daily tasks. Without proper guidance, it may be difficult to maintain these skills when you’re no longer in a trigger-free environment. Other challenges include rebuilding relationships, finding a safe home environment, and financial stability2—fortunately, the skills you learn and practice in aftercare can address all of these.
Aftercare services are a vital part of a successful transition2 and allow you to continuously practice coping techniques and stay connected in recovery. Although your recovery is your responsibility, multiple avenues of support can assist your journey.
Types of Post-Treatment Support
Each of these support options plays a vital role in addressing different aspects of recovery and relapse prevention.
Outpatient care: These programs allow you to live at home while attending treatment sessions. Programs can vary in intensity and frequency, from daily sessions to meeting twice a week. Outpatient programs usually include evidence-based therapies such as cognitive behavioral therapy (CBT) and psychoeducation.
Sober living: Sober living provides a substance-free, supportive living environment for those transitioning out of residential treatment. Residents typically follow house rules, complete chores, and continue in outpatient care, therapy, and support groups while living there.
12-Step support groups: Programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) offer ongoing support through in-person and virtual meetings and a structured program of recovery steps. These groups provide a sense of community and mutual support from peers who are also in recovery.
Alumni Program: Your treatment center may provide an alumni program where you can bond with peers through in-person or virtual alumni meetings, sober events, or group trips. The program might include follow up check-ins and therapy sessions with a counselor, as well.
Medication management: For some people, especially those recovering from opioid addiction, medication-assisted treatment (MAT) can be an effective component of post-treatment support4. Medications like methadone, buprenorphine, and naltrexone can help manage cravings and withdrawal symptoms under medical supervision. Medication management for antidepressants, antipsychotics, and more can assist recovery for those with mental health concerns.
Creating a support network with strong relationships is a foundational aspect of long-lasting recovery. Social support in recovery can reduce stress, increase self-efficacy, and motivate sobriety or remission7. When you return home, you’ll want to connect with loved ones who supported you through the treatment process. Let them know how much their help and encouragement means to your recovery. Try your best to plan regular get togethers with friends and family, as avoiding isolation and bolstering these relationships can make recovery easier.
You may want to revisit relationships that were strained by your condition(s). This is an opportunity to practice the communication skills learned in treatment and show your growth, empathy, and patience.
Your social circle should fully support your recovery efforts, contributing to a healthy home environment. You can also adjust other factors in your life that create a supportive living space, including removing triggers (such as substances), decluttering your home, practicing mindfulness, prioritizing sleep, and building a routine with meal times, exercise, and hobbies.
Coping Strategies and Relapse Prevention
Recovery is something you actively engage in for the rest of your life. There may be times when you experience uncomfortable feelings and situations; however, with the right tools, you can navigate through uneasy moments.
Triggers can look like stress from work, relationships, finances, and certain establishments. It may be smart to avoid bars or similar environments to prevent attending a high-risk situation. Recognizing these triggers and planning how to manage them can prevent relapse.
During treatment and after, you’ll practice using coping techniques, which can look like breathing exercises, regulating emotions through journaling, and saying “no” to situations that do not serve your recovery. It’s important to mindfully use coping skills in both uncomfortable situations and relaxed environments—that way, when a time arises when you need to use the skill, you’ve practiced it in low-stress times and feel comfortable using it.
You and your care team can create a personalized relapse prevention plan. This plan addresses potential triggers, outlines coping strategies, and identifies supportive resources, making it a cornerstone of successful long-term recovery.
Monitoring Progress and Adjustments
Although recovery is alinear, all healthy progress should be tracked and celebrated. To ensure that you’re engaging in activities that suit your current recovery needs, you can have regular check-ins with your healthcare providers. What may have worked in the beginning of your treatment experience might not serve you years down the road. You might find journaling about your 1 month, 1 year, and 5 year goals helpful. You can also write answers to questions such as:
What were your main goals when you started the aftercare program? How well do you feel these goals are being met?
In what ways have you changed since beginning your aftercare program? Consider habits, thought patterns, emotional responses, and relationships.
What are the most significant challenges you’ve faced during your recovery process, and how have you addressed them? How has your aftercare program supported you in these challenges?
What new coping strategies or skills have you learned through your aftercare program? How effectively are you able to apply these in real-life situations?
In what areas do you feel you still need to grow or improve? How can your aftercare program or other resources assist you in these areas?
Staying flexible yet focused on your end goals can help you feel more fulfilled in your recovery. Every milestone, whether achieving 1 year of sobriety or simply having a good day, should be celebrated. Honoring your efforts can help you stay motivated and recognize how far you have come in your recovery journey.
In the context of mental health, IOP stands for “intensive outpatient program.” But what does that phrase mean? What is an IOP, after all?
IOPs offer more intensive care than weekly therapy sessions, but more flexibility than inpatient rehab. These programs are a great option for many people—but are they right for you? This guide can help you decide whether an IOP would be a good fit.
What Is an Intensive Outpatient Program (IOP)?
Intensive outpatient care is an approach to addiction1 or mental health recovery. In an IOP, patients live off-site but attend therapy during the day. Unlike inpatient treatment, this approach lets you go about your life while you heal. You can go to work or school, see friends, and even live at home.
During the program, you’ll work with several mental health and addiction specialists. You might also attend classes to learn important life skills. Some IOPs include recreational activities, like going to the beach or seeing a movie.
IOPs can also serve as transitional care after you finish residential treatment, but before you return home. In that case, you might stay in a sober living home during the program.
The length of your treatment depends on your progress. Many IOPs last 12-16 weeks. However, you can choose to end treatment early or stay in the program longer.
In the assessment and planning process, you may work closely with a case manager. They’ll determine which services you need, and organize your schedule. They might match you with a therapist, enroll you in life skills classes, or connect you with other service providers outside the program.
Building a Support Network
If you live at home during your IOP, you’ll have more access to friends and family than you would during inpatient rehab. And if you live in group housing, you’ll be close to other people in recovery. To maximize the benefits of these environments, IOPs encourage clients to build strong relationships.6
You can achieve this in a few ways. For instance, you might attend family therapy or join a support group. You can also practice your new coping skills in the context of work, school, and friendships outside the program.
Aftercare
Experts at the Substance Abuse and Mental Health Services Administration (SAMHSA) note that IOPs “should not be the sole approach for any client;7 instead, they need to be one step along a continuum of care.” During initial treatment, your care team will help you plan for what comes next.
The transition out of an IOP may be less jarring than the end of inpatient treatment. While your schedule will change, you won’t have to move right away. You can stay in touch with your immediate support network, including members of your care team and other people who attended the program.
What Is an IOP for Substance Use or Addiction Treatment?
IOPs for addiction typically include specialized services:
12-Step meetings like Alcoholics Anonymous, Narcotics Anonymous, and similar
Education about the consequences of substance abuse
Although IOPs can treat addiction, this type of care has an extra level of risk. When you first enter recovery, you might not have a strong support network. Or, you might have close relationships with people who encourage you to use drugs. If you live at home throughout treatment, maintaining those relationships can increase your risk of relapse.9
You don’t have to begin recovery with an IOP. For example, you might attend a medical detox program or inpatient treatment center first. In that case, an IOP might be part of your stepped-down care plan. This approach gives you time to kickstart recovery before you begin rebuilding your community at home.
What Is an IOP for Mental Health?
In an IOP for mental health, you can live at home while you attend intensive treatment. These programs connect you with mental health experts and with other patients who understand some part of your experience. You may not have the same diagnosis as the people around you, but you can still share mutual support.
IOPs for mental health may focus on a specific therapy, instead of using a wide range of treatments. For example, people with personality or mood disorders often benefit from dialectical behavioral therapy (DBT).10 If you’re healing from one of these conditions, you can look for a more specialized treatment program.
Are IOPs and PHPs the Same?
IOPs and partial hospitalization programs (PHPs) are 2 different types of treatment. The key difference between them is the amount of time patients spend in therapy. PHPs offer more intensive care,11 including at least 20 weekly treatment hours.
Despite their differences, PHPs and IOPs have a lot in common:
Patients live off-site, so they have more freedom than they would in residential rehab.
Treatment is usually more affordable than residential care.
Clients can attend several different types of therapy.
Benefits and Advantages of IOPs
Unlike inpatient care, IOPs allow you to integrate your treatment experience into your daily life. This approach has several advantages:
Flexibility: You don’t have to step away from work, school, or family commitments to start recovery.
Accessibility: Some insurance plans will cover IOPs but not residential treatment, making them financially accessible to more clients. IOPs tend to be more affordable than PHPs.
Ease of transition: Many residential rehabs also offer IOPs, meaning you can easily step down your care after completing inpatient treatment.
Social support: You can maintain long-term relationships with loved ones throughout treatment.
Discretion: IOPs make it easier to keep your recovery private. You can continue living at home, going to work, and attending social functions while you heal.
“If I were to tell myself from a few months ago how much we’ve changed, I’m not even sure that she’d believe me. It gives a hope that I haven’t had in a long time and I couldn’t be more grateful for the family I created here. And with everything I’ve learnt, I’ve also been able to tell my friends who are also going through hard times some of the things I’ve learnt and they really liked them!”
How to Find an Intensive Outpatient Program
As you research IOPs, remember that every program is unique. You can choose a center based on your unique needs. To start your search, consider a few criteria:
Location
Types of therapy the program offers
Specific diagnoses the center treats
Length of treatment
Insurance options
Total cost
Many insurance plans will cover this type of treatment. Because IOPs don’t provide round-the-clock care, they’re often less expensive than other programs.
IOPs can help you recover from addiction and many mental health issues. However, they’re not for everyone. To determine whether an IOP might be a good fit, you can start by responding to a few questions:
Do you have a strong support network at home?
Do you have any ongoing medical needs?
When you start recovery, will you need to go through withdrawal?
Do you have any co-occurring mental health diagnoses?
How severe are your mental health symptoms?
What additional types of treatment options are you planning to try?
Frequently Asked Questions About Intensive Outpatient Programs (IOPs)
Are IOPs confidential?
Yes—to some degree. Your care team is legally bound by privacy laws. However, the administration may disclose some information to your insurance provider if they’re covering your treatment. What’s more, the other patients in your program aren’t obligated to keep anything confidential. And if you all live in the same area, you may even have mutual friends. While providers may encourage clients to respect each other’s privacy, they can’t control what happens outside of treatment.
What types of insurance do IOPS accept?
It depends on your program. Talk to your provider’s admissions team to learn about your options. The good news is that most insurance plans cover some amount of addiction treatment. And because these programs are less expensive than residential treatment, insurers are even more likely to cover IOPs.
Can I attend an IOP via telehealth?
Some providers are experimenting with remote IOPs. Preliminary research suggests that this type of treatment might be effective. However, we need more data to know for sure. Because telehealth is so new, it’s hard to predict what its effects will be in the long term.
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.
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 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.
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 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 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 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.
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.
While rehab is a place to begin recovery, it’s only the first step in a long journey. During your program, you’ll start learning how to build a better life. This carefully curated environment may include individual and group therapy, recreational activities, and medical treatment. Most rehab programs are designed to temporarily protect you from external stressors, including work and family obligations. Without those concerns, you can dig deep into healing, developing sustainable tools to use in the future.
Think of your time in rehab as an intensive retreat. This is a crash course. It isn’t meant to be temporary. The goal is not to stay in rehab forever, but instead to learn new skills that you can put to use after leaving the program. And, best of all, you don’t have to do it alone. There are many resources available to people transitioning out of residential rehab.
Post-Treatment Challenges
It’s natural to be concerned about your transition out of rehab and back into the wider world. Without the structure of the program, you can expect to encounter both new and established triggers on a more frequent basis. You may also be returning to difficult circumstances. For example, you and your therapist might discover that work stress prior to rehab was interfering with your mental health. If that’s true, you may be planning to change jobs soon after you return home. Situations like this one can be stressful even in the best of times.
Every person’s experience of rehab is different, but recent graduates tend to have a few common concerns. Before you finish the program, it can be helpful to plan around how you’ll navigate the following:
Relationships and Community
Many people go to rehab when they realize they need more care than they’re getting from their loved ones. Because of this, it’s common for alumni to return home to difficult dynamics. You have to let go of unhealthy relationships in order to prioritize your own healing process. Without the structure of your program and the in-person support of your recovery peers, it can be hard to maintain those boundaries.
Healing takes time. That’s true for the body, the mind, and also for relationships. Many programs offer family therapy, so your loved ones can begin healing even before you return home. This work not only affects your familial dynamic; it can also have a positive impact on your and your loved ones’ other relationships. Ryan Soave, the Director of Program Development at All Points North Lodge, says “…often when we do family work, the families get better. We also find that they get better in their lives outside of the family.
However, family therapy is just one part of rehab. They may have attended weekly sessions, but you’ll have gone through a much more intensive program. You may find that you have more tools for emotion regulation than the people around you. Be patient with them, and with yourself, as you learn how to relate to each other during this new stage of your process.
Relapse
From the moment you arrive at rehab, you’ll begin preparing for the possibility of relapse. Healing isn’t always a linear process, and this is an area of concern for many people in recovery. As such, your team of providers can help you plan ahead. Jan Gerber, CEO of Paracelsus Recovery, offers a clear description of this issue. “There’s a term called ‘post-treatment crash,’” Gerber says, “which is a quite familiar term to everybody working in addiction treatment. No matter how successful and intensive the treatment has been, without the proper care and company after leaving treatment, there are risks for relapse.”
Leaving rehab is stressful. And if substance use has been your primary way of coping with stress up to this point, you may have the urge to fall back into old patterns during this transition. Instead of engaging in unhealthy behavior, it’s important to stay focused on yourself and your goals. Having a clear and specific plan for aftercare can make that much easier. Even before you return home, you can start researching aftercare options to support you in life after rehab.
AspenRidge Recovery in Lakewood, Colorado provides a comfortable sober living environment for clients attending their intensive outpatient program (IOP).
Individual Therapy
Individual therapy is an essential component of recovery. In most rehab facilities, this is a major focus of the program; clients often have daily one-on-one sessions, in addition to group sessions and other activities. Individual therapy is one of the most effective ways to heal from any mental health issue, including substance use. It’s highly recommended for people in recovery to continue individual therapy even after transitioning out of inpatient care.
Therapy offers a private, confidential space where you can explore your emotional experience. Because your emotional life changes over time, this isn’t a quick process. It takes time to process your past, learn to navigate the present, and plan for the future. Many people attend therapy for years, or throughout their lives. Like rehab, therapy is a tool to kickstart the healing process. However, therapy is also important for the maintenance of your mental health regardless of where you are in your recovery journey.
You may or may not be able to continue seeing the same therapist you saw during rehab after you leave the program. Most therapists are only licensed to practice in certain locations. Because of this, people who travel to attend rehab will almost certainly need to find a new therapist once they leave. Some therapists are able to offer telehealth services, or sessions on a remote basis. If you’d like to continue seeing the same provider after you return home, make sure to check with them before you leave to find out if that’s possible.
Finding the right therapist for you can be a long and even arduous process. The therapist-client dynamic works best when your provider has an intuitive sense of your needs, goals, and values. What’s more, not every therapist has experience in treating addiction. If you have additional concerns, you may need a provider who has other competencies as well. For example, a therapist who specializes in working with teenagers might not be a good fit for someone in their 40’s. Remember that you’re allowed to shop around. You can research a provider’s credentials before reaching out, and you can ask to have an initial trial session before committing to a longer process. It’s ideal to begin looking for a therapist before you leave rehab.
Intensive Outpatient Programs and Partial Hospitalization Programs
Intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) are one step down from residential treatment. These programs allow you to live off-site—usually either at home or in a sober living environment—while undergoing intensive therapy at a hospital or rehab center. An IOP or PHP might be right for you if you need significant support during the transition out of rehab.
Intensive Outpatient Programs (IOPs)
If you participate in an IOP, you will live at home, on your own, or in a sober living environment, but you will attend the clinical program several days a week. Each of these programs is unique, but most of them include 10 or more hours of group and individual therapy per week. The Substance Abuse and Mental Health Services Administration (SAMHSA) lays out specific guidelines for IOPs,1 stating that “IOP services may incorporate other in-house treatment and peer services, encourage clients’ attendance at mutual-support groups, and collaborate with local community providers to secure needed services (e.g., medication-assisted treatment, psychological assessments, vocational rehabilitation services, and trauma-specific treatment).”
IOPs offer a gentle transition out of rehab. AspenRidge Recovery, a facility in Colorado, describes this type of program as “a safe and accountable way [for clients] to test their skills in real-world situations while still having a supportive team to rely upon.” You’ll continue to have a team of healthcare providers at your fingertips, as well as access to a cohort of people who are also in recovery. Your time on-site is intended to help you process the experiences you have outside of rehab and in between therapy sessions.
Partial Hospitalization Programs (PHPs)
PHPs are similar to IOPs, but clients spend more time in the program. If you attend a PHP, you’ll spend the majority of each day in treatment, and only go home at night. This is a good option for people who need to be closely monitored by healthcare providers, but have some responsibilities they can’t simply put on pause, like family or schoolwork. You can attend a PHP after rehab, or choose this type of program instead of 24/7 treatment.
Pillars Recovery, a rehab in California, recommends PHPs to clients who can’t afford inpatient rehab. They also offer clients the option of staying in a sober living environment during the program. Depending on your insurance, one of these options may be more accessible than a more traditional stay at a rehab facility.
Sober Living Environments
A sober living environment hosts residents who are adjusting to the rhythm of life without substance use. They are safe environments with clear rules and regulations, but far less structured than inpatient rehab programs. While you may choose to attend therapy during your time there, those sessions would likely take place off-site and through a different program. The goal of your stay in a sober living environment is to transition out of intensive treatment into a more flexible schedule.
Many sober living environments will only admit clients who have already completed a residential treatment program. Some, however, are available to people recovering from a number of concerns, and not only from substance use.
Unlike inpatient rehab, sober living offers you the opportunity to socialize and set your own schedule. You may have access to planned outings, a library of relevant materials, and other activities, such as yoga and meditation. You’ll likely be required to attend regular meetings, such as 12-step meetings, that support your new lifestyle.
Some kinds of healing can only be accomplished alone or in therapy. Other kinds of healing can only be achieved in a community. As you transition out of inpatient treatment, it’s important to take the skills you developed in rehab and put them into practice in your daily life.
Pillars Recovery in Newport Beach, California offers an intensive outpatient program (IOP) and day treatment (PHP) for clients wanting to step down to transitional living for a structured, healthy lifestyle post-rehab.
Support Groups
Support groups are a valuable resource for people in recovery, both during and after therapy. These settings allow you to learn from other people with similar life experiences, and gain insights you might not have access to in individual therapy. Catherine Ulrich Milliken, Program Director of McLean Borden Cottage, explains that attending groups is “an important part of recovery, and the evidence shows that it’s a good, helpful component. It’s another way to be connected to a community. It’s another place of accountability. It’s another place for support. It’s the roof on the house of sobriety – making sure people engage in a spiritual component.”
Various support groups are available in most areas. Most aftercare programs—such as IOPs and PHPs—will provide facilitated sessions on-site. However, most of these groups are easily accessible to anyone.
If you’re living independently, don’t be afraid to try out a few groups before you decide which one(s) you’d like to attend regularly. The specific people in your group have a huge impact on the experience. You may find that you really connect with the people who attend a certain meeting on Wednesday nights, but you don’t have much in common with the people who go to the same group on Fridays. Rehab alumni often find it helpful to attend more than one group; some people even go to at least one session every day after leaving inpatient treatment. These groups are offered in a wide variety of styles, giving you the freedom to choose which philosophy works best for you.
12-Step Groups
In 12-Step support groups, participants follow 12 clearly defined steps toward recovery. These steps were originally defined by Alcoholics Anonymous, and over time, numerous similar groups have branched off. All over the world, it’s now possible to find local chapters of Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, Pills Anonymous, Codependents Anonymous, Sex Addicts Anonymous, Workaholics Anonymous, and more. While these different groups use slight variations on the original 12 Steps, they all share a similar philosophy.
Most 12-Step meetings open with a reading or a prayer. After that, members may be invited to share their stories, or to engage in a group conversation. Every group’s format is a little different, based on the specific needs and goals of the participants and facilitators.
Sponsorship is an important component of the 12-Step program. A sponsor is someone who has been attending the group for some time, who feels ready to volunteer to work closely with newer members. When you form a relationship with a sponsor, you’ll connect with them outside of group meetings, possibly through regular conversations or other activities. This allows you to learn from their experience, strategize ways to achieve your own goals, and stay on track as you continue to heal. Depending on your specific sponsor, you may even be able to call them at a moment’s notice when you’re having a hard time.
12-Step groups have a strong focus on faith. While all are welcome, much of the literature references a higher power, and sometimes even a Christian God. These groups are a good fit for people who want to develop a spiritual practice, and they may be less effective for those who don’t. Alcoholics Anonymous, Narcotics Anonymous, and other 12-Step groups are some of the best-known support groups for people in recovery, but they’re far from the only options.
Other Support Groups
If the 12 Steps aren’t right for you, there are many other established support groups you can join. For example, SMART Recovery groups focus on self-empowerment and behavioral health. Their 4-Point Program2 encourages members to prioritize the following goals:
Building and maintaining the motivation to change
Coping with urges to use
<anaging thoughts, feelings, and behaviors in an effective way
Living a balanced, positive, and healthy life
Groups are led by trained facilitators, who may or may not have personal histories of substance use. This abstinence-oriented program is founded in science rather than faith.
LifeRing Secular Recovery is another secular group, with a similar focus on personal growth. They espouse the 3S philosophy, “Sobriety, Secularity, and Self-Help.” Members give and receive support from each other in each meeting, but unlike 12-Step programs, do not engage in sponsorship. Instead, this organization teaches that “you know what’s needed in your life3 and what has to be abandoned. You know what triggers cravings and what provides healthy and strengthening pleasure. You know the path you want to be on and you are the only person who can figure out how best to get there.” Participants are encouraged to make their own choices, and to creatively build a life that makes them happy.
Social Interest Groups
As important as it is to see a therapist and connect with your peers, there’s more to healing than processing complex emotions. Recovery is also an opportunity for joy. As you begin to live a more sustainable life, you’ll naturally find healthier ways of relating to the world.
After completing inpatient treatment, many people find joy in taking up new hobbies and learning new skills. Joining a special interest group can support that process. You may even want to continue working on something you started during rehab. For example, if you loved your time in art therapy, you might enroll in a painting class. Pursuing these activities can keep you grounded as you go forward, and may even remind you of positive experiences you had during treatment.
There are meet-up and affinity groups for almost any interest you might have. You can join a knitting circle, take a philosophy class, or start playing softball. It can be especially helpful to connect with people in person, instead of only engaging through social media. Forming relationships with people who share your interests but not necessarily your struggles can also be a helpful reminder that you are a complex, multi-faceted person. There’s far more to you than just your challenges.
Just as there are lessons you can learn in group therapy that would never come up in a one-on-one session, there are also valuable experiences you can only have outside of therapy. In an affinity group, you can learn about social dynamics and problem solving in entirely new contexts. You can also create new memories, develop a sense of accomplishment, and find ways to have fun without substances! These are the experiences that make life in recovery meaningful.
Charting a Course After Treatment
Recovery is the process of creating a life you don’t need to escape. Rehab can give you the tools to begin that process, but it’s up to you to follow through after you leave treatment. Maintaining your health isn’t just about giving up destructive habits; it’s about replacing them with positive ones.
The map is not the territory. During rehab, you’ll start to define what kind of life you want. After primary treatment, you can begin actively moving toward that life. This process can sometimes be messy and surprising, but it can also be highly rewarding.
No matter what, you don’t have to do it alone. All of these strategies—individual and group therapy, support groups, and social groups—invite you to connect with people who want to see you succeed. Making those connections is the first step toward a better life after rehab.
Frequently Asked Questions About Rehab Continuing Care
What can I expect after leaving rehab?
After leaving rehab, you can expect to face new and existing triggers in the wider world. It’s important to plan around navigating relationships, maintaining boundaries, and addressing post-treatment challenges. This is especially true if you’re returning to difficult circumstances. Remember to get sufficient support in place before leaving treatment, and be patient with yourself and others as you adapt to this new stage of your recovery journey.
Should I continue individual therapy after leaving rehab?
Yes, individual therapy is highly recommended even after transitioning out of inpatient care. It provides a private space to explore your emotional experience and continue your healing journey. Therapy helps with emotional processing, navigating the present, and planning for the future. Finding the right therapist may take time, so it’s ideal to start looking for one before you leave rehab.
What continuing options are available after completing residential rehab?
After completing residential rehab, most patients use some combination of stepped-down care options. These include intensive outpatient treatment programs (IOPs), sober living, support groups, and virtual therapy. These provide ongoing support, structure, and community as you transition from residential rehab to daily life.
Reaching out for help takes courage—and you’ve already shown that by being here. Whether you’re dealing with addiction, mental health concerns, or both, we know how overwhelming it can feel to find the right care. But you don’t have to figure this out alone. We’ll walk you through your options so you can feel empowered to make the choices that feel right for you.
A quick note about us:Recovery.com is an independent organization that helps people find quality care. We don’t own any treatment centers or take payments to recommend them. Our mission is simple: To give you honest, straightforward information so you can make the best choices for your recovery.
Understanding Types of Treatment
Recovery programs offer different levels of care to match your needs. Here’s what you need to know about each option:
Medical Detox: Getting Started Safely
If you’ve been using alcohol, opioids, or benzos regularly, starting with medical detox isn’t just helpful—it’s crucial for your safety. Detox is a safe landing pad where caring medical staff help ease you through those first challenging days. Many treatment centers offer detox onsite, or they can connect you with trusted detox centers nearby.
Have questions about the detox process? Our detox FAQ covers everything you need to know about starting treatment safely.
Inpatient (Residential) Rehab
This is what most people think of as “rehab”—you live at a treatment center while focusing completely on your recovery. It’s like pressing pause on daily life so you can concentrate on healing, with 24/7 support from qualified healthcare professionals. Inpatient programs usually run 30-90 days, and you can stay longer if needed.
What is the best way to find mental health and addiction treatment?
It often takes a few tries to find someone who really gets you. I always recommend starting with therapist directories, and don’t underestimate the power of asking trusted friends, family, or other healthcare providers for referrals. Look for someone who feels attuned to your needs. It’s okay if you don’t click with the first person; fit matters, and it’s worth finding someone who truly feels like a good match.
Partial Hospitalization Programs (PHP): The Middle Ground
Want intensive support but need to sleep in your own bed? Day treatment might be right for you. You’ll spend your days in treatment (usually 30-40 hours weekly) but head home each evening. It’s ideal if you have a stable home life or you’re stepping down from residential care but want to keep that strong support system.
IOPs are great when you need to balance recovery with real life. You’ll attend treatment 3-5 days a week for a few hours each day, getting solid support while maintaining your daily routine. Many people choose this option when they have work or family commitments they can’t step away from.
Think of sober living as your home base for recovery after completing primary care treatment. You’ll live with others who get what you’re going through, in a substance-free environment that supports your new life. It’s perfect when you want that extra layer of support or need a fresh start.
Continuing Care: Growing Stronger
As you move forward, your needs will change—and that’s totally normal. Your care team will help you build a plan that grows with you, whether that’s regular therapy check-ins, medication support, or practical help with life skills.
Wondering what happens after rehab? Our guide to continuing care explains how to build lasting support for your recovery journey.
Virtual Treatment: Recovery at Your Fingertips
While online health services aren’t for everyone (especially if you need detox or round-the-clock support), they are making care more accessible than ever. If transportation is tough or you need extra scheduling flexibility, virtual options might be just what you’re looking for.
What to Look for in a Treatment Provider
When you’re looking at treatment programs, it helps to know what sets the great ones apart from the rest. Let’s start with one of the most important things to check—their credentials.
All About Licensing and Accreditation
Accreditation is a stamp of approval from organizations that check healthcare providers for quality and safety. Good programs will have their credentials proudly on display and be happy to talk about them. Not sure about a program’s credentials? You can always double-check them through your state’s licensing board or the Joint Commission’s website.
Here are the important ones to look for:
The Joint Commission: This is the gold standard in healthcare. When you see this seal, you know the program meets the highest quality standards.
Your state’s Department of Health license: This is your state’s official oversight of treatment programs. Every quality program should have this license, which shows they meet local requirements for providing safe, ethical care.
Want to verify a program’s credentials? Just ask! Ethical admissions teams will be happy to provide any information you need to feel comfortable moving forward.
The People Who Will Support Your Recovery
The heart of any great treatment program is its team. You want people who bring both expertise and compassion to your care. Quality programs have a mix of professionals—from psychiatrists and therapists to counselors and nurses—all working together to support you. Many programs also include team members who’ve been through recovery themselves, bringing both professional knowledge and personal understanding to your care.
Here’s who you’ll meet on your care team:
Medical team (doctors, nurse practitioners, physician assistants, etc.): These professionals hold current state medical licenses and specialize in addiction medicine and mental health care. They’re there to keep you safe and comfortable and care for any medical conditions, especially when you’re first starting recovery as a new patient.
Therapists and counselors: Your therapists will have state licenses (look for credentials like LMFT, LCSW, or LPC) and experience helping people through recovery. They’re the ones who will work with you one-on-one and in groups to build your recovery skills.
Holistic practitioners: Many programs employ wellness professionals who support your whole-person healing through practices like meditation, yoga, art therapy, or nutrition counseling. They work alongside your core clinicians to support your overall well-being.
Don’t hesitate to ask about the team’s experience and credentials—quality programs are proud of their staff and happy to tell you about their qualifications.
The best programs use approaches that science has shown actually help people heal. These aren’t just trendy techniques—they’re proven methods that have helped many people build strong, lasting recovery.
You’ll work with therapists trained in evidence-based interventions like CBT (cognitive behavioral therapy), which helps you change unhelpful thought patterns and behaviors. Other proven methods like DBT (dialectical behavior therapy) teach you how to manage emotions and stay present, while ACT (acceptance and commitment therapy) helps you build a meaningful life in recovery. These practical tools give you real skills for lasting change.
Quality programs understand that addiction affects the whole family. They’ll typically include your loved ones in the recovery process through family therapy sessions, educational programs about addiction, and support for rebuilding relationships. Many also provide resources to help family members with their own healing journey—because recovery is stronger when families heal together.
Good treatment programs prioritize clear, honest communication. The staff should take time to explain things clearly, answer your questions thoughtfully, and include you in treatment decisions. They understand that keeping you informed and involved is crucial to your recovery success.
Understanding Costs and Coverage
A trustworthy treatment center will be completely open about the financial side of care. They should explain all costs upfront, help you understand what your insurance plan will cover, and be clear about any additional expenses you might face. Good programs will also walk you through payment options and help you verify your health insurance coverage before you commit. There shouldn’t be any surprise fees or hidden costs along the way.
Can’t share any success stories or references from past clients
Doesn’t have proper licenses and accreditations
The right treatment center will respect your need to gather information and think things through. They know this is a big decision that shouldn’t be rushed—after all, it’s about your health and recovery.
Sadly, treatment scams are out there—but we can help you spot them. Learn more in our guide to avoiding common rehab scams and unethical practices.
How do I find the right treatment provider for what I need?
Finding the right mental health provider starts with checking your insurance network so you can access care without financial stress. From there, read provider bios carefully—look for someone who specializes in your specific concerns and whose approach resonates with you. If something in their bio feels relatable or comforting, that’s a good sign. And remember, finding a therapist is like finding the right pair of shoes—you might have to try a few on before you find the perfect fit.
Many treatment centers offer free, confidential assessments over the phone to help you understand what level of care might work best for you. Their admissions team will ask about your situation and walk you through your options. You can also talk with your primary care provider (PCP), therapist, or local mental health professional to get their recommendations. The goal is to make sure you find care that fits your needs—you don’t have to commit to anything during these initial conversations.
2. Check Your Insurance Coverage
Most treatment centers have insurance specialists who will check your benefits for free—just call and give them your insurance information. They’ll work directly with your insurance company to find out exactly what’s covered, including how many days of treatment they’ll pay for and what your out-of-pocket costs might be.
You can also call your insurance provider yourself to learn about your mental health and substance use benefits. Either way, make sure to ask about in-network treatment centers (which usually cost less) and get clear on things like deductibles, out-of-network costs, and co-pays. Don’t worry if this feels overwhelming—that’s why admissions teams are there to help you figure it all out.
Take some time to explore different types of providers that interest you. Use our treatment finder to get detailed information about each program, including costs, photos, virtual tours, and what day-to-day life is like there. You can also read online reviews about other people’s experiences (keeping in mind that everyone’s journey is different). Many centers welcome in-person visits, too.
4. Ask the Right Questions
When you talk with treatment centers, don’t be shy about asking questions—the right program will welcome them. Ask what a typical day looks like, what kinds of therapy they offer, and how they’ll help with both substance abuse and mental health conditions. It’s also good to learn about how they include family in treatment and what kind of support they offer after you complete the program. Remember, you’re looking for a place that feels right for you, and these conversations help you get a sense of how they’ll support your recovery.
When searching for a mental health or addiction treatment provider, understanding your health insurance coverage is crucial to ensure you receive the care you need when you need it without unexpected costs. General considerations may include being knowledgeable of coverage verification, your in- versus out-of-network providers, prior authorization requirements, co-pays, deductibles, co-insurance, out-of-pocket maximums, duration of coverage, treatment types, medications, and anything else specific to your situation. Although your provider’s website may have much of this information readily available, particularly if you explore your personal account, it is recommended to reach out directly should you warrant further clarity. It is especially important to ensure that everything is authorized prior to engaging in treatment, as any issues here may lead to unexpected costs that can add up significantly.
Recovery is a process that can profoundly change your life for the better. You deserve support in becoming your happiest, healthiest self—and help is available whenever you’re ready to take that next step. Find treatment options near you today.
