What Is Inpatient Rehab (Residential Addiction Treatment)?
Inpatient drug and alcohol rehab—also known as residential treatment— is the highest level of addiction care offered outside of a hospital. It provides 24/7 medical supervision, structured daily therapy, medication management, and a completely controlled environment where triggers, stress, and access to substances are removed. Unlike outpatient care, where individuals return home each day, inpatient rehab requires living full-time inside a licensed treatment facility for 30, 60, or 90+ days, depending on clinical needs.
Inpatient treatment exists because addiction is not simply a habit or lack of willpower— it is a chronic medical condition involving long-term changes in the brain's reward system, impulse control pathways, and stress-response systems. These changes make self-regulation extremely difficult without professional support, medication, and a stable recovery environment. Inpatient rehab provides the intensive structure required for stabilization and long-term healing.
Addiction Is a Medical Disorder — Not a Moral Issue
Modern neuroscience defines addiction as a brain disorder driven by repeated exposure to substances that alter:
- Reward pathways — drugs hijack dopamine, creating compulsive use.
- Impulse-control circuits — decision-making becomes impaired.
- Stress systems — withdrawal increases anxiety and emotional pain.
- Memory and habit centers — triggers become deeply conditioned.
Because addiction affects multiple biological and psychological systems, recovery requires structure, medical stabilization, therapy, accountability, and environmental control. Inpatient rehab is designed to provide all of these at once.
Why People Enter Inpatient Rehab
Residential treatment is especially beneficial when any of the following are present:
- Moderate to severe addiction, including daily use, cravings, withdrawal, or loss of control.
- Dual diagnosis such as depression, anxiety, PTSD, bipolar disorder, or trauma-related symptoms.
- Repeated relapse after outpatient treatment, detox-only attempts, or quitting “cold turkey.”
- Unsafe or unsupportive home environments with conflict, stress, substance-using peers, or instability.
- High-risk substances such as opioids, benzos, alcohol, meth, and cocaine.
- A history of overdose or escalating use.
In all these situations, inpatient care provides the level of protection and structure needed to prevent relapse and create meaningful progress.
What Inpatient Rehab Actually Provides
Many people assume inpatient rehab is just “group therapy” all day. In reality, modern residential treatment centers deliver a comprehensive, evidence-based medical and behavioral program that includes:
- Medical stabilization and continuous monitoring of withdrawal, cravings, mental health, and physical health.
- Medication-assisted treatment (MAT) when appropriate for opioid or alcohol addiction.
- Daily structured therapy including CBT, DBT, MI, trauma therapy, relapse-prevention training, and more.
- 24/7 supervision in a completely drug-free environment that blocks access to substances and triggers.
- Peer support from individuals who understand the challenges of recovery.
- Life-skills training such as stress management, emotional regulation, coping strategies, and relationship rebuilding.
- Individualized treatment plans tailored to the person’s full medical, psychological, and social needs.
Why Outpatient Alone Is Not Enough for Many People
Outpatient programs can work extremely well after stabilization, but starting with outpatient often leads to relapse because:
- The person still has access to drugs and alcohol.
- Their home environment remains full of triggers and stressors.
- Cravings often overpower willpower in the early stages of recovery.
- Outpatient intensity is too low for severe addiction or dual diagnosis cases.
- Relapse opportunities exist every single day.
Inpatient rehab eliminates these barriers by providing a stable, focused environment where recovery is the only priority.
Who Benefits Most from Inpatient Rehab?
You should strongly consider inpatient rehab if you:
- Use drugs or alcohol daily or near-daily.
- Experience withdrawal symptoms in the morning or between uses.
- Have tried to quit multiple times without success.
- Use multiple substances together.
- Struggle with mental health conditions or trauma.
- Have overdosed or come close to overdosing.
- Hide or lie about your substance use.
- Experience cravings that feel uncontrollable.
- Live in an environment where others use substances.
If any of these describe your situation, residential treatment provides the highest likelihood of stabilization and long-term success.
Key Takeaway
Inpatient rehab works because it gives people what they cannot get on their own: safety, structure, accountability, consistent therapy, medication stability, and a complete break from triggers and access to substances. For moderate to severe addiction, dual diagnosis, repeated relapse, or unsafe home environments, inpatient treatment is the recommended first step toward lasting recovery.
Benefits of Inpatient Treatment
Inpatient rehab provides the highest level of structure, supervision, and clinical support available in addiction treatment. It is specifically designed for people who need a safe, controlled environment that removes triggers, stabilizes physical withdrawal, and addresses the psychological, emotional, and behavioral roots of addiction.
Below are the major benefits that make inpatient rehab the gold standard for moderate to severe substance use disorders.
1. A Structured, Trigger-Free Environment
Addiction thrives in environments filled with triggers, old patterns, stress, or access to substances. Inpatient rehab removes these distractions entirely and provides a calm, predictable routine that supports healing.
- zero access to drugs or alcohol
- removal from toxic environments or relationships
- 24/7 supervision to prevent relapse
- a daily schedule built around recovery
For many individuals, this structured environment is the **first time** their brain has a chance to fully stabilize.
2. 24/7 Medical & Clinical Support
Residential rehab provides continuous medical and clinical monitoring — something outpatient programs cannot offer. This is especially important during early recovery, when the body and brain are adjusting to life without substances.
- management of withdrawal symptoms
- monitoring for complications or relapse risk
- medication adjustments (MAT, psychiatric meds)
- immediate intervention for cravings or emotional crises
This level of support dramatically improves long-term treatment success.
3. Dual Diagnosis Mental Health Treatment
Most people with addiction also struggle with mental health issues like anxiety, depression, trauma, PTSD, or bipolar disorder. Inpatient rehab provides integrated psychiatric care — not just addiction counseling.
- psychiatric evaluation and medication management
- trauma-informed therapy
- treatment for anxiety, depression, bipolar disorder & PTSD
- evidence-based behavioral therapies
Treating addiction **and** mental health together is one of the strongest predictors of long-term recovery.
4. Intensive Daily Therapy & Counseling
Inpatient programs provide far more therapy hours than outpatient care. This intensity helps individuals uncover the root causes of addiction and begin building new coping skills immediately.
- individual therapy
- group therapy
- family therapy
- relapse-prevention training
- behavioral therapy (CBT, DBT, MI, EMDR)
Most programs offer 20–40+ clinical hours per week — more than any outpatient format can provide.
5. Supportive Recovery Community
One of the most powerful benefits of inpatient rehab is the built-in community: individuals who are going through the same struggles and working toward the same goal.
- a sense of belonging and accountability
- peer support during difficult emotional moments
- daily encouragement and shared progress
- group bonding that reduces shame and isolation
Community is one of the strongest protective factors against relapse.
6. Access to Medication-Assisted Treatment (MAT)
Inpatient rehab allows MAT to be started safely and monitored closely, especially for opioid or alcohol addiction. This may include:
- Suboxone (buprenorphine-naloxone)
- Methadone (when appropriate)
- Naltrexone / Vivitrol
- Acamprosate
- Disulfiram
MAT can reduce cravings, stabilize mood, and lower overdose risk dramatically.
7. Safety, Stability & Time Away From Stress
Sometimes, the greatest benefit of inpatient rehab is simply removing a person from chaos — unhealthy relationships, stressful work, unsafe living situations, or environments where drugs are easily available.
Residential treatment provides a period of "personal reset", where individuals can focus fully on healing.
Key Takeaway
Inpatient rehab offers unmatched structure, safety, and therapeutic intensity. It is the most effective option for moderate to severe addiction, unstable environments, dual diagnosis, or individuals who have relapsed multiple times. This level of care gives people the stability and support needed to build lasting recovery.
What to Expect in an Inpatient Rehab Program
Inpatient rehab provides a structured, 24/7 healing environment where individuals live onsite while receiving intensive addiction treatment. Unlike outpatient programs, inpatient rehab removes distractions, triggers, and access to substances—creating the safest and most stable foundation for recovery.
Although every facility is different, most inpatient programs follow a consistent clinical structure designed to stabilize the body, repair brain function, and rebuild healthy behaviors. Knowing what to expect can reduce anxiety and help you prepare mentally for treatment.
Daily Life Inside Inpatient Rehab
Inpatient programs have highly organized schedules. Structure is essential because it restores rhythm, accountability, and healthy habits—especially important for individuals whose lives became chaotic due to addiction.
- Morning wellness check: vitals, medications, hydration, and assessments.
- Group therapy: peer support, education, coping skills, relapse-prevention work.
- Individual therapy: trauma-focused, CBT, DBT, motivational interviewing.
- Skill-building sessions: stress management, emotional regulation, triggers, cravings.
- Recreational therapy: fitness, yoga, mindfulness, outdoor activities.
- Evening reflection: journaling, community meetings, check-ins.
Most facilities provide healthy meals, quiet hours, structured free time, and access to recovery groups. This stability helps the brain recalibrate and prepares clients for reintegration into daily life.
Evidence-Based Therapy (Core of Inpatient Treatment)
Inpatient rehab is not just “talk therapy.” Modern treatment relies on scientifically validated methods designed to retrain the brain and reduce relapse risk.
- Cognitive Behavioral Therapy (CBT): identifies and rewires unhealthy thinking patterns.
- Dialectical Behavior Therapy (DBT): improves emotional stability and impulse control.
- Motivational Interviewing (MI): builds motivation to change and commit to sobriety.
- Contingency Management: reinforces positive behaviors through proven incentive models.
- Trauma-informed therapy: essential for people with PTSD, childhood trauma, or abuse history.
- Family therapy: improves communication, boundaries, and support systems.
These therapies are delivered by licensed counselors, psychologists, or addiction specialists with expertise in substance use disorders.
Medical Monitoring & Medication Support
Many clients require medical oversight during rehab—especially those recovering from opioid, benzodiazepine, or alcohol addiction. Inpatient settings provide round-the-clock support to ensure safety and stabilization.
- 24/7 nursing supervision for physical or psychiatric symptoms
- Medication-assisted treatment (MAT) when clinically appropriate
- Psychiatric evaluations and medication management
- Support for co-occurring mental health conditions (anxiety, depression, trauma)
This clinical structure ensures clients maintain stability during the early weeks—when relapse risk is highest.
Community & Peer Support
One of the strongest benefits of inpatient rehab is the sense of community. Clients build support networks with peers who are experiencing the same journey. This shared environment reduces shame, promotes accountability, and increases treatment engagement.
- Support groups and process groups
- Peer mentorship
- Shared meals and activities
- Education on recovery, relapse cycles, and emotional regulation
Research shows peer support significantly improves long-term recovery outcomes—making this a powerful component of inpatient care.
Key Takeaway
Inpatient rehab is a structured, medically supported environment that provides everything needed for a successful start to recovery: therapy, stability, peer support, medication management, and a daily routine designed to rebuild the mind and body. It is one of the most effective treatment options for moderate to severe addiction.
Benefits of Inpatient Treatment
Inpatient rehab is considered the most effective level of addiction treatment for individuals with moderate to severe substance use disorder, co-occurring mental health conditions, or unstable home environments. Because clients live onsite with 24/7 medical and therapeutic support, inpatient care offers advantages that outpatient programs simply cannot match.
Below are the core, research-backed benefits that make inpatient programs one of the highest-success options in addiction recovery.
1. A 100% Safe, Structured, Substance-Free Environment
For many individuals, daily life is full of triggers—stress, conflict, access to substances, or people who encourage use. Inpatient rehab removes those triggers completely. This creates a stability that the brain desperately needs during early recovery, when cravings and relapse risk are highest.
- No access to substances
- No exposure to toxic relationships or environments
- No triggers from daily life, work, or stress
- Consistent emotional and medical support
This controlled environment dramatically increases treatment engagement and reduces the chance of early relapse.
2. 24/7 Medical Care & Withdrawal Management
Many people entering inpatient rehab are still stabilizing from withdrawal or experiencing lingering symptoms such as insomnia, anxiety, irritability, pain, depression, or cravings. Inpatient programs offer round-the-clock monitoring to ensure safety and comfort.
- Medication-assisted treatment (MAT)
- Psychiatric evaluations and medication management
- Vital monitoring, hydration, and nutrition support
- Rapid response to complications or psychological distress
This level of oversight cannot be matched in outpatient settings, where individuals return home each night.
3. Intensive Therapy That Addresses Underlying Causes
Addiction is rarely “just” about the substance itself—it is often tied to trauma, stress, mental health disorders, or years of unhealthy coping patterns. Inpatient rehab provides deep, structured therapy that helps uncover and treat the root causes of addiction.
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Trauma-informed therapy
- Motivational Interviewing (MI)
- Family systems therapy
- Relapse-prevention planning
This level of therapeutic depth takes months in outpatient programs but is accelerated in the inpatient environment.
4. Immediate Reduction in Overdose & Relapse Risk
One of the biggest dangers of early recovery is relapse. After detox, tolerance drops sharply—meaning even a small amount of a substance can be fatal. Inpatient rehab provides a buffer during this vulnerable period by completely removing access to drugs and alcohol.
This makes inpatient treatment the single safest option for individuals at high risk of overdose.
5. Stable Daily Routines That Repair the Brain
Addiction disrupts sleep cycles, emotional regulation, cognitive function, and impulse control. Inpatient rehab restores structure through consistent:
- Wake-up and sleep times
- Therapy schedules
- Healthy meals
- Group sessions and activities
- Quiet hours and self-reflection time
Neuroscience shows that daily rhythm and consistency help the brain recover more quickly from addiction-related damage.
6. Peer Support & Community Healing
Many people in addiction feel isolated or misunderstood. In inpatient rehab, clients connect with others who share the same struggle, challenges, and goals. This sense of community creates emotional safety and reduces shame.
- Peer support groups
- Accountability partners
- Shared activities and meals
- Healthy relationship modeling
Research consistently shows that peer connection is one of the strongest predictors of long-term recovery.
7. Full Focus on Healing — No Outside Distractions
Inpatient rehab removes the demands of work, family pressure, financial stress, or daily responsibilities. This gives clients the freedom and mental space to focus 100% on recovery.
For many people, this is the first time they have been able to pause, rest, and heal in years.
Key Takeaway
Inpatient rehab offers the highest level of safety, structure, and support in addiction treatment. It provides medical care, intensive therapy, stable routines, community, and protection from relapse—making it one of the most effective paths to long-term recovery.
How Long Does Inpatient Rehab Last?
Inpatient rehab is not a one-length-fits-all program. Treatment duration depends on the substance involved, the severity of addiction, co-occurring mental health conditions, medical complications, relapse history, and the individual’s recovery progress. While the idea of a “30-day rehab” is popular, most people require a longer stay for meaningful, lasting results.
Neuroscience shows that the brain takes at least 90 days to begin rewiring itself after stopping addictive substances. This is why modern addiction medicine increasingly recommends longer stays for improved long-term outcomes.
Standard Lengths of Inpatient Rehab
Most inpatient rehab programs fall into one of the following timeframes:
- 30-Day Programs: A stabilization-focused option. Best for mild to moderate addiction or individuals stepping down from medical detox.
- 60-Day Programs: Allows more time for therapy, routine building, and mental health stabilization.
- 90-Day Programs: Considered the most effective. Provides deep behavioral work, relapse-prevention planning, and brain recovery time.
- Long-Term Residential (120–180+ Days): Ideal for severe addiction, chronic relapse, dual diagnosis, or individuals needing extended behavioral stabilization.
Why Longer Programs Have Higher Success Rates
Research from NIDA (National Institute on Drug Abuse) shows that 90 days is the minimum effective treatment duration for significant improvement. Longer programs give time for:
- Brain healing and reduction of compulsive drug-seeking
- Stabilization of co-occurring disorders (anxiety, PTSD, depression)
- Deep trauma processing and behavioral therapy
- Learning and practicing relapse-prevention skills
- Rebuilding healthy routines and sleep patterns
Short-term programs are helpful, but relapse risk is significantly lower after a 60–90+ day stay because the brain and body have more time to heal.
What Determines How Long YOU Should Stay?
Clinicians determine rehab length based on several evidence-backed factors:
- Type of substance used (opioids, alcohol, and benzos require longer stabilization than stimulants)
- Severity of addiction and duration of substance use
- Mental health conditions such as PTSD, depression, or bipolar disorder
- Medical complications (withdrawal issues, chronic pain, nutrition problems)
- Home environment — whether it is supportive or unsafe
- History of relapse (multiple relapses often require longer care)
- Progress in therapy and clinical evaluations
Inpatient Rehab Is Only One Stage of Treatment
Even after completing inpatient rehab, recovery continues. Most people transition into:
- Partial Hospitalization (PHP)
- Intensive Outpatient (IOP)
- Standard Outpatient therapy
- Medication-assisted treatment (MAT)
- Sober living homes
- Long-term therapy and peer support
The most successful recoveries follow a long-term treatment continuum instead of a one-and-done approach.
Key Takeaway
Inpatient rehab typically lasts 30 to 90 days, but many people benefit from longer stays depending on their clinical needs. The longer the stabilization period, the higher the chances of long-term, relapse-free recovery. Treatment length is tailored to each individual — always based on medical, psychological, and environmental factors.
Dual Diagnosis & Mental Health
More than 60% of people entering inpatient rehab have a co-occurring mental health condition. This is known as dual diagnosis or co-occurring disorders. In these cases, addiction and mental illness interact and intensify each other — making recovery nearly impossible unless both are treated simultaneously.
Inpatient rehab is the safest and most effective settingfor dual-diagnosis stabilization because medications, therapy, and daily monitoring work together to break the cycle of self-medication and relapse.
What Conditions Count as Dual Diagnosis?
The most common co-occurring mental health conditions treated in inpatient rehab include:
- Depression (major depressive disorder)
- Anxiety disorders (GAD, panic disorder, social anxiety)
- Bipolar disorder
- PTSD and complex trauma
- OCD
- ADHD
- Borderline personality disorder
- Schizophrenia spectrum disorders
Many individuals do not realize they have a mental health condition until they enter treatment — substance use often masks the symptoms.
Why Mental Health Must Be Treated for Addiction to Improve
Mental health disorders and addiction affect the same brain regions responsible for emotion regulation, impulse control, decision-making, and reward. When one condition worsens, the other usually follows.
Without dual-diagnosis treatment:
- Relapse risk increases dramatically
- Mental health symptoms intensify
- Self-medication behaviors return
- Therapy is less effective
- Withdrawal becomes more severe
Treating addiction alone is no longer considered best practice — modern rehab integrates addiction medicine with psychiatric care from day one.
What Dual Diagnosis Treatment Includes
Inpatient dual-diagnosis programs combine addiction treatment with full psychiatric care, offering:
- Psychiatric evaluation upon intake
- Medication stabilization (antidepressants, mood stabilizers, antipsychotics, anti-anxiety medications)
- Daily therapeutic programming
- Behavioral therapies like CBT, DBT, and EMDR
- Trauma-informed care
- Relapse prevention planning based on mental health triggers
- Sleep, nutrition, and stress-management interventions
The goal is to stabilize both the brain and the emotions, reducing relapse risk while improving long-term functioning.
The Trauma–Addiction Connection
More than 70% of people with substance use disorder have a history of trauma. This includes childhood trauma, abuse, neglect, domestic violence, loss, medical trauma, and combat trauma.
Trauma creates long-lasting changes in the brain’s stress response system, making people more vulnerable to addiction — and more likely to relapse if trauma is untreated.
Inpatient rehab provides trauma-informed therapy to address the root causes of addiction, not just the symptoms.
Key Takeaway
Dual diagnosis is the rule — not the exception. Treating mental health and addiction together gives individuals the best chance at long-term recovery. Inpatient rehab offers the structure, medications, and therapeutic environment needed to heal both conditions at the same time.
Family Involvement in Inpatient Rehab
Addiction does not affect one person — it affects entire families. For many people entering inpatient rehab, broken trust, communication issues, and emotional wounds have built up over months or years. Because of this,family involvement is one of the most important predictors of long-term recovery.
Inpatient programs are designed not only to help the individual stabilize but also to repair and rebuild the relationships that support recovery. Families who participate in treatment see:
- Improved communication and conflict resolution
- Lower relapse risk after discharge
- Healthier boundaries and expectations
- A better understanding of addiction as a medical disorder
- Reduced guilt, anger, and emotional burden
Why Family Involvement Matters
Many people begin using substances to cope with trauma, family stress, conflict, or toxic relationship patterns. At the same time, families often unintentionally develop enabling, rescuing, or codependent behaviors.
When families heal together, the chances of long-term sobriety increase dramatically. Studies consistently show that family participation reduces relapse rates by 30–60%.
What Family Therapy Includes
Inpatient rehab typically offers structured family therapy sessions with a licensed marriage & family therapist (LMFT), psychologist, or addiction counselor. These sessions may include:
- Education on how addiction affects the brain and behavior
- Identifying enabling, rescuing, or codependent patterns
- Learning healthy communication skills
- Setting boundaries that protect recovery
- Understanding triggers, relapse warning signs, and safety planning
- Processing past hurts and emotional strain
- Developing a unified plan to support recovery after discharge
The Role of Families After Rehab
The first 3–6 months after leaving inpatient rehab are the highest-risk period for relapse. Strong family support during this time is essential. Families may be involved in:
- Participating in aftercare meetings and progress check-ins
- Attending family support groups (Al-Anon, Nar-Anon, SMART Family & Friends)
- Helping maintain a stable, low-stress environment
- Supporting medication schedules for MAT
- Encouraging therapy, meetings, and healthy routines
Addiction recovery is far easier when families become partners in the healing journey, not spectators. Inpatient rehab guides families toward healthier patterns that support both emotional well-being and long-term sobriety.
Key Takeaway
Family involvement is not optional — it is a core component of successful addiction recovery. When families learn, participate, and heal alongside the individual, results dramatically improve. Inpatient rehab provides the structure, therapy, and education needed to rebuild relationships and create a stable foundation for life after treatment.
Costs of Inpatient Rehab
The cost of inpatient rehab varies widely because every program differs in length, medical needs, amenities, and level of care. Although many people worry about affordability, most individuals qualify for insurance coverage, financial assistance, or payment plans that make treatment possible.
Below is the most accurate, up-to-date breakdown of inpatient rehab pricing in the United States for 2025.
Average Cost of Inpatient Rehab in 2025
Inpatient rehab typically includes medical monitoring, 24/7 supervision, therapy, meals, medications, and room & board. Costs depend on the level of intensity and the type of facility:
- Standard inpatient rehab: $12,000–$28,000 per month
- Private / luxury rehab: $30,000–$80,000+ per month
- Short-term 7–14 day programs: $5,000–$15,000
- Medical detox (before inpatient): $2,000–$7,500
Many programs offer 30-day, 60-day, and 90-day packages depending on medical needs and severity of addiction.
What Determines the Cost of Inpatient Rehab?
The cost depends on several factors. Understanding these variables helps you compare programs more realistically:
- Length of stay: 30 days vs. 60 or 90 days
- Level of medical care: 24/7 nursing, detox, psychiatric care, and MAT increase costs
- Facility type: standard clinical vs. luxury resort-like rehab
- Specialized programs: dual diagnosis, trauma recovery, veteran-specific, LGBTQ+ programs, or chronic relapse programs
- Location: rehabs in large cities and coastal states cost more
- Insurance coverage: lowers out-of-pocket costs significantly
How Insurance Affects the Cost
Thanks to the Affordable Care Act and mental health parity laws, insurance is required to cover addiction treatment at similar levels as other medical conditions. This includes:
- Detox
- Inpatient rehab
- Outpatient care
- Medication-assisted treatment (MAT)
- Therapy and mental health services
Many people pay only a copay or deductible. Others may have rehab covered at nearly 100%.
Every facility offers free insurance verification, which typically takes under 10 minutes.
Paying for Rehab Without Insurance
If you don’t have insurance, you still have several options to make rehab affordable:
- Income-based or sliding-scale pricing
- Payment plans spread over months
- Financing programs offered through third-party lenders
- Scholarships based on financial need
- State-funded programs for low-income individuals
- Medicaid-accepted facilities in many states
The True Cost of Not Getting Treatment
While inpatient rehab can feel expensive, untreated addiction typically costs far more — financially, emotionally, and medically. Addiction often leads to:
- Emergency room visits
- Legal issues and court fees
- Job loss or reduced income
- Health complications
- Broken relationships
- Long-term mental health issues
Compared to these long-term costs, inpatient treatment is an investment that saves money — and lives — over time.
Key Takeaway
Inpatient rehab prices vary widely, but insurance dramatically lowers costs and financial aid options are available for most people. No one is turned away because of financial need — and the long-term benefits far outweigh the cost.
Insurance Coverage for Inpatient Rehab
One of the most common questions families ask is whether inpatient rehab is covered by insurance. The answer is almost always yes. Thanks to federal laws, addiction treatment is treated the same as any other medical condition, meaning insurance providers must offer equivalent coverage.
Inpatient rehab, detox, outpatient treatment, mental health services, and medication-assisted treatment (MAT) are covered under most plans, including:
- Private health insurance
- Employer-sponsored insurance
- Marketplace plans (ACA plans)
- Medicaid
- Medicare
- TRICARE
- State-funded insurance programs
Coverage varies by provider, but most people pay far less than they expect.
Federal Laws That Protect Your Coverage
Two major laws ensure that addiction treatment — including inpatient rehab — receives mandatory medical coverage:
- Mental Health Parity and Addiction Equity Act (MHPAEA): Requires health insurers to cover addiction treatment at the same level as other medical conditions.
- Affordable Care Act (ACA): Identifies substance use disorder treatment as an essential health benefit.
These laws prevent insurers from denying coverage or limiting treatment compared to medical/surgical care.
What Insurance Usually Covers in Inpatient Rehab
While every plan is different, most insurance companies cover the following services in an inpatient rehab setting:
- Medical detox (when needed before rehab)
- Room & board in a residential facility
- 24/7 medical care and nursing supervision
- Medication-assisted treatment (MAT)
- Group and individual therapy
- Psychiatric evaluation & mental health services
- Case management and discharge planning
- Family therapy
- Relapse-prevention education
Your exact out-of-pocket cost depends on factors such as deductibles, copays, out-of-network vs. in-network status, and length of stay.
How to Check Your Insurance Coverage (Takes 5–10 Minutes)
Every licensed rehab center offers free, confidential insurance verification. This process is quick, simple, and does not obligate you to enroll in a program.
They will:
- Contact your insurance provider on your behalf
- Explain your deductible and copay
- Determine whether the facility is in-network
- Provide an estimated out-of-pocket cost
- Confirm coverage for detox and inpatient treatment
Most people receive coverage for a significant portion — sometimes up to100% — of their inpatient stay.
Medicaid & Medicare Coverage for Inpatient Rehab
Many inpatient rehabs accept Medicaid and Medicare. Coverage depends on the state and facility, but often includes:
- Detox
- Residential treatment
- Therapy and mental health services
- Medication-assisted treatment (MAT)
- Outpatient step-down care
State-funded programs may require waitlists, but many private rehabs accept Medicaid as well.
What If You Don’t Have Insurance?
You still have options. Most programs offer one or more of the following:
- Sliding-scale pricing based on income
- Payment plans with monthly installments
- Rehab scholarships or grants
- State-funded treatment programs
- Financing through healthcare lenders
Inpatient treatment is more accessible than many people think — and cost should never be the reason someone avoids lifesaving care.
Key Takeaway
Insurance typically covers a major portion of inpatient rehab costs, often including detox, therapy, mental health services, and medical management. Free verification can show exactly what your plan covers and dramatically reduce out-of-pocket expenses.
How to Choose an Inpatient Rehab Center
Choosing an inpatient rehab center is one of the most important decisions in the entire recovery journey. The right program can dramatically improve comfort, stabilization, long-term outcomes, and relapse prevention. The wrong fit can lead to early discharge, poor engagement, or repeated relapse.
The best inpatient rehab programs combine medical expertise, evidence-based therapies, mental health support, and individualized care. Below is a step-by-step guide to evaluating treatment centers like a professional.
1. Check Accreditation & Clinical Licensing
Accreditation ensures a facility meets strict standards for safety, medical care, and treatment outcomes. Look for centers accredited by:
- Joint Commission (JCAHO)
- CARF International
- State Department of Health licensing
- Certified addiction medicine physicians on staff (ASAM)
These credentials confirm the facility follows evidence-based practices and maintains strict safety and care standards.
2. Make Sure They Offer the Correct Level of Care
Not all inpatient rehabs are the same. Some offer full residential care with 24/7 medical supervision, while others only provide therapeutic support.
Look for programs that offer:
- Medical detox (if you need stabilization first)
- Residential treatment with 24/7 supervision
- Dual diagnosis treatment for mental health conditions
- MAT medications (if applicable)
- Evidence-based therapy (CBT, DBT, trauma-informed care)
- Aftercare planning
Your medical and psychological needs determine the correct level of care.
3. Review Medical Staff Credentials
High-quality inpatient rehabs employ a full clinical team, not just counselors. Look for:
- Board-certified addiction medicine physicians (ASAM)
- Psychiatrists
- Licensed therapists (LCSW, LPC, LMFT)
- Registered nurses (RNs)
- Master’s-level clinicians
- Trauma specialists (EMDR-trained therapists)
More licensed professionals = higher safety, better outcomes, and more personalized care.
4. Review Their Treatment Approach
The best rehabs use evidence-based therapies backed by scientific research. When comparing facilities, ask which therapies are offered:
- CBT (Cognitive Behavioral Therapy)
- DBT (Dialectical Behavior Therapy)
- Motivational Interviewing (MI)
- Trauma-informed therapy
- Medication-assisted treatment (MAT)
- Family therapy & systems therapy
- Group therapy & psychoeducation
- Relapse-prevention training
Effective inpatient rehab should address addiction, mental health, trauma, environment, and long-term coping skills.
5. Confirm They Treat Co-Occurring Mental Health Disorders
Up to 65–70% of people entering rehab have both addiction and a mental health condition (anxiety, depression, trauma, PTSD, bipolar disorder).
A true dual-diagnosis program provides:
- Psychiatric evaluation
- Medication management
- Mental health therapy
- Trauma-informed care
- Coordinated treatment plans
Facilities that do NOT treat mental health conditions often fail to address the root cause of addiction.
6. Consider the Environment & Amenities
Environment impacts recovery. A safe, clean, structured, and supportive setting increases engagement and reduces stress.
High-quality inpatient rehabs often offer:
- Private or semi-private rooms
- Healthy, structured meals
- On-site fitness or wellness programs
- Outdoor space, walking paths, nature access
- Recreation therapy (yoga, art, mindfulness)
Luxury amenities are optional — but safe and comfortable housing is critical.
7. Verify Insurance & Out-of-Pocket Costs
Every facility will verify your insurance for free. This helps you understand what your plan covers and what — if anything — you may need to pay.
Never choose a rehab without understanding costs. High-quality centers will always provide a clear, written breakdown.
8. Ask About Aftercare & Long-Term Support
Recovery continues long after discharge. Strong programs offer structured aftercare planning, including:
- Outpatient programs (OP, IOP, PHP)
- Therapy referrals
- Medication-assisted treatment (MAT)
- Sober living arrangements
- Support groups & peer recovery
- Relapse-prevention plans
Facilities that neglect aftercare set people up for relapse.
Key Takeaway
Choosing the right inpatient rehab center involves evaluating accreditation, medical staff, treatment approach, dual-diagnosis support, environment, insurance coverage, and aftercare services. The best programs combine medical care with personalized treatment and long-term support — not one-size-fits-all solutions.
Inpatient Rehab Near You
Inpatient rehab programs are available in every U.S. state — from large urban hospitals and medical centers to small, private residential treatment facilities. Whether you live in a major city or a rural area, you can access accredited, licensed inpatient care close to home.
Our national directory is built from official SAMHSA dataand includes every licensed inpatient program in the United States. This allows you to browse treatment options near you, compare services, verify accreditation, and explore the levels of care each facility provides.
Benefits of Choosing Inpatient Rehab Close to Home
Many individuals benefit from receiving care in their home state, especially when family support, work responsibilities, or medical needs are involved.
- Family can participate in therapy and visiting hours
- Easier transitions into outpatient care after discharge
- Insurance plans often prefer in-state treatment
- Reduced travel costs and logistics
- Increased comfort during the early stages of recovery
When Traveling Out of State Is the Better Choice
Some people benefit from traveling to a different environment — especially when home surroundings involve instability, triggers, or unsafe situations.
- When you need separation from negative influences or triggers
- If you prefer a highly private, discreet treatment setting
- When local programs don't offer specialized care you need
- If you want dual-diagnosis or trauma-focused treatment not available nearby
- When your home environment isn't stable or supportive
Both in-state and out-of-state rehab options can be highly effective. Your decision should be based on medical needs, emotional safety, and personal preference.
How to Use Our State Directory
Our rehab directory allows you to browse inpatient programs by state, region, or city. Each facility page includes:
- Services offered (inpatient, residential, detox, MAT, PHP, IOP)
- Accepted insurance types
- Specialized programs (veterans, women, teens, LGBTQ+, trauma)
- Accreditation and licensing
- Location details and contact information
This information makes it easier to compare facilities and find a program that meets your clinical, financial, and personal needs.
Start by Selecting Your State
Explore inpatient treatment options by choosing your state below. Each state-specific page contains detailed listings for every city and every licensed facility in your region.
You can also navigate to detox centers, outpatient treatment, dual-diagnosis programs, or specialty services from any state-level page.
Key Takeaway
Inpatient rehab is available everywhere in the United States — and the highest-quality programs combine medical stabilization, licensed therapy, mental health support, and long-term aftercare planning. Whether you stay close to home or travel out of state, the most important step is beginning treatment as soon as possible in a licensed, accredited facility.
Frequently Asked Questions About Inpatient Rehab
How do I know if inpatient rehab is right for me?
Inpatient rehab is recommended when a person needs 24/7 support, structure, or medical supervision to safely begin recovery. It is often the best choice if you struggle with cravings, cannot stay sober at home, have a history of relapse, or need detox before starting treatment. Inpatient programs remove triggers and provide round-the-clock care, making them ideal for moderate to severe addiction.
How long does inpatient rehab last?
The most common lengths are 30 days, 60 days, and 90 days, but some programs offer longer stays depending on clinical needs. Treatment length depends on your progress, type of drug used, mental health needs, relapse history, and medical stability. Many people start with 30 days and transition into outpatient care afterward.
What is daily life like in inpatient rehab?
Inpatient treatment follows a structured schedule designed to support healing and stability. Typical days include therapy sessions, educational groups, medical appointments, activities, meals, and downtime. You live on-site with 24/7 staff support and participate in evidence-based therapy such as CBT, DBT, MI, trauma therapy, and relapse-prevention training.
Do I need to complete detox before entering inpatient rehab?
Yes — if you are dependent on substances that cause medical withdrawal, such as opioids, alcohol, benzodiazepines, or sedatives. Most inpatient programs provide on-site detox or partner with medical detox facilities. Detox stabilizes your body so you can begin therapy safely.
Learn more in our Detox Guide.
Can I work or use my phone while in inpatient rehab?
Rules vary by facility. Most programs restrict phone access during the first week to help you settle into treatment. Some rehabs allow limited phone use during designated hours; others permit supervised use for work, family, or legal matters. Laptop or remote-work access depends on your program’s guidelines — inpatient is designed to reduce distractions and prioritize healing.
Is inpatient rehab confidential?
Yes. All licensed treatment centers must follow HIPAA confidentiality laws, meaning your participation, medical information, and treatment details are protected. Facilities cannot release information without your written permission — including to employers, schools, or family members (unless you choose otherwise).
Does insurance cover inpatient rehab?
Under U.S. law (MHPAEA), addiction treatment must be covered the same way as other medical and mental health conditions. This includes:
- Private insurance
- Medicaid
- Medicare
- Employer-sponsored plans
- Marketplace ACA plans
- TRICARE / Veterans coverage
Coverage varies by plan, so most facilities offer fast insurance verification.
What happens if someone leaves inpatient rehab early?
Leaving treatment early increases relapse risk, especially within the first 24–72 hours due to reduced tolerance and emotional instability. Most programs strongly encourage completing the recommended length of stay, but they cannot force adults to remain unless court-ordered. Staff will discuss safer alternatives (IOP, PHP, MAT) if someone requests early discharge.
Can family members visit during inpatient treatment?
Yes — many programs encourage family involvement because loved ones play a key role in long-term recovery. Visitation schedules vary by facility, and many offer family counseling, education workshops, and joint therapy sessions to help rebuild communication and support systems.
What therapies are used in inpatient rehab?
Most evidence-based inpatient programs use a combination of:
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Motivational Interviewing (MI)
- Contingency Management
- Trauma-informed care
- Family therapy
- Relapse-prevention training
- Group therapy & psychoeducation
Many programs also integrate holistic treatments like exercise, meditation, nutrition, and creative therapies.
What should I bring with me to inpatient rehab?
Each facility has its own list, but generally you can bring:
- Comfortable clothing
- Basic toiletries
- Approved medications
- Insurance card & ID
- Contact numbers for family or support
Most programs do NOT allow alcohol, drugs, weapons, revealing clothing, or unapproved electronics.
What happens after completing inpatient rehab?
Inpatient rehab is just the beginning of recovery. Most individuals transition into ongoing care such as:
- Outpatient therapy (OP, IOP, PHP)
- Medication-assisted treatment (MAT)
- Recovery coaching
- Peer-support groups (AA, NA, SMART Recovery)
- Sober living homes
- Continued mental health treatment
Consistent aftercare improves long-term outcomes and reduces relapse risk dramatically.
Related Addiction Treatment Guides
Find Treatment Centers in Your State
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
- Washington DC
Need Help Finding Treatment?
Speak with a treatment specialist who can explain your options, verify insurance, and help you or a loved one take the first step toward recovery.
Sponsored DisclosureCalls are free, confidential, available 24/7, and answered by licensed treatment specialists.
About This Guide
This Inpatient Treatment guide was created using evidence-based information from trusted medical authorities including SAMHSA, NIDA, NIH, ASAM, and the CDC. Our mission is to present clear, medically accurate information that supports individuals and families seeking treatment.
Written By
Drug Rehabilitation Near Me Editorial Team
Addiction & Recovery Research Department
Medically Reviewed By
Drug Rehabilitation Near Me Medical Review Board
Review completed: 2025
Sources
- SAMHSA – Substance Abuse and Mental Health Services Administration
- NIDA – National Institute on Drug Abuse
- CDC – Centers for Disease Control and Prevention
- ASAM – American Society of Addiction Medicine
- NIH – National Institutes of Health