Rehabilitation and Recovery Programs for Opioid Use Disorder

Recovery from an opioid use disorder (OUD) is possible. But it often requires structured treatment. Recovery rates vary depending on the type of treatment and the person’s needs.¹

Evidence shows that treatment works best when medicines for OUD (MOUD) are combined with counseling. MOUD may include methadone, buprenorphine, or naltrexone. These medicines help reduce cravings and withdrawal symptoms. Counseling can help a person cope with stress and avoid situations that trigger cravings.²

Combining medicine with counseling and behavioral therapies improves success rates. Studies show that people who use MOUD are more likely to stay in treatment and avoid relapse than those who use counseling alone. But no single treatment plan works for everyone. It is important to find the right combination of care.²

Who is rehab for?

Rehabilitation programs (rehab) can benefit anyone struggling with OUD. They offer different levels of counseling and behavioral therapies. Rehab may be the right choice for you if:^3-7

• You have tried to stop using opioids but could not.
• Your opioid use is affecting your health, work, or relationships.
• You experience withdrawal symptoms when you stop using opioids.
• You want to regain control of your life in a safe, supportive environment.

Rehab is also helpful for people who have co-occurring mental health conditions, like depression or anxiety. Some of these programs can address both issues at the same time.^3,6

4 levels of rehab for OUD

There are 4 main levels of care for OUD rehabilitation. The level you need depends on the severity of your condition and your personal circumstances.¹

Outpatient treatment

Outpatient treatment is the least intensive option. It allows you to live at home (or sober living environment) and continue your daily activities while attending therapy sessions.^1,3

This type of program may include:^1,3

• Individual or group counseling
• Education about addiction and recovery
• Medication management
• Transportation to and from treatment center
• Peer support groups

Outpatient care works well for people with mild OUD or those transitioning from a more intensive program. It requires a strong support system at home.^1,3

Intensive outpatient (IOP) or partial hospitalization (PHP)

Intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs) offer more structured treatment. You still live at home or in a sober living environment, but you attend treatment more often.^4,5

These programs often include:^4,5

• Therapy sessions several times a week
• Medical monitoring
• Life skills training
• Addiction education
• Ways to navigate day-to-day triggers

PHPs are more intensive than IOPs. They are a good choice for people who need more support but do not require 24-hour care.^4,5

Residential treatment

Residential treatment provides 24-hour care in a non-hospital yet structured environment. You stay at a treatment center for several weeks or months. This level of care may be ideal for people with severe OUD. It also can benefit those who need to step away from their usual environment to avoid triggers and focus on recovery.^1,6

Residential programs offer:^1,6

• A safe place to detox
• Medical supervision
• Intensive therapy and counseling
• Addiction education
• Family counseling
• Support from peers and staff

These programs often include activities that help you build healthy habits and coping skills.⁶

Intensive inpatient treatment

Intensive inpatient treatment is the highest level of rehab care. It is usually given in a hospital setting and is used for people with severe OUD and complex medical needs. This setting provides round-the-clock medical and psychiatric care.^6,7

Intensive inpatient programs focus on:^6,7

• Stabilizing your condition
• Managing withdrawal symptoms
• Preparing you for the next level of care

This type of treatment is often short-term. Afterward, people may transition to residential or outpatient care.^6,7

How much does rehab cost?

The cost of rehab programs varies. It depends on the type of program, the length of stay, and whether you need special services. In general, outpatient programs cost less than residential and inpatient programs.^3-7

Many rehab programs accept insurance, which can greatly reduce out-of-pocket costs. Medicaid, Medicare, and private insurance plans often cover some or all of the treatment costs. Some facilities also offer sliding scale fees or payment plans to make care more accessible.^3-7

Choosing the right program

The best rehab program is one that meets your unique needs. Speak with a healthcare provider to determine the right level of care for you or a loved one. Find a rehab program close to you.

Recovery is a long process. Every person is different and will need different types of support. With the right help, long-term recovery is possible.¹

If you or someone you know is living with OUD, help is available. Contact a healthcare provider or addiction specialist.