If you have someone you love who needs addiction treatment, finding the right center can feel overwhelming. There are hundreds out there claiming they’re effective and as a result, it should be easy for anyone to get help. The truth is, not all treatment centers are created equal. The distinction between a mediocre program and a good one, even a great one, can mean the difference between lifelong sobriety and relapse within a few months.
What makes a quality program different? It’s hard to tell from a website or an initial phone call. The flashiest programs with the best amenities aren’t always the most effective; the less impressive programs could be hiding their abilities behind walls. On the other hand, the best programs might not have the shiniest appeal on the outside; however, they have something better to offer on the inside: evidence-based practices with educated and compassionate professionals who know what they’re doing.
Accreditation and Licensing
The first thing to note is that a legitimate treatment center will be fully licensed by the state and accredited by national organizations. It’s not just red tape; accreditation through organizations like The Joint Commission or CARF means that certain standards of safety, treatment procedures and staff have been met.
However, many people don’t realize that all states have different licensing requirements. Some states have strict oversight while others don’t. A quality treatment center will likely exceed state minimums and have multiple accreditations but will not hesitate to discuss them if asked.
The Medical Component
Part of what makes quality treatment centers stand apart from mediocre ones is the level of medical support provided. Withdrawal from certain substances – especially alcohol and benzodiazepines – can be fatal without clinical intervention. Yet some treatment programs fail to acknowledge this.
Quality treatment centers will have medical professionals on site 24/7 during the detox process. This means doctors, nurses and licensed medical personnel who can assess vital signs, monitor symptoms and address emergencies as they occur. They use FDA-approved medications when possible; they don’t encourage people to “suck it up.”
In addition, ongoing medical intervention is important throughout treatment. Many people who check into rehabs have unresolved medical issues that may complicate their recovery efforts. A quality treatment center will take adequate assessments upon entry to determine these issues and include them as part of the whole process.
Evidence-based vs Alternative Treatment
Some people who check into substance use treatment centers get bombarded with different opportunities. Equine therapy, art therapy, adventure therapy. These are all nice alternatives that can complement a general program but what’s unfortunate is when people come to these facilities thinking they’re getting effective treatment only to find many of these options replace evidence-based offerings.
Quality addiction treatment includes cognitive behavioral therapy, motivational interviewing and group therapy through counselors trained in their appropriate fields. These boast decades’ worth of evidence showing their effectiveness. They should also be able to offer medication-assisted treatment for opioid or alcohol-related issues where clinically appropriate.
Yet this isn’t necessarily as black and white as it seems. The American Addiction Centers claim that the best drug rehabilitation centers combine evidence-based practices with complementary therapies where appropriate; they don’t implement a one-size-fits-all approach based on ideology instead of science. A proper, high-quality center gets to know each person before determining a plan.
Staff Qualifications
You can have the loveliest facility with the best intentions on paper but without qualified staff, nothing else matters. Quality treatment centers will always boast licensed professionals who boast appropriate credentials.
Look for facilities whose therapists and counselors all have licenses – LCSW, LPC, LMFT or equivalent depending on the state. Clinical directors will have Master’s level advanced degrees along with experience in addiction treatment specifically. Having staff members in recovery can be beneficial but only when they also boast additional training and credentials.
Furthermore, the staff-to-client ratio matters as well. Quality centers will maintain ratios that allow for individual attention; if a counselor is burdened with too many clients, no one gets what they need from their experience. Ask about these numbers; appropriate centers will share them freely.
Individualized Treatment Plans
Mass-produced programs do not work. Everyone comes to treatment with different drugs of choice, different pasts, different traumas and therefore different needs. Quality treatment centers recognize this from the start by giving clients individualized treatment plans based on thorough assessments.
This means comprehensive screenings occur upon entry – not just substance-related history but mental health issues associated with trauma, family dynamics and psychosocial relationships. Quality plans are living documents based on progress made during therapy that must be adjusted based on what’s found along the way.
Some centers plug everyone into the same schedule of groups and activities; this does not constitute individualized care. Actual customization comes with the need to adjust therapeutic modalities based on individual circumstances surrounding medications and support services.
Dual Diagnosis Treatment
Most people coming into recovery are dual diagnoses; depression, anxiety, PTSD, bipolar disorder exist more frequently than not and need to be treated alongside addiction simultaneously. Yet many programs still treat this condition as an isolated incident.
Quality treatment centers will provide integrated dual diagnosis opportunity where one set of clinical professionals handle both conditions simultaneously as they relate to each other – not in isolation only recognized as facilitative contributing factors to relapse.
Family Involvement/Aftercare Planning
Addiction isn’t just an individual issue, it’s a family issue. Quality treatment centers encourage family involvement in appropriate contexts – family therapy sessions that coincide with educational programming – because family dynamics need addressing just like any other part of treatment for higher success rates.
But even further than this is planning for aftercare which sets quality programs apart from others. When an individual leaves residential treatment, that’s when they’re often most vulnerable when getting back into the world; quality programs facilitate connection for outpatient services, support groups and sober living arrangements before patients step foot out the door regardless of how many suggestions they’ve made along the way during treatment.
Transparent Costs
No quality program will shy away from discussing costs. Quality programs work with numerous insurance programs; they assign staff members who can help navigate payment for appropriate coverage in comparison to treatment needs before discussing cash-pay options if ever deemed appropriate at all.
No quality program will hedge their bets when it comes to costs or provide vague estimates; in fact, they’ll discuss their outcomes openly as well. Evaluating success rates for substance use recovery after years of evidence showing how complicated this can be is one thing; no program can say that a 100 percent success rate is possible ethically. But quality programs track their results over time, assess participants for completion rates and follow-up data through outcome studies that they’re willing to discuss honestly.
Trust Your Intuition
Ultimately it doesn’t matter how credentialed or programed everything is if your gut says no. When touring facilities or discussing options with admissions staffers, gauge your questions based on how you’re treated – are your needs listened to or are they read off a card? Are your questions answered directly or dodged? Is the environment therapeutic or institutional?
Finding quality substance use treatment can take time and resources to assess what’s best. However, knowing what questions to ask – and getting answers from appropriate facilities – will determine where quality levels are needed to provide comprehensive, individualized, evidence-based care for life-long recovery success.