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How Does Rehab Work?

Written Content: Carli Simmonds
How Does Rehab Work?

What Is Rehab?

Rehab refers to the structured process of helping individuals overcome drug or alcohol addiction. This often involves a combination of medical care and therapeutic interventions designed to address both physical and psychological aspects of substance use disorders.

According to the 2023 National Survey on Drug Use and Health (NSDUH) conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), about 1 in 4 people classified as needing substance use treatment (12.8 million individuals) received it in the past year. Rehab programs aim to bridge this gap by offering tailored care and resources, increasing accessibility to treatment, and promoting long-term recovery.

Types of Rehab

Detox

Detox is often the first phase of addiction treatment, focusing on safely removing substances from the body while managing withdrawal symptoms. For substances like alcohol, benzodiazepines, and opioids, medical detox may be necessary to prevent life-threatening complications such as seizures or delirium. This process typically involves three stages:

  • Initial Evaluation: A thorough assessment to determine the presence of substances and evaluate the patient’s physical and mental health.
  • Stabilization: Medical and psychological support to help patients navigate withdrawal and reach a substance-free, stable state.
  • Preparation for Treatment: Encouraging readiness for the next steps in addiction treatment, such as therapy or rehab programs.

While detox is a critical step, it is not sufficient on its own to ensure long-term recovery and must be followed by structured treatment programs.

Residential or Inpatient Rehab

Residential rehab, also known as inpatient rehab, offers 24/7 care and supervision from trained professionals. This intensive form of treatment is ideal for individuals dealing with severe or long-standing addictions, as well as those with co-occurring mental health disorders. The structured environment allows clients to focus entirely on their recovery, free from external distractions and triggers.

Outpatient Rehab

Outpatient rehab provides flexibility for individuals who can manage their recovery while living at home or in a sober living environment. While it offers many of the same therapies as residential treatment, outpatient rehab allows clients to attend sessions during the day and return to their personal environment afterward. Programs vary in intensity, ranging from weekly sessions to more structured options that involve several hours of therapy most days of the week. Outpatient rehab programs include:

  • Standard Outpatient Program (OP): Standard outpatient programs typically involve one or two therapy sessions per week, making it suitable for those with mild substance use disorders or those further along in their recovery. It focuses on maintaining progress and providing ongoing support.
  • Intensive Outpatient Program (IOP): Intensive outpatient programs offers a higher level of care, requiring several sessions per week, usually lasting three to four hours per session. This format allows individuals to engage deeply with their recovery while maintaining responsibilities like work or school.
  • Partial Hospitalization Program (PHP): Partial hospitalization programs are the most structured outpatient option, involving six or more hours of therapy most days of the week. It is often recommended for individuals who need a high level of care but do not require 24-hour supervision.

These different types of rehab ensure that individuals can find a level of care suited to their unique needs and circumstances.

Why do People go to Rehab?

People go to rehab for all kinds of reasons, but it usually comes down to recognizing that something needs to change. Some reach a point where they feel like they’ve hit rock bottom and know they can’t keep living the way they are. Others may see the strain their substance use or mental illness has put on their relationships or decide to get help after loved ones voice their concerns.

For many, it’s the realization that trying to change or quit on their own hasn’t worked, no matter how hard they’ve tried. Sometimes, it’s after a relapse that people understand they need more support to get back on track. Rehab gives them the tools, guidance, and space to start fresh and take control of their lives again.

How Long Does Rehab Usually Last?

The length of rehab varies depending on individual needs, the severity of the addiction, and the type of treatment program. According to data from the National Institute on Drug Abuse, the best outcomes are tied to adequate treatment duration, with residential or outpatient programs requiring at least 90 days to achieve meaningful results. For some individuals, longer treatment may be necessary to maintain recovery and prevent relapse. For those undergoing methadone maintenance, 12 months is considered the minimum effective duration, although many opioid-addicted individuals benefit from continuing treatment for several years.

Rehab often begins with an intensive phase, such as inpatient care, and progresses to outpatient treatment as the individual’s needs evolve. This transition allows clients to receive consistent care while gaining greater independence as they recover.

Treatment schedules are tailored to each person, but most programs follow a structured approach to help clients stay engaged and focused on their recovery. Because addiction is a chronic condition, continuing care and regular monitoring are essential to long-term success, and relapse may require multiple treatment episodes. Programs that utilize motivational strategies to keep individuals committed to their treatment plan can greatly improve outcomes.

By providing flexible options and support tailored to the unique journey of each client, rehab programs aim to empower individuals to achieve and sustain recovery over time.

What’s a Typical Day Like in Rehab?

A day in rehab is carefully structured to support recovery, combining therapy, activities, and personal time to build healthy habits and coping strategies. While daily schedules vary between facilities, they generally follow a consistent routine to provide stability and minimize downtime. Below is a sample of a typical day in a residential rehab program:

Mornings

The day usually begins early, around 6:30 or 7:00 a.m., with breakfast served in a communal setting. This shared meal fosters a sense of community, helping clients form connections that support their recovery. After breakfast, some rehab centers offer yoga, meditation, or light exercise to promote relaxation and set a positive tone for the day.

Morning therapy sessions follow, typically lasting 45-90 minutes. These may include individual or group sessions led by licensed therapists. Evidence based therapies like cognitive behavioral therapy (CBT) are often used to help clients identify and change harmful thought patterns and behaviors.

Afternoons

After lunch, afternoons are typically dedicated to therapy sessions and specialized activities. If the morning included individual therapy, the afternoon often shifts to group therapy. Group therapy is typically led by one or two therapists and brings together clients facing similar challenges. This setting provides a space for everyone to share experiences, offer mutual support, and gain insights from one another.

Following group therapy, there may be a short break before transitioning into complementary or alternative therapies. Depending on the facility, this could include activities like yoga, art therapy, music therapy, or equine-assisted therapy. Some programs also offer specialized tracks for specific groups, such as Veterans or young adults. These activities allow clients to explore new skills, build confidence, and reconnect with themselves in a meaningful way.

Evenings
Dinner is usually around 5:30 p.m. and is often followed by activities that encourage connection and reflection. These may include group discussions, 12-step meetings like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), or talks from guest speakers. These activities help clients process their progress and find encouragement through shared experiences.

As the day comes to a close, clients have time to unwind and relax. They may choose to journal, read, or reflect as they prepare for the next day. Most facilities have a lights-out time to ensure everyone gets enough rest to support their recovery.

Are There Rules in Rehab?

Yes. Rehab centers have rules in place to create a structured and supportive environment for recovery. These guidelines are designed to protect clients, foster self-discipline, and eliminate distractions so individuals can focus on healing. While each facility may have its own policies, below are some common rules you can expect in rehab:

  • No Leaving Without Permission: Rehab centers keep clients in a controlled setting to minimize exposure to triggers. Some allow supervised outings; others do not permit leaving during treatment.
  • Limited Visitors: Visitors are allowed at designated times, often during family therapy sessions or special days, to maintain focus on recovery.
  • No Cell Phones or Computers: To reduce distractions and protect privacy, electronic devices are typically restricted, though communication with loved ones is allowed at set times.
  • No Violence or Weapons: Safety is a priority, and any behavior or items that threaten it are strictly prohibited.
  • Substance-Free Environment: Drugs and alcohol are not allowed. Medications, if needed, are administered by staff under close supervision.
  • Mandatory Therapy: Clients must attend all scheduled therapy sessions, as active participation is key to recovery.
  • No Romantic Relationships: Romantic involvement is discouraged to prevent distractions and emotional complications during treatment.

Rehab rules are designed to create a focused and healing environment where individuals can develop the tools and mindset needed for lasting recovery. While they may seem strict at first, these guidelines help foster discipline, protect everyone’s safety, and keep the focus on personal growth and sobriety.

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If you or someone you care about is struggling with addiction or mental health problems, request a call to speak with a knowledgeable treatment specialist. Our team is here to help you understand your options for care. There is no cost or obligation to enter treatment by requesting a call, but taking this first step can be life-changing.

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Start Addiction Treatment: Getting Admitted to Rehab

Upon admission, treatment typically begins with an initial evaluation and intake, which usually takes place before or alongside medical detox. During intake, a personalized treatment plan is created to address the individual’s specific needs and will ultimately guide their recovery path.

Treatment may start with inpatient or outpatient programs, depending on the circumstances and the level of care required. Both approaches incorporate evidence-based therapies, group support, skills development, and other resources designed to promote long-term recovery. To build on the progress made in rehab, many programs offer aftercare planning to help individuals maintain long-term recovery and transition back into everyday life.

If you’re considering treatment, our Indiana rehab can provide step-by-step guidance, from verifying insurance to coordinating travel. We’re here to help you or your loved one find the right path to lasting recovery. Call (317) 707-9848 to get started today.

For more information or to find addiction treatment in your area, contact us directly or visit SAMSHA’s treatment locator. For immediate assistance, call  (317) 707 9848 to speak to a recovery expert at our Indiana rehab or text 988 to reach the National Suicide & Crisis Lifeline.

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