In-patient residential treatment for alcohol abuse is usually quite expensive without proper insurance. Most American programs follow a traditional 28–30 day program length. The length is based solely upon providers' experience. During the 1940's, clients stayed about one week to get over the physical changes, another week to understand the program, and another week or two to become stable.[18] 70% to 80% of American residential alcohol treatment programs provide 12-step support services. These include, but are not limited to AA, NA, CA, Al-Anon[18] One recent study suggests the importance of family participation in residential treatment patient retention, finding "increased program completion rate for those with a family member or significant other involved in a seven-day family program."[19]

Each state has category defined statutes; for example, there are low-income seniors, parents enrolled in Medicaid of low-income children, pregnant woman, and low-income children of a particular age. Persons with disabilities fall into certain categories as well, if they receive supplemental security income and have no work history they are enrolled in Medicaid to ensure they have health coverage. A person must prove they have a disability, such as blindness, deafness, mental illness, or a physical disability that prevents them from working.

People who are addicted to drugs need to be in a drug-free environment with people who will hold them accountable for their goal of getting off drugs. Drug rehab may begin with detoxification, which helps the addict rid his or her body of the drugs and treat any withdrawal symptoms. Not everyone needs to go through detox, but detox alone is not enough treatment to effectively break the addictive cycle long-term. Once detox is completed, the real work of addiction treatment begins.
Substance abuse therapy: Used as a part of many inpatient and outpatient programs, therapy is one of the cornerstones of drug addiction treatment. Individual, group and family therapy help patients and their loved ones understand the nature and causes of addiction. Therapy teaches coping strategies and life skills needed to live a productive, sober life in the community. For individuals with a co-occurring mental illness, intensive psychotherapy can also address psychiatric symptoms and find the underlying issues that contribute to addiction. Inside Shalom House, Australia’s ‘strictest’ drug rehabilitation | Australian Story
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