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Residential (Inpatient) vs. Outpatient Addiction Treatment

Last Updated: January 25, 2024

Editorial Policy | Research Policy

When someone seeks addiction treatment, there are various programs and levels of care. Participating in multiple levels of care in their treatment plan is known as a continuum of care. Within the continuum of care are two general treatment levels: residential rehab and outpatient rehab. Both programs focus on helping someone recover from an addiction. However, each one has different features and benefits.

Residential (inpatient) programs are structured and intensive, so they’re best suited for severe addiction. On the other hand, outpatient programs offer more flexibility. They allow patients to attend part-time and keep up with other responsibilities outside of treatment.

Individuals with addictions and their loved ones should learn about the main benefits of both programs before choosing one. Understanding the differences is a great first step toward lasting recovery.

Differences Between Residential and Outpatient Treatment

A residential rehab program creates a safe, drug-free atmosphere paired with constant supervision. This can be ideal to focus exclusively on recovery, reducing the risk of relapse. Elements of an inpatient program might include:

  • A controlled environment: During a residential rehab program, you’re protected from triggers that could lead to substance use. You live onsite and participate in intensive therapy. You’re also asked to participate in other daily activities that promote healing.
  • 24/7 support: Emotional and medical support is provided by expertly trained staff. There are also onsite resources if a patient is in physical or mental distress.
  • Dual diagnosis treatment: In residential rehab, dual-diagnosis treatment can be provided for co-occurring mental health disorders. Ultimately, this treatment gets to the root causes of substance use.

An outpatient program can be an entry point for treatment for those with mild addiction. However, it can also act as a step down from more intensive treatment. Some of the things you might expect during an outpatient treatment program include:

  • A flexible schedule: You can maintain other responsibilities while receiving treatment and support during outpatient care. You’ll continue to live at home, and you can even maintain a job. 
  • Independence: You have the unique opportunity to take the newly learned skills from your treatment program and apply them to your daily life.
  • Integration in the community: When you’re in an outpatient rehab program, you can connect with support and resources both within the facility and outside of it in the community.
  • Time and cost-effectiveness: Outpatient programs are generally more affordable and require less of a time commitment than residential treatment.

Residential Treatment

The core concept of a residential treatment program is around-the-clock support and care. Beyond that, there are many differences between even similar residential programs.

Types of Facilities

Residential treatment centers vary in intensity and the environment. Some are more geared toward acute care, and the environment resembles a hospital. Others are more like a resort or spa, but no matter the specific type of facility, there is still 24-hour support.

Preparing for Residential Treatment

It does take some time to prepare for a residential rehab stay, so the sooner planning begins, the better. An entry date is set for admission, and the aim should be to get critical affairs in order before that date. 

For example, someone entering residential rehab must coordinate with their employer. They will also need to ensure their children and family members will have care. There also needs to be consideration for how they’ll get to and from the rehab center. Finally, they will need to pack for their stay in rehab. The rehab center should provide a list of items that they can and cannot bring with them to the facility. 

Daily Life During Residential Treatment

Residential rehab allows for a focus on the treatment plan and long-term recovery away from outside distractions. The day is carefully planned, with time set aside for therapy and holistic activities. Patients will also receive mental health and clinical treatment in group and individual settings.

These programs can last from 30 days to six months or more. They often begin with a medically assisted detox, where the patient can go through withdrawal safely and comfortably. Afterward, a patient will transition into a treatment program that includes a structured daily schedule and behavioral health services, such as individual and group counseling. 

Family Support in Residential Treatment

Family involvement can be integral to long-term recovery. In residential treatment, family members can contact and support their loved ones remotely. Every facility has its own policies regarding outside communication. Some residential rehab centers offer limited family visitation during treatment, whereas others offer no visitation. Others might allow unlimited contact and visitation so loved ones can be directly involved in recovery. In some programs, families are included in therapy sessions and counseling.

Outpatient Treatment

The least restrictive treatment option for addiction is an outpatient program. Different levels of care are offered on an outpatient basis. They include intensive outpatient programs and traditional outpatient rehab. Most levels occur after someone completes a residential stay. However, some will begin with an outpatient program if a professional determines it’s the right choice for their situation. 

Intensive outpatient programs, or IOPs, provide the chance to maintain your daily life while in treatment. An IOP usually requires participation in treatment several hours a day, 3–5 days a week. This structure allows someone to readjust to daily life with support. Outpatient sessions usually focus on:

  • Counseling (group and individual)
  • Relapse prevention
  • Recovery and coping skills
  • Mental health and addiction education

The length of an outpatient program will vary but usually lasts three to six months and can last a year or more in some cases. 

Outpatient Detox Programs

Outpatient detox may be appropriate for someone who expects mild to moderate withdrawal symptoms. Outpatient detox can be safe and effective but more flexible than other options. Unlike a residential detox, outpatient detox requires checking in at a clinic or treatment center. You’ll also need to take medications onsite at scheduled times to relieve withdrawal symptoms.

Social Support During Outpatient Rehab

People often begin outpatient treatment after completing a residential program. This approach helps support continued recovery and build on what the person has learned. Outpatient rehab allows patients to live at home or in sober living during treatment. There’s the opportunity to stay close to people who love you and support you. For further support, you might also take part in 12-step or other support groups while receiving outpatient care.

As far as costs, outpatient rehab will almost always be less expensive than a residential program. Residential program costs include living expenses, intensive therapy and ongoing, onsite medical care. However, cost should not be a key factor when deciding on the level of care appropriate for your needs. Fortunately, there are ways to lower costs, from government assistance to insurance.

Call Today for Same-Day Admission at The Recovery Village Kansas City

Treatment can be life-saving and life-changing, no matter the program you choose. Addiction is a serious illness requiring appropriate care to achieve a lifelong recovery. Explore same-day admission or learn more about our evidence-based programs at The Recovery Village Kansas City by getting in touch. Please contact our compassionate Recovery Advocates today.

Sources

American Society of Addiction Medicine (ASAM). “ASAM Criteria.” Accessed January 16, 2024.

Nagy, Nahla El Sayed et al. “Assessment of addiction management program and predictors of relapse among inpatients of the Psychiatric Institute at Ain Shams University Hospital.” NIH National Library of Medicine, October 19, 2022. Accessed January 16, 2024.

NIH National Library of Medicine. “Dual Diagnosis.” MedlinePlus, December 20, 2023. Accessed January 16, 2024. 

Kourgiantakis, Toula and Ashcroft, Rachelle. “Family-focused practices in addictions: a scoping review protocol.” NIH National Library of Medicine, January 13, 2018. Accessed January 16, 2024.

World Health Organization. “Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings.” NIH National Library of Medicine, 2009. Accessed January 16, 2024.

Food and Drug Administration. “Information about Medication-Assisted Treatment (MAT).” May 23, 2023. Accessed January 16, 2024.

Donovan, Dennis M. et al. “12-Step Interventions and Mutual Support Programs for Substance Use Disorders: An Overview.” NIH National Library of Medicine, August 26, 2013. Accessed January 16, 2024.