Long-Term Drug Rehab in California

Last updated: 04 August 2022

When looking for drug rehab in California, finding a program that meets individual needs is critical. However, this is not always easy when doing a general search for treatment. Addicted.org has an extensive directory of services, including long-term rehab centers in California, inpatient programs, and detoxes. The information is detailed to help you or your loved one make an informed decision about where to find help for substance use.

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List of Rehabs in California

Below is a list of the different drug rehab centers in California. Each listing provides information on the types of services provided and the payment options available. You can also find accreditations and certifications to help you determine if the rehab center is trusted and has the expertise you are looking for. The list can be incomplete so please do not hesitate to contact a treatment specialist at 1-800-304-2219.

Commitment to Quality

Addicted.org's team of addiction professionals has over 100 years of combined experience in the field of substance use and addiction recovery. They use this experience when assessing each service listed in our directory. If you have any questions, comments, or concerns regarding any of the listings in our directory, you can contact the team directly at Communications@addicted.org. We will utilize your feedback to make any necessary updates to our list of services.

Call 1-800-304-2219 to talk to a rehab specialist


California Drug Use Video & Tips

TIPS: If you feel you're going to use

  • Find a peer support group: California 12 step meetings and other resources through the addicted.org directory.
  • Stay active and distracted—California offers a diverse landscape to explore and endless community events.
  • Access counseling through the Department of Healthcare Services or contact California 2-1-1.
  • Find an activity—California has no shortage of fulfilling experiences and activities.
  • Avoid risky situations. Fentanyl and opioids remain the biggest drug threat in the state.

TIPS: If you want to help someone

  • Find local help through the Department of Healthcare Services.
  • Be aware of overdose risks—resources available through California Overdose Prevention Network and Overdose Prevention Initiative with the CDPH.
  • Assessment and screening are available through the Department of Healthcare Services.
  • Organize a family intervention with the help of a professional interventionist.
  • Avoid enabling the individual who is addicted to drugs or alcohol.

Long-Term Rehab in California

An extended stay at a rehabilitation center can provide the best results for many suffering from substance use. A longer time going through treatment can equate to a greater understanding and help better manage the underlying issues connected to one's addiction.

In California, long-term drug or alcohol rehab includes programs that provide a stay between 30 to 90 days or longer. These programs are effective for all substance use disorders and involve the individual staying on the premises throughout the rehabilitation process. Residential rehab programs offer much of the same general counseling and therapy as other shorter treatment modules. Still, they can be more thorough due to the time they spend with the patient and the lack of distractions living on-site provides.

Our team believes that, if possible, long-term drug rehabilitation is the best option for someone looking to maintain long-term sobriety. Detoxes, short-term rehabs, and outpatient programs can only do so much, and while it is possible to see lasting results, it is not as likely.

Why is long-term treatment a better option?

A Long-Term drug rehab ensures you address problems and gain knowledge on how to maintain sobriety.

These programs give you ample opportunity to:

  • Break down the problems connected to your addiction.
  • Address the underlying reasons why you started to abuse drugs and alcohol.
  • Receive more counseling.
  • Gain more sobriety time.
  • Create a more effective aftercare plan.

Potential problems with short-term care

While getting some help is always better than nothing. It is essential to understand potential problems when an individual doesn't commit enough time to handle their substance use. We would never suggest an individual forgo treatment because they cannot commit long-term, but understanding these issues will help you make the best decision.

Here are some things to consider when looking into shorter treatment models:

Outpatient

Outpatient treatment is only a viable option for those with minor issues with substance use or as a continuation of care. As a stand-alone rehabilitation option, it is best used to prevent problematic behavior and decision-making from leading to substance use disorder. Those with severe substance use issues should only implement outpatient services as a continuing care option following a long-term program. Sending someone with a serious problem to outpatient treatment may be setting them up for failure.

Detox

Detox is designed to get a person safely off drugs. Once someone's body is free from physical dependence, it does not mean they will no longer use drugs. Many factors contribute to addiction, and usually, drug use is a symptom of a much larger problem. Detox facilities do not handle underlying issues or the behavioral aspect of substance use disorder. Due to this, any individual who only attends detox is at a very high risk of returning to unhealthy habits.

Short-term treatment Inpatient

Short-term programs are usually around 28 days; while that may seem like a long-time, it is usually not enough. After long-term substance use, the body needs time to get back to normal, and the individual may need longer to face their past. Reconciling with the things they've done during their substance use takes time. After four weeks, an individual is in a prime position to start working one-on-one with counselors but still needs a secure environment to prevent relapse. Unfortunately, many individuals who attend 28-day programs relapse because they aren't truly ready to confront the real world. They need more time to develop coping skills and handle life without drugs.

Services breakdown for California drug rehab.

What's Next?

After attending long-term drug rehab in California, it is crucial to receive aftercare to maintain sobriety and reinforce what you learned during treatment. Inpatient drug rehab is effective, but it takes place in a sheltered environment where there is always support. As individuals transition back into their lives after rehab, some stressors and responsibilities may be difficult to deal with. Outpatient aftercare programs, sober living facilities, and other support services are available in California to make your transition easier.

Inpatient Drug Rehab California

Inpatient drug rehab in California is a general term that can also refer to residential short-term and long-term treatment. Typically, inpatient refers to programs with more medical support or a hospital setting. It can be challenging to determine the best choice—our experts provide some clarity below.

What Makes Drug Rehab Inpatient or Residential in California?

The term residential refers to a residence where an individual resides as a resident during their treatment. By definition, a residence is where a person lives short-term and long-term, distinguishing it from a temporary stay.

The California Department of Health Care Services classifies residential facilities as those offering non-medical services to eligible adults recovering from drug or alcohol addiction.

  • Residential treatment facilities are any facility, building, or group offering 24-hour residential non-medical treatment services.
  • Incidental Medical Services (inpatient) are optional services provided at a residential facility by a healthcare practitioner.

Additionally, DHCS in California has established varying levels of care designation, with residential and inpatient services falling within ASAM Levels of Care Certification.

Addiction Services in California Cities

Cost of Treatment in California

California offers many treatment options for people struggling with substance use. Thankfully, they also provide opportunities for assistance with payment, thanks to the state's Medicaid program. These options allow more people to get help for addiction to recover.

Paying for Treatment with Medicaid in California

Medicaid may be an option for those who cannot afford private health insurance and are not offered insurance through their employer. California's Medicaid program, Medi-Cal, can pay for 100% of treatment costs. Over 6 million Californians enrolled in Medicaid plans as of December 2020.

Using Private Insurance to pay for Drug Rehab in California

Private insurance is either purchased or provided by an employer. Private insurance plans usually dramatically lower treatment costs, but these policies can be expensive. For those who can't afford private insurance yet don't qualify for Medicare coverage, the state's expanded Medicare program, Covered California, may provide relief.

The state's health insurance marketplace is an expanded Medicaid program that offers financial assistance and access to plans from the 12 participating insurers, helping those who fall within this uninsured "gap."

The following insurers are available through California's health insurance marketplace, Covered California:

  • Anthem Blue Cross of California
  • Blue Shield of California
  • Bright HealthCare
  • Chinese Community Health Plan
  • Health Net
  • Kaiser Permanente
  • L.A. Care Health Plan
  • Molina Healthcare
  • Oscar Health Plan of California
  • Sharp Health Plan
  • Valley Health Plan
  • Western Health Advantage

Paying for Drug Rehab When Uninsured

It is important to note that getting someone helps with substance use can be very time-sensitive. When someone needs help going through the process of getting insured before going to a drug rehab in California is sometimes not possible and adds unnecessary time to the situation.

If an individual isn't eligible for insurance coverage through one of these options, over 1200 facilities offer private pay options. Over 400 of these provide a sliding-scale payment that is based on income. For example, the less income a person makes, the lower the cost of treatment.

Depending on the facility, the cost can be split into payments to help further make it affordable. For more information on how to pay for treatment, you can contact one of the treatment specialists at Addicted.org. or contact the center directly.

Ask a Professional

How long does drug rehab take to complete?
  • Outpatient – Ranges from 4-12 weeks, with a couple of hours each day spent receiving care. The length of time in outpatient depends on the needs of the client.
  • Detox – 1-2 weeks depending on the type and amount of substances the client is using.
  • Short-term inpatient – 28 days is the standard length of treatment for most short-term programs
  • Long-term Residential– The length of these programs usually ranges from 8-12 weeks. Still, it can go upwards to a year or even longer in some cases.
Can I force my loved one to go to treatment?

While it may seem that your loved one does not want help, there are ways to convince them to get treatment. Medical professionals and certified interventionists are trained in helping people realize they need to go to rehab. Enlisting their help can make a difference in someone gaining sobriety.

What do I do after being placed on a waiting list to attend rehab?
  • Understand the risk associated with coming off your drug of choice. Stopping alcohol, benzos, or opiates requires medical supervision, so consult a medical professional before completely stopping your substance use.
  • Check-in regularly with the rehab center and ensure you follow their guidelines to stay on the waiting list. Some centers require you to check in daily to remain on the list.
  • Understand that the wait time you are told is generally a worst-case scenario. Beds can open faster than expected, and you can sometimes get in sooner than you were initially told.
  • Consider getting on multiple waiting lists to better your chances of getting into treatment faster.
  • Utilize the time to your advantage. Examples of this are planning with your employer, handling your living situation, or settling any financial obligations. Taking the time to manage responsibilities before entering treatment ensures you will stay focused on your recovery and have less attention on things outside of treatment.
Does my insurance cover rehab?
  1. Call the help number on the back of your insurance card. It will connect you to someone who can go over your coverage options for drug and alcohol rehab.
  2. Give your insurance information to the center you are interested in attending. They can check how much coverage you will receive.

It is important to understand that just because you have coverage does not guarantee your claim will be approved. The person attending rehab must be deemed to have a medical necessity for treatment. If this is not established, then it’s possible insurance will not pay. During the admissions process, it is vital to ask the intake counselor how the facility handles a patient who does not meet medical necessity.

I already went to treatment before and relapsed. Is it worth going back?
  • Contact the treatment center aftercare services or graduate helpline. Discuss the circumstances of the relapse.
  • Consider attending a 12-step meeting or support group.
  • Outpatient programs provide excellent aftercare support.
  • If relapses occur frequently, it would be time to return to a residential program.

The reality of recovery is relapse happens. Yet, how an individual handles the relapse determines the outcome. Keep pushing forward, reach out to other sober people, be grateful, and focus on the positive.

Want to know more?

Addicted.org's Evaluation of California

After reviewing state statistics and options available for drug and alcohol rehab in California, addicted.org discovered the following pros and cons:

Pros

  • California law requires health plans to provide timely access to care. There are limits on how long you have to wait to get health care appointments and telephone advice. This includes mental health providers, counseling, and substance abuse professionals.
  • There is an even mix of private non-profit and private for-profit substance abuse treatment facilities, 45% and 43%, respectively. This means there is access to care for all income levels. (Source N-SSATS)
  • Roughly 45% of substance use treatment facilities are residential non-hospital settings. Residential care is the best option for treating a substance use disorder.
  • Approximately 53% of facilities offer a sliding fee scale. In comparison, 41% provide treatment at no charge or minimal payment for clients who can't pay.
  • 4% of substance use treatment facilities have staff that speaks Spanish.

Cons

  • Fewer health plan patients with alcohol or drug dependence diagnoses received treatment services. According to the Behavioral Health Almanac, about 4 in 10 adolescents and adult health plan patients started treatment services for alcohol or drug dependence within 14 days of being diagnosed.
  • One in ten people age 12 and over who were dependent on or misused alcohol or illicit drugs received treatment. California's treatment rate for illicit drug use disorder is lower than the national rate.
  • Only 23% of substance use treatment facilities in California have a CARF accreditation; however, 94% of facilities have full licensing, certification, and accreditation.
  • According to SAMHSA, there are 131 transitional housing, halfway houses, and sober homes. They are primarily situated in larger Metro areas with very few in rural communities.

Overall, there is extensive access to treatment within large metropolitans and many rural communities. Families and individuals can access numerous financial resources through Medicaid, private health insurance, and payment options offered through facilities. The problem is incentivizing people to access help and how quickly individuals enter treatment once approved or request assistance.

State and Local Resources in California

California Department of Health Care Services

  • The Substance Use Disorder Division maintains a directory of licensed and certified facilities and programs, county alcohol and other drug offices, and referral information. There are extensive resources available for residents of California.

California Department of Education

  • The California Department of Education provides drug and alcohol prevention and education services to individuals, families, schools, educators, health care providers, and substance use treatment programs.

The California WIC Association

  • The California WIC Association is a non-profit organization. It offers extensive resources for alcohol and substance use recovery. It offers participant and consumer information, treatment referral locators, and information for professionals. There is a specific focus on women and perinatal substance use.

California Council of Community Behavioral Health Agencies

  • The CBHA is a statewide association of non-profit agencies dedicated to providing mental health and substance use disorder programs and services to those in need across the state. The goal is to ensure that federal, state, and county programs can support integrated healthcare services for people of all ages.

Safety and Prevention

In California's drug epidemic Naloxone, or Narcan, is an extremely vital tool in fighting the overdose epidemic. The drug reverses the effects of an opioid overdose and allows an individual to regain the function of their body so they can continue to live. Getting Naloxone in your area can be relatively simple and potentially save a life.

It is important to remember most people who need this life-saving drug are still at risk. If an individual is using opiates, they need to get into a drug rehabilitation center as soon as possible. Otherwise, they are likely going to overdose again. Drugs like Naloxone play a key role in battling the substance use epidemic, but there is no replacement for a treatment program and professional help.

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CONTRIBUTORS TO THIS ARTICLE

Marcel Gemme, DATS

Marcel Gemme, DATS

Author

on August 4, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on August 4, 2022

More Information

Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.