Location plays an influential role if treatment will be a success. The difference between out-of-state and in-state treatment centers can determine whether or not recovery is possible for an individual. Everyone has a different case, so extensive research is suggested before choosing a treatment program.
Sometimes, choosing an addiction treatment program can be hard when taking into account all of the different variables that may affect the success rate of treatment. While choosing a program best suited to your needs, weigh the pros and cons of out-of-state treatment. While there are some negative drawbacks to leaving the state for treatment, there are many reasons why the advantages greatly outweigh the disadvantages.
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It is very difficult to understand what treatment you, or someone you know, needs without having an idea of what addiction actually is and how it starts.
For the most part, drug addiction and dependency usually develop in the same way. Someone is either prescribed a drug or takes it recreationally. When the drug’s effect ends, it leaves the user can experience a range of feelings and physical effects, in which some may result in withdrawal.
To feel the pleasant effects of the drug again, the person takes it again. This results in a vicious cycle and because of the constant use, tolerance towards the abused drug begins to develop.
With the growing tolerance, the user will start to take more and more of the drug to feel the same effects as when they first took it. This constant use and increase of dosage can result in dependence, addiction, and possibly, overdose.
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Ready to get help? Give us a call.
Do I Need Addiction Treatment?
If you have a substance use disorder, it can be worth reaching out to addiction specialists at local rehab centers to learn more about potential treatment options.
Seeking treatment early can help avoid some of the most severe consequences of addiction.
So how do you know if you have a substance use disorder?
The fifth edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) defines substance use problems in three tiers: mild, moderate, and severe.
Addiction treatment professionals use a list of signs and symptoms of substance use problems to determine the existence and severity of a disorder.
If two or three criteria apply to, it indicates a mild disorder.
Four or five of the criteria indicates a moderate substance abuse problem.
If six or more of the criteria apply, it indicates severe substance use problems.
If 10 or 11 apply, it indicates “clinically significant impairment or distress.”
Here are the 11 signs of a substance use problem according to the DSM-5:
- Using drugs or alcohol in a way that puts yourself or someone else in danger.
- Social or relationship issues that are caused by substance use.
- Substance use has gotten in the way of important responsibilities at work, at home, or school.
- You have experienced uncomfortable withdrawal symptoms after cutting back or stopping drug use.
- You have built up a tolerance, and it takes more of the drug to achieve the same effects as it did when you first started using.
- The amount of the drug you’re taking is notably greater than it used to be.
- Trying and failing to moderate use or stop using.
- Spending more and more of your time using a psychoactive substance.
- You’ve experienced physical or psychological problems as a result of drug use.
- Giving up regular activities and hobbies to use drugs.
- You have cravings or compulsions to use the substance.
Advantages of Out-of-State Treatment
Going out-of-state to treat your addiction is a huge step in treating it. Though it may be intimidating at first, going out-of-state for addiction treatment is (in most cases) can be more effective than staying in-state.
Out-of-state drug rehab is worth considering because it can be more effective than in-state treatment.
1. Escaping The Environment
Because substance abuse and addiction affect your whole life, treating addiction will change your life as well. People who want to end their addiction and change their lives might find it dangerous to stay in familiar environments. Peer pressure or constant triggers can be common if the person suffering from addiction stays in their home environment where the addiction originated.
For some patients, out-of-state treatment is viewed as a chance to escape stressors and problems they have at home to focus on themselves. In the drug addiction treatment process, the patient’s comfort is the number one priority, and many people find it more comfortable making a new start in a new, sober environment.
2. Maintaining Your Reputation
Although substance abuse and addiction awareness are rising, along with the rates of abuse and addiction, there is still a stigma towards rehabilitation and treatment. Many people considering treatment fear that they will be judged by friends, associates, and family members.
Seeking out-of-state treatment gets rid of that fear. Substance abuse treatment centers maintain confidentiality. Out-of-state treatment programs provide therapy without anyone knowing from your homefront. Upon completion of the program, when the patient returns home, they can simply say they went on a vacation or anything similar.
3. No Distractions
While it may seem like a good idea, surrounding yourself with friends and loved ones while going through recovery may sometimes prove counterproductive. It is not rare for a patient to focus on their loved ones more than themselves.
The point of treatment is for the patient to live a life free of addiction. It is difficult to achieve the end goal with family distractions and obstacles along the way.
While enrolled in out-of-state recovery, the patient has no outside distractions to worry about, such as family, friends, or relationships. For many people, leaving their distractions behind both physically and mentally is one of the major steps in their successful recovery, as they can focus exclusively on treatment.
4. More Incentive To Stay
Drug rehabilitation is voluntary unless it’s court mandated. Patients forget that if they want to leave at any time, they can simply sign out and walk out. In-state, this has a much higher probability, as a friend or family member can simply pick up the discharged against medical advice (AMA) person and return he/she to the same environment.
Another incentive for patients to stay in their out-of-state treatment program is money invested in the treatment. From travel costs to medication costs, any money spent is money you cannot get back. Because of this, people are less likely to waste money and quit, and would rather just finish their treatment
5. Number of Options Available
In selecting a treatment center, there may be only a few possibilities to consider for in-state rehab programs. Having a wider variety of options available makes it easier to choose the center that is perfect for you. This is one of the most important factors in determining the success of a treatment program.
This also makes it more likely that you will find a treatment center that is better suited than an in-state, local center. Though the cost of treatment may be high, the value of sobriety is much higher. In some cases, if the patient has insurance, the cost of treatment in the state can be potentially the same in any other place in the United States.
Advantages of In-State Treatment
While out-of-state treatment has many more pros than cons, it is sometimes unavailable to some patients. In this case, in-state treatment may still be effective in helping someone struggling from drug and/or alcohol abuse or addiction.
1. Having Familiar Support
Though sometimes friends and loved ones can prove as distractions, it may be comforting to the patient to know that they are not far from their friends and family. This is important in the drug addiction treatment process because the client’s comfort comes first. If a patient is not comfortable or happy during treatment, the rate for successful recovery drops significantly.
It is important to note that this type of case is less common, and it is more likely that friends and loved ones, combined with staying in the area where your addiction started, will pose more of a distraction. For this reason, out-of-state treatment might be more effective than in-state treatment.
Most insurance policies do cover out-of-state treatment, but at Arete, we know that every case is different. If your insurance does not include out-of-state drug treatment in its details, engaging in treatment out-of-state can prove very costly. Keep in mind that a price increase is not guaranteed, and the treatment center may be the same price as an in-state center.
In most cases; however, your insurance policy will cover both in-state and out-of-state treatment programs. The best way to check what your insurance does and does not include is by checking the specific details of your policy.
3. The Comfort of Home
The drug rehab process includes a variety of both psychological and physical changes and it may sometimes seem like a lot for a patient to handle. By staying in a familiar environment, someone suffering from addiction can more easily adapt to the many changes they will experience during treatment.
While the initial level of comfort would most likely be higher during in-state treatment than out-of-state treatment, it is very easy for a patient to be accommodated and feel comfortable in out-of-state treatment. In the comfort of in-state treatment, one may run the risk of becoming “too comfortable”, and not take their treatment seriously.
What Is The Best Option For Me?
The choice between in-state or out-of-state drug treatment can be a difficult one, and if made without proper preparation, that choice can possibly be the reason for the success or failure of your recovery. There are three things to consider when choosing which is the better choice for you: people, places, and things.
Though it can be a difficult decision, going out-of-state is most likely the best option for any person who needs professional help. If unsure which is better, you should consider out-of-state treatment to be the more effective of the two. As evidenced above, there are many more upsides of leaving the state for treatment than staying in close proximity to where you suffer/have suffered from addiction.
Start Your Journey to Recovery Today!
Our friendly, experienced staff at our recovery centers are ready to provide 24/7 support during medical detoxification, residential treatment, and every step in between. By putting the patient first, we ensure that the journey to recovery is done the right way, the Arete Way. If you require more information or have any questions regarding in-state and out-of-state treatment, Arete Recovery is more than happy to provide assistance. Call us or contact us online and let us help you or anyone you may know in their journey to recovery.
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National Institute on Drug Abuse, (April, 2014).Principles of Drug Abuse Treatment for Criminal Justice Populations - A Research-Based Guide. National Institute on Drug Abuse. from https://www.drugabuse.gov/publications/principles-drug-abuse-treatment-criminal-justice-populations/legally-mandated-treatment-effective
National Institute on Drug Abuse. (2016, February). 8: Medical detoxification. from https://www.drugabuse.gov/publications/teaching-packets/understanding-drug-abuse-addiction/section-iii/7-medical-detoxification
National Institute on Drug Abuse. (2018, July). The Science of Drug Use and Addiction: The Basics. from https://www.drugabuse.gov/publications/media-guide/science-drug-use-addiction-basics
Holloway, F, (January, 1998).Drug tolerance. Science Direct. from https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/drug-tolerance