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Is 30 days of residential treatment enough, or should we push for 60 to 90?

Choosing treatment1 answer · asked 3 months ago
From the RecoveryHome team. We write some questions from situations people often ask us about, and answer them with general information from public health sources. Been through this yourself? Your answer could help the next person who finds this page. How we write team posts
RH
RecoveryHome team Team
asked 3 months ago

Insurance approved 30 days of residential treatment, and the counselor hinted that longer might help but could not promise anything. How should a family think about length of stay?

RH
RecoveryHome team Team
answered 7 days ago · general information, not medical advice

What comes after residential often matters as much as the number of days. Research generally finds that staying engaged in treatment longer is linked to better outcomes, but that time doesn't all have to be residential.

A strong plan is a continuum, for example residential, then partial hospitalization (PHP), then intensive outpatient (IOP), then ongoing counseling, mutual support such as AA or NA, and stable housing. Thirty days that ends with no plan is the riskiest version.

What to do now:

  • Ask the program in the first week: "What is the step-down plan, in writing?"
  • If your loved one isn't stable as discharge nears, ask the program to request more days from the insurer, and appeal if needed.
  • Line up the next level of care before discharge, with real appointments, not just a list of names.

Read more: Levels of care · The first 90 days: a relapse prevention plan

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Is 30 days of residential treatment enough, or should we push for 60 to 90? · RecoveryHome