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With over 20 million Americans struggling with addiction in 2016, according to the National Survey on Drug Use and Health (NSDUH), there is a need for a diverse and wide range of drug abuse treatment services.
In Hollywood, California, the 2016 Cedars-Sinai Medical Center Community Health Needs Assessment (CHNA) reports that the number of marijuana dispensaries in the area increases access to the potentially addictive, mind-altering, and recently legalized drug. In Service Planning Area 4 (SPA 4), which includes Hollywood as part of Los Angeles County, approximately 21.9 percent of the adult population needed help for a substance abuse and/or mental health concern in the past year. The CHNA further indicates that 12 percent of adults saw a healthcare provider for treatment for an issue involving substance abuse and/or mental health in the previous year, and more than 60 percent of residents in SPA 4 who needed professional help for a mental health concern did not get that help.
Access to care and understanding what options exist for treatment and recovery can be barriers to getting help. A comprehensive drug rehab guide can aid families and individuals in identifying what the choices are and how to make an informed decision.
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A popular low-cost or often free type of support for drug addiction recovery involves participation in a 12-Step support group program. Programs such as Alcoholics Anonymous (AA) offer meetings and fellowship opportunities for individuals wishing to become abstinent and remain sober. For meetings near Hollywood, the AA Central Office of Los Angeles is a great resource.
Support group meetings are generally included in most rehab program offerings. They are considered best when used as part of a more complete treatment program that includes therapy and not as a standalone treatment option.
Outpatient drug rehab programs generally include various services, such as:
Outpatient drug rehab programs can be tailored to the individual person with sessions and meetings scheduled around other obligations that may include work, school, and family responsibilities.
Intensive outpatient programs (IOPs) are a step up from traditional outpatient drug rehab in that they provide a minimum of three hours of programming at least three days a week. These hours are highly structured and often intense, and these programs are generally considered to be short-term.
Another form of outpatient drug rehab is a partial hospitalization program (PHP). This is often used as a step down, or transitional program, after the completion of an inpatient drug rehab program. PHPs are also highly structured and concentrated, providing programming similar to that of an inpatient program during the day, with the main difference being that the individual will return home each evening and not stay at the facility overnight. An inpatient drug rehab program can provide the highest level of care with a strict daily schedule, 24/7 monitoring and supervision, and an extended stay in a specialized facility.
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In general, drug rehab is offered through public and private providers. Public providers receive federal or state funding to offer programs that are low-cost or free to eligible residents. Public drug rehab programs may use a sliding scale based on household income to determine cost of the program, which is dependent on how much a person may be able to afford to pay for services. These programs often fill up quickly and may have waiting lists to get in. Priority is given to pregnant women, those with families, those who have financial difficulties, and individuals in immediate crisis.
In California, the California Department of Health Care Services (DHCS) manages the public healthcare system. Eligible individuals, such as those with low incomes, may qualify for Medi-Cal, which is the state’s Medicaid system for free and low-cost health insurance coverage. Regional entities, such as the Los Angeles County Department of Public Health, manage local community-based healthcare and public drug rehab providers in and near Hollywood. In order to be eligible for public healthcare services through the state and the regional entity near Hollywood, a person must be able to prove residency.
The Service and Bed Availability Tool (SBAT) helps residents within Los Angeles County to find substance abuse treatment services that are nearby and have current availability. Often, public programs are not immediately open for admission, and private providers may be more readily accessible.
Private providers often accept insurance as a method of payment and also regularly work with families to come up with flexible payment plans and budget-friendly solutions for care. Health insurance, as part of the Affordable Care Act (ACA), includes substance abuse and mental health disorders as part of the “essential health benefits” that must be covered through plans sold on the federal Marketplace. As such, insurance policies often include drug rehab and addiction treatment services within their covered services.
Insurance providers and professionals at a substance abuse treatment facility can help families and individuals better understand what type of insurance coverage there is and how to use it to pay for treatment services.
Private inpatient drug rehab programs typically offer all of the same services as outpatient drug rehab. Services may also include:
When deciding on the right drug rehab program for a particular person or family, there are several factors that should be considered. Cost and budget are, of course, considerations, as are levels of care, type of services offered, and convenience. An assessment should be done prior to enrollment in any drug rehab program to ensure that the methods and level of care are optimal.
The Substance Abuse and Mental Health Services Administration (SAMHSA) publishes that nearly half (45 percent) of people who seek treatment for substance abuse in the United States also struggle with a co-occurring mental health disorder at the same time. When someone suffers from a mental health disorder and simultaneous addiction, the disorders are said to be co-occurring, and specialized and integrated treatment is optimal. In this way, both the mental disorder and the substance abuse can be managed at the same time as they are often complexly intertwined.
It can also be helpful to find a specialty drug rehab facility close to home for immediate access and admission. In addition, family can then easily be involved in family therapy, activities, and visiting times.