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Los Angeles is a major hub in Southern California and the second most populous city in the United States behind only New York City. With close to 4 million people residing in Los Angeles, there is a large infrastructure in place to support families and individuals.
In California, medical and mental health services are overseen through the California Department of Health which parcels management of local services out through each County. The city of Los Angeles is contained within Los Angeles County, which has the largest mental health department operated by a county in the United States. The Los Angeles County Department of Mental Health contracts with over 1,000 local providers, offering care in hundreds of sites throughout the county to provide mental health and substance abuse treatment services.
Drug and alcohol abuse and addiction indicators are high for Los Angeles County and Service Planning Areas (SPAs) within the city. For example, the 2016 Cedars-Sinai Medical Center Community Health Needs Assessment (CHNA) reports on the Metro, West, and South SPAs of LA and publishes that more teens have tried drugs in these SPAs than state and county averages (24 percent versus 12.4 percent and 14.7 percent respectively). The 2016 Community Health Needs Assessment (CHNA) Kaiser Foundation Hospital (KFH) West Los Angeles reports that in SPA 6, which serves South LA, 31.9 percent of adults have tried drugs, including marijuana, cocaine, and other drugs compared to a Los Angeles County average of 14.7 percent and a state average of 12.4 percent.
Mental health and addiction are often intertwined. In Beverly Hills, the rate of drug-induced mental health disease was very high at 602.9 per 100,000 residents compared to a Los Angeles County average of 125.8 per 100,000 residents.
Thankfully, there are many different places to get help for drug addiction and mental health issues in and near Los Angeles.
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More than 20 million people in the United States struggled with addiction in 2016, the National Survey on Drug Use and Health (NSDUH) publishes. Addiction is a personal disease that impacts every family and individual in a different way. When it comes to treatment, what works best for one person may not be ideal for another. Because of this, there are many different formats for drug rehab.
A guide to rehab can help families to better understand these formats and therefore decide which one will be right for them. Listed below are different types of drug rehab formats, ordered from least comprehensive to most structured:
? Support groups: These groups are often free to join and meet weekly or biweekly for an hour or two. Support groups often follow a 12-Step format, providing peer support to aid in achieving and sustaining sobriety and minimizing relapse.
? Outpatient programs: Outpatient services can be tailored to each person specifically and scheduled around existing obligations. Services like group, family, and individual therapy; drug and alcohol educational programs; life skills workshops and training, including stress management and relapse prevention; medical and mental health treatment and support; medication management; and recovery support can all be provided through outpatient drug rehab programs.
? Intensive outpatient programs (IOPs): An IOP is a step up from traditional outpatient treatment in that it is more structured, providing programming at least three hours a day three days a week or more. An IOP is generally considered a short-term drug rehab program and may be used as a transitional format of care between inpatient and traditional outpatient programs.
? Partial hospitalization programs (PHPs): PHPs are often used as step down or transitional program from inpatient drug rehab. They generally follow a strict schedule with services provided for several hours each day during the week. These programs are run similarly to inpatient programs; however, clients still go home each night.
? Inpatient drug rehab programs: The most comprehensive form of drug rehab, an inpatient program can provide around-the-clock care, intensive and structured programming, and continual support. Individuals will follow a strict schedule each day and all aspects of a person’s wellbeing can be attended to, including nutritional needs, physical fitness, sleep, and concurrent treatment for any co-occurring medical and/or mental health concerns.
Another component of drug rehab is detox, which is meant to be used as part of a complete program and not the only form of treatment. Detox provides a safe environment for a person to let drugs process out of the body under medical and mental health supervision. Medications may be useful during detox to manage drug cravings and withdrawal symptoms. Detox is beneficial for individuals who have been struggling with substance abuse and addiction and who are physically and psychologically dependent on substances.
Public options are available for drug rehab. These programs are generally funded through federal or state grants, and they are open to eligible residents who may not be able to afford other treatment options. Public programs are often short-term and have limited availability and fewer amenities and options than private drug rehab facilities can offer. The Los Angeles County Department of Public Health manages public healthcare treatment options in and around the city of LA.
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The National Institute on Drug Abuse (NIDA) publishes that there are more than 14,500 specialty addiction treatment providers in the United States, offering a wide range of these drug rehab formats. Each provider will offer different options and programs.
To find a drug rehab program near Los Angeles, residents can use the Service and Bed Availability Tool (SBAT) to find a local program with current openings. The Substance Abuse and Mental Health Services Administration’s (SAMHSA) Behavioral Health Treatment Services Locator can also be a good resource for finding care and looking at local options and offerings.
Private drug rehab treatment programs work closely with families to budget for care. Offering payment plans and flexible options, drug rehab programs take many different health insurance options to help pay for services. A free or low-cost health insurance for California residents, Medi-Cal, can be used at approved drug rehab facilities. Medi-Cal is the California version of Medicaid, which is offered to eligible low-income citizens. Private insurance is also generally accepted for drug rehab services as addiction treatment is considered one of the 10 “essential health benefits” that must be covered under insurance plans sold on the federal marketplace.
Drug rehab providers can aid families in navigating insurance coverage, options, benefits, and how to use them to pay for treatment services. Personal insurance providers can be a great resource for understanding and maximizing coverage as well.