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Advantages of Outpatient Alcohol Treatment

Alcohol use disorder (AUD) is a chronic, relapsing disorder that causes the person to continue drinking alcohol despite the negative effects it has. Patients who suffer from this condition are usually at great risk of physical and psychological damage. Also, another common problem with AUD is that addicts may have decreased social functioning and a lower to non-existent job performance, which can impact social relationships and financial stability.

8 Minute Read | Published Sep 05 2023 | Updated Jul 03 2024 Expert Verified
Jennifer Williams
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Jennifer Williams
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The World Health Organization's (WHO) statistics show that almost 3 million deaths occur annually as a direct result of alcohol use, making it a real problem worldwide. It makes vital to have different treatment types available to offer and help with this social problem. Though inpatient rehabilitation programs have always been the mainstream practice of alcohol addiction treatment, the success and effectiveness of outpatient alcohol treatment have arisen as a striking alternative.

This article will discuss the main values that drive outpatient programs, their advantages, and the examination of the various treatment approaches used.

What is Outpatient Alcohol Treatment?

Outpatient alcohol treatment is a type of substance abuse treatment program in which participants can be treated while still living at home and fulfilling their family and job responsibilities. Outpatient alcohol treatment is commonly constituted of a mixture of therapy, counseling, group socialization, and education on addiction and recovery.

This program is usually less stringent and demanding than inpatient treatment. Therefore, it favors those with a milder substance abuse problem or who can’t commit to being in a program full-time and don’t need around-the-clock supervision.

These programs are found at outpatient clinics and rehab centers, where individuals can schedule their appointments and therapy sessions according to the center's timetable.

Advantages of Outpatient Treatment

Outpatient treatment offers several advantages to patients, including:

1. Flexibility and Convenience:

This is for people who always want to return to their normal lives and continue fulfilling routines. They see outpatient alcohol treatment as an opportunity. This is because it provides the defined structure, quality, seriousness, and commitment that is needed to recover, as well as the chance for the patients to carry on still productive activities such as work, school, leisure with friends, and caring for others while simultaneously seeking help.

2. Lower Cost:

Outpatient programs require fewer resources and often are more financially accessible because the expenses of 24/7 supervision are avoided.

3. Support Network:

These programs induce the active participation of family members and friends in the treatment process, building a reliable support network for the patient.

4. Real-World Application:

Through outpatient programs, you will be able to practice and apply newly acquired skills and strategies in a real-life setting, which will, in turn, facilitate better preparation for maintaining recovery once treatment is completed.

5. Greater Privacy and Confidentiality:

These programs can provide more privacy and anonymity than inpatient services requiring one to live at a residential facility. This aspect is mainly critical in special cases of people who are afraid of stigma and discrimination.

Are You a Candidate for Outpatient Rehab?

Outpatient alcohol treatment might be appropriate for people who meet certain criteria, allowing higher rates of success during this type of rehab, including:

  • Mild to moderate alcohol use disorder.

  • Stable living environment. If home conditions include violence, substances, or other triggers for drinking, the pace of recovery may be affected.  

  • Good physical and mental health.

  • Strong motivation and commitment.

  • Supportive social network.

If you have a severe addiction, polysubstance abuse, co-occurring disorders, and an unstable and unsupportive living environment, then inpatient treatment may be more appropriate.

A health provider's assessment is a necessary step to ensure that this alternative is the right choice for you.

Types of Outpatient Alcohol Treatment

Three standard programs with extensive evidence for success, are available. They consist of varying levels of intensity, structure, and support.

1. Intensive Outpatient Programs (IOP):

Patients are usually scheduled for appointments two to five times a week, including evening sessions, and lasting around two hours each. This program could include individual counseling, group therapy, psychoeducation, and relapse prevention planning.

2. Partial Hospitalization Programs (PHP):

Also known as Day Treatment Programs, they provide deeper attention than IOPs and require patients to come in for intensive sessions 6-8 hours a day, at least five days a week. These programs are purposefully created for patients with cases that demand greater structure and a higher support level.

3. Standard Outpatient Programs:

It usually involves individual or group counseling sessions held weekly. It is more relaxed than an IOP, and thus, it may be suitable for those who have already completed a higher level of care but still require further attention.

4. Aftercare Programs:

Aftercare planning is another crucial aspect in outpatient alcohol treatment, focusing on designing a complete strategy to help as you move from formal therapy to permanent recovery. Essential elements of the treatment plan might be a relapse prevention strategy, continued counseling, and active participation in support groups.

What are the treatments offered in the different programs?

A combination of evidence-based behavioral therapies and medication is used for treating Alcohol Use Disorder (AUD), which increases recovery success, such as:

  • Cognitive-behavioral therapy (CBT)

  • Motivational Interviewing (MI)

  • Dialectical Behavior Therapy (DBT)

  • Contingency Management

  • Group Therapy

  • Family Therapy

  • Support Groups like Alcoholics Anonymous (AA) and SMART Recovery

  • Holistic therapies, like Meditation, mindfulness, exercise, and yoga

These therapies represent the first line of treatment for AUD, focusing on tackling the root causes, equipping you with communication tools and techniques, raising one’s level of motivation and awareness, teaching healthier coping skills, giving support, and creating a safe environment. This way, you can identify and manage triggers and cravings, improve relationships, set goals, and stay focused on your recovery path.

Medication-assisted treatment (MAT) is an evidence-based approach under medical supervision that can be an essential component of different outpatient programs.

It’s always used in conjunction with psychotherapy and helps manage cravings, alleviate withdrawal symptoms, and reduce the risk of relapse. Three FDA-approved medications are used: disulfiram, naltrexone, and acamprosate.

The aforementioned are just a few of the numerous scientifically backed methods administered at outpatient alcohol treatment centers.

Is Outpatient Alcohol Treatment Effective?

Under the right circumstances, outpatient programs can be just as effective as inpatient treatment when adapted to the right patient.

Some studies even reported better detoxification completion and abstinence rates, improved psychosocial functioning, decreased likelihood of relapse, and similar adverse event rates when compared with inpatient care.

How long does it last?

There’s no fixed duration. Shorter outpatient programs may last around six to eight weeks, while longer ones may extend for three to six months or more. This can differ depending on a person's particular needs, the degree of their alcohol use disorder, commitment to recovery, and the treatment program they participate in.

It is also important to remember that full recovery from alcohol use disorder is a prolonged process that doesn’t end after the culmination of formal treatment.

How much does it cost?

In general, outpatient treatment is less expensive than inpatient rehab. Some intensive outpatient programs can cost from hundreds to a few thousand per week. Still, expenses may vary according to the location of a program, the services included, the length, and individual health insurance coverage.

Many insurance plans will pay for outpatient alcohol treatment under their mental health benefit or their addiction treatment benefit. It’s essential to verify coverage and that the facilities you choose are in-network with your insurance provider so that you can get the maximum coverage.

Final Thoughts

Outpatient Alcohol Treatment provides a flexible and convenient option for people who are facing alcohol use disorder. With its focus on patient-centered approach, everyday integration, and family and loved ones participation, combining evidence-based treatments, it has emerged as a powerful and effective alternative to inpatient treatment.

Here, you can summarize the main differences between Outpatient and Inpatient alcohol treatment

Main Characteristic

Outpatient treatment

Inpatient treatment

Setting

Conducted in a clinic on an  outpatient basis

Conducted in a dedicated treatment facility where patients stay

Level of care

Less intensive

More intensive and structured

Flexibility

Greater flexibility

Fixed Schedule and away from daily life

Duration

Weeks to months, depending on the individual needs

Fixed duration (30-90 days)

Supervision

Less supervision

Constant supervisión 24/7

Cost

Less expensive

More expensive

Suitability

Mild-moderate alcohol use disorder

Severe alcohol use disorder

Disruption to daily life

Allows individuals to continue with school, work, and other responsibilities

Requires individuals to put their daily lives on hold

Resources

bullet World Health Organization
"Alcohol"
Retrieved on April 24, 2024
bullet Psychiatric Services
"Substance Abuse Intensive Outpatient Programs: Assessing the Evidence"
Retrieved on April 24, 2024
bullet Journal of Consulting and Clinical Psychology
"A Meta-analysis of Cognitive-Behavioral Therapy for Alcohol or Other Drug Use Disorders: Treatment Efficacy by Contrast Condition"
Retrieved on April 24, 2024
bullet Cochrane Database of Systematic Reviews
"Alcoholics Anonymous and other 12‐step programs for alcohol use disorder"
Retrieved on April 24, 2024
bullet BioMed Research International
"Use of Pharmacotherapies in the Treatment of Alcohol Use Disorders and Opioid Dependence in Primary Care"
Retrieved on April 24, 2024
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