“Patients are able to get high-quality care that works around their schedule, has effective outcomes, for as long as they need it while using their in-network health insurance benefits.”

There are Typically Three Types of Alcohol and Drug Rehab Centers.

Alcohol and Drug Rehabs typically come in three types. Private alcohol and drug rehab programs, insurance-based programs, and State-funded programs. Private alcohol and drug rehabs offer individualized services centered around each individual. These programs are typically diverse in service offerings which are provided by highly qualified staff. The private model also provides flexibility in scheduling and availability for clients who typically have a lot to manage in addition to their care. The downfall of private alcohol and drug rehab programs is the heavy financial cost attached, the strain it puts on patients, and the limitations it places on treatment durations. Programs that run $2000.00 to $4000.00 per month can be out of reach for many individuals and families.

Insurance-based addiction treatment programs are typically 12-step oriented programs. Those that do not specifically follow the 12-step model are still heavily based on a group approach. This is a product of insurance parameters and billing models. Due to the qualifications of their staff, insurance-based models are limited in the scope of services they provide as well as the duration of treatment. These programs offer limited flexibility, limited services, but are much more accessible due to their contracts with insurance providers.

State-funded programs are designed to serve a population that does not have the means to pay for treatment nor the health insurance to cover their care. These programs serve large amounts of people with limited resources. Many state-funded programs have wait-lists to even get started in treatment and limitations once engage.

Care Levels and Continuity of Care for Alcohol and Drug Treatment.

Time in treatment is directly proportional to the benefits and outcomes achieved by patients and their families. This is true clinically, medically, and even for patient satisfaction. Insurance-based programs and state-funded programs are limited in how long they can treat their patients and also with the amount and type of services offered. The private model offers unlimited care and a plethora of service offerings if patients and their families have the financial means to continue care.

The term care level refers to the level of intensity and type of services patients need at any given time in treatment. Many programs require patients to enter addiction treatment at high levels that may not be necessary or clinically indicated. Inversely, patients that need higher levels of care, or longer time at a particular level, are denied that care based on insurance policies or limitations to the funding provided by the state. Insurance-based models and state-funded models often end treatment without offering a low-intensity level for ongoing maintenance; a level that is often appropriate for high-functioning patients seeking help for alcohol and/or drug use issues or those stepping down from higher care levels.

How One Program is Removing Barriers to Increase Access to Private Model Addiction Treatment Centers.

Midwest Institute for Addiction, a private-insurance-based model is changing the face of alcohol and drug rehab programs in Kansas City and St. Louis. The Kansas City alcohol and drug rehab provide the same model as expensive private programs (that can cost as much as $4000.00 per month) while being in-network with the majority of health insurance plans. This allows access for those with health coverage without the major expense of treatment. The addiction treatment center staff are medical doctors, Master’s and Doctorate level psychotherapists, and other licensed professionals. This level of staffing allows for individualized services for the patient and their family that focuses on all areas of the patient’s quality of life.

More than the financial access and high-quality services, the Kansas City alcohol and drug rehab is able to provide care that ranges from partial hospitalization to low-level monthly services for maintenance. Medical care and detox are included in all levels of care. Patients entering the program are assessed for the appropriate level and may start off at lower-intensity levels rather than being automatically recommended to high and more expensive levels of care. Patients are able to get high-quality care that works around their schedule, has effective outcomes, for as long as they need it while using their in-network health insurance benefits.

This addiction treatment center in Kansas City has developed and tested a hybrid model based on two main streams of information. First, the clinical and medical research on alcohol addiction and drug addiction, recidivism, and quality of life measure. The second, is input from the persons they serve, realizing the burdens and struggles faced by those entering or in treatment programs and developing an organization and addiction treatment programs that alleviate added stressors as much as possible.

Patients are able to get high-quality care, that works around their schedule, has effective outcomes, for as long as they need it while using their in-network health insurance benefits.

Author's Bio: 

Dr. Scott McKinney is a leader in developing and improving the substance abuse treatment space. He has continually worked to increase access to quality care in the communities he serves.