SUD Treatment in Medicaid: Variation by Service Type, Demographics, States and Spending

In the lowest treatment states, 33% to 47% of diagnosed enrollees do not receive any SUD treatment or support services (Figure 5). The United States Substance Abuse and Mental Health Administration (SAMSHA) also hosts a behavioral health care service locator on their website. As these programs are a significant what is salvia investment of time and money, you should take your time to do your research and talk to several different programs. Most programs will do an intake call with you for each of you to see if this is a good fit. Medical professionals consider IOT “intensive” due to the number of treatment hours involved.

1. A doctor or therapist from an inpatient program or outpatient setting can refer individuals to an IOP as a step in their care and recovery.
2. They often provide a more flexible treatment schedule so that people can continue to maintain their responsibilities while in treatment.
3. An IOP is a treatment program for substance use, mental health conditions and eating disorders.
4. If you’re ready to seek treatment for alcoholism with AAC call our hotline to speak with an admissions navigator who can answer any questions you may have about treatment and your options close to home or throughout the country.

In our FORTITUDE specialty track, we offer group therapy exclusively for veterans and first responders. Intensive outpatient programs can also serve as a starting point for treatment for patients who have less severe forms of addiction or who 40 tips for staying sober under pressure have outside obligations that preclude them from participating in more structured treatment. IOP for PTSD applied to previous treatment non-responders, yields large positive outcomes that endure up to 12 months after treatment completion.

Caring for a person who has problems with alcohol can be very stressful. It is important that as you try to help your loved one, you find a way to take care of yourself as well. It may help to seek support from others, including friends, family, community, and support groups. If you are developing your own symptoms of depression or anxiety, think about seeking professional help for yourself. Remember that your loved one is ultimately responsible for managing his or her illness. Many people struggle with controlling their drinking at some time in their lives.

Participants and procedure

John C. Umhau, MD, MPH, CPE is board-certified in addiction medicine and preventative medicine. For over 20 years Dr. Umhau was a senior clinical investigator at the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (NIH). IOT helps people understand and manage their condition while continuing to attend work, school, and other important obligations. People can use the SAMHSA treatment locator to find a local IOT program. A person can find an IOT program near them using a treatment locator, such as the Substance Abuse and Mental Health Services Administration (SAMHSA) treatment locator. Take the assessment and get matched with a professional, licensed therapist.

Types of Intensive Outpatient Programs

Another major factor that will affect the cost is your health insurance policy. In the United States, Marketplace (Affordable Care Act) plans are required to cover mental health and substance abuse services as essential health benefits. According to research, group counseling sessions are often scheduled for 90 minutes, and patients are required to participate in at least 9 hours of therapeutic contact per week.

A doctor or therapist from an inpatient program or outpatient setting can refer individuals to an IOP as a step in their care and recovery. IOPs may also offer alternative and complementary programs like meditation and art therapy. Our writers and reviewers are experienced professionals in medicine, addiction treatment, and healthcare. AddictionResource fact-checks all the information before publishing and uses only credible and trusted sources when citing any medical data.

Coping and support

Thus, while some patients may be better served by one rehab option over the other, neither is inherently superior. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers. Substantial state-level variation in treatment rates exist and may reflect differences in covered services, workforce, infrastructure, state characteristics and the nature of their Medicaid payment systems and data.

Self-help treatments, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), may also play a role in treatment but are not included in this analysis. Substance use disorders (SUDs), including opioid and alcohol use disorders (OUDs and AUDs), are a major public health issue affecting millions of Americans. SUDs contribute to a growing number of deaths, with alcohol-induced and opioid overdose fatalities rising sharply in recent years, especially during the pandemic. Opioid overdose deaths grew by 63% during the pandemic, to 81,051 in 2022, and alcohol-induced deaths increased by 31%, to 51,244 in the same year. Despite this, SUDs often go undiagnosed, unrecorded and untreated in healthcare settings.

The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of an AUD. The test is free, confidential, and no personal information is needed to receive the result. Based on clinical experience, many health providers believe that support from friends and family members is important in overcoming alcohol problems. But friends and family may feel unsure about how best to provide the support needed. The groups for family and friends listed below may be a good starting point. Ideally, health professionals would be able to identify which AUD treatment is most effective for each person.

IOPs, which sometimes take place in the mornings or the evenings, may allow individuals to still keep up with their professional responsibilities and maintain income. A person undergoing PHP treatment is under supervision for most of their time in treatment, typically spending their days in care and their nights at home. People who typically benefit from IOT include those with certain mental health conditions and those with substance misuse issues. In the United States, check to ensure the program is in-network with your health insurance as well. You might also find programs that offer out-of-network billing options for insurance.