60-Day Substance Abuse Rehab Centers
Although 28- and 30-day drug recovery programs are common, some people need more time in treatment before they return to the challenges of everyday living. Many people spend the first 30 days of treatment detoxing and adjusting to being clean. During this time, they may uncover issues that they will need to continue to work on.
Spending more time in treatment can provide more time to focus on learning new skills and healthy habits, staying clean from drugs and alcohol, and working through the underlying factors of your substance abuse. That’s where 60-day rehab centers come in. These programs give you an extra month to get used to sobriety and begin to make positive changes.
During the first 30 days of treatment, you can expect a fairly structured program:
- Assessment: Undergoing a thorough, professional evaluation of your substance abuse problem and any medical or mental health issues is the first step in treatment.
- Individual treatment plan: Meeting with a doctor or addiction treatment professional to establish a clear treatment plan will ensure that your needs are met throughout the program.
- Detox: Clearing all of the substance out of your body through sustained abstinence is an important early step in recovery. This process can take different amounts of time depending on the substance and the average dose regularly used before treatment.
- Therapy: Counseling and therapy can provide valuable insight during treatment. You can engage in many different forms of therapy, including individual, group, 12-step, or any combination of these.
- Dual diagnosis: Some people struggle with substance abuse as well as a mental health issue. This is known as a dual diagnosis, or co-occurring disorders, and it requires extra care to address both issues simultaneously.
The second 30 days of treatment involve more personal development that can better prepare you for life outside the program:
- Adjust to sobriety: It takes time to adjust to your new, sober lifestyle. The beginning of abstinence can be a vulnerable time, and having more time to adjust to a life without drugs or alcohol in a safe, sober environment can make a huge difference.
- Personal exploration: More time in a recovery program means more time to explore the roots of addiction and mental health issues. Many factors contribute to the development of these issues, and gaining a better understanding of why they have developed can allow you to face challenges in the future.
- Relapse prevention: You can develop many skills to help resist relapse. The more time you have to work on these skills, the better prepared you will be in the face of future temptations.
- Discharge and aftercare: As your 60-day drug and alcohol program nears completion, you will meet with a program professional to talk about life after rehab and aftercare services. Many people work with multiple aftercare programs to receive the support and care they need to maintain sobriety.
Sixty-day inpatient rehab programs use a number of different therapies. Some common ones include:1
- Cognitive behavioral therapy (CBT): This therapy helps you identify substance abuse triggers and avoid situations where you will be tempted to use.
- Motivational enhancement: You develop your own motivations for change and construct a clear plan to enact these changes.
- Family behavior therapy: You engage your family in the therapy process to address the substance abuse problems and how they affect the entire family unit, including how your family can help you through recovery.
- Contingency management/motivational incentives: In this therapy, you can earn rewards for reaching sobriety goals.
- Community reinforcement: Sobriety is enhanced through social, family, vocational, and recreational incentives.
- 12-step facilitation: Twelve-step groups focus on community sobriety support. They promote a spiritual approach to help you acknowledge your substance abuse, accept it, and make amends to those you have harmed as you move forward in recovery.
In some cases, specific medications can assist in the recovery process, though this approach is most effective when combined with psychotherapy. Medications will vary by abused substance and can include:2
- Antidepressants: Some withdrawal syndromes are associated with depression. If these symptoms are severe, antidepressants can help boost mood and make detox more comfortable.
- Antipsychotics: Some people may have hallucinations or other delusions during withdrawal, and antipsychotic medications can reduce these distressing symptoms.
- Methadone: This medication is used to help with opioid abuse recovery. Methadone reduces cravings and the discomforts of withdrawal.
- Buprenorphine: This medication is also used to treat opioid dependence. It reduces cravings without the euphoric high of other opioids.
- Naltrexone: This medication blocks opioid receptors, which can help with recovery from both opioid and alcohol abuse.
- Acamprosate: This drug can reduce the discomforts associated with protracted alcohol withdrawal, including insomnia, anxiety, and restlessness.
- Antabuse (disulfiram): This medication causes an unpleasant reaction (palpitations, flushing, and nausea) when a person drinks alcohol. It is used to help discourage continued drinking to further help those in alcohol abuse recovery.
When formal treatment ends, long-term recovery begins. Many programs provide aftercare services, which can be an incredible source of support to help you maintain abstinence. In fact, engaging in aftercare has been associated with lower rates of relapse and longer sustained abstinence.3, 4
Ongoing therapy and counseling can help you continue to dissect the factors underlying the substance abuse problem. You can also keep developing your relapse prevention skills so that they are even more resilient in the face of temptations.
You can also make sober living arrangements to help reduce temptations outside the program. Living among recovering peers not only fosters sobriety, but it can also help you develop a support system. These communities can help keep your home life free from risky relapse scenarios, and you’ll be surrounded by people who understand the challenges of recovery.These programs are free and organized by recovery community members.
Another excellent option for post-program care is to attend self-help groups, such as 12-step groups, SMART Recovery, and numerous others. These programs are free and organized by recovery community members to build a network of peers for people working through recovery. Because they are free to join, some people attend these groups for years after they complete a formal treatment program.
Deciding Between Programs
When considering various 60-day rehab centers, there are some key factors to examine:
- Insurance: Be sure to ask whether the program accepts your insurance. If you do not have insurance, ask about payment options and explore the many different ways that you can still pay for treatment.
- Cost: Every 60-day drug and alcohol rehab will have a different cost, depending on a number of factors including program type, location, and amenities offered.
- Amenities: Programs vary in their level of comforts offered, including room and housing quality, food, recreational options, and other services. Many people leaving treatment listed amenities as a very important feature to consider when looking for a treatment program.5
- Treatments: Different programs take different treatment approaches, from holistic practices to evidence-based treatment. Believing in and agreeing with these treatment practices can make a big difference in your recovery experience.
- Location: There may be programs closer to where you live. But be sure to consider that an out-of-state or out-of-county program may better suit your needs and provide better care for you during recovery.
- Staff: Program staff should have the experience and expertise necessary to provide high-quality care.
- Policies: Be sure to take into account treatment center policies regarding free time, visitors, and phone and Internet access when looking at programs.
- Reviews: Some programs have reviews online from alumni. Check out these reviews to make sure the program provides positive client experiences.
Every program will have a different cost. Sixty-day inpatient rehab programs tend to cost $300-$750 per day, and many different factors can affect this price.6 These factors include:
- The length of treatment. Longer treatment will cost more in total price, but generally cost less per day.
- The location of the program. Rural programs tend to cost less than urban ones, and sometimes traveling out of state offers the best treatment fit.
- The insurance that a program accepts. Depending on your insurance plan, some of the cost of a 60-day recovery program can be covered. If you do not have insurance or if the program you want does not accept your insurance, there are many different ways to finance recovery now and pay over time. These include loans, health care credit cards, and crowdfunding.
- The luxuries a program provides. Programs vary in their amenity offerings. Food quality, room quality, recreational options, and any extra services, such as spa service, will all have an impact on the daily cost of a program.
- National Institute on Drug Abuse. (2012). Behavioral Therapies. Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).
- National Institute on Drug Abuse. (2012). Pharmacotherapies. Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).
- Moos, R. H. & Moos, B. S. (2006). Rates and predictors of relapse after natural and treated remission from alcohol use disorders. Addiction, 101(2). 212-222.
- Ouimette, P. C., Moos, R. H., & Finney, J. W. (1998). Influence of outpatient treatment and 12-step group involvement on one-year substance abuse treatment outcomes. Journal of Studies on Alcohol, 59(5). 513-522.
- Recovery Brands. (2016).
- American Addiction Centers. (2017).