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  • What Is Inpatient Rehab?What Is Inpatient Rehab?
  • What Is Outpatient Treatment?What Is Outpatient Treatment?
  • Inpatient Vs. Outpatient RehabInpatient Vs. Outpatient Rehab
  • Pros & ConsPros & Cons
  • Which Is More Effective?Which Is More Effective?
  • Which Is Right for Me?Which Is Right for Me?
  • ConclusionConclusion
  • Additional ResourcesAdditional Resources
  • InfographicsInfographics

Inpatient Vs. Outpatient Rehab: Understanding the Differences

Headshot of Hailey Shafir, LCMHCS, LPCS, LCAS, CCS

Author: Hailey Shafir, LCMHCS, LPCS, LCAS, CCS

Headshot of Hailey Shafir, LCMHCS, LPCS, LCAS, CCS

Hailey Shafir LCMHCS, LPCS, LCAS, CCS

Hailey specializes in adults, children, and families with addiction and mental health disorders.

See My Bio Editorial Policy
Maloa Affuembey, MD

Medical Reviewer: Maloa Affuembey, MD Licensed medical reviewer

Published: September 5, 2023
  • What Is Inpatient Rehab?What Is Inpatient Rehab?
  • What Is Outpatient Treatment?What Is Outpatient Treatment?
  • Inpatient Vs. Outpatient RehabInpatient Vs. Outpatient Rehab
  • Pros & ConsPros & Cons
  • Which Is More Effective?Which Is More Effective?
  • Which Is Right for Me?Which Is Right for Me?
  • ConclusionConclusion
  • Additional ResourcesAdditional Resources
  • InfographicsInfographics
Headshot of Hailey Shafir, LPCS, LCAS, CCS
Written by:

Hailey Shafir

LPCS, LCAS, CCS
Headshot of Maloa Affuembey, MD
Reviewed by:

Maloa Affuembey

MD

Inpatient and outpatient rehab programs offer different services, and those struggling with addiction may benefit more from one than the other. Individuals live on-site for inpatient and residential programs and receive constant medical monitoring and frequent therapy sessions. Outpatient treatment is less structured, often including a set number of weekly therapeutic hours while individuals maintain their everyday routines.

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What Is Inpatient Rehab?

Inpatient rehab facilities are most appropriate for those recovering from addiction and offer 24-hour care for a certain period. A typical course of treatment ranges between 10-30 days, depending on the patient, their recovery journey, and the program.

Therapy in Inpatient Rehab

Some rehab programs feature different types of therapy. For example, centers may advertise specialized forms of therapy like art therapy, equine therapy, or more holistic treatments like yoga and meditation. More clinical treatment programs might focus on “evidence-based practices,” like medication-assisted treatment (MAT), that combine behavioral therapy and medications like methadone or suboxone.

Levels of Care in Inpatient Rehab

Inpatient treatments offer different levels of care. Higher-level facilities typically treat those with more severe addictions and include a medical focus, more doctors and nurses on staff, medically monitored detox services, and medication-assisted treatments.1

While high-level facilities may be restrictive (i.e., locked doors and windows, security, and more safety features), lower levels are better suited for those who require less medical intervention. Lower levels of inpatient care tend to focus more on individual and group therapy rather than medically monitored treatments.1

Residential Treatment Centers

Residential treatment centers are technically inpatient treatment programs but are often separately categorized because they offer a less formal treatment setting. Residential treatment programs provide longer-term stays ranging between 30 days and 12 months, sometimes longer. After treatment, some people may transition to a sober living environment before returning to daily responsibilities while maintaining sobriety.

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What Is Outpatient Treatment?

Outpatient rehab is a treatment that includes group therapy, family therapy, or individual therapy. These facilities tend to be staffed by trained addiction counselors and professionals.

Partial Hospitalization Program

A partial hospitalization program (PHP) offers the highest level of outpatient treatment, providing roughly 20 or more weekly hours of structured therapy.1

Generally, PHPs are a step-down for those transitioning from inpatient settings. Individuals in PHP programs often complete group and individual therapy, sometimes in addition to meetings with medical professionals who help comprise their treatment team.

Intensive Outpatient Program

Intensive outpatient programs (IOP) typically include six or more hours of therapy a week.1 IOPs usually offer group, individual, or family counseling sessions. Those enrolled in these outpatient treatment programs learn and practice skills that help them remain sober while relying on group members for support, encouragement, and accountability.

IOPs may also provide periodic appointments with a psychiatrist or other medical professional, as in the case of programs specializing in treating opioid use disorder. Medications help prevent withdrawals and cravings to facilitate recovery.

Outpatient Counseling

Outpatient rehab also exists as standard outpatient counseling. This type of rehab involves meeting with a licensed therapist for one hour once or twice a week. In these sessions, a person receives support as they work toward goals, learn new coping skills, and address underlying issues.

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Inpatient Vs. Outpatient Rehab: What Is the Difference?

There are many differences between inpatient and outpatient treatment. Inpatient rehab is better suited for individuals who need more intensive treatment or structured environments. Patients receive 24-hour support rather than the less frequent services offered through outpatient treatments.

Below are the differences between inpatient and outpatient treatment:1

Inpatient TreatmentOutpatient Treatment
Suitable for individuals requiring 24/7 or high levels of careSuitable for individuals requiring less intensive care
Generally more expensive More affordable option
Includes daily individual and/or group therapyLess frequent individual and group therapy sessions
Provides 24/7 access to medical supportDoes not provide medical support
Provides comprehensive treatment, sometimes alongside detoxProvides comprehensive treatment, sometimes alongside detox
Used for short-term purposesOffers long-term treatment

Inpatient Vs. Outpatient: Pros & Cons

As with any treatment, inpatient and outpatient treatment have advantages and drawbacks. Everyone in alcohol or drug addiction recovery has different treatment needs, and some people may benefit more from one rehab setting than another.

Benefits of inpatient rehab for addiction include:1

  • Medical assistance with withdrawal
  • Drug and alcohol-free environments for those otherwise unable to avoid substances
  • Support for those with serious health or mental health issues that impact recovery
  • Reduced risk of overdosing for those with a history of overdoses

Drawbacks of inpatient rehab for addiction include:

  • Insurance may not cover treatment
  • Inability to fulfill family, work, and life responsibilities
  • Lack of local inpatient treatment options
  • Highly structured, restricted care and environment

Benefits of outpatient treatment for addiction include:

  • Less intensive treatment options
  • Offers regular drug screenings
  • Includes a mix of group and individual therapy
  • Ability to maintain life responsibilities
  • Flexible schedules available
  • Comprehensive treatment with medication and therapy

Drawbacks of outpatient treatment for addiction include:

  • Higher risk of relapse
  • Higher risk of overdose
  • Lack of medical support when experiencing withdrawal
  • High deductibles or lack of coverage
  • Concerns about confidentiality or privacy in group settings

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Inpatient Vs. Outpatient Treatment: Which Is More Effective?

Different people benefit from different treatments. Previous research on whether inpatient rehab is more effective than outpatient rehab has failed to provide a concrete yes or no. The answer, it seems, is highly individualized.

Research on whether inpatient rehab is more effective than outpatient rehab has failed to provide a concrete answer. People with more severe addictions appear to benefit more from inpatient treatment and vice versa.2 However, one study shows that, for most individuals, outpatient treatment programs were just as effective as inpatient programs.3

One of the most significant factors in treatment effectiveness is what occurs after programs end. Those who complete either inpatient or outpatient treatment are more vulnerable to relapse if they do not receive follow-up care. Those who diligently attend ongoing counseling and addiction support groups are more likely to sustain recovery.3,4

Is Inpatient or Outpatient Rehab Right for Me?

Ultimately, people should apply what they know about their situation to determine which treatment is right for them. Inpatient and outpatient treatment options can both be effective, but certain factors make one more appropriate.

Below are factors to consider when choosing between inpatient and outpatient rehab:

  • Amount of time and money for treatment: Inpatient and intensive outpatient treatment programs are generally more expensive and restrictive than simple outpatient counseling. Consider your responsibilities and insurance options before choosing which program is best.
  • Severity of the addiction: Inpatient rehab may be better suited for those at risk of medically dangerous withdrawal symptoms.
  • Goals for recovery: Individuals who want to abstain from drugs and alcohol may benefit more from structured inpatient rehab programs. Those wishing to moderate their use may be better suited for outpatient treatment.
  • Level of support needed: Those with strong support networks whom they can count on may need less intensive treatment than those without these supports.
  • Past recovery efforts: Inpatient rehab may be the best treatment route for those unable to maintain sobriety in outpatient settings.

Final Thoughts

Inpatient and outpatient rehab are both beneficial programs for those struggling with drug and alcohol addiction. Each facility will offer different services, so consider your individual needs before determining which treatment is best for you.

Additional Resources

To help our readers take the next step in their mental health journey, ChoosingTherapy.com has partnered with leaders in mental health and wellness. ChoosingTherapy.com is compensated for marketing by the companies included below.

Online Treatment for Opioids or Alcohol, Including Medication.

Workit Health – Modern, personalized recovery that combines medication, a supportive community, and helpful content. Covered by many insurance plans. Currently available in FL, TX, OH, MI, and NJ. Visit Workit Health

Alcohol Treatment – Cut Back or Quit Entirely

Ria Health – Quickly change your relationship to alcohol with our at-home program. On average, members reduce their BAC levels by 50% in 3 months in the program. Services are covered by many major health plans. Visit Ria Health

Drug Addiction Rehab Centers

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Telehealth Treatment for Opioid Use Disorder

Bicycle Health – offers therapy, support, and medication for addiction treatment (MAT).  MAT offers the lowest relapse rates for opioid use disorder, helping people to stop using opioids with minimal physical discomfort. Covered by most major insurance. Visit Bicycle Health

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For Further Reading

  • Mental Health America
  • National Alliance on Mental Health
  • MentalHealth.gov

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Best Online Medication-Assisted Treatment Programs

Online medication-assisted treatment programs are fairly new to the telehealth industry, but existing companies are expanding quickly with new programs emerging every day. It’s important to explore your options and understand the level of virtual care available so you can choose the best addiction treatment program for you.

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Best Mindful Drinking Apps

If you’re thinking about joining the sober curious movement and you’d like to cut back on drinking, mindful drinking apps are a great place to start. Practicing mindful drinking can take some time, attention, and patience, but with the help of the right app, you can completely transform your relationship with alcohol.

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Inpatient Vs. Outpatient Rehab Infographics

Inpatient Vs. Outpatient Rehab   Inpatient Vs. Outpatient Rehab   Is Inpatient Or Outpatient Rehab More Effective?

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Sources Update History

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Mee-Lee, D., et al. (2013). The ASAM criteria: Treatment Critieria for Addictive, Substance-Related, and Co-occurring Conditions. Carson City, NV: The Change Companies.

  • Rychtarik, R. G., et al. (2000). Treatment settings for persons with alcoholism: Evidence for matching clients to inpatient versus outpatient care. Journal of Consulting and Clinical Psychology, 68(2), 277–289. https://doi.org/10.1037/0022-006X.68.2.277

  • McCarty, D., et al. (2014). Substance abuse intensive outpatient programs: assessing the evidence. Psychiatric services (Washington, D.C.), 65(6), 718–726. https://doi.org/10.1176/appi.ps.201300249

  • Mojtabai, R., & Zivin, J. G. (2003). Effectiveness and cost-effectiveness of four treatment modalities for substance disorders: a propensity score analysis. Health services research, 38(1 Pt 1), 233–259. https://doi.org/10.1111/1475-6773.00114

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We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

September 5, 2023
Author: No Change
Reviewer: No Change
Primary Changes: Edited for readability and clarity. Reviewed and added relevant resources.
July 22, 2020
Author: Hailey Shafir, LCMHCS, LPCS, LCAS, CCS
Reviewer: Maloa Affuembey, MD
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