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90-Day Alcohol And Drug Rehab Centers

Jennifer Cousineau MSCP, LPCI, NCC

Medically reviewed by

Jennifer Cousineau MSCP, LPCI, NCC

January 23, 2019

90-day drug and alcohol rehab programs, also referred to as long-term residential programs, provide inpatient care for 90-days or more in an approved facility. Treatment modalities can vary from program to program, but it is common with 90-day programs to combine a variety of evidence-based methods to ensure individuals have the best chance of a successful recovery.

90-day facilities often offer unique treatment programs such as:

  • Medical detox
  • Behavioral therapies (CBT, DBT, etc)
  • Biophysical treatment
  • Holistic treatment
  • Traditional care
  • Relapse prevention

Aftercare services or outpatient rehab options are also common with 90-day rehab programs.

Is A 90-day Rehab Center Right For Me?

90-day rehab programs may seem like too big of a commitment for some individuals. The idea of leaving home, family, a job, or other major aspects of an individual’s life may seem like a big sacrifice for both the affected party and his/her loved ones. That being said, there are situations that require longer-term treatment like that offered through these types of facilities. These can include:

  • Any severe drug addiction. This can include crack cocaine, cocaine, heroin, methamphetamine, alcohol, prescription opioid abuse, benzodiazepine, and other prescription drug addiction.
  • Anyone who has been using drugs for an extended amount of time. Some experts suggest that someone who has been struggling with a substance abuse problem for more than 6 months to a year who cannot stop using, despite attempts, is a good candidate for a 90-day rehab.
  • An individual who has tried shorter-term programs and failed. For anyone who has experienced this first-hand, failing at rehab can be a difficult and frustrating process. However, the problem could be as simple as the fact that the treatment just was not long enough to produce the desired result or that it was not the right type of program to fit basic needs.
  • Someone who has had major problems due to their abuse issues. This could be things like getting arrested, committing crimes because of addiction, suffering from an overdose, or other medical problem because of drug use.
  • Anyone who is looking to make a significant lifestyle change when it comes to their relationship with drugs or alcohol. 90-day treatment programs are not limited only to those with a life-threatening or severe addiction. It is not uncommon for individuals struggling with any type or severity of drug addiction to participate in a longer program to truly turn their lives in another direction.

Who Is A Good Candidate For A Medical Detox?

A supervised medical detox is often the first step in treatment for individuals suffering with an addiction to benzodiazepines, alcohol, and opioids.

Medical detox is intended to allow for the safe and comfortable (as comfortable as possible, at least) detox of individuals suffering from addiction to drugs with life-threatening withdrawal symptoms. For some drugs, like alcohol, the withdrawal symptoms can be so severe that it is unsafe to just stop taking the drug cold turkey. Seizures are a common severe withdrawal symptom of alcoholism and can result in death if not handled appropriately by a medical professional.

During a medical detox, clients will have 24-hour clinical supervision and their vitals will be monitored during every phase of the detox. In some cases, additional medications may be used to help facilitate the safe and comfortable detox from a drug.

Medical detox programs focus almost entirely on the withdrawal and detox process and do not treat the mental and emotional factors of addiction. A medical detox should be followed by an inpatient residential rehab program where the client will have access to therapists and counselors who can help them establish a foundation for their recovery.

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What Are The Benefits Of Inpatient Treatment?

Studies from the National Institute on Drug Abuse (NIDA) have shown that while shorter programs (30-60 days in length or less) can be effective for some; they were not long enough to truly resolve substance abuse problems for long-term, severe, or heavily addicted users. Relapse is often a risk for individuals with severe or long-term addiction, and often additional or extended treatment is necessary to reduce this risk and work towards a permanent recovery.

In a researched based guide by NIDA called Principles of Drug Addiction Treatment, it is reported that those struggling with substance abuse need 3 months or more in a rehab facility to achieve the best results.” Additionally, the guide states that spending this amount of time in treatment will “significantly reduce or stop their drug use.”

When it comes to addiction treatment, the goal for a client is to retrain their behavior and emotions when it comes to handling past trauma or drug addiction. This requires time, patience, and practice, which can all be accommodated by a 90-day program. With shorter programs, clients may not have enough time to utilize the coping skills and mechanisms they learned during inpatient rehab and successfully apply them in the real world.

What Types Of Therapies Are Provided With Inpatient Rehab?

Below are some of the treatment programs that can be found at inpatient drug and alcohol rehab centers across the country:

  • Cognitive Behavioral Therapies – Many inpatient programs will offer a variety of treatment modalities that balance both the emotional and behavioral aspects of addiction. Examples of these therapies include: Dialectical Behavioral Therapy (DBT), Motivational Interviewing (MI), Rational Emotive Behavior Therapy (REBT), and Eye Movement Desensitization and Reprocessing (EMDR). While these types of therapies may not work for everyone, there are many approaches that can be tailored to a client specifically to better nurture the desired results.
  • Holistic Therapies – For some individuals, therapies based around a completely natural or holistic approach are desired. Meditation, yoga, mindful practices, aromatherapy, and music therapy are all methods of holistic therapy that could be beneficial in drug rehabilitation.
  • Family therapy – In some cases, family therapy may be a beneficial way to help provide support for a client. Family therapy will sometimes involve a client’s immediate family or loved ones to participate in some counseling sessions and giving their views on how the client’s addiction has affected their lives, and how they want to support the client moving forward.
  • Group therapy – Group therapy is commonly used in many types of rehabilitation. When clients are participating in conversation with a group of their peers, they are able to see that they are not alone in their struggle. This can help them feel less alienated during a time in their lives when they might feel very alone.

Are All Rehab Centers The Same?

The simple answer to this question is no, rehab centers can vary drastically from facility to facility. Finding a rehab center that can address the needs of a loved one or yourself can feel overwhelming at times, but understanding what you are looking for can help make the search a little more straightforward. Before beginning your search, you should identify key requirements that are important to your loved one or yourself.


Different rehab facilities can offer varying levels of luxury. On one end of the spectrum, there are facilities that offer every amenity imaginable and house clients in luxury mansions, and on the other end, there are bare-bones rehab facilities that offer the essential basics of addiction recovery. There are rehab facilities built for every budget, but it is important to recognize what your insurance will and won’t cover, and how much you are able to cover out of pocket, before beginning your search.


Many rehab centers will offer specific amenities to their clients to encourage them to become fully immersed in their program and feel more comfortable in their temporary home. Everything from fitness centers to miles of pristine hiking trails and anything in-between can make a huge impact when it comes to succeeding in an addiction recovery program.

Modalities Of Treatment

Treatment modalities, or approaches to treatment, can also vary from facility to facility. Modalities are a very important aspect of treatment to consider prior to choosing a rehab facility, as each client may succeed more with one modality than another. Treatment Modalities can include anything from Eye Movement Desensitization and Reprocessing (EMDR) and Motivational Interviewing (MI) to behavioral therapies such as Dialectical Behavioral Therapy (DBT) and Rational Emotive Behavior Therapy (REBT).

Speciality Facilities

Some drug rehab facilities cater to specific populations such as all male, all female, religious, or holistic/natural clients. These facilities would be a good option for someone who would like to go through treatment alongside others that share a similar characteristic or belief as yourself. Religious facilities can help utilize spirituality as one of the applied treatment modalities. All male or all female facilities can sometimes take social pressure off the clients to immerse them in an environment that may feel more connected or more supportive to them.

Why Choose A 90-Day Program?

For a significant number of individuals who are addicted, choosing the ‘right’ rehab can eventually boil down to a ‘life or death’ situation. Addiction has ruined countless lives over many decades, stretching far beyond its negative health repercussions to affect everything from careers to families and even impacting the country’s economy.

Long-lasting and permanent treatments are vital when it comes to fighting back against addiction. Finding a program with the highest level of care that allows clients to be in a drug free environment for the longest period of time is often a client’s best chance at a permanent recovery.

Despite the growing problem of addiction in our country, there are still only a small percentage of individuals struggling with addiction that actually receive the treatment they need. If you have a loved one that is willing to receive rehabilitation for their substance abuse problem, the best decision you can make is to invest in a program that delivers long-term treatment and reduces the chance of a relapse in the future.

Get Help For Your Loved One Today

Does a 90-day rehab program sound like an option that could be a good fit for your loved one? Do you have more questions about programs like these? Our addiction treatment specialists are standing by day or night to take your call and answer any additional questions you may have regarding getting your loved one the treatment they need. Give us a call today and get your loved started down the path to recovery.

National Institute of Drug Abuse (NIDA) - Therapeutic

Psychology Today- - What is DBT? -

National Institute of Health (NCBI, NIH) - Dialectal Behavioral Therapy

Washington State Department of Health and Human Services - Substance Use Treatment Services

JAMA Network - Predicting Response to Alcohol and Drug Abuse Treatments

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