How to find Detox in California
Quitting alcohol, illegal/prescription drug addiction can be traumatic. If you’re in California, here are treatment options to help in your withdrawal.
Takeaways from this article:
Types of rehab in California
How to pay for detox in California
State-funded rehab in California.
In Los Angeles, San Diego County, Orange County, Laguna Beach, or any other part of Southern California, there are an exceptional amount of treatment options. The many choices available could leave many Californians wondering, “how do I pick the right rehab program for me?”
This guide will help you understand the type of treatment programs available in California and how to access treatment for yourself or your loved one. Using data gathered from the Substance Abuse and Mental Health Services Administration (SAMHSA), this guide will also provide you a better understanding of how you can access those treatment programs.
Types of Alcohol & Drug Rehab in California
When it comes to addiction treatment, there are several different types available. The most widely recognized types of care are detox, inpatient treatment, and outpatient treatment.
The table below showcases the number of rehab facilities in California that offer each level of care:
|Type of Care, by number and percent|
|Day Treatment/Partial Hospitalization||265||17.64%|
|Methadone/buprenorphine maintenance or naltrexone treatment||283||18.84%|
Detox Centers & Withdrawal Treatment
Detox is most often recommended required for benzos (Xanax, Klonopin, Ativan, etc) or alcohol addiction but is not limited to painkillers/opioids, methamphetamines, or other drugs. Also known as withdrawal treatment, detox tends to be the first step for many people struggling with addiction and manage their physical dependency on drugs or alcohol and safely stabilize before entering another treatment program.
Through support through medication or supervision, detox manages uncomfortable and sometimes dangerous side effects of withdrawal. Some symptoms can even be lethal, such as delirium tremens.
If left untreated, more serious cases can experience seizures and, in the most extreme cases, death. This is why detox & withdrawal treatment focuses on safe stabilization with medical supervision before attending a long-term addiction therapy program. Additionally, professionally supervised detox improves the likelihood of relapse prevention.
In short, if you are considering attending treatment for the first time, you may want to consider detox as opposed to the other lower levels of care like inpatient and outpatient treatment.
Inpatient & Outpatient Treatment
An inpatient rehab program is the most intensive type of addiction treatment available. For people that have the hardest time with alcohol or drug abuse, inpatient rehab programs provide regular therapy and support for those struggling with addiction.
Inpatient treatment is a type of level of care in addiction treatment that a patient may enroll in either after attending detox or by recommendation of their physician. Inpatient treatment requires the patient to live on-site and adhere to the programming of treatment services, which may include therapy, support group sessions, one-on-one therapy, and more. Longer-term programs operating in this model are called residential treatment programs.
Outpatient treatment is a good option for people who have completed inpatient rehab or have been recommended it by a physician or provider. Rather than living in a residential setting, the person is able to return to their normal routines while setting aside time for group and individual therapy sessions throughout the week.
The last thing to consider when choosing a treatment program is its specialization. For instance, American Addiction Centers specializes in the dual-diagnosis treatment model. This means that we specialize in treating co-occurring disorders (mental health disorders occurring alongside drug or alcohol addiction). Other facilities could specialize in holistic therapies like yoga & meditation. Some rehab centers are even wilderness-based. So with that said, once you have figured out which type of substance abuse treatment is right for you, be sure to learn what that treatment provider specializes in too and keep in mind that your treatment plan will depend on your personal circumstances and the recommendation of your treatment provider.
Paying for Treatment in California
Addiction treatment spending in the U.S. is projected to reach $42 billion in 2020. While that number pales in comparison to the $600 billion annually that substance abuse costs the nation, paying for treatment in California can be expensive.
As a result, after considering what type of treatment is the best fit, the most common concern for people interested in attending rehab or detox is how they will pay for treatment. There are several items to consider when choosing a provider to ensure that the facility will suit your needs. The first of which is deciding whether or not you will attend a state-funded facility or a privately owned one. The second will be choosing how to pay for treatment.
State-Funded vs. Private Treatment in California
There are several major differences between state-funded and private addiction treatment in California.
Private programs are typically attended by individuals who have personal financial means or employer-based health insurance that will cover the costs of the program. These programs generally have higher quality amenities, can have a greater staff to patient ratio, and don’t have limitations that government or state-funded programs might.
Government and state-funded programs may be more accessible to those who do not have private insurance of personal funds to cover private treatment. However, they also tend to accept patients on an as-needed basis. This means that those with the most severe addictions usually receive treatment first, while others may be placed on a waitlist.
The following table breaks down the number of facilities by whether they are private non-profit, private for-profit, locally-funded, state-funded, or federally-funded so that you can understand what type of treatment centers are available in California.
|Facility Operation, by number and percent|
|Private for Profit||562||37.42%|
|Local, county, or community government||136||9.05%|
California Rehab Center Payment Options
While the dollars spent on rehab via private insurance has remained mostly stable, the share of total alcohol and other drug treatment expenditures has declined since 1986. Back then, private insurance contributed nearly 30 percent to the treatment of alcohol and other drugs. While the Affordable Care Act (ACA) has mandated that all plans cover substance use disorder treatment, not everyone is able to afford an ACA plan through the Marketplace.
Roughly 7.2 percent of the California population is still uninsured. Although this may be disheartening to those seeking treatment without insurance, this should not stop people from attempting to find the treatment they need.
The table below breaks down the typical payment methods used and how many facilities in California accept each payment type so you can understand the type of options you may have to pay for treatment.
|Facility Payment Options, by Number and percent|
|Cash or self-payment||1,244||82.82%|
|Private Health Insurance||875||58.26%|
|State-financed Health insurance||381||25.37%|
|Federal military insurance||243||16.18%|
|No payment accepted (free treatment for all clients)||71||4.73%|
|IHS/Tribal/Union (ITU) funds||207||13.78%|
|Sliding fee scale||876||58.32%|
|Treatment at no charge or minimal payment for clients who can’t pay||693||46.14%|
As you can see in the table above, 875 of the total 1,502 treatment facilities in California accept private insurance, 1,244 also accept cash or self-payment. At least 381 of the 1,502 accept state-financed health insurance and 243 accept federal insurance plans. While not having a private insurance plan could limit your options, always remember that there are plenty of treatment facilities out there to help you.
California Treatment Center Accreditations
Once you have decided what type of level of care would best suit you and what kind of provider is the best fit for your payment method, you should next consider the accreditation of the facility you are considering.
Accreditations are an important part of selecting the right treatment provider. In California, you can find board-certified addiction-medicine doctors on the California Society of Addiction Medicine website and you can also check the website of the California Consortium of Addiction Programs and Professionals. Leveraging these tools can help you identify reputable providers and weed out any potentially unscrupulous facilities.
Additionally, the Commission on Accreditation of Rehabilitation Facilities (CARF) accredits operators worldwide at the request of health and human service providers. The Joint Commission Accreditation for Addiction Treatment Providers (often referred to simply as the Joint Commission) also provides accreditation to service providers.
Please note that in California the state does not require licensing requirements to operate an outpatient addiction or mental health treatment program. While many states require operators to become licensed and adhere to certain standards, California only offers an optional IOP certification for adult alcohol and drug treatment programs. Instead, many operators look to the CARF for best practices and standards.
The table below breaks down the typical accreditations along with the number of facilities who hold each type of accreditation:
|Facility Licensing, Certification, or Accreditation, by number and percent|
|Any listed agency/organization||1,404||93.48%|
|State substance abuse agency||1,120||74.57%|
|State mental health department||244||16.25%|
|State department of health||756||50.33%|
|Hospital licensing authority||48||3.20%|
|The Joint Commission||282||18.77%|
|Commission on Accreditation of Rehabilitation Facilities (CARF)||427||28.43%|
|National Committee for Quality Assurance (NCQA)||49||3.26%|
|Council on Accreditation (COA)||71||4.73%|
|Healthcare Facilities Accreditation Program (HFAP)||10||0.67%|
|Other national organization or federal, state or local agency||55||3.66%|
As you can see, regardless of how you plan to pay for treatment or what type of treatment you are looking for, there are a number of reputable providers with accreditations serving the state of California.
Finding a Local California Detox Center
Struggling with Withdrawal can be the most difficult part of achieving sobriety. It can also be the most dangerous. At American Addiction Centers, our mission is to help people achieve sobriety safely and effectively. As a leading provider of addiction treatment, we operate facilities all across the nation. One of which is in Orange County.
If you are looking for help and aren’t sure where to start, give our confidential helpline a call. You’ll speak with one of our admissions navigators. Their purpose is to answer your questions and help you find treatment either at one of our facilities or educate you on where you may be able to find treatment if we are not a fit.
 “Drug Overdose Mortality by State,” National Center for Health Statistics, cdc.gov, April 29. 2020. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm
 “What is Alcohol Withdrawal?” WebMD, WebMD.com. https://www.webmd.com/mental-health/addiction/alcohol-withdrawal-symptoms-treatments#1.
 Health Aff, “Despite Resources From the ACA, Most States Do Little to Help Addiction Treatment Programs Implement Health Care Reform,” U.S. National Library of Medicine National Institutes of Health, May 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706741/
 Cathie Anderson, “More Californians Got Health Insurance Annually Over 4 Yeas. Here’s Why the Rate Stalled,” Sacramento Bee, September 13, 2019, https://www.sacbee.com/news/local/health-and-medicine/article234997637.html
 “Legal Changes in California Behavioral Health and Addiction Treatment Industries: Key Takeaways,” Nelson Hardiman Healthcare Lawyers, October 21, 2019, https://www.nelsonhardiman.com/legal-changes-in-california-behavioral-health-and-addiction-treatment-industries-key-takeaways/