How to find rehab in Delaware
Finding detox in Delaware can be difficult. Here's everything you need to know about DE rehab options and how to find local treatment as soon as possible.
Takeaways from this article:
Types of rehab in Delaware
How to pay for detox in Delaware
State-funded-rehab in Delaware
Delaware’s substance abuse mortality rate is above the national average of 20.7 per 100,000.  The overdose mortality rate is 48 per 100,000 people in the “First State.” The rate is the equivalent of 435 people per 100,000 that perished due to an overdose in 2018.  Addiction and substance abuse have destroyed thousands of Delaware residents’ lives, but this trend does not have to continue. The American Addiction Centers is committed to helping Delaware citizens find treatment programs and payment advice to help you or a loved one overcome addiction.
Below, you will discover comprehensive information on treatment program options available in Delaware. Additionally, there is information on finding accredited programs and facilities and details on the type of payment options available for substance abuse addiction treatment. Together, we can bring healing and understanding to the citizens of Delaware who suffer from drug abuse.
Delaware Withdrawal Treatment Options
Successful recovery from drug addiction is a multi-step process. The first step is detoxification. The detox process removes the additional substance from the body and is typically done in an inpatient facility.  This step is necessary to remove the body’s dependence on the addictive substance. Once the addictive substance is removed, the mind and the body is ready for the next step.
However, detoxification is often stressful and painful. Fortunately, many clients offer a medically supervised detoxification program that alleviated stress and pain. Once the detox is complete, the patient will start receiving counseling to address the social, behavioral, and psychological issues related to substance addiction. 
Support and counseling services are offered in an inpatient or outpatient facility. In an inpatient facility, the patient lives on the premises and has access to medical staff day and night. In an outpatient setting, the patient attends counseling at the facility but still lives at home. The outpatient option allows the patient to fulfill work and family obligations and receives counseling. No matter which type you choose, both facility types offer counseling therapy to help you overcome addiction.
Listed below are the number of treatment facilities in Delaware that offer each level of care:
|Type of Care, by number and percent|
|Day Treatment/Partial Hospitalization||5||12.50%|
|Methadone/buprenorphine maintenance or naltrexone treatment||23||57.50%|
Paying for Withdrawal Treatment in Delaware
Affordability is the number one reason many without health insurance choose to forgo treatment in substance abuse facilities.  Getting substance abuse treatment can be expensive. The average costs for inpatient care range from $5,000 to $20,000 for 30 days. Outpatient care is less expensive, averaging from $3,000 to $10,000 for 90 days. Most patients pay for substance abuse treatment with private or government health insurance.
Private facilities are the popular choice for those with health insurance to the diversity of services, many amenities, and lower patient-to-staff ratios. If you do not have insurance provided through an empower or financial severity, state-funded facilities are an affordable option to receive treatment. These facilities may not offer many amenities or have a low staff to patient ratio, but they are a viable option to get quality care for substance abuse. Through the Affordable Care Act (ACA), Delaware expanded Medicaid eligibility to adults.  This expansion allows more individuals to qualify for state-funded insurance, giving them more access to quality treatment in substance abuse facilities.
State Funded Rehab vs. Private Rehab in Delaware
Treatment facilities are either private or state-funded. Private facilities offer personalized care but are primarily funded by private health insurance, which covers nearly all the costs for treatment. A state-funded facility will not provide as many amenities or diversity in treatment options due to limited funding. However, for patients without health insurance or financial security, a state-funded facility can help you overcome addiction for little to no cost.
State-funded facilities received grants and money from government-sponsored programs such as Medicare. Patients wishing to obtain treatment in a state-funded facility must qualify first due to limited funding. The qualification process is determined by an individual’s income and the severity of the addiction.  Severe cases are admitted first, and there is often a waiting list for treatment.
The table below lists the number of Delaware facilities by private non-profit, private for-profit, locally funded, state-funded, or federally funded.
|Facility Operation, by number and percent|
|Private for Profit||19||47.50%|
|Local, county, or community government||0||0.00%|
Regardless of your current health insurance status, there are many substance abuse treatment options in Delaware.
Private Detox & Rehab Insurance Coverage
Other RehabPayment Options in Delaware
There are 40 substance abuse treatment clinics in Delaware, and nearly all of them accept private insurance. At least 23 clinics accept state-financed health insurance, and 23 accept federal military insurance plans. Many of these facilities also offer other options for payment.
Delaware’s uninsured rate is 5.7 percent, which is slightly lower than the national uninsurance rate of 8 percent.  Many treatment facilities in Delaware have financial assistance programs in place to help you meet the expense of substance abuse care in their facility.
The table below lists the payment methods used and how many Delaware facilities accept each payment type are listed below.
|Facility Payment Options, by Number and percent|
|Cash or self-payment||39||97.50%|
|Private Health Insurance||38||95.00%|
|State-financed Health insurance||23||57.50%|
|Federal military insurance||23||57.50%|
|No payment accepted (free treatment for all clients)||0||0.00%|
|IHS/Tribal/Union (ITU) funds||1||2.50%|
|Sliding fee scale||30||75.00%|
|Treatment at no charge or minimal payment for clients who can’t pay||15||37.50%|
Exactly 95 percent of Delaware treatment centers accept private insurance, around 48 percent accept Medicare, and 95 percent accept Medicaid payments. For clients with lower income or uninsured patients, 75 percent of the facilities use a sliding fee scale based on income, and 37.5 percent provide treatment at no charge or a minimal amount.
Delaware Rehab Licenses & Accreditations
There are three central accrediting bodies for addiction treatment facilities. The first one is SUPPORT or The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment of 2018 for Patients and Communities Act.
- SUPPORT, short for “The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment of 2018 for Patients and Communities Act” certifies that treatment and care administered to patients meets nationally recognized guidelines for quality and uniform behavioral health care. 
- The Commission on Accreditation of Rehabilitation Facilities (CARF). CARF will help you find an accredited facility or practitioner and evaluate addiction treatment in the U.S. and Canada facilities.
- The Joint Commission Accreditation for Addiction Treatment Providers (Joint Commission) is the largest accrediting body for medical facilities and hospitals and is the second-largest substance abuse program.
The table below lists the typical accreditation types or licenses to help you understand the number of accredited facilities and how common they are.
|Facility Licensing, Certification, or Accreditation, by number and percent|
|Any listed agency/organization||31||77.50%|
|State substance abuse agency||28||70.00%|
|State mental health department||15||37.50%|
|State department of health||16||40.00%|
|Hospital licensing authority||2||5.00%|
|The Joint Commission||12||30.00%|
|Commission on Accreditation of Rehabilitation Facilities (CARF)||15||37.50%|
|National Committee for Quality Assurance (NCQA)||0||0.00%|
|Council on Accreditation (COA)||5||12.50%|
|Healthcare Facilities Accreditation Program (HFAP)||0||0.00%|
|Other national organization or federal, state or local agency||0||0.00%|
Many facilities in Delaware have accredited providers. Over 77 percent of all facilities have some accreditation, and 70 percent are certified state substance abuse agencies.
 “Drug Overdose Mortality by State,” Centers for Disease Control and Prevention, April 2020. https://www.cdc.gov/nchs/pressroom/sosmap/drug_poisoning_mortality/drug_poisoning.htm
 “Drug Overdose Deaths in the United States” Centers for Disease Control and Prevention, U.S. Department Of Health And Human Services, January 2020 https://www.cdc.gov/nchs/data/databriefs/db356-h.pdf
 “Detox Treatment for Withdrawal” American Addiction Centers, October, 2020. https://www.withdrawal.net/detox/
 “Types of Treatment Programs” National Institutes of Health, January 2018. https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs
 “How Much Does Rehab Cost?” Help.org, August 2019. https://www.help.org/rehab-cost/
 “How to Pay for Detox and Rehab” American Addiction Centers, November 2020. https://www.withdrawal.net/guides/payment-options/
 Meredith Watkins, “How to Find a State-Funded Rehabilitation Center,” American Addiction Centers, May 18, 2020, https://americanaddictioncenters.org/rehab-guide/state-funded.
 “Substance Abuse Services” Department of Human Services
Edward R. Berchick, Jessica C. Barnett, and Rachel D. Upton, “Health Insurance Coverage in the United States: 2018” US Census Bureau, November 2019, https://www.census.gov/content/dam/Census/library/publications/2019/demo/p60-267.pdf
 “Federal Laws Related to SAMHSA” SAMSA, April 2020, https://www.samhsa.gov/about-us/who-we-are/laws-regulations
 “Evolving With Care,” The Joint Commission, https://www.jointcommission.org/.
 “Delaware and the ACA’s Medicaid expansion,” Health Insurance.Org, https://www.healthinsurance.org/delaware-medicaid/