How to find rehab in Vermont
Finding detox in Vermont can be difficult. Here's everything you need to know about VT rehab options and how to find local treatment as soon as possible.
Takeaways from this article:
Types of rehab in Vermont
How to pay for detox in Vermont
State-funded-rehab in Vermont
While substance abuse rates in Vermont are on the rise, Vermont residents can access necessary addiction treatment in their home state. In 2018, Vermont’s drug overdose mortality rate was 23.8 per 100,000. That is the equivalent of 133 people who died of a drug overdose per 100,000 that year.  Vermont’s drug mortality rate is higher than the national average of 20.7, which is an alarming trend. 
The American Addiction Centers is committed to helping Vermont’s citizens find affordable and accredited substance treatment and help put you or a loved one on the path to recovery.
This guide will help you or a loved one struggling with substance abuse find the necessary information for treatment, types of facility, and payment options. This guide also provides valuable information about the dangers of substance abuse in Vermont. With knowledge and persistence, we can heal your substance addiction and offer you and your family peace of mind.
Withdrawal Treatment Options in Vermont
To break free from substance abuse, the mind and the body must be prepared before long-term counseling. The first step in this journey is detoxification. During this process, the addictive substance is removed from the body.  This process can be stressful and painful for the patient. However, this process is essential to prepare the patient for long-term recovery. Detox takes place in a safe environment such as a hospital or a treatment facility.
Because the detox process can be stressful, many facilities administer a medically supervised detox. During medical detox, medications, and therapy to manage symptoms of withdrawal. After detox, the patient is ready to enter a comprehensive rehabilitation program that involves long-term counseling to get to their addiction’s source. 
Rehabilitation takes place in an outpatient or inpatient setting. The main difference between the two facilities is where the patient chooses to reside during treatment. In an inpatient facility, the patient lives on site and has access to medical staff 24/7. In outpatient care, the patient lives at home and reports to the facility for counseling.
Outpatient care is a good option for patients who lack medical leave time or must return home daily due to family circumstances. Either facility is capable of providing effective treatments to help you overcome addiction.
Listed below are the number of treatment facilities in Vermont that offer each level of care:
|Type of Care, by number and percent|
|Day Treatment/Partial Hospitalization||4||8.70%|
|Methadone/buprenorphine maintenance or naltrexone treatment||21||45.65%|
Paying for Withdrawal Treatment in Vermont
For many without health insurance, the biggest hurdle to professional treatment is the cost. This understandable because substance abuse treatment can be expensive. On average, the cost for outpatient care ranges from $3,000 to $10,000 for 90 days, and inpatient care ranges from $5,000 to $20,000 for 30 days.  Typically, substance abuse treatment is covered by private insurance or state-assisted health insurance like Medicare and Medicaid.
Patients with insurance will find greater amenities, treatment options, and lower patient-to-staff actions in private facilities. However, if you lack the financial means, there are still viable options in Vermont. State-funded clients offer treatment for little to no money. These facilities are funded by the state and, in some circumstances, by federal grants.
State-funded treatment centers offer limited amenities and have higher patient-to-staff ratios, but they still provide accredited care. To further help lower-income citizens pay for treatment in Vermont, there are grants available for nonprofit organizations and small businesses. These grants help offset the cost of providing programs to prevent, treat, and recover from substance abuse and dependence.
State Funded Rehab vs. Private Rehab in Vermont
Substance abuse facilities in Vermont are either state-funded or private. In a state-funded rehab center, funding is received through the state or by grants. As a result, many state facilities can only offer limited treatment options. However, these facilities can provide treatment to individuals who may not otherwise afford substance abuse treatment. On the other hand, private facilities can customize therapy due to their larger budgets. Private clinics are typically the first choice for private health insurance. 
Because the funding that most state facilities receive is limited, patients must undergo a qualification process first. Acceptance and treatment in a state facility are primarily based on the severity of addiction and income.  Due to the limited funding and qualification process, many state facilities may have waiting lists. Although these facilities offer limited amenities, they still provide quality care. A state-funded facility is a good option for individuals with fixed income or private insurance to pay for treatment at a private center.
The table below lists Vermont Facilities’ number by private nonprofit, private for-profit, locally funded, state-funded, or federally funded.
|Facility Operation, by number and percent|
|Private for Profit||8||17.39%|
|Local, county, or community government||0||0.00%|
Regardless of your current health insurance status, there are many substance abuse treatment options in Vermont.
Ways to Pay for Treatment in Vermont
There are 46 clinics in Vermont for substance abuse treatment, and 41 of them accept private insurance. At least 41 clinics accept state-financed health insurance, and 25 accept federal military insurance plans. Many of these facilities also offer other options for payment.
Vermont’s uninsured rate is 4 percent, which is half the national uninsurance rate of 8 percent.  Although most Vermont residents have some health insurance, there are many treatment facilities in the state with programs to assist those without insurance to meet the expense of substance abuse care in their facility.
The table below lists the payment methods used and how many Vermont facilities accept each payment type.
|Facility Payment Options, by Number and percent|
|Cash or self-payment||42||91.30%|
|Private Health Insurance||41||89.13%|
|State-financed Health insurance||41||89.13%|
|Federal military insurance||25||54.35%|
|No payment accepted (free treatment for all clients)||1||2.17%|
|IHS/Tribal/Union (ITU) funds||3||6.52%|
|Sliding fee scale||35||76.09%|
|Treatment at no charge or minimal payment for clients who can’t pay||27||58.70%|
About 89 percent of Vermont Treatment centers accept private insurance, around 54 percent accept Medicare, and about 94 percent accept Medicaid payments. For clients with lower income or uninsured patients, 76.1 percent of the facilities use a sliding fee scale based on income, and 58.7 percent provide treatment at no charge or a minimal amount.
Finding Accredited Treatment Centers in Vermont
Several organizations supervise the accreditation process for substance abuse facilities and providers. The agency examines the staff, programs, client care, operations, and policies to ensure it meets the standards set for by the agency. Accreditation is ongoing. Facilities must remain in compliance with privacy laws before signing off on certification.
The three leading organizations that offer accreditation are:
- The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment of 2018 for Patients and Communities Act (SUPPORT)
- The Commission on Accreditation of Rehabilitation Facilities (CARF)
- The Joint Commission Accreditation for Addiction Treatment Providers (Joint Commission)
SUPPORT certifies that treatment and care administered to patients meets nationally recognized guidelines for quality and uniform behavioral health care.  CARF can help you find an accredited facility or practitioner and evaluate addiction treatment in the U.S. and Canada facilities. The Joint Commission is the largest organization that accredits 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||45||97.83%|
|State substance abuse agency||39||84.78%|
|State mental health department||23||50.00%|
|State department of health||36||78.26%|
|Hospital licensing authority||7||15.22%|
|The Joint Commission||13||28.26%|
|Commission on Accreditation of Rehabilitation Facilities (CARF)||11||23.91%|
|National Committee for Quality Assurance (NCQA)||4||8.70%|
|Council on Accreditation (COA)||0||0.00%|
|Healthcare Facilities Accreditation Program (HFAP)||0||0.00%|
|Other national organization or federal, state or local agency||1||2.17%|
Many facilities in Vermont have accredited providers. Over 97 percent of all facilities have some accreditation, and 84.8 percent are accredited 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/.
 “ Vermont Substance Abuse Treatment and Prevention Grants,” VermontGrant Watch, https://vermont.grantwatch.com/cat/35/substance-abuse-grants.html