Substance abuse treatment takes place in a wide variety of distinct treatment settings with a variety of different treatment approaches. For example, some substance abuse treatment can be carried out on an outpatient basis, where the person will typically receive treatment during the day but is allowed to return home daily. Other substance abuse treatment requires the person to stay in a hospital or residential facility during the entire course of treatment, which is especially helpful in handling more severe cases of addiction. Inpatient and residential substance abuse treatment can be done on a short term or long term basis, depending on various circumstances which can be different for each person. Most substance abuse treatment will focus on getting the individual physically rehabilitated, and then concentrate on underlying psychological and emotional issues which will help them avoid relapse in the future.

Drug or alcohol treatment programs which are provided on an outpatient basis are readily available to addicted people who have circumstances which prevent them from being able to participate in an inpatient treatment facility. An outpatient drug and alcohol treatment program delivers many of the same services as an inpatient program, but allows for flexibility as opposed to an inpatient drug or alcohol treatment facility where the person is expected to stay and reside at the rehab program until treatment is complete. Outpatient drug rehab is also available for individuals who have already gone through residential or inpatient treatment but require a comprehensive aftercare and relapse prevention program which will provide additional support and therapy to help them avoid relapse.

DUI/DWI offenders are typically required to attend a certain number of hours either in counseling, meetings or a drug or alcohol rehabilitation program. Each state has its own requirements when it comes to sentencing for the DUI/DWI offender. Offenders who are considered to be low to moderate DUI/DWI offenders will typically engage in some form of group counseling or therapy. These meetings are usually held by a professional in the field of addiction recovery or a person with long-term sobriety involved in the Alcoholics or Narcotics Anonymous groups. DUI/DWI offenders deemed to be serious offenders will likely have to serve jail time at a minimum before beginning their assigned counseling or alcohol rehabilitation program.

There increasing numbers of Spanish speaking clients walking into drug and alcohol rehab facilities every day needing help. Because Spanish is such a widespread language in this country, many drug and alcohol rehab facilities are capable of providing treatment services to Spanish speaking people. Additionally, many counselors and therapists make it a point to learn the language so as to be able to provide the treatment and care needed for Spanish speaking individuals.

People who speak other languages, other than English that is, should receive drug or alcohol treatment which is on par with English speakers. Speakers of other languages should not feel that their treatment curriculum or treatment setting is going to be any less effective because they don't speak English. There are quite a few drug treatment programs available which provide services to those who speak foreign languages, all of which provide various programs to choose from. For example, some drug rehabilitation facilities which provide services for individuals who speak other languages are only short term rehab facilities, and others are longer term programs. Foreign language speakers can consult with a treatment professional in their area to choose a drug treatment program which would be suitable to their needs.

Self payment substance abuse rehab facilities are an excellent alternative to other types of rehab facilities i.e. private medical insurance and state funded programs. Individuals who are capable of attending self payment programs pay for their entire rehabilitation process out of pocket. Keep in mind though, this does not mean that they will not have access to financial assistance if needed. It just means that self payment is their primary method of covering the cost of their drug or alcohol rehabilitation program. In order to learn more about self payment programs, contact a drug treatment center and ask about their payment options. It is beneficial to contact a number of facilities so that you have a comparison of your choices with regards to rehab options and payment options.

Paying for drug treatment can be a problem, because typically all resources have been exhausted due to the persons drug habit. Many drug treatment programs recognize this reality which is why many drug rehab programs around the country provide payment arrangements known as a sliding scale fee. There are various factors put into the equation of determining what the fee will be from person to person, and these factors are based on individual circumstances such as income, cash on hand, living circumstances, the size of one's family etc. Sliding scale fees have been in use for some time as most drug and alcohol treatment programs would rather find a way to make it work financially so that those suffering with addiction can receive the help they need.