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

Drug or alcohol rehab programs which are offered on an outpatient basis are available to addicted people who have circumstances which prevent them from being able to participate in an inpatient rehabilitation facility. An outpatient substance abuse treatment facility provides many of the same services as an inpatient program, but allows for flexibility as opposed to an inpatient drug rehabilitation program where the person is expected to stay and reside at the treatment center until the treatment process has been fully completed. Outpatient drug rehab is also available for individuals who have already gone through residential or inpatient treatment but require a thorough aftercare and relapse prevention program which will provide further support and therapy to help them avoid relapse.

DUI/DWI offenders are typically required to enroll in a certain number of hours either in counseling, meetings or a drug or alcohol treatment program. Each state has its own requirements when it comes to sentencing for the DUI/DWI offender. Offenders who are regarded as low to moderate DUI/DWI offenders will typically be required to participate 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 mandatory counseling or alcohol rehab program.

There are more and more Spanish speaking clients enrolling into drug and alcohol treatment programs every day needing help. Because Spanish is such a prevalent language in this country, many substance abuse rehab programs are prepared to deliver treatment to Spanish speaking clients. Additionally, many counselors and therapists make it a point to learn the language so as to be able to provide the support and therapy needed for Spanish speaking clients.

Individuals who speak other languages, other than English that is, should receive substance abuse rehabilitation which is on par with English speakers. Those who speak 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 and alcohol treatment programs available which cater to those who speak foreign languages, all of which offer a variety of programs to choose from. For example, some substance abuse rehab facilities which cater to individuals who speak other languages are only short term programs, but there are more long term options available. Foreign language speakers can consult with a treatment professional in their area to choose a drug rehab program that provides rehabilitation services in their specific language.

Medicaid is a type of health insurance which is offered to people in certain low-income tax brackets. Eligibility for Medicaid is dependent on income and other circumstances such as whether or not the person has dependents and if they receive any other assistance. Medicaid may even cover the costs associated with drug or alcohol treatment, and there are many drug and alcohol rehab centers throughout the country which are covered through Medicaid. Many drug and alcohol rehab facilities which are covered through Medicaid may only deliver a limited treatment curriculum and may only provide such treatment on a short term basis, typically 30 days or less. People who have Medicaid should explore which programs cover the greatest amount of treatment for the most amount of time to acquire the full benefits of a Medicaid rehab program.

Some people are covered through state financed insurance because they fail to qualify for Medicaid. Some states however offer affordable health insurance to those who cannot afford private health insurance. State financed health insurance programs will sometimes cover the costs associated with substance abuse treatment at a variety of drug rehab centers around the country. State financed insurance other than Medicaid may cover both outpatient or inpatient drug rehabilitation services. To find out which treatment facilities will accept state financed insurance, consult a substance abuse treatment specialist.

Paying for drug or alcohol treatment can be a challenge, because typically all resources have been exhausted because of their drug habit. Many drug rehab programs fully grasp this fact which is why many drug and alcohol treatment programs across the nation offer payment arrangements known as a sliding scale fee. There are many 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.

Many drug and alcohol rehab facilities in the United States provide payment assistance to men and women having difficulties with drug or alcohol addiction and want to get help. The individual in need of treatment can choose a rehab facility which is a good fit, meaning the treatment curriculum and design of the program would provide them the best results. The addicted individual can then talk to one of the treatment professionals at the drug treatment center to go over what kind of payment assistance options are available or that they qualify for. The financial department in most drug and alcohol rehabilitation centers are more than willing to work with potential clients to get them started by offering payment assistance, and if this is unavailable, treatment professionals will typically work with the individual to locate an equivalent or similar rehab facility which is more affordable or that can provide workable financing options so that they can receive the help they so desperately need.