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Substance Use and Recovery

Finding Substance Use Treatment: The Questions People Actually Ask

Finding Substance Use Treatment: straight answers to the questions people actually ask, with the figures behind them.

Dr Priya Raghunathan, DClinPsy Clinical psychologist 5 min read 4 views
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Photo by Ian Livesey on StockSnap · CC0

How to find help for a drug or alcohol problem, from your doctor and the SAMHSA National Helpline to treatment programs.

Key takeaways

  • SAMHSA National Helpline: 1-800-662-HELP (1-800-662-4357), free and confidential, 24 hours a day, every day
  • Languages: the helpline offers service in English and Spanish
  • Most useful single change: Start with your primary care provider, who can assess and refer you.
  • Commonest mistake: Programs that promise a quick cure or guaranteed results.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

What is Finding Substance Use Treatment?

How to find help for a drug or alcohol problem, from your doctor and the SAMHSA National Helpline to treatment programs.

Why does it matter?

Knowing where to start removes one of the biggest barriers to getting help.

SAMHSA National Helpline for Finding Substance Use Treatment?

1-800-662-HELP (1-800-662-4357), free and confidential, 24 hours a day, every day.

Online search for Finding Substance Use Treatment?

FindTreatment.gov lists licensed treatment facilities.

Types of care for Finding Substance Use Treatment?

Outpatient, intensive outpatient, residential and medication treatment.

What is the single most useful thing to do?

Start with your primary care provider, who can assess and refer you.

What is the most common mistake?

Programs that promise a quick cure or guaranteed results.

When should I see a doctor?

If you are thinking about suicide or are in crisis, call or text 988 to reach the 988 Suicide & Crisis Lifeline. Call 911 for an overdose, seizures or someone who cannot be woken.

More questions, answered

Is substance use treatment confidential?

Federal law protects the privacy of substance use treatment records, with stronger protections than for many other health records. In most cases, programs cannot share your information without your consent. Ask a program how it protects privacy if you are worried.

Can I lose my job for seeking treatment?

Federal law may protect people in treatment or recovery from discrimination in some situations, and the Family and Medical Leave Act may let you take unpaid leave for treatment. Protections have limits. Your employer's employee assistance program may also offer confidential help.

How do I spot a bad treatment program?

Warning signs include promises of quick cures, guaranteed results, free travel or rent in exchange for enrolling, refusal to use FDA-approved medicines, and pressure to commit immediately. Check that a program is licensed and accredited, and ask about the staff's qualifications.

What if I cannot afford treatment?

Many programs accept Medicaid, and some offer sliding-scale fees or state-funded services. The SAMHSA National Helpline and FindTreatment.gov can help you find low-cost options. Community health centers may also offer substance use care.

How long does treatment take?

It varies. Some people need a few weeks of intensive care followed by months of outpatient support. Others take medicine for years. Research suggests staying in treatment for an adequate length of time improves results. Your plan should change as you progress.

Do I have to hit rock bottom before getting help?

No. Treatment can help at any stage, and getting help earlier usually leads to better results. You do not need to wait for a crisis. If you are worried about your use, that is enough reason to talk to someone.

Where to go next

When to speak to a doctor

If you are thinking about suicide or are in crisis, call or text 988 to reach the 988 Suicide & Crisis Lifeline. Call 911 for an overdose, seizures or someone who cannot be woken.

Where this comes from

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

What next?

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Frequently asked questions

How to find help for a drug or alcohol problem, from your doctor and the SAMHSA National Helpline to treatment programs.
Knowing where to start removes one of the biggest barriers to getting help.
1-800-662-HELP (1-800-662-4357), free and confidential, 24 hours a day, every day.
FindTreatment.gov lists licensed treatment facilities.
Outpatient, intensive outpatient, residential and medication treatment.
Start with your primary care provider, who can assess and refer you.
Programs that promise a quick cure or guaranteed results.
If you are thinking about suicide or are in crisis, call or text 988 to reach the 988 Suicide & Crisis Lifeline. Call 911 for an overdose, seizures or someone who cannot be woken.
Federal law protects the privacy of substance use treatment records, with stronger protections than for many other health records. In most cases, programs cannot share your information without your consent. Ask a program how it protects privacy if you are worried.
Federal law may protect people in treatment or recovery from discrimination in some situations, and the Family and Medical Leave Act may let you take unpaid leave for treatment. Protections have limits. Your employer's employee assistance program may also offer confidential help.
Warning signs include promises of quick cures, guaranteed results, free travel or rent in exchange for enrolling, refusal to use FDA-approved medicines, and pressure to commit immediately. Check that a program is licensed and accredited, and ask about the staff's qualifications.
Many programs accept Medicaid, and some offer sliding-scale fees or state-funded services. The SAMHSA National Helpline and FindTreatment.gov can help you find low-cost options. Community health centers may also offer substance use care.
It varies. Some people need a few weeks of intensive care followed by months of outpatient support. Others take medicine for years. Research suggests staying in treatment for an adequate length of time improves results. Your plan should change as you progress.
No. Treatment can help at any stage, and getting help earlier usually leads to better results. You do not need to wait for a crisis. If you are worried about your use, that is enough reason to talk to someone.

Dr Priya Raghunathan

Clinical psychologist writing on sleep, stress and mood. Insists that every technique we publish has been tried by someone with a job, a commute and no spare hour in the morning.

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