[content-overview]
<strong>I have insurance with Blue Cross/Blue Shield. Will it cover my drug rehab?</strong>
Typically, yes. But coverage varies from state to state and plan to plan. That means some programs may cost consumers a great deal out of pocket, while others might provide robust coverage. Call the company directly, using the number on your health insurance card, to find out more about your benefits.
[/content-overview]
<p style="text-align: center;">[cta-box]
<strong>
</strong></p>

<center><strong>AAC is in network with Blue Cross Blue Shield at many facilities; treatment can be <u>free</u> depending on your policy and co-pay / deductible.</strong></center>
<p style="text-align: center;">[button-color link="#form" width="auto" ]Does Your Blue Cross Blue Shield Insurance Cover Treatment for You?[/button-color]</p>
[/cta-box]

<em>Note: American Addiction Centers strives to provide you with the most updated information on each carriers' addiction insurance coverage but policy changes and errors do occur. Please check with your insurance carrier directly to confirm coverage levels. AAC is not affiliated or endorsed by the Blue Cross and Blue Shield Association or any of its licensees.</em>
<h2>About Blue Cross and Blue Shield</h2>
<a href="https://www.bcbs.com/bcbs-companies-and-licensees" target="_blank" rel="noopener">The Blue Cross and Blue Shield Association</a> owns 36 health insurance companies, independent and locally operated, nationwide which comprise the Blue System.

Commonly referred to as “The Blues” or "BCBS," Blue Cross and Blue Shield have over half of all federal employees enrolled in their network, as part of the Federal Employee Program.

Blue Cross Blue Shield’s individual and family plans <a href="https://www.anthem.com/ca/health-insurance/health-plans/" target="_blank" rel="noopener">fall into 3 or 4 categories</a>, depending on your state: bronze plans, silver plans, gold plans, and platinum plans. Bronze plans will have the lowest costs, while platinum plans will have the highest monthly costs. Some states will not offer the platinum category. Blue Cross and Blue Shield recommends the bronze-level plan for those who do not go to the doctor often, as it will have a low monthly payment and a high deductible.

[callout]
<strong>In summary, the <a href="https://www.bcbsm.com/index/health-insurance-help/faqs/topics/buying-insurance/metal-tiers.html" target="_blank" rel="noopener">tiered plans of Blue Cross Blue Shield</a> are as follows:</strong>
<ul>
 	<li><em>Bronze: </em>This level covers around 60% of medical costs, with a low monthly payment and a high deductible.</li>
 	<li><em>Silver:</em> This level covers around 70% of medical costs, with a slightly higher monthly payment and lower deductible.</li>
 	<li><em>Gold:</em> This level covers around 80% of medical costs, with a higher monthly payment and low deductible.</li>
 	<li><em>Platinum:</em> This level covers around 90 of medical costs, with the highest monthly payment and the lowest deductible.</li>
</ul>
[/callout]

[quote]Health insurance through Blue Cross Blue Shield varies by state, however, so it is recommended that you check your state’s specific coverage details.[/quote]

[callout]
<h2>Checking Your Insurance Coverage</h2>
<p class="p1"><span class="s1">To see what is covered under your Blue Cross Blue Shield health insurance plan, you can either <a href="http://www.bcbs.com/already-a-member/" target="_blank" rel="noopener"><span class="s2">enter the 3-letter prefix before the identification number on your member card</span></a> on the Blue Cross Blue Shield Association’s website, or you can find your company directly on the website’s <a href="http://www.bcbs.com/about-the-companies/" target="_blank" rel="noopener"><span class="s2">listing of the 36 member companies</span></a> by state.</span></p>
<p class="p1"><span class="s2"><a href="https://www.fepblue.org/benefit-plans#blue-focus" target="_blank" rel="noopener">Blue Cross And Blue Shield offers a Federal Employee Program</a></span><span class="s1"> (FEP) plan for federal workers and retirees in the Federal Employees Health Benefits (FEHB) program. FEP and FEHB plans offer similar benefits as other BCBS plans do with a few exceptions. You can <a href="https://www.fepblue.org/benefit-plans/fbf-benefit-charts-2019" target="_blank" rel="noopener"><span class="s2">review your benefits</span></a> and learn more about the coverage you have on the <a href="https://www.fepblue.org/" target="_blank" rel="noopener"><span class="s2">FEP Blue site</span></a>.</span></p>
Once you’ve found your company, you can log in to check your coverage. At your local company’s website, you can find details, such as your prescription drug benefits or a list of providers in your area. As a member, you can also <a href="http://www.bcbsnc.com/content/campaigns/healthcarecost/index.htm" target="_blank" rel="noopener"><span class="s2">access the cost estimator</span></a> for treatment.

Blue Cross Blue Shield insurance offers many plans specific to your state of employment. For example, employees in the state of Idaho may have a <a href="https://www.bcidaho.com/" target="_blank" rel="noopener"><span class="s2">BC of Idaho plan</span></a>, whereas Tennessee residents will have a BCBS of Tennessee plan. These state-specific plans still utilize the nationwide BCBS network of providers, so patients are not limited to receiving care exclusively in their home state. BC of Idaho patients in need of rehab are still able to travel to states like California or Florida to receive the care that they need.
[/callout]
<h2>Using Blue Cross Blue Shield for Drug Rehabilitation</h2>
In general, Blue Cross Blue Shield plans do cover treatment for addiction, at least in part, but again, specifics are based on the individual policy you possess. Most plans cover treatment for medical detox, if determined to be necessary. This would most likely be the case for those suffering from <a href="https://americanaddictioncenters.org/benzodiazepine">benzodiazepine addiction</a>, <a href="https://americanaddictioncenters.org/alcoholism-treatment">alcohol addiction</a>, and <a href="https://americanaddictioncenters.org/opiates">opiate addiction</a>. Detoxing from these substances can be dangerous and should always be monitored by medical professionals.

<a href="https://americanaddictioncenters.org/what-to-look-for-in-a-rehab-facility">The type of treatment center you choose</a>, as well as the specific professionals who treat you, will be determined by your plan. If you have an HMO (Health Maintenance Organization) plan, you are only covered at HMO-contracted facilities. If you have a PPO (Preferred Provider Organization) plan, you have the option to see a wider range of providers, and you can see an out-of-network provider at a higher rate.

As with all medical issues, oftentimes, only a portion of detox or addiction treatment is covered by insurance. It’s important to speak with Blue Cross Blue Shield to determine your exact level of coverage and learn what that means in terms of the specific dollar amount you will pay out of pocket.

The options available to you under Blue Cross Blue Shield are dependent upon your situation and the coverage you have. However, the Blue Cross Blue Shield network is quite large, meaning that those who have this particular insurance will have little trouble finding a center for treatment. The fastest way to go about finding a center for treatment is by using the Blue Cross and Blue Shield Association’s website <a href="http://provider.bcbs.com/" target="_blank" rel="noopener">to search locally</a> for providers near you.
<p id="form">[ssvob]</p>

Does Blue Cross Blue Shield Insurance Cover Drug Treatment?

[content-overview]A continuing trend in healthcare for the past few decades has been incorporating complementary, alternative, or holistic treatment approaches into more standard therapies for a wide range of ailments. Substance abuse and addiction treatment is no exception to this, as a variety of holistic techniques are used in rehab centers around the US.[/content-overview]
<h2>What Does Holistic Mean?</h2>
Holistic refers to a “whole person” approach to health care interventions—a <a href="https://americanaddictioncenters.org/rehab-guide/wellness-recovery">simultaneous focus on the mind and body for complete healing</a>. Many <a href="https://americanaddictioncenters.org/treatment-centers">treatment centers</a> see holistic approaches as an opportunity for patients to better attend to both their psychological and physical needs. With holistic approaches such as yoga, meditation, massage therapy, and acupuncture, patients may see improvements not only in their rehabilitation but also in other parts of their daily life.

<a href="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/04/Holistic-01.png"><img class="aligncenter size-full wp-image-56812" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/04/Holistic-01.png" alt="holistic methods used in addiction treatment" width="700" height="2278" /></a>
<h2>What Is a Holistic Treatment Program?</h2>
In general, rehab programs that incorporate holistic techniques carefully consider an integrated physical, mental, and spiritual model to build out a comprehensive treatment regimen for substance use disorders. Several of these techniques are also categorized as <em>alternative</em> or <em>complementary</em> treatments, some of which are based on practices that derive from cultural traditions. Examples of these include:
<ul>
 	<li>Massage.</li>
 	<li>Acupuncture and acupressure.</li>
 	<li>Reiki and other types of energy work.</li>
 	<li>Yoga and meditation.</li>
 	<li>Biofeedback and neurofeedback.</li>
 	<li>Nutritional therapy.</li>
 	<li>Herbal medicines.</li>
</ul>
These are just some of the wide range of treatments described as <em>holistic</em>. According to the <em>National Center for Complementary and Integrative Health</em>, <a href="https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm#hed1" target="_blank" rel="noopener">about 4 out of 10 adults in the United States use some form of complementary and alternative medicine (CAM),</a> and the trend seems to be expanding. A key feature that runs throughout many of these techniques is that they are intended, at the root, to treat the whole person and improve overall well-being rather than target a single element of an individual’s symptoms or behaviors. With this in mind, a holistic approach to addiction treatment should ideally aim to not only curtail isolated addictive behaviors, but to adequately address a broad set of factors that play a role in the development of the addiction to begin with.
<h2>Incorporating Holistic Techniques for Substance Abuse Treatment</h2>
In some cases, holistic approaches are used to augment certain aspects of more standard recovery efforts. In doing so, these approaches may help with:
<ul>
 	<li>Certain withdrawal symptoms (e.g., massage/acupuncture for muscle aches/pains).</li>
 	<li>Stress or other emotional issues that may have supported the development of compulsive patterns of substance use.</li>
 	<li>A lack of spiritual grounding.</li>
 	<li>Unhealthy eating habits and resulting malnutrition in conjunction with chronic substance use.</li>
</ul>
Some techniques, such as Reiki, aim to correct a theoretical energetic imbalance through body-energy manipulation.
<p class="p1">Adherents of CAM practices advocate that they can improve chances of <a href="http://projects.hsl.wisc.edu/SERVICE/modules/35/M35_CT_Substance_Use_Disorder_Treatment_Complementary_Approaches.pdf" target="_blank" rel="noopener"><span class="s1">lasting recovery from substance use disorders</span></a>. However, it is generally recommended that holistic therapies be used in combination with standard treatment efforts, and not as a replacement for more traditional, evidence-based approaches.</p>

<h2>Effectiveness of Holistic Techniques</h2>
<img class="alignright  wp-image-35460" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2016/04/meditation_recovery.jpg" alt="holistic treatment program " width="285" height="250" />

Those who are looking into holistic treatment programs may find it difficult to find research backing the efficacy of such treatments. Not a lot of research has been done on various holistic therapies, and the research that does exist is often inconclusive. For this reason, the effectiveness of the techniques in supporting lasting recovery from addiction is still largely unknown, and it is sometimes hotly argued.
<p class="p1">In some cases, holistic treatments could attract people who might otherwise not be interested in conventional treatments, make them more comfortable with entering treatment, and may make them more willing to try other, research-based treatments that provide a greater likelihood of long-term recovery. In addition, the use of these therapies can help people feel more at ease, more productive in their treatment response, and generally better able to cope with the challenges of detox and rehab. For these reasons, holistic practices can be a positive complement to the more evidence-based modalities.</p>

<h2>Holistic and Conventional Approaches in Treatment</h2>
Most experts agree that conventional, research-based detox and treatment for addiction, provided through a residential program, is more likely to support an individual in maintaining recovery. The holistic label may indicate a wide range of complementary or alternative treatment offerings. When considering various rehabilitation centers, people may need to do some research into what each specific location advertises as holistic offerings. They may need to ask about the therapies offered, the training of the people providing the therapies, and the cost of care, for example.
<p class="p1">Though many CAM treatments lack an evidence-base when it comes to their efficacy in addiction treatment, there is evidence that <a href="https://ps.psychiatryonline.org/doi/10.1176/appi.ps.55.7.767" target="_blank" rel="noopener"><span class="s1">satisfaction with treatment is related to treatment retention and treatment completion</span></a> measures, both of which may equate with more favorable treatment outcomes. It is reasonable to assume that certain holistic therapies, such as yoga, meditation, acupuncture, and massage, as used to augment more traditional addiction treatment therapies, like individual counseling, behavioral therapies, and medical detox, can add to such treatment satisfaction, in some instances.</p>

Find An Effective Treatment Programs with a Holistic Approach

[content-overview]Quick admission to a detoxification program may reduce risks and could be lifesaving. Withdrawal from some substances can be deadly, and relapse may be life-threatening for some substances.<sup>1,2</sup> [/content-overview]

Potential situations where quick <a href="https://americanaddictioncenters.org/medical-detox-centers">admission to a detox program</a> may help avert dangerous consequences (if a person is already experiencing significant symptoms or another emergency, call 911):
<ul>
 	<li>Patient is experiencing or is at risk of experiencing alcohol withdrawal. (Alcohol withdrawal can be lethal.<sup>1</sup>)</li>
 	<li>Patient is experiencing or is at risk of experiencing sedative-hypnotic withdrawal. (Sedative-hypnotic withdrawal, such as withdrawal from barbiturates or benzodiazepines, may be life-threatening.<sup>1,3</sup>)</li>
</ul>
Additionally, same day admission to a detox program might be beneficial if a patient is experiencing or is at risk of experiencing opioid withdrawal. Abstinence from opioids can decrease tolerance, so a smaller amount of opioids might cause an overdose in a relapse, which could be fatal.<sup>4 </sup>If an individual pursuing treatment warrants pharmacological treatment but maintenance treatment is impractical, is not indicated, or is turned down, then detoxification is indicated.<sup>1</sup>

Better results correlate with <a href="https://store.samhsa.gov/system/files/sma18-5063fulldoc_0.pdf" target="_blank" rel="noopener">methadone or buprenorphine treatment that is ongoing</a> than with medically supervised withdrawal. Relapse to opioid use will occur, research indicates, for the majority of individuals who have opioid use disorder and go through medically supervised withdrawal, though psychosocial strategies can be beneficial during and after. After an adequate amount of time without using opioids, injectable extended-release naltrexone can be used, which is better at lowering the likelihood of using opioids again than no medicine or placebo.<sup>5 </sup>
<div class="panel-block bg-white2 pad-all">
<h2>The Detox Process</h2>
According to a consensus panel, there are <a href="https://store.samhsa.gov/system/files/sma15-4131.pdf" target="_blank" rel="noopener">three crucial elements in the detox process</a>:<sup>1</sup>

<em>“Evaluation”</em>: This involves testing for substances of abuse, checking for co-occurring health problems (physical and psychological), assessing any health problems present, and evaluating the individual's social circumstances.

<em>“Stabilization”</em>: This includes helping a person to get through any current state of intoxication and withdrawal. Medical and/or psychosocial interventions may be used. Also included is helping individuals become acquainted with their part in their treatment and their recovery as well as with what they should anticipate in the treatment environment.

<em>“Fostering the patient’s entry into treatment”:</em> This component includes, through emphasizing that continuing on with the whole treatment continuum is important, getting an individual ready to enter treatment. Patients with a history of repeatedly detoxing but not participating in substance abuse treatment after might be motivated to do so by signing a treatment contract early, once sufficiently stable.

These elements do not have to happen one at a time in practice.<sup>1</sup>

</div>
<h2>Intensity of Care</h2>
There are several factors to consider when determining the appropriate care for detoxification, for example:<sup>1</sup>
<ul>
 	<li>Admission to a hospital or another setting that provides round-the-clock medical care may generally be preferable for detox for sedative-hypnotic withdrawal, alcohol withdrawal, and opioid withdrawal.</li>
 	<li>It should be a suitable setting for any existing physical or mental health issues.</li>
</ul>
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<div class="panel-block bg-dkblue pad-all text-white">
<h2>Initial Evaluation in Detox</h2>
<img class="size-medium wp-image-35679 alignright" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2015/10/calling-for-treatment-300x200.jpg" alt="calling-for-treatment" width="300" height="200" />

<a href="https://americanaddictioncenters.org/what-to-expect-in-rehab">One thing to expect</a> when being admitted to a detox program is an initial evaluation, which may include:<sup>1</sup>
<ul>
 	<li><em>Obtaining a substance abuse history</em>: This may include questions about what substances the patient abused, how often the patient used them, what amount(s) the patient used, and how long it has been since the patient last used them.</li>
 	<li><em>Getting information on any prior detoxes and/or treatments for substance abuse</em>: Whether the patient has gone through withdrawal before and, if so, how many times and what happened, ought to be part of this.</li>
 	<li><em>Laboratory tests</em>: Determining blood alcohol content (BAC), checking breath alcohol levels, and/or urine drug screening may be part of the evaluation. Lab tests may also be used to assess nutritional status and to screen for health problems.</li>
 	<li><em>Physical assessment</em>: Through a physical exam, the patient can be assessed for any health concerns.</li>
 	<li><em>Gathering a</em> <em>history concerning overall health</em>: Questions may include inquiring if the patient has any mental health conditions, any physical health conditions, and/or any allergies, as well as if the patient has had any surgeries and/or has ever had seizures.</li>
 	<li><em>Assessing the person’s current living situation</em>: Assessing living situation may include asking if the patient is homeless, stays in a shelter, or lives with others.</li>
 	<li><em>Evaluating risk of suicide or violence.</em></li>
</ul>
Other elements may also be included in an initial evaluation.<sup>1</sup>

</div>
<h2>Conclusions</h2>
<img class="alignright size-medium wp-image-31718" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2016/04/detox-help-300x160.jpg" alt="Doctor hands writing on a clipboard." width="300" height="160" />

Quick admission to a detox program may be helpful and possibly lifesaving in some circumstances. Assessing the patient, stabilizing the individual, and promoting treatment entrance for that individual are crucial elements of detox.<sup>1</sup> Commonly, <a href="https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery" target="_blank" rel="noopener">if detox is not followed by treatment</a>, there will be a relapse.<sup>2</sup> However, <a href="https://americanaddictioncenters.org/blog/set-effective-goals-recovery/">one detox goal is to promote treatment entrance and recovery.</a><sup>1</sup>

&nbsp;
<h3>Sources:</h3>
<ol>
 	<li>Center for Substance Abuse Treatment. (2015). <em><a href="https://store.samhsa.gov/system/files/sma15-4131.pdf" target="_blank" rel="noopener">Detoxification and substance abuse treatment: A treatment improvement protocol TIP 45</a></em>.</li>
 	<li>National Institute on Drug Abuse. (2018). <em><a href="https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery" target="_blank" rel="noopener">Treatment and recovery</a></em>.</li>
 	<li>Guina, J. &amp; Merrill, B. (2018). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852436/" target="_blank" rel="noopener">Benzodiazepines II: Waking up on sedatives: Providing optimal care when inheriting benzodiazepine prescriptions in transfer patients</a>. <em>Journal of Clinical Medicine</em>, <em>7(2), 20</em>.</li>
 	<li>Joudrey, P. J., Khan, M. R., Wang, E. A., Scheidell, J. D., Edelman, E. J., McInnes, D. K., &amp; Fox, A. D. (2019). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463640/" target="_blank" rel="noopener">A conceptual model for understanding post-release opioid-related overdose risk</a>. <em>Addiction Science &amp; Clinical Practice</em>, <em>14(1), 17</em>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2018). <em><a href="https://store.samhsa.gov/system/files/sma18-5063fulldoc_0.pdf" target="_blank" rel="noopener">Medications for opioid use disorder: For healthcare and addiction professionals, policymakers, patients, and families: Treatment Improvement Protocol TIP 63</a></em>.</li>
</ol>

Same Day Admission to a Detox Program

[content-overview]When both members of a couple are dealing with substance abuse or addiction, it could complicate recovery.[/content-overview]

If only one member of the couple goes to rehab, and the other continues to use substances, it can make it much harder for the first partner to avoid relapse after treatment is over. Nevertheless, not getting help for either person could allow certain issues already faced by the couple to worsen, such as relationship challenges, financial loss, and even <a href="https://americanaddictioncenters.org/alcoholism-treatment/physical-health/">declining physical and mental health for both partners</a>.

<img src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/05/couple.jpg" width="3000" height="1086" class="alignnone size-medium" />

However, should both partners be willing to participate in the therapeutic process, it could help them to learn to recover together. A family-oriented treatment approach, such <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215582/">as behavioral couples therapy (BCT), can be beneficial for cohabitating partners</a> dealing with addiction issues.<sup>1,2</sup>  It may also offer help in improving the relationship, managing issues such as codependence and enabling, and creating a new relationship dynamic that supports each partner alone and together in maintaining recovery.
<h2>Couples and Addiction</h2>
Partnerships where both members of the couple use drugs are very common. The <a href="https://www.aamft.org/Consumer_Updates/Substance_Abuse_and_Intimate_Relationships.aspx">relationship itself can be damaged by substance abuse</a>, even if the couple is committed to making the relationship work. Based on information from the <em>American Association for Marriage and Family Therapy </em>(AAMFT), signs of trouble for the relationship include:<sup>3</sup>
<ul>
 	<li>Drug use or drinking is the only thing the partners enjoy doing together.</li>
 	<li>Substance use leads to domestic violence on the part of one or both partners.</li>
 	<li>The partners need to be drunk or high to demonstrate affection or talk about the relationship.</li>
 	<li>The partners neglect common responsibilities, such as housework or childcare.</li>
</ul>
Worsening substance use can make it difficult for couples to resolve existing relationship issues, as it often introduces additional emotional distance between both people; this, in turn, could further drive maladaptive patterns of substance use. Treatment becomes increasingly important in the face of such a potentially perpetuated cycle.

[quote]
<strong>
<center>AAC is in network with many Insurance Companies; treatment can be <u>free</u> depending on your policy and co-pay / deductible.
</center>
</strong>
<br>
[button-color link="#form"]Does Your Insurance Cover Treatment?[/button-color]
</br>
[/quote]

<h2>Couples and Treatment</h2>
In the case where a couple has a strong relationship, <a href="https://substanceabusepolicy.biomedcentral.com/articles/10.1186/1747-597X-1-12">it can be helpful for the partners to go through rehab together</a>.<sup>4</sup> To reinforce the power of a romantic relationship in helping both partners to get and stay clean, couples can attend or otherwise participate in treatment together in a variety of ways, depending on the couple’s dynamic and the individuals’ needs.

<img src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/05/couple.jpg" width="3000" height="1086" class="alignnone size-medium" />

Research supports the benefits of working with the two members of a couple together during rehab. Behavioral couples therapy (BCT), <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215582/">helps to strengthen relationship factors that will promote abstinence</a>, since people in more communicative, happier, and healthier relationships may experience lower risk of relapse.
<h2>Attending Rehab Together</h2>
<img class=" wp-image-57676 alignright" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/05/couple_beach-300x159.jpg" alt="Couple holding hands watching sunset" width="392" height="208" />One option for getting help together is to attend the same rehab program. A number of treatment centers and facilities offer this option for couples who have a strong relationship and are equally committed to recovery. Motivation is a key element to having couples in therapy together. As summarized by the Substance Abuse and Mental Health Services Administration (SAMHSA), a person’s motivation to change and recover from substance abuse is a vital element in treatment, which makes the person more likely to complete treatment with the <a href="https://americanaddictioncenters.org/rehab-guide/wellness-recovery">focus and dedication needed to maintain long-term recovery.</a>

In a program where couples can attend together, this motivation is reinforced through the couple’s continual reaffirmation of commitment to one another.

<a name="form">[ssvob]</a>

<h2>Separate but United</h2>
Sometimes, attending rehab together may not be an option. In certain cases, each individual may have issues that need to be dealt with separately – issues that may not be managed as easily if the couple is living in the same facility. In this case, the couple may be placed in separate living arrangements. This might be the case if there has been violent behavior between the partners, or if one partner has medical or psychological issues that warrant a more intensive level of care.

Still, if the couple is committed to making the relationship work, this situation can involve communication and therapy with the two partners together. A regular schedule might include couples therapy sessions multiple times weekly, along with the ability to visit one another. Otherwise, the two would be in separate parts of the facility, or even in separate facilities, for the main program elements.
<h2>Couples Therapy</h2>
Substance abuse affects relationships in ways that make it difficult to go back to the way things were before the substance abuse began. Even when a person finishes treatment, the risk of relapse is always present, and there are emotional and sometimes physical injuries that cannot be reversed or taken back. In addition, a couple might have developed relationship habits, such as enabling substance use or codependency on a partner’s substance abuse, that need to be reversed before either partner can move forward in recovery.

BCT teaches couples better ways to communicate and increases overall positivity. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215582/">Couples that have undergone BCT</a>:<sup>2</sup>
<ul>
 	<li>Were happier and healthier, had fewer cases of separation, and were at a lower risk of divorce than does individual-based treatment.</li>
 	<li>Experienced a reduction in domestic violence after BCT for both alcoholism and drug abuse.</li>
 	<li>In some cases, incurred lower costs for treatment for substance abuse by attending rehab together.</li>
</ul>
[quote]One of the main goals of couples therapy in rehab is to help the couple develop a new relationship standard, including new ways of interacting and spending time together that support abstinence.[/quote]

These new behaviors take time to learn, but they can deepen a relationship and provide ways for the couple to maintain a strong bond through supporting each other in maintaining sobriety.
<h2>When Attending Together Isn’t Helpful</h2>
There are situations in which it may not be a good idea for a couple to attend rehab together. These include situations the followings situations:
<ul>
 	<li>One member of the couple has special treatment needs that require a special facility.</li>
 	<li>A diagnosis of antisocial personality disorder has been made.<sup>1</sup></li>
 	<li>There is ongoing domestic abuse.</li>
 	<li>Only one partner is interested in rehab.</li>
 	<li>There is a lack of commitment to continuing the relationship after rehab.</li>
</ul>
Whether or not an individual enters rehab when a partner isn’t ready to do so can be a hard decision to make. However, it is important to remember that a person can never make a loved one ready for change. In this circumstance, getting into rehab alone is a step that can be vital for the individual who gets help, and that may also serve as an example to the partner.
<h2>Couples in Recovery</h2>
Once the couple has completed rehab, and the partners are managing recovery together, they can offer each other a great source of support for future challenges. With commitment, they can keep each other on track, help each other avoid triggers and cravings, and remind one another about the tools and skills learned in rehab. A challenge may arise if one of the partners does relapse, as this makes it more likely that the other partner will relapse as well. However, with continued involvement in aftercare programs and a peer support group, the couple should be able to maneuver through these challenges and continue in recovery.

&nbsp;
<h4>Sources:</h4>
<ol>
 	<li>Miller, S. C., Fiellin, D. A., Rosenthal, R. N., &amp; Saitz, R. (2019). <em>The ASAM Principles of Addiction Medicine, Sixth Edition</em>. Philadelphia: Wolters Kluwer.</li>
 	<li>Ofarrell, T. J., &amp; Fals-Stewart, W. (2000). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215582/">Behavioral couples therapy for alcoholism and drug abuse</a>. <em>Journal of Substance Abuse Treatment</em>, <em>18</em>(1), 51–54</li>
 	<li>American Association for Marriage and Family Therapy (n.d.), <em><a href="https://www.aamft.org/Consumer_Updates/Substance_Abuse_and_Intimate_Relationships.aspx">Substance Abuse and Intimate Relationships</a>.</em></li>
 	<li>Simmons J. (2006). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1524736/">The interplay between interpersonal dynamics, treatment barriers, and larger social forces: an exploratory study of drug-using couples in Hartford, CT</a>. <em>Substance Abuse Treatment, Prevention, and Policy</em>, <em>1</em>, 12.</li>
</ol>

Drug Rehab Centers for Couples

<div class="row">
<div class="small-12 columns">
<p class="p1">[content-overview]Methamphetamine, commonly referred to as <i>meth</i>, crystal, ice, or Tina, is a highly additive synthetic central nervous system stimulant. It can have devastating effects on the body and mind have led it to be <a href="https://www.justice.gov/archive/ndic/pubs5/5049/5049p.pdf" target="_blank" rel="noopener"><span class="s1">classified as a Schedule II substance in the US</span></a>, making its recreational use highly illegal. In 2018, an estimated 1.9 million (0.7%) Americans aged 12 or older used methamphetamine in the past year.<sup>1</sup>[content-overview]</p>
<p class="p1">Methamphetamine is typically either smoked in a small glass pipe or injected. Both of these <a href="https://www.drugabuse.gov/publications/research-reports/methamphetamine/how-methamphetamine-misused" target="_blank" rel="noopener"><span class="s2">methods cause the drug to reach the brain very quickly</span></a>, with injection being the fastest. This causes a “rush” or “flash” of euphoria—an intensely pleasurable sensation. The drug can also be ingested orally or snorted through the nose, producing a long-lasting high, often marked by increased physical activity, which can last for as long as half a day instead of an intense rush.<sup>2</sup></p>
<p class="p1">Unlike cocaine, a stimulant that’s quickly removed from and almost completely metabolized in the body, <a href="https://www.drugabuse.gov/publications/research-reports/methamphetamine/how-methamphetamine-different-other-stimulants-such-cocaine" target="_blank" rel="noopener"><span class="s2">meth remains in the body</span></a>—largely unchanged by the body’s metabolism—much longer, leading to prolonged stimulant effects. The effects of meth can last anywhere from around 8-24 hours, depending on how much is taken, the time of day, how it was administered (IV, oral, etc.) how well the kidneys and liver are functioning, and the individual's body chemistry. It has a half-life of 9-24 hours. This means that it takes 9-24 hours for the amount of meth in a person's blood to be reduced by half.</p>

<h2 class="p1">Meth Withdrawal</h2>
<p class="p1">By this point, withdrawal symptoms will begin to occur, especially if the individual is a heavy, long-term user. <a href="https://americanaddictioncenters.o"><span class="s2">Withdrawal symptoms from this drug are extremely unpleasant</span></a> and come with intense cravings. This often motivates an individual using meth to take more and then more of the drug. The longer and heavier use is, the longer it takes to leave the system entirely.</p>
<p class="p3"><span class="s3"><a href="https://www.nhs.uk/live-well/healthy-body/drugs-and-the-brain/" target="_blank" rel="noopener">Methamphetamine withdrawal symptoms</a></span><span class="s4"> include:</span></p>
[columns count="2"]
<ul class="ul1">
 	<li class="li1">Increased appetite</li>
 	<li class="li1">Anxiety and depression</li>
 	<li class="li1">Inability to feel pleasure (anhedonia)</li>
 	<li class="li1">Anger and aggression</li>
 	<li class="li1">Irritability</li>
 	<li>Fatigue</li>
 	<li class="li1">Lethargy</li>
 	<li class="li1">Muscle weakness</li>
 	<li class="li1">Sweating</li>
 	<li class="li1">Headaches</li>
 	<li class="li1">Fever</li>
 	<li class="li1">Dizziness</li>
 	<li class="li1">Inability to concentrate</li>
 	<li class="li1">Paranoia</li>
 	<li class="li1">Delusions</li>
 	<li class="li1">Psychosis</li>
 	<li class="li1">Suicidal ideation</li>
</ul>
[/columns]
<p class="p1">Though not directly life-threatening like the symptoms of opioid or alcohol and benzodiazepine withdrawal, the psychological effects can lead people in withdrawal from meth to attack others or harm themselves. It’s highly recommended that “cold turkey” withdrawal management from methamphetamine is not attempted without medical supervision.</p>

<h2 class="p1">Detecting Meth in Drug Test</h2>
<p class="p1"><img class=" wp-image-62049 alignright" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/09/shutterstock_1495411538-300x209.jpg" alt="Drug Test - Urine" width="347" height="242" />Urine tests can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2709797/" target="_blank" rel="noopener"><span class="s2">usually detect meth for up to 72 hours after the last dose</span></a>. Methamphetamine metabolizes to amphetamine, which means a <span class="s2">drug screen will likely be positive for both substances</span>. Typically, the detection interval in urine for amphetamine-type stimulants is 3 to 5 days after last administration.</p>
<p class="p4"><span class="s4">This interval may be longer in <a href="https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&amp;contentid=amphetamine_urine_screen" target="_blank" rel="noopener"><span class="s3">heavy, chronic users; it may be detected in urine for up to a week</span></a>. </span></p>
<p class="p1">Other ways that meth use can be detected is through <span class="s1"> tests of hair, blood</span>, and oral fluids. Blood and oral fluid testing can be more useful and accurate than urine testing for detecting recent ingestion; however, both have lower detection intervals than urine testing.<sup>3</sup><span class="Apple-converted-space">  </span>Meth can be detected by a hair test for up to 90 days after last use, depending on what type of hair test is used. It is more applicable to forensic or research study testing and is typically not used for clinical or workplace testing.<sup>3</sup></p>
<p class="p1"><a href="https://americanaddictioncenters.org/meth-treatment">Methamphetamine is an incredibly harmful drug</a>, and any suspected addiction <a href="https://americanaddictioncenters.org/admissions" rel="noopener"><span class="s2">should be treated as soon as possible</span></a>. Recovering from meth addiction can be difficult, but the sooner a person seeks treatment, the easier it will be.</p>

<h4></h4>
&nbsp;
<h4 class="p1">Sources</h4>
<p class="p5"><span class="s7">1. Substance Abuse and Mental health Services Administration. (2019). <a href="http://www.samhsa.gov/data/report/2018-nsduh-annual-national-report" target="_blank" rel="noopener"><span class="s8"><i>Key substance use and mental health indicators in the United States: results from the 2018 national survey on drug use and health. </i></span></a><span class="s8">Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration</span>.
2. U.S. Department of Justice, Drug Enforcement Administration. (2017). <a href="http://www.dea.gov/sites/default/files/sites/getsmartaboutdrugs.com/files/publications/DoA_2017Ed_Updated_6.16.17.pdf" target="_blank" rel="noopener"><span class="s8">Drugs of abuse: a DEA resource guide, 2017 edition. Washington, DC: Drug Enforcement Administration</span></a>.<i>
</i>3. American Society of Addiction Medicine. (2019). <i>The ASAM principles of addiction medicine, sixth edition</i>. Philadelphia, PA: Welters Kluwer.</span></p>

</div>
</div>

How Long Does Meth Stay in Your System?

[content-overview]Understanding the symptoms, effects, and risks associated with a barbiturate overdose can help those effected to understand what barbiturates are and what they are used for and do.[/content-overview]

[callout position="right"]

<strong>Some examples of barbiturates include:<sup>1, 2</sup></strong>
<ul>
 	<li>Phenobarbital</li>
 	<li>Amobarbital (Amytal)</li>
 	<li>Secobarbital (Seconal)</li>
 	<li>Butalbital</li>
</ul>
[/callout]

Barbiturates are a group of sedative-hypnotic drugs that can treat seizure disorder, neonatal withdrawal, insomnia, preoperative anxiety, and induction of a coma for increased intracranial pressure (ICP); and can even be used for anesthesia.<sup>1</sup>

As is the case with most substances with similar effects, barbiturates see illegal use and abuse throughout the United States. Barbiturates are generally misused in an effort to produce a mild euphoria, induce sleep, reduce anxiety, decrease inhibitions, or treat some of the unwanted effects of illicit drugs.<sup>3</sup>

According to the <a href="https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHDetailedTabs2018R2/NSDUHDetTabsSect1pe2018.htm" target="_blank" rel="noopener"><em>Substance Abuse and Mental Health Services Administration</em></a> (SAMHSA), in 2018, approximately 405,000 Americans aged 12 and higher reported using barbiturates and 32,000 Americans aged 12 and higher reported misusing barbiturates.
<h2>Dangers of Barbiturate Intoxication and Overdose</h2>
Barbiturates have a high potential for abuse, and prolonged use can result in tolerance and physical dependence. A person with an increased tolerance will often seek a higher dosage in order to produce the desired effects, and this may result in dependence and addiction. Frequent barbiturate users may experience severe withdrawal symptoms within 8 to 15 hours of stopping the drug.<sup>1</sup>

<a href="https://americanaddictioncenters.org/polysubstance-abuse">Polydrug use</a> has long been associated with barbiturate abuse<sup>4</sup>, and barbiturates have historically been a secondary drug of abuse for people who misuse alcohol and heroin as their primary drug of choice.<sup>5, 6</sup>  Co-administering <a href="https://www.alcohol.org/mixing-with/barbiturates/" target="_blank" rel="noopener">barbiturates with alcohol</a> and opioids like heroin—as well as benzodiazepines—increases the risk for overdose significantly. Barbiturates have an additive effect on these substances, and <a href="https://medlineplus.gov/ency/article/000951.htm" target="_blank" rel="noopener">consume in conjunction with one another makes them especially dangerous</a>.

[callout]

<strong>More on Prescription Drug Abuse</strong>
<ul>
 	<li><a href="https://americanaddictioncenters.org/opiates">Opioids</a></li>
 	<li><a href="https://americanaddictioncenters.org/benzodiazepine">Benzodiazepines</a></li>
 	<li><a href="https://americanaddictioncenters.org/stimulant-drugs">Stimulants</a></li>
 	<li><a href="https://americanaddictioncenters.org/the-big-list-of-narcotic-drugs">Narcotic Drugs</a></li>
 	<li><a href="https://americanaddictioncenters.org/prescription-drugs">Prescription Drugs</a></li>
</ul>
[/callout]

Barbiturates are particularly dangerous for individuals with severe respiratory or kidney diseases.<sup>7</sup> These drugs should be avoided by women who are pregnant, as it poses a health risk to the fetus.<sup>7</sup>  Pregnant women who take barbiturates during the third trimester can give birth to addicted infants who undergo an extended withdrawal syndrome.<sup>8</sup>
<h4><strong>Signs and symptoms of barbiturate intoxication include:<sup>9</sup></strong></h4>
<ul>
 	<li>Altered or decreased consciousness</li>
 	<li>Coordination problems and muscle weakness</li>
 	<li>Clouded thinking</li>
 	<li>Lack of balance/vertigo</li>
 	<li>Nausea</li>
 	<li>Slurring of speech</li>
 	<li>Slow heart rate</li>
 	<li>Decreased urine output</li>
</ul>
<h4>Signs and symptoms of barbiturate overdose include:<sup>1, 3</sup></h4>
<ul>
 	<li>Shallow breathing</li>
 	<li>Clammy skin</li>
 	<li>Dilated pupils</li>
 	<li>Weak and rapid pulse</li>
 	<li>Respiratory failure</li>
 	<li>Coma</li>
</ul>
Many of these symptoms are very noticeable; awareness can be key in alerting someone to the need for medical help.
<h2>Responding to a Barbiturate Overdose</h2>
<img class=" wp-image-62601 alignright" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/09/shutterstock_783324391-300x142.jpg" alt="Overdose, hand on table with pills and pill bottle" width="336" height="159" />In the event of a suspected barbiturate or polydrug <strong>overdose, call 911 immediately, especially in the event of any breathing problems.</strong> The presence of medical professionals on the scene can improve the chances of surviving the overdose, which can be deadly.

Knowing whether or not an individual mixed a barbiturate with an opioid can be helpful for medical professionals to know when they arrive on the scene, as naloxone may be a viable immediate treatment.<sup>10</sup>  Naloxone is a drug that can help the person regain consciousness and reverse the effects of an opioid overdose, although naloxone cannot reverse a barbiturate-induced coma.
<h2>Barbiturate Withdrawal, Detox, and Treatment</h2>
For someone who is physically dependent on barbiturates or who are using barbiturates in addition to alcohol and/or opioids, withdrawal can be a painful and dangerous process and typically requires medical assistance.

Symptoms of barbiturate withdrawal include:<sup>9</sup>
<ul>
 	<li>Restlessness</li>
 	<li>Anxiety</li>
 	<li>Tremors</li>
 	<li>Low body temperature</li>
 	<li>Sweating</li>
 	<li>Insomnia</li>
 	<li>Anxiety</li>
 	<li>Seizures</li>
</ul>
Detox should be done in a rehabilitation treatment facility that <a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments">includes 24-hour monitoring by medical professionals</a>. Doctors will start by tapering drug dosages in an effort to fully wean someone off barbiturates.<sup>7</sup> After tapering off,  patients will then begin <a href="https://americanaddictioncenters.org/cognitive-behavioral-therapy">cognitive behavioral therapy</a> (CBT).<sup>7</sup> According to the <em>U.S. National Library of Medicine</em> CBT examines the connection between feelings, thoughts, and behaviors, and how those in recover are influenced by the substance they are addicted to.<sup>11</sup>

With the help of medical professionals and treat treatment plan, those suffering from addiction can recovery. Long-term sobriety can be achieved with the new learned behaviors form therapy and support<sup>9</sup> from family, medical professionals, and community support groups.

&nbsp;
<h4>Sources</h4>
<ol>
 	<li>Skibiski, J., &amp; Abdijadid, S. (2019). <a href="https://www.ncbi.nlm.nih.gov/books/NBK539731/" target="_blank" rel="noopener"><em>StatPearls</em></a>. Treasure Island, FL: StatPearls Publishing.</li>
 	<li>(n.d.). Retrieved from <a href="https://livertox.nih.gov/Barbiturates.htm" target="_blank" rel="noopener">https://livertox.nih.gov/Barbiturates.htm</a></li>
 	<li>Drug Enforcement Administration (DEA) and U.S. Department of Justice. (2017). <a href="https://www.dea.gov/sites/default/files/sites/getsmartaboutdrugs.com/files/publications/DoA_2017Ed_Updated_6.16.17.pdf#page=58" target="_blank" rel="noopener"><em>Drugs of Abuse</em></a>.</li>
 	<li>d'Orban, P. T. (n.d.). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2495124/pdf/jmedeth00318-0016.pdf" target="_blank" rel="noopener">Barbiturate abuse</a><em>. Journal of Medical Ethics</em>, <em>2</em>, 63–67.</li>
 	<li>Devenyi, P., &amp; Wilson, M. (n.d.). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1930792/" target="_blank" rel="noopener">Barbiturate Abuse and Addiction and Their Relationship to Alcohol and Alcoholism</a>.<em>Can Med Assoc J.</em>, <em>104(3)</em>, 215–218.</li>
 	<li>Cumberlidge, M. C. (n.d.). The Abuse of Barbiturates by Heroin Addicts. <em>Can Med Assoc J.,</em><em>98(22)</em>, 1045–1049.</li>
 	<li>Felicilda-Reynaldo, R. F. D. (n.d.). CNE Series - Nursing Pharmacology<em>. </em><a href="https://pdfs.semanticscholar.org/8963/e8d340712fbe8dc6e537637a8c11d2d7a44a.pdf" target="_blank" rel="noopener"><em>Recognizing Prescription Drug Abuse and Addiction in Patients, Part II</em></a>, <em>24</em>(1).</li>
 	<li>M., C. (n.d.). Barbiturates. <em>Pediatr Rev.</em>, <em>18(8)</em>, 260–264.</li>
 	<li>Suddock, J. T., &amp; Cain, M. D. (n.d.). <a href="https://www.ncbi.nlm.nih.gov/books/NBK499875/" target="_blank" rel="noopener">Barbiturate Toxicity</a>. <em>StatPearls Publishing LLC</em>.</li>
 	<li>Coupey, S. M. (n.d.). <a href="https://pedsinreview.aappublications.org/content/18/8/260" target="_blank" rel="noopener">Barbiturates</a>. <em>Pediatrics in Review</em>, <em>18</em>(8).</li>
 	<li>Institute for Qualityaand Efficiency in Health Care (IQWiG) and InformedHealth.org . (2006). <a href="https://www.ncbi.nlm.nih.gov/books/NBK279297/" target="_blank" rel="noopener"><em>Cognitive behavioral therapy</em></a> (2nd ed.). Cologne, Germany.</li>
</ol>

Barbiturate Overdose: Symptoms, Effects, and Risks

[content-overview]Despite controversies regarding marijuana’s recreational and medicinal uses, the drug remains incredibly popular. It is abundantly represented in pop culture, and many state and local governments have rolled back criminalization laws on the sale and use of the drug. However, marijuana is nonetheless a drug, and one that causes problems if used excessively. Quitting smoking is not easy, but it is possible with treatment; the following tips will explain how and the benefits will explain why.[/content-overview]
<h2>How Does Marijuana Use Effect the Brain?</h2>
Understanding what marijuana does to the brain helps to explain why quitting can be so difficult.

Tetrahydrocannabinol (THC) a chemical compound in cannabis, <a href="https://www.drugabuse.gov/publications/research-reports/marijuana/how-does-marijuana-produce-its-effects" target="_blank" rel="noopener">influences neural functioning by interacting with the brain’s endocannabinoid system</a>. This interaction is what causes the high that someone gets after smoking marijuana or eating an edible product. In some instances, the sensations are pleasurable; users report experiencing greater sensory perception; colors are brighter, music sounds better, food is tastier, etc. Many use marijuana to relax and overcome social anxiety. However, THC-mediated alterations in endocannabinoid signaling also play a role in some of the less desirable, or outright adverse effects of marijuana use, such as cognitive impairments, diminished coordination and reaction time, and acute psychotic features such as hallucinations and delusions.

Regardless of the common perception that marijuana’s effects are mild and relatively harmless, marijuana use is known to have reinforcing properties; o<a href="https://www.drugabuse.gov/publications/research-reports/marijuana/marijuana-addictive" target="_blank" rel="noopener">ccasional use can turn to compulsive and problematic use</a>—in other words <a href="https://americanaddictioncenters.org/marijuana-rehab/is-it-addictive/">marijuana can be addictive</a>. A user who smokes every day, or who has been smoking for a long period of time, may have a harder time simply saying “no” to the invitation to smoke or to the thought of smoking. Marijuana is also associated with a distinct dependence phenomenon, in which a person comes to rely on continued use to feel and function “normally.” Time spent not smoking <a href="https://americanaddictioncenters.org/marijuana-rehab/withdrawal/">could result in unpleasant withdrawal effects</a>, such as agitation, depression, anxiety, and physical symptoms, such as fever, sweating, chills, and fatigue.

The more someone gets accustomed to being high on marijuana, the more that person comes to believe that being high is required to function properly, even if just to go about the day. In some cases, the boost that comes from the THC triggering the cannabinoid receptors supersedes more natural sources of pleasure, to the point where getting high, and being high, take precedence over everything else.
<h2>Is Marijuana Addictive?</h2>
<img class=" alignright" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/07/smoking.jpg" width="350" height="233" />

The National Institute on Drug Abuse (NIDA) identify marijuana as an addictive drug. Marijuana users can develop problematic use, or <a href="https://www.drugabuse.gov/publications/research-reports/marijuana/marijuana-addictive" target="_blank" rel="noopener">what’s known as a marijuana use disorder</a> (or marijuana addiction) in severe cases.

Dependence of marijuana occurs when the <a href="https://www.drugabuse.gov/publications/research-reports/marijuana/marijuana-addictive" target="_blank" rel="noopener">brain adapts to the drug and become desensitized to endocannabinoid neurotransmitters.</a> This effect can cause withdrawal symptoms when marijuana is no longer in the person’s system.
<h2>Withdrawal</h2>
<a href="https://americanaddictioncenters.org/marijuana-rehab/withdrawal">One of the less pleasant aspects of quitting smoking weed is withdrawal</a> – the irritability, insomnia, changes in appetite, and flulike symptoms are just a few of the effectsThis is one of the hardest parts of the process, as a person with significant cannabis dependence may be compelled to immediately start smoking weed again to diminish the symptoms of withdrawal. Many well-meaning smokers are drawn back to their pot (or another drug) because of the distress of withdrawal, <a href="https://americanaddictioncenters.org/marijuana-rehab/how-long-system-body">which can last as long as a few days to a week, or even longer</a>, depending on the length and severity of the marijuana use.
<p>
<iframe width="560" height="315" src="https://www.youtube.com/embed/3B9ZhQ1rZls" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen></iframe>
<h2>Learning More About Treatment</h2>
American Addiction Centers offers therapy to help those abusing marijuana gain the skills to cope with craving and avoid triggers. Therapy also helps improve on other skills, such as problem-solving and lifestyle management.

[callout]There are a few <a href="https://www.drugabuse.gov/publications/research-reports/marijuana/available-treatments-marijuana-use-disorders" target="_blank" rel="noopener">additional mental health treatments that are found to help heal whose suffering from marijuana use</a>:
<ul>
 	<li>Cognitive-behavioral</li>
 	<li>Contingency management</li>
 	<li>Motivational enhancement therapy[/callout]</li>
</ul>
One solution to the unpleasantness and potential unpredictability of withdrawal is to undergo the process with appropriate medical supervision. The <a href="https://americanaddictioncenters.org/marijuana-rehab">support and care offered through professional rehabilitation</a> may help people better manage the withdrawal period. Though presently there are no pharmacologic interventions specifically approved for treating cannabis dependence, observation, medications for certain symptom relief, and other supportive care measures can help make the withdrawal less of an ordeal and decrease the likelihood of relapse.

How to Quit Marijuana

[callout]Para los individuos que luchan contra adicción de drogas o alcohol y que tienen recursos limitados, los centros de rehabilitación gratuitos pueden ser una opción asequible para comenzar a recuperarse de una adicción. El <em>Directory of Single State Agencies for Substance Abuse Services </em>ofrece información para contactar las agencia rectora de abuso de sustancias de cada estado. La Administración de abuso de sustancias y servicios de salud mental (con siglas en ingles SAMHSA) también ofrece una lista completa de las opciones disponibles en cada estado.[/callout]
<p align="right"><a href="https://americanaddictioncenters.org/rehab-guide/state-funded" rel="alternate" hreflang="en">English Version</a></p>

[quote]
<strong>
<center>AAC está en red con muchas instalaciones; el tratamiento puede ser gratuito según su póliza y copago / deducible.
</center>
</strong>
<br>
[button-color link="/verify-tx-landing-page-spanish"]¿Su proveedor de seguros cubre el tratamiento?[/button-color]
</br>
[/quote]

Según la <a href="https://www.samhsa.gov/data/sites/default/files/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014.htm" target="_blank" rel="noopener">Encuesta nacional sobre uso de medicamentos y salud</a> en 2016, de los 21 millones de personas de más de 12 años de edad que necesitaban rehabilitación de consumo de sustancias, aproximadamente 3.8 millones buscaron y recibieron tratamiento de cualquier clase en los 12 meses antes de la Encuesta nacional. Solo 2.2 millones de personas accedieron a un tratamiento a través de un centro especializado (por ejemplo tratamiento en hospital, en un centro de rehabilitación de drogas o alcohol, a través de los servicios de un centro medico de salud mental). Los centros a rehabilitación gratuitos pueden ser una buena opción para algunos que no están incluidos en las cifras anteriores.

Aunque algunas personas pueden ver un estigma al acceder los recursos de asistencia pública, para ellos que están listos para tomar el control de sus adicciones, es posible utilizar esas clínicas y centros de rehabilitación para obtener desintoxicación, terapias conductuales, consejería después del tratamiento, y otros sistemas de soporte basados en pruebas practicas que hacen que la recuperación a largo plazo sea realizable.

Los individuos, familiares y amigos que quieren buscar opciones de rehabilitación gratuitas y quizás no saben cómo comenzar. Con la guía adecuada, recursos, y un poco de preparación, las respuestas a las siguientes preguntas mas comunes pueden abrir el camino a encontrar el centro de rehabilitación apropiado.
<h4>[callout]
Buscando Rehabilitación en Estados Específicos:</h4>
<ul>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers/california">California</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers/florida">Florida</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers/rhode-island">Rhode Island</a></li>
</ul>
[/callout]
<h2>¿Qué son los centros de rehabilitación gratuitos?</h2>
Los centros de rehabilitación gratuitos son organizaciones que utilizan dinero del gobierno, distribuido por el estado para apoyar las personas recuperándose de la adicción al alcohol o drogas. Por ellos sin muchos ingresos o sin seguro medico o con seguro inadecuado, estos centros ofrecen desintoxicación, tratamiento y servicios de apoyo.

Las programas pueden expresarse de diversas maneras, incluyendo hospitalización, ambulatorio, hospitalización parcial, así como el apoyo sucesivo.

Según la publicación <a href="https://www.ncbi.nlm.nih.gov/books/NBK64279/" target="_blank" rel="noopener"><em>Integrar el tratamiento del abuso de sustancias y los servicios vocacionales de</em></a> la Administración de abuso de sustancias y servicios de salud mental (SAMHSA), el dinero que utilizan los estados para financiar estos centros viene de varias fuentes. Alguno esta proporcionado por SAMHSA, en forma de subsidio federal y de reembolso por Medicaid, y alguno viene directamente del presupuesto del estado. A veces se enfrentan con algunas dificultades las personas buscando rehabilitación, y es que la cantidad e incluso el tipo de apoyo gubernamental, varía dependiendo del estado – como varían los requisitos para calificarse por ese tipo de rehabilitación – por eso es importante que cada persona buscando rehabilitación investigue y tenga conocimiento de las ofertas que cada estado ofrece.

A menudo, estos centros están incluidos como parte de otros servicios del estado, tales como los servicios de atención social a niños <em>(child social services?si),</em> justicia penal y provisiones de prisión, y otras áreas del gobierno, lo que significa que los fondos están proporcionados específicamente por la conexión que tiene un individuo con esos programas. Todavía, hay opciones para personas que no están implicados en esos programas, mientras que se califican para los servicios.

<img src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/Rehab-Insurance-Assistance-Spanish-version.png" alt="Rehab Insurance Assistance (Spanish version)" width="600" height="527" class="alignnone size-full wp-image-62960" />

<h2>¿Quien se califica para la rehabilitación gratuito?</h2>
Cada estado tiene requisitos y ofertas diferentes al respecto de rehabilitación financiado por el estado y los gobiernos locales.

Por lo tanto, es buena idea localizar la agencia del estado especifica que administra estos programas y averiguar como calificarse en ese estado. <a href="https://www.samhsa.gov/sites/default/files/ssadirectory.pdf" target="_blank" rel="noopener"><u>El Directory of Single State Agencies for Substance Abuse Services</u></a> proporcionado por SAMHSA ofrece información para estas agencias en cada estado.

Completar los requisitos para calificarse para estos programas puede tomar tiempo y esfuerzo. Normalmente, los que desean ingresar en centros rehabilitación gratuitos (financiados por el Estado) se les pide que proporcionar el siguiente:
<ul>
 	<li>Prueba de residencia</li>
 	<li>Prueba de categoría de ingresos</li>
 	<li>Prueba de residencia legal de los EEUU</li>
 	<li>Información personal sobre el historial de adicción (e.g. duración, gravedad)</li>
</ul>
Una vez que esta información sea proporcionada, el individuo sea calificado y la necesidad de servicios de rehabilitación de adicción esta verificada, se puede suministrar el tratamiento.
<h2>¿Qué tan pronto puedo comenzar el tratamiento?</h2>
Porque los fondos para la rehabilitación del estado están limitados y deben ser distribuidos entre una gran cantidad de personas, a veces hay una lista de espera para entrar en estos programas. Además, ciertas personas podrían tener prioridad, como mujeres embarazadas, moviendo a otros para abajo de la lista de prioridad. Eso puede a veces disuadir a unos para obtener ayuda porque no quieren esperar, y pueden decidir simplemente que ya no quieren perseguir la rehabilitación. Como indicado por el Instituto nacional del abuso de drogas, la rehabilitación a adicciones es más probablemente efectiva si está disponible cuando un individuo está listo para intentarlo. Como resultado, muchos de esos centros de rehabilitación financiados por el estado ofrecen servicios ambulatorios y mantenimiento medical para ellos que están esperando un tratamiento mas intensivo.

[callout]
<h4>Mas temas sobre pagando para rehabilitación</h4>
<ul>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage">Seguro medico</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox/insurance"><u>Seguro para desintoxicación </u></a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox/cost"><u>El costo de desintoxicación</u></a></li>
 	<li><a href="https://americanaddictioncenters.org/alcohol-rehab/cost"><u>El precio de rehabilicion de alcohol</u></a></li>
 	<li><a href="https://americanaddictioncenters.org/intensive-outpatient-programs/cost"><u>El costo de tratamiento ambulatorio </u></a></li>
 	<li><a href="https://americanaddictioncenters.org/personal-finance-in-recovery"><u>Guía de financias personales </u></a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/public-assistance"><u>Opciones de asistencia publica</u></a></li>
</ul>
[/callout]

<strong>[quote]“El centro de rehab donde fui siempre estará parte de mi corazón... me salvó la vida... No estaría acá hoy sin [el centro].”[/quote]</strong>
<h2>¿Cómo se compara un centro de rehabilitación gratuito con un centro privado?</h2>
Debido a los fondos limitados, los centros de rehabilitación financiados por el estado no siempre ofrecen tecnologías y tratamientos actuales, comparado con los centros privados de rehabilitación. Sin embargo, eso no quiere decir que las terapias ofrecidas no sean eficaces. Unos Estudios han demostrado que la rehabilitación en general – cualquier nivel de tratamiento –  ofrecen mejores resultados para reducir los abusos de substancias, mejorando la salud personal, las relaciones sociales, y aumentar la salud público y seguridad comparándolo con grupo de personas sin rehabilitación. Otros estudios muestran que la financiación publica de la rehabilitación de adicción a drogas y alcohol ayuda a reducir la tasa de delincuencia y es mas económico que sin rehabilitación o intervención mínima. De esta forma, el tratamiento de un centro publico de rehabilitación es igual de valioso y puede tener los mismos resultados positivos que los centros privados de rehabilitación. Dicho esto, la rehabilitación financiado por el estado cuenta con los métodos tradicionales basados en evidencia y puede ser que no sean capaces de ofrecer las ultimas terapias complementarias o otras tendencias de tratamiento.

Los centros de rehabilitación financiados por el estado tal vez no tengan consejería residente o otros servicios. Algunos de esos centros ofrecen solamente asistencia de desintoxicación o tratamiento médico, pero después referirán el cliente a otros servicios de consejería o grupos de autoayuda, mientras que los centros privados tal vez ofrecen estos servicios internamente. Los centros de rehabilitación financiados por el estado tal vez no estén tan cómodos como los centros privados, en términos de alojamiento. Generalmente, el financiamiento del estado no permite todas las comodidades de hogar u otras instalaciones deseables que pueden ser disponibles en un centro privado residencial.
<h2>¿Cómo se compara el costo de un centro de rehab gratuito con un centro privado?</h2>
El rehab de un centro financiado por el estado puede ser gratis o costar varios miles de dólares, dependiente de la evaluación del individuo para la programa le intensidad del tratamiento – por ejemplo tratamiento hospitalario, ambulatorio, mantenimiento de medicación, etcétera. Dependiente de las circunstancias y política del estado, el costo de rehab para una persona puede ser plenamente subvencionada; por ejemplo, hay becas para estos centros de rehab para apoyar al tratamiento de drogadicción por las embarazadas, los veteranos, y otros grupos específicos.

Por otra parte, un rehab privado puede costar entre varios miles de dólares y decenas de miles de dólares. El nivel de confort, instalaciones, y actividades de estos centros de rehab privados explican la diferencia de los costos. En muchos casos, un porcentaje de este coste puede ser cubierto por el seguro medico – a veces hasta la mayoría del costo. Mientras hay normalmente un monto que uno tiene que pagar, incluso los pagos de coaseguro, franquicias, y otros gastos, ellos que tienen seguro medico deberían considerar estos tipos de rehab.

En general, como con otras cosas, mayor el costo, hay más servicios e instalaciones disponibles para hacer el proceso de desintoxicación y rehabilitación mas cómodo y para ofrecer una red de apoyo después del tratamiento sin mas esfuerzo de la parte del cliente.
<h2>Como encontrar un centro de rehabilitación gratuito</h2>
[media image="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/07/search-1.jpg" alt="Hombre buscando en internet"][/media]

Cuando ya estas listo para ir a rehab, hay varias recursos para ayudarte a encontrar un rehab financiado por el estado.

El Directory of Single State Agencies (SSAs) for Substance Abuse Services ofrece información para contactar las agencia rectora de abuso de sustancias de cada estado. La mejor manera de descubrir lo que cada estado ofrece y como obtener los servicios es de localizar la agencia del estado especifica que administra estos programas. Otra manera de buscar centros de rehab es con <a href="https://findtreatment.samhsa.gov/" target="_blank" rel="noopener">el localizador de rehab de La Administración de abuso de sustancias y servicios de salud mental</a> (con siglas en ingles SAMHSA). Esa pagina permite una buscada visual de centros del estado y municipio, así como otros recursos de rehab de cada región. Permite a los visitantes del sitio web de limitar las opciones según la localización con una dirección física o código postal

Finalmente, hay varios sitios web que ofrecen apoyo en buscar centros de rehab. Entre ellos <a href="https://www.rehabs.com/" target="_blank" rel="noopener">Rehabs.com</a>.

Como encontrar centros de rehabilitación gratuitos

[content-overview]San Jose is located near addiction treatment centers that can help residents and visitors safely and successfully recover from substance use disorders. If you struggle from substance abuse in San Jose, here’s how you or a loved one can find quality and effective addiction treatment.[/content-overview]
<h2>Statistics about San Jose</h2>
In Santa Clara County <a href="https://americanaddictioncenters.org/alcoholism-treatment">alcohol</a> and <a href="https://americanaddictioncenters.org/marijuana-rehab/signs-of-abuse">marijuana</a> are the most commonly used substances followed by prescription drugs, cocaine, and hallucinogens.<sup>1</sup> It is estimated that 55% of residents have reported the use of alcohol in the past month.<sup> 1</sup> In addition to alcohol and marijuana use in the country, residents also reported the misuse of prescription drugs; 65% painkillers, 37% sedatives and depressants, and 31% stimulants.<sup> 1</sup>

Additional drugs, such as <a href="https://americanaddictioncenters.org/meth-treatment">methamphetamines</a> (28%), <a href="https://americanaddictioncenters.org/heroin-treatment">heroin</a> (28%), and cocaine (19%), have been used by Santa Clara Country residence in the past 30 days.<sup>1</sup> In 2016, there were 26.4 opioid prescriptions for every 100 residents in Santa Clara County.<sup>1</sup> Between January 1, 2018 and August 13, 2018 there were 27 opioid-related deaths in Santa Clara Country.<sup> 2</sup>
<h2>Why San Jose?</h2>
<a href="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/08/SanJose.jpg"><img class="size-full wp-image-61653 alignright" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/08/SanJose.jpg" alt="San Jose, CA, skyline" width="500" height="248" /></a>

As the third most populous city in <a href="https://americanaddictioncenters.org/treatment-centers/california">California</a> and just 50 miles south of San Francisco, San Jose offers residents and visitors year-round sunshine, warm temperatures, and an abundance of fun activities.<sup>3</sup> <a href="https://www.inc.com/brit-morse/2018-inc5000-fastest-growing-san-jose.html" target="_blank" rel="noopener">San Jose is well-known as the epicenter of the tech industry</a> and is home to some of the largest tech corporations in the world, including Google, Facebook, Apple, Netflix, Tesla, and many more. People who consider themselves to be foodies, nature lovers, shoppers, and artists will enjoy the many cultures and attractions San Jose has to offer, though there’s something in this city for everyone.

Some of the most popular attractions in San Jose include the <a href="https://winchestermysteryhouse.com/" target="_blank" rel="noopener">Winchester Mystery House</a>, the <a href="https://www.thetech.org/" target="_blank" rel="noopener">Tech Museum</a>, and the <a href="https://egyptianmuseum.org/" target="_blank" rel="noopener">Rosicrucian Egyptian Museum</a>. Sports enthusiasts may enjoy watching the <a href="https://www.nhl.com/sharks/" target="_blank" rel="noopener">San Jose Sharks</a> in <a href="http://www.sapcenter.com/" target="_blank" rel="noopener">SAP Center</a> and visiting the Excite Ballpark to watch <a href="https://www.milb.com/san-jose" target="_blank" rel="noopener">San Jose Giants’ minor league</a> games or traveling an hour north to watch the <a href="https://www.mlb.com/giants" target="_blank" rel="noopener">San Francisco Giants</a> play at Oracle Park. Those who enjoy spending time outdoors will appreciate San Jose’s Mediterranean climate that boasts plenty of sunshine and comfortable year-round temperatures that hover around 60 degrees.

Buses, trains, and light rails are the main modes of public transportation in San Jose. Most of the city is automobile-dependent given its vast layout, but its large freeway system helps people get to their destinations with ease. San Jose’s health-conscious culture has helped make this city bicycle-friendly in recent years, with many added many <a href="http://sanjoseca.gov/DocumentCenter/View/1357" target="_blank" rel="noopener">bike lanes</a> that run alongside traffic and <a href="http://www.sanjoseca.gov/index.aspx?NID=585" target="_blank" rel="noopener">biking trails</a>.
<h2>Why Choose American Addiction Centers?</h2>
American Addiction Centers offers a nationwide network of facilities, an alumni support system, quality care, and a <a href="https://americanaddictioncenters.org/90-day-promise">90-day promise</a>. If a person relapses after completing 90 days of treatment at an AAC program, they can return for 30 days of complimentary treatment.

[button-color link='/insurance-coverage']Learn more about insurance coverage and verify your insurance with AAC[/button-color]

Additionally, <a href="https://aacalumni.com/">American Addiction Centers alumni</a> from across the country host fun gatherings and events while alumni coordinators check-in regularly to ensure those recovering from substance abuse benefit from continued support.
<h2>Start Your Recovery Today</h2>
At American Addictions Centers we focus our treatments around healing the body, mind, and spirit. At our <a href="https://americanaddictioncenters.org/treatment-centers">treatment centers we offer a wide range of treatment options</a> and different levels of care to best fit our patients needs on their road to recovery.

You owe it to yourself to work with our experienced team of doctors, clinicians, and counselors to create a one-of-a-kind, constantly evolving treatment plan designed to help you get the most out of your recovery experience. Our goal is to treat the whole person, and that means addressing co-occurring mental illness, physical wellness, social issues, and more.

As Orange County’s first chemical dependency recovery hospital, <a href="https://americanaddictioncenters.org/treatment-centers/laguna-treatment-hospital">Laguna Treatment Hospital</a> provides research-based clinical and support services for adults suffering with drug and/or alcohol addiction and co-occurring mental health disorders. The hospital has the expertise to care for most patients, including those who are medically compromised and require 24/7 medical care through its unique medical model for addiction treatment.
<h2>More Ways to Get Help</h2>
<ul>
 	<li><a href="https://aasanjose.org/" target="_blank" rel="noopener">Santa Clara County Alcoholics Anonymous</a>, find the nearest AA meeting in San Jose and Santa Clara County.</li>
 	<li><a href="https://www.sjna.org/meetings/" target="_blank" rel="noopener">Greater San Jose Area Narcotics Anonymous</a>, find the nearest NA meeting in San Jose and Santa Clara County.</li>
 	<li><a href="https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx" target="_blank" rel="noopener">Santa Clara County Behavioral Health Services</a>, access resources about prevention and treatment of substance abuse in San Jose and Santa Clara County.</li>
 	<li><a href="https://www.sccgov.org/sites/bhd/services/sp/pages/default.aspx" target="_blank" rel="noopener">Suicide and Crisis Hotline</a>, access suicide and crisis hotline information for Santa Clara County, courtesy of Behavioral Health Services.</li>
 	<li><a href="https://www.sccgov.org/sites/bhd/info/Pages/lgbtq-resources.aspx" target="_blank" rel="noopener">LGBTQ Resources Santa Clara County</a>, access resources for members of the LGBTQ community in Santa Clara County who struggle with substance abuse and mental illness.</li>
 	<li><a href="http://santaclara.networkofcare.org/mh/services/subcategory.aspx?cid=8244&amp;tax=PN-8100.0500" target="_blank" rel="noopener">Mental and Behavioral Health Support Groups</a>, access a list of support groups for substance abuse in Santa Clara County.</li>
</ul>
<h4>Sources</h4>
<ol>
 	<li>County of Santa Clara (2017), <a href="https://www.sccgov.org/sites/bhd/info/SUTS-Resources-Info/Documents/BHS%20SUbustanceUseAssessment_10_6_17.pdf" target="_blank" rel="noopener">Santa Clara County Substance Use Assessment 2017</a></li>
 	<li>San Jose Inside. (2018). <a href="https://www.sanjoseinside.com/2018/09/19/opioid-use-and-abuse-in-santa-clara-county-by-the-numbers/" target="_blank" rel="noopener"><em>Opioid use and abuse in Santa Clara County: by the numbers</em></a>.</li>
 	<li>United States Census Bureau. (2019). <a href="https://www.census.gov/newsroom/press-releases/2019/subcounty-population-estimates.html" target="_blank" rel="noopener"><em>Fastest-growing cities primarily in the south and west</em></a>.</li>
</ol>

Find Local Addiction Treatment Centers near San Jose

[content-overview]Addiction treatment is available near Fresno to help residents and visitors experience a safe and fulfilling recovery from substance use disorders. Here’s a closer look at the prevalence of addiction in Fresno and <a href="https://americanaddictioncenters.org/treatment-centers/california">California</a> and what you need to know about recovering from addiction in Fresno.[/content-overview]
<h2>Statistics about Fresno</h2>
<a href="https://americanaddictioncenters.org/heroin-treatment">Heroin</a>, <a href="https://americanaddictioncenters.org/oxycodone">oxycodone</a>, and <a href="https://americanaddictioncenters.org/meth-treatment">methamphetamine</a> are the most commonly abused drugs in Fresno.<sup>1 </sup>

Because of the use of injection drugs, there is a prevalent rise of <a href="https://americanaddictioncenters.org/adult-addiction-treatment-programs/hepatitis-c">Hepatitis C</a> and <a href="https://americanaddictioncenters.org/health-complications-addiction/substance-abuse-hiv-aids">HIV</a> in the county.<sup>1 </sup>In Fresno County, compared to other counties in the state of California, has higher rates of people admitted to treatment for alcohol and drug dependency, arrests due to dangerous drug offense, as well as hospitalizations and deaths due to drug and alcohol use.<sup> 1 </sup>

In California, there are 2,757,000 people who have been diagnosed with a <a href="https://americanaddictioncenters.org/disease-of-addiction">substance use disorder</a>: 1,068,000 with illicit drug use disorder, 206,000 with painkiller use disorder, and 2,088,000 with alcohol use disorder.<sup>2 </sup>In addition, 4,097,000 people aged 12 and older report past-month illicit drug use and 16,226,000 people reported past-month alcohol use.<sup>2</sup>

In 2017, there were 2,199 drug overdose deaths in California that involved opioids.<sup>3</sup>
<h2>Why Fresno?</h2>
<img class=" wp-image-61856 alignright" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/09/shutterstock_1401822785-300x183.jpg" alt="Fresno, CA" width="450" height="275" /><a href="https://www.fresno.gov/" target="_blank" rel="noopener">Fresno is located in the center of the San Joaquin Valley</a> in the southern part of California’s Central Valley. As California’s fifth-largest city by population, Fresno is home to many beautiful parks and gardens and offers many attractions to those who enjoy the art scene.

Some of the most popular attractions and landmarks in Fresno are the <a href="https://www.fresnochaffeezoo.org/plan-your-visit/?gclid=EAIaIQobChMItOKqh4Sr5AIVAsJkCh0Y5ghsEAAYASAAEgKlYvD_BwE" target="_blank" rel="noopener">Fresno Chaffee Zoo</a>, <a href="http://www.undergroundgardens.com/" target="_blank" rel="noopener">Forestiere Underground Gardens</a>, <a href="http://www.fresnostate.edu/csm/downing-planetarium/" target="_blank" rel="noopener">Downing Planetarium</a>, and the <a href="https://www.fresnoartmuseum.org/" target="_blank" rel="noopener">Fresno Art Museum</a>. Fresno also provides easy access to national parks such as <a href="https://www.nps.gov/yose/index.htm" target="_blank" rel="noopener">Yosemite</a>, <a href="https://www.nps.gov/seki/index.htm" target="_blank" rel="noopener">Sequoia, and Kings Canyon</a>.

People in Fresno can expect sunny weather year-round. Summer temperatures usually peak no higher than 98 degrees, while winter lows average about 38 degrees. Those who enjoy spending time outdoors will be able to appreciate Fresno’s mild, comfortable climate at any time of year whether they choose to hike nearby trails or explore the city’s many gorgeous parks and gardens.

Fresno has a <a href="https://www.fresno.gov/transportation/wp-content/uploads/sites/13/2019/03/COMPLETE-BOOK-3-19.pdf" target="_blank" rel="noopener">public transit bus system that runs 7 days a week</a> and numerous bike racks positioned around the city for those who prefer to be more active in their daily transit. Ride-sharing services are also available in Fresno for those who wish to get around easily without having to drive their own vehicles. The city of Fresno prides itself on offering its residents and visitors a <a href="https://www.fresno.gov/transportation/" target="_blank" rel="noopener">modern, green, and clean public transportation system</a>.
<h2>Why Choose American Addiction Centers?</h2>
American Addiction Centers offers a nationwide network of facilities, an alumni support system, quality care, and a <a href="https://americanaddictioncenters.org/90-day-promise">90-day promise</a>. If a person relapses after completing 90 days of treatment at an AAC program, they can return for 30 days of complimentary treatment.

[button-color link='/insurance-coverage']Learn more about insurance coverage and verify your insurance with AAC[/button-color]

Additionally, <a href="https://aacalumni.com/">American Addiction Centers alumni</a> from across the country host fun gatherings and events while alumni coordinators check-in regularly to ensure those recovering from substance abuse benefit from continued support.
<h2>Start Your Recovery Today</h2>
At American Addictions Centers we focus our treatments around healing the body, mind, and spirit. At our <a href="https://americanaddictioncenters.org/treatment-centers">treatment centers we offer a wide range of treatment options</a> and different levels of care to best fit our patients needs on their road to recovery.

You owe it to yourself to work with our experienced team of doctors, clinicians, and counselors to create a one-of-a-kind, constantly evolving treatment plan designed to help you get the most out of your recovery experience. Our goal is to treat the whole person, and that means addressing co-occurring mental illness, physical wellness, social issues, and more.

As Orange County’s first chemical dependency recovery hospital, <a href="https://americanaddictioncenters.org/treatment-centers/laguna-treatment-hospital/clinical-care">Laguna Treatment Hospital</a> provides research-based clinical and support services for adults suffering with drug and/or alcohol addiction and co-occurring mental health disorders. The hospital has the expertise to care for most patients, including those who are medically compromised and require 24/7 medical care through its unique medical model for addiction treatment.
<h2>More Ways to Get Help</h2>
<ul>
 	<li><a href="https://www.fresnoaa.org/gfaia/wp/meetings/" target="_blank" rel="noopener">Alcoholics Anonymous Fresno</a>, find an AA meeting in Fresno and neighboring cities.</li>
 	<li><a href="http://www.centralcalna.org/meetings.html" target="_blank" rel="noopener">Central California Narcotics Anonymous</a>, find an NA meeting in or near Fresno.</li>
 	<li><a href="https://namifresno.org/crisis-info/" target="_blank" rel="noopener">Crisis Hotlines Fresno</a>, hotlines for suicide prevention, alcohol, and drug addiction on behalf of the <em>National Alliance on Mental Illness.</em></li>
 	<li><a href="https://crystalmeth.org/cma-meetings/cma-meetings-directory/3202-fresnocounty.html" target="_blank" rel="noopener">Crystal Meth Anonymous Fresno</a>, find a nearby crystal meth support group meeting in Fresno.</li>
 	<li><a href="https://www.co.fresno.ca.us/departments/probation/juvenile-justice-campus/boys-girls-club" target="_blank" rel="noopener">Boys and Girls Club of Fresno</a>, access information about drug and alcohol counseling for youth in Fresno.</li>
 	<li><a href="https://www.co.fresno.ca.us/departments/probation/juvenile-justice-campus/floyd-farrow-substance-abuse-program" target="_blank" rel="noopener">Floyd Farrow Substance Abuse Program</a>, access information about therapeutic communities in Fresno for substance abuse and addiction.</li>
</ul>
<h4>Sources</h4>
<ol>
 	<li>Clarke, K. (2016). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5189978/" target="_blank" rel="noopener">The case of a needle exchange policy debate in Fresno, California</a>. <em>Critical Social Policy Journal</em>. <em>36(2), 289–306</em>.</li>
</ol>
<ol start="2">
 	<li>Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2017).</li>
 	<li>National Institute on Drug Abuse. (2019). <a href="https://www.drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/california-opioid-summary" target="_blank" rel="noopener"><em>California opioid summary</em></a>.</li>
 	<li>S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2017). <a href="https://wwwdasis.samhsa.gov/dasis2/nssats/n2017_st_profiles.pdf" target="_blank" rel="noopener">2017 state profile—United States and other jurisdictions</a>. <em>National Survey of Substance Abuse Treatment Services (N-SSATS)</em>.</li>
</ol>
&nbsp;

Sarah Hardey

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