Is a 30-Day Rehab Program Actually Long Enough to Jumpstart Recovery?

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What’s the Purpose of 30-Day Rehab?

Rehab is an inpatient form of treatment for alcohol and substance use disorders. It can range from:

A few days, which usually only includes detox services
Short-term, which can last three to six weeks (30-day programs fall into this category)
Long-term, which can last six to 12 months

Rehab is designed to help you stop the compulsive use of alcohol or drugs. It’s also designed to treat both the physical dependency on and addiction to alcohol. Physical dependence refers to withdrawal symptoms you experience if you stop using alcohol or drink less. Addiction, or alcohol use disorder, encompasses many symptoms including:

Compulsive use of alcohol despite known consequences
Attempts to stop using
Failure to meet familial, social, and occupational obligations due to alcohol misuse

Alcohol can significantly change how the brain functions. These changes can remain long after you have stopped using alcohol and contribute to an inability to control your alcohol use.

Other factors in your life can also contribute to alcohol misuse. Short-term rehab programs help you address how and why these influences facilitate your addiction. Such factors include:

Family and relationship issues
Work-related stress
Financial stress
Mental health symptoms or disorders
Medical problems
Social cues
Environmental cues

These contributing factors may influence you and your use without your conscious awareness. Rehab can help you identify these stressors and develop plans and skills for coping without the use of alcohol.

Are 30-Day Rehab Programs Effective?

Completion of the entire 30-day program is closely tied to long-term recovery outcomes. Several factors, both with the treatment providers and the individual, influence an individual’s choice to stay in treatment, including:

Motivation for change
Degree of support from family and/or friends
Influence from outside sources, such as a court mandate to complete rehab

If you are satisfied with your rehab experience, it also increases the likelihood of utilizing aftercare services. Aftercare services are also linked to positive recovery outcomes over time.

What Can I Expect in a 30-Day Rehab Program?

Licensed and accredited rehab facilities may take different approaches, but most will share the following qualities:

Readily available admissions
Personalized treatment approach
Programs that address problems associated with substance use in all areas of one’s life
Individual, group, and/or family therapies
Medication-assisted therapy when needed
Incorporated screening and treatment of co-occurring disorders

While in rehab, you will be provided with a room, sometimes shared with others, where you will sleep. Your meals will be provided, usually at specific times. You will also be expected to participate in individual and group therapy.

The most effective forms of rehab include comprehensive alcohol and drug misuse treatment. Comprehensive treatment includes:

An intake assessment
A collaborative treatment plan
Monitoring of use
Behavioral therapy or counseling
Case management
Pharmacotherapy
Peer support groups
Continued plan of care

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What Services Are Specific to Alcohol Addiction Rehab?

Some rehab centers do not provide detoxification or withdrawal management services, and you may have to arrange these services before your admission into rehab. Alcohol rehab centers may or may not require that you complete a detox program or be sober before enrolling. This may depend on an assessment of your risk for severe alcohol withdrawal symptoms.

The specific types of interventions in a 30-day alcohol addiction rehab program depend on the person, their needs, and the facility’s capabilities.

Medication-Assisted Therapy

However, many individuals are prescribed medication to assist with detox and reduce the risk of relapse. You may also be prescribed medication for the management of mental health symptoms or medical symptoms.

The Food and Drug Administration (FDA) has approved three medications for alcohol addiction treatment:¹

Naltrexone—Naltrexone (Vivitrol, Revia) can help reduce the positive effects of alcohol and reduce cravings.
Acamprosate—Acamprosate (Campral) can help manage withdrawal symptoms like insomnia, restlessness, anxiety, and dysphoria.
Disulfiram—Disulfiram (Antabuse) interacts with alcohol and results in a very unpleasant reaction when combined with alcohol (e.g., nausea and vomiting, heart palpitations, and flushing).

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Behavioral Therapy

Typically, therapy utilized while in rehab is evidence-based behavioral therapy. Common types include motivational interviewing, cognitive-behavioral therapy (CBT), and contingency management.

Therapy is used to help you and your loved ones learn:

Strategies and skills to cope with cravings
Relapse prevention skills
Techniques to improve communication and relationships
Parenting skills (as applicable)

Most rehab facilities incorporate multiple types of therapy. These can include individual and group therapies. Group therapies provide additional social support, which can help you feel more connected and build a network for recovery after rehab.

In addition to your therapist, who may be educated as a social worker or professional counselor, you may interact with:

Physicians
Psychologists
Psychiatrists
Nurses
Support staff, such as medical assistants, case managers, and aftercare coordinators

Co-Occurring Condition Treatment

If you experience alcohol use disorder, you may also have additional physical or mental health symptoms. After you have been assessed for co-occurring mental health conditions, your therapist can choose specific therapies to help address your symptoms. For example, dialectical behavior therapy (DBT) is a behavioral therapy that may be more useful for individuals who have alcohol use disorder and a personality disorder or post-traumatic stress disorder (PTSD) than CBT.

Your rehab facility can also assist with the management of medical symptoms.

Alternative Therapies

Some rehab facilities, such as luxury rehabs, add alternative therapies into their main programming or as optional activities. Mindfulness and low-impact exercise, like yoga, may be available during leisure periods or as part of your weekly schedule.

Research also suggests that the inclusion of spirituality in therapy for the treatment of alcohol and substance use disorders has been shown to benefit recovery.³ Your rehab facility may encourage working the 12 Steps of AA to connect with your higher power or doing other things that connect you with your belief system.

What Happens After a 30-Day Rehab Program?

The rate of recurrence of use after rehab is similar to that of other chronic diseases like diabetes. What happens after rehab is almost as important as what happens in the program.

Relapse Prevention Planning

Before you leave rehab, you work with your rehab therapists and case managers to develop a strong relapse-prevention plan. This plan outlines steps to assist you in maintaining your recovery and help reinforce the use of various coping skills.

Your plan may also include a plan for what to do in the immediate time after a relapse if one happens. When relapse happens, it is commonly viewed as a failure of treatment, but it’s not. The successful treatment of addiction requires ongoing evaluation and modification to your plan, similar to the continued evaluation and modification for the treatment of any other chronic medical condition.¹

Aftercare services can be effective in preventing reoccurrence of use, allowing individuals to regain sobriety after relapse, and improving long-term recovery outcomes.

Aftercare Planning

In addition to your relapse prevention plan, your rehab center will likely provide resources for you to follow up with upon your discharge. These resources can include referrals to:

An outpatient program, such as an intensive outpatient program (IOP)
Therapists specializing in addiction
Community resources and support groups
Sober living houses

Peer Support

Peer support groups can enhance the effects of rehab.¹ Alcoholics Anonymous (AA) is the best-known peer support group, but there are many others. These groups can help by increasing your level of social support, which has been shown to help maintain recovery. Some alternatives to AA include:

SMART Recovery: Based on CBT principles
Celebrate Recovery: Uses Biblical principles in addition to the 12 Steps of AA
HAMS: Advocates for harm reduction and moderation in addition to abstinence

Studies indicate preliminary effectiveness of smartphone apps in helping individuals maintain recovery efforts. Similarly, a study showed that individuals who had completed a 30-day program and had co-occurring depression experienced lower rates of relapse and lower levels of perceived stress when receiving daily supportive text messages.

If you are interested in seeking alcohol addiction rehab, call 800-948-8417 Sponsored to speak with a treatment specialist.