Should I Recommend Addiction Counseling to a Family Member, or Rehab?

Recommending Rehab To A Family Member - Addiction Treatment Services

Addiction rehabilitation centers and programs change a person’s life in ways that cannot be overstated. Most individuals caught in addiction will resist this step, often because it means admitting to having a problem and needing help. This is where the family and the support system need to step in. The sooner a person gets into a rehab program for help, the greater likelihood he or she will have of succeeding.

However, knowing when and how to step in can be difficult to determine. Family members and loved ones often struggle with the decision to pursue treatment through a rehabilitation center or try counseling sessions. Both courses of action require professional treatment to aid the person struggling with addiction recovery effectively.

Why Addiction Treatment Is Necessary

Addiction to a substance presents a complex problem that most people cannot solve on their own. The illness carries strong cravings that compel a person to use drugs and/or alcohol regardless of the consequences. Addiction is both a physical illness and mental health issue that not only affects reward and motivation neurotransmitters, but also learning, memory, and self-control.

Most people trapped in an addiction do not have the capacity to recognize or address the condition themselves and require help. Long-term exposure to substances alters the brain’s chemistry. Therapy in the form of counseling is an option, and a professional counseling session can help determine the exact course of action required for effective treatment.

Severe addiction sufferers eventually lose all control over themselves. They’ve reached a point where they are incapable of successfully recovering on their own. They are sick and need care.

You wouldn’t tell a family member suffering from pneumonia to figure it out on his or her own: You’d take them to the hospital. Drug and alcohol abusers and addicts need the same kind of professional treatment, help, and care as any other major illness.

Diagnosing the Need for Treatment

The best course of action for seeking effective treatment begins with contacting an addiction treatment center. Rehab treatment facilities offer professional, interdisciplinary staff who are trained to determine the severity, degree, and type of addiction present.

Choosing a rehab program is an important step that provides the addiction sufferer access to medical professionals, including but not limited to:

  • Medical doctors
  • Nursing staff
  • Psychologists
  • Social workers
  • Counselors
  • Therapists

What the Initial Assessment Involves

In most scenarios, multiple members of the medical staff will take part in the initial addiction treatment assessment. The accuracy of this crucial first step determines the efficacy of subsequent treatment, whether this involves counseling, inpatient treatment or outpatient treatment. These assessments entail specific questions, physical exams, and preliminary counseling sessions.

A major component of the initial assessment is developing a full understanding of the type of addiction and its severity. It’s important that an addiction sufferer be as forthcoming and transparent as possible when undergoing the initial assessment.

Key details of the assessment may include, but are not limited to:

  • Health history
  • Behavioral patterns
  • Addiction history
  • Family history
  • Identifiable symptoms
  • Current effects of the addiction

A Direct Assessment Comes Next

Following the initial informational session, a clinician will perform a direct assessment, which features an in-depth dialogue session. This session assists in clarifying the level and source of the addiction, along with the appropriate course of action. This professional will generally record notes and document important details, which they are trained to pinpoint and analyze.

The direct assessment also helps to uncover and begin to treat the presence of potential emotional trauma or other mental health concerns, which ultimately will be addressed through the complete recovery plan. This session is completely confidential.

Addiction Treatment Assessment Processes, Tools and Functions

Several screening tools may be implemented to determine the diagnosis. Possibilities include:

  • NIDA (National Institute on Drug Abuse) Screening Tool
  • CAGE Assessment
  • Alcohol Use Disorders Identification Test (AUDIT)

An addiction treatment center’s staff will include medical professionals from various disciplines, applicable to different stages of the recovery program.

Following the initial counseling assessment, a physical examination will generally follow – to evaluate the physical symptoms of the addiction. At any point in the initial assessment, a nurse, counselor, social worker or psychologist may refer an addiction sufferer to a doctor to perform an immediate physical exam, however.

A doctor may determine that the patient is experiencing co-occurring health issues, which require independent treatment. This treatment may be completely separate from the addiction treatment therapy.

The addiction itself is separate from a potential medical emergency that may co-exist with dependency. A reputable substance abuse recovery center will be equipped to address both concerns immediately, potentially saving the life of a severely addicted individual.

Addiction Counseling vs. Rehab

Every addiction, and every addiction sufferer, is different. Some patients require inpatient therapy, while others are best served with substance abuse counseling.

Due to the presence of multiple factors that accompany substance abuse, such as physical health, mental health and withdrawal types and symptoms, the decision regarding which treatment method to employ is best made by multiple medical professionals.

A thorough and multifaceted addiction treatment assessment process will ensure an accurate diagnosis, and keep the individual in optimal health and under detailed monitoring, providing the most efficient foundation for the subsequent treatment plan.

Not all addictions require full treatment at a rehabilitation center. The crucial initial assessment, however, should always be handled by medical professionals to ensure the health, safety and long-term success of an individual in addiction recovery.

Read More About the Levels of Care Available to Treatment Seekers

Addiction Treatment Program Options

Do You Need Residential Inpatient Rehab for Prescription Painkillers?

Residential Inpatient Prescription Painkiller Addiction Treatment - ATS

Doctors prescribe painkillers to, as the name implies, provide relief from chronic or intense pain after injuries, accidents, and medical procedures. When used incorrectly, opioid painkiller usage can lead to addiction, which results in the need for professional addiction recovery.

Prescription painkiller rehabilitation programs, and specifically prescription drug addiction inpatient treatment offer an individualize aid in recovering from painkiller abuse. Which program is best for a successful recovery in your case depends on many factors.

Phase One: Medically Assisted Opioid Detoxification

A body’s natural ability to eliminate toxins is called detoxification (detox). When speaking of detox in the context of substance abuse treatment, this process includes strategies that supplement the body’s natural processes, primarily by helping manage withdrawal symptoms or adverse reactions to suddenly cease providing the addictive substance to the body.

These strategies require a team of medical professionals who assist the recovering addict through the process. Many detox plans include a combination of daily practices, medicinal aid and participation in support interventions.

The use of medically assisted detox allows recovery patients to stay stable amid the effects caused by withdrawal, and then it becomes clear where he or she should go for the next phase of treatment.

The following phase can take place in an inpatient or outpatient facility, depending on:

  • Withdrawal intensity
  • Quality and quantity of support
  • Previous attempts at detox
  • What kind of living and transportation arrangements the patient has available to them

A more recent development in phase one involves following a rapid approach to detox, prescribing one type of medication that induces withdrawal symptoms more quickly, and another medication to sedate the patient. The hope is this rapid detox gets the person through the worst parts of withdrawal quickly, accelerating their movement into phase two of treatment: rehabilitation centers or addiction treatment programs.

Phase Two: Traditional Rehab Center or Addiction Treatment Program

In this phase, a patient takes part in a drug addiction rehabilitation process that includes several options. Studies divide the options into modalities, and new approaches surface every year.

Currently, these options for prescription painkiller addiction treatment include long-term or short-term inpatient treatment, outpatient treatment, individually tailored drug addiction recovery counseling and group counseling.

1) Inpatient Prescription Painkiller Addiction Treatment

Long-term inpatient residential treatment provides care and help 24 hours a day, seven days a week and usually take place in an isolated setting outside of the hospital. The goal is to combine the individual’s care with social encouragement, using the unique community resources as active parts of the treatment plan.

An inpatient treatment program is structured with various types of therapy and activities that are carefully designed to help a patient break down negative thinking or beliefs and replace them with constructive, beneficial thoughts and perceptions.

Short-term inpatient treatment aims to give a patient intensive treatment, which modifies the 12-step model. Originally designed to help with alcohol or cocaine abuse recovery, this model was adapted to help other substance abuse patients.

The plan involved either a three- or six-week inpatient phase, after which the patient enters a prolonged outpatient program. This includes involvement with a support group and ongoing individualized therapy. The key lies in the constant engagement of the patient to keep them on the road to recovery.

2) Outpatient Addiction Treatment

Outpatient treatment comes in many forms and intensities. These programs generally cost less and work better for people who have a job or have an extensive support system in place. This treatment can be as simple as drug education courses or one-day intensive treatment options, but doesn’t offer the resources of care services that come in an inpatient program.

Group counseling plays a large part in most outpatient plans, and some of these treatment plans include help for patients with other medical or mental health issues.

3) Individually Tailored Drug Counseling

This focuses on helping an individual cut down or eliminate the illicit use of drugs. It also offers help with impaired functionality in life, including limitations on employment, criminal activity or reduced family or social interactions.

The goal is to offer the patient short-term behavioral strategies, which give the patient tools to help them resist and avoid prescription drugs. This program encourages 12-step participation by the patient and can refer the individual to any supplemental care they may need.

4) Group Counseling

This therapeutic approach makes use of social support to help foster recovery. It relies on the presence of peers and discussion to aid in promoting substance and addiction-free lifestyles. Many programs offer a combination of group and individual counseling to maximize recovery potential, as many studies have demonstrated the com

Other forms of group counseling include approaches found in cognitive behavioral therapy or contingency management to achieve similar success.

Inpatient vs. Outpatient Care

Does a patient need to live in a residential program or center for painkiller rehab? The answer to that question is maybe.

Firstly, no decision on which approach is best can be made until after an individual has successfully completed phase one of treatment. The initial detox should be done in an inpatient setting, as many painkiller addictions, specifically opioid-related substance dependency, can introduce life-threatening withdrawal symptoms.

Once phase one has been completed in an inpatient setting, the patient and rehab professionals can decide on the next step. Factors to consider include:

  • What the each program in consideration offers
  • The type and severity of the individual’s addiction
  • The individual’s unique needs and circumstances

Some addictions do not require an intense program. The less strict, more flexible outpatient program will provide them with both care and support. The type of care required is largely defined by the nature of the specific addiction.

Some of the more severe addictions require intense, regimented treatments and isolation from the outside world in order for the individual to recover from their addiction.

Still Unsure of the Proper Path to Recovery?

Many options exist for those in need of help, but which option a person needs varies from individual to individual. Choosing the right path can be confusing, but Addiction Treatment Services can help provide the information needed to make an informed decision. Take your first step on the road to recovery. Contact us for a consultation.

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Why it is Important to Receive Treatment for Crack and Cocaine Addiction - ATS

Families Must Get Loved Ones into Rehab for Crack Addiction Immediately

Families Must Get Loved Ones Into Rehab for Crack Addiction Immediately - ATS

Cocaine is one of the most dangerous drugs we know of. It has a euphoric effect and acts as a stimulant, which can be appealing for users. Unfortunately, cocaine is also extremely addictive – even upon the first use.

Although cocaine is less common than heroin, it still presents a problem to the safety of our youth, as almost 4 percent of 12th graders report trying cocaine sometime in their lifetime.

One of the most available forms of cocaine is called crack cocaine, or simply crack. In this form, the substance has been processed with additives, such as baking soda, and formed into crystals. The drug variant gets its name from the cracking sound it makes when applied to heat.

Help for Crack Addiction

Quick and effective treatment for cocaine addiction is essential to combat the drug’s negative effects. Over time, crack or cocaine addiction can lead to malnourishment, certain movement disorders and neurological problems.

Overdose on crack can lead to:

  • Heart attacks
  • Stroke
  • Seizure
  • Death

Speedy intervention could be the key to saving your loved one’s life. Fortunately, there are reliable alcohol and drug rehab resources that can help you find your loved one the care he or she needs.

How to Stage an Intervention for Drug Addiction

People who struggle with crack cocaine addiction often find it difficult to admit they need help. For this reason, an intervention is an essential step in getting your loved one into treatment.

Stated simply, an intervention occurs when friends and family gather together to convince someone struggling with addiction that it presents an imminent danger to their health, and that they can’t conquer the illness alone. An addiction interventionist can coach you through the process and help begin the road to recovery.

Inpatient vs. Outpatient Therapy

Intervention Help For Crack Cocaine Addiction - ATSThere are two main types of crack cocaine rehabilitation: outpatient and inpatient. Since cocaine is so addictive, victims often struggle to stop using on their own.

In order for outpatient therapy to be successful, the person struggling with addiction must be able to avoid the substance in between sessions.

Since the addiction is physiological as well as psychological, inpatient treatment is usually the best solution. This works by denying access to cocaine in a controlled environment, which assures your loved one’s safety.

Generally speaking, the longer your loved one has been using crack cocaine, the more significant the need for inpatient therapy.

Although many people fear reprisal and stigma from entering treatment, it’s important to remember that addiction therapy is a medical treatment. As such, it is completely private and confidential. The professionals at a rehabilitation facility cannot release your loved one’s records without his or her permission.

How Long Does Rehabilitation Take?

Rehabilitation program lengths will vary by the individual needs of the person. Crack cocaine addiction treatment programs generally last from one to three months, with additional outpatient therapy almost always needed afterward.

What to Expect in Crack Cocaine Rehab

Crack cocaine rehabilitation follows a standard procedure that starts with an intake evaluation. In this introductory period, patients get to know the facility and go through a medical physical.

Next, they begin medically supervised detox, which allows them to break their physiological addiction to the drug in a safe environment. Then, each patient receives a tailored set of addiction therapies that help them address the underlying causes of their addiction. This is also where the patient might receive treatment for any co-occurring mental health conditions.

Paying for Treatment

One of the main reasons that people avoid seeking help for crack addiction is because they fear they can’t afford it. However, the Affordable Care Act establishes addiction treatment as an essential service. This means that insurance companies are required to pay at least a portion of the out-of-pocket costs.

The amount that your insurance company pays will depend on your level of coverage. Insurance plans may pay for:

  • Inpatient programs
  • Medically assisted detox
  • Partial hospital programs
  • Outpatient programs
  • 12-step programs
  • Cognitive behavioral therapy
  • And more

At Addiction Treatment Services, we understand that navigating the insurance process can be overwhelming. That’s why we handle the process for you. We work with your insurance company to sort out all the authorizations and “red tape,” so you can focus on getting your loved one into safe and effective treatment for addiction.

Immediate intervention for crack cocaine is essential for allowing a struggling loved one to live the best life possible. Addiction Treatment Services connects families to professional, experienced interventionists person to maximize their loved one’s chances of maintaining recovery. We invite you to contact us to schedule a confidential consultation.

Learn More About the Crack Treatment Process

How Will My Insurance Be Affected By Going to Rehab - ATS

Will Going to Rehab Raise My Insurance Rates?

Will Going to Rehab Raise My Insurance Rates - Addiction Treatment Services

Although it was once believed that addiction was the result of weaknesses in willpower or morality, it is now widely acknowledged that anyone can become trapped in a cycle of physical and psychological addiction. The medical community now understands that addiction should be treated with the same level of commitment, resources and respect with which they address other types of illness.

Addiction is a serious health concern that negatively impacts the lives of those who are dependent on substances. Addiction’s ripple effects also impact friends, family and co-workers.

Unfortunately, many people deny their addiction or put off treatment because they’re worried about what might happen if they go to rehab. But the longer an addiction goes on, the greater the threat to personal health and safety, and the greater the risk of major legal and career consequences.

Uncertainty about insurance coverage and how to pay for rehab is one of the issues that may delay seeking treatment for many individuals. Let’s look at how insurance coverage for addiction treatment works and address common concerns.

Will Going to Rehab Raise Your Insurance Rates?

No. Under the Affordable Care Act (ACA), insurance companies in the U.S. cannot raise rates or premiums for patients who seek treatment for one of the 10 “essential services” covered by the ACA, and substance use disorder is one of those essential services.

Under the ACA, insurance companies must cover addiction treatment the same way they cover other illnesses, and cannot charge more or deny coverage for pre-existing conditions.

However, it does not guarantee that the entire cost of treatment will be covered. What exactly is and is not covered will depend on the individual’s insurance plan.

Alcohol and Drug Rehab Insurance Coverage Under the Affordable Care Act

Insurance Coverage for Rehab Under Affordable Care Act Statistic - Addiction Treatment ServicesThe Affordable Care Act, also known as Obamacare, outlines 10 “essential services” that all insurance plans must provide coverage for.

One of those 10 essential services is:

  • Mental health and substance use disorder services (including behavioral health treatment)

The ACA also forbids insurance companies from raising premiums or denying coverage due to pre-existing conditions. This means that those who need rehab no longer need to worry about their addiction being labeled as a pre-existing condition that could affect future insurance coverage or rates.

Finally, the ACA requires that insurers charge the same rates to all patients on a given plan, regardless of factors such as age or pre-existing conditions. The level of coverage must also stay consistent regardless of the type of illness, which prevents insurers from discriminating against those with drug or alcohol addictions.

What Types of Addiction Treatment Services Are Covered by Insurance?

While the exact coverage depends on the particular insurance plan, plans generally cover the following types of addiction recovery services:

  • Inpatient/residential treatment
  • Partial hospitalization programs
  • Outpatient treatment (including Intensive Outpatient Programs)
  • One-on-one counseling
  • Group therapy
  • Recovery support services and education
  • Medication (for detox and maintaining sobriety)
  • Ongoing support groups

This is a general guide. You should check your insurance benefits statement to determine what your plan actually covers, or you can have a third-party professional review your insurance plan and break it down for you.

Will Insurance Cover the Full Cost of Addiction Treatment?

The answer to this question depends on the specifics of your insurance plan and the treatment program you choose. As with all insurance plans, there are specific limits and requirements. You may find that your plan covers all or only part of treatment.

However, the law does require that insurance companies pay at the same rates for rehab as they do for other types of medical treatment. This prevents insurance from charging more or covering less in an unfair way. How much coverage you will have will depend on your overall level of insurance benefits. Plans with more expensive premiums typically cover more than less expensive plans.

Because knowing what type of treatment is needed and how insurance covers this treatment can be confusing to people who are new to this topic, we highly recommend talking with an expert in this area. You can certainly call your insurance company to ask about coverage and rehab options. Just keep in mind that they may steer you towards providers that are in their network and the most affordable for them, not necessarily the best for you.

However, our insurance experts at Addiction Treatment Services can provide you with an objective analysis of your coverage and help you narrow down your treatment center choices based on your unique circumstances and needs.

How Can I Afford Out-of-Pocket Rehab Costs?

If you find that your insurance will only cover part of the cost of treatment, then the next step is to figure out how to pay the balance. Check with the rehab facility you’ve selected to see:

  • If they will allow you to pay in monthly installments;
  • If they can refer you to lenders who specialize in this type of financing; or
  • If they offer discounts for up-front cash payments.

Again, speaking to an expert in the area of rehab financing can save you a lot of time in this process. Addiction Treatment Services can help you with this as well.

When Is the Best Time to Get Addiction Treatment?

Now is the best time to get serious about going to rehab, for two reasons:

  • The longer addiction goes on, the more it harms the life of the addicted individual.
  • The Affordable Care Act may be changed in the future in ways that remove the consumer protections that are currently in place.

Before the Affordable Care Act, treatment for substance abuse and addiction was not always covered by insurance. Now, the ACA guarantees at least partial coverage to those who need it, and ensures that insurance companies treat addiction patients fairly. But if changes to the law occur, then it may once again become harder to get insurance coverage to help pay for addiction treatment.

There is no better time than the present to seek out the professional help needed to take back control from addiction. Right now, this is being made easier by the United States government through the Affordable Care Act. Take advantage of this opportunity to turn your life around for the better – without having to pay the full cost yourself.

Insurance and Intervention Help for Families

While insurance will cover some portion of treatment for addiction and substance abuse, navigating insurance coverage and claims can be very difficult without the help of a professional.

Addiction Treatment Services can help you with insurance verification, advise you on how to get the most out of the coverage you have, and then help you find a rehab program that is 1) covered by your plan and 2) a good fit for the type of treatment you need.

We can also advise families on how to stage an intervention for drug addiction so that their family member can understand the importance of going to treatment right away. With addiction, any delay in undergoing treatment can be deadly, so bringing in professional help speeds up the process.

Learn How We Help Individuals and Families Understand Addiction Insurance Coverage

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Zac Efron’s Rehab Stint Seen as Positive Influence

zacefronNews broke yesterday about Zac Efron having recently completed a drug rehabilitation program reportedly for substance abuse. Where many celebrities have been known to make a big deal out of it and draw more attention to their bad behavior, it appears that the actor is taking a much more mature approach to it.

An unnamed source cited to E! News that Efron finished a treatment program months ago and is focusing on his work. Rather than making it into even more of a problem, he quietly entered an completed and appears to have gone about moving on with his life.

With at least two more movies due to release soon, the way Efron seems to have addressed the situation should serve as a positive influence for his fans and other young adults as well. Instead of making it all about they Hollywood party lifestyle, he looks as if he is taking the path that will lead him to much more success and happiness in his life.

We congratulate him on his successful completion of treatment and wish him well in his continued recovery and his career. Hopefully other young stars will follow his example and get the the help they need.

If you have a loved one currently battling a substance abuse problem, contact us today for more information about treatment options.

How To Choose 12-Step Program - Addiction Treatment Services

Choosing the Right 12-Step Program

How To Choose 12-Step Program - Addiction Treatment ServicesPeople may reach out for help when struggling with alcohol dependency or drug addiction. The best way to break free from any form of drug or alcohol abuse is through inpatient treatment, followed by continued recovery in a 12-step or other recovery program.

Addiction Treatment Services offers guidance and hope for those seeking freedom from substance abuse. Here’s how to evaluate if a 12-step program is right for you or your loved one.

Understanding the 12-Step Program

Drug and alcohol use changes the way the brain functions. It permeates every aspect of life in ways a person often may not realize. Twelve-step groups teach members how drugs and alcohol have affected the way their minds make decisions and how to analyze the reasons they turned to substances when faced with problems.

The program focuses on accepting that addiction is a chronic disease the individual can’t control. Thus, the participant must surrender control to a higher power, seek support from other individuals in recovery and attend regular meetings.

Alcohol Anonymous, Narcotics Anonymous and many other support programs use the 12 Steps of Recovery, which help more than 5 million people every year. These programs address a wide range of addictions and psychological disorders.

12-Step Advantages

US Addiction Treatment Centers 12-Step Programs Statistic - ATSEveryone is unique, so there’s no one option that’s appropriate for every recovering addict. Choosing the right program is critical to recovery, so weigh all the alternatives to decide which one best meets your needs.

Here are some of the advantages of 12-step programs:

  • They are widely available. Seventy-four percent of U.S. treatment centers use some form of a 12-step program, according to an estimate by American Addiction Centers.
  • Their availability makes them convenient. You’ll likely find what you need close to home.
  • Aftercare aligns with treatment. After you leave your treatment facility, you’ll probably be able to find a support group in your hometown.
  • They’re sometimes less expensive than other treatment options. Most major insurance plans cover treatment at 12-step-based rehabilitation centers. Since they use volunteers to lead sessions and support those going through treatment, the program doesn’t cost much to implement, and the savings are passed on to the patients.
  • They are widely accepted. Most people know about the basics of these programs. It’s the only recovery support program many people recognize.

12-Step Disadvantages

While 12-step programs are convenient and affordable, they aren’t perfect. Here are some disadvantages:

  • Such programs don’t support dual diagnosis. Many people who face addiction also struggle with other mental health disorders: Depression, anxiety or post-traumatic stress disorder may be what led to the addiction in the first place. If programs don’t treat the underlying condition, the patient may relapse.
  • Volunteers, not professionals, run these programs. You’ll find people who know your addiction firsthand because they’ve struggled with it themselves. However, most don’t have any professional training or expertise with psychology or mental health issues.
  • Twelve-step programs aren’t personalized to individual needs. Oftentimes, one-on-one therapy with a professional is necessary for long-term recovery.

An Alternative: Non-12-Step Programs

Many very effective treatment programs use models that don’t follow the 12-step model. While 12-step programs promote the idea that the individual is powerless to control addiction and in need of help from a higher power, alternative treatment programs teach self-reliance and personal responsibility.

Some choices include SMART Recovery and Secular Organizations for Sobriety. Here are some of the positive aspects of alternative rehab programs:

  • Many use evidence-based psychology. Most offer certain therapies tht treat underlying mental health issues. This makes them effective for people with dual diagnoses.
  • They offer more access to mental health professionals. More therapists and counselors mean more personalized treatment.
  • They offer a variety of choices. Women for Sobriety deals with issues unique to women. SMART Recovery helps members modify their responses to environmental and emotional stresses. Some programs offer amino acid injections to reduce substance cravings. Most treatment seekers can find a program tailored to their needs.

The Disadvantages of Non-12-Step Programs

There are significantly fewer alternative programs, so they’re more difficult to find. As there are fewer programs, patients may not be able to find facilities or aftercare options close to home. Because these types of programs are not as well known, they’re less likely to be covered by insurance.

How to Choose the Right Option

With so many differences between the two models of addiction treatment, it can be difficult to decide which is the best fit is for yourself or a loved one. That’s where Addiction Treatment Services comes in. We help people seeking treatment sort through all the details.

We help families navigate through the addiction treatment process, from intervention and understanding insurance costs all the way through aftercare and ongoing treatment. If you’re seeking treatment, Addiction Treatment Service’s experience can help you find the road to success.

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