Addiction recovery programs and rehab for men are designed to address the specific behavioral, social and situational issues unique to the motivations and pressures men face. Statistics indicate men are significantly more likely than women to have substance use problems and seek treatment.
This article highlights how rehab works and the types of treatment available for men. Discussions on what to expect, the costs and how to pay for rehab can help you in making a decision to seek treatment.
Rehab for Men: Key Facts
Gender specific programs allow men to be more open and honest about their trauma history, social struggles and identity challenges.
Male-only programs allow exploration of love/sex addiction that may predispose one toward substance use.
Specialized services catering to LBGQTIA+, Veterans, white and blue collar, and specific ages allow men to bond with peer groups who can understand your experiences.
Men are more likely to complete a program when separated from the pressures of life via peer support programming.
What are Men’s Drug Rehab Programs?
Definition & Purpose of Gender-Specific Treatment
Gender specific treatment for men removes distractions that can arise when men associate with women. In the early days of recovery from substances, it’s not uncommon for a user to substitute their addiction with other physical pleasures.
Since the brain lacks the substances that used to provide euphoria, it naturally seeks to satisfy other cravings for pleasure. It may be food, sex, gambling or gaming. Many men erringly leave treatment prematurely due to these new habits that occur in early recovery.
Why Men Benefit From Single-Gender Care
Men are culturally conditioned to withhold personal feelings and experiences that may be related to core issues underlying substance use. A men’s only program creates safe spaces for guys to share deep hurts, fears and rage. Since addiction often creates isolation, men benefit from the comradery of other males who have the same problems.
Key Differences vs Co-Ed Rehab
Men are twice as likely to have a substance use disorder and are more apt to seek treatment, and gender specific programs are tailored to meet these work, home and other obligations. Men’s programs can address parenthood, high stress work, and the transition into adulthood or seniority.
While the psychoeducational, therapeutic and medical modalities of treatment are similar for both genders, the therapeutic environment is different when the genders are separated.
Who Should Consider a Men’s Rehab Program?
Prevalence & Risk Factors for Substance Use in Men
Statistics indicate that 22% of the male population 12 and older have tried an illicit substance in 2023. Research also indicates men are more likely to use alcohol and drugs recreationally than women, starting prior to age 12.
Men are twice more likely than women to seek treatment, but they generally exhibit worse withdrawal symptoms from alcohol. Sustaining long term sobriety appears to be more successful for men due to extended peer support.
Common Drugs & Co-Occurring Disorders
Since more men start using drugs before puberty than women, they have a higher chance of developing mental health disorders. Men are less likely to seek mental health treatment for anxiety and depression, even though they’re more likely to attend a substance use treatment program.
However, this does not mean substance abuse causes mental health disorders. Some mental health issues are caused by substance abuse, while other mental health conditions existed prior to or separately from using.
This is an important distinction when entering treatment because conditions such as schizoaffective disorder may be the reason a man started self-medicating that led to addiction, not the other way around.
For instance, attention deficit hyperactivity disorder is more often diagnosed in young men and is treated with amphetamines. However, the overuse of commonly prescribed amphetamines like Adderall and dexedrine can lead to dependency.
Self Assessment: Signs You May Need Treatment
Addiction is the consistent pursuit of a substance in spite of continued negative consequences. You may need treatment if you have consistently experienced legal problems due to drinking or using drugs, like DUIs.
Another sign is that you’ve separated yourself from everyone who cares about you to hide your use or participate in high risk activities to obtain more of the substance. In short, your life can spiral out of control and you have tried to quit but can’t.
The best way to understand if you should attend a treatment program is by talking to professionals who can conduct an assessment indicating the needed level of care.
Levels of Care In Rehab for Men
Medical detox is a brief inpatient stay in a hospital or clinic setting with 24/7 medical supervision of withdrawal and stabilization.
Medications are used to ease symptoms such as nausea, vomiting and diarrhea and to prevent dehydration. In alcohol and benzodiazepine detox, it’s essential to have medical supervision as life threatening seizures may occur.
Medication-assisted treatment (MAT) is a component of some treatment plans that may be inpatient or outpatient.
These programs use medication to reduce cravings, stabilize brain chemistry, and support long-term recovery from addiction. These programs help prevent relapse. They may begin inpatient and extend beyond into a long term outpatient treatment plan.
Residential/inpatient treatment often follows detox and extends for the first 25-45 days of recovery.
These programs offer a safe environment to learn to live without the substance in your system. They offer psychotherapy, education, recreational activities, coaching and peer support to foster a long-term recovery.
Partial hospitalization (PHP) further develops recovery skills as you integrate back into daily life.
This day program lasts 1 to 3 weeks with 4-6 hours per day of group therapy and activities to aid in developing recovery and life skills.
Intensive Outpatient programs offer 9 to 12 hours per week of group and individual therapy, usually three days for 3-4 hours.
Outpatient treatment is often the beginning of the aftercare process through meeting individually with a therapist or in a peer group. This is usually for 1 to 3 hours per week.
Sober Living & Aftercare is putting into practice daily life without drugs. Some sober houses are run by peers, or they can be part of an institutional aftercare program. These programs provide structure and discipline.
Aftercare can last as long as you want it to and can take many forms.
It generally involves a peer support program, sponsors, supportive family members, and ongoing mental health, medical or counseling treatment. The whole point of aftercare is to design a program that works personally as integration into daily life occurs.
Evidence Based Therapies for Male Clients
Motivational Interviewing
Specifically targets maladaptive belief systems about change, whether it’s easy or hard, and aids in progressing into an action plan. For men who were socially conditioned to be “stronger” or “macho” or “able to handle everything,” this process is especially helpful to understand that change is difficult, but possible.
Cognitive Behavioral Therapy (CBT)
Specifically addresses dysfunctional belief systems that lead to destructive behaviors. CBT roots out negative thinking patterns motivating emotional reactions that reinforce addiction. Men learn skills in exchanging negative thoughts for positive and constructive ideas.
Medication Assisted Treatment (MAT)
Can be the ongoing use of methadone, Suboxone or other medications to aid in preventing relapse due to cravings. It’s used mainly in opioid addiction, but other meds like naltrexone are available for alcohol abstinence maintenance.
Group Therapy
The heart of the treatment programming for recovery. By joining with other men in the same walks of life, men develop camaraderie, address similar problems, discuss experiences, and find support. Group therapy in a men’s only program is especially helpful because guys tend to be more open and honest without women present.
12-Step/SMART Recovery/Celebrate Recovery
Peer support programs have existed for over 100 years and have scientific evidence that proves they’re successful in helping maintain long term recovery. Based on a sponsorship program, these peer driven group meetings allow people to discuss their ongoing struggles, support other members seeking support, and create connections with others healing from substance use disorders.
Trauma Informed Modalities
The men’s trauma recovery and empowerment model (MTREM) has a curriculum that runs 18 weeks and focuses on psychoeducational, strength based skill building, and empowerment to manage emotional reactions.
The Moral Injury Recovery program aids in rebuilding a shattered value system to overcome shame and guilt. These and other services focus solely on addressing specific traumatic experiences through groups of peers who have similar stories.
Family & Fatherhood Focused Counseling.
Many inpatient programs have a “family week” or a specific family session as part of the program. Marriage counseling and parent/child counseling address the dynamics of a dysfunctional system and ways to reframe for healthier relationships.
Peer support programs are also available for children and spouses who have loved ones with substance use problems, such as Al-Anon (adult children of alcoholics), Alateen (teenage children of alcoholics) CoDA (codependency recovery).
Specialized Tracks Within Men’s Programs
Young adult & college age men’s programs focus on persons between 18 and 26 years old. This age group has the highest rate of use and treatment.
This developmental stage in a man’s life is critical to identity formation or, as Carl Jung taught, the age of individuation. College or trade school decisions fuel career choices, learning to manage finances and identity formation are crucial topics addressed in these programs.
Neuroscience evidence states that the brain is not fully developed until age 26. Young men who’ve misused substances since childhood may require intensive treatment to rectify the potential damage that have occurred with years of drug abuse.
Working professionals & executives’ programs for white collar professionals often target specific industries like airline pilots, doctors, nurses, lawyers and other fields of practice. Licensure boards send men to treatment before sanctioning, restricting or revoking their licenses. The stress of high profile work roles often lead men to substance use to “turn off the day.”
Veterans & first responders programs are designed to address the unique needs of this population, many of whom have experienced significant trauma in the course of their careers.
The Veterans Health Care Administration provides all levels of treatment for veterans struggling with substance use. Not all VAs have all levels, but they can refer you within their system to the proper level of treatment.
PTSD treatment has evolved over the years to include not just combat veterans but also crisis environment workers, like first responders. These treatments are designed to address nightmares, flashbacks and other symptoms that lead men to substance misuse. Pharmacological treatment is also useful for the dual diagnosis of PTSD and an addiction.
LGBTQ+ & inclusive men’s rehabs are designed to offer safe recovery spaces for gender nonconforming and non-binary persons and for members of the LGBTQIA+ community.The relationship between heterosexual men and the LGBTQIA+ male population remains strained in many societies.
As a result, it has become essential that men feel included and accepted for who they are to experience recovery from substances. Programs for LGBTQIA+ are becoming more available and accessible, providing specific inclusion peer support programming.
Dual diagnosis treatment is essential for addressing both substance use disorders and co-occurring mental health conditions.
The terms dual diagnosis and co-occurring disorders are often used interchangeably and refer to the presence of both a substance use disorder and at least one other mental health condition, such as depression, PTSD, or bipolar disorder. .
With the merger of medical and mental health systems under the Affordable Cares Act in 2010, dual diagnosis care has become an industry standard in substance use treatment.
What to Expect During Treatment
Daily Schedule & Activities
Inpatient programs and PHP provide up to six hours a day of programming. Activities include individual and group therapy, psychoeducational groups, individual study, recreational activities, and peer support.
Activities like yoga, meditation, equine therapy, aroma therapy, massage, art therapy, and sports or fitness are available at many facilities. These programs are generally available for men to select their preferences and designed to introduce recovery topics and design aftercare plans.
Length of Stay & Milestones
Length of stay in programming is determined by acuity of symptoms. Milestones in treatment include transitioning from a higher level of care, celebrating time frames of abstinence, the completion of a curriculum and other types of transitions.
Amenities, Privacy, Culture
Men’s treatment programs have a culture defined by the participants. It changes with every new person and when someone graduates or leaves prematurely. While facilities have policies, procedures and participation rules of conduct, the people are what create the culture.
HIPAA requires absolute privacy regarding the community’s participants. All men should be required to sign a privacy agreement upon admission.
There are many different types of settings for facilities. Ranches can emphasize hard work, interaction with animals, and emphasize outdoor experiences. Wilderness programs teach survival skills that can translate into identity formation. Some programs on the ocean include surfing and beach activities. Urban settings can develop life skills like using the bus system and developing resources.
Amenities are different in every environment of the facility. Some have gyms and fitness areas, cold plunges, massage and meditation rooms, aroma therapy, music therapy, and pet therapy.
Relapse Prevention Planning
is an essential component of all treatment programs. This aids in developing a vision for what life will look like after treatment. How a man re-integrates into work, family, peer support and ongoing therapy is essential for leaving an intensive program.
Men will learn how to recognize triggers, develop coping strategies for stress and learn to use naloxone in the event of an opioid relapse. Relapse has become an accepted part of the recovery process.
Costs, Insurance & Payment
Average Program Pricing
Pricing varies with facilities and is largely determined by insurance coverage. Generally, inpatient programs can cost up to $1000 a day for detox and residential treatment. Outpatient can be between $300 and $800 per day. Some programs offer free treatment to those who can’t afford the retail price. There are specific parameters for meeting the threshold of eligibility. These programs are often underwritten by the state or federal government.
Using Insurance & Governmental Benefits
Some veterans on TRICARE are eligible for treatment through VA approved providers. Governmental programs offering free services to the general public can be explored through your state’s department of health or human services. Admissions personnel in each facility can verify insurance coverage or explain what’s available for alternative ways to pay for treatment.
Other Ways to Pay
Ask about scholarships. Many accept payment plans, have partial scholarships available, and accept credit cards. The CareCredit card system is designed specifically for treatment.
How to Choose the Best Men’s Drug Rehab
Accreditation & Licensing
Facilities are licensed by the state of residence. They’re also accredited by national organizations that create safety and treatment standards. Rehab.com ranks facilities with “rehab scores.” This’ll give you an idea of the best men’s rehab in your city or state.
Staff to Client Ratios & Coverage
Staff ratios are established by the accreditation organization and the state licensing statutes. Detox ratios are generally one staff member for three patients. A general standard for inpatient residential treatment is 1:8. IOP groups run 1:10/15, and PHP will range 1:6. Some groups are run with two providers, while individual sessions generally are 1:1.
Outcome Data & Reviews
According to the National Institute of Mental Health, between 2015 to 2019, 3.7% of adult men had illicit substance use disorders. This number was greater than the national average of 3.0%. On any given day, 1.5 million people entered substance use treatment. Over half of those people had illicit drug use.
Location Considerations
Many men prefer to obtain treatment outside their communities for privacy purposes. When a man needs free services, he generally attends local facilities. Depending on the amenities a person is interested in can determine the location of treatment. Treatment is available in all states and in many other countries.
Life After Rehab
Continuing Care & Alumni
Many programs offer alumni services for maintaining recovery after discharge. These programs are designed to be a resource for persons who don’t want to readmit to full programming. Continuing care also includes the ability to check back into a facility when a person has relapsed for shorter stays than the original treatment.
Building a Sober Support System
People in long term recovery testify as to the effectiveness of a peer support system. Research has indicated that peer support systems are more effective in maintaining recovery than continuing to return to treatment over and over.
Career, Legal & Relationship Reintegration
Local social services organizations are resources for additional services in early recovery. The facility will provide information regarding local availability. Ongoing couples and marriage, or family counseling can aid in family reintegration.
FAQs About Faith-Based Addiction Treatment
Consultation with an attorney regarding custody issues is recommended for those seeking treatment. IOP and PHP programs can be strong options for men who can’t bring their children with them to treatment.
Some facilities offer “faith-based tracks” that operate simultaneously alongside regular treatment. Many hospitals that are church sponsored also have substance use programs and provide recovery housing aftercare. Most programs are Christian based. Finding programs that incorporate other religious beliefs is possible with research.
Signs that your loved one may need treatment include but are not limited to the following:
-Unexplained absences and dishonesty about where they’ve been
-Unable to attend regular work, family gatherings, or usual activities
-Continued legal consequences such as DWI/DUI’s, possession charges
-Frequent illnesses that include vomiting, diarrhea and flu-like symptoms
-Loss of housing, work, or other responsibilities
-Isolation and lack of contact with family and friends
Find Treatment Near You
If you’re ready to seek help for yourself or someone you love, you can call 988 for assistance in finding the care you need. Compassionate counselors are available just to talk through the decision making process. Your state and local departments of health also provide nearby resources for assistance in finding treatment.
You can also visit Rehab.com to find a qualified treatment provider in your area or call the helpline to be connected with a treatment provider that’s right for you. Don’t wait. Call now the number below.
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