90 day drug rehab programs are treatment programs that are generally used to treat moderate to severe addictions of all kinds. They are based on:

  • Intensive care
  • Use of behavioral therapies
  • Use of medical therapies

NIDA (The National Institute on Drug Abuse) states that treatments that are 90 days or longer have the highest chance of bringing about a successful rehabilitation and preventing a relapse.

What To Expect From a 90-Day Rehab

It’s important to understand the basics of a 90-day treatment program, the difference between 90-day and other treatment lengths, and the process of rehab in general, in order to understand if 90-day rehab is right for you.

The Rehab Process

No matter what length of rehab you enter, they all follow the same basic steps. The key elements are:


This initial stage revolves around customizing a treatment plan for the individual based on:

  • Type
  • Severity of addiction
  • Unique challenges such as co-occurring mental conditions or domestic abuse


The goal of detox is to eliminate the body’s physical dependence on the substance by removing the toxins and managing the symptoms of withdrawal.


This stage reveals and treats the underlying causes of the addiction. This is when addicts learn the skills to overcome their addiction.


The purpose of this stage is to aid the transition into programs that help the individual continue the lifelong process of recovery. Aftercare builds on the treatment received in the earlier stages and prevents relapses.

What is the Most Common 90-Day Rehab?

Residential or Inpatient Rehab

Ninety-day residential treatment is the most common type of 90-day program. In a residential program, individuals live at the treatment facility and receive intensive treatment 24 hours a day from licensed, experienced professionals. The residential atmosphere provides a secure, safe place to recover without the distractions or triggers of the outside environment.

In the residential setting, patients:

  • go through detox,
  • engage in individual and group therapies,
  • transition to a sober lifestyle, and
  • develop an aftercare plan to help prevent relapses.

According to SAMHSA (Substance Abuse and Mental Health Services Administration), any treatment longer than 30 days is considered long-term and accounts for 7% of all admissions to rehab nationwide.

Outpatient Intensive Day Treatment

In an outpatient 90-rehab program, individuals receive intensive services similar to the full-time residential program, but go home after treatment each day. This type of treatment provides more flexibility at a reduced cost. But, the lack of a guaranteed sober living environment that residential offers can be a problem for people with severe addictions.

Typical programs are  3 days a week for 2-4 hours a day. However, each facility and the patient’s particular circumstances might require more time in therapy. Besides the 90-day programs, these can be extended to 4 or more months and may transition into less intensive treatment or aftercare.

Benefits of a 90-Day Rehab

  • Ninety-day rehabs have been determined to have the best outcomes. Studies show that people who enter treatment for at least 90 days have a better rehabilitation success rate.
  • Ninety days allows plenty of time to focus on life after rehab. Aftercare is essential to a successful recovery. A 90-day treatment program offers the patient time not only to detox from the substance, but also time to plan how to continue the good work they’ve done in rehab.
  • Ninety-day rehab is best for people with moderate to severe addictions or for people who have relapsed. Long-term addictions often need long-term psychotherapy to reveal and discuss the issues behind the addiction. In addition, people who have relapsed, or are afraid they might, have time to work on avoiding a slip while staying in a safe environment. For those who choose an outpatient program, they still need to remain accountable to a scheduled rehab program.

Drawbacks to a 90-Day Rehab Program

  • Ninety-day programs require a substantial amount of time. Anyone who enters a 90-day treatment program must have the devotion and dedication to achieve recovery and the will to see it through.
  • Ninety-day treatment programs are more expensive than 30- or 60-day programs.
  • A ninety-day program might not be fully covered by your insurance. Although they often cover 30-day programs, anything longer is less likely to be covered, especially for residential programs. However, if you need a 90-day program, check with the treatment facility. They will usually negotiate with your insurance company and provide whatever assistance they can.

What Makes 90-Day Drug and Alcohol Programs Different?

It has been found by NIDA (National Institute of Drug Abuse) that programs that are a minimum of 90 days are the most successful for rehabilitation. Even though the treatments in the 90-day rehab programs are the same as those offered in the 30- and 60-day programs, the 90-day programs give the patient more time to live in a positive, sober environment. This leaves them more time to become reconditioned to living without the substance.

The main difference between the lengths of rehab is what the care focuses on.

  • 30-Day Treatments: 30-day rehabs mostly concentrate on detoxing and treating the immediate symptoms of the addiction.
  • 60-Day Treatments: The 60-day option offers some of the benefits of both programs but it doesn’t have the same high record of success that the 90-day programs have.
  • 90-Day and Longer Treatments: These long-term treatments have the time to properly detox the person and encourage permanent lifestyle changes. This may include promoting changes in diet and daily exercise to naturally improve mood and avoid relapsing.

Choosing the Best Treatment Setting

90 day drug rehabAddiction is a treatable but complicated disease of the brain. Drugs of abuse affect the brain’s structure and function and result in changes that continue long after the drug use has stopped. This explains why substance abusers are at risk for relapse even after being abstinent for long periods of time and despite the potentially negative consequences.

10 Reasons Why You Need Professional Treatment

Due to the effects on the brain, it is obviously not practical to have the addict choose their treatment program. A professional assessment must be made by a physician or psychiatrist experienced in addiction treatment or by a licensed addiction specialist at a treatment facility. Some of the principles for effective treatment illustrate the necessity for professional treatment:

1. Because no single treatment is suitable for everyone, treatment programs will vary, depending on:

  • The type of drugs used
  • The characteristics of the individual
  • Co-occurring mental issues

Matching treatment services and settings to the individual’s specific problems and needs is crucial to their ultimate success.

2. The best rehab for you depends on the severity of your addiction.

Although residential treatment is usually inconvenient, if an assessment of your addiction history and your current environment concludes that residential is your best option, you should make the sacrifices to follow through with your counselor’s recommendation.

3. Much of the time, drug-addicted people are uncertain about entering treatment.

Taking advantage of services that are readily available as soon as the individual is agreeable to treatment is critical. If treatment is not immediately available or easily accessible, the chance to get the person into treatment may be lost. And, similar to other chronic diseases, the sooner treatment is gotten in the disease process, the greater the likelihood of positive results.

4. Effective treatment treats all the needs of the individual, not just the drug or alcohol abuse.

To be effective, a treatment program must attend to the substance abuse and any related:

  • medical,
  • psychological,
  • social,
  • vocational, and
  • legal problems.

In addition, it’s important that treatment be appropriate for the person’s:

  • age,
  • gender
  • ethnicity, and
  • culture.

5. Remaining in treatment long enough is essential.

The appropriate length of time depends on the type and severity of the individual’s problems and needs. Research has indicated that a person needs at least 3 months in treatment to considerably reduce their drug use and that the best results occur with longer durations of treatment.

Drug addiction recovery is a long-term process and may require multiple periods of treatment. As with other chronic illnesses, relapses can happen and signal a need to return to treatment or be readjusted. Since people often leave treatment too early, programs include ways to keep patients engaged and in treatment for an adequate period of time.

6. An individual’s treatment plan and services must be reassessed continually and changed as needed to meet their changing needs.

A patient may need different combinations of treatment and services during the course of their treatment and recovery. Besides counseling and psychotherapy, they may need medication, medical services, family counseling, or social and legal services.

7. Many addicted individuals have other mental issues.

Because drug abuse and addiction are mental disorders and they frequently co-occur with other mental disorders, people who go for addiction treatment need to be evaluated for any other mental disorder. When this happens it is called a dual diagnosis and treatment needs to address both. This includes the use of medications when appropriate.

8. A medically assisted detox is only the first step in addiction treatment.

On its own, it does not do much to change long-term drug abuse. Although it can safely manage the serious symptoms of withdrawal, it is seldom enough to help an individual achieve long-term sobriety. Therefore, motivational incentives at patient intake can improve treatment participation.

9. Treatment doesn’t have to be voluntary to be effective.

Penalties or incentives from family, employers, or the criminal justice system can increase entry into treatment, length of treatment, and the eventual success of treatment interventions.

10. Treatment programs should test individuals for infectious diseases as well as provide risk-reduction counseling.

Drug-related behaviors frequently put people at risk for:

  • Hepatitis B and C
  • Tuberculosis

Counseling can help reduce infectious disease and help infected patients to manage their illness.

How is Addiction Treated in a 90-Day Rehab?

Medically Assisted Detox

After the initial evaluation, individuals frequently need a detoxification to remove the substance from their system. Depending on the substance used, you may be given medications to ease the withdrawal symptoms which range from mild to life-threatening.

The medications available will differ whether you’re in a 90-day alcohol rehab or 90 day drug rehab, and will differ depending on the type of drugs used. Additionally, if you have another co-occuring mental condition, it will have an effect on what drugs are appropriate for you.


Behavioral Therapies

These are considered the first line of treatment for addiction. These types of therapies help to identify and change likely self-destructive or unhealthy behaviors. It works with the idea that all behaviors are learned and that unhealthy behaviors can be changed, or unlearned. It focuses on current problems and how to change them. Some examples are:

  • Cognitive Behavioral Therapy
  • Aversion Therapy
  • Dialectical Behavior Therapy

Group Therapy

Group therapy is popular in addiction treatment because it allows individuals to come together, with the guidance of therapists,  to discuss problems and solutions among others who are experiencing similar issues.

Individual Therapy

Individual therapy provides an opportunity to work one-to-one with the counselor to build a collaborative and trusting relationship. This allows the two to discuss any underlying issues behind the drug abuse.

Family Therapy

Families are also affected by drug or alcohol addiction. Family therapy gives families a chance to learn about addiction, mend fences, and discuss how to move on in the future.

What Happens After a 90-Day Rehab Program?

The end of the 90-day rehab program is not the end of your addiction recovery. Research has shown that aftercare is one of the most important steps in a successful rehab and is a great help in preventing a relapse.

For many people who need more than 90 days to feel confident in their recovery,  that means transitioning into an outpatient aftercare treatment program. Aftercare can be the difference between a successful long-term rehabilitation and a relapse.

Arranging Your 90-Day Treatment

You can find a completely individualized 90-program through BRC Healthcare. We offer a 90-day residential treatment program, but if you need more time, we understand because our clients are our first priority. And after your residential program, we can refer you to a 90-day transitional living program as well as a 12-month aftercare monitoring program.

Whatever your needs, we’ve got you covered. You won’t be on your own until you’re ready.

And if someone you care about is hesitating about treatment, BRC can help you arrange a professional intervention. Contact us today. Treating addiction and helping families is what we do.