CONTINUUM OF CARE
This ASAM level is typically the first stop and focuses on medical stabilization and withdrawal.
What is Level 4.0 Detox?
About this percentage of people relapse within 90 days if they leave treatment without aftercare.
What is 60–70%?
This recovery option provides substance-free housing with structure and accountability.
What is sober living?
Aftercare is just the same treatment over and over again.
Answer: Myth
Explanation:
Aftercare is actually less restrictive than residential. The goal isn’t to repeat treatment — it’s to practice what you’ve learned while slowly increasing independence and responsibility.
This early recovery period is considered the highest risk for relapse.
What is the first 30–90 days?
This level provides 24/7 structure with therapy and clinical support.
What is Residential Treatment (Level 3.5)?
Staying connected to treatment or aftercare for this long increases sobriety success by about 65%.
What is 90 days or more?
AA and NA fall under this recovery model.
What are 12-step programs?
Most people do just as well leaving treatment without follow-up care.
Answer: Myth
Explanation:
Research consistently shows that people who leave treatment without aftercare have much higher relapse rates, especially in the first 30–90 days. Continued support significantly improves outcomes.
One reason sober housing can be safer than going straight home.
What is fewer triggers / more accountability?
This level involves treatment most days of the week but no overnight stay.
What is PHP (Level 2.5)?
PHP and IOP reduce relapse risk by approximately this amount.
What is 40–60%?
This recovery program is faith-based and commonly offered in churches.
What is Celebrate Recovery?
Meetings alone provide the same structure as PHP or IOP early in recovery.
Answer: Myth
Explanation:
Meetings are important, but they don’t replace clinical structure, accountability, or professional support. PHP and IOP add therapy, monitoring, and routine during the most vulnerable phase of recovery.
This is something PHP or IOP provides that motivation alone does not.
What is structure and accountability?
This level allows people to work or attend school while in treatment several days per week.
What is IOP (Level 2.1)?
Relapse rates drop from around 65% to this number when continuity of care is maintained.
What is about 30%?
This mindfulness-based recovery program focuses on meditation and Buddhist principles.
What is Dharma Recovery (or Refuge Recovery)?
More structure early in recovery reduces relapse risk.
Answer: Fact
Explanation:
Early recovery is a high-risk period. Structure limits idle time, reduces exposure to triggers, and provides accountability — all of which are linked to lower relapse rates.
This term describes recovery plans that are customized instead of one-size-fits-all.
What is individualized care?
This concept describes moving gradually from higher to lower levels of care instead of stopping treatment abruptly.
What is step-down care / continuity of care?
People in sober living are this many times more likely to stay sober and employed at one year.
What is twice as likely (2×)?
This recovery model uses cognitive-behavioral tools and is not spiritually based.
What is SMART Recovery?
Aftercare is meant to support independence, not prevent it.
Answer: Fact
Explanation:
The purpose of aftercare is to build confidence and stability so independence is safer and more sustainable - not to keep someone in treatment forever.
This question should guide every aftercare decision:
What gives me the best chance to stay sober after discharge?