What are the different levels of care?
After intake, there are three levels or phases of care. Some patients transition from one to the other; some only require a lower level of treatment.
- Phase One: Detoxification. Clients stop using alcohol or drugs until they have completed withdrawal.
- Phase Two: Inpatient or residential programs. The client lives at Chapters Capistrano, never leaving the grounds except under supervision for up to 90 days.
- Phase Three: Outpatient programs or day rehab. The client goes to the rehab center for therapy and classes but lives off the grounds for up to eight additional weeks. Clients who start in outpatient programs don’t usually need detox; they have already completed withdrawal.
Chapters Capistrano does not offer PHP or IOP but clients who have completed 90 days of residential treatment at Chapters Capistrano may transfer to nearby Monarch Shores in San Juan Capistrano for outpatient treatment.
There are two main types of outpatient programs:
- Partial hospitalization program (PHP). Clients receive therapy, education, and treatment for at least 20 hours per week.
- Intensive outpatient program (IOP). Clients receive therapy, education, and treatment for at least nine hours per week.
If you and your Chapters Capistrano case manager don’t feel you are ready to leave residential treatment, we try to work with your insurance company to continue your care, inpatient or outpatient.
What’s the difference between residential treatment and intensive outpatient treatment?
Here are some of the main differences between residential treatment and intensive outpatient:
Where you live.
- In residential treatment, you live at the rehab center: you wake up there, you eat there, you attend classes, go to therapy, take your recreation there, and go to sleep there. You can only leave for supervised trips.
- In IOP, you move into Phase Three housing or have the option of living offsite. Either way, you have more freedom. After the first week, you may be eligible for an overnight pass. A failed drug/alcohol test might send you back to detox or a stricter level of supervision (earlier curfew, loss of privileges).
How much time per week is spent in treatment.
- In residential, virtually every hour is scheduled, even meals, leisure, and bedtime.
- In IOP, you spend a few hours a day, a few days a week, getting treatment. After that, your time is your own. You still have drug or alcohol testing and curfews, especially if you are staying at a rehab-connected residence.