Choosing treatment

How to navigate the addiction treatment system

Published December 17, 2024 · 8 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

The treatment system is confusing, fragmented, and difficult to navigate even for professionals. This guide helps families find the right path.

Step 1: Assessment

Call SAMHSA at 1-800-662-4357 for free assessment. Or call treatment facilities directly for clinical evaluation. Ask your doctor for a referral.

Step 2: Insurance

Call the behavioral health number on your insurance card. Ask specifically about substance abuse benefits. Get prior authorization details. The treatment facility can handle this for you.

Step 3: Level of care

Assessment determines: detox, residential, PHP, IOP, or outpatient. Match severity to level. Do not under-treat or over-treat.

Step 4: Choosing a program

Use our decision guide to evaluate programs. Verify accreditation, clinical quality, and fit. Ask the 15 essential questions.

Step 5: Advocacy

You are your loved one's advocate. Question insurance denials. Push for appropriate treatment duration. Ensure aftercare planning is comprehensive.

Authoritative sources

This article references guidelines from: SAMHSA · NIDA · ASAM

Frequently asked questions

Where do I start with addiction treatment?

Call SAMHSA at 1-800-662-4357 for free assessment and referral. Or call treatment centers directly.

How do I get insurance to pay for treatment?

Call the behavioral health number on your card. Treatment facilities typically handle authorization for you.

How do I choose the right program?

Verify accreditation, clinical staff, evidence-based therapies, MAT availability, and aftercare planning.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.