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Los Angeles Addiction Treatment Options Explained

Garrett Stanford
May 15, 2025

Los Angeles County, home to over 10 million residents, offers a diverse range of addiction treatment options for those struggling with substance use disorders. With more than 1,500 substance abuse treatment facilities across California, many located in the Los Angeles area, individuals seeking help have access to various levels of care tailored to their specific needs. This comprehensive guide explains the treatment options available, helping you make informed decisions about recovery pathways in Los Angeles.

Understanding Substance Use Disorders in Los Angeles

Substance use disorders remain a significant public health concern in Los Angeles County. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), the percentage of Los Angeles residents over age 12 who used illicit drugs (15.4%) is slightly higher than the national average (14.7%) [1].

The COVID-19 pandemic exacerbated substance use problems in the region, with concerning increases in overdose rates. In 2020, Los Angeles County experienced 2,202 overdose deaths involving opioids—a 46.7% increase from 2019—with fentanyl involved in over 75% of these fatalities [2].

Despite the high need for treatment, there remains a significant gap between those requiring help and those receiving it. While approximately 37,770 people in Los Angeles County participate in publicly funded substance abuse treatment programs, an estimated 725,000 people need treatment services [3]. At Create Recovery Center, we’re committed to helping bridge this gap by providing comprehensive, evidence-based treatment options.

The Continuum of Care in Addiction Treatment

Addiction treatment follows a continuum of care model, with services ranging from intensive, medically supervised interventions to ongoing community support. Understanding this continuum helps individuals identify the appropriate entry point and progression through recovery services.

Medical Detoxification

Detoxification, often the first step in addiction treatment, helps individuals safely manage withdrawal symptoms when they stop using substances.

What to expect:

  • 24/7 medical supervision to ensure safety
  • Medication administration to reduce withdrawal symptoms and cravings
  • Initial assessment to determine appropriate next steps in treatment
  • Typically lasts 5-10 days, depending on substances involved

Medical detox is particularly important for alcohol, benzodiazepine, and opioid dependencies, where withdrawal can be potentially dangerous or even life-threatening. In Los Angeles, detox services are available in hospital settings, dedicated detox facilities, and some residential treatment centers.

According to the National Institute on Drug Abuse, “Detoxification is the process of allowing the body to rid itself of a drug while managing the symptoms of withdrawal; it is often the first step in a drug treatment program and should be followed by treatment with a behavioral-based therapy and/or a medication, if available” [4].

Residential/Inpatient Treatment

Residential treatment provides 24-hour structured care in a non-hospital setting. Los Angeles offers various residential options, from basic programs to luxury facilities in upscale neighborhoods like Malibu.

Key features:

  • Immersive therapeutic environment away from triggers and stressors
  • Comprehensive assessment and personalized treatment planning
  • Individual, group, and family therapy
  • Educational sessions on addiction and recovery
  • Holistic services (nutrition, fitness, mindfulness practices)
  • Length of stay typically ranges from 30 to 90 days

Los Angeles is known for its wide range of residential treatment options, including specialized programs for professionals, those with co-occurring disorders, and programs catering to specific populations. The concentrated focus on recovery in a distraction-free environment makes residential treatment particularly effective for those with severe addiction or unstable living situations.

Partial Hospitalization Programs (PHP)

Partial hospitalization represents a step down from residential care while still providing intensive treatment.

Program structure:

  • Treatment 5-7 days per week, typically 6-8 hours per day
  • Participants return home or to sober living accommodations in the evenings
  • Comprehensive therapy including individual, group, and family sessions
  • Medical and psychiatric services
  • Skill-building and educational components
  • Usually lasts 2-4 weeks

Los Angeles-based PHPs offer structured daytime programming while allowing individuals to maintain connections with family and practice recovery skills in real-world settings during evenings and weekends.

Intensive Outpatient Programs (IOP)

IOPs provide concentrated treatment while allowing participants to maintain work, school, or family responsibilities.

Typical format:

  • 3-5 sessions per week, usually 3 hours per session
  • Evening programs available to accommodate work schedules
  • Individual and group therapy
  • Education on substance use disorders
  • Relapse prevention planning
  • Duration typically 8-12 weeks

According to SAMHSA, IOPs are defined as providing “a minimum of 9 hours of service per week in three, 3-hour sessions; however, some programs provide more sessions per week and/or longer sessions per day” [5].

Los Angeles offers numerous IOP options throughout the county, making these services accessible to residents across the metropolitan area.

Standard Outpatient Treatment

Regular outpatient treatment involves scheduled sessions with addiction professionals, typically once or twice weekly.

Common elements:

  • Individual counseling
  • Group therapy options
  • Family therapy as needed
  • Medication management if applicable
  • Flexibility to fit treatment around life responsibilities
  • May continue for several months or transition to ongoing support

Outpatient care works best for individuals with stable living environments, strong support systems, and the ability to maintain abstinence with less intensive structure.

Medication-Assisted Treatment (MAT) in Los Angeles

Medication-Assisted Treatment combines FDA-approved medications with counseling and behavioral therapies to provide a “whole-patient” approach to treating substance use disorders, particularly for opioid and alcohol dependencies.

MAT for Opioid Use Disorders

Several medications are available in Los Angeles for treating opioid use disorders:

Methadone:

  • Long-acting opioid agonist that reduces cravings and withdrawal symptoms
  • Administered daily at specialized clinics
  • Effective for long-term maintenance treatment
  • Highly regulated under federal and state guidelines

Buprenorphine (Suboxone, Subutex):

  • Partial opioid agonist that reduces cravings and withdrawal symptoms
  • Can be prescribed by qualified physicians in office settings
  • Available in various formulations (sublingual, implant, monthly injection)
  • Lower risk of misuse compared to full agonists

Naltrexone (Vivitrol):

  • Opioid antagonist that blocks the euphoric effects of opioids
  • Available as a daily pill or a monthly injection
  • Requires full detoxification before starting
  • No potential for misuse or diversion

According to the National Institute on Drug Abuse, “Research has shown that methadone, buprenorphine, and naltrexone can reduce opioid use and other negative health outcomes” [6].

MAT for Alcohol Use Disorders

For alcohol dependency, these medications are available in Los Angeles:

Acamprosate:

  • Reduces alcohol cravings and withdrawal symptoms
  • Helps maintain abstinence after detoxification
  • Taken three times daily

Disulfiram:

  • Creates unpleasant reactions when alcohol is consumed
  • Acts as a deterrent to drinking
  • Requires strong motivation for compliance

Naltrexone:

  • Reduces the rewarding effects of alcohol
  • Available as a daily pill or a monthly injection
  • Can reduce heavy drinking and support abstinence

Many Los Angeles treatment providers integrate MAT into comprehensive treatment plans, though availability varies by facility. The FDA has approved these medications as evidence-based interventions for substance use disorders. Create Recovery Center specializes in integrated treatment approaches that may include MAT when clinically appropriate, ensuring clients receive the most effective care for their specific needs.

Specialized Treatment Approaches in Los Angeles

Los Angeles’ diverse treatment landscape includes specialized programs addressing unique needs:

Dual Diagnosis Treatment

Many facilities in Los Angeles specialize in treating co-occurring mental health and substance use disorders. These programs offer:

  • Integrated treatment for both conditions simultaneously
  • Psychiatric services and medication management
  • Therapies addressing the complex interaction between disorders
  • Staff with cross-training in mental health and addiction

According to NIMH, “About half of the people who experience a substance use disorder during their lives will also experience a co-occurring mental disorder and vice versa” [7]. At Create Recovery Center, our specialized dual diagnosis programs address both conditions concurrently, providing comprehensive care that leads to better outcomes.

Culturally-Specific Programs

Los Angeles’ multicultural population is served by programs designed for specific communities:

  • Spanish-language services
  • LGBTQ+-affirming programs
  • Programs for specific ethnic and cultural groups
  • Gender-specific treatment options
  • Age-specific programs (adolescents, young adults, older adults)

Holistic and Alternative Approaches

Many Los Angeles facilities incorporate complementary approaches:

  • Mindfulness and meditation
  • Yoga and movement therapies
  • Art and music therapy
  • Nutritional counseling
  • Equine-assisted therapy
  • Adventure therapy

Aftercare and Recovery Support

Ongoing support following formal treatment is crucial for sustained recovery:

Sober Living Environments

Los Angeles has numerous sober living homes providing:

  • Substance-free, supportive housing
  • Peer accountability and community
  • Structure and household responsibilities
  • Various price points and amenities
  • Some specialize in specific populations

Continuing Care Groups

Many treatment centers offer alumni programs and continuing care:

  • Weekly or monthly check-in groups
  • Alumni events and activities
  • Online support communities
  • Relapse prevention services

Community Support Resources

Los Angeles has robust recovery communities:

  • Extensive 12-step meeting options (AA, NA, CA, etc.)
  • SMART Recovery groups
  • Refuge Recovery and other alternatives
  • Recovery community organizations

Payment and Insurance Considerations

Treatment access in Los Angeles varies based on financial resources:

Insurance Coverage

Most Los Angeles facilities accept some form of insurance:

  • Private insurance (varying levels of coverage)
  • Medicaid (Medi-Cal in California)
  • Medicare for qualifying individuals
  • Military insurance (TRICARE)

Public Funding Options

For those without insurance or with limited coverage:

  • County-funded programs through the Department of Public Health
  • State-funded treatment options
  • Sliding scale payment structures
  • Limited scholarship opportunities

The Los Angeles County Substance Abuse Service Helpline (SASH) at 1-844-804-7500 can help connect individuals to services based on their coverage and needs [8].

Finding the Right Treatment in Los Angeles

With so many options available, finding appropriate treatment involves consideration of several factors:

Assessment and Placement

Professional assessment helps determine the appropriate level of care:

  • Many facilities offer free initial assessments
  • Health care providers can provide referrals
  • ASAM (American Society of Addiction Medicine) criteria guide placement decisions

Questions to Consider

When exploring options, consider:

  • What level of care is clinically appropriate?
  • Are specialized services needed (dual diagnosis, MAT, etc.)?
  • What location is accessible?
  • What payment options are available?
  • Does the program’s philosophy align with personal values?
  • What is the program’s success rate and aftercare support?

Resources for Finding Treatment

Several resources can help navigate the Los Angeles treatment landscape:

  • SAMHSA’s National Helpline: 1-800-662-HELP (4357)
  • SAMHSA’s Treatment Locator: FindTreatment.gov
  • Los Angeles County Substance Abuse Service Helpline (SASH): 1-844-804-7500
  • California Department of Health Care Services: DHCS.ca.gov

Conclusion

Los Angeles offers one of the nation’s most comprehensive arrays of addiction treatment options, from medically supervised detoxification to long-term recovery support. The variety of programs available means that individuals seeking help can find treatment that aligns with their clinical needs, personal preferences, and financial situation.

Recovery from substance use disorders is possible with appropriate treatment and support. Whether you’re seeking help for yourself or a loved one, understanding the options available in Los Angeles is the first step toward finding effective care that can lead to lasting recovery.

References

  1. Substance Abuse and Mental Health Services Administration. (2022). Key Substance Use and Mental Health Indicators in the United States: Results from the 2021 National Survey on Drug Use and Health. https://www.samhsa.gov/data/report/2022-nsduh-detailed-tables
  2. Los Angeles County Department of Public Health. (2022). Patterns In Mortality and Life Expectancy in Los Angeles County, 2010-2019. https://www.recoverla.org/sud_101/substance-use-in-la-county/
  3. Los Angeles County Department of Public Health Substance Abuse Prevention and Control. (2022). Substance Use Disorder Treatment System in Los Angeles County. https://www.lacada.com/
  4. National Institute on Drug Abuse. (2024). Principles of Drug Addiction Treatment: A Research-Based Guide. https://nida.nih.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition
  5. Substance Abuse and Mental Health Services Administration. (2023). Clinical Issues in Intensive Outpatient Treatment. Treatment Improvement Protocol (TIP) Series, No. 47. https://store.samhsa.gov/product/TIP-47-Substance-Abuse-Clinical-Issues-in-Intensive-Outpatient-Treatment/SMA13-4182
  6. National Institute on Drug Abuse. (2025). Medications for Opioid Use Disorder. https://nida.nih.gov/research-topics/medications-opioid-use-disorder
  7. National Institute of Mental Health. (2024). Substance Use and Co-Occurring Mental Disorders. https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health
  8. Los Angeles County Department of Health Services. (2020). Substance Use Disorder (SUD) Treatment. https://dhs.lacounty.gov/our-services/substance-use/
Garrett Stanford
Garrett Stanford brings years of experience working with individuals and families struggling with substance abuse and behavioral health issues. He began working in the nonprofit treatment sector for 2 years before transitioning into the private sector. Garrett has been involved in treatment since 2010, with 10+ years of experience ranging from operations, administration, admissions and addiction research.
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