If you can’t leave work, your children or your home for residential rehab, you still have options. Outpatient programs, sessions by phone or video, and treatment that comes to your home all let you get care while you keep living at home.
Residential rehab, where you live at a treatment facility for a time, is one kind of care. It is the right fit for some people, and it is not the only kind. This page explains the other settings, what each one involves, how to choose, and how Renew Health + Recovery fits in.
Many people who need treatment don’t get it. In 2024, 48.4 million people aged 12 or older in the United States had a substance use disorder. Among people who needed substance use treatment that year, about 1 in 5 received it, according to SAMHSA’s 2024 National Survey on Drug Use and Health.
What kinds of treatment don’t require going away?
Several kinds of care happen while you live at home. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) describes them this way:
- Outpatient care: “regular office visits for counseling, medication support, or both.”
- Intensive outpatient or partial hospitalization: “coordinated outpatient care for complex needs.”
- Telehealth: phone or video sessions for talk therapy or medical care. NIAAA notes that in many states, insurance companies now cover telehealth services.
Care can also come to you. Some providers, including Renew Health + Recovery, deliver treatment to people in their homes.
The settings that do mean living away for a time are residential programs, which NIAAA describes as “24-hour treatment settings”, and intensive inpatient care.
Can I get treatment without leaving my job?
Yes, you may be able to. Outpatient care, telehealth and care at home do not require you to live at a treatment facility, so they leave room for work. NIAAA notes that “outpatient counseling allows a person to maintain much of his or her regular daily routine” (NIAAA). When you talk with a provider, ask when sessions happen and how they would fit around your hours.
If you do need time off for treatment, federal law may protect your job. The Family and Medical Leave Act gives eligible employees of covered employers job-protected leave for qualifying family and medical reasons, and that leave can be unpaid, according to the U.S. Department of Labor. Federal rules say this leave can be used for treatment for substance use by a health care provider, but not for time away caused by the substance use itself (29 CFR 825.119). Your HR department can tell you whether you qualify. This is general information, not legal advice.
Can a parent get treatment while caring for children at home?
Yes, you may be able to. Outpatient care, telehealth and care at home all let you keep living at home with your children while you take part. Residential care, by contrast, means living in a 24-hour treatment setting for a time.
Family can be part of care. NIAAA notes that “treatment can include one-on-one, family, or group sessions” (NIAAA). It also suggests you “check to see if family counseling is available,” because “it can help to strengthen relationships, which in turn supports recovery” (NIAAA). When you talk with a provider, ask how sessions would work with children at home and how family members can be involved.
How private is treatment?
Substance use treatment records have their own federal privacy rule. The regulations known as 42 CFR Part 2 “impose restrictions upon the use and disclosure of substance use disorder patient records” kept by treatment programs that receive federal assistance.
Ask any provider how it protects your privacy, and, if it offers home visits, how those visits work.
How do I choose the right setting?
There is no single right answer. As NIAAA puts it: “When it comes to alcohol treatment, there is no one-size-fits-all solution” (NIAAA). NIAAA adds that “a complete assessment of a person’s alcohol problems and complications provides guidance” (NIAAA), and that “treatment plans should be tailored to the specific needs of each person” (NIAAA). A clinician can help you decide which setting fits.
NIAAA also says: “After the initial treatment plan ends, it’s important to have a plan for ongoing support” (NIAAA). So it is worth asking how a program works over time, not only how it starts.
Questions worth asking any provider:
- Which programs do you offer where I live?
- Is care in person at home, by phone or video, or both?
- When do sessions happen?
- How are family members involved?
- Which insurance plans do you accept, and how do I check my coverage?
- What happens if I need more care than you provide?
When is residential or inpatient care the better fit?
Some people need round-the-clock medical care, for example during severe or medically complicated withdrawal. NIAAA describes intensive inpatient care as “medically-directed 24-hour services” that “may manage withdrawal.”
Renew Health + Recovery does not treat:
- Individuals requiring 24/7 medical supervision
- Individuals experiencing severe or medically complicated withdrawal
- Individuals experiencing an acute psychiatric crisis
- Individuals with serious, unstable medical conditions
- Individuals whose primary treatment need is not substance use disorder
If any of these describe you or someone you care about, talk with a clinician about the right setting.
How does Renew Health + Recovery fit?
Renew Health + Recovery “delivers personalized drug and alcohol addiction treatment directly to individuals in their homes, making it easier to get the care they need without putting life on hold.” We offer three programs: Long Term Treatment, Medication Assisted Treatment and Individual Therapy.
Our care is for:
- “Clients who cannot attend clinic-based treatment or who would benefit from aftercare.”
- “Clients who desire medication to support their recovery journeys.”
How care reaches you depends on your state:
- Connecticut, Massachusetts, New Hampshire, Kentucky and Indiana: Long Term Treatment, in your home and virtually. Medication Assisted Treatment and Individual Therapy are fully virtual.
- Virginia, Ohio and Georgia: Long Term Treatment and Medication Assisted Treatment, by virtual care only.
- Rhode Island and Florida: Long Term Treatment, by virtual care only.
- Maine: Long Term Treatment, in your home and virtually. In-home visits are available in some parts of the state. Call 207-813-4167 to check.
How long care lasts depends on the person. In Long Term Treatment and Medication Assisted Treatment, “Treatment is tailored to each client’s recovery journey, with the duration determined by their individual needs and progress.” Individual Therapy sessions are weekly, biweekly or monthly when clinically appropriate, and our admissions team helps decide which program fits.
What will it cost?
Your specific coverage and out-of-pocket costs depend on your plan, and our admissions team can help you understand both. We’re in-network with major insurance plans across the states we serve, and we also have private pay and self pay options. We collect insurance information on the first call, and you’ll be told about coverage and any out-of-pocket costs before you begin, likely within 24 hours. See the plans we accept in each state on our insurance and cost page.
What is the next step?
To talk through your options, call 844-292-7372. Someone answers 24 hours a day, 7 days a week.
This page gives general information, not medical or legal advice. Which setting is right for you is a decision to make with a clinician.
In crisis right now? Call or text 988 — the Suicide & Crisis Lifeline. Free, confidential, 24/7.
Last reviewed on November 11, 2026
