When One Size Doesn’t Fit All: Different Levels of Care Can Meet Individual Needs

When it comes to substance use treatment, every woman has different needs. There is no “one size fits all.’” Every substance use disorder is different, so there must be different levels of care to meet women’s individualized needs. For this reason, The Next Door offers a full continuum of care for women dealing with drug and alcohol addiction. The program design also allows women, as they move toward lifetime recovery, to transfer to less intensive types of care – all while staying connected to staff and peers of The Next Door.  Our six levels of treatment include: 

Medically Monitored Detoxification  

When an addict suddenly quits a drug, like alcohol or heroin, withdrawal may include tremors, nausea, vomiting, seizures, insomnia, muscle pain, loss of appetite, fatigue, anxiety, paranoia, confusion, depression, and anxiety. This process can be dangerous and a major reason women hesitate to enter treatment. To help women detox as safely as possible, The Next Door has a specific program which includes 24-hours of medical service, monitoring, and medication. This is often the first step for a client entering treatment.  

Residential Treatment  

Many of the women who come to The Next Door for treatment have active addiction among their friends and family. Having a safe, secure environment to stay while working toward recovery is the best option for them. These women reside at The Next Door facility while receiving counseling, peer support, spiritual wellness services, and case management. 

Partial Hospitalization (PHP)   

However, moving into a facility for weeks simply isn’t an option for everyone. They may have children or other life situations that require them to live at home. PCP allows women to participate in intensive treatment during the day but return to their home in the evening, allowing them to practice sobriety in their everyday life and talk about the relapse triggers they experience with their counselors during the day.  

Outpatient Treatment (IOP)  

Outpatient treatment helps people overcome addiction while allowing them to maintain a normal lifestyle. This therapy gives people to opportunity to continue going to school, working a job, and maintaining relationships while in treatment. While some women begin in this program, The Next Door’s outpatient treatment is also an option for women leaving our residential program who feel the need to continue with counseling, peer support, and other treatment options. 

Recovery Care Clinic (RCC)   

Cravings and withdrawal are the primary reasons our women return to drugs or alcohol after they leave treatment. In this program, women receive Medication-Assisted Treatment (MAT), a life-saving option for our opioid and alcohol dependent clients. Each Wednesday night, a registered nurse administers  prescribed medications (buprenorphine and naltrexone) which curb drug cravings and prevent withdrawal symptoms.  Women also take a drug screening, attend group therapy, and may stay for aftercare.  


Many addicts desire to be clean, but 40-60% of addicts relapse, and the average user needs 5 attempts at sobriety to succeed. (National Institute of Drug Research and Recovery Research Institute). When addicts find themselves isolated and separated from their sober community, relapse is more likely. The Next Door offers a multi-faceted Aftercare Program so our women can beat these statistics.  On Wednesday evenings, “graduates” of our programs gather to receive encouragement and guidance from each other and staff.  These sessions may include art therapy, karaoke, and kickball. The Next Door also has a phone app, “Cared For,” which allows program alumnae to stay connected to peers as well as staff.  

If you or someone you know is struggling with addiction, call The Next Door at 615-249-3662.  We have a level to meet every addict’s individual needs. 

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