How is the decision made between outpatient therapy and inpatient treatment in substance abuse cases?

• A. Depends on duration and intensity of substance abuse
• B. Always inpatient
• C. Based on age only
• D. Based on school policy

Answer: (A)

The level of care is determined by how severe the substance use is, focusing on how long the person has been using and how intensely they use, along with safety and treatment needs. If use is relatively mild, the person has a stable home situation, can manage responsibilities, and has the supports to participate in therapy on a nonresidential basis, outpatient treatment is appropriate. In contrast, inpatient treatment is considered when there is significant dependence with withdrawal risks, medical or psychiatric instability, dangerous behaviors, or a high likelihood of relapse without a highly structured, supervised setting. An intake evaluation typically weighs duration and intensity of use, medical and mental health status, safety concerns, and available supports to decide the most appropriate level of care. Age or school policy by themselves don’t determine this choice.