Most portrayals of addiction we see on television as well as in most popular culture seem to point to professional inpatient treatment as the only way to get clean. Depending on the drug a personal is using, however, some people are able to design their own recovery program, stay home and find support in their community for sobriety. This shouldn't be used for substances like alcohol or benzos which cause life threatening symptoms during withdrawal. But if “do it at home treatment” is an addict's choice, make sure the recovery plan contains at least the following elements: An initial consultation with the addict's physician to assess the addict's health, depth of addiction and whether this type of recovery plan is safe and feasible; Support in the form of 12 Step or Rational Recovery meeting; Accountability, such as having to submit a clean urine test to a family member every week; Strict avoidance of the people, places and things that the addict associates with the use of their substance of choice, even if this means drastically changing his daily habits.
The addict may want to ask someone else to handle his money for a while until he gets some clean time under his belt. Additionally, an addict may find himself rationalizing certain types of substance abuse in the absence of the strict accountability required by a treatment center's staff. He will have a better chance of recovery if he maintains strict sobriety. For example, he shouldn't fool himself by thinking that his life will be okay if he just drinks alcohol and doesn't use cocaine. Whether or not alcohol is his actual drug of choice, there is evidence that most people who begin using alcohol and cocaine together will not confine their substance use to alcohol if they continue to drink.