
Where do you begin when you, or someone close to you, needs help with drugs or alcohol?
For most people, the honest answer is a phone call, but knowing whom to call is harder. Treatment in Massachusetts comes in several forms, and the names can be confusing: detox, residential, partial hospitalization, intensive outpatient. Each describes how much time a person spends in treatment and where they sleep at night.
This guide explains those terms in plain language and introduces seven providers that offer them, starting with a small, family-owned outpatient program and including three well-known hospitals. Each entry lists key features and what is known about cost.
Detox is for someone whose body has become dependent on a substance and who could be at risk while stopping. Medical staff watch over them for several days.
Residential treatment, sometimes called inpatient rehab, is for people who need to live at the program for a few weeks, away from daily pressures.
Partial hospitalization, or PHP, suits people who need a lot of support but can sleep at home. They attend treatment most of the day, most weekdays. Intensive outpatient, or IOP, is a step lighter: a few sessions a week, sometimes in the evening.
Hospital-based programs help people with serious medical or mental health conditions, because doctors and psychiatrists are part of the team. Medication clinics help people who mainly need prescriptions, such as buprenorphine for opioid use, along with regular check-ins.
Many people move through more than one of these levels. A common path is detox, then residential or PHP, then IOP, with support continuing after that.
McLean is a psychiatric hospital in Belmont affiliated with Harvard Medical School, and its addiction programs are designed for people whose substance use is mixed with mental illness.
It offers detox and day treatment in Belmont, a residential program in Petersham and a private residence called Fernside in Princeton. Fernside is small, with nine beds, and is meant for adults who have tried other programs before.
Two things to know before calling: insurers usually need to approve hospital treatment in advance (a step called precertification), and McLean says MassHealth covers only outpatient addiction care. Its addiction pages do not describe an evening program.
Key features:
Pricing: Fernside costs $70,500 for a 30-day stay and takes no insurance. Other programs use insurance.
New Wave works out of a home-like setting in Salisbury rather than a hospital ward or a large campus, which can make the first visit feel less intimidating. The program is outpatient, so clients go home each evening.
It offers PHP for about six weeks and IOP for about three months, then relapse prevention for up to six months. Alongside talk therapies such as CBT (which helps change unhelpful thought patterns) and DBT (which builds skills for handling strong emotions), the center says it holds holistic sessions every day, such as yoga, art and sound baths. The family who owns it are all in long-term recovery.
Getting started is simple. When you call, one of the two co-founders answers, not a call center. They check your insurance, do a short assessment over the phone and can start you as soon as the next day. The program also helps arrange transportation for people across the North Shore and Merrimack Valley.
New Wave does not provide detox; if you need it, the team will refer you first.
Key features:
Pricing: Not published. WellSense is in network, and other insurance can be used through out-of-network benefits.
Brigham's Addiction Recovery Program in Jamaica Plain is part of a general hospital, which helps if you also have a physical health condition.
You can start with detox, join a weekday day program or attend a short evening program. Medications for alcohol and opioid use are offered in the outpatient clinic, and some visits can happen by video.
The day program runs from 9 am to 2:45 pm, Monday through Friday, and includes a meeting with your own counselor every day. The evening program meets three nights a week for two weeks in small groups of up to nine people. There is no residential program, so people who need to live on site go elsewhere.
Key features:
Pricing: Not published; billed through the hospital.
Boston Medical Center's Grayken Center focuses on medication treatment, especially for opioid use. Medicines such as buprenorphine, methadone and naltrexone are standard treatments for opioid use disorder, and the clinic can prescribe all three.
It also runs an opioid urgent care called Faster Paths, where people can get help quickly without a long wait, and a team that sees hospital patients about their substance use. It does not offer residential or day programs.
Boston Medical Center is the largest safety-net hospital in New England, which means it serves many people on MassHealth or without insurance. You can call 617.638.5500 or request an appointment online through MyChart.
Key features:
Pricing: Not published. MassHealth accepted.
Spectrum is a nonprofit with a campus in Westborough and outpatient clinics across the state. Its New England Recovery Center serves people with private insurance, while separate programs serve MassHealth members.
At NERC, detox lasts about five to seven days and residential care up to 28 days. Spectrum has been running since 1969, and its clinics stretch from Haverhill to North Adams. Ask admissions which program matches your insurance, since the two tracks are run separately.
Key features:
Pricing: Not published on its site.
Spring Hill is a residential program on a wooded campus in Ashby. People stay about four to six weeks, attending group sessions every day plus one private therapy session each week.
Men and women live in separate buildings, and nurses are on duty around the clock. Families take part in online education sessions on Wednesday evenings, since visits on campus are not allowed during treatment. The program also has a special track for union members.
Key features:
Pricing: Not published. Free benefits check.
Washburn House in Worcester offers detox, residential care, PHP and IOP in one building, so you can move between levels without changing programs.
It is part of a national group called The Recovery Village, and the company says people can often be admitted the same day or the next. Its list of accepted insurance is long, covering private plans, several MassHealth plans and veterans' coverage.
Key features:
Pricing: Not published. Payment plans for people without insurance.
PHP means treatment for most of the day on most weekdays. IOP means a few sessions a week, often in the evening.
Only if a clinician decides your withdrawal needs medical care. Outpatient programs refer people to detox when needed, then welcome them back once they are stable.
Most programs offer a free check of your benefits, often finished within a day. Coverage varies by plan and provider, so give admissions the exact name of your plan.
Often, yes, especially in IOP. Evening tracks are available at several programs, including New Wave Recovery Center.
It ranges from days for detox to several months for outpatient care. Some outpatient programs, including New Wave's, can last up to about nine months from start to finish.
Ask which levels of care the program offers, whether your insurance is accepted and how soon you can start.
New Wave Recovery Center is the best first call for adults who want outpatient care in a small, home-like setting run by people in recovery. If you need hospital-level care for a serious mental health condition, McLean Hospital is the alternative to consider.