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Outpatient Detox vs. Inpatient: How to Know Which One You Need

Deciding between inpatient vs outpatient detox depends entirely on the severity of your physical dependence, your medical history, and your immediate safety risks. Residential inpatient detox offers 24 hour supervision for severe withdrawal scenarios. 

However, many individuals with mild to moderate addiction are excellent candidates for a structured outpatient model, which allows you to clear your system safely using medical supervision while returning home at night. A brief clinical assessment is the safest, most accurate way to determine which level of care fits your current situation.

Understanding the Core Medical Differences

When an anyone asks me whether they should look into an inpatient or an outpatient program, they are usually feeling completely overwhelmed by the choices. It is a big decision, and the terminology thrown around online does not make it any easier. The primary difference boils down to medical stability and where you sleep at night.

Inpatient Detox: 

  • Involves checking into a residential facility, hospital, or detox center for a period of days or weeks.
  • Continuous Monitoring: Features 24-hour medical supervision of vital signs, which is vital for managing severe or life-threatening withdrawal symptoms.

Outpatient Program:

  •  Provides medical supervision via scheduled clinic visits during the day while allowing patients to return home each evening.
  • Medication and Freedom: Delivers the same prescription medications to alleviate withdrawal symptoms as inpatient care, but permits patients to remain in their normal environment.
outpatient detox denver

Why You Might Be a Strong Candidate for Outpatient Care

There is a common misconception that inpatient care is always superior or that you only choose outpatient if you are not serious about recovery. I want to clear that up right now. In reality, our medical director looks at specific clinical criteria to see who fits our outpatient model, and most people who assume they absolutely must go to inpatient are actually great candidates for outpatient care.

  • Effective for mild to moderate withdrawal risks.
  • Requires a stable and supportive home environment.
  • Suitable for those without complex co-occurring medical conditions like severe heart problems or a history of seizures.
  • Allows for the breaking of the physical cycle of addiction without disrupting daily life, work, or family responsibilities.
  • Provides a robust clinical safety net while treating patients with adult autonomy.

When Inpatient Care is the Right Medical Choice

While I love the flexibility and accessibility of our outpatient programs, my absolute top priority as a clinician will always be your safety. 

  • Inpatient care is necessary if a home environment is unsafe for initial detox.
  • Recommended for those with a history of heavy drinking or high-dose substance use over consecutive years.
  • Essential for individuals who have experienced severe withdrawal complications, such as delirium tremens.

How We Structure Safety at Our Denver Clinic

If an outpatient path is the right fit for you, the process we use at Colorado Medication Assisted Recovery is deeply thorough. We do not just hand you a prescription and send you on your way. Our local clinical team walks with you through every single phase of the clearing process.

We look at your recovery through an integrated lens, combining medical management with early behavioral support. Our goal is to make the entire process as transparent and comfortable as possible.

Frequently Asked Questions

What is the main difference between inpatient and outpatient detox?

The primary difference is the living arrangement and level of monitoring. Inpatient detox requires you to stay overnight at a residential facility with 24 hour medical oversight. Outpatient detox allows you to attend medical and therapeutic appointments at a clinic during the day and return home each evening.

How do clinicians determine if outpatient detox is safe for me?

Clinicians use standardized medical criteria to evaluate the severity of your addiction, physical health history, and psychological stability. They also check for a supportive home environment and the presence of any underlying medical conditions that could make unmonitored withdrawal dangerous.

Can I work while undergoing outpatient medical detox?

Many patients are able to maintain modified work schedules during outpatient detox, depending on the severity of their symptoms. Because appointments are scheduled ahead of time, you can coordinate with your clinical team to balance medical visits with your personal and professional commitments.

Is outpatient detox less effective than residential inpatient programs?

No, outpatient detox is highly effective for patients with mild to moderate substance dependence. When a clinical assessment confirms that a patient is a good fit for the outpatient track, the success rates and medical outcomes are comparable to traditional residential programs.

inpatient detox denver

Get Definitive Answers for Your Health

If you are ready to stop guessing and get a definitive answer about which treatment setting is safe for you, a quick phone call is all it takes. We provide a completely free clinical conversation to review your medical history and build a clear path forward. 

Our clinical assessment is designed to flag these high risk profiles instantly. If we find that your body requires continuous medical monitoring to stay stable, we will tell you honestly and help you get placed in the appropriate residential setting. Seeking help is about removing barriers, and ensuring you are in the medically correct environment from day one is the most important step we can take.

Vivitrol Cost Without Insurance

The retail cost of a Vivitrol injection without insurance is usually between $1,300 and $1,500 per month. However, most people do not pay that much. The Alkermes co-pay assistance program helps cover a massive chunk of this cost for uninsured and underinsured patients. 

When you come into our clinic, CMAR, we handle the paperwork to get these savings applied, making the medication much more affordable before you get your very first shot.

The Reality of Retail Pharmacy Prices

Most people’s first big hurdle they share is almost always the cost. I get it completely. Looking up the retail price of specialized addiction treatment medications online is scary. The retail price for monthly extended-release naltrexone injections can exceed $1,000 for those without insurance.

  • High baseline costs often cause patients to hesitate when seeking necessary addiction treatment.
  • Healthcare providers work to bridge the gap between retail prices and patient affordability.
  • Financial navigation is integrated as a core component of medical care, alongside therapy and checkups.
Vivitrol no insurance denver

How the Alkermes Co-Pay Assistance Program Works

The biggest tool we use to lower your costs is the Alkermes co-pay assistance program. Alkermes is the company that makes Vivitrol. They know that massive out-of-pocket costs stop people from getting help, so they created a fund to offset these expenses for folks who are uninsured or underinsured.

  • Eligible patients may receive up to $500 monthly toward the cost of the injection.
  • Specific programs are available to provide medication for individuals who are fully uninsured.
  • The clinic staff manages all necessary paperwork, including gathering information for the manufacturer.
  • Funding is secured by the clinic before the injection is scheduled.
  • The responsibility for navigating insurance hurdles lies with the provider rather than the patient.

What CMAR Patients Actually Pay in Denver

At Colorado Medication Assisted Recovery, our main goal is getting you the right support without causing financial stress. So, what do our patients actually pay? The final number changes based on your income and sliding scale eligibility, but I promise it is almost never the full retail price.

We mix manufacturer assistance programs with our own clinic resources to bring the monthly cost down to something manageable. Often, the amount you pay out of pocket ends up looking more like a regular utility bill. We sit down with you during your first assessment to look at the exact numbers. You will know exactly what you owe before we do anything, giving you the peace of mind to focus entirely on your recovery.

Frequently Asked Questions

How much is Vivitrol out of pocket?

Without insurance or financial assistance, a single Vivitrol injection costs between $1,300 and $1,500. However, most patients use manufacturer savings programs or sliding scale clinic fees to heavily reduce this number. Your actual cost depends on your financial eligibility and the specific provider you work with.

Is there a generic version of Vivitrol available?

There is no generic equivalent for the extended-release injectable form of naltrexone known as Vivitrol. There is a generic daily pill form of naltrexone, which is much cheaper. Because the monthly injection is a brand-name drug, using co-pay assistance programs is vital for keeping it affordable.

Does Medicaid cover the Vivitrol shot?

Yes, health programs like Medicaid are designed to cover vital addiction treatments under federal guidelines. The Substance Abuse and Mental Health Services Administration says medication-assisted treatment options are widely covered by state public health plans to improve treatment access. This coverage usually includes both the medication and the clinical visit. Our team routinely helps people verify their specific benefits before scheduling appointments.

How do I apply for the Vivitrol co-pay program?

You can apply for the Alkermes co-pay savings program on the manufacturer website, but it is much easier to let your clinic handle it. At CMAR, our intake specialists complete and submit all the required forms for you during your initial assessment to make sure your funding gets approved.

Uninsured vivitrol denver

Connecting to Outpatient Treatment Safely

Medication is just one part of getting better. The monthly injection works best when you pair it with solid behavioral support and therapy. This combined approach is how we do things at CMAR. We want you to succeed for the long haul, which means giving you a safe, medically supervised space for your recovery journey.

Guessing about costs just keeps you stuck in a cycle of worry. The absolute best way to figure out what you will pay is to let us run a quick, confidential financial assessment. Having a phone conversation with our admissions team costs nothing. They will look at your situation and give you clear, honest answers so you can make an informed choice.

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Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.