Detox, residential or outpatient? How to know where to start

You don’t always need detox or residential treatment before outpatient care. If it’s safe for you to stop using without medical help, you may be able to start intensive outpatient treatment (IOP) right away. A comprehensive assessment helps you and a licensed clinician decide where to start.

The Haven provides comprehensive assessments and day and evening intensive outpatient treatment (IOP) for adults 18 and older, in person in Woodbury, Shakopee and Waconia or by telehealth anywhere in Minnesota. We don’t provide detox, residential treatment or MAT prescribing; we help people find those services when they need them.

If withdrawal could be dangerous

Stopping some substances suddenly can be dangerous

Stopping alcohol or benzodiazepines (such as Xanax, Ativan, Klonopin or Valium) suddenly, or cutting down too fast, can cause serious withdrawal, including seizures, which can be life-threatening. If you drink heavily or every day, or take benzodiazepines regularly, talk to a doctor before you cut down or stop.

If you or someone with you has a seizure, severe confusion, hallucinations, chest pain or trouble breathing, call 911.

If you’re in crisis, call or text 988. In an emergency, call 911.

This page is general information, not medical advice. Your doctor can tell you what’s safe for you.

Three kinds of care, in plain words

Treatment comes in different levels of care, from care around the clock to a few hours a week. Here’s what the terms you’ll see mean.

Detox (withdrawal management)

Short-term care, around the clock, to get through withdrawal safely. Minnesota calls it withdrawal management. It’s offered by licensed withdrawal management programs and by hospitals. Detox helps you through withdrawal; it’s usually followed by treatment. The Haven doesn’t provide detox.

Residential treatment

You live at a treatment program for a time, with treatment and support every day. Some people call it inpatient treatment or rehab. The Haven doesn’t provide residential treatment.

Intensive outpatient treatment (IOP)

You live at home or in a sober home and come to group and individual sessions several days a week, in person or by telehealth, so you can keep up with work, family and daily life. This is what The Haven provides.

More about IOP

Do I need detox before outpatient treatment?

You might, if stopping on your own wouldn’t be safe. That depends on what you use, how much and how often, your physical health, and whether you’ve had withdrawal symptoms before. If you think you might need detox, talk to your doctor first.

When you’re ready for outpatient treatment, call us. If you need detox or residential care first, we’ll help you find a program, and you can come to us when you’re ready for outpatient treatment.

Kratom and 7-OH treatment

Can I start IOP without going to inpatient or residential treatment first?

Often, yes. You don’t have to go through inpatient or residential treatment before IOP. If you’re ready for treatment, you can often start IOP within a few days, and your assessment is completed in your first days in the program.

Day IOP runs Monday–⁠Friday, 8:45 am–⁠12:45 pm, and evening IOP runs Monday–⁠Thursday, 5:30–⁠8:30 pm, at all three offices and by telehealth.

How your assessment recommends a level of care

A comprehensive assessment is a one-on-one conversation with a licensed clinician about your substance use, your health and what you’d like to change.

The clinician asks about your risk of withdrawal, your physical and mental health, how ready you feel to make changes, what might lead you back to using, and your home and the people who support you. Then they recommend the level of care that fits you.

  • If IOP fits: you can start our day or evening program, in person or by telehealth.
  • If you need detox or residential care first: we’ll help you find a program, and you can come to us when you’re ready for outpatient treatment.

Assessments are completed by licensed clinicians.

More about assessments

How we help you find detox or residential care

  1. Talk to your doctor. If you think you might need detox, your doctor can tell you whether you need medical help to stop.
  2. Call us for help finding a program. If you need detox or residential care first, we’ll help you find a program. Office and phone hours: Monday–⁠Friday, 8 am–⁠5 pm. After 5 pm, leave a message and we’ll call you back the next business day.
  3. Come back when you’re ready. You can come to us when you’re ready for outpatient treatment. If you’re finishing detox or residential treatment, call us before you leave if you can, so there’s less of a gap.

You can also look for openings yourself. FastTrackerMN is a free search tool that shows availability for mental health and substance use disorder care in Minnesota, and SAMHSA’s FindTreatment.gov lists state-licensed treatment providers.

If withdrawal symptoms are severe, don’t wait for a call back. Call 911 or go to an emergency room.

After detox or residential treatment: stepping down to IOP

Detox gets you safely through withdrawal. Most people then need treatment to keep building their recovery. IOP is a common next step after detox or residential treatment, because you get regular treatment while you live at home or in a sober home.

If you’re finishing detox or residential treatment:

  • Before you leave, ask the program about next steps and keep any follow-up appointments they set up.
  • Call us, or ask the program’s staff to call us for you, with your permission.
  • If you take medication for opioid or alcohol use disorder, you’re welcome here if you take medication prescribed by your own provider. We don’t prescribe, but we can help you find a prescriber. More about MAT support

Wherever you live in Minnesota, you can also join by telehealth when it’s a good fit for your care. Telehealth is for adults who live in Minnesota and are in Minnesota during sessions.

For hospitals, detox and residential programs

Referring a client? Professionals can call us, fax the office nearest your client, or email referrals@havensmn.com from your organization’s secure email. We respond within one business day.

Fax: Woodbury (651) 734-⁠9533 · Shakopee (952) 496-⁠2506 · Waconia (952) 442-⁠6228

Planning a step-down to IOP? It helps to contact us before discharge, so your client can start soon after they leave. With your client’s written consent, please send a discharge summary, a current medication list and any recent assessment.

If your client has a recent comprehensive assessment, send it with their consent; we may be able to update it rather than start over.

We share information about your client, including whether they’ve started, only with their written consent.

For Referral Partners

Call or request an appointment. We’ll call you back within one business day.

Questions about where to start

Do you offer detox or residential treatment?

No. The Haven is outpatient only. If you need detox or residential care first, we’ll help you find a program, and you can come to us when you’re ready for outpatient treatment.

Do I need to go to detox before IOP?

Not always. If stopping on your own wouldn’t be safe, you may need detox first. Before you stop drinking or using, see your doctor, go to an emergency room, or get a comprehensive assessment.

Can I start IOP without going to inpatient treatment first?

Often, yes. You don’t have to go through inpatient treatment before IOP. If you’re ready for treatment, you can often start IOP within a few days, and your assessment is completed in your first days in the program.

Is IOP enough, or do I need residential treatment?

An assessment is the best way to find out. A licensed clinician looks at your situation and recommends a level of care, from outpatient treatment like ours to detox or residential programs, which we don’t offer but can help you find.

Is it safe to stop drinking on my own?

It can be dangerous. If you drink heavily or every day, stopping suddenly can cause serious withdrawal, including seizures. Before you stop drinking, see your doctor, go to an emergency room, or get a comprehensive assessment. In an emergency, call 911.

What should I do after detox from alcohol?

Ask the detox program about next steps before you leave, and keep any follow-up appointments. If outpatient treatment is the next step, call us. You can often start IOP within a few days.

Can I come to IOP if I take Suboxone, methadone or naltrexone?

Yes. You’re welcome here if you take medication prescribed by your own provider. We don’t prescribe, but we can help you find a prescriber. More about MAT support

What if I need more support once I’ve started IOP?

Tell your counselor. A relapse doesn’t mean you’re out. We talk about what happened and adjust your plan; sometimes that means more support or a referral to a higher level of care. Relapse and returning to treatment

Can I schedule an appointment for someone I’m worried about?

We can’t schedule an appointment for someone else. The person seeking help needs to contact us directly. You can help by sharing our number, (651) 734-⁠9633, or this page with them. If they’d like your help, you can be with them when they call, as long as they agree and they’re the one asking for help. More for families and partners