Addiction Aftercare Programs

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The journey to recovery doesn’t end when you leave rehab. Addiction is a chronic disease that requires life-long management, and successful long-term sobriety typically requires a structured aftercare plan that continues for years after leaving a residential treatment program.

As a provider of medical detox and inpatient rehab, Coastal Detox of Southern California maintains dedicated relationships with addiction aftercare providers in San Diego, so our patients have a warm hand-off that begins long before their discharge date. 

As you approach the end of your inpatient stay, our clinical case managers work with you to develop a comprehensive, personalized aftercare plan. We coordinate directly with our trusted partners in the San Diego area to ensure your transition to a lower level of care is seamless and supported, and that you have all the information you need to transition back into your day-to-day life.

To learn more about our personalized approach to addiction treatment, call 858-333-7396.

Essential Levels of Aftercare Support

Addiction aftercare is unique to each patient based on their individual needs, recovery goals, physical and mental health, and other factors. Depending on your history of substance use, co-occurring mental health conditions, and personal support system, your clinical team will recommend one or more of the following options:

Partial Hospitalization Programs (PHP)

Often referred to as “day treatment,” a partial hospitalization program, or PHP, is the highest level of outpatient care. It is designed for people who require structure and clinical intensity, but no longer need 24/7 medical supervision.

  • PHP Schedule: Patients typically attend treatment for 5–7 days a week, for up to 8 hours each day.
  • Treatment Focus: Continued medical monitoring, intensive group therapy, and individual counseling.
  • Goal: To provide a bridge between the total immersion of residential rehab and the relative independence of home life.

 

Intensive Outpatient Programs (IOP)

An intensive outpatient program, or IOP, offers more flexibility than a PHP for patients who are ready to return to work, school, or family responsibilities while still maintaining a high level of accountability.

  • IOP Schedule: Patients typically attend treatment for 3–5 days per week, for up to 4 hours each day. Sessions can often be scheduled in the evenings or mornings, to accommodate work, school, and other demands..
  • Treatment Focus: Relapse prevention training, life skills development, and peer support groups.
  • Goal: To have patients practice the skills learned during higher levels of care while living at home or in sober living settings and beginning to balance more personal responsibilities.

 

Standard Outpatient Addiction Care

Standard outpatient care is the least intensive form of professional addiction treatment. Outpatient rehab is focused on maintaining the gains made in earlier stages of treatment through periodic check-ins.

  • Outpatient Schedule: Patients typically attend treatment for 1-2 hours per week.
  • Treatment Focus: Solidifying skills and habits learned during inpatient rehab, preventing relapse, and offering therapeutic support for new triggers and difficult situations that emerge after the patient returns to their daily routine.
  • Goal: Long-term stability with ongoing professional guidance to manage life’s stressors without turning to substances.

Sober Living Housing

For many people, returning to their old environment immediately after rehab can be a major trigger to potentially relapse, or is not financially feasible. Sober living homes provide a structured, substance-free residence where people can practice their recovery skills among peers while working to get back on their feet.

Sober living residences are usually restricted to a single gender and offer numerous advantages, including:

  • Accountability: Residents must adhere to house rules, attend support meetings, and submit to regular drug testing.
  • Community: These environments foster a sense of shared purpose and help rebuild social skills in a healthy context.
  • Placement Assistance: House managers can help residents find steady work, navigate legal requirements, apply for social services, and find outpatient treatment providers that align with their clinical and financial needs.  

 

Other Ongoing Addiction Aftercare Resources 

Beyond outpatient programs, a successful aftercare plan integrates other forms of ongoing support that the patient can lean on for years after rehab. Some options include:

  • Continuing Individual Therapy: One-on-one sessions with a therapist who specializes in addiction. Ongoing, regular therapy gives the patient continued opportunities to process deep-seated trauma or co-occurring disorders, while addressing new emotional challenges that arise during sobriety. 
  • Telehealth Addiction Treatment: Remote telehealth addiction counseling is a widely popular option due to the ease of scheduling. Patients sign in to a secure web portal for confidential video calls with a licensed therapist from anywhere with a stable WiFi connection. These sessions typically provide the same benefits as in-person therapy, with the flexibility of a virtual session.
  • 12-Step Recovery Meetings: Groups like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) provide lifelong peer accountability, opportunities to secure a sponsor, and a sober support network.
  • Alumni Groups: Rehab alumni from area treatment centers frequently gather for weekend and holiday activities to keep each other grounded and supported. 

 

Relapse: A Cue to Re-Commit, Not a Failure

Even after following a comprehensive aftercare program, there’s always a chance you could relapse. Relapse is not a sign of failure but a common part of the recovery process, as addiction is a chronic disease. 

At Coastal Detox of Southern California, our team members understand the challenges you face because they’re in recovery themselves. If you ever need to return for additional detox, stabilization in rehab, or a “reset” of your sobriety plan, you will always be welcomed back with open arms and zero judgment.

Our goal is to equip you with the foundation for lasting sobriety and the resources to navigate the path forward with confidence. If you are ready to begin your journey, our team is available 24/7 to help you take that first step. Contact our admissions team today.

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Meet Our Team

Coastal Detox of Southern California is composed of an entire team of highly trained substance abuse professionals in recovery.
phil castagnola surdrc program director

Phil Castagnola, SUDRC

Program Director

kay saffe lpcc clinical director

Kay Saffe, LPCC

Clinical Director

jeff swem sudrc director of operations

Jeff Swem, SUDRC

Director of Operations

Coastal Detox of Southern California is only a call away.

Contact Us Today for a Free Confidential Assessment and Insurance Verification.

Phil Castagnola

Case Manager

Philip was born and raised in San Diego. He grew up with parents who were functioning alcoholics /addicts. This led to adopting a faulty belief system from a very early age that using drugs and alcohol was an acceptable way to live. The belief system made it normal for him to begin using substances at the age of 15.

Philip has been a surfer his entire life and competed professionally for a few years in his 20’s. He has primarily worked in the surf industry. He eventually opened his own surf shop (Select Surf Shop) in the early 2000’s. His addiction eventually got the better of him and after losing his business and his family in 2006 he spent the next 3 years in and out of rehabs trying to recover. His substance abuse issues eventually landed him in federal prison. He used his time wisely and started working the steps of alcoholics anonymous and completing an 18-month treatment program. 

Philip was the primary caregiver for his mom who was permanently bedridden for the last 4 years. When covid hit he decided to pursue one of his goals and began going to school to become a substance abuse counselor.

After struggling with substance abuse issues for over 20 years philip now has 15 years of continuous sobriety and works a program of recovery givi4ng back to other addicts and alcoholics through sponsorship in the program of AA.

Philip studied AODS at San Diego City College and he is now completing his internship here at Coastal Detox of Southern California.

Philip’s main passion is sharing his experience, strength and hope with others who struggle with substance abuse issues. Helping others through their journey of getting and remaining free of their bondage of addiction.

Kay Saffe LPCC

Clinical Director

Kay Saffe grew up in Miami, Florida and is a first generation American with Argentinian roots. She struggled with drinking and substances, especially throughout her youth. Today, she has been in recovery for years and strives to prioritize her spiritual, mental, and physical health.

A lifelong athlete and ocean lover, she moved to San Diego to pursue a Master’s degree in counseling at the University of San Diego and progress her surfing. She has spent years working as a surf instructor and therapist, working with local non-profits that treat at risk individuals and families in English and Spanish. She incorporates a mindful and holistic approach to therapy. She is passionate about positive psychology and helping others through their recovery journey.

Jeff Swem, SUDRC

Director of Operations

Jeff was born and raised in San Diego, and spent much of his youth living blocks from where our residential housing is located.  He spent his teenage years skateboarding up and down the surrounding streets, and enjoying the Pacific Beach life in the 80’s/early 90’s. 

Jeff got to know the darker side of addiction early in life, with three near-death experiences in a row happening within a year.  He “settled down” into alcohol, and later in life became a professional brewer, but that too proved to be too cunning, baffling, and powerful a draw.  During Covid, he felt no choice but to surrender, and made the decision to get sober.  He attended a similar program to our own, and after completing the 30 days inpatient and attending IOP aftercare, he was able to forge a strong foundation of sobriety.  He has not found a reason to pick up a drink since the day that he checked into that detox.  After quitting the brewing gig (because of course, he had little choice there), he enrolled in the AODS program at City College with his sights on a new career of helping others.  Having completed the requirements involved, he went on to earn his certification in California for Substance Use Disorder Certified Counselor.

Jeff is married to his wife of nearly 25 years with a 21 year old daughter and 18 year old son, and thanks to the 12 steps, surrounding himself with a caring and supportive sober community, and coming to terms with his alcoholism, is able to lead others struggling with addiction through example and personal experience.