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 SUDCC program director at Coastal Detox of Southern California

Phil Castagnola, SUDRC

Program Director

Kay Saffe LPCC clinical director at Coastal Detox of Southern California

Kay Saffe, LPCC

Clinical Director

Jeff Swem SUDRC director of operations at Coastal Detox of Southern California

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 Castagnola, SUDCC, is the Program Director for Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Phil has over 15 years of continuous sobriety and is an active Sponsor in the San Diego Alcoholics Anonymous (AA) community. He struggled with substance abuse issues throughout his youth. He started using drugs at the age of 15, having been raised in an environment that normalized heavy drug and alcohol use. He spent a lot of time in and out of various rehab programs before being incarcerated in federal prison, which is where he finally completed an 18-month treatment program and used that time to work the 12 Steps.

After completing his sentence and serving his debt to society, he vowed to continue to give back to others who are going through similar hardships. Phil is passionated about sharing his experience with openness and honesty so that others may find hope for their future and find the strength to break free from the bondage of addiction.

In addition to a successful career as a certified counselor, Phil is also reconnecting with his passion for surfing. Phil surfed professionally in competitions for a few years in his early 20s and even owned his own surf shop (Select Surf Shop) before losing everything to his addiction. Now in his sobriety he is able to once again surf recreationally and in contests, showing that it’s never too late to reclaim your own narrative, overcome substance use disorder, and pursue the life you were always meant to have.

Kay Saffe, LPCC

Clinical Director

Kay Saffe, LPCC,  is a Licensed Professional Clinical Counselor and Clinical Director at Coastal Detox of Southern California. She holds a Master’s Degree in Clinical Mental Health Counseling from the University of San Diego and a Bachelor’s Degree in Psychology from New College of Florida. 

Kay grew up in Miami, Florida and is a first generation American with Argentinian roots. Throughout her youth, she struggled with drinking and substance abuse. Today, she has been in recovery for over 4 years and strives to prioritize her spiritual, mental, and physical health.

A lifelong athlete and ocean lover, she moved to San Diego to pursue her Master’s degree 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 both 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, SUDCC

Director of Operations

Jeff Swem, SUDCC, is a Substance Use Disorder Certified Counselor and the Director of Operations at Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Jeff has 6 years of continuous sobriety and is active in the San Diego Alcoholics Anonymous (AA) community. Jeff struggled with substance abuse from a young age and endured some harrowing, near-death experiences before “settling down” into a career as a professional beer brewer. It was during the COVID outbreak that he surrendered to his higher power and made the choice to get sober for good.

After completing an inpatient rehab program and IOP aftercare, Jeff quit the brewing industry and pivoted to become a Substance Use Disorder Certified Counselor so he could surround himself with a caring and supportive sober community and help others who struggle with addiction by leading through example and sharing his personal experience.

Born and raised in San Diego, Jeff is married to his wife of 25 years. They have a son and daughter together, and thanks to the 12 Steps and a successful career at Coastal Detox, Jeff is able to be fully present for them every day, be a positive role model, and show them how it is possible to thrive in recovery.