Adjusting to Life After Substance Abuse Treatment: Why Aftercare Matters

Written By Dylan Colson

Completing substance abuse treatment is a huge accomplishment, one that deserves recognition and pride. But for many individuals, the real challenge begins after treatment ends.

With years of experience working across various levels of care, from detox and residential to PHP (Partial Hospitalization Program) and outpatient services. I’ve walked alongside individuals through the initial fears of entering treatment. These fears are common: leaving your family, taking time off work, the financial stress, or simply not knowing if treatment will even work.

What’s less talked about, however, is the fear of what happens after you’ve done the hard work. When you’ve settled into the structure and safety of treatment. When you’ve started to build trust with staff and peers and now it’s time to leave. This is where the real world sets back in.

You might be going home to a stressful family dynamic. You may be returning to a demanding or triggering work environment. You’ll no longer be in a place where substances are restricted, or have 24/7 support around you. That transition can be jarring and unfortunately, it’s a common point of relapse. According to the National Institute on Drug Abuse (NIDA), 40% to 60% of people treated for substance use disorder relapse at some point. (Source).

If this sounds like something you’re going through or fearing, it’s important to know: you’re not alone, and there are steps you can take to protect your recovery. One of the most important tools at your disposal is an aftercare plan.

What Is an Aftercare Plan?

An aftercare plan is a personalized strategy developed while you’re still in treatment that outlines how you will maintain recovery once you leave the structured environment of care. It typically includes:

  • Referrals to outpatient therapy or counseling

  • Support group recommendations (like AA, NA, SMART Recovery)

  • Medication management (if applicable)

  • Sober living arrangements or housing support

  • Relapse prevention planning

  • Strategies to manage triggers and stress

  • Continued case management or peer support

The goal of an aftercare plan is to help bridge the gap between treatment and independent living offering the guidance, resources, and accountability you need as you adjust to your new normal.

Advocate for Your Future Self

While you’re still in treatment, it’s crucial to advocate for yourself. Ask your therapist or case manager to work with you on developing an aftercare plan that feels realistic, supportive, and tailored to your situation. The more proactive you are now, the stronger your foundation will be later.

But what if you’ve already completed treatment and didn’t receive an aftercare plan?

That’s okay. It’s never too late to build the support you need. Whether you need help reconnecting with recovery resources, finding a therapist, or creating a custom plan that works for your lifestyle—you don’t have to figure it out alone.

Dylan Colson