Drug and Alcohol Rehab Centres in Italy

How does the public addiction system work in Italy?

The public addiction system in Italy runs through the Ser.D., units of the national health service based in each local health authority. A Ser.D. offers diagnosis, psychological support and treatment, and after an assessment it can arrange residential or semi-residential care in a therapeutic community that the region has accredited.

Access is voluntary. A person can contact the Ser.D. for their area directly, and the official service pages note that the details of access vary from region to region, since each region organizes its own local health authorities.

Do I need a referral to get help from a Ser.D. in Italy?

No referral is needed to approach a Ser.D. in Italy: contact is voluntary and does not depend on a prescription from a family doctor. The National Addictions Helpline, 800 94 07 89, can also point someone toward the Ser.D. that covers their address, which helps anyone unsure where to start.

Publicly funded treatment is listed at nearly all of the rehabs in Italy, and public health insurance is accepted at nearly all of them too. State-funded outpatient rehab is the most common form, with publicly funded residential places listed at a few.

What happens if someone goes to a therapeutic community privately?

Someone who enters a therapeutic community in Italy privately, without a Ser.D. referral, pays the cost of that stay themselves, according to the government’s anti-drug department. The public route is what links a residential place to national health service funding, so the Ser.D. assessment usually comes first for anyone seeking a funded place.

The Department for Anti-Drug Policies, part of the Italian government, publishes a downloadable list of accredited therapeutic communities and residential facilities, drawn up by the regions and autonomous provinces. That list is the place to confirm a community’s accredited status before admission.

Is treatment in Italy kept confidential?

Italian law lets people in addiction treatment ask to stay anonymous. Under article 120 of Presidential Decree 309/1990, the drugs law, a person can request that their health record leaves out their name and identifying details, and staff at addiction services cannot be compelled to testify about what they learned at work.

The government’s Ser.D. pages also state that services must protect privacy, including by anonymizing personal data.

Who do Italian rehabs serve?

Rehabs in Italy mainly serve adults: men’s rehab and women’s rehab are each listed at nearly all of them, and most offer outpatient care for both. Teen rehab appears at a few, as do young adult programs and services that accept court-ordered treatment.

Mental health treatment is listed at most rehabs in Italy, and care for co-occurring mental health conditions at some. A few list HIV and hepatitis support alongside addiction care.

What does private rehab in Italy cost?

Private residential rehab in Italy has an estimated typical range of €8,900 to €23,700 a month, and medical detox €5,300 to €16,600 a month. Outpatient care costs least, at an estimated €1,100 to €3,600 a month, with day treatment in between at €5,300 to €11,200.

These are estimates. The real figure depends on the level of care, the length of stay and what the fee includes, so asking a provider for the full price in writing before admission avoids surprises. Self-pay is listed at a few of the rehabs in Italy.

How do costs compare across levels of care in Italy?

Each level of care in Italy has its own estimated monthly range, running from €1,100 at the low end of outpatient care to €23,700 at the top of the residential range. Medical detox and day treatment sit between them, and the table shows each range beside the others for easy reading.

Detox in Italy is listed at a few rehabs, including alcohol detox and opioid detox, and long-term residential care at a few.

Does insurance pay for rehab in Italy?

In Italy, the national health service funds treatment through the Ser.D. and the accredited therapeutic communities it refers people to. Private insurance is accepted at a few of the rehabs in Italy, and anyone relying on a policy can ask the insurer to confirm addiction cover in writing.

Anyone insured abroad depends on the terms of their own policy, and can ask the clinic and the insurer to set out what each will pay before travel.

Is medication-assisted treatment available in Italy?

Medication-assisted treatment is listed at some of the rehabs in Italy. Methadone appears at some, and buprenorphine at a few. State-funded methadone is listed at some Italian rehabs, so medication can form part of the public route through a Ser.D.

Naloxone, the medicine that reverses an opioid overdose, is sold over the counter without a prescription in Italy, according to the EU drugs agency. Italy is also among the countries that give naloxone to people on release from prison.

Which substances do Italian rehabs treat?

Alcohol is treated at most rehabs in Italy, and opioids at some, including heroin and prescription painkillers such as oxycodone and codeine. Cocaine and other stimulants appear at a few, and help to stop smoking is listed at some of the country’s rehabs.

A Ser.D. treats drug, alcohol and other addictions within the same service, so a person with more than one problem does not need to approach separate services.

Can I travel to Italy for rehab?

Italy is in the Schengen area, so short visits of up to 90 days in any 180-day period follow Schengen rules. For longer treatment, Italy issues a medical treatment visa, the visto per cure mediche, for care at public or accredited private facilities, lasting for the expected period of treatment.

Rehab is also listed in Switzerland, France, Austria, Croatia, Malta, Spain and Greece, and in the United Kingdom and Ireland.

What does the Italian medical treatment visa need?

Applicants for Italy’s medical treatment visa need a declaration from the Italian facility describing the treatment, its dates and its cost, proof that at least 30 percent of the cost has been paid, evidence of funds for the rest, and accommodation. Requirements are indicative and can vary between consulates.

A private facility also has to supply a copy of its national health service authorization. The Italian foreign ministry runs an online visa checker that shows which visa applies to a given trip.

Who can I call in Italy for help with addiction?

Italy’s National Addictions Helpline answers free and anonymously on 800 94 07 89, Monday to Friday from 10:00 to 19:30. It is run by the Istituto Superiore di Sanità, Italy’s national public health institute, with the government’s anti-drug department, and calls are taken by psychologists and addiction specialists.

Alcolisti Anonimi Italia, the national Alcoholics Anonymous fellowship, lists meetings and runs a toll-free line on 800 411 406. English-speaking AA meetings are organized by an Italy intergroup of AA’s Continental European Region.

Rehab listings in other countries are on the Europe page, including Germany, Portugal, Belgium and the Netherlands.