Gays and Lesbians can sometimes have unique treatment needs when receiving substance abuse rehabilitation. A specialized curriculum and treatment environment which is conducive to the needs of gays and lesbians is obtainable at certain drug and alcohol rehabilitation facilities around the country which understand the unique needs and challenges which gays and lesbians will experience during treatment. Gay and lesbians can achieve full rehabilitation and recovery just like any other individual in treatment, however it can be helpful for gays and lesbians to be in a supportive environment which doesn't judge them or segregate them due to their sexual preference.

Some individuals are covered through state financed insurance because they do not meet the eligibility requirements for Medicaid. Some states however offer affordable health insurance to those who cannot afford private health insurance. State financed health insurance programs will in some cases cover the costs associated with substance abuse treatment at a wide variety of drug and alcohol treatment programs around the country. State financed insurance other than Medicaid may cover both inpatient or outpatient substance abuse rehabilitation providers. To find out which rehabilitation facilities will accept state financed insurance, speak with a substance abuse treatment specialist.