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Even among programs with a fine clinical program, dedicated staff, good administration, some are more successful at attracting customers than others. Marketing offers a key to understanding why.

If the clinicians view the PO as an outsider with the potential to interfere with treatment, there will be inevitable conflict.

Some clients need more frequent reinforcement than others – those with poor impulse control, for instance, or who struggle with cravings, or are less motivated for other reasons.

Pretty soon we’re having a big argument which ends with me feeling miserable and him gone to the pub.

The family had good representation from important people in the alcoholic’s life, and there was professional help, but that’s not leverage.

What am I supposed to do with all this information? It doesn’t bring in more patients or help me get additional staff to treat the patients I already have.

The key question involves which part of the COD population you’re going to serve. It’s not really a homogeneous group.

I recall one professor airily informing his class that recovering counselors had an ‘agenda’.

“We paid almost $50,000 for that program and it seems like a complete waste. We feel so helpless. What do we do?”

I recall someone telling me he could be patient as long as he knew that eventually he’d get what he wanted. Well, it’s easy to be patient then. The trick is to have patience when you don’t know the outcome.