Topic: treatment models
Reliable stats on relapse can be hard to come by, but return-to-heroin rates appear to run above 80% (and in some cases, higher).
My longstanding rule is to design your program to treat your population, not some idealized group of subjects who did well in a research setting with a significantly different structure.
We spend a great deal of time in treatment seeking to increase patient motivation, but these programs do not rely on a motivated patient.
It also suggests that the ‘return to heroin’ rate among former maintenance clients may be even higher.
When a clinician uses an EBP, she’s reassuring herself that it’s likely to be more helpful than if she sat on her hands and did nothing.
When a group has been mired in the hostile or helpless mode, and breaks through into work, you’ll see an almost tangible change in tone.
We’ve never seen a group that works, right from its inception. Progress toward work usually involves struggle through one or more of these modes.
When a group adopts one of these operating modes permanently, as a primary form of interaction, they end up actively resisting any responsibility for achieving individual and group goals.
What’s behind those fine-sounding terms on the website? Which provide useful information, and which are bells and whistles to enhance attractiveness?
You know what would help put an end to the debate? A protocol and procedures for a successful transition off maintenance for those patients who would prefer not to remain dependent.