Treatment

Rehab isn’t intended to effect a cure for someone’s addiction. We don’t have a cure for anybody’s addiction.

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).

A former national insurance exec observed that when you work in healthcare management, most of your day is spent looking at columns of numbers.

Clients who struggle to stay drug-free can resent the presence in group of others who openly use substances.

The system that was supposed to help them was unwittingly undermining their recovery.

The fewer services you provide, the fewer staff you need, and the more likely you are to have a healthy profit margin.

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.

Those misconceptions are a principal reason so many Americans have become skeptical of the value of treating addictions at all.

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.