10 things rehab centers won’t tell you Charles Passy

10 things rehab centers won’t tell you Charles Passy

I was told about this article by Kenneth Anderson’s Facebook page and decided to have a look. http://www.marketwatch.com/story/10-things-rehab-centers-wont-tell-you-2014-05-16?pagenumber=1

I have seen a lot of people go to rehab and many of them do not do well. This has happened in the UK and USA. I have met people who have really felt let down by the treatment they have received. People think to are going to get a form of treatment that is comparable to other types of care that they would receive in hospital, but are often just being sold a 12 step indoctrination run by very substandard staff, and not the type of psychological treatment that would actually help most people aiming to beat addiction.

Handbook of Alcoholism Treatment Approaches

While I no longer have any interest being part of a 12 step group, I do acknowledge that some people do find being part of a 12 step group useful for support. I do not think that the 12 step methods of AA are treatment however. I feel they are simply faith-based and moralist and not a method that will help many with self-esteem issues etc. Many become evangelical in 12 step groups and go on to work in rehabs and they tend to assume that the method that they feel has worked for them, will work for anyone. This is clearly not the case, but evangelical AA members tend to believe that the AA program is suitable for all and it is the individual’s fault if they fail. This is in-spite of the fact that the AA  method has no medical basis, was designed before modern psychotherapy in the 1930’s  and relies on broad assumptions and faith. If people wish to be members of a 12 step group, they should be free to do so but it is not fair to sell it or force it on everyone, as a treatment. Most AA members or 12 step fans do not bother to learn about alternative solutions, and have little understanding of the wide range of solutions that are available.

I think rehab would be great for many people, if it involved a lot of one on one psychotherapy and lasted as long as needed. Many people get admitted by a doctor,  receive a detox and are then handed over to poorly trained staff  until the end of their “treatment”, which is generally based on 30 days which is the time most health insurance companies will pay for. A lot of these establishments do not cater the treatment to the individual, and are simply a money-making exercise. I cannot think of another area of “medical treatment” that normally relies on conversion to following a “Higher power”.  It is no wonder that the disease theory is so popular in America where these  type of rehabs are really popular or the way the genetic contribution to alcoholism is talked up compared to the environmental triggers. People that run these type of rehab, know that many will come back again and again and the “service” they offer will continue to make a lot of money.

This article http://www.marketwatch.com/story/10-things-rehab-centers-wont-tell-you-2014-05-16?pagenumber=1 really explains why better quality staff are needed and that the expensive “spa” type facilities that are often the type of place that you can find celebrities, are often not great result wise. It also shows how many rehabs actually measure their success rate, which is an eye opener.

The methods that are used in most rehabs have grown out of the 12 step world and have managed to dominate the market and I hope this will change when insurance companies examine why the treatment they are paying for has such poor results.

You may find this interesting as well https://www.recoveringfromrecovery.com/bain-capitals-grip-addiction-the-profit-12-step-treatment/

 

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  1. Disgusted with what I received at rehab, not at all what I expected. I so wish I had educated myself before agreeing with my doctor to enter rehab. I went there to get well and all I got was indoctrinated into what I later discovered is nothing more than a cult. The really bad deal is I was separated from my husband of 30 years when I entered (my divorce became final while I was still a patient), had not found employment since moving in with my mother, and was living on what little I had in savings. I had met my deductible, but I still had to pay a percentage. Rehab is not inexpensive and as far as I’m concerned I was ripped off. AA may work for some, but it did nothing of the sort for me, in fact, it made my depression much worse. Bill Wilson was nothing but a womanizing snake oil salesman that belonged in a traveling medicine show. Hard to believe in the 21st century we can’t come up with anything better. However, maybe there is a reason for that and it has to do with money. Hire a bunch of under qualified counselors to lecture on what becomes repetitive real quick. Take the group to free AA meetings, tell the patients to get a sponsor, read what I consider a book full of lies, work 12-Steps, share your feelings with your fellow patients, and, wow, once a week I actually received a one hour private counseling session. Other than the food and living conditions, there were no fancy perks where I went, it sounds like a pretty inexpensive program to run. So why the $25,000 for a six week stay? Someone is making a lot of money. I know why the Disease Theory of Alcoholism is still accepted and that is because if it wasn’t a few wouldn’t be able to make big money at the expense of many.

  2. Border Collie Mix June 19, 2014 at 2:03 pm · · Reply

    It all seemed to work for me for many years, rehab, AA; the whole deal. It looked really good from the outside. But I had a dangerous secret, I had suffered from depression since I was 12, and now I thought that if the steps didn’t cure me I was doing something wrong in AA, my recovery was flawed and I was afraid of the only group of people I had contact with on a personal level turning on me and making even more difficult step demands if they knew. I suffered in silence and didn’t broaden my life one bit. Finally I sought mental health care; a light went off after I finally went on anti-depressants. That wasn’t the end of the story, since I have needed more therapy and a medicine change after I was finally interacting with the world and came to realize I had dramatic mood changes that I could not control; but I have real help now that I wouldn’t accept before. I see the time I missed hiding in meetings and keeping my distance from the real world, but I am so grateful I got help and didn’t kill myself or just live miserably.

  3. Thanks for your comments. I did not go to rehab although I probably should have done! I was worried about everything going on my medical record so after periods of stopping and starting, I really needed some help and thought AA would be a good method. I think being in a group where I was meeting people who were trying to recover was helpful, but other things were not.

    My underlying problem was depression and I managed to deal with this after a while by having good treatment one on one, with the the aid of some antidepressants. I don’t think I would have got a deep insight into my problems using the AA methods. I was getting more depressed through being in there and being affected by gossip and the influence of quite unstable people. For me it was better to try new methods.

    My partner has been to three rehabs – two 12 step in USA and one that was not 12 step in the UK, which had its own aftercare that had a qualified member of staff present. The change in method worked for her. I really do think that the way the recovery industry is run is dreadful, and these companies can get away with cheap useless treatment because many in society do not care about people with addictions and because it is easy to blame an addict for a failure to stay abstinent thanks to people accepting the rubbish written in chapter 5, from the AA Big Book. As more people need treatment than in the past thanks to lifestyle changes, I hope that insurance companies will take a serious look at what is on offer in the market. I should add that although my partner went to a non 12 step rehab in the UK, that is actually quite rare here as well. I remember lots of people coming from well known rehabs such as the Priory being bussed into AA meetings when I went.
    Anyway I am glad we are all doing better now that we have moved on from the 12 step world!

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