My Professional Nursing experience working in Emergency Medicine leads me to conclude with regard to whether current Addiction Rehabilitation practices are effective in treating addicts in staying clean & Sober with a resounding “NO! NOT REALLY.”
Clearly some addicts who complete Rehabilitation do stay clean & sober. I have read about rehabilitation centers who state that they are 90% effective, and my sense is that is a rather lofty percentage. I am not entirely certain how these Drug and Alcohol Rehabilitation Centers measure their successes nor what metrics they are using to make that claim.
If some outfit truly has a 90% effective drug addiction treatment success rate, than I would surmise that entity’s methodology would be replicated and the center would receive notoriety comparable to a Nobel Peace Prize.
I believe these questionable success rates may be more of a marketing tactic because Addiction Centers want to keep the beds full and make money.
Now, there is nothing at all wrong with making money. But the question remains of how effective their treatment methodology really is in successfully treating addiction and hence the client staying clean & sober.
According to White, W (2018), “Despite decades of advancements in science, pharmacology, and technology, the continuum of evidence-based addiction treatment services remains largely unavailable to those in need. The addiction treatment system is hindered by fragmentation, outdated treatment philosophies, and a payment system that perpetuates antiquated care models and discourages the adoption of best practices in the field. The historical rise and development of the current addiction treatment system explains the evolution of a broken system, and sheds light on new solutions. The continued use of outdated treatment methods is harmful to patient health, and, in some cases, it’s even criminal. The treatment system fails to reach people until the latest stages of addiction, and is ill-equipped to provide care for people with low to moderate problem severity. Insurance denials, prior authorization requirements, and admission waiting lists create impossible hurdles. The system is plagued by high early dropout rates (40-60%), high rates of non-completion (more than 50%), and low rates (less than 50%) of successful linkage to long-term recovery support resources.” https://www.shatterproof.org/blog/time-now-radical-transformation-addiction-treatment
There really needs to be a strictly evidence based standard of care practices that are rooted in both science and medicine. Consumers need to be able ascertain if a given Rehabilitation method is implementing evidence based practice and can objectively demonstrate their outcomes. All Rehab Centers should have a score card system rating them for demonstrated outcomes, cataloged by a third-party recorder.