Author: Justin Mckibben
First, I have to make it clear that any amount of treatment has the potential to make a difference. Every opportunity to take action in the right direction means something. So making the most out of our time is what is so crucial. Still, I want to look at why a month in rehab has become most insurers’ answer to the addiction issue.
Because different people progress through treatment at different paces there is no perfectly predetermined length of treatment. It isn’t a one-size-fits-all kind of thing. However, research shows that clearly good outcomes are contingent on adequate length of time in treatment. Arguably a treatment program of less than 90 days will show limited effectiveness in comparison to longer programs. Many recommend longer lasting treatment for maintaining positive outcomes. Yet, just around a month’s stay can be pretty typical among people who go to an inpatient facility.
So, who came up with the 28 days later standard of treatment? Why do most people only get this amount of time in treatment?
28 Days Later Routine
Kimberly Johnson is director of the Center for Substance Abuse Treatment at SAMHSA. This federal agency studies addiction treatment services. Johnson says,
“As far as I know, there’s nothing magical about 28 days,”
Anne Fletcher, author of the book Inside Rehab, agrees. Fletcher states,
“It certainly is not scientifically based. I live in Minnesota where the model was developed and a lot of treatment across the country really stemmed from that.”
According to Fletcher, the late Daniel Anderson was one of the primary architects of what has been called the “Minnesota model.” This methodology became the prevailing treatment protocol for addiction specialists a long time ago, but how?
The story starts in the 1950’s at a state hospital in Minnesota. Daniel Anderson attended to alcoholics living in locked wards, leaving only to be put to work on a farm. Anderson came up with the 28-day model to find a path for his patients to get sober and leave the hospital. Back then, it was innovative.
Marvin Ventrell, executive director of the National Association of Addiction Treatment Providers, has studied the model’s history. Ventrell says the month-long method comes from the belief that when-
“someone is suffering from addiction — and in the days that this began, we’re pretty much talking about alcoholism — it made sense to people that it took about four weeks to stabilize somebody.”
Ventrell went on to explain this is the norm because the insurance industry became willing to pay for a 28 day period of time. While many treatment providers believe we must adapt with the times, it would seem insurance companies aren’t so sure.
The early form of this 28 day model was designed for alcoholism. One big issue today is the model is used to treat opioid addiction. It is such a problem because recovering from addiction to powerful narcotic drugs just might be different than recovering from alcohol abuse. Therefore, it may require a different method. Yet, many still want to use the 28 day model as a cookie-cutter standard.
Now, to be fair Ventrell admits there isn’t enough research to prove the exact effective length for inpatient opioid addiction treatment. As we said, different individuals may have a different experience and require a different treatment plan. This is one reason why personalized recovery plans are so important.
Fletcher advocates it is incredibly important for treatment to move away from the default month-long model. 28 days is not going to work for everyone, and it would seem one of the biggest hurdles for those in the addiction treatment industry is convincing the insurance industry that the old “Minnesota model” isn’t always enough. 28 days may be enough for some people to make a beginning, but long-term recovery can be seriously influenced by more time learning about factors such as:
There are so many facets of recovery, it makes sense that the more time you have to learn them the more confident you can be in your ability to manage your recovery.
Make Time for Recovery
Besides the fact that giving people more time in a controlled environment can give them more time to focus on their recovery plan, there is also the element of dual diagnosis. While the 28 days model of treatment may have helped back in the 1950’s, we’ve learned a lot in the past 60+ years about addiction and other issues that co-exist.
Many people struggling with addiction are also having to battle with conditions pertaining to mental health disorders. Knowing what we know now, we see mental health disorders and addiction should be addressed simultaneously. If you ignore one, it can cause a relapse into the other later on. Various forms of mental illness can exist along with an addiction, including:
So for some, establishing a full diagnosis and then effectively engaging in the recovery process can take more time.
In the end, we should be making more time for individuals in need of treatment. Unfortunately, it can be an uphill battle with insurance companies. Some programs do exist that are extended inpatient programs, but these facilities still face resistance from insurers. At this point, it is about making the most out of the time you can get. Holistic drug treatment programs like Palm Partners emphasize the importance of exploring every area of recovery in detail, and design personalized recovery plans to make the time most efficient. Insurance companies may try to limit the opportunity, but the opportunity is still a real chance at real change.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
This story began just over a year ago when the Church of Scientology bought the plot of land for just over $4 million before announcing the intentions of opening a rehab center on the property. Residents in the area began rallying against these efforts, but the church persisted in its efforts, and actually came pretty close to crossing the finish line. Unfortunately, it was not close enough to get what they wanted, but maybe Maryland thinks it’s too close for comfort.
The Build Up
Narconon has so far been failing in the fight for the goal of establishing a few “Narconon residential drug rehabilitation centers”, including recently one location Maryland at Tout Run, a pristine 40-acre camp in Frederick County which has in the past been visited by numerous presidents including Herbert Hoover, Franklin Roosevelt, and Dwight Eisenhower, merely miles away from Camp David.
As covered in a previous article, the Church of Scientology has been criticized in the past for the various extensions of the church manipulating circumstances to achieve their ends. The church’s real estate arm and Narconon were able to get every other approval permit that was required to build the rehab, except needing the property to be designated for historic preservation, which would allow them to make changes otherwise banned by zoning laws.
Many local council members expressed concerns and skepticism about Scientology and their plans for the area, including at the time one member of the council who pointed out the power-play by the real estate extension of the church, claiming Narconon was “going through the back end” to get the appropriate licensing for the center, leading residents to regard the organization as dishonest.
Frederick County council had originally decided to postpone the decision until April 21 to allow for more public consideration, and just this Tuesday the council members voted to deny the proposal.
Stage of Denial
The vote cast by the Frederick County Council was pretty one sided, with an almost unanimous 6-1 tally against allowing the church to open the drug rehab facility on the premises.
The one council member who voted in favor of allowing the rehab to be built was Billy Shreve, and he was quoted by local news as stating:
“This application has been clouded because the record does reflect that there was testimony based on Narconon and Scientology. So I think that has clouded our decision a few times, and has led us to probably go a lot further into this decision than it really merited.”
Maryland local Mark Long, an opponent of the Narconon facility being established in the community stated,
“Having a 6 to 1 vote it does show some precedence that the public doesn’t want this here. I mean, to get that vote across party lines is pretty significant. I hope they understand that it’s best just to go home and give up on this.”
However, according to news reports Narconon officials said they may take the matter to court, and that they have not decided exactly what action they plan to take but that the fight is not over and they are “not going away.” So will a second run at this provide them with a different result?
This is definitely not the first time that the Church of Scientology has been shunned by a community for trying to build a treatment center, nor is it the first time they have been accused of using shady or under-handed tactics to try and get their way.
In February there was a story of the church trying to establish a similar compound in Milton, Canada that was met with resistance, and ultimately had a hearing set for March to April to further rule on the case.
Since the center wouldn’t use over-the-counter drugs to treat addiction, it’s not required to obtain a license from the Province to do so. According to company representative Rubina Qureshi,
“And, therefore we were put in a position of having to ask for a minor variance (of zoning bylaw) to clarify that a private drug and alcohol rehabilitation centre conforms with the Town’s definition of a group home,”
But Barbara Koopmans, the Town’s Planning Director, stated the application for a minor variance was denied because it did not conform with the ‘group home type 2’ definition under which the company applied. Many in Milton were vocal about their opposition, but Scientology officials remain persistent.
Should these communities open their arms to these centers? Or should they be concerned considering the controversy surrounding the Narconon methods and the tragic deaths of some patients under sketchy circumstances?
While some treatment centers have a tough time getting off the ground thanks to questionable methods and a bad rep, some people avoid treatment thinking they are all the same, but this is NOT the case. Palm Partners is a certified and celebrated holistic healing center for those suffering from alcohol or drug addiction, and our skilled and professional staff members want to help. If you or someone you love is struggling with substance abuse or addiction, please call toll-free 1-800-951-6135
Ke$ha has recently openly admitted that she has entered a rehab facility for help with an eating disorder. Apparently, that isn’t the only thing she is getting help for. The singer’s team has also become worried with her drinking problem and she will be seeking help for that, too. This all comes as no surprise to the people close to her seeing as the pop star has based her career on drinking and partying and that type of lifestyle. I mean, look at her first big hit Tik Tok, she sings about brushing her teeth with a bottle of jack. “Jack Daniels is an anti-bacterial and its way better than morning breath. Let me put it this way, if you wake up naked in a bathtub and you have the choice between rinsing out with Jack Daniels or trying to make out with some dude with morning breath, I would recommend picking up the Jack,” she told Vanity Fair in 2011.
In the most recent months, those closest to her have become increasingly concerned with her drinking. Ke$ha has never been one to hide the fact that she loves to drink. Since she has decided to take action and get help with her eating disorder, she is planning on getting completely healthy and that includes her alcohol problems, too. Her main issue and reason for entering Timberline Knolls Residential Treatment Center (near Chicago) was to work on her eating disorder issues. It has been said that she has her demons (including alcohol) but that her eating disorder is the chief one.
She has entered the treatment facility with plans to learn to love herself again and has stated she will be unavailable for the next 30 days. Her mother has said that her eating issues came long before her fame and started around the time when she was 18 and living in Los Angeles. It was made very public that her eating disorder took off when her producer, Lukasz Sebastian “Dr. Luke” Gottwald, said she needed to get in shape and it has been said recently that he said she looked like a refrigerator. He suggested she get a trainer and she was dieting and became Bulimic and was constantly throwing up. Apparently, the refrigerator comment just kicked her eating disorder into high gear.
Her mother has said that she may be in treatment for even longer than 30 days. In my opinion, going to treatment for longer than 30 days is always a great idea. If you truly want to make changes in your life and need help, staying in rehab as long as you need to would certainly helping your chances of recovering. Hopefully when Ke$ha leaves treatment she can speak out about eating disorders and addiction and help other people struggling with the same issues. I’m honestly shocked by how many celebrities have opened up recently about their struggles with addiction and eating disorders and openly admitted needing or getting help. Sharing that part of their lives will help them greatly and maybe even help other people, too.If you or a loved one are struggling with substance abuse, an eating disorder or addiction, please call toll free 1-800-951-6135.