What is the Success Rate of A Better Today’s Drug & Alcohol Rehab?
Assessing ‘Treatment Success Rate’ is a top priority at ABT. The term refers to the positive impact that treatment for substance abuse has on a person’s subsequent behavior and life results. Our network is fully committed to measuring, analyzing, and improving the positive effects treatment programs have on the life outcomes of clients.
Although a simple concept, measuring substance abuse treatment success rates can in fact be quite complex, and that is because drug addiction itself is quite complex. Drug addiction typically begins as a genetic predisposition. That predisposition, when combined with a series of other statistical probabilities, and real-life choices made over the course of an individual’s life, can lead to the disease of addiction. And addiction IS a disease – substance abuse, over time, alters brain function and behavior, resulting in changes that persist long after drug abuse has ceased.
These drug-induced changes in brain function have many behavioral consequences, including an inability to exert control over the impulse to use drugs despite adverse consequences—the defining characteristic of addiction. The disorder of drug addiction, and the dysfunctional behavior it compels, also tends to distort virtually every aspect of an individual’s functioning – in the family, at work and school, and in the community.
Disentangling cause and effect as these various, increasingly distorted, aspects of an individual’s personality, behavior, and life combine is difficult, if not impossible. Therefore, accurately assessing treatment outcomes for substance abuse necessarily involves more than simply measuring ‘clean time.’
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The Complexity of Measuring the Effectiveness of Substance Abuse Treatment Programs at A Better Today
Successful treatment for drug abuse also involves addressing and positively impacting nearly every aspect of the individual’s functioning which have been compromised by substance abuse; and improvement, or lack thereof, in these areas too must be considered when assessing the efficacy of treatment for drug abuse.
Moreover, it takes countless days to contract the disease of addiction, several months (at least) to adequately learn the tools and techniques that support a sober life and sober decision making, and years of practicing those tools and techniques before they become second nature. This is why, throughout the health-care industry, treatment for substance abuse is viewed as accretive – many addicts will require several episodes of effective treatment before long-term and satisfying sobriety will obtain. Hence, measuring the efficacy of any one treatment episode, given the accretive nature of substance abuse treatment, proves difficult.
Of course, complicating this already complicated matter, is the often-misunderstood role of relapse in the long-term recovery process. Relapse rates for addiction resemble those of other chronic diseases such as diabetes, hypertension, and asthma. And like with those diseases, the professional medical community views relapse back into active substance-abuse – not as abject failure – but as an expected and predictable part of the recovery process. In this view, any period of sobriety wherein the addict devotes themselves to learning and practicing the tools that enable long-term abstinence can be considered positively and progressively accretive. However, viewing any one treatment episode as directly and measurably causal regarding post-treatment recovery, or relapse as the case may be, fails to take into account the accretive nature of substance-abuse treatment, along with the accepted, albeit difficult to measure, role that relapse plays in long-term recovery processes.
None of the above should be taken to say that treatment for substance abuse doesn’t work and/or that measuring its impact on patients is impossible; it is to say that drug addiction, and treatments for it, are complex and therefore measuring outcomes is tricky. Nevertheless, there is total consensus throughout the medical and health-care establishments that treatment for substance abuse can and does work; indeed, it is typically a necessary and indispensable component in recovering from substance-abuse. Nearly all addicted individuals believe at the outset that they can stop using drugs on their own; most try, and fail, to stop without treatment.
Factors that Contribute or Influence the Data on Success Rate for Substance Abuse Rehabilitation
Understanding that addiction has fundamentally biological, chemical, and intractable life-path dependent causes may help explain the difficulty of achieving and maintaining abstinence without treatment. Psychological stress from work, family problems, psychiatric illness, pain associated with medical problems, social cues (such as meeting individuals from one’s drug-using past), or environmental cues (such as encountering streets, objects, or even smells associated with drug abuse) can trigger intense cravings without the individual being consciously aware of the triggering event.
Any one of these factors can hinder attainment of sustained abstinence and make relapse more likely. Thus, active participation in treatment along with adherence to a professionally designed post-treatment recovery plan are essential, and most times indispensable, components of long-term recovery from drug addiction.
Explore A Better Today’s Treatment Rehabs
Reasons Why Effective Treatment for Drug & Alcohol Abuse is Fundamental and Necessary for Recovery:
- Safe, medically supervised and assisted, withdrawal and detoxification.
- Assessment of co-occurring disorders.
- Prescription of mentally-stabilizing medications as indicated.
- Quarantine from active intoxicant users, abusers, and dealers.
- Regular and compulsory drug-testing to monitor detoxification and continued abstinence.
- Compulsory abstinence in a controlled environment thereby enabling initial rebalancing of bio-chemistry.
- Initial rebalancing of bio-chemistry allows for incipient learning of new life skills, new patterns of thought, and new coping behaviors.
- Treatment allows for the practicing of these skills in a safe understanding environment.
- Well-regulated and organized setting facilitates the re-emergence of accountability and the formation / implementation of new positive habits in the drug-addicted individual.
A variety of therapeutic approaches that help engage people in treatment, provide incentives for them to remain abstinent, modify their attitudes and behaviors related to drug abuse, and increase their life skills to handle stressful circumstances and environmental cues that may trigger intense craving for drugs and prompt another cycle of compulsive abuse.
- Therapeutic identification of triggers and strategies for trigger-avoidance and trigger-coping.
- Treatment enhances impulse-control by helping clients develop effective coping strategies. Specific techniques include exploring the positive and negative consequences of continued drug use, self-monitoring to recognize cravings early, identification of situations that might put one at risk for use, and developing strategies for coping with cravings and avoiding those high-risk situations.
- The development of several tools and strategies for managing urges to use and letting them pass.
- The development of strategies for coping with stress and promoting frustration tolerance.
- Individual therapy aimed at uncovering the emotional dynamics and history that led to the development of substance abuse, and that may lead to the continuation of substance-abuse if not addressed.
- Family-centered therapy aimed at uncovering dysfunctional familial dynamics and perceptions that may have been the foundation for the initial development of substance-abuse, and may lead to continuation of substance-abuse if not addressed.
- Group therapy providing social reinforcement and promotion of behaviors that support abstinence and a sober lifestyle while also providing an indispensable, intense, and unique context for the practicing of newly learned insights and behaviors. In order to be effective, Group Therapy should be highly structured and confrontational at times, with activities designed to help patients examine damaging beliefs, self-concepts, and destructive patterns of behavior and adopt new, more harmonious and constructive ways to interact with others.
- Resocialization of the addict via repeated intense interaction with peers overseen by experienced professionals (many of whom are typically in recovery themselves) within a safe drug-free environment.
- Behavioral therapies provided during treatment can also help people improve: communication skills, relationship skills, parenting skills, vocational skills, as well as family dynamics; thereby helping to restore the addicted individual to productive membership in the family and society.
- Abstinence in a controlled therapeutic environment free of easily obtainable intoxicants and temptations enables the addicted individual to begin experiencing the psychological, social, and familial rewards associated with abstinence.
- The development of new recreational activities, hobbies, and peer groups.
- Effective treatment also provides strategies for: coping with relapse, halting any renewed abuse, and learning from backsliding.
Long-lasting Substance Abuse Recovery Begins with the Client
According to research that tracks substance-addicted individuals over extended periods, most people who enter substance abuse treatment – and remain committed to a treatment program – do eventually: stop using drugs, decrease their criminal activity, and improve their occupational, social, and psychological functioning and standing. However, individual treatment outcomes depend on the extent and nature of the patient’s problems, the appropriateness of treatment and related services used to address those problems, and the quality of interaction between the patient and their treatment providers.
Although addiction, as a disease, has common features across all sufferers, the way addiction manifests in any individual also has many unique qualities. Therefore, treatment programs – and subsequent expectations – must be tailored to the individual patient. As such, treatment outcomes can be difficult to assess in a general and comparable fashion. Additionally, owing to the accretive nature of substance abuse treatment, and all the complexities and contingencies reviewed above, there can be no guarantee that anyone treatment episode will lead to sustained abstinence and recovery. The best that any treatment center can guarantee is that clients who take their treatment program seriously will become equipped with the necessary knowledge, skills, and tools to live in recovery. Applying them remains up to the individual.
Further our networks success rate comparisons across programs and rehabilitation centers are the wide variety in programs and centers and the lack of oversight regarding data gathering and reporting protocols. Given the imprecise, variable, at times unethical, and often proprietary nature of data collection and analysis in the still-maturing substance abuse treatment industry, comparing outcomes across treatment centers in any accurate fashion is simply not possible; in fact the outcomes ‘statistics’ that many treatment centers ‘report’ on their marketing materials and websites are entirely unverifiable and thus extremely unreliable.
Data You Can Trust, A Treatment Facility You Can Depend On
Our network contacts clients 365 days post-treatment and asks a simple question to ensure the quality of care is effective. Although no similar comparative metric could be located in the medical studies literature, the average response to this question for clients speaks for itself –
8.9 out of 10.
Exploring ABT’s Drug & Alcohol Rehab Success Rate Data
Our Research and Development Department maintains the highest professional and academic standards when gathering, analyzing, and reporting treatment outcomes for clients. As such, the most accurate, verifiable, reliable, and thoroughly vetted treatment-outcome-data-benchmarks to compare the success rate against come from published peer-reviewed medical studies. However, because medical studies tend to focus on narrow aspects of treatment interventions rather than on treatment generally, and upon specific substances rather than substance-abuse as a whole, locating comparable outcomes data within the medical studies literature can prove difficult as well.
Nevertheless, throughout 2015 we gathered and analyzed post-treatment outcomes for clients in 2014 and compared them against an oft-cited and highly esteemed medical study analyzing treatment efficacy and outcomes in opiate addicts. Note, however, that the medical study only measured abstinence from opiates while ignoring other intoxicant use; the following Treatment Outcomes statistics takes abstinence to mean abstinence from all substances. Indeed, part of the reason this particular medical study was chosen for comparative benchmarks is that it sets a very high bar for comparison.
Even so, Substance abuse treatment success rates easily surpass that bar. Based on a sample of 128 clients, 30 days after treatment clients were 52% more likely to be entirely abstinent from intoxicants than the opiate addicts in the medical study were likely to be abstinent from opiates alone. 60 days after treatment – a period wherein the techniques and strategies developed during treatment have begun to be put to the real test – clients were 138% more likely to be entirely abstinent from intoxicants than the opiate addicts in the medical study were likely to be abstinent from opiates alone.
In other words, in a similar size sample, the number of clients completely abstinent from intoxicants was more than twice the number of opiate addicts abstinent from opiates-alone 60-days post-treatment. 90 days after treatment clients were 129% more likely to be entirely abstinent from intoxicants than the opiate addicts in the medical study were likely to be abstinent from opiates alone. And at 6 months after treatment – the interval conventionally and professionally considered most important in assessing treatment episode outcomes – clients were 100% more likely to be entirely abstinent from intoxicants than the opiate addicts in the medical study were likely to be abstinent from opiates alone.
Keeping in Touch with Our Clients Long After Their Treatment to Accrue this Data
Moreover, in an attempt to capture the life-improving effects of treatment – even for addicts that have at times slipped in their quest for complete abstinence – our network contacts clients 365 days post-treatment and asks a simple question: ‘On a scale of 1-10, with 1 being no improvement whatsoever and 10 being drastic improvement, how has your overall life-satisfaction changed since initiating treatment?’ And although no similar comparative metric could be located in the medical studies literature, the average response to this question for clients speaks for itself – 8.9 out of 10.
How does our network achieve such outstanding success rates for drug and alcohol treatment for clients?
By maintaining programs at the forefront of scientific progress regarding addiction and treatments for it.
Our Networks Approach to Substance Abuse Treatment Encourages Long-lasting Treatment By:
- State-of-the-art Medication-Assisted Withdrawal and Treatment overseen by the one of the leading MDs treating and researching substance abuse and addiction in the Southwestern US.
- A holistic approach to treating addiction – properly assessing and taking into account co-occurring disorders such as depression, anxiety, bipolar disorder, and PTSD; prescribing stabilizing medications; and addressing the typically numerous manifestations of addictive behavior that occur throughout a client’s social interactions.
- Treatment based on accomplishment through ‘level-system milestones’ rather than treatment based on pre-determined and inflexible lengths of stay.
- Innovative strategies and advanced motivational techniques that empower and invest clients in their own treatment process.
- Cooperatively developed personalized treatment programs that attend to the multiple needs of a client, not only in regard to their substance abuse, but also regarding associated medical, psychological, social, vocational, and legal problems.
- Cooperatively developed personalized treatment programs that take gender an age into account, attending to differences in biological, environmental factors, social contexts, and expectations, along with the consequent diverse manifestations of substance abuse across these populations.
- Expert matching of treatment settings, interventions, and services to an individual’s particular problems and needs.
- Professional and highly experienced therapists and clinicians skilled at establishing positive therapeutic relationships with clients from all walks of life.
- Therapists trained to conduct treatment sessions in a manner that promotes the patient’s self-esteem, dignity, and self-worth.
- A variety of evidence-based approaches to treating addiction predicated on the Matrix Model, including Cognitive Behavioral Therapy, Rational Emotive Behavioral Therapy, and Multi-Dimensional Family Therapy.
- Cutting-edge contingency management (CM) principles and incentive-based interventions, which involve giving clients tangible rewards to reinforce positive behaviors such as abstinence – in real-time – based on a client’s verbal cues, demeanor, actions, and overall treatment progress.
- Group therapy techniques based on vetted behavioral therapies that capitalize on the social reinforcement offered by peer discussion while providing a context in which to practice newly learned behaviors and strategies.
- Safe, comfortable, abuse-free, and deluxe atmosphere designed to promote recovery and abstinence.
- Family Behavioral Therapy aimed at addressing, not only substance use problems, but other co-occurring issues as well – such as to conduct disorders, physical and emotional abuse syndromes, depression, anxiety, familial conflict, and unemployment.
- Seek and welcome family and friends to play critical roles in motivating clients to enter and stay in treatment thereby strengthening and extending the long-term benefits of our programs.
- Smart Recovery and 12-step facilitation therapies designed to get clients actively affiliated with the self-help community and comfortable with a variety of types and styles of meetings. Self-help groups complement and extend the effects of professional treatment and can be particularly helpful post-treatment, offering an added layer of community-level social support to help people achieve and maintain abstinence and other healthy lifestyle behaviors over the course of a lifetime.
- Gym time and exercise – now scientifically known to be associated with successful long-term recovery – are directly integrated into every treatment program.
- Options for music therapy, art therapy, equine therapy, and more, which help clients to find the methods of treatment that best work for them.
- First-rate aftercare plans and strategies developed cooperatively with our industry-leading professionals that holistically address areas of impaired functioning—such as employment status, living situations, legal issues, and family/social relations.
- Proven relapse prevention techniques along with trigger identification/avoidance strategies.
- A dynamic and well-funded Alumni and Peer-Support Program designed to boost the post-treatment efficacy of programs. Alumni activities can include weekly self-help meetings, community breakfasts, sober softball, karaoke nights, multiple hiking/camping/canoeing trips per year, and monthly BBQs.
- Evidence-based assessment and measurement of treatment efficacy both in real-time and post-treatment.
Saving Lives, Healing Families
By caring, by being fully committed to providing the best quality of care, and by extensively equipping clients with skills and knowledge derived from the most cutting-edge and effective evidence-based treatment modalities. Our resources utilize state-of-the-art: medications, clinical therapies, scientific resources, addiction treatment knowledge bases, evidence-based techniques, and cooperative treatment plan/ aftercare strategies to ensure the best chances at attaining a fulfilling and sustaining long-term recovery from addiction for our clients. As a network, with caring and experienced professionals, who are great at what they do, are standing by, ready to help you. Retake control of your life.
 All evidence, statistics, theories, and scientific claims made below can be found in: National Institute of Drug Abuse / National Institute of Health. Principles of Drug Addiction Treatment – A Research-Based Guide, Third Edition; unless otherwise noted.
 Gossop, M. and L. Green, et al. 1989. “Lapse, Relapse, and Survival Among Opiate Addicts After Treatment.” The British Journal of Psychiatry, 154: 348-352. Dennis, Michael and Mark Foss, et al. 2007. “An 8-Year Perspective on the Relationship Between the Duration of Abstinence and Other Aspects of Recovery.” Evaluation Review, Vol 31:6, Dec., 585-612.
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