Quote from SpankedInPittsburgh
I only have anecdotal evidence of how well the rehab industry works based upon my experience. When I went to inpatient I was one of the rare people there for the first time. Most of the people there were clearly trying to avoid jail time or (like me) trying to save our jobs. Of the sixty in my class it seemed only a few decided to check into rehab on their own. I was there for 24 days. We had one OD in house. People were actively using in their rooms at night and several people started partying in the parking lot when discharged. I was in a "small group" that rotated 12 people during my time in rehab and presently I'm the only one not drinking or using the rest didn't make it 6 months. I then got sent to IOP where once again we had an OD while I was there, multiple failed drug tests and few people who even wanted to get clean. When the OD lady came back to IOP they tried to talk her into going back to inpatient & she said flatly she would rather die. I agreed with her and our "professional" counselor pouted the rest of the week. I honestly think the meetings are much better. It seems most of the people are there because they want to be. I'm not but that's my issue. Many of these folks get something out of these meetings but then again they want to be there. I think rehab would have a much better chance of working if we only sent people there who wanted to be there. Instead it has turned into an obvious money machine for the people in the industry
I think it's just incredibly complex and definitely under reasearched. It's a great question.
For me personally, I didn't have to go to inpatient rehab because my DOC didn't cause withdrawal (that is what the intake person said at least) but I had to go to IOP forever.
In the interest of being honest, I am very disappointed to say that if I wasn't being investigated by the BON at the time, I wouldn't have sought any help. I know this.
I was pretty far in the dumpster as far as these things go. I would have died with my habit, bar none. I was hospitalized when I became septic from endocarditis and my hospitalist reported me for my use, even though I wasn't working as a nurse at the time. Restrospectively, I was in AWFUL shape and do not blame her. However, I was pissed as all get out at the time.
So I don't know what to think. Honestly, in the early days, I wasn't happy at all about being clean. It wasn't until my brain had some decent time away from marinating in insane levels of my DOC that I began to get any perspective. After a couple months of being clean, I eventually decided that a clean and sober life was what I really personally wanted, but I must be honest and say that without the BON and drug tests and all the other hoopla in the beginning, I don't know when I would have landed in treatment.
I wonder if part of it is that the user has to have something that is at stake that they aren't willing to lose? And I think that some addicts just don't feel that they have anything worth saving in that moment? I don't know, this is pure conjecture on my part.
I agree with you; this type of research isn't abundant. I often wonder what would have happened if my doctor didn't have knowledge that I was a nurse, ergo I wouldn't have been reported. Would I have hit that point where I was willing to go to treatment? Would I have kept using and ended up with repeated episodes of sepsis and endocarditis? Lost my marriage? Lost my kids? Lost my life? I'd like to think I would have gotten treatment of my own choice eventually.
But I just don't know.
Thank you for your very interesting topic and allowing me to share my own musings and internal questions on the subject. Keep them coming!