“The right plan is the one that works for that individual.”
Mike Early, NorthBound Addiction Treatment
Early in my career working with families, I met with one in my conference room — nine of them came for the meeting. I well remember one of the adult male members asking, “All I have to do is Google “rehabs” and I see hundreds of them out there. Why we hiring you?”
“Actually, there’s 14,500 of them out there,” I replied. “Can you tell me which is the right one for your nephew?”
Awkward pause, then, “Good point,” he said.
There are over 14,000 certified drug and alcohol programs in the U.S., according to SAMHSA — the Federal government’s Substance Abuse an Mental Health Services Administration. All you have to do is pick the right one for you or your loved one. The point is, if you’ve never done this before and know nothing about rehab, how do you do that?
In the simplest of definitions, formal treatment at a reputable facility typically incorporates a combination of detox, behavioral therapies and medications, then structures an aftercare plan or RSS — Recovery Support Systems — when the individual is transitioning into the “real world.”
However, no one treatment facility nor one single treatment is the “right one” for every individual and disorder. Just as there is no set timeline when everyone achieves long-term recovery, there is no one plan that is going to fit everyone. Treatment has to be tailored to address each person’s drug-use patterns and drug-related medical, mental and social problems.
As there are patients with varying diagnoses, there are rehabs with varying programs and strengths in treating various maladies — as well as several additional factors that fit a particular individual or not. The key is finding the right one for the right individual.
Once I have a diagnosis, I focus on the facilities specializing in the particular diagnosis that are immediately options for the individual’s placement.
This is where I specialize. Due to my unique set of resources and relationships nationwide, I work only with facilities that value the patient’s welfare as the primary mission. They deserve their sterling reputations through evidence-based results, their owners and staffs are dedicated to proper treatment, they are members of the NAATP (National Association of Addiction Treatment Professionals), plus certified by The Joint Commission and/or CARF.
Here’s one reason I love working with facilities that have integrity — if they don’t feel they are the best place for that particular individual, they routinely refer to other rehabs — and even call them for you! The “good guys” in this business all know and respect each other. They don’t see other rehabs as competition. They see that what’s good for one facility is good for them all.
After working for 35 years in the movie business — a world full of schadenfreude — what a relief it is to be in world that is truly collaborative and saving people’s lives.
In order to treat an SUD, it is necessary to know exactly what needs to be treated. The true diagnosis of an SUD is principally based on a clinical assessment by a licensed behavioral health professional. A tool licensed professionals often use is the 5th edition of the Diagnostic and Statistical Manual of Mental Disorder (DSM-5) — where 11 diagnostic symptoms define if there is a disorder and the severity of it.
Using in larger amounts or for longer than intended.
Wanting to cut down or stop using, but not managing to do it.
Spending a lot of time to get, use or recover from use.
Craving for the substance.
Inability to manage commitments due to use.
Continuing to use, even when it causes problems in relationships.
Giving up important activities because of use.
Continuing to use, even when it puts you in danger.
Continuing to use, even when physical or psychological problems may be made worse by use.
Increasing tolerance to the substance.
Range of severity:
Fewer than 2 symptoms = no disorder.
2 to 3 = mild disorder.
4 to 5 = moderate disorder.
6 or more symptoms = severe disorder.
A professional diagnosis typically comes up as one of the following:
Substance Use Disorder — SUD.
Primary SUD and Secondary Mental Disorder (Dual Diagnosis).
Primary Mental Disorder and Secondary SUD (Dual Diagnosis).
inCrisis Consultants, LLC is a completely independent entity. We only refer rehabs throughout the U.S. -- thirty-seven as of this writing -- we have visited, know the programs and staff.
We receive NO referral fees from attorneys, therapists, physicians, treatment programs or any other service we present. We work solely for our client — you.
Other than those involved with Client's treatment, inCrisis Consultants, LLC shall hold in strictest confidence and not use or disclose to any person the identity of Client and Client's agent(s).