Unfortunately, financial or insurance institutions often dictate these “recovery” periods and have little to do with what the patient actually needs. It is difficult to convince them that they need more than what insurance-dependent addicts typically get in the case of celebrities who can afford longer treatment. If they remain out of the spotlight for too long, they often fear that they will damage their career. For more details click Master Center for Addiction Medicine.
The treatment of addiction involves a lot more than just getting the patient to stop using drugs or alcohol. The abuse will re-occur for most patients unless they can understand both why they became addicted in the first place and how they can stop it from happening again. And, even then, there is still likely to be a relapse. Given this reality, it is bizarre to believe that in a month or two of treatment, years and even decades of substance abuse could be adequately addressed. The current model equates the initial treatment as the “cure” instead of viewing addiction as a chronic, life-long disorder (such as diabetes or heart disease) that needs long-term follow-up treatment, and leaves the patient to figure it out for themselves after that. “However, the chances of resuming bad habits when back in the “real” world seem inevitable without long-term monitoring, the support of ongoing therapy, and peer support found in SMART Recovery or 12-step meetings, especially when we consider that addiction is characterised by almost insurmountable physical cravings. It is not surprising that the “treatment” success rate is so abysmally low: we have made treatment a discrete period of time rather than a continuous process. As we do for other diseases, we don’t have regular “check-ups” and we certainly don’t have any consensus on long-term maintenance like we do for heart disease and other life-long ailments. Continuous recovery requires cooperation from family, friends, and sometimes even employees or employers, even with a sufficient length of treatment and the availability of follow-up support.