The Evolution and Effectiveness of Rehab Programs

TLDR Rehab programs have evolved over time, starting from sanitariums to the modern-day treatment centers. They have become more accepted in society, with various types of treatment available. Rehab programs have shown to be effective in preventing relapse and saving money in the long run.

Timestamped Summary

00:00 Rehab as we know it today didn't start until the 80s, before that people would go to sanitariums or mental hospitals for treatment.
04:30 Rehab as we know it today started in the 80s and is based on the idea that addiction is a brain disease caused by substances hijacking the reward center in the brain.
08:59 Rehab as a viable solution to treating substance abuse problems became more accepted and etched in popular culture in the American psyche by the time Reagan was in office.
13:30 Rehab boomed with the rise of private institutions and the "just say no" campaign, leading to more kids being sent to rehab by their parents, and there are three main types of treatment: inpatient, outpatient, and partial hospitalization.
18:04 Partial hospitalization is a type of treatment where individuals spend their days in rehab and then go home, and it is also used in prison settings to separate individuals from the general population and address their addiction issues.
22:27 Rehabilitation programs like Narcotics Anonymous have adjusted the 12-step model to accommodate atheists, but it is believed that those who believe in a higher power have a higher chance of success in recovery. Cognitive Behavioral Counseling is a common form of therapy used in rehab, but it is less effective than 12-step programs. Medications like methadone and antidepressants are often used in treatment, and addressing underlying co-morbid conditions alongside addiction has shown to be the most successful approach. Acupuncture is also a non-traditional method used in rehab.
26:48 Rehabilitation programs that include a combination of sequestered treatment, 12-step groups, and weekly counseling have the highest success rates in preventing relapse, with an 87% chance of not relapsing after six months.
31:25 Rehabilitation programs have been shown to be most effective when the person is ready and willing to change, but studies have also shown that forced rehab in prison can still have a high success rate in terms of abstinence and lower recidivism rates.
36:42 The cost of rehab programs can vary greatly, with some luxury facilities charging up to $18,500 per week, but the cost is often covered by insurance or Medicaid, and the cost of not providing rehab can be much higher in terms of healthcare, crime, and prison expenses.
41:48 Rehab programs can save society money in the long run, with every dollar spent on rehab resulting in $3 saved in larger costs, and the average cost of per visit treatment is not that expensive.
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