Topic: treatment models
As any case manager knows, making a referral can be a challenge, since many fall by the wayside during transition to another provider, different therapist, etc.
Many new programs are started in the hopeful expectation that they’ll become self-supporting within a few years.
From a patient’s viewpoint, physicians can be somewhat blase’ about risks associated with a medication.
Reliable stats on relapse can be hard to come by, but return-to-heroin rates appear to run above 80% (and in some cases, higher).
I never saw much difference between a lawyer or a doctor bitching about his job in group, and the same behavior from a CPA or a techie or a long-distance trucker.
We spend a great deal of time in treatment seeking to increase patient motivation, but these programs do not rely on a motivated patient.
It also suggests that the ‘return to heroin’ rate among former maintenance clients may be even higher.