Why drug and alcohols rehabs do NOT function as a facet of health care.
I have worked in and around medicine since 1990. I went to work as an EMT II-intermediate right out of college. I had a background that allowed me to challenge the State EMT test. I then went to paramedic school 1992/93 while working 48 hours a week on the rig as an EMT II. I have worked on ground units and have also spent time working as a flight paramedic in the very elite, small world of air medical rescue.
I have seen things no human should. I have also been exposed to a significant number of 911 calls over the years. I have seen pretty much everything a person can….seen it, heard it and smelled it.
Mental health emergencies were always my favorite type of 911 calls to respond. It is a no-brainer that I wound up settling into Mental Health and Addiction Medicine.
One thing that baffles me, is the absolute saturation of drug rehabs in So Cal. There is a lot of money to be made off of people who want nothing more than to save their loved one no matter what. The affluent have access to treatment and oftentimes treatment is the preferred method of dealing with addiction rather than jail. Families in their codependency will do whatever it takes and no matter the cost to save their loved one.
Many folks set up “shop” in hopes of trying to give back because they were helped. Or, they want to open up a sober living with the idea of helping but then they get the taste of making a lot of money AND have a lack of health care background… they end up selling their souls for a buck. And some folks simply open up rehabs and sober livings to make really good money
The rehabs that are rolling in the dough $$ spend a fair amount of money on marketing and google search engines. Go ahead and google rehab or interventions… there are only a few places that have all the domains. They get the calls from family in crisis. They do not triage a call unless the call will go to their facility or one they contracted with for a certain percentage of a fee and because of this, these people lack a solid heath care background WITH ethics and boundaries. They end up funneling prospects to facilities that they brokered referral fees.
I never ever got a kick back from any emergency room if I brought patients with good insurance or who have money to their door.
I took my patients to the hospital of their choice based on NEEDS. I.E. Trauma or cardiac or burn patients.
I was put in the path of some friends of mine who have set up a non-profit for the better good. They see the good in me and I in turn see the good they do for families.
Families in crisis oftentimes are preyed upon by the rehab services they call trying frantically to save their loved one. Many bill themselves as dual diagnosis but most could not be farther from the truth. I work with a non profit that will talk to families without taking a dime. We will help find the most suitable rehab for the client, not to fill bed space in some rehab who’s census is running low. We ARE NOT contracted with any facility. We are NOT attached to the outcome.
Something to think about….food for thought… this IS why a fair amount of rehabs do not truly function as a facet of health care.