It has occurred to me
that there are not a lot genuine people left in our industry. It seems that
what used to be mom and pop business has turned into big money corporations. It
has become increasingly difficult to recommend a treatment center, half way
house or case management service to my clients. I often wonder if the quality
of treatment will be as attentive as the admissions process. Some treatment centers build these immaculate buildings that house chaos. Treatment length is based on whether or not the insurance is a good payor. Our clients become slaves to the insurance designated time because otherwise they could not afford the immaculate treatment center. Sometimes clients have to leave abruptly long before rehabilitation has taken place. Medical necessity, documentation and utilization review become the main focus instead of individual care.
Rather than this just being a vent of frustration, I do offer an alternative perspective. Since most of our clients are insurance dependent, we should see going to treatment as stabilization vs. rehabilitation. Next, before we even refer our clients to these treatment centers, we can engage families and clients about the aftercare plan solidifying the continuity of care. Lastly, speak with the clinical director of the treatment program you choose. Quality of care, good clinical direction and communication standards come from excellent leadership.
Rachel Rowitt, Ed.D., LMHC, CAP
