WEBVTT - How Rehab Works 0:00:00.280 --> 0:00:02.920 Brought to you by the reinvented two thousand twelve Camray. 0:00:03.160 --> 0:00:07.560 It's ready. Are you welcome to Stuff you should know 0:00:08.160 --> 0:00:17.040 from house Stuff Works dot com. Hey, welcome to the podcast. 0:00:17.079 --> 0:00:21.520 I'm Josh Clark. There's Charles W. Chuck Bryant doing his cheeks. 0:00:22.000 --> 0:00:24.000 He's just informed that he has to do that for 0:00:24.079 --> 0:00:26.240 the rest of our career, whether he likes it or not, 0:00:26.280 --> 0:00:30.560 because that's our lucky thing. My cheeks are actually expanding, 0:00:30.600 --> 0:00:32.440 they're actually looser than they were two and a half 0:00:32.520 --> 0:00:37.440 years ago. I know, you look like Walter Matthoud. I 0:00:37.520 --> 0:00:40.680 love he's one of those guys that he looked elderly 0:00:40.760 --> 0:00:43.800 when he was like in his forties or twenties. I 0:00:43.800 --> 0:00:46.519 think he kind of had that hunched overlook, that sarcopenia, 0:00:46.720 --> 0:00:50.520 yeah if you will, yes, nice, And that sarcopenia that's 0:00:50.760 --> 0:00:53.400 muscle loss age related muscle I thought that was literally 0:00:53.440 --> 0:00:55.800 the hunch bad. That's where you get the hunch. Sure, yeah, 0:00:55.960 --> 0:00:59.600 like you lose control or you just lose your muscle mass, 0:01:00.000 --> 0:01:03.520 including the stuff that had you stand up right, So yeah, 0:01:03.520 --> 0:01:06.240 you're right, okay. But he also had like the jewels 0:01:06.640 --> 0:01:09.480 in like a five o'clock shadow that was ever present. 0:01:10.080 --> 0:01:14.959 But he was just a great actor, dude, I love him. Yeah, 0:01:15.040 --> 0:01:19.160 he was great in that Bad News Bears everything else. 0:01:19.200 --> 0:01:21.440 Starting Bad News Bears is a good one to start 0:01:21.520 --> 0:01:23.640 this one with. Because he was a drinker. He was 0:01:23.680 --> 0:01:27.560 a drinker. Um. He was what you might call an alcoholic, 0:01:28.120 --> 0:01:32.280 all right. Yeah. In the seventies though, it was everybody 0:01:32.360 --> 0:01:34.560 was an alcohol driver around with the Schlitz in your car. 0:01:34.600 --> 0:01:37.000 And it is no big deal. Now, let's say, but 0:01:37.080 --> 0:01:39.119 we remember check this is the third out of three. 0:01:39.240 --> 0:01:41.520 This is the end of the trifecta. This is the 0:01:41.640 --> 0:01:44.640 jewel in the Crown Jewels and the Family Jewels. This 0:01:44.720 --> 0:01:52.600 is it. Um, we did addiction, prohibition and now rehab. Yes. Uh. 0:01:53.440 --> 0:01:58.200 If Walter math How had wanted to go to dry out, 0:01:58.240 --> 0:02:04.320 as they say for is alcoholism in bad newspairs in 0:02:04.360 --> 0:02:06.680 the mid seventies, he would have had a very limited 0:02:06.800 --> 0:02:10.920 choice of where he could go. Probably most likely he 0:02:10.919 --> 0:02:14.320 would have gone to what is called a sanitarium a 0:02:14.520 --> 0:02:18.560 k A. An insane asylum a k A. A mental 0:02:18.600 --> 0:02:22.200 hospital or a regular hospital. Yeah yeah, but most likely 0:02:22.240 --> 0:02:25.840 it would have been uh, some sort of medical clinical 0:02:25.880 --> 0:02:29.480 setting where his addiction was treated. Yeah. It wouldn't be 0:02:29.600 --> 0:02:33.799 uh private Malibu Promises by the Sea Shore. Not yet 0:02:34.360 --> 0:02:38.560 because rehab as we know it today, UM, which which 0:02:38.639 --> 0:02:42.320 makes the cover of tabloids as frequently as any celebrity, 0:02:42.600 --> 0:02:46.919 just the concept of rehab does um didn't start until 0:02:46.919 --> 0:02:49.680 the eighties. Actually that I thought that was very shocked 0:02:49.680 --> 0:02:51.720 by that. Have you ever seen Value of the Dolls? 0:02:52.360 --> 0:02:54.680 I have not, believe it or not. That's a good movie. 0:02:55.000 --> 0:02:58.000 I had actually forgotten that i'd seen that movie until 0:02:58.040 --> 0:03:00.960 I reread this article that I wrote. Right, I think 0:03:01.000 --> 0:03:03.560 I've seen the movie. It's I guess at some point 0:03:03.560 --> 0:03:05.960 around there was like, oh, yeah, Value the Dolls. It's perfect. 0:03:06.120 --> 0:03:07.920 If you have not seen Value the Dolls, go see it. 0:03:07.919 --> 0:03:11.320 It's an excellent movie. And Petty Duke's character goes to 0:03:11.440 --> 0:03:15.440 dry out at you know, a sanitarium, which means you know, 0:03:15.560 --> 0:03:18.480 shock treatment and being strapped down so you can't drink. 0:03:18.639 --> 0:03:20.720 It could be and like if you had been going 0:03:20.760 --> 0:03:23.320 to one, you know, far enough ago and say the thirties, 0:03:23.760 --> 0:03:29.760 and you're a particularly rebel rousing alcoholic or drug addict, 0:03:29.840 --> 0:03:34.359 they may have lobotomized you. Yeah McMurphy style, yep, exactly, 0:03:35.000 --> 0:03:37.920 So Josh, you kind of blew the cover off of 0:03:37.960 --> 0:03:41.240 the fact. Well that was the first fact. Let's start 0:03:41.320 --> 0:03:43.200 till the eighties. Hey, I've been doing this a while. 0:03:44.880 --> 0:03:48.240 Uh so where are we now then? Well, um, now 0:03:48.520 --> 0:03:51.000 as they exist now, as I exists now, one of 0:03:51.040 --> 0:03:53.520 the other things that would have changed. Um that anyone 0:03:53.600 --> 0:03:59.200 listening to our prohibition an addiction podcasts, I would know 0:03:59.320 --> 0:04:02.520 that when the other things that changed and burgeoned alongside 0:04:02.560 --> 0:04:09.760 of rehabs as we know it, um, non medical facilities. Right, Um, 0:04:09.880 --> 0:04:12.720 is the idea that addiction is a brain disease, which 0:04:12.760 --> 0:04:16.200 we should cover real quick. Yeah, a little rehash. So 0:04:16.240 --> 0:04:19.200 before it was stunt gravy. It was blamed on the 0:04:19.240 --> 0:04:22.720 demon juice, right, it was inherent in that substance. Yeah, 0:04:22.800 --> 0:04:25.320 that was the evil thing, was the substance itself. Then 0:04:25.360 --> 0:04:29.000 it shifted and all this started about the nineteenth century, 0:04:29.160 --> 0:04:32.000 late eighteenth century, early nineteenth century. The concept of addiction 0:04:32.040 --> 0:04:36.600 came about. Then it shifted from the stunt gravy to 0:04:37.680 --> 0:04:40.760 the person. It was a character flaw, right, Yeah, exactly, 0:04:40.960 --> 0:04:44.240 something's wrong with you because you are not able to 0:04:44.320 --> 0:04:47.720 drink and you have a weak will, not able to 0:04:47.760 --> 0:04:50.680 not drink until you fall down flat right exactly. And 0:04:50.680 --> 0:04:54.520 then finally in the eighties, I would say about the eighties, 0:04:54.640 --> 0:04:57.440 the the idea that addiction is a brain disease, that 0:04:57.520 --> 0:05:01.680 there is a process that an adict undergoes, a substance 0:05:01.800 --> 0:05:05.840 user undergoes and becomes a substance abuser. That is the 0:05:05.839 --> 0:05:09.640 direct result of this substance hijacking that person's reward center 0:05:09.680 --> 0:05:13.080 in their brain. That the the decision of whether or 0:05:13.120 --> 0:05:18.560 not to um engage in the that risky behavior or 0:05:18.720 --> 0:05:22.960 um do that substance, snort to shoot it, smack it, 0:05:23.120 --> 0:05:27.440 slam it, drop it, that kind of thing, UM is 0:05:27.600 --> 0:05:29.920 out of the user's hands, and therefore they're an addict. 0:05:29.920 --> 0:05:33.320 It's a disease. It's a chronic disease. UM that will 0:05:33.560 --> 0:05:35.880 that that has relapses and all that kind of stuff. 0:05:35.920 --> 0:05:39.159 It needs boosters. So that model, the brain disease model, 0:05:39.480 --> 0:05:44.279 along with the creation of rehab, uh, is where we 0:05:44.320 --> 0:05:46.760 are now. Well yeah, and it's it's uh, well, it's 0:05:46.760 --> 0:05:48.839 not funny because I'm sure you're playing this, but the 0:05:48.880 --> 0:05:53.800 fact that you mentioned UM, the temperance movement and prohibition UH. 0:05:53.800 --> 0:05:56.279 In figuring out what addiction was, they actually ended up 0:05:56.360 --> 0:06:00.440 leading to rehab because back in those days. They what 0:06:00.560 --> 0:06:03.279 you what were they called sober houses? Yeah, so we're 0:06:03.560 --> 0:06:06.080 locked up basically right where you can't drink. Did you 0:06:06.120 --> 0:06:08.720 see them? Did you see the picture? You don't get 0:06:08.720 --> 0:06:11.440 the pictures to you know, Okay, so check that picture out. 0:06:11.600 --> 0:06:13.719 I think that's Carrie Nation, the head of the Women's 0:06:13.760 --> 0:06:16.360 Christian Temperance Union, standing next to you. A man who's 0:06:16.400 --> 0:06:19.240 taken a sip and standing at a bar looking a 0:06:19.279 --> 0:06:23.680 little upset. The definition of buzz kill exactly. So the 0:06:23.920 --> 0:06:27.360 temperance movement definitely gave rise to rehab by setting up, 0:06:27.400 --> 0:06:29.720 like you said, what are called sober houses like the 0:06:29.800 --> 0:06:32.400 drunk tank. Almost like on Andy Griffith you would lock 0:06:32.480 --> 0:06:36.000 up the drunk of course, you know on Andy Griffith 0:06:36.000 --> 0:06:38.040 they were the guy was in the drunk tank. Otis 0:06:38.040 --> 0:06:40.799 I think for weeks and we think they more resembled 0:06:40.839 --> 0:06:43.880 like you know, halfway houses for that are like transitional 0:06:43.920 --> 0:06:47.200 homes between prison and society. I wouldn't know about those. 0:06:47.279 --> 0:06:51.480 I think you know, your dad's house, okay. I think 0:06:51.520 --> 0:06:55.240 that um that they they resembled that. It was like 0:06:55.440 --> 0:06:58.240 this house is among houses and you can't get booze there. 0:06:58.240 --> 0:07:00.320 You can't bin bring booze you kind of need to 0:07:00.320 --> 0:07:03.440 say where you're going and why, and um that they 0:07:03.480 --> 0:07:06.560 set up these houses called sober houses that were sequestering 0:07:06.560 --> 0:07:09.600 people from regular society because alcohol was out there, and 0:07:09.640 --> 0:07:11.520 that was like the first rehab centers in the United 0:07:11.560 --> 0:07:14.360 States and the forties. I think, man, that's crazy they 0:07:14.400 --> 0:07:16.480 did this that long ago. And then we did the 0:07:16.560 --> 0:07:20.360 failed Noble experiment prohibition, which was basically like, if you 0:07:20.400 --> 0:07:24.320 can rid society of alcohol, you can rid society of alcoholics. 0:07:24.800 --> 0:07:27.280 But you can't. So maybe we can only set up 0:07:27.280 --> 0:07:29.600 places for them if they have troubles. Right, they went 0:07:29.640 --> 0:07:32.720 back to the sober house idea. It's interesting that prohibition 0:07:32.800 --> 0:07:36.679 actually kind of lead to rehabilitation clinics and more drinking. 0:07:37.160 --> 0:07:38.840 Well that's not true because they said, overall I went 0:07:38.880 --> 0:07:44.360 down butt across the board, but the alcoholics, the number 0:07:44.360 --> 0:07:49.080 of alcoholics increased, Yes, exactly, right, So Chuck, where are 0:07:49.200 --> 0:07:51.960 we were past the nineteen thirties. Oh. One of the 0:07:52.000 --> 0:07:54.960 other things that came up, not just rehab like as 0:07:55.000 --> 0:07:57.320 we understand it today, like a place where you go 0:07:58.120 --> 0:08:04.000 that's sequestered from the temptation of society to to rehabilitate yourself. Um. 0:08:04.240 --> 0:08:06.280 One of the other things that came about as a 0:08:06.360 --> 0:08:10.520 director's role of prohibition in the Temperace movement is UM 0:08:10.720 --> 0:08:14.840 twelve Step programs specifically alcoholics anonymous, right yeah, Dr Bob 0:08:14.880 --> 0:08:17.480 and Bill w Robert Smith and Bill Wilson created this 0:08:17.520 --> 0:08:19.560 in nineteen thirty five. And I don't think I realized 0:08:19.600 --> 0:08:22.000 it was that old either. Yeah, long time. And remember 0:08:22.000 --> 0:08:25.200 Bill w wanted to um give everybody acid who came 0:08:25.280 --> 0:08:28.000 through the program because he was like really great, yeah, 0:08:28.000 --> 0:08:30.280 he thought it might help. Uh yeah. That was the 0:08:30.320 --> 0:08:35.120 first support group treatment program in the twelve steps has. 0:08:35.240 --> 0:08:37.720 Uh well, let's not jump there, let's let's just finish 0:08:37.720 --> 0:08:41.439 the history out. Well, the the International Order of Good Templars, 0:08:42.080 --> 0:08:46.359 Oh yeah, they they were a society dedicated to assisting 0:08:46.679 --> 0:08:50.840 UM alcoholics during the Temperace movement, supporting and they created 0:08:50.840 --> 0:08:55.000 the support groups that eventually gave rise to this A 0:08:55.000 --> 0:08:59.040 A model that's improven, like you're about to say, so successful, yeah, 0:08:59.240 --> 0:09:02.880 which we'll get to and then chuck right at this 0:09:02.960 --> 0:09:07.160 point thanks to a a almost exclusively and the idea 0:09:07.240 --> 0:09:10.880 that um, you you can you can treat, you can 0:09:10.920 --> 0:09:14.120 lick it, yeah, you can treat addiction, especially in a 0:09:14.200 --> 0:09:19.439 medical setting. UM. Before the advent of the eighties. UM, 0:09:19.679 --> 0:09:24.560 the the US started throwing money not just that eradicating UH, 0:09:24.760 --> 0:09:29.480 the the supply of illocent substances, but also the demand 0:09:29.520 --> 0:09:32.480 and even more so the demand. Under Nixon, right, Yeah, 0:09:32.559 --> 0:09:36.120 Dick Nixon put two thirds of his drug kind of 0:09:36.200 --> 0:09:40.760 anti drug policy money toward UH recovery and treatment, which 0:09:41.200 --> 0:09:43.199 is a really kind of a forward thinking thing if 0:09:43.200 --> 0:09:45.400 you think about it in today. For Nixon, you would 0:09:45.440 --> 0:09:46.960 have thought he like, let's throw all of it towards 0:09:47.000 --> 0:09:51.319 locking people up. But Ford came along and read distributed 0:09:51.360 --> 0:09:53.600 that to about a half and half model, half toward 0:09:54.200 --> 0:09:56.880 policing and arresting and trying to get drugs off the street, 0:09:56.880 --> 0:09:59.600 and half towards treating people with the disease. Why is that, 0:09:59.679 --> 0:10:02.800 I chock, it's ironic because you might have heard of 0:10:02.800 --> 0:10:05.760 the Betty Ford Clinic, and that was his wife who 0:10:05.840 --> 0:10:10.120 had a pretty bad pill addiction and alcoholism problem, and 0:10:10.200 --> 0:10:12.480 she started it. She was like, oh, I can get 0:10:12.520 --> 0:10:15.000 clean and I should set up a treatment center. Yeah, 0:10:15.000 --> 0:10:17.960 and she did. In Rancho Mirage, California, the Betty Ford 0:10:18.000 --> 0:10:21.480 Clinic UM in two had opened its doors, and that 0:10:21.559 --> 0:10:24.640 I think was one of the models for the current 0:10:25.400 --> 0:10:29.040 incarnation of rehab. That was the first big and I 0:10:29.080 --> 0:10:31.040 know celebrities went there, but that was just the first 0:10:31.080 --> 0:10:33.360 all star treatment center that you heard on the news 0:10:33.400 --> 0:10:36.160 and probably not probably most definitely because her name was 0:10:36.200 --> 0:10:39.840 on it, and it also um her lending her name 0:10:39.920 --> 0:10:43.400 to that treatment facility and admitting that she had been 0:10:43.440 --> 0:10:47.040 addicted to you know, pills and booze um it was. 0:10:47.280 --> 0:10:49.600 It also had a lot of a big effect I 0:10:49.640 --> 0:10:53.720 think on getting people into treatment because she it's it 0:10:53.840 --> 0:10:55.920 was it is still but it was at the time 0:10:55.960 --> 0:10:58.400 even more so such a shameful thing to be addicted 0:10:58.440 --> 0:11:02.200 to something. Um still is, but it's way more accepted now. 0:11:02.240 --> 0:11:04.800 But because in like religious circles, I know, it's still 0:11:04.800 --> 0:11:10.120 pretty pretty shameful. Sure, I would definitely imagine so um 0:11:10.200 --> 0:11:14.040 but but I think hers putting her still, like even 0:11:14.080 --> 0:11:18.000 the first lady can get hooked then, you know, but 0:11:18.080 --> 0:11:20.360 again yeah, and if the first lady can kick it, 0:11:20.400 --> 0:11:22.160 then I can too. You know what other effect it 0:11:22.240 --> 0:11:24.840 had a dobt what people with the name Ford not 0:11:24.960 --> 0:11:29.000 naming their daughters Betty. I'll bet you would name your 0:11:29.040 --> 0:11:31.959 daughter Betty Ford, would you know? Well, I might, but 0:11:32.320 --> 0:11:34.840 I'm kind of a jokey kind of guy. Betty Ford Clark, 0:11:36.200 --> 0:11:39.000 Betty Ford Clinic Clark. That reminds me. Actually, I think 0:11:39.000 --> 0:11:41.600 I might have told you this. My friend Joey used 0:11:41.600 --> 0:11:43.240 to say that if he ever had a son, he 0:11:43.240 --> 0:11:46.439 would name him Thomas Magnum Dorlc. His last name is Dorla. 0:11:46.640 --> 0:11:48.280 I think that's a good I thought was pretty good. 0:11:48.280 --> 0:11:49.760 It's a good name. But he had like three sons 0:11:49.800 --> 0:11:51.720 that didn't name any of them that. So, so he's 0:11:51.720 --> 0:11:54.400 a liar. He's a liar, and he's been called out 0:11:54.400 --> 0:11:57.160 as a liar on that's I don't think he listens. UM. 0:11:57.200 --> 0:12:03.520 Once Reagan got into UH to office, the UM policy 0:12:03.760 --> 0:12:09.080 of UM paying more for policing the supply side than 0:12:09.320 --> 0:12:13.560 paying any attention to the demand side, it was continued. Yeah, 0:12:13.559 --> 0:12:15.600 the war on drugs, the war on drugs in earnest, 0:12:15.880 --> 0:12:18.880 but by this time people were seeing like, Okay, rehab 0:12:19.000 --> 0:12:22.280 can work. It's a viable solution to treating our nation's 0:12:22.280 --> 0:12:27.520 substance abuse problems. And UM it was kind of etched 0:12:27.600 --> 0:12:31.880 in popular culture and then in the American psyche. Yeah, 0:12:31.960 --> 0:12:35.240 and it boomed, like private institutions all over the country 0:12:35.240 --> 0:12:37.720 started popping up. Yeah, And I think also that just 0:12:37.760 --> 0:12:41.200 say no campaign, and like the idea of like, you know, drug, 0:12:42.080 --> 0:12:44.920 the drug addiction and how bad it was probably got 0:12:44.960 --> 0:12:47.640 a lot of kids, a lot more kids thrown into 0:12:47.640 --> 0:12:52.000 rehab by their parents than it ever been before. You know. Yeah, 0:12:52.040 --> 0:12:54.800 like thirteen year old to snugs and beer out one night. 0:12:55.000 --> 0:12:57.520 They're all of a a sudden in rehab exactly. I've heard 0:12:57.600 --> 0:13:00.760 stories about that. Didn't you go to high school. I 0:13:00.800 --> 0:13:03.160 did go to high school. So check. Let's talk about 0:13:03.280 --> 0:13:10.440 different types of treatment. There's four really actually three technically four. 0:13:11.040 --> 0:13:13.680 And by the way, I need to change the headings 0:13:13.760 --> 0:13:16.800 of this. I need to switch to chapter headings, I 0:13:16.840 --> 0:13:20.040 realized because it's very misleading. Well, we can do it 0:13:20.080 --> 0:13:22.480 on the fly. I'm gonna start with inpatient. Is that 0:13:22.559 --> 0:13:26.680 still correct? Yeah? Okay, impatient? And this we should point 0:13:26.679 --> 0:13:29.920 out this can take place, um in a private facility, 0:13:29.920 --> 0:13:32.720 it can be in a hospital. Still um. I think 0:13:32.760 --> 0:13:34.720 prison you said is a is a big place for 0:13:34.720 --> 0:13:38.760 a forced rehab. It is technically, um an impatient facility 0:13:39.040 --> 0:13:42.160 very much impatient. Yeah, you're not going anyway what impatient 0:13:42.280 --> 0:13:44.720 is though, just like being a hospital stay, it means 0:13:44.760 --> 0:13:49.280 you're they're living there. Yeah, usually for that twenty eight 0:13:49.360 --> 0:13:54.160 days for any SANDERD. Bullock fans, probably more for this podcast, 0:13:54.200 --> 0:13:58.280 for any Vigo Mortenson fans, twenty eight days, not twenty 0:13:58.280 --> 0:14:01.280 eight days later. The other one was he in twenty 0:14:01.280 --> 0:14:04.000 eight Days Did We Go? Yeah, he played a sex 0:14:04.040 --> 0:14:07.280 addicted like football star or something like that. That's funny. 0:14:07.320 --> 0:14:09.079 I ran into him like three times on one week 0:14:09.120 --> 0:14:11.079 in l A. One time to the point where he 0:14:11.080 --> 0:14:12.920 looked at me and he was like, are you following me? 0:14:13.440 --> 0:14:16.840 I thought he was gonna kill me? So, oh no, 0:14:16.880 --> 0:14:20.680 not Vigo Mortenson. I was thinking he's the creepy guy 0:14:20.680 --> 0:14:25.080 from Buffalo sixty six. Vincent Gallo, Yeah, disregard that whole story. 0:14:25.120 --> 0:14:27.360 I could see him. Yeah, I wouldn't want to run 0:14:27.400 --> 0:14:29.480 into him that third time. I'd be afraid of him 0:14:29.880 --> 0:14:34.400 for thinking anything like that. Have you seen um Hide 0:14:34.400 --> 0:14:40.160 and Seek? Now? It's an awesome movie. It is so twisted, interesting, 0:14:42.000 --> 0:14:47.160 it's a thriller. Uh, Vincent Gallo, Um, Jennifer Tilly is 0:14:47.200 --> 0:14:50.640 excellent in it. Darrell Hannah actually does a really good job. 0:14:51.080 --> 0:14:54.120 That's pretty much the cast and it's um really something. 0:14:54.840 --> 0:14:57.200 I'll have to check that out, all right. So where 0:14:57.200 --> 0:14:59.920 were we? We were impatient we were staying overnight, John, 0:15:00.080 --> 0:15:02.640 just where we were, and that can range, like you said, 0:15:02.640 --> 0:15:05.680 from twenty eight days all the way to basically when 0:15:05.720 --> 0:15:07.960 you need to leave six months a year or when 0:15:07.960 --> 0:15:10.000 your insurance runs out. Yeah, if you're in there for 0:15:10.040 --> 0:15:13.000 a year, then you might be a hopeless case. Well 0:15:13.000 --> 0:15:17.600 that'd be pretty bad. But you really just inspired the 0:15:17.600 --> 0:15:19.280 hearts of a lot of people who have been in 0:15:19.440 --> 0:15:22.480 rehab for eleven months. Just say that, and it can 0:15:22.520 --> 0:15:25.520 be court ordered as well. And they also in some 0:15:25.600 --> 0:15:29.080 of these long term programs can offer you like resocialization 0:15:29.720 --> 0:15:31.760 because imagine being in a rehab clinic for three or 0:15:31.800 --> 0:15:34.720 four months, six months, they're they're like keep your milk 0:15:34.760 --> 0:15:39.320 and a refrigerator or failing that, a cool wet sack 0:15:41.120 --> 0:15:45.400 out patient is next. That's UM basically where you go 0:15:45.480 --> 0:15:48.120 in to visit on a set schedule. It could be 0:15:48.200 --> 0:15:52.040 daily UM. But you're you're doing your regular life, you're 0:15:52.080 --> 0:15:55.160 sleeping at home, you're going to work, and then probably 0:15:55.280 --> 0:15:58.880 in between work and going to sleep, you're spending a 0:15:58.920 --> 0:16:03.840 significant amount of time time UM in counseling, in group sessions, 0:16:04.120 --> 0:16:08.600 twelve step maybe receiving medication. Methodone treatment usually takes the 0:16:08.640 --> 0:16:11.360 form of outpatient treatment, and that's actually one of the 0:16:11.400 --> 0:16:16.720 longest treatments apparently is um is methodone, prescription methodone treatments 0:16:17.120 --> 0:16:20.360 for yeah, to get you off of the white pony. Yeah, 0:16:20.400 --> 0:16:24.480 Whenever I see those on the documentaries, it's it's very 0:16:24.520 --> 0:16:26.960 much outpatient. Like you literally see the junkie walk up 0:16:27.240 --> 0:16:30.120 to the window to get his daily dose or her 0:16:30.520 --> 0:16:37.920 of methodone. Lastly, there's partial hospitalization. Um. This is basically 0:16:37.960 --> 0:16:41.840 the opposite of outpatient right. Um, well, it's not the opposite, 0:16:41.880 --> 0:16:44.920 but it's pretty close. Rather than go to work from 0:16:45.040 --> 0:16:48.440 nine to five, um, and then go to rehab, you 0:16:48.520 --> 0:16:51.560 go to rehab from like nine to five during the day, 0:16:51.840 --> 0:16:54.000 but you you stay at home and all that. Now, 0:16:54.040 --> 0:16:56.560 what's I don't understand the difference between that and outpatients. 0:16:56.560 --> 0:16:58.840 Outpatient you're just not necessarily there all day. You might 0:16:58.880 --> 0:17:02.560 go for like your two hour meeting and leave every day, yes, okay, yeah, 0:17:02.640 --> 0:17:06.280 whereas like partial hospitalizations, you're spending way more time there 0:17:06.359 --> 0:17:10.600 during the partial hospitalization and treatment because you know, um, 0:17:10.640 --> 0:17:13.400 after work. For outpatient, you're there for maybe a couple 0:17:13.440 --> 0:17:16.199 of hours, three hours, but it's like a part of 0:17:16.240 --> 0:17:18.320 your day instead of going home and sitting on the 0:17:18.320 --> 0:17:20.880 couch and watching TV. You're going to rehab or going 0:17:20.920 --> 0:17:23.960 to happy with with you don't want to do that, Well, no, 0:17:24.040 --> 0:17:26.400 that's what I'm saying. I mean, oh yeah, we're going. Yeah, 0:17:26.440 --> 0:17:28.439 after work. It's probably a good time for a lot 0:17:28.520 --> 0:17:31.520 of people because a lot of people associate the five 0:17:31.520 --> 0:17:35.000 o'clock bell ringing with that first drink exactly, and I'm 0:17:35.040 --> 0:17:37.080 sure that's a huge part of it as well. Partial 0:17:37.119 --> 0:17:41.119 hospitalization is where you're spending your days in rehab and 0:17:41.119 --> 0:17:44.000 then you go home. That is your job. Yes, your 0:17:44.080 --> 0:17:47.480 job is to get well. Prison. You mentioned prison or 0:17:47.520 --> 0:17:49.879 I did, And when they do this in prison, they 0:17:49.960 --> 0:17:52.480 take you out of the general population typically, didn't we 0:17:52.520 --> 0:17:55.879 have somebody right in after the prison? Um? Yeah? The 0:17:55.960 --> 0:17:58.359 listener mail on prisons, the guy was like, it's the 0:17:58.800 --> 0:18:00.919 it was the easiest place to score drugs and then 0:18:01.080 --> 0:18:04.200 I've ever been was prison. Yeah, so they I think 0:18:04.240 --> 0:18:05.880 that's kind of cool though. It shows like a real 0:18:05.920 --> 0:18:12.560 dedication to um rehab among prisons by by taking the 0:18:12.600 --> 0:18:16.400 people away rather than pretending like there's not a problem exactly. 0:18:16.400 --> 0:18:18.240 And I could actually see that being the case where 0:18:18.280 --> 0:18:20.719 they said, no, we're rehabing people, but they're you know, 0:18:20.760 --> 0:18:25.159 getting drugs being passed between the bars and readily and 0:18:25.160 --> 0:18:31.399 other things. It's key stirred. So, Chuck, let's talk about treatment. Technically, 0:18:31.440 --> 0:18:34.320 I would call this one how rehab works. I wanted 0:18:34.359 --> 0:18:38.320 to switch those two children, because really types of treatment 0:18:38.359 --> 0:18:40.880 was what we just talked about, right, and then how 0:18:40.920 --> 0:18:43.239 rehab works is what we're about to talk about. I 0:18:43.320 --> 0:18:46.120 just don't know how that got passed. Well it did. 0:18:46.920 --> 0:18:49.560 So let's talk about how rehab works. Man. Well, it's 0:18:49.560 --> 0:18:52.160 a long process. Don't expect to be out of there 0:18:52.200 --> 0:18:55.400 in a week, although that one program that you point 0:18:55.440 --> 0:18:57.280 out says they can do it in six days, which 0:18:57.280 --> 0:19:03.119 one six months? Oh six months program? Yeah it was 0:19:03.160 --> 0:19:08.160 that or six weeks, six weeks, I'm sorry, Okay, six weeks, Chuck. 0:19:08.320 --> 0:19:10.760 So I would say, don't plan on spending more than 0:19:10.800 --> 0:19:15.640 like a week in your rehabilitation clinic, would be my guess. Yeah, um, 0:19:15.840 --> 0:19:18.040 you can. Also, we we failed to mention e r 0:19:18.119 --> 0:19:22.560 S can technically be an inpatient rehab that lasts long 0:19:22.680 --> 0:19:25.000 enough to get you over your withdrawals or to bring 0:19:25.040 --> 0:19:28.360 you back to life from an acute drug overdose. So 0:19:28.400 --> 0:19:32.160 if you are taken to the hospital odeed they'll keep 0:19:32.200 --> 0:19:35.040 you there as long as you're physically or until you're 0:19:35.040 --> 0:19:38.840 physically well, yes, which can drug that can yeah, it 0:19:38.880 --> 0:19:42.480 can rehabilitate you, I mean you can, yeah, but so 0:19:42.560 --> 0:19:45.600 it can last for as little as several hours, like 0:19:45.640 --> 0:19:50.200 you said, months and months, possibly a year, right, but yeah, 0:19:50.240 --> 0:19:56.200 everybody who buys into the brain disease model of addiction says, okay, 0:19:56.200 --> 0:19:59.920 because of this, there's there's a lot of facets to addiction, 0:20:00.000 --> 0:20:03.640 which means there's a lot of facets to rehabilitation. It's 0:20:03.640 --> 0:20:06.240 gonna take a while, yeah, yeah, yeah, but step one 0:20:06.320 --> 0:20:09.399 is always just withdrawal, get the drugs out of your 0:20:09.400 --> 0:20:13.760 body and get clean physically. Um. And you're not gonna 0:20:13.760 --> 0:20:18.119 have any physical withdrawal from behavioral addiction compulsive behavior, but 0:20:18.200 --> 0:20:20.359 you're still probably going to have a rough time at first, 0:20:21.000 --> 0:20:25.000 you know, with the desire to do that. Um, when 0:20:25.080 --> 0:20:29.560 you are stable, I guess, and probably before you're stable, 0:20:29.720 --> 0:20:33.080 you're probably going to be introduced to a twelve step 0:20:33.119 --> 0:20:35.600 program of some sort. Right now, did a A create 0:20:35.640 --> 0:20:38.080 the twelve step? Yes? Okay, yeah, there was no such 0:20:38.080 --> 0:20:39.880 thing as the twelve step before that. But there's all 0:20:39.880 --> 0:20:42.239 sorts of variations on the twelve step. Now, yeah, and 0:20:42.240 --> 0:20:44.359 one of the things, like we were saying, a A 0:20:44.560 --> 0:20:48.040 is incredibly successful. It's been study after study after study 0:20:48.119 --> 0:20:51.280 done on A A and um any kind of UM 0:20:51.400 --> 0:20:54.960 relapse associated with the people who go through it, and 0:20:55.200 --> 0:20:58.520 UM it's a very successful program. But it's also very 0:20:58.520 --> 0:21:02.359 criticized often because one it's criticized for being too indulgent 0:21:02.480 --> 0:21:06.040 on the addics ego right like this is not your fault, 0:21:06.080 --> 0:21:09.080 it's all okay, or if you go through these steps, 0:21:09.119 --> 0:21:12.640 you're going to be a great person. Um. And it's 0:21:12.680 --> 0:21:17.639 also very reliant on a belief in God. Yeah, I 0:21:17.680 --> 0:21:19.680 don't think there's it's not like a Christian God or 0:21:19.760 --> 0:21:22.360 Judeo Christian God or any specific god. But I think 0:21:22.400 --> 0:21:24.320 they call it like a higher power. And there's plenty 0:21:24.359 --> 0:21:26.960 of atheist addicts out there, well they call it. I 0:21:26.960 --> 0:21:30.119 actually looked at the original twelve steps today and they 0:21:30.119 --> 0:21:33.200 say the word God in four of the twelve steps. 0:21:33.800 --> 0:21:37.320 But on the before that first mention of God, it 0:21:37.400 --> 0:21:42.480 says God as you understand him to be. So that's 0:21:42.520 --> 0:21:45.320 the little caveat like we're not saying, like like you said, 0:21:45.320 --> 0:21:48.120 the Judeo Christian God must be the one, but they 0:21:48.160 --> 0:21:50.719 definitely say you've got to have a higher power here 0:21:50.760 --> 0:21:52.719 or else. That's not gonna work, right. And the problem 0:21:52.800 --> 0:21:54.840 is that there's a lot of people whose conception of 0:21:54.880 --> 0:21:57.480 God is that they understand him to be non existent 0:21:58.080 --> 0:22:03.000 or that I am God. Right. Yeah, Um, there was 0:22:03.040 --> 0:22:06.400 like a joke that just flitted right through my prefrontal cortex. 0:22:06.880 --> 0:22:11.560 It wasn't funny, um, So chuck, Narcotics Anonymous, I believe, 0:22:11.760 --> 0:22:15.840 and some others, but most notably Narcotics Anonymous UM has 0:22:15.880 --> 0:22:20.520 adjusted the twelve step model to accommodate atheists as well. 0:22:20.800 --> 0:22:23.680 And you know, I bet regular a eight meetings or 0:22:24.720 --> 0:22:27.320 a little less centered on that. Now, that would be 0:22:27.359 --> 0:22:29.160 my guess. They probably wouldn't refuse you at the door 0:22:29.880 --> 0:22:31.880 if you said you were an atheist. Oh, I don't 0:22:31.880 --> 0:22:34.000 think they refuse you. I don't think it's it's to 0:22:34.400 --> 0:22:36.440 think what they're what they're saying is like, if you're 0:22:36.440 --> 0:22:39.320 an atheist and you don't buy into the God thing, like, 0:22:39.680 --> 0:22:42.560 you're not going to be as successful as somebody who does, 0:22:42.720 --> 0:22:45.159 because part of his like giving it over to this 0:22:45.280 --> 0:22:48.840