are you crazy?

Q: What is the weirdest thing you saw in rehab?

A: Crazy people who were far too crazy to be in a residential drug and alcohol treatment facility that had no one trained to deal with crazy people.

In the United States, a residential drug and alcohol rehab medical professional must diagnose a potential patient with “severe substance use disorder” as the potential patient’s primary mental health diagnosis in order to admit a patient and collect money from the health insurance provider—or the taxpayers if it’s a state-funded facility—even when the patient is clearly suffering from mental health problem(s) that are clearly far worse than severe substance use disorder as their primary mental health diagnosis.

But, when the only thing you have is a hammer, everything looks like a nail.

So, the residential drug and alcohol rehab medical professionals diagnose all potential patients with “severe substance use disorder” as their their primary mental health diagnosis so their employer is able to collect as much money as possible—and, hoo-wee, we sure did end up with a lot of bat-shit crazy people as patients at the residential drug and alcohol rehab facility where I worked for 4 years.

We had absolutely no idea what to do with them because they weren’t supposed to be there; and, no one there had been trained what to do with them.

But Old Rehab profitability always prevailed.

AND THAT’S THE TRUTH


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