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Lindsay Lohan at no-frills rehab; Charlie Sheen continues on at rehab 'ritz'
ADDICTIONS & ANSWERS Friday, August 13th 2010, 4:00 AM Like 13 people like this. Be the first of your friends.

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Granitz/WireImage; Pool Charlie Sheen is going to rehab at the ritzy Promises center, w hile Lindsay Lohan is in the much simpler Westw ood facility.

RELATED NEWS BILL: "Worried" writes that his drunk daughter wants him to pay for her rehab. ARTICLES "But I hear that people like (TV star) Charlie Sheen just check in and out of 'Promises,' Alzheimer's test can show onset, the one he likes in Malibu, as if it’s a resort offers no cure hotel. At sixteen hundred bucks a day, I’m More insurers are covering medical sure it’s very luxurious, but Bill and Dr. procedures abroad Dave, what has that to do with getting Pediatric hypertension: The sober?' pressure's on kids, too
DR. DAVE: An ABC news feature called Promises the Ritz of Rehab . Their web portal opens to a sun-bathing "patient" reading her therapy book, atop a rock wall overlooking a panorama of Malibu Beach. WHO: Swine flu pandemic is over

BILL: I think I saw the same patient reading her book overlooking the bay at a different rehab on Newport Beach! DR. DAVE: That may be why Judge Marsha Revel made a last minute switch in Lindsay Lohan?a>??s choice of rehabs, ordering the wayward star to UCLA’s famously no-frills, medical model, substance abuse program in Westwood. Specializing in combined psychiatric and substance abuse disorders, they treated Britney Spears after her 2008 breakdown. BILL: A decision that was widely applauded, especially by Lohan’s own physicians. But Dave, I’ve been in a lot of groups where many of had gone into rehab to avoid jail sentences. The fact that some people can pay to make court-ordered rehab a plush experience arouses the Puritan in me – the fear "that someone, somehow, somewhere is having a good time, and it shouldn’t be allowed." DR. DAVE: and there are many people who would join in that, particularly those who




Lindsay Lohan at no-frills rehab; Charli…
Mom, daughter accused of molesting same teen boy for 3 y ears Police say the pair did it without knowing about each other’s relationship with him.

mouth the words that 'addiction is a disease' —but secretly want a pound of flesh more than treatment and recovery. OK, then Bill -- what do you propose as a model for treatment? BILL: Rehabs are supposed to be non-judgmental but there is one moral law that is omnipresent. The conscience of the rehab group itself. And that’s in the air, whether you are in a swimming pool or mopping the floor. I remember in mine, we were constantly speculating on who was going "to make it" or not. What works is the steady internalization of the groups’ bitter knowledge that to go back to booze or dope is to be a loser. But Dave, since you once headed a famous rehab yourself, what do you think is the mark of a good rehab – one that does the job, rather than furnishing a luxurious place to hide out until the law (or your spouse) is off your back? DR. DAVE: I’m not a big fan of playing to the retribution side of society by making all treatment facilities into boot camps. But I also cringe at the seaside Malibu Model, one that symbolically rewards you BEFORE you’ve even begun to change your internal view of life. BILL: Admirable -- but what does that look like in real life, Doc? DR. DAVE: I’ll boil it down to four things for you. First, you can throw away most of the court evaluations that conclude with the statement that somebody should complete X amount of days of Y type of treatment. Then, before you go any further, the program should be run on what is called the American Society of Addiction Medicine, or ASAM, model. BILL: Our readers could look at the same online slideshow you pointed me at when I was trying to understand what the six dimensions of ASAM were--at a website put together by Elizabeth Kotkin. DR. DAVE: Thanks for the reminder. There are six ASAM areas of treatment planning and I would also want to see what were the treatment objectives in all six areas, and how they’ be achieved. Finally, I would want to know where in the program the patients would learn to work each of the 12 Steps and how they would be reinforced for making them part of their daily lives. BILL: Maybe by a trip to the beach? DR. DAVE: Or like at many centers, after you reach a certain level, community trips to 12 Step meetings, recovery clubs and other clean and sober venues. BILL: Point taken Dave. Puerta Vallarta can wait.
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10:51:58 PM Enablizers surround them, forgive and cover up for them. Does Aug 13, 2010 anyone think either one of these two people will finally grow up and take personal responsibility for their actions? Do they know how many people have been hurt by them? Sure, they have been the money makers for their families, especially in Lindsays' case. In her case, her family should be ordered to permanently stay away from her. In Charlie's case, he has children- he needs to grow up. They are both spoiled brats and frankly, the media needs to ignore them. Perhaps the lack of publicity will finally get them to straighten up. Get off the booze and the drugs and maybe they might have a chance.




Mona Lisa

Lindsay Lohan at no-frills rehab; Charli…
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4:47:08 PM I looked at Elizabeth Kotkin's website, and I see nothing about the 12 Aug 15, 2010 steps being a part of the ASAM treatment protocol. I also note that ASAM has endorsed the Recovery Bill of Rights, which specifically states that no one path to recovery is right for everyone and calls for different paths to be respected. It would really behoove you to open your eyes to the fact that 12 step is not the right path for everyone, and to stop insisting that each and every person who wants recovery "work the steps" as part of their treatment. Report Offensive Post

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10:00:25 AM "one moral law that is omnipresent. The conscience of the rehab Aug 16, 2010 group itself"...unless that group conscience is akin to the one in DC, the Midtown Group, n'est pas? Report Offensive Post Click Here t o see all comments or to Report Abuse

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