The problem with most rehab programs is their only focus is to get the person "clean and sober" in a 28 day period.
The individual is confined for the first 5-7 days while they are detoxed. Many programs use additional drugs for this process. The next 21 days are spent attending "group" therapy, while on a tight time schedule....the entire day is totally scheduled for the entire patient population. Almost every minute is scheduled from the specified time to rise to the specified time of "lights out".
The patient is usually not allowed a family visit for the first 14-21 days.....and no phone calls the first 7.
At the end of 28 days...the patient is discharged.
That's it.
It's no wonder that the level of success is so low. The only accomplishment is that the individual can pass a drug test when they walk out the door.
Most rehab places have little to no concern with the "why".....why the person used the drugs/alcohol, why the person is self-destructive, why the person continues to go back to the substance abuse.
Their only goal is to turn out a sober person....at which most have a 100% success rate. The fact that 80% or more, are back using drugs/alcohol within a short time period, is not their problem nor is it reflected in their advertised "success rate".
Lohan is going to Betty Ford which has a pretty good reputation....though incredibly expensive....as it is an extensive program, and people are often there for longer than 28 days. From what I have read about them, they also try to help the individual find the reasons for their self-destruction. She has been able to walk out of the
other programs she's been in....this time she is there for at least 60 days, and I think that she will have to be there over the holidays, may be a good thing for her. It will keep her from being her parents' "football".
Without finding out the "why"....most people are unable to resist the temptation of the drug of choice/alcohol. The "why" has to be conquered even moreso than the drug. And the "want to conquer" must also be there...though sometimes the individual can't see a reason to "want" because they can't figure out the "why" on their own.