The researcher in me got to ask how much of the above average success rate has to do with self-selection vs. efficacy of the intervention.
AoD
It's a fair question. The first thing that I would say, is that Caritas has generally viewed success -- since it is difficult to quantify -- as a 5 year period of abstinence. Complete abstinence. That means, you came in for alcohol? That doesn't mean you get to smoke pot and call yourself clean.
This comes from the belief that drugs are not at the core of the issue -- it's a socio-behavioural-emotional response which needs to be changed. And once that happens, the need for that self-soma is easier to fight.
Given this criteria, until the last couple of years, the success rate was somewhere between 65%-80%. It fluctuated though, as it was very dependent on the population base or residents that we had. Caritas always had a secret weapon that other rehabs did not. In addition to the methodology, there was a side-effect -- after spending 25 months with a group of people who share the same concerns, you had a built in peer group and community whose relationship to each other was built on trust, knowledge of each other and a kind of brotherhood knowing that they endured something which most people could not. Knowing that they were part of that community (The Caritas community), had a *very* strong effect after the program. If you messed up, there were 10 people -- *true* friends, who weren't going to let you slip further. Just knowing that would happen was a *huge* weapon against using again.
So, that's the good news that Caritas could boast about.
Here's the other side:
While the success rate is accurate, it's skewed because it relates only to people who FINISHED the program, and it's 25 months. Two years. Two HARD years.
Most people made it through the first couple of weeks -- but if there was not familial/work/self-imposed pressure to stay, I would estimate that perhaps 4 or 5 out of every 10 people who enter the program actually finish it.
So if you look at success ENTERING the program vs. FINISHING the program, you get very different numbers.
I have always felt that Caritas missed the boat on marketing itself. It always tried to be accepted in the same way that a Homewood was accepted. I felt that missed the point. Caritas should be, and should have been truer to its nature. Never mind brochures, and gentle talk. Just lay it out: "Caritas: You've tried those mamby-pamby rehabs, now try something that works. The hardest program in Canada. It sucks being here, but it's better than dying."
Just like Buckleys.