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According to the National Survey on Drug Use and Health (NSDUH), 45 percent of people with addiction have a co-occurring mental health disorder. Behavioral designs utilize principles of practical analysis of drinking habits. Habits designs exist for both dealing with the substance abuser (neighborhood support approach) and their household (community support approach and household training).

This design lays much emphasis on making use of problem-solving methods as a method of helping the addict to get rid of his/her addiction. Regardless of ongoing efforts to fight addiction, there has been evidence of centers billing clients for treatments that may not ensure their recovery. This is a major issue as there are various claims of scams in drug rehabilitation centers, where these centers are billing insurance business for under providing much required medical treatment while exhausting clients' insurance advantages.

Under the Affordable Care Act and the Mental Health Parity Act, rehab centers are able to bill insurance business for drug abuse treatment. With long haul lists in restricted state-funded rehab centers, questionable private centers quickly emerged. One popular design, called the Florida Design for rehabilitation centers, is typically criticized for deceptive billing to insurer.

Little attention is paid to patients in terms of dependency intervention as these patients have typically been known to continue substance abuse during their remain in these centers. Given that 2015, these centers have been under federal and state criminal investigation. Since 2017 in California, there are just 16 detectives in the CA Department of Health Care Providers examining over 2,000 certified rehabilitation centers.

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