I made huge progress in dealing with my methamphetamine addiction at Reunion, a 7 bed facility run by Practical Recovery. I can't recommend Practical Recovery enough, especially if the 12-step approach is not for you. Thirty years ago, people who had addictive problems were believed to be congenital liars with personality disorders; which is why so many recovery programs regiment you and keep you busy every hour of the day. Practical Recovery isn't like that at all: the calm and supportive atmosphere, and the time to myself, were crucial to my detecting levels of anxiety that I'd never even noticed before. My shrink assured me that I "wouldn't like" rehab; I had to have a talk with him upon my return, because I actually enjoyed every day there (despite some very difficult psychological work), I think this indicates the prevalence of regimented programs. If you hate stupid rules, and if you're thoughtful and intelligent and resist going along with crowds, Practical Recovery is for you. The clients are largely professionals, who lead vital and interesting lives; and the staff, following the principles of Smart Recovery, treats each person as a valued individual. (When there were empty beds, the rehab also treated people who had been there before, even though it was clear they couldn't afford the place; I was very moved by this). You are respected as a whole person, not labelled as an "addict." The staff respects your spiritual beliefs (or non-belief; a higher power is not required.) The methods are evidence-based. The care is holistic; you are welcome take advantage of yoga, massage, acupuncture, and even horseback riding at no extra charge. The residential units are small and intimate, and very comfortable; it's furnished like a real home, and purposely so. (It's also half the price of some of the more luxurious centers around). The staff carefully customizes care after evaluating each client. In general, you see two therapists a day after going to group; you may see different therapists every day, contrary to normal psychological practice; all I can say is that it worked splendidly for me. All of the therapists were excellent and insightful (though one was a bit green). The meals are excellent and healthy, and every member of staff waits on you hand and foot, at least when they are not in meetings. This is not a cheap place, but if you know what California requires residential programs to do (search rooms daily, count every pill in a patients med box every day, etc), the cost becomes more understandable. (There are cheaper facilities available for young men, and the staff can arrange outpatient treatment at a fraction of the cost of the residential rehab, so you may want to explore those options) After a week there, I began to understand the total commitment of the staff to my recovery; I was planning to move to outpatient treatment after that week, but I elected to stay for four weeks despite the extra cost. The staff is absolutely unobtrusive in performing its duties, which under other circumstances could be humiliating. Everyone is treated with utmost respect and trust (we had access to food in the kitchen and in a well stocked snack bar, in case the regular and excellent meals weren't enough. (I eat like a horse and the staff was happy to work with that.. ). The Rehab world is changing, in part because of the efforts of Tom Horvath, the head of Smart Recovery, a very wise, kind, articulate and dedicated person who comes to dinner once or twice a week. It sounds sappy, but just a few words from him helped me immensely. 12 step methods work for some people, but not everyone; my hope is we see more and more rehabs use the humane and effective methods used by Practical Recovery. The sad part is that most insurance companies will pay for nothing but 12-step programs; mine won't pay for residential treatment at all. But if you can afford it, this is the place to go. A note: two dissatisfied clients have written negative reviews of this rehab. Their comments in no way reflect my experience, which was one of the most profound I've ever had. Some of the staff are indeed college age, but they are NOT the clinical staff. I found them to be uniformly interesting and kind. As a Smart Recovery volunteer, all I can say is that no approach works for everyone, and that some people just aren't ready to change. And of course, more and more professionals recognize that relapses, however regrettable, often are part of the change process. Smart Recovery teaches you that your are powerful and can take responsibility for your actions; blaming any particular event or person or program for a relapse, well, it indicates that the lessons of Smart Recovery didn't penetrate. Which is fine; as I said, no program can fit all comers. read more