Word: rehab
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Dates: during 1990-1999
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...HOUSE (SIMON & Schuster; 287 pages; $22), Stephen McCauley's third novel, a friend tells Clyde, the narrator, "No one cares about novels anymore. No one wants to wade through the obfuscations of fiction. Just pump out all the filthy facts, toss in a chapter on rehab and wrap...
Welcome to rehab centers in the age of managed care. "It was like a cloudburst," admits Keith Arnold, Sierra Tucson's director of marketing. "It decimated the business. We've changed our marketing strategy and now go after the self-paying"--read rich--"client." These days, it is difficult to get in-patient coverage at all for detoxification. "The number of in-patient treatment programs has declined precipitously," says Monica Oss, editor of Open Minds, a behavioral-health-industry newsletter. "Between 1988 and 1993, the average number of patient bed days dropped from...
...Rehab facilities are now obliged to offer an array of treatment options. Some have patients live on the grounds, but with only round-the-clock supervision rather than round-the-clock nursing and medical care. Other patients attend therapy programs during the day but sleep elsewhere. "After 10 or 14 days of hospitalization," explains Sederer, "the staff know they must find other services, like partial hospitalization and ambulatory programs. The concept is continuous care...
...hard, but I knew that I had to do it," he says. "I chose to stay home and rehab it. There was a lot of dead time at home...
Psychological strength, in fact, is about as important as physical. As the rehab sessions stretch on, it's difficult to keep one's hopes...