"Passages, and the treatment method it employs, have been the subject of controversy. In 2011, treatment at the center cost $88,500 a month. [4] In contrast, the Betty Ford Center cost $27,400 for 30 days in 2011. [7] Passages keeps any money that has been deposited, even if a patient exits the center before completing treatment.[8]
In addition, Passages' treatment philosophy is controversial both because it disputes the efficacy of multi-step treatment programs and also because the founders do not believe that addiction is a disease.[9] Passages claims that its method produces above an 80-percent rehabilitation rate.[10] However, the accuracy of these statistics have been questioned by other rehabilitation professionals, particularly because they include people who have been out of treatment for only 30 days.[11]
Good on them, imo, for not adhering to 12-step or the "disease theory" of addiction.
I am by no means an expert on this stuff, but isn't it possible that 12-step simply strengthens a person's defenses mechanisms against certain activities. That's fine, but another approach could be showing them that they will be happier, now and later, if they put aside drug abuse for other things. Could one cure like 35% of addicts by teaching them woodworking and/or needlepoint? I realize the "psychology" of abuse is more complex (people will drink, do drugs to treat depression, anxiety, etc.), but it seems to me that 12 step and particularly the disease theory of addiction do not fit well with everything else we know about psychology.