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Personally, I enjoyed myself and felt I was with fine people doing a goodjob in a natural setting far from the urban East. Deer Run pays travelexpenses both ways which is a plus.

Rating: Good.

RHODE ISLAND

o EDGEHILL NEWPORT

200 Harrison Avenue

Newport, RI 02840(401) 849-57001-800-252-6466 (Toll free from New England, N.Y., N.J.)

Individual(s) Interviewed: John Wallace, Ph.D., Director of Treatment;Sally Foley, Director of Public Relations (former)

Brief Description: A private, for profit, freestanding facility on 615acres,for adults only. Separate outpatient adolescent program in East Green-wich, Rhode Island. Treats the broad range of addiction, but not heroinaddiction per se. Of all patients at Edgehill, 50 to 60 percent are purealcoholics. Others are cross-addicted. Seventy percent male census. Aver-age census is always near 100 percent; average age is 36.

Four outpatient clinics in R.I. in Westerly, Cranston, East Providence,and East Greenwich: outpatient program is for nine weeks plus ten weeksof aftercare. Four sessions a week (individual and group), then three ses-sions a week. Cost is $200 physical and evaluation, $80 individual counsel-ing, $25 group. Total for 19 weeks including weekly aftercare is $1,715.

Location/Accessibility: Edgehill will meet incoming patients anywherewithin a day's drive (round trip) including major airports, by prior arrange-ment. Driving from the south, go north on 95 to 138, through Jamestown,over Newport Bridge, take the first exit off the bridge to the right, thengo on America's Cup Avenue to Thames Street, swing right onto Thames,go to Wellington Street, and then take a right, through two stop signs andEdgehill is on the left. From Boston, take 24 south to 138. Take a right on138 and follow to 138A. Take a left to end. Take a left onto Memorial Blvd.to America's Cup, and take a left on Thames Street, thence to Wellington.

Length of Treatment: Twenty-eight days, plus detox.

Cost: Three days detox plus 28 days rehabilitation averages $8,774 perpatient ($330 per day close observation; $253 per day on rehabilitationunit). All inclusive.

Insurance: Major carriers. Blue Cross. No Medicaid or Medicare.

Edgehill Newport 409

Residential Accommodations: 144 beds in semiprivate rooms with privatebaths within six separate residential units. One unit is for women only.

Detox Unit: Sixteen detox beds in a separate unit called "close observa-tion." Full staff, including counselors.

Age Limitations: Eighteen and older. No upper age limit.

Physical Limitations: Wheelchair accessible. Paraplegics admitted, as areblind. Deaf only under very special arrangements. Careful screening forall handicapped applicants.

Leaving the Premises: No.

Gym and Recreational Program: Gym with half basketball court, vol-leyball. Exercise equipment. Walks. Aerobics. Five recreational therapistson staff, individualized fitness programs in gym. No beach, tennis, or golf.

Chapel on Premises: Yes.

Treatment: Edgehill offers state of the art treatment of very high quality.It is distinguished by time-tested methods pioneered at Hazelden andfurther embellished by the alcoholism/ cross-addiction field. No gimmicks.Strong emphasis on group therapy, education, individual counseling, Al-coholics Anonymous.

A patient is assigned to one of three therapy groups: Alcohol-only pa-tients are assigned to groups managed by C.A.C.'s. Cross-addicted patientsare assigned to specialized groups that focus on drugs and alcohol. Patientswith serious emotional problems in addition to addiction are assigned togroup therapy managed by clinical psychologists.

Each patient is assigned to a 24-bed residential unit. There are six ofthese. Patients go through the entire program as members of their as-signed unit. One totally female unit with a female staff. Two are coeduca-tional and the rest are all male. The staff for each unit is composed of asenior counselor, four additional counselors, a member of the clergy (serv-ing two units), a psychologist (serving two units), plus recreational thera-pists who serve the whole program, five in number. Add to this, two nightcounselors.

The goal at Edgehill is abstention from all mind-altering drugs. As anexample, an alcoholic who abstains from alcohol but tries marijuana willeventually be led back to the "drug of his choice."

"We do not look at it as 'a drug is a drug is a drug'. Drugs are alldifferent, act differently within the brain. We try to teach a more differen-tiated view of alcoholism and drug dependency in our approach. What webasically do is embrace the modern disease concept of alcoholism: a bio-psycho-social model of the disease. Biological, psychological, and culturalfactors all mesh together to produce illness. We teach self-understandingbut we also teach our patients about the importance of environment. Wedo not want patients to return to a psychologically toxic environment.

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"Valium and cocaine are vastly different drugs (in their impact on thebrain) and I think the motivation in taking them must be vastly different.The so-called' dynamics of addiction' are not the same for all drugs." -J. W.

High risk environments are to be avoided for fear of relapse. Life stylesare addressed.

The rehabilitation and medical staffs at Edgehill include medical direc-tor, psychologists, nurses, physician's assistants, a dietitian, recreationaltherapists, clergy, and counselors. Add to this another therapeutic aspectwhich is peer interaction. "Peer One Session" occurs at the start of the 3rdweek of treatment when the patient is given feedback from his/her peerson the unit: Aleveling process where the patient finds exactly where he orshe stands in treatment. This is not a "heavy confrontation but if you arejerking the program around you willbe told that. We have had a number ofpatients who really feel their peer sessions turned them around. We valuepeer interaction within the separate units highly."-J.W.

Each patient will do AA Fourth Step while in residence.

Primary Therapeutic Stalfi Twenty-four counselors on staff (not countingsenior counselors and night counselors).

Patient/TherapyStaff Ratio:6 to 1. 60 percent of counseling staff arewomen.

Percentage of Recovering Alcoholics/Addicts on Sta//: 75 percent.

Percentage of Counselors Certified: 70 percent certified as C.A.C.'s. 30percent pursuing certification. In Rhode Island it is credentialed, notcertified.

Psychiatrist or Psychologist on Sta//: Three psychologists on staff. Twopart-time psychologists consult. Referrals to consulting psychiatristwhen needed. Each patient takes the Millon Personality InventoryTest.

Clergy on Sta//: Three (two Protestant, one Catholic). Clergy availablefor AA Fifth Step work. Nondenominational pastoral counseling.Chapel on premises.

Therapy:

Individual Therapy: Minimum of two times per week.

Group Therapy: Twice a day: once in the unit in the morning; once inthe afternoon according to need (poly-drug group, straight alcohol,emotional problems).

Mini-groups: patients may put together their own groups (for ex-ample, aggression, anger) without supervision.

Relapses: Individualized. Either reentry for the total rehabilitation pro-gram or referral to an aftercare program. Depends upon individual assess-ment. No special relapse program.

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Edgehill Newport 411

Smoking: In designated areas only.

Coffee: Decaffeinated only.

Food: Very good. Cafeteria-style.

Special Unit or Program for Women: Yes. One separate unit with all femalestaff. Women's unit therapy meeting every morning. Daily women'strauma group for those who need it.

AA and NA Meetings: Three AA meetings per week. One NA meeting perweek. One AL-ANON meeting per week. All on site.

Family Program: Family member or "significant other" comes for threeweekends, starting the second week of the patient's stay. Saturday andSunday. First weekend for family members without patients: educationabout the disease. Second and third weekends patients join family mem-bers. Six-day course is to educate and involve each family participant inpeer group therapy for his or her own well being. AL-ANON on Saturdaynights, conferences with family staff included. Family member encour-aged to join an aftercare program for his or her own recovery. Familyprogram geared for adults. No children's program as such. $329 perperson.

Aftercare: For those in the area, there is a 12-week transition aftercareprogram at $25 per session. Discharged patient meets with a group ofpeers, one night a week for 12 weeks, in East Greenwich, East Providence,Cranston, or Westerly, Rhode Island. Follow-up will continue with ques-tionnaires to patient and "significant other." For those who come fromoutside the area, aftercare staff will help arrange an AA contact withEdgehill alumni. Out-of-area patients are referred to an appropriate after-care group. Additional referrals may be made for marriage counseling,psychological counseling, halfway house, psychiatric treatment. All ar-rangements made through patient's counselor while in treatment. After-care coordinator on staff is a repository of information on referral sourcesacross the nation.

Hospital on Premises: No. Hospital nearby.

Admitting Hours: 24 hours a day.

Key Personnel: Chester Kirk, Chairman; Frank Fanella, President; JohnWallace, Vice-President, Director of Treatment; Paul Krippenstapel, Di-rector of Rehabilitation Treatment; William Griffith, M.D., Medical Di-rector

Telephone Use: Pay phone on each unit. Patient monitored.

Radios/Stereos/Cassettes: Radios, "boomboxes" allowed. Loud music notencouraged. Headsets and Walkman-style cassette players not allowed.

Visitation: 1:00-4:00 P.M. on Sundays and holidays.

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Author's Comments: Edgehill is a top-rated facility, recommended highlyby competitors as well as by everyone else in the business of drug-alcoholcounseling and treatment. Clean, orderly, happy-the staff radiates healthand recovery. John Wallace, Director of Treatment, is the author of manybooks on alcoholism and addiction. He sets the pace with a quick mind anda pleasing, open disposition. I was very impressed by the atmosphere ofthe place and the brilliance of John Wallace and the overwhelming senseof intelligence and competence of the total staff.

I want to add that I ate lunch with chairman Chet Kirk and presidentFrank Fanella in Edgehill's commodious dining room. Each man dis-played a sense of humor and a dedication to his work. It was one of thetwo most enjoyable interludes of pure sociability I was to have on my longtrek across the country (the other was an evening meal in Montana, hostedby the Rimrock Foundation). I mention this because it occurred to methen, and stays with me now, that I was with wonderful people who aretotally committed to the best treatment possible.

My only real complaint relates to the weekend family program. I preferan intense family week that can have a cumulative and unforgettableeffect. A minor complaint relates to "boomboxes." No rehab center shouldallow them.

Rating: Excellent.

SOUTH CAROLINA

o NEW BEGINNINGS at Fenwick Hall

1709River RoadJohns Island,SC 29455(803)559-2461

Individual(s) Interviewed: John Magill, Executive Director; Dick Dono-van, Director of Family Program

Brief Description: Fenwick Hall is a freestanding licensed specialty hospi-tal. Owned by New Beginnings, a chain of treatment centers, which inturn is owned by National Medical Enterprises. Separate adolescent pro-gram. Runs at 90 percent of capacity. Male-female, average age of adultsis 35, 55 percent male census. Full range of drugs is treated. Facilityopened in January 1980, on 55 acres. Fenwick Hall is a former plantation,built in 1730. Cornwallis used it as his headquarters in the RevolutionaryWar. Patient has an admitting doctor who follows treatment and who ison staff. Approximately 15 percent of all patients are dual-diagnosis pa-tients, but in all cases addiction is the primary treatment.