Trust is the basis of effective treatment; without trust, therapeutic outcomes are improbable. Researching the operative elements of successful addiction treatment reveals that it is the therapeutic alliance between the treatment provider and client-patient is THE essential therapeutic ingredient. Therapy styles, teaching content, techniques, philosophies, strategies, models have little effect beyond the establishing a relationship between the person being help and the other helping. If the provider or facility providing help is not trustworthy, they are not effective. Without trust, doors are closed.
Quid pro quo kickback schemes paying for patient referrals and/or fee-splitting between providers to enhance referral and revenue volume are obvious breaches of ethical conduct. Call centers, internet brokering sites, and toxicology lab revenue sharing scams have become pervasive in a profession and business which is ultimately built upon trust. All addiction treatment providers are painted with the same cynical brush when a few value money over integrity