Top 5 Reasons Clients Leave Treatment Against Medical Advice

Top 5 Reasons Clients Leave Treatment AMA

AMAA common problem for Drug and Alcohol Treatment Centers is high AMA rates, or leaving against medical advice. This means that after clients are admitted into treatment, they decide to leave the program before completion. This is when relapse and overdose rates are at their highest. A lot of times, people will find an excuse to leave treatment early that may sound reasonable, however, they likely just want to use. Most AMA’s happen because the client convinces a loved one that they are somehow victim of a disservice. The key is to quickly establish a rapport with the family in order to prevent an AMA before it even happens. Calling the family and reporting pre-signs of AMA, and putting the client into a position that takes away their resources to leave treatment will prevent an AMA. Here are the top five reasons that someone may leave treatment AMA.

1. “The food is terrible!” I can’t tell you how many times I’ve heard this. Even with a chef in-charge of the food, clients will use this excuse to convince their parents or loved ones to let them leave treatment early. Being able to discuss with the family that this is a common excuse that the clients may use can help to prevent them from allowing their loved one to pick them up from treatment.

2. “I need to get back to work!” A lot of times, clients will be in a complete financial mess when they first begin treatment. After a few days, these clients think that they need to start working right away in order to start fixing their lives. More often than not, when these clients leave treatment, they relapse within the first 24 hours. Creating a strong rapport with the family and creating healthy expectations from the family can help to prevent this excuse from becoming the reason the client leaves treatment.

3. “I miss my children!” This is a sad reality. When people are using, they aren’t completely attentive to their children in the first place. Helping to redirect the client and show them that they can use the treatment time to help build them up for a life-long relationship with their children is very important. Helping the client to schedule a family visit so that they can see their children or allowing them to talk to them on the phone may help to relieve the shame and guilt associated with this. Often, the client just wants to be heard. Listening to them and creating a space that encourages them to find recovery for themselves will help them to feel as though they are making progress.

4. “I don’t like it here!” Clients will use this excuse when they want to use, but don’t want to say that they want to use. Helping them to find honesty and their true intentions will prevent this AMA from happening. Again, family plays a huge role in preventing AMA. Having the family create boundaries and limiting the resources that they allow the client to have can prevent them from leaving treatment.

5. “I want to get high!” Often, a client will just want to use. Intervention is required from staff to attempt to help the client to see how a life of recovery outweighs the life of using. This is the most difficult AMA to block. Family involvement is key, and sometimes letting the client walk is the right move. More often than not, the client will return because they have nowhere else to go.

Training your staff effective ways to block an AMA is paramount in the treatment experience. Clients will attempt to use any excuse they can come up with to get out of treatment, if they want to use. Drug addiction is difficult however it can be treated with appropriate training. The Addictions Academy offers a modern approach training to help treatment centers better prepare to combat potential AMA risks. Lowering the overall AMA rate for a program will increase completion rates, increase the reputation of the program, and most importantly, increase the chances of sobriety for the client.

Ready to get your team trained?  Call us at 1.800.706.0318 ext 2

Why You Should Consider a Career in Addiction Services


Why You Should Consider a Career in Addiction Services

A career in addiction recovery services can be highly rewarding and bring you a great sense of purpose. Careers within the addiction treatment community are in great demand and these professionals can work for rehab and recovery centers, outpatient facilities, or become self-employed.

Two Important Roles: The Interventionist and the Sober Companion


An interventionist is on the front lines of addiction recovery. They organize, plan, and facilitate the initial meeting with someone who is facing addiction and help put in motion the initial steps to seek treatment. They might be the first professional the person with addiction sees in the process of seeking treatment and the interventionist often works together with friends and family members.

A Nationally Certified Intervention Professional (NCIP) has completed a formal training program as an Interventionist and is distinguished as a top professional in the industry. In addition to learning the skills and job duties of an interventionist, the NCIP program at The Addiction Academy includes training on how to decide if a potential client is a good fit for your services, how to get referrals for new clients, setting up the intervention, working with the family to provide additional support, how to handle a relapse, how to become bonded and insured, and more. These skills can give you an edge over the competition and set your business up for success.

The salary of an interventionist depends on many factors, including the individual case, the amount of work completed to prepare for the intervention, and more. Many interventionists charge at least $500 for an intervention, although top certified professionals in the industry may charge as much as $10,000 for a single intervention.

Sober Companion

A sober companion, also known as a sober escort, works with people who are in addiction recovery programs. Depending on the case, they may work with people at various stages of recovery and perform different duties to help the client stay on track and complete daily living tasks. This can include driving the client to medical and treatment appointments, helping them to run errands, and more. They may help the client with certain tasks during normal work hours, provide around-the-clock support, or be on-call. Through these duties, they provide support, guidance, and accountability to people who are struggling to remain sober during recovery.

Those who have received the Nationally Certified Sober Companion and Safe Transport designation have completed the most comprehensive training available in the industry. The Certified Sober Companion Training Program at The Addiction Academy includes Safe Transport Training, providing you with the skills and knowledge to perform multiple functions as a sober companion.

Sober companions’ salaries vary based on the number of hours worked and the scope of work completed for each client. Sober escorts usually charge at least $300 per day, although coaches who are formally trained and certified may charge up to $2,500 per day.


Six Great Reasons You Should Consider a Career in Addiction Services

There are many reasons why working in the addiction treatment industry is a rewarding and beneficial career. Here we will take a look at six great reasons to consider becoming certified as an Interventionist or Sober Companion.

  1. You Will Be Helping Save the Lives of Others

Addiction can jeopardize everything in life, including jobs, money, relationships with friends and family, physical, emotional, and mental health, and more. Many people who choose a career in addiction services have seen this first-hand, because they know someone who has faced addiction, or they have overcome addiction themselves. When you choose a career in addiction recovery services, you will be working to help improve and, in some cases, save the life of others.

  1. You Can Use Your Personal Experiences to Help Others

Working as part of the addiction recovery community is not for everyone. This highly rewarding industry can also be challenging. You will be working with people who are facing addiction, family and social problems, financial hardships, physical and mental health issues, and more. To be highly successful in addiction services, you need to bring together both personal experiences and the right training.

When you complete the NCIP or Sober Companion training programs offered by The Addiction Academy, you will receive the training and formal education needed to become a successful addiction services professional. Combining this training with your own personal experiences and knowledge will allow you to provide services that are empathetic, supportive, and create successful results.

  1. You Will Be a Part of Positive Outcomes

There are many jobs where people never get to experience the outcome of their work. Imagine someone is having a medical emergency in a public place. Someone calls for 911, a firefighter is the first responder and performs CPR, an EMT rushes them to the hospital, the receptionist at the emergency room gathers all known information, and the triage nurse organizes their transfer to the intensive care unit. Most of the time, none of the people in this scenario will find out what happened to the person who needed care. These people were part of the outcome, but they usually do not get to experience the satisfaction of seeing the person recover.

When you work as an Interventionist or Sober Companion, you will get to be a part of positive outcomes as they happen. You will work closely with someone who is overcoming addiction and watch in real time as they make progress towards their goals.

  1. Becoming Certified Gives You an Edge

There is no national certification requirement for an Addiction Interventionist or a Sober Coach. However, some employers require these professionals to have completed a certification course to be eligible for employment with their facility. Completing a formal training program can give you an edge, making you a qualified and prepared applicant and opening the door to work for a variety of employers. The Addiction Academy also hires many professionals from within after they complete their certification and become fully licensed and bonded.

  1. The Industry is in High Demand

According to recent statistics, there are around 20 million Americans facing drug addictions. Almost half of these people are also facing a mental health disorder which can complicate their treatment. In 2017, more than 1.6 million people successfully completed their treatment plan at an addiction facility. The average length of the treatment plan varied from five days for detox programs to 90 days for outpatient opioid treatment, although the length of the treatment plan can vary widely based on what services are needed. Right now, there are around 16,000 addiction recovery and treatment centers across the United States.

So, what does all this mean for you? It means that there are millions of people who need help overcoming addiction and many of them are seeking treatment at thousands of facilities across the country, making addiction recovery and treatment an industry in high demand.

  1. There Are No Prerequisites 

When you choose to complete your studies with The Addiction Academy, there are no prerequisites to enter the program. This allows you to start your career studies right away, without spending additional time and money before you join.

The Time to Get Started is Now

If you are looking for a career that is rewarding, allows you to use your personal experiences and knowledge, and is in great demand, addiction recovery services may be the right choice for you. When you work within the addiction treatment community, you will be working to save the life of others and be a part of positive outcomes. While the industry lacks a clear nationally recognized training requirement, a certification from The Addiction Academy will give you an edge over the competition, designating you as a highly trained and qualified applicant, opening the doors for you to find a career with a variety of employers. If you choose self-employment, a certification distinguishes you from other addiction recovery workers who lack a formal certification, bringing you to the forefront of the industry.

Reach out to our elite team TODAY!  Call 1.800.706.0318 ext 2 or visit us at and complete the information form.


Faculty Showcase Book Release: Winning Against All Odds, by Kevin Parker



The Addictions Academy is extremely proud to showcase one of our top-level faculty instructors, Kevin Parker!

Winning Against All Odds, by Kevin Parker

KevinKevin Parker was given a second chance at life after a devastating drug overdose that led him to a three-week coma. He awoke to a dismal reality: he was in the hospital, hooked up to machines that were keeping him alive. He was completely immobile and was unable to breathe on his own. He couldn’t speak or even write to communicate.


The doctors didn’t give Kevin much hope for recovery. They warned his family that he might not make it out of the hospital alive. What the doctors didn’t know is that Kevin is a fighter. This deepest, darkest hour of his life only served to make him stronger physically, mentally, emotionally, and spiritually. For four excruciating months, he waged a battle for his life. In the process, he lost his left leg and sustained irreparable nerve damage throughout his body. During this trip to hell and back, he decided that he would break free from the chains of addiction and design a life full of purpose. He committed to helping others create a life that they truly love to live. He embarked on a spiritual journey full of self-development, education, and growth to become one of the world’s leaders in addiction recovery.


Kevin has studied under John Maxwell, Tony Robbins, and Dr. Cali Estes, and is now an expert speaker, coach, and trainer. He uses his life experience and never-give-up attitude to inspire and motivate his clients to win against all odds. He shares his knowledge with audiences around the world to help them unlock their true warrior within. In Winning Against All Odds, he will give you the tools to overcome any obstacle you might encounter. When you turn your biggest weakness into your greatest strength, you will find that you are truly unstoppable.




Kevin is a certified coach in many modalities and has trained with the top leaders in self-development to further expand his knowledge on the subject. He uses all his training and experience to relate and serve the clients he works with as an addiction coach. He speaks to kids in schools and deters them from ever using drugs in the first place. He volunteers in the hospital and helps amputees and recent overdose patients cope and assimilate back into society. Kevin Parker’s life revolves around helping people create a life they love to live while being clean and sober and living with true purpose.


Dr. Cali Estes featured on Medic2Medic Podcast to discuss her unique First Responder training program


Dr. Cali Estes featured on Medic2Medic Podcast to discuss her unique First Responder training program

First Responder

Did you know that 25% of police officers have an addiction and 37% of emergency medical personnel suffers from PTSD? Join us in helping them combat these issues within themselves, their coworkers and helping them work with the public in a more informed and educated manner.

Listen to Dr. Cali Estes featured on this podcast Medic 2 Medic, regarding her work with first responders. The Addictions Academy and Dr. Cali Estes were awarded the largest federal grant to train first responders in the state of Alaska and they have trained all the police departments in New Jersey and they have trained first responders in Florida. Please listen to the podcast below and contact us if you would like to have us train your organization in any of the topics like mental health and substance use disorder which have increased 30 to 40%.

The Addictions Academy is pleased to offer a first responder training to all police officers, EMTs, EMS, firefighters, and police departments. Dr. Cali Estes is the creator of the first and only five hour training that targets substance use disorder and mental health in first responders amongst themselves, how they deal with the public, and how they deal with coworkers that might have a mental health or drug and alcohol addiction.

You can find more on the training by clicking  HERE

Make The Addictions Academy YOUR Choice for Certification and Training!



By now, you have probably heard of The Addictions Academy, as we are the leading educational institution for certification in Recovery Coaching and certification in Intervention. One of our very popular classes most recently, is our Nationally Certified Sober Companion class. With Covid and addiction and substance use disorder going up 30% and mental health issues going to 40%, it is imperative now that we have more trained people that can provide quality services to clients that need them. Sober Companions are able to travel with their clients wherever they go for support in real-time. They are able to assist their clients and not just with thoughts and feelings, but also action steps and follow through with any treatment plan protocols that may have been put in place by the therapist or treatment center. Sober Companions can be an invaluable tool for anyone that wants to stay sober, but has trouble staying sober in their home environment.
While the idea of going away to treatment for 30 days has been the norm for years, it has a 95% failure rate because the issues at home haven’t actually been addressed in real-time. It’s cute to talk about what your future looks like while you’re in a treatment bubble and you’re ushered from group to group and your meals are provided and you’re in a safe space. The hardest thing you have to think about in a treatment setting is what you’re gonna wear that day and if you’re going to put sugar in your coffee or not. When you go home though it’s completely different because you’re dealing with all of the problems you had when you left. All of the stressors you had when you left, the work environment and the home environment are exactly as it was when you left. Now that the bubble is gone and you’re expected to get out of bed, go to work, pay your bills, cook food, take care of the kids, etc. It becomes overwhelming. And generally, people go back to using drugs and alcohol within 30 days of leaving a treatment center.
A sober companion can absolutely help with this and our trained Sober Companions make anywhere from $800 per day up to $2500 per day, providing around-the-clock services with their clients.

Maybe you don’t feel like traveling with your clients and want to work by phone or Skype? We can actually train you to become a Certified Recovery Coach or a certified counselor where you can work by phone and Zoom, called telehealth, and you help your clients over the internet platform. Helping clients and meeting them where they are is a key for them to stay sober. A lot of times they do not have access to resources because their insurance won’t pay for it so they decide to look elsewhere. Also if the average going rate of a treatment center is $30,000-$40,000 or more per month, it is much cheaper for them to hire a recovery coach or therapist at $250 per hour. We offer both of those trainings and certifications at the  National and International levels.
Our International Master Addictions Coach (IMAC) program is even more comprehensive. It is 125 hours and includes 10 different styles of coaching and 25 weeks of online Mentorship by master coaches. If you desire to be well-rounded and understand all different types of addictions such as food addiction, shopping addiction, Internet addiction, and be able to handle all of those things, we offer that in one platform. This type of platform is thoroughly comprehensive and also includes a marketing program to help you get your business off the ground and your client book full.
With over 30 different classes to choose from, we offer continuing education units and we have been awarded the largest grant in Alaska and Nebraska for training different individuals including first responder training. Check out the video above and let us know what other questions you may have. We would be more than happy to assist you with any questions on helping to get your career started. If you watch the video and have read this blog, give us a call mention it and you will get one free class valued at $999 when you sign up for one at $999 or above. Our phone number is 1-800-706-0318 ext. 2 and the website is