Tag Archive for: clients

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

How do you keep clients engaged in addiction treatment, so they complete the program?

How do you keep clients engaged in addiction treatment, so they complete the program?

What You Need to Know About AMA/APA Block training


AMA/APA Block trainingI just spent the past two weeks traveling around the country teaching a class called AMA/APA block training for addiction treatment center staff. I trained three different treatment centers in California, one in Kentucky and one in Indiana, on how to keep people in treatment for a longer period of time. The problem with treatment centers is there is a 95% failure rate because people get irritable, restless, discontent, and leave early without actually finishing the medical and clinical programming.

Many treatment centers are not trained and equipped on how to try to keep them engaged into treatment and it causes a crisis within the milieu when somebody wants to leave. Counselors, therapists, behavioral health tech staff, and even the director of operations end up blocking the client from leaving and then end up blocking multiple clients from leaving, because they always want to leave in pairs. When this happens, it causes a disruption and causes all of the staff to stop their daily activities and duties and run to the client that wants to leave. Groups get missed, paperwork does not get done, and individual sessions get cancelled. I created this class specifically to help the staff understand terminology, tips and tricks to block the client from leaving without causing a disruption within the normal programming, while retaining the client for a longer period of time.

Since there was nothing available for training, we are the only provider of the AMA/APA block training class in the world. I have personally trained over 350 treatment centers in the past 10 years, utilizing these techniques on how to intervene correctly efficiently and easily before the client wants to leave. The key is to understanding what the issues are within the treatment center and moving certain small things around and utilizing different talking techniques and body language to understand where the client is coming from, what the issues are, and how to stop them before they get out of hand.

Here are a few tips from my training:

Tip One: Take the mood temperature of the clients on a daily basis. If you know where everyone is at mood-wise you will know what their behavior will be. We know that a feeling leads to a thought, leads to an action. If you know what the clients are feeling and thinking, and you can get a handle on that on a daily basis, you drop your AMA/APA rate significantly. This class has many different components that will teach the clinical staff, the behavioral health tech staff, and any of your leadership team, on how to provide these tools before the client decides they want to leave.

Tip Two: Use strategic open-ended questions. We tend to give directives like ‘go to group’ or ‘you need to stay because the consequences are dire”, but this doesn’t work. You need to use the 6 open ended questions to elicit real thought and change. We cover these in class.

Tip Three: Engaging groups. The amount of groups that clients encounter that are boring, antiquated and simply talk or visual is astounding. You need to engage all the senses in a group to keep clients interested and plugged in.

Tip Four: Validate your clients. Many clients feel herded like sheep from activity to activity. You need to validate their thoughts and feelings to elicit real change and completion of the treatment protocols.

Professional Value of our APA/AMA Block Training
• Learning the Proper Language to use to end the AMA/APA.
• How to build rapport with the client before during and after the intervention process.
• How to refer out and build referrals with partner Centers.
• Key Questions to ask the person to stop the AMA/APA.
• Increase Return on Investment (ROI).
• Handling the angry and obstinate client.
• Proper use of Assessment Tools.
• Service Coordination for Client Retainment.
• Objections 101.
• Reducing the AMA and APA Rate from the beginning, not just in crisis.
• Overcoming Objections to Treatment.
• Dealing with the desire to ‘just get high”.
• Handling guilt, remorse, and self-sabotaging behaviors.
• Body Language Techniques/NLP
• Stages of change
• Active vs. Passive Listening Skills

More on the class can be found HERE and you can call us at 1.800.706.0318 ext 2 to book your treatment center today.

Reviews on the class HERE

CBS News Reports: One-of-a-Kind Online Directory of Addictions and Mental Health Professionals Now Available

New One-of-a-Kind Online Directory of Addictions and Mental Health Professionals Helps Find The Right Expert or Center and Quickly Connect Through a Secure Platform

Wednesday, January 13th 2021, 12:48 PM PST

The Addictions and Mental Health Directory has assembled a world-class collection of therapists, counselors and coaches to offer and unique, resource to connect those looking for certified mental health and addictions treatment professionals.

Dr. Cali Estes, The Addictions Coach and Founder of The Addictions Academy has collaborated with leaders in the mental health field to launch the first-ever Directory of Addictions and Mental Health Professionals available online. They have assembled a world-class collection of mental health, substance abuse, and addiction recovery experts in one, easy to navigate resource. The ever-growing Directory is an efficient and effective guide for families or individuals seeking highly qualified help and services.

Explaining this special Directory, Estes said, “Imagine taking the nation’s highly acclaimed mental health and addiction treatment professionals, putting them into one place, and making it easy for those who need help to find and connect with them. That’s what we’re doing.”

The Addictions and Mental Health Professionals Directory offers the only resource of mental health and addiction professionals that is not only for therapists, it offers all the professional modalities and facilities families and individuals may be seeking.

A recent article in the New York Times highlighted many of the increased challenges the United States has faced during the Covid-19 pandemic. Titled ‘Relapsing Left and Right’: Trying to Overcome Addiction in a Pandemic, the article focuses on how substance-abuse centers are shutting and relying on virtual programming, just as more and more people turn to drugs and alcohol.

“Several studies have shown that binge drinking has increased during the pandemic, and a recent report from the Centers for Disease Control and Prevention cited a “concerning acceleration” of opioid-related overdoses last year.”

Dr. Estes reflected, “While we’ve seen a rise in substance abuse because of isolation issues, relationship challenges, and financial stress, many treatment centers have closed down or are limiting in-person visits.”

“That’s why we decided to create this valuable index of resources, so people could quickly and easily find certified and quality support,” Estes said. “All within a few clicks.”

continue to the full article:


Visit https://www.addictionsandmentalhealth.com/   to learn more about this unique and vital directory!

Looking for the RIGHT person, is that YOU? What it means to be a Recovery Coach



Looking for the RIGHT person, is that YOU?

Being a Nationally Certified Recovery Coach takes a very special type of individual.

Becoming a Nationally Certified Recovery Coach takes the type of individual who thrives by working for themselves.

Becoming a Nationally Certified Recovery Coach takes the type of individual who cares tremendously about saving the lives of struggling drug addicts.

Becoming a Nationally Certified Recovery Coach takes a strong individual who is not scared to tell it like it is when it comes to what’s best for their struggling client.

Becoming a Nationally Certified Recovery Coach takes the type of individual who isn’t scared to set their own prices and knows what they are worth for their services.

And last but not least, becoming a Nationally Certified Recovery Coach takes the type of individual who doesn’t let the constant negativity in the addictions industry and “Recovery Community” bring them down or affect their performance and skills when it comes to getting people clean and sober and keeping people clean and sober.

What I’m trying to say is that becoming a Nationally Certified Recovery Coach takes a very strong-minded and caring individual who isn’t afraid to dig deep on the front lines of addiction and put forth every ounce of skill and knowledge that they have learned to make a difference for their clients. But with all of the tough traits that our Nationally Certified Recovery Coach needs to possess, there are so many rewards that a recovery coach will receive while saving the lives of their clients and directing them towards a productive life of sobriety.

So if you are a strong-willed and strong-minded individual who would love to help a struggling drug addict and save lives on a continual basis then becoming a Nationally Certified Recovery Coach is the career choice for you. We here at The Addictions Academy have the addiction industry’s top Nationally Certified Recovery Coaching program and have been certifying the industry’s most highly skilled recovery coaches in the industry today.

Please contact us here at The Addictions Academy ® – Call 1-800-706-0318 ext 2