"With the news last week of country star Mindy McCready’s suicide by gun, the death toll among Dr. Drew’s Celebrity Rehab patients now stands at five, giving the show an unusually high mortality rate of nearly 13%. But what’s even more disturbing is that most of those deaths—possibly even McCready’s—might have been prevented if the program had utilized treatment practices proven to be most effective.
"Although Dr. Drew appears to truly believe in what he does, addiction experts say that the treatment philosophy and policies demonstrated in his show and public statements often do not reflect the best evidence-based practices. His rejection of maintenance treatments, use of punitive detox practices and humiliating therapy and insistence that people cannot truly recover without complete abstinence through 12-step programs reflect the conventional wisdom of the 1980s, not the data of the 21st century. Indeed, Celebrity Rehab’s treatment—leaving aside the massive confidentiality violation of being televised—diverges dramatically from the National Institute on Drug Abuse’s (NIDA) Principles of Drug Treatment, a guide that lays out standards for the best addiction care.
"Seizures and other behavioral consequences of Pinsky's tough-love, no-medication, abstinence-only approach make for high drama, which is why some detractors have argued that Celebrity Rehab may put entertainment ahead of the most effective treatment—and even safety. For his part, Pinsky argues that drama is the only way to attract viewers. He told The New York Times in response to criticism of such practices by other addiction specialists that “the problem with my peers is they don’t understand television…you have to work within the confines of what executives will allow you to put on TV.”
"O’Brien says that allowing people to suffer by abruptly stopping methadone is unethical. “It's a moral thing, and it doesn’t have anything to do with recovery,” he says. “Why should we be sadistic and want people to suffer just because they’ve become addicted? There’s not a shred of evidence that it’s good. This has absolutely no benefit.”
"On day two of Starr’s detox, Pinsky describes his withdrawal as “so bad that he’s becoming confused, paranoid and rageful.” However, the doctor apparently does not slow the detox process to ease these symptoms. Indeed, as Starr kicks things, curses at the staff, makes obscene gestures and demands the cameras be turned off, the production continues, ignoring what appears to be a removal of consent to tape.
"This is apparently news to Dr. Drew, who tells patients that “methadone takes your soul away,” which can’t mean that he thinks methadone is consistent with sobriety. When questioned about this statement, he told VH-1, “If you get enough for it to work, you’re just on the couch. You can’t do anything.”
“That’s completely false,” O’Brien says. “We’ve had people on methadone going back to school, practicing law. There's hard evidence that methadone saves lives and probably a lot of souls, too.”
“Where I get really annoyed is when people say that they ‘don’t believe in’ medication or that it’s ‘against my philosophy,’” O’Brien says. “That’s not scientific. Maintenance has saved thousands of lives. People who have this prejudice are engaging in unethical behavior.”
"If someone were providing care on national TV for years that was as far away from what experts recommend for any other condition, it wouldn’t take a journalist to bring the misleading claims to the experts for debunking, especially after someone dies. But addiction still isn’t really seen as a disease where research evidence should determine the best treatment. Instead, it’s a matter of “philosophy” and faith. You can say, “Methadone steals your soul,” and still get a national TV show and be quoted every time a celebrity relapses—and no one even reports until after a death that all of the major bodies on addiction medicine disagree.
Is Dr. Drew Too Dangerous for Prime Time? by Maia Szalavitz