I rarely reply to the comments section in my blogs, but today I just wanted to share some reflection. I feel a treatment center willing to pursue research determining if their efforts are effective, and agreeing to allow the results to be shared publicly, deserves nothing less. But regardless, I want to start by saying thanks for replying. And for the most part, your concerns and theories are legitimate. But to be clear, many of the critiques you put forward were answered in the blog and in the research report. The main point I was attempting to share, with today’s demand for evidence-based therapies, treatment centers similar to ATMC should try their best to produce evidence more objectively documenting the level of success they are experiencing or producing. Furthermore, relying on what I call “sample of one” anecdotal case studies, does not benefit an effort to improve such care nationally or provide enough evidence to discredit the findings of inferential statistical analysis utilizing more than one hundred cases. Such larger scale research or statistical analysis efforts are essential so that one doesn’t wrongly assume that a few negative or even positive reviews accurately reflects the overall success of a treatment center. Additionally, such research is beneficial for continuous improvement efforts, discovering what is or is not working, and most of all, helping clients feel more confident in their personal chances for success. But as I share in this blog, when working with individuals who have unfortunately entered this world of pharmaceutical reliance, there will always be the possibility of numerous clients not experiencing success, or for that matter, having a horrible experience. As I share in the blog, and as you share here, many of the challenges these folks face before entering treatment, will still be waiting for them once they leave the treatment center. But ATMC has treated more than 1,600 clients since opening their doors. We reached out to 300 who had been treated in the last several years. About 100 replied with complete data capable of being included in the analysis. And with discovering that 87.5% were able to reduce or end dependency all together, that means there are probably 200 additional individuals out there that might feel the treatment at ATMC was not effective. But such percentages also suggest that there are possibly 1,400 individuals who would disagree and instead share success stories of how ATMC helped them. Additionally, the blog explains that we did look at more than if they reduced the level of pharmaceutical drug use. More than 83.5% reported they also had experienced improved and sustained levels in the long lists of negative symptoms they were experiencing. More than 71.9% reported improved and sustained social relations and interactions. And more than 75% reported experiencing improved and sustained quality sleep patterns. So again while there might be some (16.5% to 28.1%) that did not experience such improvements beyond reducing their dependency on pharmaceutical drugs, 71.9% to 83.5% of the 1,600 would theoretically report good news connected to the help ATMC provided. Additionally, the survey allowed for qualitative feedback from the past clients. So much so, that I didn’t have enough room in the limited word count to include such information in the blog. And while a few reported shortcomings they experienced as well as dissatisfaction with some aspects of ATMC’s efforts, they also politely shared ways that ATMC could improve their efforts. Many, however, did report great satisfaction and shared their gratitude for the help ATMC provided… aka sharing what it was like at ATMC. Here are a few of the dozens shared: “Overall, I am grateful to ATMC for the care they provided and continue to provide.I have met a lifetime friend… and continue to Skype with her regularly since leaving ATMC. The love and care and so many aspects of the program are solid and extremely valuable.” “I loved the program. I was there for only a month…” “I would love to come visit! Maybe you folks could give me a job :)” Again, this blog mainly was intended to help treatment centers look at how pursuing a research agenda can be much more reliable and valid, accurately informative, than a few negative online reviews. It was also intended for those seeking help. I wanted to illuminate how to better determine what evidence is needed to help them make an educated decision on where they could find the best support that has the best potential for addressing their specific needs. In my experience working with ATMC, I have met numerous caring administrators and staff who just want to figure out how to improve what they are doing to increase their clients’ success. Is there room for improvement at ATMC? Of course there is. That is why they asked me to do the research. I greatly respect and appreciate Mad in America and their loyal readers. But I also believe in science. And while I admit within the blog the limitations this research encountered during this initial research effort, I stand behind the statistical results shared. Sincerely, I am sorry to hear about your friends, and can only hope they have found or will find the help they need. But critiquing a treatment center based solely upon a personal case you might be aware of, and dismissing the bigger picture findings reflecting what combining 100+ individuals actually provides, is not going to help the field move forward on finding the best way to help folks kick the meds, and more importantly enjoy a better life. Many individuals cannot make such progress on their own. The great friend I lost was one of them. And please forgive me, but I believe we need to help the centers trying to do some good, do even better.