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Bob Dyer: Costs for rehab outrageous

The following year, 51 people died of opioid overdoses in the county. Sacramento was home to nearly 1.2 million opioid prescriptions in 2016. That’s a lot of potential customers for detox facilities to draw in. During the January hearing, Sen. Richard Roth held up a newspaper story from the Orange County Register about 21-year-old Dillon DeRita, who died of a heart attack just two days into treatment at the privately run Pacific Coast Detox in Costa Mesa. The Register reported that video from the facility showed treatment workers checking on DeRita, finding him unresponsive and then walking away without calling for help. “I don’t have to tell you that this is outrageous and can’t be allowed to continue,” Roth said. Senella agreed, saying, “Much of the abuse we hear about in the news has nothing to do with the public sector.” One person watching the testimony was Thomas Renfree, deputy director of substance use disorder services for the County Behavioral Health Directors Association of California. Renfree told SN&R this week that the problems with private treatment facilities are no exaggeration. “You’ve got some bad operators in the private system,” Renfree agreed. “It’s an area that’s pretty much unregulated. … And, in many cases, when people’s insurance runs out, they’re quickly shown the door.” But Renfree was also careful to point out that some private treatment centers choose to operate at high standards, even though they’re not required to. “Undoubtedly there are some good private programs,” he added. “It’s a shame that some of them are giving a black eye to that entire system.” One of the more brazen approaches taken by unscrupulous treatment providers, Senella explained, involves the rise of “addict brokering”—a process where marketing companies identify substance abusers with health insurance and then help recruit those addicts into private treatment centers in exchange for a fee. The phenomenon often includes the brokering companies sending scouts to methadone clinics or approaching wealthier addicts under the guise of “life coaches.” In other instances, brokers use targeted advertising on social media. Senella said that, much to his dismay, Tarzana Treatment was getting numerous calls from addict brokers every month. Lou La Monte, a Malibu councilman who also sits on the Los Angeles Commission of Alcohol and Drugs, didn’t even call the practice addict brokering, but rather “body brokering.” “It’s becoming an overwhelming issue,” La Monte told the committee. Pete Neilsen, CEO of the California Consortium of Addiction Programs and Professionals, testified that members of his organization considered such brokers guilty of “the despicable practice of selling clients.” Senate Bill 636, by Gardena Democrat Sen. Steven Bradford, would ban addict brokering in California.

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