Drug treatment centers—are places of healing. Let’s be clear about what a drug treatment centers are not. They are not, importantly, the squalid horror shows depicted on television and in popular movies. They are not run by callous nurses, or sadistic doctors. They are not filled with dank rooms and ill-lit hallways; their walls do not echo with the plaintive moans of anguished patients. That sort of fantastic imagery makes for good entertainment, but—thankfully—it’s a far cry from reality. As is so often the case, Hollywood has it all wrong.

Drug treatment centers—real drug treatment centers—are places of healing. Places of growth. Places where recovering patients can lose the scars of their old addictions, and take the first steps on the road to a new life. The treatment center taboo is anything but a sound one; there’s nothing to hide, nothing not to talk about. Recovery is by no means an easy process, but it is—can be, in the right environment—a joyous one. Drug treatment centers, more than anything, are bastions of hope: hope hard and unrelenting; hope challenged and defiant; hope honest, most of all, and resilient, no matter how difficult the course or how rocky the way.

In practical terms, that hope finds its structure in a handful of distinct drug rehab treatment center models. The unique organizational formats correspond to specific phases of the recovery process, so that an individual patient may spend time in a number of different “types” of center—detox, primary care, extended care, halfway house, 3/4-way house, sober house—en route to his or her final state of health. Understanding each type in turn is important for anyone determined to overcome addiction.