Book Review: Help At Any Cost

A string of residential drug treatment programs for juveniles based on the "tough love" principle has been abusing children — and occasionally killing them — for three decades now. Some of them have been moved off-shore, and beyond the reach of U.S. regulators, after the authorities here got wind of what was going on.
(It won't surprise you to know that many of the program operators have strong Republican connections. Mel Sembler, for example, founder of the notorious Straight, Inc., is a major Republican fundraiser and was GWB's ambassador to Rome; his wife Betty chaired Jeb Bush's gubernatorial campaign.)
Maia Szalavitz, a careful, thoughtful, and completely relentless reporter, has been sending a little bit of "tough love" back at those programs for some time now. Their operators must have been dreading her new book, Help at Any Cost, which has an official publication date next month but is already available for pre-order.
I've read it in galleys, and it's a truly devastating document. Not a fun read: Szalavitz's unadorned prose focuses unsparingly on the suffering of the victims, and the perpetrators, like the Semblers, mostly get away with their crimes, so there isn't even the grim satisfaction of seeing the bad guys eventually take a fall. The early reviews, such as this one from the on-line version of Library Journal are favorable.
Without a major publisher behind it and with some powerful people threatened by it — according to Radley Balko, Straight, Inc. bullied Fox News into pulling his expose column on the program -- a book like this risks going unnoticed. Pre-orders on Amazon and BarnesandNoble.com are now crucial in determining booksellers' decisions about what books to carry. So if you're inclined to read this — or to send it to your favorite public official or journalist — I'd encourage you to order now.

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  • Help at Any Cost Help at Any Cost

    A investigative exposé of the brutal conditions in treatment programs for troubled teens, fueled by rigorous reporting and shocking first-person accounts. The troubled-teen industry, with its ...

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  • 1 - Elvira Black

    Jan 26, 2006 at 12:32 am

    Your review, and the book in question, bring to mind the notorious "rehab" cult Synanon,and the "Synanon game," which I believe was adopted by many rehab programs and may still be in use at some.

    This, from what I understand, involved humiliating members by having one member from each group therapy session be the target of relentless criticism and ridicule--which did not have to have any basis in the victim's actual actioins or behavior. To my mind, this is a classic technique used by most cults to cow members into blind loyalty and obedience.

    Thanks for a great review--this book indeed sounds like a must-read to me.

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