Contrary to popular notions, drug and alcohol treatment works. Drug and or alcohol abuse is a form of self medication for underlying psychological issues. In some cases, these psychological concerns have been correctly diagnosed. Most times they are not. Treatment, whether it is done on an outpatient or inpatient basis, can be very effective, depending on a variety of factors. What we are really dealing with here is a form of mental illness. And coping with mental illness requires proper diagnosis, therapy and changes in thoughts and behaviors. Treatment for drug and alcohol abuse does work. It is a continuing process which takes time, effort and a willingness to accept its imperfections.