What's going on is most if not all drug treatment programs in Alaska are not evidenced-based.  Most 12 step peer support programs do not work, only about 6 to 8% efficacy.  Detox which takes about 7 to 10 days, THEN medication assisted abstinence PLUS  Cognitive Behavior Therapy (CBT) over the next year at least.  In-patient to survive the detox and initial withdrawing from residual physical symptoms THEN intensive out-patient CBT is evidenced based.  12 Step peer review are good complimentary support frameworks but NOT for initial detox and intense examination of the psychological basis from which addiction is a symptom.