"She may have an experience where she realizes a stark choice between her kids or drugs, but, unless she's with someone who understands the nature and after-care of this drug, the effects can wear off," said Ross. "Rarely would an experience like this, without post-therapy, cause long-term recovery and sobriety."
And other experts agreed. No matter the initial treatment, addicts are doomed if they don't participate in rigorous follow-up treatment and structure to continue on the path of sobriety.
"Sad, truly sad, both for her, and the children, in particular," said Dr. Scott Basinger, associate dean of extramural affairs at Baylor College of Medicine. "[I] feel that her multiple relapses are a failure, not of the rehabilitation programs she has attended, but of her total unwillingness to follow an aftercare program."
Basinger noted that rehabilitation, whether "extreme" or in a conventional program, is only a "band-aid to the disease of addiction."
"Without a well designed post-rehab program of therapy, 12-step meetings, and a serious, total commitment to not only [to] get sober, but stay sober and make recovery the number one priority, relapse is almost inevitable," said Basinger.
"This is particularly hard with those in the limelight," said Angre. "For anyone with a history of multiple relapses following treatment, it is often necessary to have a very extended stay that might even include a supportive living environment-- not seven days, but perhaps seven months is a better idea in my estimation."
"One must go to any lengths to make long-term changes," he said.