Detox Centers - Alcohol Detox and Drug Detox Centers

Substance abuse can cause profound changes in brain and body chemistry. One of the first priorities for detox centers is to remove toxic chemicals and their byproducts from an addict's body. Alcohol detox centers provide support and medical supervision during the first few hours or days of sobriety, when withdrawal can be physically overwhelming, or even dangerous. Drug detox centers follow a similar methodology as they seek to help users quit addictive substances in a professional, safe environment often accompanied by extensive counseling and therapy.

We are a FREE treatment referral concierge service that provides a Free Confidential Assessment and Insurance Check! The Treatment Specialist offers the gold standard of addiction, mental health, and eating disorder treatment center referral and placement services. We will identify the best program for you and your type of insurance. If you or your loved one is tired of calling facility after facility and are not able to find one to meet your specific needs, we can help! With over 10 years of experience working in treatment centers, we have developed partnerships with quality programs across the globe that range from evidence based, 12-step, non 12-step, holistic for both teens and adults. When you call The Treatment Specialist you will receive the personalize service and get the help you deserve today.

At Wilmington Treatment Center, comprehensive treatment is provided by multidisciplinary teams of talented and dedicated professionals, including an ASAM-certified medical director, a licensed certified marriage and family therapist, licensed masters-level clinicians, certified substance abuse counselors, a licensed recreational therapist, a certified art therapist, registered nurses, physician assistants, and other specialists. Licensed as a hospital and featuring a medical director who has experience as an oncologist, internist, and general practitioner, our program is uniquely prepared to care for patients whose chemical dependency is accompanied by complicated medical needs.

RiverMend Health is a premier provider of scientifically driven, specialty behavioral health services to those suffering from alcohol and drug dependency, dual disorders, eating disorders, obesity, and chronic pain.Founded on the belief that addiction and obesity are the nation’s most pressing healthcare challenges, the company brings together the world’s preeminent experts and a nationwide network of rehabilitation facilities to conduct evidence-based treatment, research, and education. Please Call (844) 687-0586 for more information.

Sunrise Recovery Ranch is a unique place of hope and healing, where men and women who have been struggling with addiction and certain co-occurring disorders can receive the comprehensive care that will empower them to live healthier and more satisfying lives, free from the limitations of chemical dependence.In order to provide all-inclusive treatment for everyone who is entrusted into our care here at Sunrise Recovery Ranch, the programming offered includes the following: Detox, Women's Program at The Ranch and Men's Program at The Ranch. For more information about detox or treatment within the Women’s Program or Men’s Program, please do not hesitate to contact us at your convenience. We look forward to having the opportunity to answer your questions and help you determine if Sunrise Recovery Ranch is the perfect place for you or someone you care about.

Ranch Creek Recovery is a 6200 sqft private 6 bed luxury drug and alcohol rehab on a sprawling lot with over 4 acres. We focus on holistic alternatives and individual therapy and have a staff to client ratio of 2 to 1. WE ACCEPT MOST PPO INSURANCE PLANS. Call 877-300-2154

Located in the heart of Chicago, on the calm waters of Lake Michigan, Positive Sobriety Institute is the destination of choice for professionals and others who fit our milieu seeking treatment for their addiction. Led by renowned addiction specialists who design comprehensive and individualized, science-based treatment plans, Positive Sobriety Institute specializes in addiction assessment, rehabilitation, and recovery services for drug, alcohol, pain medication abuse, sex addiction, gambling, food addictions, and mental co-disorders. Please Call (877) 713-0364 for more information.

At Summer House we believe that each individual is unique. We allow people to be themselves & at no time do we judge them or become critical. We keep our patient's dignity intact by not letting them become sick from withdrawal. We have a very relaxed ambience where we give potent medication every four hours to make detox as gentle as can be. Our facility is reminiscent of a home away from home where you can safely & comfortably begin the process of becoming sober. You will not experience the cold turkey detox feeling while with us. Call us 24/7 888-DETOX-123

Serenity House is a recognized leader and a top drug and alcohol detox center in Florida. We provide highly individualized detox programs for people with alcohol and drug addictions. If you are struggling with substance abuse we can help. We WANT to help. At Serenity House, our focus is on the underlying causes of your addiction, not just the symptoms, ensuring a more comprehensive recovery. The expert staff at our detox center can help you put your addiction to rest. For more information Please Call (866) 294-5306.

Bayside Marin is a premiere center for healing that offers cutting-edge, compassionate care in a private, luxurious setting. Renowned the world over for helping individuals overcome addictions, Bayside Marin offers holistic, individualized treatment for substance abuse and co-occurring mental health conditions. For more information please call (866) 258-3454.

Soba's success is world-renowned for treating all types of addictions & alcohol abuse. We treat the underlying issues as a primary concern & offer treatment plans specific to the individual. We recommend 90days or more for success with 1st time & chronic(multiple rehab)individuals. Services include 7-14day medical detox, 30-90day residential, & 6-12mo sober community living. Located in Malibu on the famous carbon beach. Proof that you can get high end treatment without high end price. Most insurance accepted, JCAHO accredited.

Non-12 Step, evidence-based program that heals underlying core issues which cause addiction, anxiety, and depression, among other conditions. Specializing in dual diagnosis. No shame, no guilt - you are not broken. Call today (425) 678-3577

A life of active addiction is a shrinking life of ever-diminishing returns; a life of recovery is an expanding one filling up with love, truth, mindfulness, and joy. For a truly sustainable recovery, a powerful shift of ones core perceptions and belief systems must take place. At BLVD, we believe in a comprehensive approach that combines traditional, time-tested practices with innovative, evidence-based methods. We help our clients create a new life with new circumstances, a new paradigm, new community, and a restored belief in the self.

MOST INSURANCE ACCEPTED! Sovereign Health Group offers high quality and comprehensive Addiction, Dual Diagnosis, & Mental Health Treatment Programs for Adults & Adolescents including support services for the family system. We have multiple treatment locations in the United States. Sovereign Healths treatment programs specialize in addressing the underlying mental health conditions by utilizing innovative and cutting edge cognitive testing, rehabilitation, and evidence based treatment modalities. We accept Most Private Insurances and free confidential assessment. Call today or visit our website to watch or read patient reviews about their treatment experiences at one of Sovereign Health Groups treatment programs. Call our 24/7 Admissions Helpline today (866) 896-4414. Multiple Locations

Elite Rehab Placement takes all of the guess work out of finding treatment. Rather than calling dozens of treatment centers and speaking to their salesperson, let ERP do the work for you. Instead of a high pressure sales call, you'll have a counselor on your side to help you find the right fit, for you, and not for the salesman on the other end of the line. Specializing in finding the best treatment options for all of our clients based on personal wants, needs, financial situation, and insurance coverage. We're able to negotiate with treatment centers on your behalf to ensure you get the best treatment at the right price. Give us a call at (844) 897-4834 to explore your options.

Located in beautiful Orange County, CA, Chapman House is one of the most respected, long-standing, effective and proven treatment programs in the United States. We have successfully treated individuals and their families since 1978. We are CARF accredited and specialize in the treatment of adults suffering from alcohol, substance abuse and co-occurring mental health disorders. We utilize “evidenced based” treatment protocols within our programs, including our patented approach in addressing the underlying causes of substance use and co-occurring disorders. Since 1978, we have offered residential and outpatient services for adolescents in our highly acclaimed Teensavers Program (Teensavers.com). We provide a full range of treatment modalities, including our patented nearly painless detoxification (PAINLESS DETOX ®) component under medical supervision from a physician. We also offer residential treatment center (RTC), partial hospitalization program (PHP), intensive outpatient (IOP) and outpatient (OP) services. Our professional staff is available for your confidential call 24-hours per day, 7-days per week. Do not hesitate to call us at 1-800-451-1959. We will provide you with emotional support you deserve. We will verify your insurance coverage for you within minutes, or verify insurance for yourself on our website free of charge.

Harbor Village was founded with the intent to rescue the nation from drug and alcohol addiction. We foster the nation's patients of drug and alcohol substance use disorders, and restore the lives of addicts who have lost hope for the future. We are devoted to providing all patients, regardless of status or background, the absolute best, at affordable prices, with effective inpatient medical detoxification and subsequent rehabilitative addiction care. We believe every sufferer of untreated substance use disorders deserve a second chance at life. It is with our philosophy we teach clients the management tools they need to reclaim their lives from addiction. Our professional and caring staff are personally invested in the well being of our clients. At Harbor Village you become as essential as the medical professionals who are here to help you, because your successful treatment inspires others to pursue treatment, too. Your life is irreplaceable, and at Harbor Village we want you to know you are well worth every effort in saving. If you've been considering addiction treatment, don't wait any longer to get help. It only takes one time to fatally overdose. Get the help you need and call us today!

CASA Recovery provides top-quality, comfortable detoxification in coastal southern California. Why go to a hospital? Stay in a private home while we help you with your withdrawal symptoms. 30, 60 or 90 day programs are available to add to your detox. A comfortable detox doesn''t have be out of reach; call now about our affordable pricing! Most PPO insurance accepted and financing available.

The staff and management of Futures of Palm Beach is committed to providing an atmosphere of safety, respect, compassion, and dignity at our superior residential facility in Tequesta, Florida. Our program is structured and clinically intensive with an open mind to 12-step recovery and alternative models. A minimum of 3 - 5 hours of individual work is provided each week with Masters or PhD level therapists and Medical Doctors. In addition, case management and relapse prevention work is tailored to the individual needs of each client. This combination, along with an extensive continuing care program, is the most effective outcomes-based model for the treatment of alcoholism, addiction, and co-occurring disorders. A tranquil and elegant setting provides an ideal place for recovery from alcoholism or drug addiction. At Futures of Palm Beach, we set the standard for exceptional care in a world-class facility, where all clients reside in spacious accommodations with private bedroom suites and personal bathrooms. We believe that healing should be nurtured in a peaceful and supportive environment. Futures offers a beautiful and unique setting designed to help you or your loved one, overcome their addictions and co-occurring disorders. Our experienced staff provides the highest level of care, compassion, and therapeutic support combined with superior five-star service and amenities. Please call (877) 381-1723 for more information.

Concentrating on the various private addiction and/or mental health needs of the professional, executive, VIP client, or those just seeking alternative "one on one" private care as an alternative to rehab or never-ending therapy that rarely works, Grey Matters International & Founder, Dr. Kevin Fleming, understands that success doesn't always mean happiness. Customizing unique neuroscience solutions for the "high performing brain," Dr. Fleming, a world class thought leader in the neuroscience of behavior change as featured in the New York Times, CNN, Fortune and other top media outlets, will design your own private care experience for all at-risk/derailment concerns, covering areas such as addiction/compulsive behavior, traumatic brain injury/sports concussive disorder (our neurotech approach for athletes was featured in Sporting News), mood issues, marriage/relationship concerns, family therapy/conflict resolution, burnout/stress, and even enhanced decision making technologies (neuroleadership) for work. From the latest cutting-edge neuroplasticity approaches to the ability to customize your own discreet one-on-one program of work at your home or anywhere around the world, Dr. Fleming is a refreshing option in a world inundated with mediocre rehab and treatment options. Visit www.greymattersintl.com, or CONTACT DR. FLEMING NOW: 1-877-606-6161 or info@greymattersintl.com. NO INSURANCES ACCEPTED, FINANCING AVAILABLE

MOST PRIVATE INSURANCE ACCEPTED. Luminance Recovery is a Joint Commission Accredited Drug and Alcohol Treatment Provider offering detox and inpatient/residential rehab. Luminance offers multiple locations and accepts private insurance plans. Call our Admissions Helpline today for a free confidential assessment and insurance check.

Cliffside Malibu is noted as one of the finest addiction treatment centers in the world with an industry leading, proven success rate. Cliffside Malibu, the flagship facility of the Cliffside Malibu brand, offers the highest quality whole-healthcare available in a luxurious, private setting. We also specialize in treating individuals with co-occurring disorders. Cliffside Malibu leads the way in addiction treatment research and development, offering holistic, complementary health therapies combined with intensive psychotherapy to heal the underlying causes of addiction. These therapies work together to heal the brain, the place where addiction rests, and create the opportunity for a new life without drugs or alcohol. In addition we now offer a full range of services including an affordable care treatment center, along with residential, outpatient, and sober living services. This means that you can get top-notch care at all price points and for all levels of care. Now everyone can afford the highest level of care. Call 800-429-0173 now for a free insurance benefit check.

With a healing atmosphere that is both transformative and life-giving, The Refuge - A Healing Place is where men and women can break free from the emotional pain and strife of trauma, addictions, and mental health concerns. With holistic programming that is centered on the needs of each client, every person who chooses to heal at The Refuge is viewed and treated as a unique individual who is capable of reaching his or her fullest potential. For more information please call (866) 303-9336.

Bluff Plantation is one of the most comprehensive, residential addiction rehabilitation centers on the East Coast delivering evaluations and treatment for alcohol and drug dependency, dual disorders and pain medication addiction.Spanning 178 beautiful acres on the Savannah River just outside of Augusta, Georgia, home of the Augusta National Golf Club and Masters Tournament, Bluff Plantation offers those seeking addiction treatment a discrete, private setting combined with five-star caliber service.Patients receive multi-dimensional, evidence-based rehabilitation modalities from some of the world's preeminent experts in pain and addiction medicine, namely Dr. William S. Jacobs, a nationally recognized pain and addiction medicine expert, triple board certified in Anesthesiology, Pain Medicine, and Addiction Medicine. Please Call (844) 293-5731 for more information.

Serenity House provides both short- and long-term treatment options for adult men and women, ages 18 and above, who have been struggling with substance abuse and chemical dependency. With no more than six people receiving care at any one time, Serenity House offers an intensely personalized treatment experience to all who choose to heal with us. Reflecting our strong focus on holistic wellness, our comprehensive programming is designed to address the physical, emotional, and spiritual elements of addiction and recovery.At Serenity House, patients have the opportunity to work in close collaboration with experienced and dedicated treatment professionals as they progress through an evidenced-based treatment curriculum. In addition to helping men and women end their dependence upon alcohol and/or other drugs, we devote significant attention to helping our patients develop the skills and create the healthy habits that will support their continued recovery and empower them to live a more productive and satisfying lifestyle. For more information Please Call (844) 476-4366.

Capo By The Sea's mission is to guide alcoholics and addicts on the road to stable, long-term recovery. Capo By The Sea helps transform lives by providing the highest quality treatment and continuing care services, customized for the individual.By combining the most current therapeutic and cognitive behavioral methods with more traditional 12-step therapy, Capo By The Sea has consistently shown that a happy, long-term recovery from addiction is within reach for anyone willing to ask for help. CALL NOW: 800-230-2850

At College Recovery we offer young adults various treatment modalities and holistic therapies in order to heal you in mind body and spirit. The Staff at College Recovery is fully devoted to freeing you from addiction, substance abuse and relapse. Our expert team is committed to working with you individually to customize a program that will insure your recovery experience with us is life changing. The College Recovery treatment program is the only affordable program to offer such a high quality of care with so many therapies from such renowned therapists. Each week you will be working with therapists to discover and resolve the real causes of your dependency. College Recovery is steps away from Rutgers campus in New Brunswick, the largest college campus in NJ, and a great place to get sober.. We can help with providing affordable long term housing in a safe supportive and structured environment. DO IT FOR YOURSELF! CALL NOW (800) 724-3612! College Recovery: Young Adult Counseling Services

We offer Evidence Based treatment modalities that focus on individualized treatment programming and a holistic approach. Our programs utilize a neuroscientific model of treatment to assess and treat the underlying psychological conditions, individual chemistry, and medical conditions. The treatment team consists of experienced clinicians and medical staff including a psychiatrist, individual therapist, counselors, and support staff. We take private PPO insurance and also have private pay high end/exclusive programs. Call our confidential Admissions Helpline at 877-443-8602.

Azure Acres has been providing life-changing addiction treatment services for more than 55 years. Of course, our programming has evolved through the decades to reflect evidence-based improvements in the science of addiction treatment, but our commitment to providing the highest quality of care remains as strong today as it did when we accepted our first resident in 1959. By providing person-focused treatment that is based on the time-tested principles and practices of the 12-step recovery model, we have been able to help more than 20,000 men and women take their first steps toward a drug-free future.At Azure Acres, men and women in crisis have the opportunity to work with talented and experienced professionals, most of whom have personal experience with addiction and recovery. This combination of professional expertise, personal understanding, and a decades-long dedication to quality care makes Azure Acres a unique and effective option for men and women who desire to escape the constraints of substance abuse and chemical dependency.

New Method Wellness is something different. We are not your usual treatment center; with an emphasis in individualized treatment programs, New Method Wellness rehabilitation center for addiction and dual diagnosis offers a positive, uplifting program that encourages empowerment through personal growth. Our program, located near the beach, incorporates holistic therapy, medical treatment, individualized programs, and positive results. Our services include residential treatment, outpatient extended aftercare, private rooms, semi-private rooms, private counseling, and medical detoxification. Call today for your personal assessment 866-951-1824.

At Abandon Addiction, we have first-hand experience navigating the complicated maze that is alcohol and addiction treatment in the 21st century. At a time when so many people are struggling with addiction and alcoholism, the founders of Abandon Addiction felt it should be easier for individuals and families to find treatment and obtain treatment that is patient-centered and that fits individual needs and budgets.We have established an entirely free, comprehensive service to assist anyone seeking alcohol or drug addiction treatment in finding the best match to their individual circumstances without getting bogged down or defeated by an excess of options and red tape. By networking with a variety of centers across the country, offering a wide range of treatment options, we are able to narrow your choices down to those programs that fit your unique profile. Call Today! (877) 875-2890!

Capo By The Sea's mission is to guide alcoholics and addicts on the road to stable, long-term recovery. Capo By The Sea helps transform lives by providing the highest quality treatment and continuing care services, customized for the individual.By combining the most current therapeutic and cognitive behavioral methods with more traditional 12-step therapy, Capo By The Sea has consistently shown that a happy, long-term recovery from addiction is within reach for anyone willing to ask for help. CALL NOW: 800-230-2850

Capo by the Sea specializes in creating customized, individual programs, exclusively designed to address the unique needs of the golf enthusiasts we serve. With years of successful treatment experience behind us, we feel our program is ideally suited to break the chain of addiction, and deter behavioral relapse in the future. Upon completing our program, you will have gained a thorough understanding of the patterns that contributed to your addiction. Our structured environment emphasizes life strategies and coping skills for your business and interpersonal relationships, providing you with the tools to restructure those patterns throughout the rest of your life.

Set in beautiful Calistoga, California, Duffy's Napa Valley Rehab is a comprehensive treatment center where men and women can come to heal from addictions of all kinds. At Duffy's, residents are empowered to break free from chemical dependency, and gain the skills they need to live the healthy, vibrant lives they deserve. For more information please call (866) 869-3318.

Gulf Breeze Recovery is a non-12 step holistic program that allows you to drive beyond your addictions and promotes a new outlook on life. We offer a unique and individualized approach for patients who struggle with chronic relapse or have a history of not completing treatment. At Gulf Breeze Recovery we are changing the future of addiction recovery with our non-traditional approach emphasizing total health recovery. In addition, we take an industry leadership position in the number of therapy hours provided. Our waterfront facility features private rooms, medical detox, healthy and delicious meals prepared by our executive chefs, exercise, spa and more! Visit http://www.gulfbreezerecovery.com/ or call (855) 800-1243.

At Abandon Addiction, we offer a FREE treatment referral service that provides a Confidential Assessment and Insurance Check! We have first-hand experience navigating the complicated maze that is alcohol and addiction treatment in the 21st century. At a time when so many people are struggling with addiction and alcoholism, the founders of Abandon Addiction felt it should be easier for individuals and families to find treatment and obtain treatment that is patient-centered and that fits individual needs and budgets. We work with several of the top rehab centers in the country and are able to deal with both them, and your insurance provider, on your behalf, to make sure that you're placed in the best facility for your specific situation. When you call Abandon Addiction you will receive the personalize service and get the help you deserve today. Are you ready? The rest of your life can start today! Don't wait any longer. Call Today! (877) 875-2890!

RECO's mission serves to restore light and color to the lives of those suffering from addiction. Through our experiential and comprehensive treatment solutions, we aim to provide a secure, respectful, and empathetic environment in which individuals can truly recover. Employing our expertise in addiction treatment, we work with individuals and their families to foster a renewed capacity for healing, to rebuild relationships, and to create a blueprint for a better life. As firm advocates of collaborative care, we strive to facilitate each individual’s future in lifelong recovery. In the face of addiction, we are all climbing a similar mountain. When left alone, that mountain can feel insuperable. At RECO, we will not only work to climb that mountain with you—many of us have reached its darkest valleys before. We know where you have been, and will invest every ounce of our effort and limitless compassion to ensure a continuous transformation toward the person you will become.

Most Insurance Accepted! Get Real Recovery offers individualized addiction and dual diagnosis treatment programs for adults in a serene & therapeutic environment. Our approach is to get down the core issues and develop a solid treatment plan utilizing individualized assessments, cognitive behavioral therapy, support groups, goal setting, life skills, stress reduction techniques are among the many elements of treatment. We will work with you or your loved one to help and offer a free confidential assessment, free financial review and insurance check, and personalized care from the first call to graduation. Call Us Today at 866-636-1424

Monarch Shores is the the single point, in time and space, where absolute luxury meets perfectly tailored individualized treatment. With a deep understanding of the recovery process, we personalize treatment for each and every one of our clients to ensure the best experience possible. We're also one of the few true luxury facilities that is willing to work with your insurance provider to cover most, or even all, of your care. Give us a call to hear more about all that Monarch Shores has to offer - 888-894-2281

The Family Center for Recovery takes the patients most treatment centers in the United States can't Why? Because our facility is the only facility in Florida owned and operated by an addiction psychiatrist. We battle substance use and mental health disorders the way it should be done: with a doctor. Every patient with an ailment should receive the expert direction of a medical doctor. The cutting edge in recovery is found in Psychiatry. Brain function is complicated. Yet, with stacks and stacks of research we now know the areas in the brain to repair. It is the psychiatrist who decides what parts of the brain have changed or stopped working correctly. We work with the family and loved ones, and as a unified team we never give up until we have helped the patient to achieve those goals.

Pathways Recovery is a residential inpatient drug & alcohol detox treatment facility located in Northern California near Sacramento. All participants are monitored 24 hours a day and assisted through their detox treatment by our caring, supportive and experienced staff. Call us for details of the program and an assessment to determine the length of stay needed and cost of the program. We are more affordable than comparable programs in Northern California, and we can assist you with insurance claims.

We are a FREE treatment referral concierge service that provides a Free Confidential Assessment and Insurance Check! The Treatment Specialist offers the gold standard of addiction, mental health, and eating disorder treatment center referral and placement services. We will identify the best program for you and your type of insurance. If you or your loved one is tired of calling facility after facility and are not able to find one to meet your specific needs, we can help! With over 10 years of experience working in treatment centers, we have developed partnerships with quality programs across the globe that range from evidence based, 12-step, non 12-step, holistic for both teens and adults. When you call The Treatment Specialist you will receive the personalize service and get the help you deserve today.

At each of our Southern California addiction treatment centers, we offer an unparalleled quality of care and commitment to our clients. From our renowned clinicians to our gender-specific, individualized programs in stunning locations, we ensure that every aspect of treatment gives our clients the best chance at lasting recovery.At Malibu Beach Recovery Centers, each client benefits from a highly personalized recovery plan developed by our expert, multidisciplinary team of medical professionals. Our integrative approach combines evidence-based addiction treatment with complementary holistic therapies designed to heal mind, body, and spirit and encourage an overall healthy lifestyle, free of the influence of drugs and alcohol. Please Call (844) 921-4865 for more information.

We believe trust, meaningful connections, and kindness are the essentials to beginning a journey in recovery. We are dedicated to providing an honest, authentic, and genuine treatment environment that gives our clients a unique opportunity for healing. Our care is provided by skilled professionals, and by people who truly understand addiction and the underlying trauma or ‘hurt.’ Because, as Dr. Gabor Mate points out, “Addiction is not the problem. Addiction is the addict’s attempt to solve a problem.”

Safety and comfort come first at Gallus Detox, which provides chemically dependent clients with medically monitored detox from alcohol and/or drugs. The facility offers upscale accommodations (private rooms, TV, cell phone and Internet access), and the newest and the most effective forms of withdrawal treatment (including IV therapy detox) to make the detoxification process as painless as possible. Under the supervision of a caring and compassionate team of doctors and nurses, as well as licensed substance abuse counselors to help develop a plan for sobriety after detox, clients can take that life-saving first step toward recovery in a nurturing and non-judgmental environment.

At Life Center of Galax our sole focus is your recovery. Treatment here includes a number of evidence based options. We believe in creating and implementing treatment plans that are in accordance with our patients' own perceptions of their personal strengths, capabilities, and needs. In this way, our patients attain the greatest chance for achieving successful and lasting treatment outcomes.