The conventional model for the rehabilitation of addicts in Germany wa
s characterized by a hierarchical structure consisting of counselling,
detoxification stages and aftercare. As only a limited number of addi
cts were reached with this rigid system new rehabilitation models were
devised. The result is a network of advisory centers, out patient dep
artments and hospitals leading to a flexible client-centered approach.
The interactions between the social security system and the creation
of new rehabilitation models are emphasized. This is illustrated by th
e introduction of methadone maintenance treatment in Germany.