Lauren Chooljian from New Hampshire Public Radio reports on a widespread culture of sexual misconduct in the addiction treatment industry. Across the country, women seeking treatment are being harassed and assaulted by men in positions of power. The problem is so pervasive that it has a name among those in the industry: the 13th Step.

We begin with Chooljian explaining to host Al Letson the case that got her started on this investigation. It involved Eric Spofford, owner of New Hampshire’s largest addiction treatment network. After exposing allegations that Spofford was harassing patients, Chooljian, her sources and staff at New Hampshire Public Radio became the targets of intimidation and, in some cases, vandalism.

Chooljian then chronicles another case, this one in California, that illustrates how difficult it is to bring to justice wealthy, powerful people in the industry. Chris Bathum owned a network of treatment centers in California and Colorado and was routinely sexually assaulting clients and offering them drugs. He was also submitting false billing claims to insurance companies. We meet two women, Rose Stahl and Debbie Herzog, who were separately investigating Bathum. Stahl started as a client at one of Bathum’s centers and later worked for him. She pursued evidence that he was assaulting women at the center, while Herzog was looking into insurance fraud. 

Stahl blew the whistle about Bathum’s inappropriate behavior to leadership within the company, but the actions they took did not stop him. At the same time, Herzog was facing hurdles in convincing law enforcement to pay attention to the case she was building about insurance fraud. Then serendipitously, Herzog and Stahl learn of each other’s efforts and team up to try to bring Bathum to justice.