They came to addiction treatment centers seeking help. Instead, they were harassed and assaulted.

Across the country, women seeking addiction 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.

“I fell right into it, right into it. You know, it’s like, it’s just, you’re so vulnerable,” says a victim named Andrea. “The 13-stepper is like, um, when you take advantage of a newcomer. Like, they, they joke like, ‘Don’t be a 13th-stepper.’”

This week on Reveal, we join Lauren Chooljian from New Hampshire Public Radio, who started her investigation by looking at that state’s largest addiction treatment network, founded by Eric Spofford. After exposing allegations that he was harassing patients, Chooljian, her sources, and staff at New Hampshire Public Radio became the targets of intimidation and vandalism. In recent weeks, Spofford was indicted on charges that he orchestrated those attacks.  

Chooljian then follows another case, this time in California, where the owner of a group of treatment centers was sexually assaulting clients and carrying out massive insurance fraud. The owner, Chris Bathum, was brought to justice after two women teamed up to gather evidence and take it to law enforcement.

This is an update of an episode that first aired in February 2024.