By the end of the 1960s, Synanon was a widely respected drug rehab with a celebrated treatment program. It had intake centers and commune-style rehabs all over the country. 

It subsisted by turning members into unpaid workers who hustled donations and ran Synanon businesses. As the money poured in, Synanon’s founder, Charles Dederich, transitioned the group from a rehab into an “experimental society.”  

Dederich instituted a series of increasingly authoritarian rules on members: He banned sugar, dissolved marriages, separated children from their parents and forced vasectomies. Synanon ultimately became a religion, with Dederich as its violent and vengeful leader.

Synanon descended into madness. But before it crumbled, the group inspired an entire generation of rehabs. By one researcher’s count in the 1970s, there were 500 programs in the United States stemming from Synanon. Many of those rehabs still exist today, including Cenikor. 

This is a rebroadcast of an episode that was originally aired in 2020.

Dig Deeper

• Listen: The American Rehab podcast series
• Read: Reveal’s reporting on All Work, No Pay.
• Learn: American Rehab resources

Credits

Lead reporter: Shoshana Walter | Reporter and series producer: Laura Starecheski | Reporter and producer: Ike Sriskandarajah | Contributing producer: Katharine Mieszkowski | Contributing reporter: Amy Julia Harris | Associate producers: Najib Aminy and Amy Mostafa | Digital producer: Sarah Mirk | Episode art: Eren Wilson | Art direction and layout: Gabe Hongsdusit | Original score, mix, sound design: Jim Briggs and Fernando Arruda | Post-production assistance: Claire Mullen | Fact-checker: Rosemarie Ho | Series editor: Brett Myers | Editors: Esther Kaplan and Andy Donohue | Editor-in-chief: Matt Thompson | Executive producer for tv and documentary: Amanda Pike | Executive producer: Kevin Sullivan | Host: Al Letson

Support for Reveal is provided by the Reva and David Logan Foundation, the John D. and Catherine T. MacArthur Foundation, the Jonathan Logan Family Foundation, the Ford Foundation, the Heising-Simons Foundation, the Hellman Foundation, Democracy Fund, and the Inasmuch Foundation.

Shoshana Walter was a senior reporter and producer for Reveal. She joined The Marshall Project as a staff writer in October 2023. At Reveal, Walter examined the armed guard industry and trafficking on marijuana farms. She uncovered how court-mandated treatments for drug addiction turned thousands of people into an unpaid shadow workforce for some of the country’s largest corporations—reporting that was a Pulitzer Prize finalist and which led to the popular investigative podcast serial American Rehab. Her work has been honored with the Livingston Award for National Reporting, the Investigative Reporters and Editors medal, the Edward R. Murrow award, and the Knight Award for Public Service, among others.

Laura Starecheski is a former senior radio editor for Reveal. Their radio work at Reveal has won a national Edward R. Murrow, a duPont-Columbia, and a Peabody, among other awards. Previously, they reported on health for NPR’s science desk and traveled the United States with host Al Letson for the Peabody Award-winning show “State of the Re:Union.” Their Radiolab story “Goat on a Cow” won a silver award for best documentary from the Third Coast/Richard H. Driehaus Foundation, and SOTRU's “The Hospital Always Wins” won a national Murrow Award. They have been a Rosalynn Carter fellow for mental health journalism and a Knight-Wallace fellow at the University of Michigan. Starecheski is based in Philadelphia.

Ike Sriskandarajah was a senior reporter, producer, and fill-in host for Reveal. He has worked on projects that have won an Emmy, two medals from Investigative Reporters and Editors, and awards from Third Coast, the Education Writers Association, and the New York Associated Press Association. He was a narrative audio producer at The New York Times, making investigative episodes for "The Daily." Sriskandarajah is from Wisconsin and reports from New York City.

Katharine Mieszkowski is a senior reporter and producer for Reveal. She's also been a senior writer for Salon and Fast Company. Her work has appeared in The New York Times, Rolling Stone, Mother Jones, Slate and on NPR's "All Things Considered."

Her coverage has won national awards, including the Alfred I. duPont-Columbia University Award two years in a row, an Online News Association Award, a Webby Award and a Society of Environmental Journalists Award. Mieszkowski has a bachelor's degree from Yale University. She is based in Reveal's Emeryville, California, office.

Amy Julia Harris is a reporter for Reveal, covering vulnerable communities. She and Reveal reporter Shoshana Walter exposed how courts across the country are sending defendants to rehabs that are little more than lucrative work camps for private industry. Their work was a finalist for the 2018 Pulitzer Prize in national reporting and won a Sigma Delta Chi Award for investigative reporting from the Society of Professional Journalists. It also led to four government investigations, including two criminal probes and four federal class-action lawsuits alleging slavery and fraud.

Harris was a Livingston Award for Young Journalists finalist for her investigation into the lack of government oversight of religious-based day cares, which led to tragedies for children in Alabama and elsewhere. In a previous project for Reveal, she uncovered widespread squalor in a public housing complex in the San Francisco Bay Area and traced it back to mismanagement and fraud in the troubled public housing agency.

Before joining Reveal, Harris was an education reporter at The Charleston Gazette in West Virginia. She has also written for The Seattle Times, Half Moon Bay Review, and Campaigns and Elections Politics Magazine.

Najib Aminy joined Reveal in 2018 and has worked as a production manager, associate producer, reporter, and producer. His reporting has landed him on Democracy Now, The Brian Lehrer Show, and Slate’s What Next podcast. His work at Reveal has earned him the George Polk Award, two Edward R. Murrow awards, two Gerald Loeb awards, multiple Investigative Reporters and Editors awards, and recognition as a DuPont-Columbia finalist. In a previous life, he was the first news editor at Flipboard, a news aggregation startup, and he helped build the company’s editorial and curation practices and policies. Before that, he reported for newspapers such as Newsday and the Indianapolis Star. Najib also created and hosted the independent podcast Some Noise, featured by Apple, the Guardian, and the Paris Review. He is a lifelong New York Knicks fan and is a product of Stony Brook University’s School of Journalism, and mainly works so he can feed his cat.

Amy Mostafa (she/they) was the production manager for Reveal. She is a UC Berkeley School of Journalism alum, where she focused on audio and data journalism as a Dean's Merit Fellow and an ISF Scholar. She has reported on science, health and the environment in Anchorage for Alaska Public Media and on city government in Berkeley and San Francisco for KQED. Her work also has appeared on NPR, KALW and KALX. Mostafa holds a bachelor's degree in English literature and public policy. She has most recently reported on housing and aging in the Bay Area. She is based in Reveal’s Emeryville, California, office.

Jim Briggs III is a senior sound designer, engineer, and composer for Reveal. He joined the Center for Investigative Reporting in 2014. Jim and his team shape the sound of the weekly public radio show and podcast through original music, mixing, and editing. In a career devoted to elevating high-impact journalism, Jim’s work in radio, podcasting, and television has been recognized with Peabody, George Polk, duPont-Columbia, IRE, Gerald Loeb, and Third Coast awards, as well as a News and Documentary Emmy and the Edward R. Murrow Award for Excellence in Sound. He has lent his ears to a range of podcasts and radio programs including MarketplaceSelected ShortsDeathSex & MoneyThe Longest Shortest Time, NPR’s Ask Me AnotherRadiolabFreakonomics Radio, WNYC’s live music performance show Soundcheck, and The 7 and Field Trip from the Washington Post. His film credits include PBS’s American Experience: Walt Whitman, the 2012 Tea Party documentary Town Hall, and The Supreme Court miniseries. Before that, he worked on albums with artists such as R.E.M., Paul Simon, and Kelly Clarkson at NYC’s legendary Hit Factory Recording Studios. Jim is based in western Massachusetts with his family, cats, and just enough musical instruments to do some damage.

Fernando Arruda is a sound designer, engineer, and composer for Reveal. As a multi-instrumentalist, he contributes to the music, editing, and mixing of the weekly public radio show and podcast. He has held four O-1 visas for individuals with extraordinary abilities. His work has been recognized with Peabody, George Polk, duPont-Columbia, Edward R. Murrow, Gerald Loeb, Third Coast, and Association of Music Producers awards, as well as Emmy and Pulitzer nominations. Prior to joining Reveal, Arruda toured internationally as a DJ and taught music technology at Dubspot and ESRA International Film School. He also worked at Antfood, a creative audio studio for media and TV ads, as well as for clients such as Marvel, MasterClass, and Samsung. His credits also include NPR’s 51 Percent; WNYC’s Bad Feminist Happy Hour and its live broadcast of Orson Welles’ The Hitchhiker; Wondery’s Detective Trapp; and MSNBC’s Why Is This Happening?. Arruda releases experimental music under the alias FJAZZ and has performed with jazz, classical, and pop ensembles such as SFJazz Monday Night Band, Art&Sax quartet, Krychek, Dark Inc., and the New York Arabic Orchestra. He holds a master’s degree in film scoring and composition from NYU Steinhardt. Learn more about his work at FernandoArruda.info.

Claire Mullen worked at The Center for Investigative Reporting until September 2017. is an associate sound designer and audio engineer for Reveal. Before joining Reveal, she was an assistant producer at Radio Ambulante and worked with KALW, KQED, the Association of Independents in Radio and the San Francisco Bay Guardian. She studied humanities and media studies at Scripps College.

Andy Donohue was the executive editor for projects for Reveal. He edited Reveal’s investigations into the treatment of migrant children in government care, Amazon’s labor practices, rehab work camps and sexual abuse in the janitorial industry. He was on teams that have twice been Pulitzer Prize finalists and won Investigative Reporters and Editors, Edward R. Murrow, Online News Association, Third Coast International Audio Festival, Gerald Loeb, Sidney Hillman Foundation and Emmy awards. He previously helped build and lead Voice of San Diego, served on the IRE board for eight years and is an alumnus of the John S. Knight Journalism Fellowship at Stanford University.

Kevin Sullivan is a former executive producer of Reveal’s public radio show and podcast. He joined Reveal from the daily news magazine show “Here & Now,” where he was senior managing editor. There, he helped lead the expansion of the show as part of a unique partnership between NPR and WBUR. Prior to radio, Sullivan worked as a documentary film producer. That work took him around the world, with stories ranging from reconciliation in Northern Ireland to the refugee crisis during the war in Kosovo.

Following the 9/11 terrorist attacks, Sullivan launched an investigative unit for CBS in Baltimore, where he spearheaded investigations on bioterrorism and the U.S. government’s ability to respond to future threats. He also dug into local issues. His exposé of local judges found widespread lax sentencing of repeat-offender drunken drivers. Other investigations included sexual abuse by Roman Catholic priests, and doctors who sold OxyContin for cash. Sullivan has won multiple journalism awards, including several Edward R. Murrow awards, a Third Coast / Richard H. Driehaus Foundation Competition award and an Emmy. He has an MBA from Boston University.

Al Letson is the Peabody Award-winning host of Reveal. Born in New Jersey, he moved to Jacksonville, Florida, at age 11 and as a teenager began rapping and producing hip-hop records. By the early 1990s, he had fallen in love with the theater, becoming a local actor and playwright, and soon discovered slam poetry. His day job as a flight attendant allowed him to travel to cities around the country, where he competed in slam poetry contests while sleeping on friends’ couches. In 2000, Letson placed third in the National Poetry Slam and performed on Russell Simmons’ Def Poetry Jam, which led him to write and perform one-man shows and even introduce the 2006 NCAA Final Four on CBS.

In Letson’s travels around the country, he realized that the America he was seeing on the news was far different from the one he was experiencing up close. In 2007, he competed in the Public Radio Talent Quest, where he pitched a show called State of the Re:Union that reflected the conversations he was having throughout the US. The show ran for five seasons and won a Peabody Award in 2014. In 2015, Letson helped create and launch Reveal, the nation’s first weekly investigative radio show, which has won two duPont Awards and three Peabody Awards and been a finalist for the Pulitzer Prize twice. He has also hosted the podcast Errthang; written and developed several TV shows with major networks, including AMC+’s Moonhaven and Apple TV+’s Monarch; and is currently writing a comic for DC Comics. (He loves comics.) When he’s not working, Letson’s often looking for an impossibly difficult meal to prepare or challenging anyone to name a better album than Mos Def’s Black on Both Sides.