having been through the rehab experience myself, i'll try to impart some advice, although it didn't quite stick with me for whatever reason, so the advice may be more of a "don't do what i did" type of thing.. coincidentally, one of my best friends from high school just called and said he's flying to BFC tomorrow, so it was already on my mind from having a conversation earlier about why it may not have worked for him the first time (he's going back for a second round- apparently you get a discount if you're an "alumnus")
i would suggest being very open to everything, like cane said. participate in group, talk to your counselors about things, be honest, all that kind of stuff. you're there anyway, and it's going to drag if you don't get involved, so i would try to immerse yourself in the 12-step/rehab culture. don't downplay your own stuff or try to compare yourself to others. you're all there (for the most part) for the same reason, and it usually consists of hitting some kind of "bottom" as they say. yours may be lower or higher than others, but everyone is there to get better and everyone has a legitimate reason for being there.
i think other posters have covered a lot of the reasons people tend to fail and what not when they leave. the truth is that many people simply are not willing to make a complete lifestyle change, which is essentially what is required to succeed in the traditional addiction treatment paradigm. others have mentioned suboxone, and while it may be a valid treatment option, i personally do not believe that buprenorphine maintenance treatment and traditional "minnesota model" or whatever type of rehabs, the 12-step program oriented stuff, fit within the same treatment model at all. while bmt may facilitate the removal of opiate drugs from your lifestyle, it does not require a complete lifestyle change to be successful. as long as you are taking sub and not taking full agonist opiates, that treatment is objectively successful. you don't have to change your friends. you don't have to quit hanging around certain places. you just have to take medicine every day and it keeps you from doing regular opiates (for the most part). that is going to come across as critical to those on bmt or mmt, and believe me, that's not my intent. i have posted many times about the efficacy of that style treatment vs traditional, but the truth is you do not have to bottom out in any way to start on sub and you do not have to change anything in your life besides quitting full agonists-the two treatment models are for the most part mutually exclusive.
the traditional addiction treatment model requires a complete change. you have to be willing to attend meetings all the time. you have to cut out old drug acquaintances. you can't start hanging around the old places you used to get high. it has nothing to do with willpower; it is about complete surrender to a higher power/something greater than yourself, and if you cannot commit to that (many young people are simply unable to make such a change, which leads me to believe at times that the bmt-type treatments are a better option in many cases), then your chances of maintaining long-term sobriety are pretty slim. again, your recovery is just beginning when you leave, and contrary to what someone else said (no offense intended), the general belief in that type of community is that you never actually recover-you are always "recovering." the idea is that through works and continued interaction with groups, programs, giving back, repeating teh 12-steps every so often, etc., recovery is a continuing process and each individual continues to recover, no matter how long they have maintained sobriety. what i have laid out sounds overwhelming and undoable and all that, but people who really adhere to the principles and "give themselves over" to the program or whatever, tend to have the most success.
there is a good chance you will relapse. it happens. it doesn't have to happen, but it often does. pick yourself back up, hit a meeting, call your sponsor, whatever, and move on. learn from it. try to determine what the cues or signals were tat might have led to it so that you can be on the lookout for them in the future.
someone else mentioned the tendency to romanticize "using." that happens for sure. i don't know what they suggest where you are, but at my place, they recommended "playing the movie through to the end" - e.g., suppose you're an alcoholic. you start remembering and romanticizing about beautiful sunny days drinking on the beach w/ friends, hooking up with some beautiful girl drunk that afternoon or whatever. okay, sweet. the suggestion is to "continue playing the tape" to the bad things that eventually happened, which your addict mind is selectively omitting. maybe that beautiful day at the beach ended with you getting arrested for a dui. maybe you got fall-down drunk later and fought your best friend. maybe it happened a couple weeks later. whatever. the point is, remember that what started out as a sunny beach day casualy drinking with friends ended up with you being confined to a treatment facility for addiction. substitute any drug/scenario for my example.
anyway, the weekend has begun, and i stayed an extra 30 minutes or something at work to type that, so i'm leaving now. good luck with rehab and your continuing recovery afterwards! i wish you much success, and i'll come back and reread this later and edit it if it makes no sense.
