D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
In the article, “Don’t blame addicts for America’s opioid crisis. Here are the real culprits” by Chris McGreal, America’s widespread opioid problem is discussed. Primarily, McGreal points the finger at multiple sources, such as the FDA, pharmaceutical companies, and the government, for aggravating the
Methadone Maintenance Treatment The Methadone Maintenance Treatment (Camh) helps patients overcome an addiction of opioid dependence. The treatment uses methadone as a replacement for the opioid. Methadone is a narcotic drug that helps suppress opioid withdrawal symptoms, reduce cravings for opioids, not induce intoxication (e.g., sedation or euphoria) and reduce the euphoric effects of other opioids, such as heroin (Camh). MMT is beneficial to the patient in many reasons.
Addiction has been found to be multifaceted, and most agree that recovery must focus on the many “underlying” psychological, emotional, physical, spiritual and social issues that cause drug and alcohol abuse. Solomon’s book attempts to present why traditional treatment does not work and to provide resources for alternative methods. Some of the alternatives focus on specific aspects of recovery, while others address numerous factors tailored to fit an individual’s needs. People struggling to succeed in AA or other 12-step programs will find the information in this book
The fact that Alabama sits at the top of the list intensifies demand for our program. The abundance of people on opioid medications for pain management in Alabama is a harsh reality. Education is of paramount importance when dealing with opioid medications. Many people can become addicted and even lead to an overdose without proper counseling and education on these medications that have high tendencies for addiction. In 2015, 736 people died of drug overdoses in Alabama, according to the Centers for Disease Control and Prevention, a 3.3 percent increase over the previous year.
The opioid crisis in the United States has become the headline of every newspaper across the country. According to the Center for Disease Control, seven thousand people are admitted to emergency services for misusing prescription opioids (Understanding the Epidemic, 2015). Additionally, according to the Substance Abuse and Mental Health Services Administration, 435,000 people in the U.S. report being daily heroin users (Opioids, 2015). Methadone maintenance treatment (MMT) programs are long term recovery options used for people meeting criteria for opioid use disorder into treatment and living a recovery lifestyle. MMT programs are long term recovery options.
mends the Controlled Substances Act to increase the number of patients that a qualifying practitioner dispensing narcotic drugs for maintenance or detoxification treatment is initially allowed to treat from 30 to 100 patients per year. Allows a qualifying physician, after one year, to request approval to treat an unlimited number of patients under specified conditions, including that he or she: (1) agrees to fully participate in the Prescription Drug Monitoring Program of the state in which the practitioner is licensed, (2) practices in a qualified practice setting, and (3) has completed at least 24 hours of training regarding treatment and management of opiate-dependent patients for substance use disorders provided by specified organizations.
I. Importance: As American deaths from drug overdoses continue to rise in the United States, the nation is faced with a public health crisis so profound that in October 2017, President Trump declared the opioid epidemic to be a national public health emergency (Merica). President Trump’s declaration came after numerous studies indicating the danger opioid addiction posed; for example, a 2016 study entitled “Increases in Drug and Opioid-Involved Overdose Deaths—United States, 2010-2015” claimed that drug overdose deaths “nearly tripled during 1999-2014,” reaching a startling high 52,404 deaths in 2015 (Rudd, et al). These statistics are more than just disturbing revelations regarding the opioid crisis; they are evidence of a serious problem that is rapidly affecting the lives of more and more Americans every year. Death by overdose is not the only public policy concern, however, as millions of Americans are also addicted to prescription opioids.
Methadone exists as two enantiomeric forms, R and S (Eap et al., 2002). The most commonly used form of methadone in maintenance treatment is the racemic mixture (RS- methadone) (Groman et al., 1997). It is the R-isoform that gives most of the opioid effects (Eap et al., 2002). Methadone exerts its analgesic and narcotic effects through the µ-OR subtype, and has antagonistic effect at the NMDA receptor (Trescot et al., 2008). The antagonistic effect at the NMDA receptor is believed to be advantageous in preventing induction of tolerance (Callahan et al., 2004).
Serious Mental Illness (SMI) and Substance Use Disorders (SUD) each involve symptoms that can be rather debilitating. Approximately one half of the individuals diagnosed with a severe mental illness such as schizophrenia or bipolar disorder experience co-occurring substance use issues (Brunette et al., 2008). Individuals with a dual diagnosis of SMI and substance use are particularly vulnerable with complex service needs (Tsai et al., 2009). As a result of the high prevalence and serious consequences of these disorders, there is an increasing need for comprehensive treatment options to simultaneously address both issues.
Prescription drugs (opiates only) have caused over 165,000 deaths within the last 15 years and is currently on the rise. Over 2 million Americans in 2014 were addicted to Opiate prescription narcotics. The most troubling fact is listed directly on the Center for Disease Control and Prevention (CDC) website: “As many as 1 in 4
Dependence on prescription opioids can stem from treatment of chronic pain and in recent years is the cause of the increased number of opioid overdoses. Opioids are very addictive substances, having serious life threatening consequences in case of intentional or accidental overdose. The euphoria attracts recreational use, and frequent,
Big Pharma Name: Institution: Over the past years, various issues have faced the United States of America in the health sector in general. Some of these challenges include difficulties in healthcare insurance policies, increasing cancer cases, elevated levels of misuse of prescription drugs, rise in the consumption of illicit drugs, inter alia. These issues have led to escalation of health issues to the American citizens, and in turn, affecting the economic status as well. This research will focus on the subject matter misuse, abuse, and addiction of opioid prescription drugs.
These pills, such as xanax and oxycodone allow people for short periods of time to withdraw from the harsh reality faced today. “Between 1997 and 2002, sales of oxycodone and methadone nearly quadrupled” (Okie). Around 15 years later and the prescription pill problem is continuing to skyrocket. Since prescription pills are dispersed out to anyone by doctors, many people do not realize that it is as much of an illicit drug as cocaine and heroin is. “Misinformation about the addictive properties of prescription opioids and the perception that prescription drugs are less harmful than illicit drugs are other possible contributors to the problem” (NIDA).
DISCUSSION From the beginning, the therapist had to deal with own doubts and anxiety. The therapist had heard a lot about the psychodynamic psychotherapy but this was the first time he conduct the sessions by himself. Unlike pharmacotherapy, there is no standard clinical practice guideline or recommendation for the therapist to refer to or follow. The therapist was worried that he was unable to conduct the therapy effectively and his patient would not benefit from the therapy.
