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The Influences on Addiction

Posted on :  July 6th, 2017  |  By :  towardsrecovery

Harm reduction is one of the foundations of addiction treatment. This applies not only to drug addiction but also alcoholism, compulsive gambling, and even eating disorders. The treatments should also take into account the influences on addiction like the biological, psychological, social, and even spiritual aspects. These are even discussed in the book Addiction Treatment a Strengths Perspective. Let us try to look at these influences.

Methods of Treatment

There have been many new methods of treatment for drug addiction that have surfaced in recent years. Unfortunately, the treatment centers do not fully go into the influencing factors that help develop the addiction. Even some of the treatments are considered as superficial.

There are basically two types of influences, biological and environmental. Both of these are found in the Biological-Psychological-Social-Spiritual (BPSS) addiction model. In recognizing these influences, like any other disease, it becomes easier to uncover the weak point where the addiction was able to penetrate a person’s life.

Why are there so many addiction models? These models help in understanding the causes of drug addiction as well as assist in the recovery process. In essence, this creates an effective treatment program. This is essential especially when we consider that there is a lack of certainty on what really causes addiction.

As experts continue to debate on the most effective approach to treatment and recovery, the BPPS model can offer some insights. The Biological aspect can answer the question why, the Psychological is the what, and the Social is the where that defines the cycle that every drug addict goes through. What about the spiritual? It is believed that every addict has to go through some form or spiritual healing or connection to a higher power to be able to withstand the challenges of addiction.

Multiple Causes

By adhering to the model described in the Addiction Treatment a Strengths Perspective, there is an acceptance that the addiction not only has multiple causes, but also multiple solutions. This holds true considering that every case of addiction can be considered unique to the person experiencing it.

Human diversity plays a huge role in the process of addiction, treatment, recovery, and sustainability. And every person will need to go through a personalized program as a sort of personal recipe that will lead to successful recovery.

The BPSS model therefore can be considered an incomplete solution. The importance of the model is that it will help experts to understand and figure out how the problems can be fixed. By reducing the addiction problem to model size, it becomes easier to understand its different stages. This helps to ensure that important details are not lost in dealing with issues of addiction and recovery.  In this aspect, it makes no sense to argue what addiction model is best, but only to make use of each to uncover how recovery can be implemented on every individual addict.

These models actually give us many explanations on the multiple causes of addiction. Each of these models also propose its own model of recovery that is based on the presumed cause that resulted in the addiction. As these models leave some aspects of recovery out of the picture, it is up to the addict to fill in the highly relevant details to create a complete recovery scenario. This means that the cooperation of the addict in the treatment process is extremely significant. It also gives the addict a free hand to choose what recovery treatment he feels would be most beneficial and relevant to him.

Causes of Addiction

Evidence-based practices have revealed many possible causes of addiction. Numerous research works have given supporting evidences on how treatment programs have been effective in curbing an addiction. There is no shortage of research that helps to establish the causes of addiction that can also lead to other types of addiction. For example, alcoholics can become, after some time, addicted to illegal or prescribed drugs as well.

The models try to present the bridge that links these addictions together. In this example, alcohol becomes the influence that triggers the drug addiction. So if you combine the addiction model with that for drug addiction, you will be able to successfully address all of its causes. This is why you do not have to choose the best or correct model. You simply need to select what applies to the personal condition of the addict.

Different people will obviously make different choices. These choices will be based on their circumstances and specific needs. Towards Recovery Clinics can help addicts make the right decision through its holistic treatment approach. Call them now!

Requirements in Seeking Methadone Treatment

Posted on :  May 29th, 2017  |  By :  towardsrecovery

In Canada, there is a prevailing policy on how methadone maintenance treatment should be implemented by those participating in the program. The policy has been in place since 2014 with the introduction of the product that is indicated for use with opioid dependence treatment. Each province is responsible for implementing their respective guidelines for the treatment of opioid addiction using methadone. So what are the things that you should know?

Getting Treatment

It is common knowledge that methadone treatment in Canada is handled either by private practitioners or treatment centers. There are methadone treatment requirements that must be satisfied before an addict can become part of the program.

You need to present proof, like a notarized letter from a physician attesting to the fact that you are receiving methadone. The letter should be written either in English or in French. The name and address that will be used by the patient while seeking treatment in Canada should be specified in the letter. It should also include the travel dates, daily methadone dosage, and other important medical information about the patient.

Aside from this the patient must present a proof of identity like a passport as well as the name of the Canadian physician that will administer the treatment. What if you don’t have the name and address of the Canadian physician who will handle the treatment? It is highly recommended that you visit the SAM website to get consultation, referral, and other information about general practitioners and clinics that are involved in the methadone maintenance treatment program.

This self-help website is very useful because the information is in English and French. You may also browse the Internet for treatment services in Canada, which is a database maintained by the Canadian Centre on Substance Abuse. Why do you need the information of the administering physician? Because you will need to send a request for travel to Canada to him. Further arrangements should be handled directly by the foreign physician and the chosen Canadian methadone treatment practitioner.

Dispensing Requirements

Despite being widely regarded as a safe medication, the prescription, dispensing, and consumption of methadone should be done in accordance with existing guidelines. This is because inappropriate or unsupervised use can result in dangerous consequences.

What are some of the key requirements for dispensing methadone that you should know about?

  1. The pharmacy should notify the OCP when dispensing methadone. It is the responsibility of the pharmacist to ensure that the College is notified within 7 days that they are dispensing methadone.
  2. The treatment and dispensing policy of OCP should be followed strictly. This means that pharmacists/physicians will be responsible for ensuring that there is adequate collaboration or communication between the pharmacist and the physician. Health Canada will be informed by the physician to ensure that there is a current and valid exemption. The exemptions for methadone treatment and chronic pain treatment are separate.
  3. All staff member should be adequately trained based on existing requirements. Prevailing policy is that the DM should be adequately trained in the first 6 months of the methadone treatment practice. There should also be at least one pharmacist employed as a staff within one year. The trainings of the pharmacists should be updated every 5 years at the very least.

To be able to prescribe methadone the exemption of the physician should be in accordance with section 56 of the Controlled Drugs and Substances Act. The College is mandated not only to oversee the program, but also ensure that its quality is improved and that methadone maintenance treatment remains accessible in Ontario.

The profile of the treatment program has been enhanced using outreach activities and through the recruitment of physicians qualified to prescribe methadone as an opioid dependence treatment drug.

Towards Recovery Clinics should be able to provide you with more information on methadone treatment requirements. Give them a call today.

What is the Cost of Methadone Treatment?

Posted on :  May 23rd, 2017  |  By :  towardsrecovery

Are you aware that there are over 50,000 people on the methadone maintenance treatment in Ontario alone? This is according to a paper that appeared in the Substance Abuse Treatment, Prevention and Policy medical journal. What is the cost of this treatment to the public payer in Canada? Let’s try and see.

Importance of Price Quotes

Why is it necessary to have methadone treatment quotes? The estimate of the cost of the methadone treatment in Canada or anywhere else for that matter will serve as a guide in crafting policies that will cover healthcare financing decisions.

The estimates are commonly compared to those of other countries but not necessarily applicable to Canada because of a variety of reasons. For example, the quotes from other countries may include expenses that are not applicable to the Canadian perspective. The application of the fees of pharmacies, laboratory services, and physicians may also vary including the prevailing guidelines and programs of the respective governments.

The treatment guidelines also have to be taken into account because obviously the allowed frequency of visits will have an impact on the overall cost of the treatment. For the Canadian perspective, it is best to look at the cost estimate for the treatment of the opiate dependent user from the public payer perspective.

Based on treatment figures, the average daily cost is around $15.48 per patient. If the patient opts to go with continuous treatment for at least a year, the estimated cost will be $5,651. These figures reveal that the delivery of methadone treatment in Ontario in particular is within the same levels as those of Australia and the United States.

Comparing Cost Estimates

There will definitely be a variance in the implementation of methadone treatment. Costing studies conducted in Europe revealed that in the United Kingdom, the approximate cost of treatment is $3 but rises to $12 daily in Norway. These figures however were based on an earlier study conducted in 2010.

During the same period, the cost of methadone maintenance treatment in Australia was around $11 a day. This costs Australian prisons an estimated $3,234 per year per patient. Based on a cost-effectiveness analysis conducted between methadone and buprenorphine, the methadone treatment was cheaper by about $6 per day per patient.

Even within the same country, a comparison of cost estimates will show that the methadone treatment quotes vary. In the United States for example, the Veteran’s Affairs estimates the cost of treatment at $5,250 per year, while other programs showed an annual cost of only $4,176. The cost per week of the treatment would range anywhere from $42 to as much as $139. In New York, the average annual cost is pegged from $4,750 to $6,068.

When we take into account the number of patients that have been stabilized in a period of at least a year, the estimated cost for the clinic-based methadone treatment comes out at $240 a week while the office-based methadone treatment cost is at $275 weekly.

All of these estimates can serve as a baseline reference. The manner of treatment for methadone will also have an impact on future estimates. For example, in Canada methadone is classified as a controlled substance so it requires a prescription from a physician. The physician who will write a prescription will also have to undergo a specialized training program aside from an exemption issued by Health Canada.

There is also the factor of licensing bodies in every province that are tasked with the regulation of the prescription of methadone. The guidelines from the College of Physicians and Surgeons of Ontario is normally used as a standard. These guidelines outline the appropriate testing, prescribing, and dispensing of methadone including other factors that can affect the treatment.

If you want to get more accurate methadone treatment quotes, call the Towards Recovery Clinics now.

Frequently Asked Methadone Treatment Questions

Posted on :  May 18th, 2017  |  By :  towardsrecovery

Despite being one of the most popular treatment methods for opioid dependence, there are still a couple of questions surrounding the use of methadone. It is understandable considering that not everyone agrees with the implementation of methadone treatment. To give you a better understanding, let’s take a look at some methadone treatment questions.

What is Methadone?

This is the most basic question that anyone should ask about the treatment. Basically, it is a type of drug used not only for the treatment of opiate addiction, but also for relieving pain. It is important to point out that methadone is strictly used for opioid related addiction and not applicable for other types like cocaine, marijuana, or alcohol among others.

What does it do?

Methadone works by blocking the receptors of the brain that is affected by the use of heroin and other opiates. This allows addicts to achieve gradual detoxification without the violent withdrawal symptoms. This means that methadone will occupy the receptors to block high opiates and achieve a more stable feeling. The addict will have reduced cravings and tempered withdrawal symptoms that lowers the risk of relapse. This is done by simulating the same sense of euphoria that opiates deliver but with longer lasting effects so that a single dose a day would be sufficient for most addicts.

Is the Treatment Safe?

There are obvious concerns when it comes to the safety of the treatment. However, when methadone is used as it is prescribed, it can be safely taken even continuously over a number of years without experiencing dangerous side effects. Methadone has also gone through rigorous testing to ensure its safety and efficacy when applied as a treatment for narcotic dependence and withdrawal.

As a type of legal medication, its production is handled by licensed pharmaceutical companies subjected to strict monitoring and quality control standards. The administration is also supervised by a physician using strict guidelines. As far as mental impairment, intoxication, or feeling of sedation, none of these are associated with methadone so patients can continue to pursue normal and ordinary activities.

Is the Treatment Effective?

For over 30 years methadone has been used for the effective treatment of opioid dependence and addiction. To back up its claims of effectiveness, numerous scientific research works have been done. One such study was done in 1994 where a methadone maintenance treatment was linked to lower rates of criminality, illegal drug use, and hospitalization of addicts compared to other popularly used drug treatment programs.

Are there Side Effects?

What kind of side effects can you experience when going through the program if any? If we are to base on studies, there are no significant side effects that can be expected from the medically supervised implementation of the methadone treatment. Most common reports include water retention, skin rash, drowsiness, constipation, excessive sweating, and change in libido. The side effects disappear once that patient gets the proper individual dosage.

What are the Benefits?

Aside from what has already been stated, safe and effective, one desirable benefit of the methadone treatment program is that it is the most affordable choice for most opiate addicts. Other benefits are the relief from withdrawal symptoms, return of chemical balance, reduced cravings, and emotional balance. All of these benefits will result in the return of normal bodily functions, improved relationships, and overall stability of the patient.

Will it Show on Drug Tests?

If your concern is turning positive on drug tests, then you will be happy to know that methadone does not return a positive unlike heroin or morphine. Specific testing for methadone should be done to be able to detect its presence in your system. The good news is that this type of specific testing is not normally done. In the United States, supervised methadone maintenance programs fall under the Americans with Disabilities Act so it cannot be used as a basis for denying employment.

There are definitely more methadone treatment questions creeping in your mind. To get the right answers, contact Towards Recovery Clinics now.

Coordinated Addiction Treatment and Overdose

Posted on :  May 15th, 2017  |  By :  towardsrecovery

What is the relationship between coordinated addiction treatment and overdose? According to the chief medical officer of British Columbia in Vancouver, when drug addiction treatment relies in a series of coordinated efforts, the likelihood of an addict overdosing becomes reduced. Why is this and is this how the government is handling the problem of drug addiction?

Withdrawal Support

It is important to understand that the structure of drug addiction treatment is a complex one. It is not enough to have a treatment program in place in hospitals or clinics, proper support should also be on hand after a patient returns to the community.  For example, a patient that is going through a withdrawal process cannot be allowed to go back to the community without assuring that proper support is available or accessible. Why?

When there is lack of proper support, the likelihood of a patient going into overdose becomes heightened. In fact the potential for overdose can be as much as seven times higher when the patient goes into relapse. This happens because the body hast lost its tolerance for opioids faster resulting in increased risk for the patient.

Broken System

There is a sentiment that the drug addiction treatment process is a broken system. For some health professionals, this statement would be accurate if there was a system in place. This means that there is a clearly defined and identified interlinked parts that function in relation to each other to comprise a whole.

With the 922 deaths in British Columbia associated with opioid use in 2016, these health professionals believe that such a system does not exist. The total number of deaths is actually higher than the initial 914 fatal overdoses reported. What should be done to address such a broken system?

The problem of drug addiction should be viewed as an emergency or something critical. Hence, public awareness is of paramount importance in order to put a stop to the critically rising number of overdose deaths. There is also a need to ensure that the communication lines between the implementing agencies concerned with public health emergencies remain open.

Enhancing Coordination

Specialists in addiction medicine believe that in order to correct such a perceived broken system, better coordination has to be in place. The coordination needs to be done from the start of the process in helping patients go through each stage of the addiction rehabilitation process. This means using a long-term addiction treatment approach with enhanced coordination.

What does this mean? The patients undergoing rehabilitation should be guided on what will be done and what to expect on the next phase of the recovery process. Maintaining realistic expectations can help patients go through the transition with as little problems as possible.

Funding undoubtedly will play a critical role in the later stages of a long-term program in order to ensure that proper support remains accessible. Removing the stigma surrounding addiction will also be helpful especially when people, professionals, and policy makers begin to understand that addiction is a chronic illness. It is wrong to think that just because you put a person into an addiction treatment program he will come out clean and better. The journey to reaching “cleanliness” is not only extremely long, but also very challenging.

Overdose Rise

If we are to take the data of British Columbia, we can see that the number of fatal overdoses in on the rise. From roughly 200 overdoses a year from 2003 to 2011, the number of deaths started to rise. So far, 2016 has been recorded as the deadliest to date with a rollercoaster ride where a decline was recorded from March to November before skyrocketing in December when a record 142 deaths associated with overdose was recorded.

The surge was attributed by the chief medical officer to carfentanil, which is a synthetic type of opioid that is 100 time the power of fentanyl. There were 4 out of 5 people succumbing to opioid overdose related deaths in 2016.

If you want to get a comprehensive and holistic addiction treatment program, call Towards Recovery Clinics today.

Prescription Heroin for Addiction Treatment

Posted on :  May 12th, 2017  |  By :  towardsrecovery

Did you know that the government of Canada has approved the prescription of pharmaceutical-grade heroin as a treatment for severe addiction? The new drug guidelines allows doctors to issue prescriptions for patients who have not responded well to conventional addiction treatment methods. Can this be really the solution for drug addiction?

The Implications

What does this new guidelines mean? This means that treatment clinics can expand specialized heroin maintenance programs to allow addicts to come in a maximum of 3 times daily to get their prescribed injections. The free heroin maintenance can be received without legal implications. This is a unique program that is enforced in the United States and Canada, which is similar in approach in 8 European countries.

This move is actually a reversal of government policies implemented in previous administrations and seen as a softening of stance in addressing the problems of drug abuse and addiction. The implementation comes after an announcement of plans to legalize marijuana sale next year. A task force has also been appointed to look into the regulation, selling, and taxing of marijuana.

As part of this initiative, a four-year extension of operation has been granted to a supervised injection site located in Vancouver. The implication of this is that addicts will be able to continue to shoot up in a controlled environment using drugs bought from the street.

Additional Tools

Another thing worth noting with this decision is that Health Canada can be applied by all physicians for diacetylmorphine using the special access program. However, the government pointed out that such a program is made available only for minority users who have not found relief from traditional, proven, and effective treatment options.

It seems that the motivations is to be able to provide healthcare services different tools in addressing the crisis of opioid addiction and overdose. Some treatment clinics are welcoming this decision of the federal government. These clinics which may be funded by the provincial government are involved in the delivery of diacetylmorphine to addicts using a special court order that gives them exemption privileges.

When the amount of supply increases, it is expected that the number of addicts that these clinics cater to will double at the very least. The court order remains in place despite a constitutional challenge trying to stop the distribution of drugs by the government. Conservative parliament however remain adamantly against this health policy being implemented by the government.

From their perspective, using prescription heroin to treat opioid addiction is not the right venue to take. These conservative parliamentarians believe that the heroin should be taken from the hands of addicts and not injected into them.

As for the government, it sees that there is a need to adjust conditions of long-term addicts that the standard methadone and detox treatment cannot address. It is not that these standard treatments are not adequate, but the reality is that there are circumstances wherein repeated attempts have resulted in treatment failure. This should not mean that delivering care to these exceptions should be abandoned.

Program Demand

If you are a conservative, you may be surprised to know that the demand for the program is quite high. Does this mean that addicts see it as a chance to continue with their addiction? Not necessarily so, because it can also mean that long-term users are ready to explore alternative methods that will help them resolve their addiction.

Keep in mind that in this program the patients are required to come to the clinic 2 to 3 times daily for their injections. Unfortunately, this method can be a bit disruptive for patients who are working. The indication though is that the dropout rate will remain insignificant with desired results of healthier patients achievable.

The high demand for the program is projected to reduce the participation in criminal activities of addicts. In turn this will drastically cut the cost that addiction stresses on the criminal justice system. Despite the controversy of the approach, there seems to be an increase in the number of physicians becoming receptive to the program.

Towards Recovery Clinics can guide you with the proper addiction treatment for your individual needs. Call them today!

Study on Methadone Treatment Effectiveness

Posted on :  May 9th, 2017  |  By :  towardsrecovery

As one of the most common forms of opioid substitute treatment today, it is not surprising that methadone treatment has become the subject of so many studies. This is why there is an abundance of evidence that would suggest that the treatment is capable of reducing drug-related deaths aside from improving the overall well-being and health of the addict. Let’s take a look at one of the studies that evaluated the methadone treatment in 2004.

Quantitative Study Method

In this aspect of the study, individuals that entered the methadone treatment program were monitored for a period of 18 months. A validated methadone treatment questionnaire was administered to 33 of the patients upon their entry into the treatment program. The same opiate treatment index was administered to 17 patients who remained in treatment after the 18-month period.

Self-reported data was collected based on the following domains:

  • Drug use;
  • HIV risk behaviors;
  • Social functioning;
  • Health status;
  • Criminality; and psychological adjustment.

Aside from social functioning, all other data collected referenced the behavior prior to the month of the interview. The social functioning data covered the period of 6 months before the interview. Every domain consisted of a number of questions with a number of choices for answers. Every answer in the option corresponded to a score. The lowest score indicated the lowest level of risk or the best experience.

Additional data was collected by the questionnaire to include the social situation and demographic of the patient. Based on collated answers, the study revealed the following:

  • There was an increase in the HIV-related risk behaviors instead of the drug-using behavior.
  • Substantial decrease in criminal behavior was observed with only one patient committing one of more crimes during the covered period.
  • Decreased social functioning scores were indications of improvements in the areas of employment, housing, and family relations.
  • Health status remained unchanged.
  • The scores for the psychological adjustment decreased, which translated to improved mental health.

It is vital to point out that the size of the sample was small and the mean score improvements were not statistically tested. However, this does not negate the positive outcomes that the study revealed in relation to the use of methadone maintenance therapy.

Qualitative Study Method

If methadone treatment questionnaire was used in the quantitative study method, in this method 3 focus groups were used to determine certain patient experiences in relation to treatment service providers.

Two groups received methadone maintenance treatment in a general practice setting. They were asked about the treatment along with continued risk behavior, impact of methadone on their lives, use of counseling, and their relationship with the service providers.

The other focus group was made up of the staff implementing the treatment program. The staff of the service providers were questioned on the positive and negative aspects of the treatments as they relate to the treatment outcomes and the pharmaceutical treatment options.

The following was determined from the focus groups:

  • Patients lauded the improvements in the treatment services after the methadone protocol was introduced. Specifically on the number of locations available, removal of financial charges, more services for less stable patients, and transfer to general practice setting of stable patients.
  • Transitioning between active drug use and the stabilization provided by the methadone treatment is the vulnerable time for addicts. The regular routine provided by the structured program gave patients the skills for potential future employment. Majority of the patients reported improvements in family relationships and decline in criminal activities.
  • The treatment is important for transitioning from active to no drug use. There were reservations on the long-term dependence on methadone and toleration of withdrawal symptoms during detoxification including potential relapse to heroin usage.
  • The high turnover rate of counsellors had a disruptive effect on the patients of the treatment centers, particularly in achieving stable lifestyles and coping with crises. Patients recognized the importance of monitoring of drug use why undergoing treatment.
  • Patients associated dental problems with the methadone treatment. Many of the patients had multiple dependence problems including prescribed drugs like hypnotics, tranquilizers, and benzodiazepines among others.

When you combine the results of both study methods, it would suggest that the methadone treatment program is successful in stabilizing heroin users and helping them achieve positive lifestyles.

Towards Recovery Clinics can help opiate dependents through a holistic approach to addressing their dependence. Call them!

Methadone Treatment Program Success Rate

Posted on :  May 8th, 2017  |  By :  towardsrecovery

There is significant amount of money used for the addiction treatment methods that do not work. This is why it is vital to identify the success rates of treatment programs so that cost-effective methods can be implemented. In 2008 it was estimated that the economic burden that mental illness imposes on Canada is around $51 billion a year. This amount covers the costs for healthcare, lost productivity, and the reduction in the quality of life. Let’s take a look at the methadone treatment program success rate to see if it is truly worth the cost.

Opioid Substitution Therapy

The major form of opioid substitution therapy currently being adopted internationally has to do with the administration of methadone. More specifically the use of the synthetic opioid painkiller methadone hydrochloride. During the 1960s in New York, the ability of various prescribed opioids were examined to see its effectiveness in managing heroin dependence. It was found out that methadone proved to be the most suitable for such a task.

It was the belief that the long-term use of heroin results in a permanent metabolic deficiency of the central nervous system as well as being associated with physiological diseases. Thus the regular administration of opiates was necessary in order to correct the deficiencies.

The methadone treatment program success rate is fairly good, but it will take a long time for the body and the mind to heal the damage and achieve repair. The combination of clinical research and experience shows that the benefits delivered by the treatment can be achieved if a patient stays in the treatment program anywhere from 42 to 90 days. The length may vary depending on the actual state of dependence and abuse experienced by the patient. This is why the success rate is highly influenced by how personalized the plan is based on the medical and clinical needs of the patient.

Traditional treatment has not yielded the success desired as many of those who have undergone it remain to live broken lives that are full of anxiety, cravings, depression, suicide, and relapses. The statistics show that about 25% of deaths of those with chemical dependency is due to suicide; this is both disheartening and alarming.

Long-Term Abstinence

The use of the methadone treatment program for addiction was initially researched during the early 1960s. In the 40 years that followed, it has evolved to become the most recognized standard of care for opiate addiction. The detoxification and drug-free techniques can be very appealing in terms of the need to find a recovery solution that does not involve any medication. However, it only yields a 5% to 10% success rate.

Compare this to the 60% to 90% methadone treatment program success rate and you would understand why it has become an international standard. The longer that people stay on this program, the more they improve their chances of achieving long-term abstinence.

In a study of California heroin addicts that involved 600 participants originally, about half are now dead. Only 10% of them have successfully established long-term stable abstinence. Many have not been exposed to methadone maintenance, which could have helped them reach a rehabilitated state.

Success Rates

The clinical data available can demonstrate that a biochemical treatment of addiction will deliver 75% to 80% recovery rate within a span of 5 years. Compare this to the traditional 12-step or strictly counseling approach that does not use biochemical treatment and you get a substantially lower recovery rate of 15% to 25% in 5 years.

After over 50 years more than 95% of the treatment programs in the U.S. and Canada still use the 12-step program. This does not resolve the physiological damage that has resulted from the substance abuse. It is necessary to recognize this problem to achieve cellular rebalancing and recovery from addiction.

Know more about the success rate of the methadone treatment program from Towards Recovery Clinics. Give them a call today!

Cost Effective Methadone Treatment Plan

Posted on :  May 5th, 2017  |  By :  towardsrecovery

Did you know that opioids are types of psychoactive analgesic drugs that are usually prescribed for palliative care and pain relief? Conscious control over these medications are being implemented because of its potential for addiction, misuse, and dependence. There is a growing consensus that opioid substitution therapies like the methadone treatment plan are successful in treating opioid dependence. How cost effective is this treatment?

Cost of Substance Abuse

In a research published in 2006, it was estimated that the cost of substance abuse in Canada was around $39.8 billion in 2002. This reflected to about $1,267 per capita and approximately 39% of this amount is associated with the enforcement, prevention, research, and healthcare cost of the abuse. There are also indirect costs that are associated, which are traced to the loss of productivity caused by disability and premature death from the addiction.

Although the costs for other types of abuse like tobacco, alcohol, and cannabis are substantial larger, it does not negate the severity of the problem. It also highlights the need to look for a cost effective treatment plan to ensure that focus on other types of addictions will not be neglected.

Introduction to Methadone

If you are not familiar with methadone, in its pure form it looks like a white crystalline powder. It can be used for treatment of both pain and addiction. Those who are prescribed with methadone are normally being treated for their opioid addiction. This would include those who are hooked on heroin as well as those abusing prescription opioids like fentanyl, hydromorphone, and oxycodone.

There will be instances though where methadone will be prescribed for the relief of chronic pain of pain that is associated with terminal illnesses. It is not uncommon to find methadone as a street drug, but normally for the prevention of symptoms associated with opioid addiction withdrawal.

Women who regularly use opioid drugs and pregnant can be treated with methadone as a means of protecting the fetus. To avoid many withdrawal symptoms, hydromorphone, heroin, or other short-acting opioids must be frequently taken. This is important because opioid withdrawal increases the possibility of premature birth or miscarriage. When combined with medical care, the methadone maintenance will be able to improve the chances of delivering a healthier baby. No long-term effects on the baby has been identified.

Those who are HIV and Hepatitis C positive and regularly inject opioid drugs are placed on the methadone treatment plan to protect their health. The treatment will also help in preventing the spread of the infections when needles are shared. From the 6,000 people who received methadone maintenance treatment in Ontario in 2000, the number has drastically increased to 38,000 in 2012.

Treatment Payment

The cost of methadone treatment in Ontario is normally paid through public and private funding sources. Private physicians collect revenues from the Ministry of Health and Long Term Care (MOHLTC), the Ontario Health Insurance Plan (OHIP), or from the patients directly if they are not covered by OHIP.

Essentially all of the physician services that are directly associated with the methadone maintenance treatment will be covered by the OHIP. The physicians usually use the collected fees from the different sources to pay for their office expenses, salaries of staff, and the cost of other materials. Additional services provided by methadone clinics like psychosocial counseling for example will be considered under the office expense and will not be covered by an additional billing.

The total cost was estimated at about $99,491,000, which when divided by the total number of patient days while treatment was being obtained resulted to $15.48 per day. About 46.7% of the cost goes to urine samples and 39.8% is for pharmacy costs. When accounting for the cost of methadone alone, it yields only an average of 3.8% or roughly $0.58 a day.

Towards Recovery Clinics can provide you with a more detailed methadone treatment plan including its cost. Call on them now.

Looking Into Methadone Treatment Options

Posted on :  May 4th, 2017  |  By :  towardsrecovery

People who are dealing with an addiction in most instances will be experiencing intense physical and emotional challenges. This is why it becomes extremely important to remain non-judgmental and supportive if you truly want to rehabilitate them. A helpful approach would be to talk to the addicted person and try to persuade him to seek treatment and become more productive. Let us look into methadone treatment.

Is it Addictive?

Did you know that one of the most common concerns with methadone treatment is the potential for addiction? It is essential to understand that methadone is a type of opiate, which means that it inherently carries the risk of abuse and addiction. This is why it is absolutely important that a reputable center administer the treatment.

Since methadone is considered longer-acting, it is also described as a less potent variety of opiate. This means that it will not be able to generate an intense effect like heroin and other similar addictive opiates. This translates to slow-onset of highs including tolerable lows. However, abuse of methadone can still happen when the doses taken are higher than what is prescribed for the maintenance schedule. The person can experience potentially dangerous and heightened effects.

Increasing the doses without medical consultation can also result in intense withdrawal symptoms that can put the rehabilitation efforts at risk.This would be unfortunate since methadone is an extremely valuable pharmaceutical treatment for addiction. This is especially true when it is taken as prescribed and with the proper supervision. Eventually, unpleasant withdrawal symptoms and risky side effects will be minimized.

Signs of Addiction

Because of the fear of addiction, many are searching for methadone treatment options and inadvertently stop the rehabilitation effort before any headway is reached. If your concern is merely on the possibility of addiction, then it would be useful to be aware of the signs of methadone addiction. There are actually several symptoms that you should be consciously aware of:

    • Nausea;
    • Diarrhea;
    • Headaches;
    • Vomiting;
    • Jitteriness;
    • Mania;
    • Pain; and
    • Depression

These symptoms can be experienced in as fast as 24 to 48 hours after quitting methadone use. Sometimes even the thought of stopping methadone use can make you anxious and possibly attempt to hoard it or use it in higher doses due to temptation of a high.

But how can you confirm that you are addicted to methadone? Especially if you cannot quickly identify the addiction symptoms? Well, if you attempt to take methadone even if it has negative effects on you, then there is a high possibility that you are already addicted to it. Other potential signs of methadone addiction will include:

  • Multiple visits to a health professional to get more methadone.
  • Getting methadone from alternative sources.
  • Personal and financial neglect just to keep on using methadone.
  • Using it with other drugs even without doctor’s orders.
  • Using methadone other than how it is prescribed.

Reduction Not Elimination

Instead of looking for methadone treatment options, it is better to taper management and focus on reduction instead of elimination of substance use. Those who decide to reduce their doses of methadone should be able to get support in order to cope with the possible consequences, including withdrawal symptoms, of their action.

How can a managed approach to tapering be achieved? This would normally take on a stepwise approach that includes:

  • Medical supervision and close monitoring by assigned physicians and the members of the involved multidisciplinary program team.
  • Giving addicts the proper information and advice on the process especially about the possibilities of relapse. They should be aware that successful tapering will always be an alternative and long-term maintenance is entirely possible.
  • The dose of methadone must be slowly tapered and the slower it is done the better. Keep in mind that the rate of tapering will always be individualized with addicts always being part of the decision making process. The choice must always be theirs on how much should be reduced.
  • Increased access to supportive counselling becomes essential as the tapering process proceeds. Community-based services that focus on after care programs and services become valuable during the transition process.

The treatment must focus on the reduction of harm that accompanies drug use and abuse instead of completely eliminating drug use. This emphasizes the value of low threshold programs for those who are suffering from multiple substance abuse. These individuals will be able to continue using various substances even when on the methadone treatment program, which will result in the gradual reduction of dependence. This also allows the doors to other treatment options to remain open.

If you want to know more about methadone treatment options, contact Toward Recovery Clinics today!

Who We Serve ?

  • Individuals using/abusing street narcotics (e.g. heroin).
  • Patients abusing prescription narcotics(i.e., Codeine, Talwin, Percocet/Percodan, Dilaudid, Morphine or Demerol, et cetera).
  • Individuals displaying any of the following behaviours: Compulsive drug use or drug seeking/craving.
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