Saturday, February 23, 2019

Pine Bluff

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Addiction Treatment in Pine Bluff, Arkansas

Pine Bluff, Arkansas is a small town with a disturbingly high violent crime rate. The population is just below 44,000, yet the it’s crime index is nearly 3 times the national average. In many years, nearly all violent crime fatalities and perpetrators were some how involved in the cities frightening drug trade.

Over the years, Pine Bluff, Arkansas has seen a rising threat from methamphetamine. Both produced domestically and trafficked in from Mexico, crimes related to the drug have earned the city a dangerous reputation. While Pine Bluff’s primary drug threat is methamphetamine, it struggles along with the rest of the state with heavy inhalant use and opioid addiction.  

The poverty rate (32%), unemployment rate (5.1%), and low median income ($30,415), all contribute to the city’s struggle with narcotics. The unemployment peaked in 2011 at over 10%, and while it has greatly improved, it’s still higher than both the national and state averages. 

Treatment Centers

Unfortunately, resources for those seeking recovery from meth, other drugs, or alcohol are not abundant in Pine Bluff. Sobriety House, a full service drug rehabilitation facility, is located in the north east, and HDRS Outreach, just 2.5 miles to the east, offers an alcoholism recovery program.

For ampler resources, those seeking treatment should travel just 44 miles north to the city of Little Rock. Little Rock still suffers from the same drug issues gripping the region, but with a population of nearly 200,000, the city is more suited to serve those in recovery.

With Little Rock’s a wide array of support groups, educations centers, and even low budget resources, those seeking treatment in Pine Bluff and the surrounding areas will find plenty of options in this nearby city center. Find treatment in Little Rock, AR here.

Assessment

Before any treatment can commence, an assessment must be done. This can either be done at the treatment facility one intends to be admitted to, but more often than not, it is done by a third party. This is because the assessment is often needed to determine what type of treatment is needed.

A general assessment for chemical addiction is fairly simple. The main purpose is to actually determine if an addiction is present. This will mostly involve an interview about whether one feels a need to consume the substance in question, and how use of the drug has affected the patient’s life and daily activities.

However, if one has chosen to seek treatment, it is more than likely the addiction is clearly present. Another purpose of the assessment is to determine if there are any related conditions either contributing to the addiction, or amplified by it. This could be a mental illness like depression, or even an eating disorder.

The latter purpose of the assessment is crucial, as it can greatly affect what type of treatment is necessary. Not all facilities are equipped to handle any condition, and the end goal is to find the patient the best possible care.

It will also help the doctor to decide if the patient would do best with in or outpatient treatment. The doctor’s recommendation is important for making sure treatment is covered by insurance. 

Pre-intake

After the assessment, the next step is to prepare for intake. For an inpatient treatment, the patient will generally be cut off from the outside world. While calls home can be made, the best practice is make all preparations in advance. This is the time for you to get your affairs in order. If you are employed, make sure you are going through the proper channels to take a leave of absence.

How do I get time off of work to attend addiction rehab?

The other key to preparation is making sure your condition is stable. While the standards of each treatment center is different, this often this means that you will need to go through detoxification before admission. Even if a full detox is unnecessary, certain health levels may be required, so as the treatment center can deal exclusively with the addiction.

As is the case with Oasis Renewal Center in Little Rock, many treatment facilities will help you plan any medical that is needed pre-intake. If this includes a detoxification, they can assist you in finding the appropriate program. Not only will this make the transition between the two stages easier, but it will also ensure that your medical status is brought up to the standard required by the treatment center.

Other facilities may take care of this onsite. If the facility is full-service, the patient may be able to complete the assessment, detox, and treatment at a single location. That makes the pre-intake process simple, if existent at all.

Unfortunately, this can muddy up the lines between pre-intake and intake. It is important for the patient to communicate with the facility so that one can make any an all arrangements before being locked into a treatment program. 

Intake

The intake process can vary from center to center, but the goal is the same. The doctors, and other medical professionals, at the facility simply need to know the patients history. This includes drug use history, as well as basic mental and physical health history.

Knowing the patients physical health history is important for obvious reasons. Given the physical toll that coming off of a drug can have, the staff needs to know what to look out for. They also need to know how to make the patient as physically healthy as possible so that it does not add to your mental strain.

One’s mental health history is debatably the most important part of intake. While physical pain can contribute to the abuse of drugs like prescription painkillers, the majority of users are pushed towards narcotics by mental stress and preexisting mental health conditions. This history gives the staff important insight about what behaviors to be on the lookout for.

It’s important for the patient to be honest during the intake process. All information that the patient gives will be 100% confidential. However, many people are ashamed of their history and feel the need to lie. This will hinder the facilities ability to treat you, as they will be going off of false information.

One specific area that is crucial to speak openly about is what has in the past triggered the patient’s substance use. An important aspect of one’s treatment is learning how to deal with these triggers in a healthy manner. If the patient lies to the intake doctor about these triggers, the staff cannot help him or her deal with them.

Detoxification

Detoxification can be both a prerequisite for admission to a rehabilitation program, or an independent treatment. It also may not be needed at all. Several factors will determine if the step is necessary, including frequency of use, duration of addiction, and one’s independent support system.

For methamphetamine addiction therapy, a detoxification will almost definitely be required. When ceasing use of any addictive substance, withdrawal can cause intense distress. This often leads to a downward spiral, resulting in relapse. Methamphetamines can produce some of the worst withdrawal systems, so it is crucial that detoxification be done under medical supervision.

Whether it is through a traditional hospital, detox center, or an all inclusive treatment center, there are many solutions for pre-intake detoxification. 

What is withdrawal? How long does it last?

Inpatient Treatment

When we think of addiction rehabilitation, we generally think of inpatient treatment. Inpatient means that the patient live in the facility for the duration of the treatment. For people with severe addictions, or ones that need to remove themselves from a triggering environment, inpatient is the best method for rehabilitation.

Inpatient facilities can vary greatly. There are even centers that are considered “luxury,” which are often situated in a pristine location. If options like this are financially realistic, receiving treatment in a relaxing and highly comfortable environment can aid the recovery process. Treatment is mentally straining, but the amenities some of these facilities offer can greatly reduce the strain.

However, as comforting as the luxuries of certain facilities may be, that is not the main benefit of inpatient treatment. The purpose of inpatient is to remove the patient from whatever factors in their everyday life pushed them towards drugs, and to give them time to recover without those outside pressures. Inpatient treatment takes away the risk off relapsing within the first 30+ days. While relapsing is certainly possible afterward, the patient comes out of treatment having already passed several big milestones of recovery.

Outpatient

As beneficial as inpatient treatment can be, it’s not possible for everyone. For some people, insurance will not cover an extended stay. For others, the idea of taking time off from work, school, or family commitments simply isn’t an option. For those people, outpatient treatment is the alternative.

Outpatient treatment means the patient lives at home, continues going to work or school, and comes in for regular treatment at the facility. Usually this means attending therapy groups, and regularly meeting with a psychiatrist.

Even though outpatient treatment can make addiction therapy much more accessible, it has some major drawbacks. The main disadvantage is that the patient has easier access to the addictive substance. If the patient does not have a strong external support system, this can present a big risk.

The second biggest disadvantage is lack of 24-hour care. Often times during addiction therapy, other physical and mental issues arise. During inpatient treatment, the patient has nearly immediate access to a staff that can help them through it. This could be in the form of medication or counseling. During outpatient treatment, the patient could have several days before they visit the facility again.

When choosing between inpatient vs. outpatient, there are many factors to consider. However, if inpatient is a realistic option, it can eliminate many of the risks associated with rehabilitation.

Many insurance companies understand that inpatient has a higher success rate, and therefore results in less cost for them down the line. Because of this, some insurance companies will opt to pay for inpatient treatment, depending on the severity, and likely the recommendation of the doctor giving the assessment. 

More on Outpatient rehab here.

Aftercare

After completing a rehabilitation program, some patients feel that they have completed the process. They return to their normal lives, and often fall back on old habits. If they’re lucky they will manage to get back into treatment and try again, but unfortunately relapsing can be very deadly.

That is why aftercare is an important step of recovery. Aftercare is a general term that covers any additional check-ups, outpatient therapy, and support groups that come after the initial treatment. Not only does this give the patient an experienced support system, but it also allows medical and psychiatric professionals a chance to catch any issues that might lead to a relapse.

Aftercare is a crucial step in maintaining rehabilitation, and while it comes in many forms, it should always involve professional assistance. Many of the same facilities that offer inpatient and outpatient treatment offer aftercare as well.

Sober Living

Often seen as a branch of aftercare, sober living facilities work as a transitory stage between treatment and the outside world. A sober living facility is more akin to a boarding house than a treatment center. The tenants, who are generally fresh out of rehabilitation, live at the facility, but they are free to come and go throughout the day. There is a strict substance ban, medication may still be controlled by administration, and there is generally a curfew.

Despite there still being supervision from professionals, the tenants experience a lot more freedom. They are encouraged to seek employment, and the purpose is to work on rebuilding one’s life while still having separation from the causes of addiction. Their support system is still strong, and they still have greater access to aftercare than someone living on their own.

Unfortunately, sober living is often not covered by insurance. If a tenant is still paying rent at their actual residence, staying at a sober living facility can be too much of a financial burden. However, the benefits are astronomical. If one can manage to afford it, sober living can greatly reduce one’s risk of relapse, and allow a peaceful transition into the outside world.

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