Sunday, October 21, 2018

Foothill Farms

Foothill Farms, California

Foothill Farms is an urban neighborhood in California’s Sacramento County. It has a population of around 33,000 and covers an area of 4.198 square miles. The neighborhoods closest to it are Antelope, North Highlands and Citrus Heights. It has an unemployment rate of 3.9 percent. This figure is less than the national and state rates which are both just over 4 percent.

If you live in Foothill Farms, and have fallen victim to substance abuse don’t hesitate to seek treatment. There are enormous resources in at your disposal.

Substance Abuse Figures Drop in Sacramento

Sacramento County is battling substance abuse like other areas of California and the U.S as a whole. In fact, out of California’s total population of around 37 million, at least 3 million are said to abuse drugs. However, substance abuse numbers appear to be dropping in Sacramento which means a drop too in Foothill Farms and other Sacramento neighborhoods.

Statistics show that since 2012, hospital admissions for drug and alcohol-related conditions have fallen by about 29 percent in Sacramento. Additionally, there’s been a drop in deaths associated with drinking impairment. Between 1988 and 2014, figures dropped from 18,503 to 9,967. And overall, drug-related crime has been falling since 2000. This could be attributed to strong treatment and prevention procedures, as well as strict application of the laws relating to substance abuse, DUI and DWI in Sacramento as a whole.

Like other Sacramento neighborhoods, Foothill Farms has benefitted from the work of the county’s Problem Oriented Policing (POP) teams which respond in a timely manner to alerts on all crimes including drug-related ones. In 2013, for instance, local police together with Sacramento’s POP, busted a home in Foothill Farms and netted about 6 pounds of marijuana, as well as heroin and crystal meth to the tune of 12 grams and 4 grams, respectively. Police attributed their success to the continued spirit of alertness within the community.

Substance Abuse Still Cause For Concern

However, despite falling figures, substance abuse still remains a problem in Sacramento. Figures released only apply to recorded cases. The National Institute on Drug Abuse (NIDA) estimates show that only about 11 percent of those who need treatment countrywide, actually get it, although this number has increased since 2000.

Drug and alcohol deaths are still occurring and have been attributed to unintended poisoning. So overdoses are the main causes of death, followed by liver complications related to alcohol abuse. From 2012, marijuana replaced meth as the substance of choice while alcohol remained supreme in most areas of the country. In 2015, of the pounds of illegal drugs impounded across California, 413,000 were for marijuana, 5,000 for meth, 18,000 for cocaine, 800 for heroin, and 300,000 for ecstasy.

All these substances have financial, physical and psychological consequences for those who use them and those they relate or interact with. Figures suggest that nearly half of admissions are for the most productive sectors of the populace—the 25-44 age group. The legalization of marijuana in early 2018 poses a number of challenges for Sacramento and for Foothill Farms.

Marijuana Laws

On January 1, 2018, recreational marijuana became legal in the state of California. So the drug can legally be consumed in Foothill Farms and other neighborhoods of Sacramento.

  1. The Do’s and Don’ts

Basically, the law allows adults over 21 to purchase 1 weed ounce each day, from a licensed shop on production of an ID. According to estimates, this is no small amount—it’s enough to load several joints. Alternatively, adults may buy 8 grams of concentrated weed which they may find in breakfast bars, candies, cupcakes, and other edibles. It’s also legal to grow up to 6 weed plants at any one time, in your home for your private use. Any more marijuana intake than the stipulated amounts is a felony that carries a jail-term or a $500 fine. Further, the weed may not be consumed in public, within the perimeter of a children’s establishment, or while driving. Those caught will face fines ranging from $100 to $250. California’s Office of Traffic Safety (OTS) says marijuana is at its most potent within the first 4 hours of taking, and a person’s driving decisions may be severely impaired during that time.

  1. Purity and Potency Checks

All marijuana products on sale have to be checked to ensure they don’t contain contaminants such as molds and pesticides. They’re also checked for potency. In fact shop labels must clearly indicate the levels of chemical elements such as THC (Tetrahydrocannabinol—the compound within weed that causes the high). Some products are also subject to THC limits.

  1. Long-term Implications

Marijuana intake my now increase in Sacramento and it’s neighborhoods like Foothill Farms. All weed sold in a shop must come from a source licensed by the state but it may not always be available legally. In 2016, California reportedly produced around $13 million pounds of weed but around 80 percent left the state illegally. Additionally, the state hopes to make millions in taxes from the new law. Already there’s a state excise tax of 15 percent for every cannabis product purchased. More local and state tax laws are set to follow. These would most likely make the product extremely expensive to obtain legally. So the already thriving black market is expected to continue and to include unregulated weed with greater levels of contaminants and THC.

Alcohol and Other Substances

Driving under the influence of alcohol is still not permitted and may incur a year’s jail time, and more incarceration for repeated offences.  First time DWI offenders may incur a huge fine, plus community work. But if they repeat the offence, they could spend time in jail.

Laws relating to illicit substances such as meth, cannabis, and heroin, and to overuse of prescription drugs still continue. Abuse can earn the person up 5 years’ imprisonment.

The Addiction Treatment Process

If you live in Foothill Farms and have decided to seek help for your marijuana, alcohol, heroin or other substance addiction, there are certain procedures you need to be aware of. Knowing the ins and outs of the addiction treatment process will help you take the right steps towards long-term abstinence.

Pre-Intake

Firstly, you need to decide where you’ll go for treatment and how much you’ll spend on treatment. This is the pre-intake stage. Here are a few questions you need to consider.

  1. Can I find an addiction center within Foothill Farms?

Substance abuse treatment facilities are lacking in Foothill Farms. So if you or a loved one wishes to recover from marijuana, alcohol, heroin, or any other substance abuse, you would need to go further afield. Many facilities are located within a 2-35 mile radius of Foothill Farms in such neighborhoods as Carmichael, Sacramento, North Highlands, Citrus Heights, Roseville, Rancho Cordorva, Orangevale, Fair Oaks, and Mather. Some centers are an easy daily commute from your home, if you want to be close to your loved ones. But you could consider going further afield. Putting some distance between yourself and the pull of your old life, could be just what you need to focus on your intent, and put you on a solid path to recovery.

  1. How do I know my choice is the right one?

The most important considerations when choosing a center are:

  • Does it have a proven success record in treating your type and level of addiction?
  • Does it offer the whole continuum of treatment?
  • Will the rehab facility competently address psychological factors that may have affected your addiction?
  • Does it put a premium on evidence-based care?
  • What aftercare procedures does it have to ensure you stay clean?
  • Does it have an effective treatment monitoring system?
  • Is it willing to be flexible if your circumstances change?
  • Is it accredited to a renowned substance abuse supervisory body such as SAMHSA?
  • Will you be comfortable in a unisex facility or a gender specific one?
  • Are staff suitably qualified?

These factors should be uppermost in your mind when you do your research. Other facilities offer special programs for a variety of different needs. Shop around, or even visit the facility and do a tour to assess their processes.

  1. Will my insurance cover my treatment?

A great worry for most people is how they will finance their treatment. Most insurance schemes have you covered from detox through to intensive outpatient (IOP) treatment. However, if your insurance won’t cover all the costs, or you’re completely without insurance, that’s not usually a problem. Many facilities have various alternative arrangements for paying. Inpatient facilities will obviously cost more than the outpatient facilities as they include bed, board and meals. Other costs factored in could be pet therapy and yoga. Outpatient treatment also varies in price as it can be intensive or regular and involve more or less therapy sessions.

How do I pay with insurance?

Intake

This is the enrolment process you go through when you’ve decided on a treatment center.

  1. What will I have to do during enrolment?

 You’ll most likely fill in a form giving details of your family and your addiction history, as well as the reasons why you may have succumbed to addiction. You will be asked verbal questions for clarity and you too should ask your own questions.  You may be required to take diagnostic tests to see whether you have other problems that have been impinging on your addiction. The assessment process will help intake professionals to assess your type and level of addiction and work out an individualized program for you. 

Remember that there are different reasons why people resort to drugs or alcohol. For some, it’s a form of escapism following a divorce or bereavement, for example. Others use it as treatment for mental illness. Still others simply like the way it feels, or they use it as medication for pain. In all cases, their use spirals out of control. There are different programs to deal with these different situations. You can’t decide on your own what’s right for you.

So your addiction recovery program will be built around your individual needs. It’s typically a mixture of detox, group and personal therapy, abstinence maintenance education, and aftercare procedures to help you maintain your sobriety in the future.

Detox

Recovery mostly starts with detox. It tries to restore your body to its normal condition. Detox is about clearing your body of your substance of choice and addressing the resultant withdrawal symptoms. It’s also supposed to prepare you for the rehab process that should follow.

 

1. Does everyone have to go through detox?

Detox is required as part of all alcohol abuse treatment, and for chronic or long-term drug abuse or abuse of hard drugs such as heroin. Many drug abusers fall into the latter categories. So most clients will likely require an inpatient medical detox, unless their assessment process reveals that they have an extremely mild form of drug addiction.

2. Why can’t I just detox at home?

Detox is not a simple procedure. It involves a withdrawal process which can be difficult, painful and sometimes dangerous. Seizures have been known to happen, for example. So for safety reasons, you’d best have your detox done at an inpatient facility where your withdrawal symptoms will be closely watched by trained medical staff. They will know what to do when there are complications, and to even administer medication, if necessary.

3. How long is detox?

Detox typically lasts between 1 and 2 weeks. Duration depends on how long you’ve been addicted, the types of drugs and, or alcohol abused, and whether or not you have any incidental medical or psychological issues.

4. What kind of medication is used during detox?

Medication is sometimes required to ease the severity of withdrawal symptoms. Here are some meds that may be used.

Benzodiazepines and Barbiturates

These groups of drugs are used in alcohol detox.  They help with seizures and they reduce the severity of withdrawal symptoms.  Some are said to also reduce cravings and the likelihood of relapse.

Methadone

 This is used in the treatment of heroin or drug prescription addiction. Overtime, less and less of the drug is administered to stop the patient becoming addicted to it. But some people have been known to develop a dependency which sees them taking the drug indefinitely.

Buprenorphine

 

It is similar to Methadone but is the preferred form of medication because it’s seen as being less addictive and thus unlikely to be abused in the same way. However, some patients still develop a dependency and continue to use it in the long-term.

What is withdrawal? How long does it last?

Rehab

  1. What is rehab and why do I need it?

Detox is typically followed by rehab. While detox clears the body of the abused substance, it’s not enough to restore you to full sobriety. Much more is needed than just ridding your body of drugs or alcohol.  You need to clean up your mind too. A rehab process helps you uncover what really caused and perpetuated your addiction, and teaches you some healthy ways of dealing with the triggers. The process can take quite a while. There are no quick fixes.

 

Rehab treatment centers offer either outpatient or inpatient services, or a mixture of both. At some detox centers, you can transition straight into rehab. Again you go through an assessment process to help individualize your treatment. There are normally a range of activities on offer, including field trips. You won’t get bored. Rehab is an essential step in achieving long-term sobriety.

 

Inpatient/Residential Treatment

In this form of rehab, you live onsite and undergo intensive treatment under the close supervision of trained medical staff. The idea is for you to focus completely on your recovery. Studies show it to be an extremely effective option for those who spend three months or more there. Many inpatient facilities offer detox followed by intensive inpatient care.

  1. What can I expect at such a facility?

As mentioned before, medical detox deals with the physical side of things. But you need to go further and deal with the psychological problems behind your addiction. Often, rehab is a mixture of psychological, medical and social care. You can expect individual and group therapy, education for your life after treatment, some family counseling, and a variety of other add-on features which may include psychiatric attention to help stabilize your work, home and other societal interactions before you go back to your normal life. The idea is to help you look critically at your past actions, change your way of thinking and doing, and work out ways to stop a relapse. One way is to identify and deal with triggers. The process has also been termed behavioral therapy.

Meds such as naltrexone may be given, to help get rid of alcohol dependence. At the best inpatient centers, treatment takes place in a comfortable residential setting manned by licensed and qualified staff who monitor your around the clock and tailor the program to your individual needs.

  1. What if I have extra special requirements?

The options on offer differ from center to center and you need to do research to see which center addresses your specific preferences. Some centers are up front about whom they cater to.

Special needs centers

If you favor a holistic approach you could attend a center that will use natural therapies to address all areas of your life so as to help you achieve sobriety, as well as physical health and peace of mind.

On the other hand, if you feel freer and more comfortable in a single sex setting, you could opt for a men only or women only center.

If you have a teen who’s struggling with addiction you might want to choose a center that caters specifically to teens, or keeps them separate from possible adult influence. 

If you want much more peace, quiet, privacy and isolation than can be provided in other inpatient facilities, then you could try the luxury facilities. Such facilities are frequently located in exotic areas with great scenery. They are more expensive but have a great success record as they offer a high level of care. They are more individualized and offer many more options than ordinary centers. You live in but can often maintain contact with your place of work. There are lots more amenities and there are revolutionary therapies.  These places are popular with company executives and celebrities.

  1. Do my details remain private?

All treatment centers are required to abide by the Health Insurance Portability and Accountability Act which commits them to privacy and confidentiality over client records. Before they can release information to family, friends or the employer, or agree on a file transfer, they need the patient to sign a consent form to give them the go-ahead. But the information can be given without consent in medical emergencies.

  1. How long should I stay at an inpatient facility?

Thirty-day programs are standard for some institutions. Other programs go on for 90 days. But for best results you need to stay for between 6 and 18 months, especially if you have chronic addiction and have relapsed often before. At the more reputable places, it will be your rate of progress that will determine the duration of your stay. Your recovery program will happen in stages and you need to complete each to the satisfaction of the staff before moving on to the next.  

But generally, you should really try to make your stay as long as you can in order to reap the full rewards. You need time to adjust to a new way of thinking and being, before you’re thrust out into the world again. Studies have shown that the longer periods have a greater success rate.

 

Outpatient Treatment

There are various options available in outpatient treatment. An intake process will help determine what’s right for you. Similar treatment techniques are used as in inpatient care—individual and group counseling, education for life programs, and medication if required. But clients may need to submit to drug tests each week as proof that they’re remaining clean even when they’re away from the center.

  1. What is ordinary outpatient treatment?

Regular outpatient rehab is for those with less serious or less prolonged addiction. So their level of addiction is considered milder and more manageable. They may or may not have gone through detox. It’s a cheaper option. If you feel your home environment is supportive enough, you may choose to live at home and attend the treatment center some days per week for counseling and other substance abuse care. There’s an intake process and there are varying types of treatment options. You could be required to visit the center for just 2 hours each day and at times that don’t disrupt your home and work commitments.

  1. What are IOP and PHP?

IOP and PHP are both concentrated variations of the outpatient theme. IOP refers to the intensive outpatient program which requires you to attend for several hours per week, while PHP refers to the partial hospitalization program where you attend treatment the whole day and return home later in the day. Both are intensive treatment options. They’ve proved attractive to those clients who’ve completed the intensive inpatient rehab program but still need a period of adjustment before returning to their usual lives. However, these options are not recommended as the first post-detox form of treatment for those with chronic or prolonged addiction, or those with co-occurring psychological issues. They would first need inpatient care.

Should I choose inpatient or outpatient?

Aftercare

This is the process you go through after completing rehab to help maintain your sobriety.

  1. How long is the aftercare process?

Aftercare is a life-long commitment. Many clients believe that once rehab is over, they’re cured and can stop being vigilant.  But the truth is that addiction can’t be cured. Rather, it can be managed so that a relapse can be avoided. So recovery is never over. It’s an ongoing process that lasts the rest of your life. To keep it constant, you require focus and commitment.

  1. What do I have to do in aftercare?

There are a variety of options to choose from. After you leave a treatment center, you can opt to be involved in support or self-help groups while continuing with your daily life. This way you continue to interact with and draw wisdom and support from fellow recovering patients. Often, you have a sponsor whom you can contact for support when you feel low, or on the brink of relapse. Other clients keep in touch with their sobriety by visiting a therapist each month or even enrolling in a yoga and mindfulness class. All these are important steps in preventing relapse.

  1. What good is a sober living home?

A sober living home is a live-in facility where you can get further support in a more relaxed atmosphere and then slowly transition back to your usual life. Normally, there are no formal or professional staff on duty. Often it is fellow recovering adults that run the place. The residents are all there for the same reason and they provide valuable support to each other during this transitional phase. They take part in therapy, do chores, and may go to school or work.