Tuesday, June 25, 2019

South Plainfield

Featured Rehab Centers in South Plainfield

South Plainfield, New Jersey

South Plainfield, New Jersey, is a borough of Middlesex County with a population of nearly 25,000. The borough’s area is 8.361 square miles, of which .034 square miles is water. Racial makeup is predominantly Caucasian, at 68%. South Plainfield’s Asian population is nearly 15%,  Hispanic or Latino of any race is estimated at 14% and African American at 11%. The median household income of South Plainfield residents with a family is in the top echelon of the country, exceeding $100,000.

Local government in the borough consists of a Borough Council of six members, and a Mayor who can veto ordinances subject only to an override by two-thirds majority council vote. As is typical in a borough form of government, the council is the stronger of the two entities. Approximately two-thirds of the borough’s residents are registered voters, primarily Democrat.

Though the borough is affluent, or perhaps because the borough is affluent, drug issues are strong. Recent headlines have included:

      Police Announce Arrests in Drug and Firearms Distribution Ring (11/8/17);

      36 Plainfield Residents Arrested in Operation Snow Bank Targeting Rival Drug Rings (8/1/17, resulting in the seizure of over 1.5 kilos of cocaine, two ounces of heroin, and more than $35,000 in cash);

      Plainfield Drug Network Busted, 2,200 Grams of Cocaine Seized (7/31/17);

      Plainfield Police Arrest Two For Narcotics with Kids at Home (11/18/17).

South Plainfield’s drug issues have been further elucidated in a June, 2107 report by the Department of Human Services: Division of Mental Health and Addiction Services (Office of Planning, Research, Evaluation and Prevention). Said report presented the following abuse statistics for the 2016 calendar year for Middlesex County:

      76,509 Middlesex County treatment admissions, and 74,291 discharges, were reported to the Jersey DHS, the vast majority for issues related to multiple drugs;

      2,332 of Middlesex County treatment center admissions were due to issues primarily related to heroin;

      1,842 Middlesex County treatment center admissions were due to issues primarily related to alcohol;

      854 Middlesex County treatment center admissions were due to issues primarily related to marijuana;

      321 Middlesex County treatment center admissions were due to issues primarily related to prescription opioids;

      194 Middlesex County treatment center admissions were due to issues primarily related to cocaine;

      150 Middlesex County treatment center admissions were due to issues primarily related to other drugs. 

In addition to the above statistics, 1,094 of the above Middlesex County treatment center admissions identified as “intravenous drug users.”

In terms of level of care: 3443 completed Outpatient Care (IOP), 75 completed Partial Hospitalization, 583 completed Opioid Maintenance (OP), 101 completed IOP Opioid Maintenance, 87 attended a Halfway House, 224 attended a Long-Term Residence, 485 a short-term residence, 485 had partaken in a Detox Residential Treatment Plan, 56 for a Detox Outpatient Non-Methadone program, and 41 had partaken in an intervention.

The complete report can be found on the www.nj.gov website, and we strongly advise taking a look.

New Jersey Transit provides bus service to Newark, and also New York City. A car is needed, or at the very least recommended, to travel on the main roads. New Jersey is a HIDTA (High Intensity Drug Trafficking Area) region, as is metropolitan New York. As such, many South Plainfield residents will travel to the higher-trafficked areas of Newark or New York to purchase their illicit drugs.

As with many other areas in the country, medical marijuana is an issue, particularly as it regards young people attempting to attain prescriptions from local doctors. A similar issue arises with opiates, and an over-prescription rate thereof. In terms of the former, so-called Alternative Treatment Centers (ARCs) abound in the county. As a result of a 2016 amendment to law P.L.2009, c.307, ATCs are no longer limited in the number of strains of medicinal marijuana cultivated. Various Compassion Centers have utilized the amendment – and the PR value of its wording – to increase their business. 

Alcohol admissions are well above the state average, and heroin is within the epidemic range that has plagued much of the state for the past several years. 

Pre-Intake Resources

To determine the extent and nature of one’s addiction, pre-intake questions may include the following: “How long have you been using?” “Do you believe you have a problem?” “Do you think others who know you believe you have a substance-related problem?” “Have others confronted you with questions related to substance abuse?” “Do you ever use alone?” “Have you ever substituted one drug for another, thinking one particular drug was the problem?” “Does the thought of running out of drugs terrify you?” “Have you ever been in a jail, a hospital, or a drug rehabilitation center because of your using?”

You can find pre-intake sample applications online. In this case, as with any other self-diagnostic tool, the questions as asked are exploratory only. You must speak to a trained and licensed professional for any true diagnosis. Still, such online tools such as a pre-intake questionnaire can be extremely useful. If you can honestly answer those questions, you may be validated, or you may dislike your responses. If you were drawn to the tool, likely both will apply. Regardless, consider your results, and then take necessary action.

There are pros and cons with online resources such as these, particularly when it comes to completely basing your treatment decisions on your own responses. That would be a negative, as remember, such questions are guidelines only without a trained professional to analyze your answers. Regardless of whether such questions are based on true-life examples of treatment center queries (they usually are), you may not be the best arbiter of your responses. Most especially if you are under the influence of any drug, or alcoholic drink. On the positive side, if you can be truthful with your answers, such online questions will certainly provide a glimpse into your condition, and the need for help.

Intake Services

During the intake application process, you will be required to list your prescription medications and days and times taken (if “none,” you check “none”), an authorization of medical care, a list of allergies or other medical issues, and a waiver of responsibility. Some applications ask more. A physician or treatment center representative will then review your application for the proper steps, and treatment.

One of the greatest benefits of a well-thought treatment plan is that every day will bring a new step in your treatment, and each step will lead to another. During this process, you may well learn of the stringency and urgency of structure, especially if your problem is too large for outpatient therapy, and in-patient will be your next step. The structure you learn and the discipline you will attain will help you immensely during one of the advanced stages of your formal treatment process: the sober house.

Conversely, one of the more difficult aspects of the intake process is one of trust. We all know that a user does not always trust easily. If you fall into this category, we need to reinforce to you that your treatment team is there for you. They will spend the time working with you and for you. In as much as you can, speak to them openly. If you believe a given treatment as administered by a professional is disagreeable to you, you need to make that known to them.

Intake is but a step in a larger process.

Detox Services

Detox addresses the physical hold of an addiction. The length of a detox program will vary based on several factors, including the nature of the addiction, and of the addict’s personality. Regarding the former, chemical dependency frequently occurs that must be medically handled, as your brain has become fully dependent on further use of the substance in order to function. This is a medical issue that will frequently require medication to handle.

During the early phases on detoxification, withdrawal will occur which can be a painful process. Your system will be cleaned of the drug, and your brain will learn to operate as it once did. Certain withdrawal symptoms can be life-threatening, which punctuates the importance of full and systemic treatment.

Factors that can influence the longevity of the detox aspect of your treatment program include:

  • Multi-drug abuse;
  • Pre-existing medical or mental health conditions;
  • Your level of dependence;
  • Genetics
  • Previous trauma;
  • Environment (both that of your home life and the environment of your support system)

The concept and practice of detox is typically broken down into three distinct phases: Evaluation, Stabilization, and Transition to Inpatient Drug Rehabilitation.

Inpatient Treatment Services

Post-withdrawal, the process of your ongoing recovery can be either inpatient, or outpatient. Inpatient treatment is appropriate for more severe cases, and the generally more flexible outpatient treatment is geared towards those with a more moderate addiction (though addiction is still addiction) and a stronger support system in their home environment.

Inpatient treatment can either be a PHP (a partial hospitalization providing a highly-structured environment, with typically active treatment of 30 hours per week), the less-intensive IOP (intensive outpatient treatment plan, which requires up to three hours daily over 3-5 days, for a total of nine hours weekly; therapy is usually included, but the patient can live either at their own home or a halfway house during the process), or an RTC (residential).

Most inpatient therapies, regardless of option will last 5-10 days. They can last longer based on the severity of the problem, and the patient’s physical and mental fitness.

Among its services, a PHP will most frequently incorporate intensive one on one therapy in its treatment program. The reason for this is most PHP admissions are due to disturbances in behavior from the drug being abused, or for those who experience otherwise increased symptomatology. In a PHP, the patient is often isolated and of no risk to other patients.

PHPs and RTCs are highly-structured treatment options. PHPs are the most structured options of all. If you have little structure in your home environment, both of these invaluable choices will likely take some time getting used to. That said, the importance to your overall treatment plan cannot be understated.

Note: Substance use disorder treatment is listed as one of the 10 Most Essential Health Benefits of the Affordable Care Act, meaning that your care is covered if you have health insurance. If you do not have insurance, many treatment centers offer financial aid.

Always ask when you speak to a treatment adviser if this is a concern, as inpatient treatment is more expensive than outpatient.

Outpatient Treatment Resources

Outpatient treatment is often preferred when one has substantial duties in their outside environment, such as school or family. In fact, family and friend group therapy is often included in this option, which is quite flexible in its scheduling. Outpatient treatment has proven to be very effective for those with underlying causes for their addiction, such as eating disorders, to grasp the root of their substance-related issues in a more relaxed setting among familiar support systems.

As an outpatient, you are not enmeshed in as structured an environment, you live at home and you are not under constant supervision.

However, outpatient treatment is no less important or helpful than inpatient treatment. Though the scheduling of your appointments may be flexible, you still need to commit to the time. If you miss one appointment, you will likely miss another.

Ask yourself if you are responsible enough for an outpatient program. If you are, and you maintain your treatment, the rewards can be innumerable.

Both inpatient and outpatient treatment are comprehensive approaches to wellness. You will face temptations in both but as long as you remain responsible, you will also learn specific strategies as to how to deal with them. It is up to you to take advantage of those lessons.

Aftercare and Sober Living Resources

Sober living may be the final step in your formal treatment plan before returning home, but treatment never really ends. Sober living houses provide the interim environment between rehab and mainstreaming back to your natural environment. The reason for the initial formation of sober houses was simple: a person in recovery frequently needed a safe and supportive place to stay, during the vulnerability of early recovery, prior to returning home.

Sober houses are also highly-structured, and most residents are referred to a sober living environment from a rehab center. Requirements and rules are strict, and they usually include:

  • No drugs or alcohol on the premises;
  • No violence;
  • No overnight or sleepover guests, not even family;
  • Commitment to random drug testing;
  • Involvement in a community-related program;
  • Acceptance by a peer group;
  • Acceptance of advice from treatment professionals;
  • Respect for the rules of the house;
  • Following all directions;
  • No swearing;
  • No stealing;
  • No sexual activity between residents;
  • Honesty;
  • Curfew must be respected.

Many of the above rules are enforced with a Zero Tolerance Policy. Meaning, if any of these rules are broken even once, you risk being kicked out of your sober living home. If you had experienced structure during your prior treatment to this point, you should be in good shape.

A benefit of many sober houses is that staff frequently are former addicts themselves. This is a benefit for two primary reasons: 1) They understand the struggle, and 2) They are living examples of former addicts who have successfully completed treatment and are now giving back. Some of these former addicts work on salary, and some happily volunteer their time.

Sober houses are most successful when utilized (in conjunction with a formal treatment plan) for a designated period of time. Do not expect all residents to attain equal success during this stage. You will likely come to know your peers through intensive group counseling. You will also undergo one-on-one therapy, but in the group setting you will notice your peers’ various stages of recovery. You will form opinions but always remind yourself that you are there for reason.

And that reason is to take care of you.

Outlook

South Plainfield, New Jersey as with Jersey’s North Plainfield Borough, is facing an outlook where heroin use is in the midst of a statewide epidemic. Prescription opioid use is an ongoing issue, but at present slightly below the national average. However, signs are that opioid abuse will grow year-to-year for the immediate future, as based on similar national trends. 

New Jersey is a HITDA region and a particularly strong drug trafficking stronghold, especially when it comes opiates. Middlesex County’s South Plainfield Borough is very strong in alcohol, pot, and heroin use. Prescription opiate usage continues to substantially grow and evolve in the area.

The incontrovertible truth of the addict is such that most any drug can be had for a price. Whatever one needs, or craves … or wants, an addict will find. As mentioned earlier, help is a phone call or treatment center visit away. Always do your own research to find what is best for you, and use the above resource listings as a base. Many of the centers previously mentioned will accept Medicaid and Medicare, or cash. Many will also work with you in terms of financial assistance. Do your diligence first, and then pick up the phone.

As ever, true recovery begins with the acknowledgment that you have an issue, and then seeking help for that issue. If you do not find the answers you are looking for, please feel free to drop us a line and tell us how we can help.