Drug Rehab In West New York Town
Drug abuse is a huge challenge of a modern society. Almost every country in the world is dealing with this problem. Addiction to psychoactive drugs is closely related to various social issues such as poverty, unemployment, prostitution, delinquency, criminality, and homelessness. The money involved in a narco-criminal can play a significant role in the stability of the social economy. Fortunately, there are treatment options for drug rehab In West New York Town.
The latest substance abuse monitoring system reports estimate that there are around 4000 addicts on various psychoactive drugs and this is less than 1% of the total population. Majority of them are also tobacco consumers. When it comes to West New York Town, there are around 182 drug addicts. The most commonly used substance is marijuana (84 people), followed by alcohol (54 people). 14 people are addicted to cocaine or crack while 21 residents are heroin addicts.
Out of a total of 4294 persons treated in 2016, as before, most are men (73%). The ratio of men and women is 4.7:1. The highest percentage of males is between 25 and 59 years of age. Women who come to treatment are, in total, younger. Of 1207 women, 936 of them were between 25 and 59 years of age. The average age of all women treated is 28.6 years.
In West New York Town, the average age for the first contact with drugs is 15.9, while the average age of first heroin consumption is 20 years. Furthermore, 20.8 years is when the first intravenous dose comes into place and 25.5 is the age when a person enters into some kind of addiction treatment.
Physical health assessment includes blood analysis, ECG, and specialist examinations. The aim is to discover the consequences of using marijuana. Physical damage is rare but still possible. At this stage, psycho-diagnostics is carried out. It includes testing the level of marijuana desire, a degree of nervousness, depression, sleep disorders, motivation, personality test, intelligence, physical activity level, and memory. The information obtained is of a great importance in determining the correct treatment program.
The instrument used to evaluate a drug addiction treatment is called ASI (Addiction Severity Index). It is clear that the severity of addiction disorder cannot be measured by the number of daily consumptions of marijuana because addiction is a disorder that affects all aspects of a patient’s life, so the assessment of the severity of addiction must consist of multiple components.
Addiction to alcohol or drugs is best seen through the life occasions that went before, happened in the meantime, or were caused by substance abuse issues. ASI concentrates on seven practical areas that can cause drug abuse:
- drug usage
- employment and support
- medical status
- alcohol usage
- social and family status
- legal status
- psychiatric status
These areas need to be analyzed individually by gathering information on the severity, duration, and frequency of the symptoms, both throughout the patient’s life and before the interview. It is hard to find out how much active substance the patient is taking because drugs are often diluted with other substances, and addicts do not know the share of marijuana in the product they buy.
Given that addiction is not only a medical problem but also a social one that mostly affects the family, it is especially important to involve the family in the process of treatment. Family interaction patterns can influence the behavior of each member individually. The therapy is based on a set of therapeutic methods that rely on the effectiveness of an intervention at the level of the entire family. The unit being treated is the family itself and the individual within the context of the family system. The main determinant of the therapy in addiction treatment refers to the usage of the family power and resources to find or develop the life skills.
There are not many individuals who want to go to rehab on their own. As long as they wear nice clothes, get a decent meal, and have a beautiful house to live in, they will hardly take this step. Being under pressure helps them make a decision much easier.
By analyzing and managing the case, the addict is trying to identify the thoughts and feelings that make him/her enter the relapse risk. Pre-intake phase also helps a person gain insight into the reason for consuming drugs when facing difficulties. A case analysis is conducted during the pre-intake and assessment stage while taking into account the heterogeneity of the drug abuse disorder, and the fact that a person who abuses drugs can have many different needs. The treatment involves creating a plan, setting the goals, making a deal, and defining the tasks.
All treatment procedures must be geared to changing the relationship between social values and drug usage, whereby the entire role of psychosocial treatment and intervention is of the utmost importance. A multidisciplinary approach should provide a more comprehensive and effective rehabilitation and reintegration of treated addicts into the community. Psychosocial interventions for people who abuse drugs are proven actions aimed at achieving socially acceptable and customized functioning and support for health preservation and can be carried out independently or in a combination with pharmacological interventions. They are individually tailored to the type and degree of the person’s problem.
Common psychosocial interventions carried out within the health and social system are primarily psychological interventions such as short counseling interventions, patient education on infectious diseases, motivational interview, case analysis, psychoeducation, relapse prevention, life skills training, cognitive behavioral therapy, contingency management, and psychodynamic therapy.
The main expected outcomes of psychosocial treatment are:
- establishing and maintaining abstinence
- better cooperation and efficacy of pharmacotherapy
- reduction of relapse frequency
- retention in treatment
- changing lifestyle and improving the quality of life
The goal of psychosocial treatment includes many social outcomes such preventing destructive and self-destructive behavior; personal, social and family improvements; strengthening social, psychological, emotional, moral, spiritual, and technical competencies; developing and strengthening a social network; learning strategies for preventing the relapse, re-socialization and returning addicts to the family and social environment.
Detoxification is a complex of measures directed at cleansing the organism from psychoactive substances and overcoming abstinence syndrome (crisis, withdrawal syndrome). The type of detoxification is selected individually based on the analysis of several important factors:
- The substance (a heroin crisis lasts for 5-7 days, from methadone and suppository it is much more intensive and can last 21-30 days). The combination of several substances always exacerbates and extends the abstinence syndrome.
- Dose, level of tolerance, the frequency of narcotic use during the day. Duration of continuous use. If a person restrains from narcotics in the course of one year, at least a few times over a short period, the metabolism can rest and is capable of regeneration, the abstinence syndrome is easier and less complicated. If during a few months or a year the person has been unable to stop taking narcotics for a period of 10-14 days, the abstinence syndrome is more difficult, the stress associated with deprivation of narcotic drugs causes deep disturbances in the whole body. Since the immune system becomes weak, there is a high probability of getting infections.
- The way of consuming (intravenous or inhalational consumption of narcotic drugs often causes severe infectious, vascular or respiratory issues). This happens especially in cases of drugs injection into the groin, thigh or neck veins.
- Health status and presence of accompanying diseases. The worse the health condition, the more detoxing is needed. Fast and ultra-fast methods subject the body to stress, which increases the risk of decompensation of the life-cycle system that is affected by the use of narcotics.
- Patient compliance, motivation, volitional mechanisms. Aggression, low level of pain, psychopathic reactions, compulsive, irresistible desire for narcotics sometimes make ineffective attempts to conduct lithic drug replacement.
The most effective and easiest way is a hospital treatment. In this case, the patient is prevented from accessing narcotics, the therapy is under the twenty-four-hour control of the physician and with the monitoring system, the patient can receive an appropriate help at any time, making the process painless and comfortable. Under stationary conditions, it is possible to eliminate the consequences of narcotics use – improve appetite, sleep, immunity, reduce nervousness, depression, craving, and the need for medications. This is achieved with the help of psychotherapy, kinesitherapy, and acupuncture.
It is carried out within specialized clinical programs in RTC (residential treatment center) including various health and non-health subjects. The inpatient treatment consists of detoxification, pharmacotherapy and psycho-social treatment. It usually lasts from 16 days to 3 months.
The inpatient treatment program includes:
- detoxification (opiates, methadone, buprenorphine, sedatives)
- testing the abstinence with or without pharmacotherapy
- determining an appropriate dose of methadone
- the substitution procedure from lower doses of methadone to buprenorphine or naltrexone
- the substitution procedure from high doses of methadone to buprenorphine (by means of temporary substitution with MST Continus)
- reviewing therapy and psychic stabilization for comorbidity complications
- relapse prevention
The treatment program is implemented according to the rules of the therapeutic community, for the group and individual therapy (psychoeducation, motivational interview, counseling, supportive and cognitive-behavioral therapy) and family therapy (individual and group). Opiate agonists play a key role in the contemporary approach to addiction, but the doctrine of addiction treatment claims that methadone or any other opiate agonist alone is not enough to significantly alter the behavior of the disorder. Therefore, these medicaments are used as a means by which patients are attracted to the program, and then pharmacotherapy with an agonist is used only as one of the elements of a complex addictive treatment process involving psychotherapy, education and certain forms of psychosocial assistance.
The goal of RTC is to alleviate the symptoms of drug abstinence syndrome and to start the detoxification process which is a standard measure in the treatment of addicts and establishment of abstinence. Each abstinent after being released from the center should be involved in structured outpatient treatment systems for the first few years to become re-socialized.
Substitute therapy is medical care for opium addicts who use medicaments in exchange for the primary addictive drug. It is intended for those who can not solve their primary addiction to the full abstinence. The same therapy can be applied through a short-term program of assistance in passing through a period of complete cessation or reduction of the amount of drug or as a long-term maintenance program for the permanent termination or reduction. In addition, it is possible to discontinue the use of a substitution drug and continue with counseling and rehabilitation.
Objectives of substitution therapy:
- patient stabilization and reduction of abstinence syndrome
- reducing the use of illegal drugs
- solving problems related to drug abuse
- reducing a drug-related criminal activity
- improving the physical and mental condition and improving personal, social and family life
When choosing a drug in outpatient treatment, it is necessary to pay particular attention to the co-operation and to make a choice in agreement with the patient. In this case, a doctor suggests the patient a specific type of drug while taking into account the individual characteristics of each patient in particular. It is extremely important to convince the patient of the efficacy of the chosen drug and the importance of respecting the treatment rules. To establish a good co-operation, a doctor will offer the patient a cure that will meet his expectations. In that case, the patient will be taking a recommended dose and will also come for regular checkups, have a good therapeutic effort, and a great co-operation. If the patient does not take the medication regularly, the treatment will not be effective and as a result, there will be frequent relapses due to insufficient co-operation.
Once the process of detox is done, and patient treatment goes fine, here comes an aftercare which highly important and to make a rehab successful, a patient must go through the period of aftercare. It is a kind of continued treatment which has to happen after addiction care is completed. It is essential to give careful consideration to a patient’s post-treatment time interim, for it is amid this vital period that steps made amid recuperation are fortified. There are different sorts of aftercare treatment choice which can help prevent losing the faith and build up the adjusting procedures got the hang of in the midst of rehabilitation.
They are as per the following:
- Outpatient treatment: The individual life at home while setting off to a treatment several times every week when it is advantageous for a patient.
- Group counseling: The patient will tune in to and share experiences related to addiction and will work to create social and adapting abilities in a group environment.
- Individual therapy: The patient will have ongoing meetings with a therapist to expand upon a progress made after an initial treatment.
- 12-step programs: Cooperation programs similar to Alcoholics Anonymous and Narcotics Anonymous will offer their help and consolation for the person heading toward recuperation.
Therapists may suggest the different duration of aftercare or expanded care, contingent upon the person’s needs and a schedule after completing the regular treatment. The patient must follow the aftercare plan cautiously because of a high rate of substance relapse. Although a participation in a 12-step program is highly recommended, it can sometimes be mandatory, depending on the case. In some cases, there are regular follow-up appointments for outpatient programs in a treatment center or clinic. Ordinarily, aftercare involves far less incessant contact with treatment staff than amid the intense period of treatment. Consequently, it brings closer all the more genuine circumstance of self-assumption, personal assurance and diligent work in keeping up one’s own temperance.
After rehab, a patient can take numerous steps to ensure a successful recovery. It is a long-term strategy for preventing a backpedal to substance abuse world and slowly adapting a person to a healthy lifestyle that has a zero tolerance to drugs. Sober living is a safe zone for finding support and learning the right mindset for setting up the right personality. Living in a sober environment can provide many benefits.
A few of the greatest advantages of sober living houses:
- There is a structure. Firstly, the patient has a specific time for waking up, has to keep everything clean and neat, and needs to develop a good relationship with other people. This prevents passiveness and slipping over into past propensities.
- No one is going to tolerate alcohol or drugs. This makes it hard to relapse and if it happens, then the patient will have to return back to the treatment.
- Patients need to re-integrate into society by searching for a job or going to school.
- Wasting time by hanging out or dozing all day long are against the rules. Patients must stay accountable and strive to become successful.
- There are peers all around the day so no one feels lonely. Each member is dealing with the same thing so patients can relate to each other during the crisis.
Sober living can be the contrast amongst progress and failure at remaining sober. The cost for basic items can differ depending on location but the rates are ordinarily like those of average rental lofts. Each patient should contact a healthcare provider for a help in determining the best and most reasonable option.