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How Life of Purpose Treats Substance Abuse with Detox Treatment

What makes this program unique is that our clients receive many of the same benefits as inpatient detoxification but in an outpatient environment. Upon arriving at our facility each person is evaluated individually and if deemed medically appropriate provided a detox protocol that meets their needs. Medication titration can be customized for each patient depending on the substance of choice, the severity of use and other medications the patient is currently on. This ensures patient comfort and aids compliance.

Detox treatment is a 5-10 day treatment experience where a person is receiving medical care for physical acute withdrawal symptoms. These symptoms can include: nausea, diarrhea, anxiety, depression, hallucinations, paranoia, insomnia. Clients experiencing a high level of withdrawal symptoms would meet criteria for a priority level of medical level of care and supervision. Detox facilities can vary and be inpatient or residential as well as specifically treat different substance addictions. At Life of Purpose, we provide what is called Ambulatory Detox, a way of addressing detox symptoms in an outpatient setting. We have a medical staff that includes a Medical Director, Psychiatrist, Nurse Practitioner, and nurses all familiar and specializing in Addiction Related treatment.

We utilize suboxone for our opiate detox and also use comfort medications to address withdrawal symptoms. We are also able to continue clients on suboxone maintenance when indicated. While attending treatment with us as ambulatory detox, one must have a living situation that is supportive to the detox, an emergency contact involved, or a recovery house that can support the detox stay. Medical attention is necessary daily until the detox is complete, meaning one must be on the physical premises to receive the medication and care for the medical team during our Partial Hospitalization Program hours of 9:30am-3:00pm, unless other options are agreed upon by medical upon intake. We ask that clients begin attending the groups available when they begin to feel better, as engaging in the early recovery skills and with the treatment community is an important part of healing.

Life of Purpose offers medical assisted treatment option, drug detox and alcohol detox programs at our various locations in Florida and Pennsylvania.

What is Medication Assisted Treatment (MAT) - Facts

Medication Assisted Treatment (MAT) is a method of treating addiction with medication that helps to reduce cravings and prevent further relapses or potential overdoses. MAT can be used to help individuals suffering from opioid addiction as well as alcoholism, or both.

MAT for Opioid addiction includes a variety of medications in different formulations, such as methadone, naltrexone, and buprenorphine. They each have a different mechanism of action and offer unique benefits, as they impact the body and our opiate receptors differently.

Methadone is an opioid agonist, tricking the receiver into feeling like they are addressing the addictive need for opiates, while preventing withdrawal like symptoms. Methadone is mostly regulated at clinics in the form of liquid and taken daily. Naltrexone, also branded as Vivitrol, is an opioid antagonist. When taken as a pill daily (Naltrexone) or given the shot for monthly coverage (Vivitrol), it reduces the desire to use and blocks the effects of narcotics in the system. This type of MAT is also effective at working with alcohol, reducing cravings as it reduces the pleasurable effects of drinking.

Burprehnorphine, also known as Suboxone, Subutex and Sublocade, are all opioid agonist/antagonist that work in two ways: blocking narcotics and decreasing the symptoms of withdrawal. Suboxone is a sublingual film taken daily, which can be utilized during the detoxification process or prescribed for extended periods of times for maintenance. Subutex is a form of buprenorphine that comes in sublingual tablet form and is best used for facilities working with pregnant populations. Sublocade, a newer form of buprenorphine, is an injectable that is administered by a medical practitioner monthly, offering the same benefits of Suboxone, but long acting and covering a client for 28-30 days.

Naloxone is a different type of MAT as it is an opioid antagonist, with the ability to block or immediately stop the effects of opiates in the system. This is different from the other MAT for opiates, in that its main use in the field with first responders, is to address an overdose and reverse the effects, keeping the person alive. Relatives and friends of those at risk of accidental overdosing are also being encouraged to utilize naloxone. Naloxone is sold as Narcan and as the brand name Evizo, which can be prescribed by a physician to clients in treatment as well as their family members. This medication continues to gain traction as it has been helpful in saving lives and then giving people the opportunity for recovery.

MAT also is being used for the treatment of alcohol addiction. Naltrexone, both in the oral and long-acting form (Vivitrol), is given to decrease cravings and shown to be effective in reducing the amount of drinks consumed per month, as well as in helping to maintain abstinence. In addition, disulfiram (more commonly referred to as Antabuse) is a daily medication often prescribed. This medication is taken in a pill form and when coming into contact with alcohol, one has an immediate bad reaction resulting in sickness. Any association of the bad experience usually helps to further prevent cravings of use, as a negative association has been strongly connected to the use of alcohol. This is also medication that requires medical prescribers to be clear about the effects as they can be startling, and one has to be very careful when eating out or consuming foods that could include alcohol.

How Life Of Purpose Treats Detox & Medication Assisted Treatment

At Life of Purpose, we believe in the use of MAT in conjunction with outpatient treatment as an Evidenced-Based modality and useful tool for addressing alcohol and drug addictions. With opiates being listed as the largest epidemic in Pennsylvania, and a National issue, it has become increasingly important for treatment facilities to look at how keeping clients alive is necessary to offering therapeutic services. We also know that not all MAT is necessary or advised for clients.

For example, clients new to the treatment who are engaging well in the services, gaining and maintaining sobriety, and feel motivated, are great examples of a client who would not be recommended MAT. Clients who show long-term success in our outpatient program without being on MAT would not necessarily be a great fit for MAT, unless preventative medications are warranted. Clients who have a history of long-term sobriety, whether through working a NA/AA program or through prior treatment experiences and show coping skills and resources to continue without MAT, can continue to use what is working for them. The importance is that we assess what is clinically and medically the best practices on a case by case basis.

Someone struggling with chronic opiate relapse would likely be recommended some form of MAT. The decision for what type of MAT that may be recommended is made on an individual basis after all factors are carefully considered. For some Vivitrol is often the first go-to due to its more preventative nature. However, someone who is more high risk, forms of Buprenorphine are often more appropriate. We do not prescribe methadone maintenance at Life of Purpose for opiate addiction, though we recognize there is a place for it in the field in addressing long-term chronic opiate addiction and would refer out if needed. In general, the process of MAT is made carefully, considering the client's history of use and treatment, medical risks, and best practice for each presenting situation.

For alcohol addiction, much like opiate addiction, naltrexone is often prescribed. Most often preferred in the method of long acting injection, it can help reduce the cravings. In conjunction with naltrexone or by itself, Disulfiram (Antabuse) may be recommended as it gives immediate consequences that detract from continuing to use. In this way, it can be a great form of prevention and for keeping a client safe through alcohol addiction.

Life of Purpose offers medical assisted treatment option, drug detox and alcohol detox programs at our various locations in Florida and Pennsylvania.

Accredited By

Accredited Addiction Center The Joint Commission National Quality Approval Association of Recovery in Higher Education National Asspciation of Addiction Treatment Providers
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