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What is Intensive Outpatient Substance Abuse Treatment?

Outpatient substance abuse rehab involves the patient traveling to a center to attend therapy sessions and can return home the same day. While you may be discharged from inpatient rehab because you are doing well enough to go home, you may still need ongoing support and continual accountability to succeed. That is what outpatient rehabs can provide you.

Who is a Candidate for Outpatient Treatment?

An intensive outpatient treatment program offers detox and recovery services through counseling, medication, and support services. Outpatient programs are ideal for those who suffer from mild to moderate addiction.

What does Outpatient Treatment involve?

The initial visit begins with a detailed psychological assessment. Skilled mental health and addiction professionals guide the patient through medically supervised stabilization, which integrates the person into counseling sessions. In addition, medication treatments are initiated.

Intensive outpatient treatment involves a “step-down” level of care program, which offers a flexible alternative to day treatment or residential inpatient care. Patients receive an initial assessment, 12-step multidisciplinary therapy, referrals to community services, and ongoing social support. Depending on the person’s needs, clients can attend treatment 2-4 hours a day, 2-4 days a week.

What is the duration of outpatient treatment?

The duration of an outpatient treatment program varies according to the extent of the addiction, the specific needs of the client, and the philosophy of the facility. Most recovering opiate addicts can expect to spend one to three months receiving outpatient care. However, most serious cases require up to a year or more for proper treatment. Long-term outpatient rehabilitation offers extended counseling for those who are at great risk for relapse.

Prescription Painkiller Abuse – Warning Signs

Prescription painkillers may prove effective in chronic pain relief. They are often the first line of defense against pain. While these drugs are legal when properly prescribed by a doctor, they can be highly addictive.

So how do you know when you or a loved one has crossed over from pain management to addiction? Here are the warning signs.

• Changes in mood and/or behavior
• Continuing drug use even when there is no pain or the condition, for which it was prescribed, has improved
• Being defensive about drug use
• Undesirable changes in appearance and habits
• Social withdrawal
• Using more drug than prescribed
• Visiting several doctors for prescription refills
• Inability to stop or cut down in drug use despite several attempts

If you recognize these signs and symptoms of prescription painkiller addiction in self or a loved one, seek professional help right away.

Rehabs offer prescription narcotic addiction treatment as inpatient and outpatient treatment. While inpatient treatment provides a safe environment, away from stress and triggers, and round the clock cares, outpatient treatment provides the flexibility to go on with your life as you go through treatment. But if the addiction is severe, it is recommended that you choose inpatient rehab for full recovery.

The drug rehab center in San Diego offers innovative therapies utilizing a combination of group therapy, individual psychotherapy and holistic treatment techniques that have proven high success rates.

First 6-Month Implant to Treat Opioid Addiction

The Psychopharmacologic Drugs Advisory Committee (PDAC) of the Food and Drug Administration (FDA) voted 12 to 6 for the approval of Probuphine implant for treating opioid addiction. Probuphine is the first long-acting subdermal buprenorphine implant that delivers 8 mg or less per day of the drug to the patient.

At the recent meeting, doctors presented efficacy data from a recent clinical study confirming Probuphine’s effectiveness as a 6-month maintenance treatment for opioid dependence. Several sensitivity analyses were presented at the meeting, and the FDA evaluated the results that favored Probuphine. In addition, safety findings showed how insertion and removal procedures were safe.

What are Opioids?

Opioids are a class of drugs that include licit prescription pain relievers, as well as the illicit drug heroin. Commonly abused opioids include oxycodone, fentanyl, codeine, hydrocodone, and morphine. Opioids interact with opioid receptors that lie on the nerve cells of the brain tissue. These receptors produce pleasurable effects when activated, relieving pain.

Drug Rehab San DiegoHow Common is Addiction?

Addiction is a chronic, primary, and relapsing brain disease characterized by a person pursuing reward and relief by using substances. Around 21.5 million Americans have a substance use disorder, and of these individuals, almost 2 million use prescription pain relievers. In addition, 586,000 people use heroin, with 23% of these individuals developing an opioid addiction.

Drug overdose is now the leading cause of accidental death in the United States. According to recent data, there are around 19,000 overdose deaths related to prescription pain medicines each year, and approximately 10,500 overdose deaths are related to heroin annually.

How does Probuphine Work?

Probuphine offers the best chance of individuals with opioid addiction to reach recovery goals. This new treatment is a real option for millions of patients and their families who suffer from opioid addiction. Probuphine provides maintenance treatment continuously for 6 months, decreases the risk of diversion, eliminates the need to visit the clinic frequently, and improves people’s quality of life.

Probuphine is merely a small rod that contains buprenorphine, which is a medication approved by the FDA for opioid addiction. The rod is positioned under the skin of the upper arm in a simple office procedure. The implant delivers a daily dose of medication to the patient without the need for taking pills or injections.

Addiction RecoveryWhat are the Potential Benefits of Using Buprenorphine?

The buprenorphine implant has several benefits. These include:

  • You do not have to worry about taking a pill every day.
  • You will not experience the side effects of Suboxone, such as the awful taste.
  • You won’t have to worry about the medication being stolen, lost, or sold.
  • If you have to go to jail or attend rehab, the implant will continue working, so there is no chance of withdrawal or interruption in treatment.
  • The treatment is more effective than short-term detoxification followed by maintenance medicines.

What is involved in the Treatment Program?

The Probuphine 6-month implant is used as a part of a complete treatment program that includes psychological support and counseling. Probuphine consists of 4 one-inch-long rods that are implanted beneath the skin of the upper arm. The doctor administering the medication is specially trained for the surgical insertion and removal procedure. The doctor must become certified through the Probuphine Risk Evaluation and Mitigation Strategy (REMS) program.

Is the Probuphine Implant Safe?

In a recent randomized clinical trial, the safety and efficacy of Probuphine were demonstrated. The participants were adults who met strict clinical criteria for opioid dependence. This was measured using self-reporting illicit opioid use and urine screening. Of the participants, 64% had no evidence of opioid use throughout the six months of evaluation and implant treatment.

 

Resources:

American Society of Addiction Medicine (2016). Opioid Addiction.

Food and Drug Administration (2016). FDA approves first buprenorphine implant for treatment of opioid dependence.

How Addicting is Heroin?

When people talk about commonly abused drugs, heroin always comes up. However, not many people are aware of the dangers associated with this drug. It might sound like exaggeration, but heroin is so powerful and addictive that just about everyone who tries it develops dependence.

What is heroin?

Heroin, also called diamorphine, is an opiate that produces major euphoric effects. It is not Heroin Drug Rehabused medically for pain relief, and is considered a schedule I controlled substance by the Drug Enforcement Administration (DEA). Heroin has rapid onset of action, and effects last 1-3 hours.

Why is heroin so addictive?

Because there is not much research involving heroin, it is hard for experts to explain just how addicting the drug can be. Heroin targets the pleasure centers of the brain, which increase the release of dopamine (a feel-good brain chemical). This makes the user crave the drug in the future. Many people who take heroin recreationally find that they quickly transform to full drug use, which is compulsive and impossible to control.

How does heroin affect the brain?

An addiction is a psychological and physical need for a drug, which surpasses the user’s ability to control. The brain changes start in the tiny neurons and brain cells. Research shows that heroin impacts main portions of the brain that lead to follow-up use. According to the National Institute on Drug Abuse, brain receptors for heroin are located in the areas of the brain responsible for perception of pain and reward. This means that when a person uses heroin, he feels no pain and only euphoria.

Why do users require more heroin over time?

After using heroin for weeks or months, it taxes and stresses the brain cells. If the drug is presented in the body over and over, the brain cells become burned out and fatigued. The user requires more heroin to combat the burn out, which over time, means the user uses large doses.

How bad is heroin addiction in the U.S.?

According to statistics, 17 million people used heroin and other opiates in 2015 alone. These drugs accounted for the deaths of 122,000 Americans. The number of heroin users has significantly increased from 1998 to 2015, with 2% of Americans reporting using heroin at some point in time. In 2013, the rate of overdose deaths related to heroin had quadrupled from 1998 statistics.

Which modes of heroin use are more addictive?

Heroin impacts the brain, which affects addictiveness level. The method of use may contribute to addictiveness also. Heroin users who become addicted use the drug by:

  • Smoking
  • Snorting
  • Injecting

These methods allow the heroin to hit the body in increased amounts, so the user is overpowered with a euphoric feeling. Rather than feeling slightly euphoric, the users are vaulted into a realm of numbness and high that tends to make the heroin more addictive than opiates taken oral route. Research shows that addiction rates among heroin abusers tends to vary depending on the mode of use. Those who inject the drug have higher rates of addiction and overdose deaths than those who smoke or snort the drug.

How does heroin use cause a person problems?

Heroin is an illegal drug and overdose is common. People who use heroin along with alcohol have an increased chance for death due to overdose. IV drug use is associated with long-term viral infections, such as hepatitis B or C, or HIV. In addition, using heroin causes unemployment, car accidents, legal problems, and social/personal conflicts.

Who is most at risk for heroin addiction?

Everyone who tries heroin has the risk for becoming addicted. Heroin addiction is higher among:

  • Non-Hispanic whites
  • Males
  • Those addicted to opioid prescription drugs
  • People addicted to cocaine
  • Individuals between ages of 18 and 25 years
  • People using alcohol and/or marijuana
  • Those living in a large metropolitan area

Pacific Bay Recovery is the top prescription and illicit drug rehab center in San Diego and all of Southern California. The long term success rates are extremely high and most insurance is accepted. Call us today!

Resources

National Institute on Drug Abuse (2016). What is heroin? https://www.drugabuse.gov/publications/drugfacts/heroin

Rural America and Prescription Drug Addiction

Rural America is the heartland of our great country. In rural America, you have coal mining, corn fields, cattle ranches, vegetable farms, steel mill work, and now, prescription drug addiction. According to the National Institute on Drug Abuse (NIDA), rural America is being hit hard with prescription drug addiction, with an estimated 2.1 million people suffering from some type of prescription drug abuse and addiction in 2012 alone.

The National Institutes of Health reports that prescription drug addiction has been plaguing rural America for the last 2 decades. The abuse to heroin and prescription pain relievers affects 36 million people worldwide. The number of unintentional overdose deaths has soared in the U.S., thanks to prescription drugs. Based on data from NIDA, the number of overdose deaths has quadrupled in the last 15 years, since OxyContin burst on the scene in 1998.

Scope and Impact of Prescription Opioid Drug Use

To address the complex problem of prescription opioid abuse in the U.S., researchers analyzed the special characteristics of this phenomenon. NIDA evaluated the negative and growing impact of prescription drug abuse on health and mortality, but also assessed the fundamental role played by prescription opioids in healing and relieving human suffering. Prescription opioids fall into one of three broad categories, with the other prescription drugs abused being central nervous system depressants (Xanax, Valium, and Klonopin) and stimulants (Adderall, Concerta, and Ritalin).

Several factors contribute to the severity of America’s current prescription drug addiction and abuse problem. These factors have helped create the “environmental availability” of prescription drugs, particularly opioids. These factors include:

  • Increases in the number of prescriptions written
  • Aggressive marketing by pharmaceutical companies
  • Greater social acceptance for using prescription medications

The Cold, Hard Drug Facts

The total number of opioid painkillers prescribed in the U.S. have increased over the last 25 Oxycodoneyears. In 1991, only 76 million prescriptions of hydrocodone and oxycodone were written. Zoom in to 2015, there were 207 million hydrocodone and oxycodone prescriptions written in America. This accounts for around 90% of the world’s hydrocodone scripts and 81% of oxycodone scripts.

Based on data from NIDA, emergency departments (EDs or ERs) are dispensing more prescription pain medicines also. In 2008, the number of visits for nonmedical use of opioid analgesics increased to 306,000 up from 145,000 in 2004 (that’s 156,000 more visits per year).Overdose deaths related to prescription painkillers have tripled in the last two decades, with 16,650 in 2010 alone. By 2002, death certificates listing opioid poisoning as the cause of death were more common than cocaine or heroin.

Crushing, Snorting, Injecting, and Combining

Opioid prescription drugs, as well as stimulants and benzodiazepines, can be crushed and snorted for a faster “high.” Certain pure drugs, like morphine or oxycodone, can be mixed with water and injected into the veins. These drugs are more dangerous when snorted or injected. In addition, the drugs can be combined with alcohol for a stronger, more intense euphoria.

Rural Americans have turned visiting the doctor into hillbilly gold, as doctor shopping, obtaining scripts to sell, and visiting random ERs has become a common thing. More than 100 million people have chronic pain in the U.S., but for many of these people, the drugs are stolen, sold, or misused. Experts have long debated the use of prescription opioids for chronic pain relief. Because the problem has become an epidemic, the Center for Disease Control and Prevention (CDC) has developed specific prescribing guidelines for doctors to follow.

Pacific Bay Recovery offers top prescription drug rehab in San Diego with success rates that are very high. Most insurance is accepted, call us today!

Medical Marijuana: A Safer Solution to Opioids?

Drug overdose is a major problem in the United States. Illicit and prescription drug abuse have plagued our country for years, and now, the statistics apply to professional athletes. In a recent survey of more than 150 NFL players, use of chemical opioids was extremely common and encouraged by some league physicians. The addiction qualities of opioid painkillers are basically a Russian Roulette for some pain sufferers, however.

The Problem

Opioids are a class of drugs that include prescription pain relievers and heroin. These drugs act on the opioid receptors in the brain to produce a pleasurable effect along with pain relief. More than 20 million Americans had some type of substance use disorder in 2015, and opioid addiction is causing many overdose deaths. The opioid overdose death rate in 2008 was four times what it was in 1999, and there were 20,000 deaths due to prescription opioids in 2015 alone.

According to the 2017 survey involving current and former NFL players, 91% said they had taken an opiate-based pain reliever. In addition, almost half of those surveyed said they felt pressure by teammates, staff, and even team doctors to use a chemical substance for pain. Many players admitted to recreational use of opioids after they first took them by prescription.

The Cause

Opioids are the fastest and strongest form of pain management available to NFL players. The NFL physicians can injection painkillers directly to the affected region for quick pain relief, which permits the player to go right back to the field. These opioids have a laundry list of side effects, however. They can cause dizziness, confusion, nausea, vomiting, and respiratory depression. In addition, they are extremely addictive, with 70% of NFL players reporting being concerned to an unhealthy dependence on the drugs.

In 2012, the NFL Players Association had an injury data analysis conducted. They found that there was an increase of 1,302 total injuries from 2010 to 2011. In 2011 alone, there were 4,493 minor injuries in the NFL, which included the start of training camp through the Super Bowl. In addition, there was a 17% increase in moderate injuries, which means the player was out of action for 8-21 days.  

An Alternative Solution

The nation’s largest medical marijuana online marketplace, BudTrader.com, conducted a lengthy study regarding NFL players and opioid addiction potential. The study evolved after the marketplace’s CEO, Brad McLaughlin, was notified of the problem by former NFL player Marvin Washington. According to the report, Washington is an advocated for a safer form of pain management: use of medical marijuana. Washington believes professional football players could benefit from the unique compounds found in marijuana, which protect the brain against pain and inflammation.

According to the NFL survey, 89% of NFL players felt that medical marijuana was a safe alternative to treating injury pain. These players said that fewer chemical opioids would be used if they had access to medical marijuana. According to authorities, this would call for major policy reform within the league. The NFLPA plans to make medical cannabis a priority in the future, however.

Pacific Bay Recovery offers top rehab in Southern California for prescription and illicit drugs. Success rates are very high and most insurance is accepted, call  us today!

Resources

Alternet (2017). Recent Poll Shows NFL Players Are Increasingly Concerned About Opioid Use and Addiction. Retrieved from: http://www.alternet.org/drugs/nfl-players-are-increasingly-concerned-about-opioids

American Society of Addiction Medicine (2016). Opioid Addiction. Retrieved from: http://www.asam.org/docs/default-source/advocacy/opioid-addiction-disease-facts-figures.pdf

Finding Support during the Recovery Process

Millions of recovering drug and alcohol addicts suffer daily the United States. According to the National Institutes of Health, around 7 million people are users of psychotherapeutic drugs that are taken illegally or non-medically.

These drugs include pain relievers, tranquilizers, sedatives, and stimulants. Also, the CDC estimates that at least 50 percent of adults are regular drinkers. These people face temptation on a daily basis that can cause them to fall back into their bad habits, and eventually, lead to using drugs or alcohol again. Building and relying on a good support system is the key factor to staying clean.

Family and Friends

One place to look for support is friends and family members. Once your loved ones understand that your addiction is a disease, and can be cured with help from professionals, the love and support of family and friends it will make your recovery easier. Many family members’ and friends’ lives are affected greatly by the drug or alcohol addict, and they also need support to learn how the addiction affects the addict One way to include these people in your recover is have them attend meetings with you to learn more about the psychological and social aspects of addiction.

There are many online and community support groups out there that offer support to a recovering addict. However, choosing the one for you might not be as easy as you think. Sit down with your family and friends and find a group that you both are comfortable with, and choose one that is moderated by a professional in the industry who might once have been an addict or studied behavior or psychology regarding addiction.

Support Groups

If you belong to a church, many religious organizations have outreach programs for addiction and can guide you to a program that fits your unique problem. Just by typing “internet support groups for addiction” on your computer, you will also find a myriad of groups in your area. Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are two of the largest self-help groups out there, and they are well-known for treatment and recovery.

If you are trying to give up the drugs or alcohol and maintain your sobriety these groups can be a great resource for you. Meeting with others a couple times a week in a safe place for guidance support and assistance can be very helpful in maintaining your sobriety during your recovery process. The best part: they are free.

SOS

There are other groups that take a scientific approach with alternative recovery methods for people that are uncomfortable with the spiritual way AA and NA conduct their meetings. The most familiar is Secular Organizations for Sobriety (SOS). Family and friends are also welcome at the group support meetings. Whichever support system or group you choose, it needs to be right for you and your family.

For your continued success while attending the meetings, go regularly, interact with the other members, and be honest and truthful about your feelings, cravings, and urges. Remember, you may be going this alone or with friends or family, but you are going and taking the positive steps to live a clean, healthy, and sober lifestyle each day.

Opioid Use in the NFL and Medical Marijuana Proposal

NFL players get injured. A lot. And with these injuries comes pain. For pain, the treatment often includes the use of prescription painkillers. A recent survey of former and current NFL players had revealed that opioid use is rampant among professional football athletes. According to the NFL Players Association, the opioid problem is due to the increased number of injuries among these athletes. In 2011, there were almost 4,500 minor injuries in the NFL, and a 17% increase in moderate injuries among NFL players.

According to the survey, which involved more than 150 players, 91% of players reported that they had used opioids in the past. Prescription pain medicines, such as hydrocodone and oxycodone, are often prescribed by team doctors. Almost half of players surveyed reported feeling pressured to use these drugs by staff, team physicians, and other players.

The Gridiron Cannabis Coalition and CBD

Many NFL players and team affiliates have supported the use of medical marijuana for injury treatment. Current Tennessee Titans linebacker Derrick Morgan and former Baltimore Ravens offensive tackle Eugene Monroe are both in support of medical marijuana. These NFL players believe that medical marijuana would be beneficial for players who could otherwise become addicted to opioids. Ex-NFL players who support cannabis have formed the Gridiron Cannabis Coalition, which is dedicated to the advancement of medical marijuana in football. With 20,000 overdose deaths a year attributed to opioids, the coalition reports professional athletes who use opioids are at higher risk for suicide and overdose deaths.

Cannabidiol (CBD) is one of 60-plus cannabinoids found in cannabis (marijuana). However, CBD is a non-psychoactive product that does not produce a high. The NFL players who support medical marijuana propose this as an alternative because CBD produces pain relief effects. McMahon has been bothered by many painful conditions following his 15-year career in the NFL. He was taking around 100 Percocet pills a month. Now, he is off prescription drugs using medical marijuana, which is much safer, according to an interview with the player in the Chicago Tribune.

Benefits of Medical Marijuana

According to health officials, 91 people die in American each day from opioid abuse. In addition, 70% of NFL players surveyed confessed that they had once had an opioid problem and was concerned about addiction. The addictive nature of opioids is well-documented. However, medical marijuana has been proven to effectively treat pain, and 88% of players said they would use it if it were an acceptable method in the NFL.

Medical marijuana has many health benefits, according to a 2007 clinical study. Researchers found that marijuana effectively reduced neuropathic (nerve-related) pain. In another study by the American Academy of Neurology found that marijuana reduced muscle spasms and stiffness in patients with multiple sclerosis. In addition, two FDA-approved altered forms of THC (nabilone and dronabinol) were found to reduce chemotherapy related nausea and vomiting in many cancer patients. Because of the benefits marijuana has, the National Institutes of Health are conducting studies regarding THC, CBD, and other cannabinoids for medical usage.

Resources
Hempyreum.org (2017). New survey of NFL players reveals league pressure to take opioids. Retrieved from: http://www.hempyreum.org/en/81568
Livescience (2015). Medical Marijuana: Benefits, Risks & State Laws. Retrieved from: http://www.livescience.com/24554-medical-marijuana.html

3 Proven Rehab Treatment Programs

addiction treat

Regardless of how you got addicted to a drug or alcohol, seeking addiction treatment at a reputed rehab is indispensable. Your addiction treatment center at San Diego will make a great difference to your overall outcomes and recovery. If you or someone you know is struggling with addiction, the best you can do is get to the best San Diego addiction treatment center, Pacific Bay Recovery. The center provides three proven treatment programs to help you with de-addiction and recovery.

DETOX

To rid your system of the abused substance is the first and the foremost step at San Diego addiction treatment. Chemical dependency is dangerous. You need a safe and comfortable environment to break it, such as Pacific Bay Recovery San Diego addiction treatment center. At the center, you would undergo a systematic withdrawal while your body is detoxifiedunder the supervision of highly trained and experienced professionals.

INPATIENT TREATMENT

Inpatient treatment at San Diego will help you continue drug free once you have under gone detox. Pacific Bay Recovery’s inpatient treatment at San Diego offers you a safe, structured and secure living environment to aid your recovery. During your inpatient treatment, you undergo individual and group therapy to learn life skills, coping skills, and other behavioral skills that help you stay off drugs and alcohol for a lifetime.

OUTPATIENT TREATMENT

Intensive outpatient programs are offered at San Diego addiction treatment for those who can’t stay at the inpatient facility or as a follow-up on those who have already been through the inpatient treatment at San Diego. It ensures long term recovery and success.

Answers To The Most Commonly Asked Questions About Drug Rehab

Drug Rehab

What Is Drug Rehab?

Drug rehab or rehabilitation is the process of treatment and recovery from drug abuse or addiction.
Drug rehab programs can be either inpatient or outpatient. They provide services for medical detoxification, psychological treatment and counseling andongoing support programs.

Who Should Go To Drug Rehab?

Anyone who thinks s/he has a problem with drug(s) or alcohol. Common symptoms include –

• loss of control over quantity and frequency of drug/alcohol use
• diminishing work or school performance due of drug/alcohol use
• spending a lot of time thinking about, using, obtaining or recovering from drugs/alcohol
• cravings for the abused drug or alcohol
• increased health and/or legal problems related to drug use
• neglecting other responsibilities
• mood swings or violent behavior
• relationship and family problems

What is the Duration of Drug Rehab?

The duration of rehab depends on your case – extent of substance abuse and the type of treatment chosen.
Outpatient drug rehab programs can last for several months since you are only required to visit the rehab a few hours every week.

Inpatient drug rehab can last from 30to 90 days. It involves round the clock care and support in a residential facility.

What is involved in Drug Rehab Treatment?

Drug addiction treatment can include medical detoxification, behavioral therapies, individual, group and family therapy and a combination of these.

• Medication – Treatment medications that are safe may be prescribed to you based on the type and extent of abuse, medical history and current needs. Medication may be required for individuals addicted to opioids/opiates, prescription medication and alcohol.
• Behavioral and Psychological Therapies– These therapies work at the core psycho-emotional issues which trigger or maintain drug use and offer coping and relapse prevention strategies.

If you are looking for the top San Diego drug rehab centers, call Pacific Bay Recovery at 858-263-9700. The San Diego rehab offers innovative therapies utilizing a combination of group therapy, individual psychotherapy and holistic treatment techniques that have proven high success rates.