Posts Tagged ‘Recovery Assistance Program’

Signs and Symptoms of Drug Abuse and Addiction

Tuesday, May 11th, 2010

How do you know when your loved-one has surpassed the point of casual drug use and ventured into the dark territory of abuse and addiction?

Determining whether someone you care about has become addicted to drugs is difficult for many, not simply because the signs aren’t obvious, but because many times it’s difficult to admit someone so close can have gone so far.

Because of its difficulty, many times those standing by continue to not only allow the addiction and abuse to continue, but in their attempts to either help the situation themselves or pretend it doesn’t exist, they “enable” the user – inadvertently help them continue this lifestyle. Enabling endangers everyone affected, and drains the love and happiness from families.

Those addicted to or abusing drugs may exhibit different physical signs, as different drugs have different effects, but the symptoms of addiction remain generally the same, regardless of the substance.

When diagnosing issues of addiction, we look at whether someone is abusing substances or has moved into dependence.  Some of the symptoms of abuse are:

Common signs and symptoms of drug or alcohol dependence include:

The more drugs and alcohol begin to affect your decisions and judgment the more they control your life.  While people may go through a stage where they are abusing and can walk away, once addiction takes control it can be hard to break away without some form of help. Unfortunately, when you’re in the middle of it, the denial that you or your loved one may be experiencing can cloud one’s ability to look at the problem subjectively.  That is why many people are “forced” into treatment by family, employers or the legal system.

The earlier someone recognizes the symptoms of addiction, the more likely they are to avoid some of the major consequences that often go hand in hand with addiction.

Post written by Jim Stoltz, Clinical Director for Assistance in Recovery and Licensed Independent Clinical Social worker who has spent almost 20 years working with addicts and alcoholics to achieve long-term recovery.

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E! Special Sheds Light on Prescription Drug Abuse of Everyday People

Tuesday, April 6th, 2010

Flipping through the channels this weekend, I was pleasantly surprised to see E! going deeper than the celebrity deaths due to prescription drug abuse. Their new special looked into everyday people’s struggle with prescription painkiller and sedative addictions.

The show profiled different types of people—from the typical juvenile druggie, to the overachiever, to the unintentional addiction of someone simply prescribed poorly—and discussed how each became hooked, the steps they took to find sobriety and family reactions throughout. All of this was done with compassion and an absence of judgment, potentially leading viewers to gain the footing to seek help in response.

While I applaud them for delving out of their ordinary murder mysteries and celebrity documentaries by looking at the effects of the disease on normal people outside the Hollywood spotlight, the program ended without educating the audience as adequately as it could.

The show’s depictions neglect the concept of “continuing care” (the receipt of guidance after one leaves treatment), a crucial step in the recovery process to which the general population and media have yet to catch on, instead only going through the routine of intervention, treatment and either success or failure.

I don’t mean to rag on E!, but this special is another example of TV programs with the right idea yet lacking the correct and complete education to properly comment on the subject. Discussing recovery of any kind as a behavioral health problem by only highlighting intervention and treatment but missing continuing care is like missing the bread in a peanut butter and jelly sandwich; the other parts have the opportunity to be really satisfying, but without the boundaries, they just fall apart.

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Addiction and Mental Health Parity explained

Monday, February 1st, 2010

With the mental health parity laws going into effect in October of 2009, the levels of health care available to those struggling from addiction or mental health issues have increased. Under the new Wellstone Parity Act, group health policies and employers must provide equal or higher coverage to addiction and mental illness as they would a physical illness, such as cancer. These new rules will make access to treatment much more available to the general public, as insurance companies have often set limits on days for addiction or mental health treatment, but put no limits on other types of hospital care. A government spokesperson said, “…the rules would benefit 111 million people in 446,400 group health plans offered by private employers, and 29 million people in 20,000 plans sponsored by state and local governments.”

The American Psychiatric Association had this to say: “Mental health parity was a major advance for the APA and for our patients living with mental illnesses,” said APA President Alan F. Schatzberg, M.D. “The APA will continue to work hard and submit the important feedback to the Administration that is necessary to make sure our patients receive the care they need.”

So what does that mean for us? Obviously, more access to addiction services bodes well for the general public. With more people gaining access to the resources to get help, one would think more people would get help. But is that the case? Will we see an uptick in treatment admissions? Our bet- probably not. Those who are unable to ask for help for themselves won’t magically be able to get help even when it’s available. That’s why we encourage families to break free from the traps of secrets, and get help for their loved ones. Reaching out and asking for help can provide access to those much-needed treatment options that may not have been available before this act was passed.

If you or someone you love need help with an addiction, call us at 877-320-0247 or visit us on the web at www.a-i-r.com.

You can also follow us on Twitter at @airecovery.

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Innovative College Recovery Programs

Friday, January 22nd, 2010

With more and more adolescents and young adults seeking drug and alcohol treatment, there have been some distinct innovations in the recovery sector of colleges. According to research done at Yale University, adolescents and young adults are more prone to addiction due to their still-developing brains. There are nearly 50,000 college-age kids in America who are abusing alcohol or other drugs to the extent that they are unable to make it successfully through college. As a result, the dangers of drug and alcohol abuse are more and more prevalent in the world today; however, with additional resources available for young adults and more awareness allowing for earlier intervention, a good number of those young people are entering the journey of recovery at earlier ages. These earlier ages present new and different challenges in the recovery world, and college tends to be a place full of rampant triggers and challenges for a newly-recovering person. As a result, more colleges around the country are starting to develop programs specifically for people in recovery (for a complete list, check out the Recovery Schools website here).

A couple of programs stand out- in our backyard, Minneapolis, Augsburg College has their innovative StepUp program to meet the needs of the recovering community. With support groups and sobriety-specific dorms, Augsburg has some great wrap-around services for those young adults going to college for the first time, or heading back into an environment where they’ve struggled.

Texas Tech, in Lubbock, TX also has their own recovery program for students. Dr. Kitty Harris, director of Texas Tech’s Center for the Study of Addiction and Recovery, had this to say about the program: “I want our students to have a true college experience. I don’t want them to feel separate. I don’t want them to feel apart from. I don’t want them to feel different. And I especially don’t want them to drink or do drugs.” This program, integrating students into the college milieu, provides new hope for students that have struggled in the past. Here’s a video about Texas Tech’s program.

However, there are some barriers before college. Should your adolescent or young adult need treatment, please contact us at 877-320-0247 or www.a-i-r.com. We also would highly recommend, for any person in recovery entering a college environment, our Recovery Assistance Program, which will provide additional accountability. When heading off to college, especially those without a recovery program for students, having the Recovery Assistance Program in place can provide a safety net for your loved one.

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Suboxone- the pluses and minuses

Wednesday, January 20th, 2010

Suboxone (or buprenorphin) seems to be all the rage these days. With the power of the multi-lateral corporation Reckitt Benckiser (whose exclusive license on Suboxone brought in fifteen percent of their overall revenue in 2009), a huge push is being made to medical doctors to prescribe Suboxone as a way to combat heroin use. Since Suboxone is a semi-synthetic opiate, many dangers arise from the over-prescription of this drug. While we at AiR have seen many benefits to Suboxone during the initial detoxification process, we worry about the addicts who get saddled in trading one maintenance drug for another. Now the website for Suboxone does suggest that “more than medication alone” makes for successful treatment; however- we’d like to see some facts and research behind the amount of people who seek outside therapy along with their medication management.
Here’s the main problem, directly from the Suboxone website:

“All opioids can cause physical dependence. SUBOXONE belongs to a class of opioids called “partial opioid agonists.” As a partial agonist, buprenorphine appears to produce less physical dependence, limited euphoria, and less potential for abuse compared with a full agonist, eg, heroin, oxycodone, and hydrocodone. SUBOXONE has potential for abuse and produces dependence of the opioid type with a milder withdrawal syndrome than full agonists.

When patients are ready to stop taking SUBOXONE, the dose is slowly and gradually tapered. The withdrawal symptoms of SUBOXONE are milder than those seen with a full opioid agonist and can be managed with your doctor’s supervision.”

So, basically, are we dealing with the new methadone here? It sure looks like it. We need physicians to be responsible and educated around addiction before they reach for that prescription pad. If a doc wants to use suboxone to assist in the detoxification process, then please do- just be sure to remove a patient from this opioid. Creating additional dependence, albeit on a lower-level substance, still encourages a dependence instead of a solution. Hazelden had this to say (from a CNN article earlier this year): “At Hazelden, a small proportion of patients receive anti-addiction drugs, but medical director Dr. Kevin Clark says the traditional model — based on intensive therapy and the 12 steps — is still best. ‘It is a disease of the brain, but it’s a multifaceted disease. It has a spiritual component, a behavioral component to it,’ says Clark. ‘Our experience tells us that having the network of support and recovery is what really makes the difference.’”

With the help of residential treatment, twelve-step programs, and support from a family, the chances of an addict getting into recovery skyrocket. Medication alone will never be the solution, because, at the end of the day, the drugs are only a symptom. An addict needs help outside of a pill.

For help for yourself or a loved one, please call us at 877-320-0247 or visit our main page at www.a-i-r.com.

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Mental Health Issues on the Rise

Thursday, January 14th, 2010

A new study from San Diego State University found that FIVE TIMES as many high school and college students are dealing with anxiety, depression and other mental health issues as youth of the same age who were studied in the late 1930s and early 1940s.

“It’s another piece of the puzzle “” that yes, this does seem to be a problem, that there are more young people who report anxiety and depression,” says Jean Twenge, the lead author on the study, and a professor at San Diego State. “The next question is: What do we do about it?”
The researchers, from five different universities around the US, broke down the responses of 77,576 high school or college students, all of whom took the Minnesota Multiphasic Personal Inventory (or MMPI). Hypomania, a mesaure of unrealistic optimism and general anxiety, was up over SIX times what it was in the late 1930s. Twenge also said, “…the most current numbers may even be low given all the students taking antidepressants and other psychotropic medications.” Anxiety in general was shown to be increasing, especially with today’s culture pushing more towards outward images of success. Nearly 80 percent of respondents on UCLA’s nationwide freshman survey in 2008 stated that it was “essential” or “very important” to be financially well off.
With all of this pressure, it’s natural for teens and young adults to look for a way to blow off steam or deal with anxiety and depression- by self-medicating with drugs and alcohol. We at AiR have seen more and more young people experience academic consequences as a result of their drug use, and this often leads to them using MORE to compensate for feelings of inadequacy. However, when addressed early and properly, we’re often able to see these young people make a complete turnaround. But getting them help is essential- which is why we’re here.
If you have a young person returning from treatment and heading back to college, consider our Recovery Assistance Program. With the tools at our disposal, we can help your young person with a built-in support network to help with those rough patches and the transition back into a college environment.
For help for you or someone you love, please call us directly at 877-320-0247 or visit us on the web at www.a-i-r.com.

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A new year, a new start.

Friday, January 8th, 2010

With a new year (and a new decade as well, depending on who you ask) upon us, we in the addiction world often see many people come to us with New Years resolutions, things such as:

“2010 will be the year I get sober.”

“Maybe I should cut down on my drinking.”

“This is the year I talk to my son about his drug use.”

“This is the year of big changes in my family.”

We at AiR encourage these resolutions- they can be a big catalyst for change, and help people get on the path to recovery. However, what’s important to remember here is how many times one has made these said resolutions. If you find yourself saying for the fifth year in a row that it’s time to quit drinking, it’s probably time to seek outside help. If you’re a family member and you’re hearing the same resolution year after year- we can help with that too.

Since the holiday season seems so volatile (as we’ve covered here), now is the time to act. A new year can bring about new changes. If you’re a family member and your loved one is hurting from a compulsive behavior, reach out. Ask for help. If you can’t make the phone call yet, then check out our book, It’s Not Okay To Be A Cannibal (available here); some good advice is available there, but be sure to get outside assistance when you decide to move forward.

If you or a loved one are in crisis, please call us at 877-320-0247 for immediate assistance, or visit us on the web at www.a-i-r.com.

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Recovery and the Holiday Season

Tuesday, December 8th, 2009

The holidays tend to be a tough time for any family struggling with substance abuse or other compulsive disorders. Since there seems to be quite a bit of family time, a family member who may be using drugs or recently out of treatment will most certainly be exposed to more family time than they’re used to, making the holidays a very difficult environment for families who are struggling. The holidays also, it turns out, tend to be a time where alcohol is very present, i.e. toasts, cocktail hour, Christmas parties, etc. When people who normally struggle with substance abuse are in this high-stress environment- not to mention other factors, like the economy, joblessness, etc.- things can very rapidly get out of hand. When that happens, we at AiR are here to support you.

The holidays, and the immediate days following, are a great time to offer a loved one help. With the help of a trained, credentialed interventionist, having the family all together over the holidays generally allows for some honest conversation and work towards setting appropriate boundaries with a loved one who is struggling. Getting a loved one the help that they need is truly the greatest gift a family can offer. What’s better than giving someone their life back?

If a loved one is getting out of treatment before the holidays, our Recovery Management Services can be a great support to the family and to the member who’s been struggling. With some additional support, an traditionally tough emotional time can be navigated significantly easier. Let us help your family make this the best holiday season you’ve ever had. Take action- the sooner, the better.

For immediate help, please call us at 877-320-0247 or visit us on the web at www.a-i-r.com.

Here are some tips from SAMSHA about youth drinking over the holidays.

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New York State adds stronger drunk driving laws

Wednesday, November 18th, 2009

As reported by the Associated Press yesterday (via the New York Times), New York State legislators agreed on tougher drunk driving laws.Basically, the law has created a stiffer penalty for those who drive under the influence with a child in the car, turning the DUI from a misdemeanor to a felony. The agreement will also cause offenders to have a breathalyzer installed in their car to stop offenders from starting a car while under the influence. Although some additional details have to be worked out, officials from both sides said that the any differences would be settled quickly. The law will be named after 11-year-old Leandra Rosado, who was killed when a station wagon full of children driven by a mother accused of drunken driving crashed in Manhattan on Oct. 11.

Her father, Lenny Rosado, had this to say: “Today I consider this a very glorious day and very victorious day for me. For my family, and for my daughter … this is what is going to save lives in her honor.Everyone who takes a drink and gets behind the wheel, is going to think twice about driving whether there are children in the car or outside of the car and taking a life, that my daughter’s name and her death will make a difference.”

On the heels of Diane Schuler, the mother who drove the wrong way down the Taconic State Thruway in New York earlier this year and killed multiple children, this law is a long time coming. We can only hope that those who choose to drink and drive are apprehended and given the help that they need. What we have found interesting in the past is that car insurance companies tend to give more “points,” or items that raise individuals’ insurance rates, to speeding tickets over DUIs. This needs to change. Driving under the influence is one of the most dangerous activities out there- one can only hope people learn to simply call a cab when necessary. Should drinking and driving be something a family member engages in, it’s the family’s responsibility to hold him or her accountable.

For help for yourself or a loved one, please call us at 877-320-0247 or visit us on the web at www.a-i-r.com.

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Worldwide Heroin Problems Growing

Wednesday, October 21st, 2009

Looks like CNN has been reading our blog! A post of theirs last night talked about treating heroin addicts with heroin, something we wrote about almost a month ago. Glad to see a large media source picking up on the news, and making it a topic of discussion.

A headlining article on the CNN website today spoke about the United Nations’ concerns with the ever-growing Afghan heroin trade. According to the article, Afghan opium is responsible for over 100,000 deaths across the globe per year, which is easily more than any other drug. The heroin trade also kills, as stated by UN figures, nearly five times as many people in NATO countries than total casualties of war in the eight-year Afghan conflict. The Taliban forces have been using a local “heroin tax” to raise money for their endeavors, and 15 million or so heroin addicts around the world are a sad part of this $65 billion trade.

Antonio Maria Costa, head of the U.N. Office on Drugs and Crime, has said the solution to this problem is very clear. “We need a much greater effort and commitment by governments to prevent drug addiction, to take care of drug addicts … to reduce demand.” Basically, when we provide treatment to heroin addicts, and the treatment is successful, we’re going to be able to decrease demand. However, Ethan Nadelmann, founding executive director of the Drug Policy Alliance, had this to say about the UN study: “It’s very good at describing a problem. But it truly is devoid of any kind of pragmatic solution, and it essentially suggests that the answer is to keep doing more of what’s failed us in the past.”

Both are valid points- we need an overhaul of drug policy both in our country and abroad. The best way to do this is innovative treatment options and improving the quality of care that we, in the treatment field, provide. With better rates of success, and better treatment available, we’ll be able to gradually decrease demand- and if not decrease demand, at least provide better solutions to the people who are still struggling. Our Recovery Assistance Program is exactly that. Designed to help families and addicts better manage their early recovery, we’ve provided a step in the right direction to help improve treatment outcomes. We will continue to move forward in providing more comprehensive solutions for families and addicts; our best hope is providing the best help.

In other news, please be sure to check out our addiction education series, put on in conjunction with Hazelden. Find out more details here or call us directly at 877-320-0247.

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