Which Treatment Options are Available for Heroin Addiction? Heroin is a dangerous narcotic that is highly addictive and is typically injected, snorted or smoked to produce a euphoric state. Regardless of the method of ingestion, repeated use of heroin can lead to extreme physical and psychological dependence. Fortunately, although the road to recovery may be long and painful, there is help for heroin addiction. Heroin addiction is the inability to stop using heroin despite suffering a range of negative consequences from using the drug. This compulsion to use heroin leads to chaos in life, fina .
Heroin Addiction Treatment: Heroin Addiction Treatment Success Rates, Types of Treatment, and Statistics. The National Institutes of Health (NIH) estimates that around 4.2 million people over the age of twelve have experimented with heroin at some point during their lifetimes.
Around one-fourth of people who try heroin develop a crippling addiction to the substance, and there are around 900,000 chronic heroin users in the United States. Heroin is a difficult drug to overcome, but heroin addiction treatment is the first step towards recovery. Several types of treatments can be undertaken to successfully overcome a heroin habit, although heroin addiction treatment success rates vary widely by treatment center or clinic.
What Is Heroine? Heroin, informally known as smack, horse, H, and black tar, is a sticky brown, black, or white powder that is made from morphine, a substance found naturally in the Asian poppy plant. Heroin users mix the substance with water and inject it into their bodies with a syringe. Heroin can also be snorted up the nose or smoked in a pipe.
No matter which route is used to get it into the body, the substance is very addictive. Why Is Heroin Addictive? To understand heroin addiction treatment, it is important to understand how heroin affects the brain. When heroin enters the brain, it devolves from its current state back into morphine. Morphine binds to the receptors in the brain that are involved in the perception of pain and reward—opioid receptors.
This action causes a sense of euphoria to engulf the user. When the drug wears off, the feeling goes away. It is this longing for the euphoric state induced by heroin that makes it so addictive.
This state is described by addicts as a feeling of happiness and well-being. When the body adapts to the presence of the drug, the user will experience symptoms of withdrawal until more of the drug is used. Heroin Dependence Many users don’t realize that they have a problem with heroin dependence until they go into withdrawal. Withdrawal from heroin can include bone pain, muscle pain, restlessness, cold flashes, vomiting, and diarrhea. When no heroin is available, users will have severe cravings for it accompanied by symptoms of withdrawal.
If you develop an uncontrollable desire for the drug, find it hard to stop using heroin, or continue to use it even though it is causes harm, you may suffer from addiction. Related Articles: Medication-Assisted Treatment Most heroin addicts realize that they cannot kick the habit on their own, because addiction to opioids is a disease in much the same way diabetes is a disease. Several heroin addiction treatment options can help the heroin addict return to a healthy, normal life.
These medications are not used on their own to overcome addiction but are offered in conjunction with counseling and a support network of friends or family when possible. Medications can be given as an inpatient or outpatient treatment, and the type of program that is used can have a big impact on completion and success. When it comes to heroin addiction treatment success rates, as part of an outpatient treatment, medication therapy has a 35 percent completion rate, while the completion rate for a residential program was as high as 65 percent, according to the (SAMHSA).
Buprenorphine Treatment Buprenorphine, which is sometimes referred to by its brand names, including Subutex, Zubsolv, or Probuphine, is a popular type of medication that is used to treat heroin addiction. While this medication does not make the user feel high, it tricks the brain into thinking that it is receiving heroin.
This keeps symptoms of withdrawal away while reducing cravings for the drug. Another similar medication is Suboxone, which contains not only buprenorphine but also naloxone.
Naloxone is an ingredient that will cause symptoms of withdrawal once the drug is injected into the system. This drug is usually taken once daily, or even every other day. Methadone Treatment Methadone, also known as Dolophine or Methadose, is a long-acting opioid-agonist medication that is taken orally to dampen the high normally felt by heroin users, because it reaches the brain slowly.
Methodone clinics dispense daily doses of the drug to participants. This is an effective medication for managing and overcoming heroin addiction and is often recommended for patients who cannot tolerate other medication-based treatments. Research has shown that this type of medication-assisted treatment for heroin addiction is more effective when combined with a group or individual counseling plan. Naltrexone Naltrexone, also known as Revia or Depade, is an opioid antagonist that is sometimes preferred over other medication options because it is not addictive and does not act as a sedative or cause physical dependence.
Naltrexone is also used for patients who are unable to tolerate an agonist program. Proven Results with Medication-Based Therapy In a study conducted by Johns Hopkins University School of Medicine and published in the “New England Journal of Medicine,” it was shown that each of these medication-assisted therapies were effective, at least to some extent, in countering heroin use.
There was little difference in the treatment outcomes of those taking high-dose methadone or burprenorphine, with heroin addiction treatment success rates ranging from 72.7 percent for those in the methadone group to 20 percent for those patients on a low-dose of methadone. Those taking burprenorphine and high-dose methadone saw nearly the same outcomes.
Overall among all groups, the rate of heroin use decreased by around 90 percent after treatment was started. Which Heroin Addiction Treatment Works Best? An addiction counselor or your doctor can be instrumental in helping you determine which heroin addiction treatment option is the best for you and your particular situation.
Regardless of which option you choose, statistics show that overcoming heroin addiction is easier when the condition is approached as a chronic disease and treated with both medication and counseling. Having a good support system in place during heroin addiction treatment is also important, including support from family and friends who understand what you’re going through.
For more statistics on substance abuse you can read Thank you for your comments and your article it is very informative. My loved one has been addicted for four years out of our six year relationship.
I love him dearly and try to support and be here for him, but I feel that he needs to go to a rehab. He has made several attempts to getting clean on his own and it works for a couple of days but in a week he is back on it. I just feel it is getting harder for him to get clean and I feel helpless not being able to help.
I do agree that if you are trying to get clean you should also give up the alcohol – we have missed several gatherings and feel that we are being isolated from everyone else because of his addiction. I just hope he realize the importance for him and his health to go to treatment before something worse happens. I got clean from chronic intravenous heroin and crack addiction in the rooms of a 12 step fellowship called cocaine anonymous.
If I can do it anyone can. Of myself I’ve no chance but by walking out that spiritual program of action laid out to me through CA I have overcome, thanks be to God. My family love Cocaine Anonymous and they haven’t even been there 😉 i was helplessly addicted to oxycontin and heroin for 5 years ,everday , very high dosage as i sold dope and money wasnt a prob.
i went to detox,succesfully, and stayed clean at the most 30 days before full blown relapse…so i turned to methadone as my last resort as my life had spiraled outta control and i had lost everything, and everyone. i have stayed 100 percent clean for the past 6 years while on methadone, you pretty much have to as you are piss tested but psycologicaly and physicly it is IMMPOSSIBLE to get high on opiates while you are on a high dose of methadone as the m done fills your opiate receptors in your brain making it immposible for the effects of other opiates to be felt.
methadone and methadone only saved my life,and continues to. i have to pick it up from the pharm weekly as i have good repor with the dr so call that a hassle if you will but id much rather be dependent on methadone than addicted to heroin.
methadone does not get you high,,,,at all, this enables me to live a normal life, work, and live a chaos free life. so ppl are right when they say methadone is harder than heroin to get off of,but my answer to that is …why would i want to get of methadone?
its keeping me clean,and in fact keeping me alive. i guess what im saying is if you are an opiate addict ,methadone is a great resource to get your life together, dont be scared off by the stigma that it carries, they are myths . methadone has no unpleasant side effects ,is safe and has kept me 100 percent clean for 6 years, if you can handle going to the doc once a month, peeing in a cup, and picking your meds up weekly then methadone can save your life…it did mine.
You should be banned, dipsh!t. I’m a veteran with a chronic disability. I’ve had surgery, and there’s no more surgical option. I have a nerve root being crushed by compounded scar tissue which leaves me in crippling pain every minute of the day. Methadone is a godsend. So you shut your filthy mouth.
Short acting pain medicines are a roller coaster ride I want no part of. Methadone is a long acting opiate painkiller. Thousands of legitimate chronic pain patients like me depend on it to function. So you junkies can go inject yourself to death for all I care, but you shut your filthy mouth saying dumb sh!t like “methadone should be banned”. Stupidity should be banned, beginning with YOU. Yes I agree! I was a methadone addict first without ever even trying heroine then later intravenous heroin and crack.
I was on methadone 11 years by far harder to get off than heroin! Most addicts will still take both and 9 times out of ten will end up with another addiction. The withdrawal is a million times worse and last months. Instead of the 5 to 7-day withdrawal from heroin. But then it was invented by Hitler.
I am one of the lucky ones 15 years strong but there is a huge amount of people who will never be free of such a horrendous drug! Suboxone will not get someone high if they are a user. It will help them stop using whatever drug they’re using without being sick, and they will have a functional day without having to get high.
(I know people that take suboxone.) Most people get suboxone to take if they can’t get the drug they want so they won’t be sick. You need stop enabling him. That’s it. Approach the situation without emotion. Do you want an addict living in your house? Are you willing to sacrifice your, and your family’s, well-being?
What message are you sending to the rest of your kids or family, if you condone this behavior? Of course he’s happy being an addict, because: 1) he doesn’t know how to live otherwise; and 2) he’s comfortable, probably because those who care for him are helping him. Sadly, you’re just helping him slowly dig his own grave. He’ll never change unless you force him to change. The suboxone/methadone programs are garbage. It is like putting a band-aid on a broken leg.
It’s the easy way out for him. It gets everyone off of his back. The government promotes these programs to keep the deaths and violence down. They are designed by doctors, who are not addicts. It’s like me trying to explain to you what it’s like to be a woman.
I can do endless research, experiments, get a sex change, but I will never truly understand it like you do. Same thing is happening here. Your son is not using drugs because he’s stupid. He just doesn’t know how to deal with life, society, and mostly himself. He needs to detox and rehab. But he has to want to.
Otherwise, it’s pointless. So, 1st Step: Ask him if he wants to get help. If he says “No,” you tell him that you can no longer support an addict.
Kick him out, cut him off, etc. Set a Date! Give him a week or two, because you love him. DO NOT WAIVER. He will go for the weakest chain in the family. He WILL manipulate and scheme. He will succeed unless you have everyone on board. Guaranteed. Step 2: Give him an option. He is leaving, PERIOD. You are willing to help him deal with the problem, pay for rehab, detox, w/e. Step 3: He will realize you are serious, unless you waiver or show weakness.
Ignore the crying, the begging, whatever. This is not your son. For all intensive purposes, he is a broken product. He needs to be sent away to be “fixed” (“rehabilitated”).
You will be cold and calculating. Step 4: Send him away. The center will help you from there. P.S. I have been in his shoes and gone through this myself.
Well said. I have been a recovering addict for the past 34 years and I cannot believe what I am seeing out there in the medical field. They are calling it medicated assisted treatment but those that have been in recovery for a while call in medication replacement treatment.
I have not seen anyone in my area that has started on the program get off the medication and actually deal with the feelings that kept them using. In some cases I have actually seen people start using heroin just so it will be in there system so that they can get on the medications.
No it does not get you “high” but it does numb you to the point where you can function. And if you get off the meds all the problems are still there and the withdrawal is horrific. I have witnessed hundreds of people in my county of less than 30k people in the past 7 years since all the treatment centers in the state have been forced to use medicated assisted treatment.
Someone said above that you cannot get high on heroin if you are on suboxone, that is pure bull! I have help people in my arms as they died! you are a retard. Lots of users just want an easy death. Tough love is basically just gravedigging. Take their drug and they’ll just stop eating or evolve their risktaking via other means. I IV’d for 2 years and never stole or pawned a thing, so maybe your just a peice of shit, but not all of us are.
My 20 year old son is an addict. No one else in our family (which is large) is a user, so we’re not sure what the attraction was….. maybe his friends? I have set him up with an addition counselor who would like him to see a psychiatrist to prescribe Suboxone. He is currently on probation for possession and is supposed to see his PO regularly and do random UAs in addition to the counseling.
Since this began his usage has gotten worse. Here are my questions…. I hope someone can help/answer them for me: 1. Will suboxone work if his heart is not into quitting, or will he just get high via a different drug?
2. Is there an ‘event’ that must occur in order for him to realize that just ignoring his PO and random UAs will land him in jail (or will it?) 3.
Is there a chance that we (his family) can help him if he is still pretty happy being an addict but says otherwise to placate us? Not looking for a miracle here, but maybe some insight would be nice. Thanks…. Suboxone will not get someone high if they are a user. It will help them stop using whatever drug they’re using without being sick, and they will have a functional day without having to get high.
(I know people that take suboxone.) Most people get suboxone to take if they can’t get the drug they want so they won’t be sick. I’m not sure if it will work for a person if they aren’t willing to quit because it isn’t going to give the the feeling that getting high gives them, But if a person is sick from not being able to get the drug they want then they will surely take suboxone.
I was as hopeless as they come henz 57 and thing I could fit in that rig I could fit my whole life in that rig multiple overdose trips to hospitals detoix (jails institutions and death) I could go on and on about all the bottoms I hit but at the end of the day I learned that I was the problem my thinking and every thing else had to change in didn’t no how to live with out drugs but the drugs where killing me it got to the point where the pain of change was less then the pain of remain the same I went to detox for the hundredth time after three day of not eating and puking not even being able to drink water they sent me to.the.hospital where I then went on temparay dialysis could have been permanent I got lucky all my organs had shut down from all the abuses I put my self thro but being in that hospital.
I had time to reflect on what was really improtant to me my old sponsor from aa came and seen me almost every day and I had a few others bring me books and prayer exc from aa I relized these are my friends the people who care about me not the people I was getting hight with I started prayer to what I don’t even no but I had faith that something was looking our for me and wanted to help me out from the gates of hell when I left the hospital I continued with pray and I started going to meetings reaching out to sober people working a program of action with a sponsor and a higher power ian not here to preach this work for me iam not here to push religion on any one my higher power is of my own understanding and every one is in tilted to there own beliefs.
All I no is the obsession to get hight or do stupid shit has been lifted and some sanity has restored to my life and I have peace and serenity clarity of mind I have a family a job a house and all the things I thought I would never have and now this I a new way of life with out drugs and alcohol and I never been happier who would of thought looking back I.
Could be where iam today if I can turn. My life around so. Can u mat we all get this recover and it not for those who need it or even want it it.is.for those.who do it how do I no if iam serious about my recovery then questions is are my actions lining up with what u want to accomplish
best dating a heroin addiction treatment - Heroin Addiction Medications
Heroin addictions can be effectively treated. In fact, thousands of families across the United States have banded together to reach out to the people they love and provide real help. When done properly, treatment can be remarkably effective, even in people who have nurtured a heroin addiction for years or even decades. Families that want to be part of that success story can do so by following these steps.
Step 1: Be aware of what heroin abuse looks like. It might sound unusual, but it is true that people who have an active addiction can keep that issue hidden from family members and friends for months or even years. A great proportion of people who use heroin are addicted to it. In fact, the reports that 23 percent of people who use heroin will be addicted to the drug in time. Given that statistic, families should know that there is no casual heroin use.
People who use are very likely people who will have an addiction at some point. Signs of use can include: • Track marks on the arms or legs • Recurrent sedation • Sudden need for privacy • Persistent need for money • Social withdrawal • Pinprick pupils • Slow breathing People who use heroin may also leave paraphernalia behind. That can include needles, spoons, lighters, or pipes. Some people also create stashes of heroin, so they will have around-the-clock access to the drug.
A stack of drugs might look like a pile of powder, separated into clear bags. Step 2: Assess the damage. No two heroin addictions are exactly the same. Some people have symptoms that other people simply do not have. For example, some people have physical difficulties due to their heroin use. According to the , 22-65 percent of people who inject drugs like heroin develop skin infections due to that needle use.
Those skin infections can turn into massive ulcers that can be life-threatening. People who have medical conditions due to heroin addictions might need a different type of care, when compared to people who are healthy with an addiction. It is just one point to consider.
Similarly, heroin addiction severity can vary from person to person. A person who is new to the addiction process and has very little experience with substance abuse might be able to handle an outpatient addiction program, for example. But someone who has lived with addiction for years and who struggles to change generally needs something more intense.
In most cases, those struggling from heroin addiction need more intensive care, and that often means inpatient treatment. That is another issue for families to consider. Step 3: Hold an intervention. A heroin intervention allows the family to outline all of the symptoms of addiction they have seen, along with all of the reasons they might cite that make addiction treatment necessary.
This is a structured and planned talk all about addiction’s consequences and the person’s future, and it could be a great way to get the healing process rolling. Some families hire professionals known as interventionists to help them address the addiction. The interventionist helps the family to understand the addiction and how it works, and the interventionist helps the family plan what to say in a meeting.
The intervention that follows this format tends to take hold in the form of letters that the family has written. Other families have informal talks, one on one, with a person who has an addiction. They do not try to compel with statistics or data, but they do try to make the addiction problem clear for the person in need. And they make the need for treatment very clear. Once these talks are complete, the family is ready to move forward with treatment. That treatment moves in a very predictable way.
Step 4: Enroll in medical detox. Opioid withdrawal is rarely considered life-threatening, according to the , but it can be incredibly uncomfortable. People who have been through the process often compare it to a very severe case of the flu, and while they are in the midst of those feelings, they may find it hard to avoid the temptation to relapse to heroin.
Medical detox can help, as clinicians can use replacement medications that mimic the action of heroin. These drugs do not cause a high, but they can keep flu-like feelings from developing. Related Reading Step 5: Choose the right medication.
There are two primary medications that could be used in medical detox program for heroin addiction: Suboxone (buprenorphine and naloxone) and methadone. Both are replacement medications that have the ability to fool the brain into believing it has access to the drugs it wants, but each medication works in slightly different ways.
One could be right for some people while the other might be right for someone else. In a side-by-side comparison study published in the , researchers report that people who use Suboxone feel a higher amount of mental clarity when compared to people taking methadone.
They also had more confidence, and they felt subjected to a smaller amount of stigma. All of these are positive points, and they could indicate that Suboxone is the right medication for some. However, Suboxone is not right for everyone.
According to research published in the , the severity of the addiction is a key point to consider when choosing a medication. Suboxone has some inner setpoints, which means it can only be taken at a specific dose level before it stops working. So it might not be right for people with severe addictions. They may need more help than this medication can provide.
A person’s medical detox provider typically makes medication decisions, but knowing a little about what medications have been right for others with addictions could be helpful to people in need. Step 6: Expect immediate help. When medical detox is complete, people with addictions move on to therapy programs. These rehab programs may last for months, but some of the help provided can bring about huge changes quite quickly.
For example, the reports that Cognitive Behavioral Therapy (often used in drug rehab programs) can help people to enhance their self-control.
The things they learn in therapy can help them to identify situations that jeopardize sobriety, and in therapy, they can learn skills that allow them to cope when they cannot avoid a trigger. Skills strengthen with time, but clearly, people can learn a great deal even in the early part of therapy. The skills they learn here could help them to avoid those early relapse triggers they might encounter when the program is complete. Step 7: Expect long-term changes.
While much of the relief people might feel in rehab happens quickly, within a few weeks of starting the care program, benefits can persist for a very long period of time. For example, some therapists encourage their students to learn more about a technique called mindful meditation.
This form of meditation encourages people to focus on what is happening right now, not on what might or could happen if something goes wrong. People often use mindful meditation early in recovery, but they might continue to use it throughout life.
According to research published by , ongoing mindful meditation has been associated with a number of key benefits, including a reduction in stress and heart rate.
Therapy could help people to overcome an addiction, and it could also help people to overcome other challenges they might face throughout life. With the help of rehab, people could turn their entire lives around. Step 8: Enroll in aftercare. Addictions to heroin can be overcome, but as research in the points out, recovery might not move in a straight line. Heroin addiction can be considered a chronically relapsing condition, which might mean that people who had an addiction can be at risk for relapse for the rest of life.
One way to overcome that challenge is to enroll in a structured aftercare program. These programs offer ongoing support through: • Support group meetings with peers • Medication management, as needed • Touch-up counseling sessions • Readmission to treatment, as needed Some people enroll in these programs and stay involved for just a few months. Others stay involved for years. Still others use a stair-step approach in which they utilize some services for a short time and then use only less-intense help (like support groups) as time goes on.
Following the Steps As mentioned, no two heroin addictions are alike, and neither are two recovery plans. Each person will have different lessons to learn and takeaways to keep in mind.
The key is to get started. Customizing a plan is the easy part. People just need to take the plunge and start that recovery process as soon as possible. The sooner they do that, the better things will be.
How to Help Someone Who Is Addicted to Heroin? Caring for someone with a heroin addiction isn’t easy, but there is a lot families can do to help. They can: • Learn all they can about how heroin works • Hold a drug intervention meeting • Identify inpatient heroin treatment options • Obtain preauthorization for treatment from insurance companies • Interview heroin addiction treatment providers • Transport the person to the treatment facility • Participate in therapy appointments, as needed • Identify heroin addiction support group meetings in the community • Look for signs of heroin addiction relapse Out of all the illegal drugs that hurt, and even kill, people, heroin is one of the “number one” drugs, says .
The estimated in 2011 that 4.2 million people aged 11 and over had tried heroin, and 23 percent of those people would become addicted to the drug. Heroin use is on the rise, spiking between 2000 and 2014 in Vermont, with more than 681,000 heroin users across the United States in 2013, according to the .
Even in the face of such overwhelming numbers, real recovery is very attainable for those who are addicted to heroin. Treatment options for heroin addictions can help individuals to build new, clean lives that are free from all heroin use. What Does Heroin Do to a Person? Treating a heroin addiction first requires that users are broken of their physical dependence on the substance. Since heroin has such an immediate , virtually rewriting the brain’s perceptions of pleasure, reward, and the anticipations thereof, individuals have to be gradually and carefully weaned off their dependence.
This entails reducing the amount of heroin they consume, while at the same time controlling for the inevitable withdrawal symptoms that come from the body receiving less of the drug to which it has become so accustomed. Withdrawal include: • Anxiety • Muscle cramping • Fever • Nausea and vomiting • Cravings for more heroin • Suicidal thoughts (in cases of extreme or chronic heroin abuse) Detoxification For that reason, being purged of heroin and the desire to retake heroin (detoxification) can be a very delicate and complex process, and one that should never be attempted alone.
Speaking to , the director of a program at the Hazelden Betty Ford Foundation in Minnesota talks of “severe depression,” and individuals having unshakeable feelings that they will never be free of that state. This, coupled with the other symptoms of withdrawal, make it likely that individuals will relapse if they try to detoxify on their own or could even that arise as part of the process. Medical detox, however, ensures that trained professionals who know how to ease people through the worst parts of withdrawal always supervise those who are withdrawing.
These professionals can ensure that people receive the right medications to be successfully weaned off heroin, taking into account each individual’s medical history, mental health, and susceptibility to other addictive substances. Another advantage to is that individuals are in a system that gives them the additional needed resources to overcome their heroin addiction. Such resources include counseling and therapy. In the same way that detoxification addresses the physical toll of heroin addiction, the mental toll of the addiction is treated with therapy.
Sessions often cover how the person can better cope with the kind of stressors that would have, in the past, triggered heroin use. Medically Assisted Detoxification Inpatient therapy allows for this kind of supervision, ensuring that each person’s physical dependence on heroin is broken in as safe and stable a manner as possible.
One way of doing this is by administering medications like Suboxone. Suboxone consists of two drugs: buprenorphine, which is an opioid that only the brain’s opioid receptors (as opposed to heroin, which the receptors) to cause reduced euphoria and dependence, but also diminishes the effects of heroin withdrawal; and naloxone, which reverses the effects of opioids by in the brain.
The combination of raising the threshold of effect (via the buprenorphine) and ensuring that the opioid receptors are not significantly stimulated (naloxone) makes Suboxone a popular choice of medication for use in inpatient treatment programs. The called Suboxone “the drug that could combat the heroin epidemic.” Suboxone carries a risk for in certain people, which is why the drug should only be taken in an inpatient setting.
This will ensure that its administration is only conducted in the presence of healthcare professionals, who can alter doses (and discontinue if necessary) to ensure that the patient does not develop a dependence on Suboxone. The Methadone Controversy For a long time, methadone (a synthetic opioid) was used to help people break their dependence on heroin, but it is now the “fastest growing cause of narcotic deaths,” according to .
Methadone’s addictiveness has led to it being connected to twice the number of deaths caused by heroin, and the vice-chair of psychiatry at the explained that its “continued provision of an addicting drug” can necessitate patients staying on methadone for years.
For this reason, the explains that methadone is a Schedule II drug in the United States. There is a legitimate medical use for methadone, but it can cause “severe” physical and psychological dependence, and it has a high potential for abuse. Therefore, only pharmacies, practitioners, and clinics that have been approved by the U.S. Food and Drug Administration can prescribe methadone.
Related: Outpatient Therapy If addictions are short-term, or not very extensive, people may be referred to outpatient treatment programs; however, this is generally not applicable to heroin addiction. Since heroin addiction is serious and usually severe, outpatient detox is not recommended. Medical detox, in an inpatient setting, is usually required for this addiction. For those in recovery from heroin addiction, outpatient treatment often follows a stay in an inpatient treatment program.
Once individuals have undergone medical detox and “graduated” from a treatment program, aftercare can commence in the form of outpatient care. This may range from a daily treatment program, given on an outpatient basis where the individual returns home each night, to weekly meetings with a therapist. Even though those in an outpatient program are allowed to go home at the end of the day, a regular visit to a treatment facility can last for hours, requiring tests, observation, and counseling sessions.
Such an intense program bestows a sense of responsibility upon participants, compelling and motivating them to maintain their sobriety and meet the standards of outpatient therapy. Oftentimes, outpatient therapy may occur at different intensity levels as people progress through care.
Individuals may begin with daily therapy sessions. As they become more stable in their recovery and more comfortable with their return to daily life in the “real” world, they may progress to semi-weekly or weekly sessions. Key Benefits of Inpatient Treatment Inpatient treatment offers a couple key dynamics that outpatient treatment does not. Inpatient care imbues participants with feelings of security and safety, as 24-hour supervision prevents the possibility of relapse.
The sense of protection of inpatient therapy comes from giving clients a place that is free of the stresses and temptations of the outside world. Here, they have distance from the problems that may have lured them to heroin in the first place, and they can focus all their time and energy on healing and restoring themselves.
The freedoms offered by outpatient therapy are very attractive, but they are not for everyone – and generally, they are not for those suffering from this serious addiction. A network of relationships and support can be created in inpatient treatment. refers to this as a “therapeutic community,” whereby the participants in an inpatient program form a bond of encouragement and understanding that lasts far beyond the last day of formal treatment.
Some of the friendships made in these programs can help those struggling to stay on the wagon when their sobriety is threatened.
Additionally, may offer coverage for inpatient treatment (pursuant to a doctor’s written referral), as long as the treatment costs for inpatient therapy do not exceed the costs that would be incurred by surgical or medical treatment.
The ASAM Criteria Whether a patient is referred to an inpatient or outpatient program depends on the results of the initial intake process. Most intakes use the criteria set forth by the (ASAM), which examines six dimensions for determining the individual’s position on the addiction spectrum: • Potential for abuse and/or withdrawal (determining the person’s past history and current status with regards to heroin abuse and severity of withdrawal effects) • Medical conditions and potential complications (assessing the person’s medical history, family history, and current physical condition) • Emotional, behavioral, and cognitive conditions () • Readiness to, and interest in, changing (how determined the person is to overcome addiction) • (assessing the likelihood that the person will relapse or otherwise struggle to maintain sobriety) • Recovery/living environment (assessing the person’s home environment, including the people, places, and things in that environment Therapy and Counseling Regardless of a person’s inpatient or outpatient status, treatment is not complete without therapies to help control behavior and thought processes.
The mentions Contingency Management (CM) therapy and Cognitive Behavioral Therapy (CBT) as two examples of mental health interventions that seek to show individuals how they can navigate the outside world and remain sober.
In 2009, the published the findings of a study that showed that 79 percent of patients who received CBT as part of their treatment reduced their rates of substance abuse to a greater extent than patients who received substance abuse treatment without CBT. There is real hope for those addicted to heroin. With research-based, professional treatment, individuals can achieve stable, balanced lives in recovery. While that recovery is not always easy, with
A day in the life of a heroin addict