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Suboxone Treatment Program
Substance dependence is a disease, just like diabetes, which needs much effort on a daily basis to remain abstinent and remain in recovery. During recovery unfortunately relapses are common but not the end of the world. When this occurs detox and subsequent rehabilitation treatment is the first step in the process to regaining abstinence. During this process with the help of groups, therapists and sometimes medication management, growth and recovery in all areas of one’s life is once again achieved to restart the battle. Just like having any other chronic illness much more is needed to maintain health and recovery. A key to maintaining recovery after completion of the rehabilitation program consists of further support. For this to occur prior to completion we recommend making an appointment with one of our psychiatric care providers at Empower Psych Centers along with the combining the available treatment options provided by inpatient program. This consists of ongoing therapeutic support and psychiatric follow up visits which can help maintain and fight the deadly disease we call addiction.
Psychiatry and Medication Management
The Psychiatry and Medication Management program oversees medical treatment of psychiatric disorders. Medication is frequently used alone or in conjunction with other services like therapy to stabilize and/or eliminate the symptoms that accompany psychiatric disorders.
It is important to collaborate with your psychiatrist by discussing symptom changes, side effects or by asking questions that will lead to safe and effective utilization of medication.
Outpatient Suboxone Treatment Program:
A Suboxone certified psychiatrist will oversee treatment at Empower Psych Centers. Utilizing this treatment option, along with other therapies, increases the likelihood of sustaining abstinence and maintaining recovery. An individual can utilize this option via a maintenance dose for an undetermined amount of time while the patient stabilizes their emotional, physical and mental well-being.
Stage I- Induction: After successful detox off of opioids patients are assessed for candidacy depending on a multitude of factors. If deemed appropriate induction at Harris House will begin. Patients will receive their first doses of Suboxone on the Inpatient Unit and will be titrated until cravings are manageable. Average daily total dose is between 12 to 16mg. During this time patients are observed closely to monitor for any issues or side effects.
Stage II- Stabilization: Once the patient’s dose of Suboxone is adjusted to their own therapeutic level that alleviates cravings, they are under close observation due to high rate of relapse during this time. Utilizing Partial Hospitalization or Intensive Outpatient Programs (IOP), help with this process so the patient is engaged in psychosocial counseling with random urine testing to ensure compliance, misuse, or possible diversion. Stabilization is undetermined and can last several weeks depending on the individual.
Stage III- Maintenance: During this time patients continue to utilize therapy and other appropriate therapeutic options but are now in a less restrictive environment. They are hopefully again functioning socially and occupationally on an outpatient basis maintaining recovery. Patients continue on their appropriate dosage of Suboxone undergoing random urine drug testing but usually during this stage are given more doses of medication as they are building more trust and more recovery time “under their belt”. The Maintenance Stage is individualized and can last an undetermined amount of time.
Detoxification: Patient’s must be supervised medically during discontinuation of Suboxone. Detox can occur quickly, immediately after a brief Induction/Stabilization period has been completed, or Detox can occur slowly after an individualized maintenance period of appropriate length. Supportive treatment during and after Detox is encouraged because many issues or stressors can lead to a relapse having to restart the process. Once again if this occurs this is not the end of the world because one needs to keep in mind that no one can change the past but everyone always has a chance to change the future. your paragraph here.
What is Suboxone?Suboxone is a combination of Buprenorphine and Naloxone. It is the leading drug of choice to treat opiate dependence in a non-federal setting. The Buprenorphine component of Suboxone is a “partial mu agonist” capable of satisfying the body’s need for narcotics by suppressing cravings but does not cause the euphoria or dangerous respiratory depression of “full agonist” opiates. The Naloxone component, an opiate antagonist, when used properly is deactivated thus allowing Buprenorphine to do its job. If Suboxone is misused by snorting or IV injection both Buprenorphine and Naloxone are activated allowing the Naloxone to occupy the opioid receptor not allowing the Buprenorphine to be effective thus having less abuse potential. Since 2003, the Drug Addiction Treatment Act allows qualified physicians to obtain certification and prescribe Suboxone to treat opiate dependent individuals in a variety of Outpatient and Inpatient settings.