The United States' approach to substance abuse has shifted over the last decade, and is continuing to change. The federal government was minimally involved in the 19th century. The federal government transitioned from using taxation of drugs in the early 20th century to criminalizing drug abuse with legislations and agencies like the Federal Bureau of Narcotics (FBN) mid-20th century in response to the nation's growing substance abuse issue. These strict punishments for drug offenses shined light on the fact that drug abuse was a multi-faceted problem. The President's Advisory Commission on Narcotics and Drug Abuse of 1963 addressed the need for a medical solution to drug abuse. However, drug abuse continued to be enforced by the federal government through agencies such as the DEA and further legislations such as The Controlled Substances Act (CSA), the Comprehensive Crime Control Act of 1984, and Anti-Drug Abuse Acts. Narcissistic, Borderline, and Psychopathic Personality Types in Addiction Treatment, Part 1
Dependence is defined as an adaptive state that develops in response to repeated drug administration, and is unmasked during withdrawal, which occurs when drug taking stops. Dependence from long-term drug use may have both a somatic component, manifested by physical symptoms, and an emotional–motivation component, manifested by dysphoria. While physical dependence and withdrawal occur with some drugs of abuse (opiates, ethanol), these phenomena are not useful in the diagnosis of addiction because they do not occur with other drugs of abuse (cocaine, amphetamine) and can occur with many drugs that are not abused (propranolol, clonidine). Practice Demonstration - Substance Abuse Counseling
According to the results of a survey published in the Archives of General Psychiatry, approximately 2.6 percent of American adults meet the criteria for drug dependence and drug addiction. Globally, the figure is similar; the World Health Organization estimates that nearly 3 percent of adults around the world suffer from a drug use disorder. At first glance, these numbers may seem small. However, these statistics do not reflect the number of people who have tried illicit drugs, or who have abused illicit substances or prescription medications. The National Institute on Drug Abuse reports that almost 10 percent of American adults have tried illicit drugs. Anyone who uses drugs recreationally or experimentally is at risk of developing dependence and drug addiction. Clearbrook Manor - Drug and Alcohol Treatment Center
Recovery housing, which provides supervised, short-term housing for patients, often following other types of inpatient or residential treatment. Recovery housing can help people make the transition to an independent life—for example, helping them learn how to manage finances or seek employment, as well as connecting them to support services in the community.
Research the history of the Treatment Center or facility. What is their success rate? Can you find any medical recommendations for them online from members of the established rehab or medical community? How long has the Center been in operation? Is their leadership on solid ground? Are there any signs of financial corruption associated with the Center that is readily visible on the Internet? It is your responsibility to dig for this information. If you cannot find any information about a given Treatment Center online or at your local library, move on to the next Center on your list!
Withdrawal. Medications and devices can help suppress withdrawal symptoms during detoxification. Detoxification is not in itself "treatment," but only the first step in the process. Patients who do not receive any further treatment after detoxification usually resume their drug use. One study of treatment facilities found that medications were used in almost 80 percent of detoxifications (SAMHSA, 2014). In November 2017, the Food and Drug Administration (FDA) granted a new indication to an electronic stimulation device, NSS-2 Bridge, for use in helping reduce opioid withdrawal symptoms. This device is placed behind the ear and sends electrical pulses to stimulate certain brain nerves. Also, in May 2018, the FDA approved lofexidine, a non-opioid medicine designed to reduce opioid withdrawal symptoms.
Medical detox in an addiction treatment center takes place in a fully-staffed medical facility where patients are monitored around the clock, and treatment for the side effects of withdrawal is provided as needed. Medications to reduce the intensity of withdrawal symptoms may be administered, and patients will not be released from detox until they are symptom-free and physically and mentally well enough to handle the daily routine of an addiction treatment regimen.
A detoxification rehab program stipulates that before patients can begin healing, they must remove all drugs and toxins from their body. It is much easier to detox from drugs under the care and supervision of trained medical professionals, as opposed to attempting to do it on your own. Medical professionals could provide patients with safe drugs that could help ease withdrawal symptoms.
Treating addiction – whether at rehab or not – can be divided into three main phases. Firstly is detoxification, the process by which an addict’s system is cleansed of substances of abuse. Once this cleansing process has taken place, and the immediate pressures of drug dependency have been lifted, the addict will then need to address the psychological aspects of their addiction, including understanding the root causes and seeking to put measures in place to ensure that they do not stumble back into addiction by relapsing.
Inpatient – or residential – rehab sees the addict staying on-site at one of our dedicated UKAT facilities, staffed by highly trained professionals who are on hand 24/7 to ensure that each addict’s individual needs are met as fully and as appropriate as possible, and that they go through each of the first two aforementioned phrases safely and in maximum comfort.
This is an ongoing debate in the medical community, but it is generally agreed that there is no one cause for the development of addiction. According to the National Institute on Drug Abuse, contributing factors may include a genetic predisposition to develop addictive tendencies, an environment that is permissive of drug abuse, access to illicit substances, and certain developmental issues. The existence of a Dual Diagnosis is one of the biggest risk factors for the development of addiction. Heroin Withdrawal | First Week In