A Short Note On Medication Assisted Treatment

D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.

According to Plater-Zyberk, Varenburt, Daiter, and Worster (2012), as well as nearly all other researchers, methadone is a safe, effective, and beneficial treatment when taken in a supervised methadone maintenance treatment (MMT). However, there are growing issues with illicit

The timing of the introduction of methadone to a patient usually occurs when the patient has no signs of intoxication and first begins to show symptoms of withdrawal. The patient’s daily dosage is increased each day until the patient has a steady dose An optimal methadone dosage should produce prevention of withdrawals for 24 hours, no presents of cravings, the lack of euphoric effects of self-administered opioids and the ability to function normally without impairment of physical or emotional response. Most patients find the optimal dosage of methadone is between 80 to 120mg per day. There are patients who can have an optimal dosage lower than 80mg or higher than 120mg per day the dosage varies depending on the patient. A methadone maintenance patient must report to the dispensary each day between particular times to receive their medication

Methadone Maintenance Treatment The Methadone Maintenance Treatment (Camh) helps patients overcome an addiction of opioid dependence. The treatment uses methadone as a replacement for the opioid. Methadone is a narcotic drug that helps suppress opioid withdrawal symptoms, reduce cravings for opioids, not induce intoxication (e.g., sedation or euphoria) and reduce the euphoric effects of other opioids, such as heroin (Camh). MMT is beneficial to the patient in many reasons.

Methadone exists as two enantiomeric forms, R and S (Eap et al., 2002). The most commonly used form of methadone in maintenance treatment is the racemic mixture (RS- methadone) (Groman et al., 1997). It is the R-isoform that gives most of the opioid effects (Eap et al., 2002). Methadone exerts its analgesic and narcotic effects through the µ-OR subtype, and has antagonistic effect at the NMDA receptor (Trescot et al., 2008). The antagonistic effect at the NMDA receptor is believed to be advantageous in preventing induction of tolerance (Callahan et al., 2004).

mends the Controlled Substances Act to increase the number of patients that a qualifying practitioner dispensing narcotic drugs for maintenance or detoxification treatment is initially allowed to treat from 30 to 100 patients per year. Allows a qualifying physician, after one year, to request approval to treat an unlimited number of patients under specified conditions, including that he or she: (1) agrees to fully participate in the Prescription Drug Monitoring Program of the state in which the practitioner is licensed, (2) practices in a qualified practice setting, and (3) has completed at least 24 hours of training regarding treatment and management of opiate-dependent patients for substance use disorders provided by specified organizations.

Serious Mental Illness (SMI) and Substance Use Disorders (SUD) each involve symptoms that can be rather debilitating. Approximately one half of the individuals diagnosed with a severe mental illness such as schizophrenia or bipolar disorder experience co-occurring substance use issues (Brunette et al., 2008). Individuals with a dual diagnosis of SMI and substance use are particularly vulnerable with complex service needs (Tsai et al., 2009). As a result of the high prevalence and serious consequences of these disorders, there is an increasing need for comprehensive treatment options to simultaneously address both issues.

Dependence on prescription opioids can stem from treatment of chronic pain and in recent years is the cause of the increased number of opioid overdoses. Opioids are very addictive substances, having serious life threatening consequences in case of intentional or accidental overdose. The euphoria attracts recreational use, and frequent,

“Every year 214 million prescription for opiods pain killers are given to patients” One of the most prescribed drug that causes overdoses are opioids. a high percentage of the population have issues with the addiction, and not everyone has the possibility to get help, some of them are alone who don't have anyone to help them or they don't have enough income for drug rehabilitation. at the same time rehab is charging thousands of dollars for help. While most people are struggling with money and it's easier and cheaper for them to buy or get drugs prescribed and make the drug help them forget their issues.

According to a recent study by the Center for Disease Control and Prevention (2016), approximately one individual out of five patients established with a pain-related conditions, is recommended to use opioids for their pain. This practice has continued with time increasing the levels of opioid use among different patients. Medical practitioners have contributed largely to the increase of opioid usage because they are the ones who prescribe these drugs mostly to the patients. However, they have established a major challenge facing them on the prescription of these drugs, as there is a confluence of pain control versus the danger of misuse of such prescriptions. These facts have increased the need to curb this situation before it becomes impossible to deal

Prescription drugs (opiates only) have caused over 165,000 deaths within the last 15 years and is currently on the rise. Over 2 million Americans in 2014 were addicted to Opiate prescription narcotics. The most troubling fact is listed directly on the Center for Disease Control and Prevention (CDC) website: “As many as 1 in 4

I. Importance: As American deaths from drug overdoses continue to rise in the United States, the nation is faced with a public health crisis so profound that in October 2017, President Trump declared the opioid epidemic to be a national public health emergency (Merica). President Trump’s declaration came after numerous studies indicating the danger opioid addiction posed; for example, a 2016 study entitled “Increases in Drug and Opioid-Involved Overdose Deaths—United States, 2010-2015” claimed that drug overdose deaths “nearly tripled during 1999-2014,” reaching a startling high 52,404 deaths in 2015 (Rudd, et al). These statistics are more than just disturbing revelations regarding the opioid crisis; they are evidence of a serious problem that is rapidly affecting the lives of more and more Americans every year. Death by overdose is not the only public policy concern, however, as millions of Americans are also addicted to prescription opioids.

The efficacy of appropriate treatment for addiction disorder and substance abuse may be determine by drug and alcohol counselors, primary healthcare providers, social workers, and others. Therefore, it is necessary for competent and those properly trained to utilize the necessary tools needed for proper assessments, diagnosis, treatment planning and future referrals. Careful selection on these instruments may be influenced by cultural, race, and gender (Van Wormer & Davis, 2018). Furthermore, counselors or other clinicians would also need to consider the reliability and validity these instruments prior to selection.

These pills, such as xanax and oxycodone allow people for short periods of time to withdraw from the harsh reality faced today. “Between 1997 and 2002, sales of oxycodone and methadone nearly quadrupled” (Okie). Around 15 years later and the prescription pill problem is continuing to skyrocket. Since prescription pills are dispersed out to anyone by doctors, many people do not realize that it is as much of an illicit drug as cocaine and heroin is. “Misinformation about the addictive properties of prescription opioids and the perception that prescription drugs are less harmful than illicit drugs are other possible contributors to the problem” (NIDA).

DISCUSSION From the beginning, the therapist had to deal with own doubts and anxiety. The therapist had heard a lot about the psychodynamic psychotherapy but this was the first time he conduct the sessions by himself. Unlike pharmacotherapy, there is no standard clinical practice guideline or recommendation for the therapist to refer to or follow. The therapist was worried that he was unable to conduct the therapy effectively and his patient would not benefit from the therapy.