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suicide and opioid addiction dual diagnosis treatment centers

Suicide and Opioid Addiction – Linked Epidemics?

Suicide and Opioid Addiction – Linked Epidemics?

Important note: This article addresses suicide. If you or a loved one is struggling, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

A disproportionately large number of U.S. residents have committed suicide while using an opioid. By definition, we are witnessing an epidemic. Dual diagnosis treatment centers are seeing an increase in patients as they themselves effort to understand the connection between suicide and opioid addiction. 

The Centers for Disease Control (CDC) released alarming numbers during the spring of 2018. Their study determined almost 45,000 Americans committed suicide in 2016 alone and discovered an increase of suicide every year since 1999.

The U.S. Surgeon General has advised more Americans use opioids than smoke cigarettes. Considering the U.S. purchases 80% of the world’s opioid medications and prescriptions have increased 300 percent in a nine-year time frame, this makes sense.

Together, it appears opioids and an increasing suicide rate may indeed be linked.

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suicide and opioid addiction linked dual diagnosis treatment centers

An Increasing Suicide Rate

The relationship between suicide and substance abuse is a complicated one. While suicide is closely correlated with depression, use of either legal or illicit drugs increases the risk substantially. A 2013 study by the CDC revealed which types of substances were found in those who committed suicide. The leading six substances were:

  • Alcohol – 38.2%
  • Antidepressants – 35.3%
  • Benzodiazepines – 31.3%
  • Opiates – 26.8%
  • Marijuana – 16.6%
  • Anticonvulsants – 11.9%

Use of drugs or alcohol is one of the most common risk factors for suicide. However, substance use is only one half of the equation.

In isolation, it would easy to pin a large portion of suicides strictly on substance abuse. But unfortunately, nothing could be further from the truth. In most suicides, substance abuse is the cause or the result of one or more contributing conditions.

The CDC completed a study reviewing the mental reports of both medical examiners and law enforcement officials from 27 states in 2015. They acknowledged there may have been other circumstances involved in any single suicide report, but the result sheds light on the types of problems individuals may have been facing prior to their passing:

  • 42% reported relationship problems
  • 29% faced a crisis in the past or upcoming two weeks
  • 22% had physical health problems
  • 16% were confronting job or financial related issues
  • 9% tackled criminal legal problems
  • 4% lost their housing

The study showed that just over one-quarter (28%) of suicides had reported known problematic substance abuse. Understanding the relationship between the CDC’s statistics of the substances found in the bloodstream with the contributing factors is important. The connection underscores the role substance abuse plays in scenarios where the abuse was not a determining factor in the suicide.

The Exploding Use of Opioids

During the late-1990s, prescription opioid pain relievers were introduced to the general public in mass. It was promised these drugs would not be addictive or habit forming. The pharmaceutical companies were wrong.

The rate of opioid overdose has risen ever since opioids arrived at the corner pharmacy. In 2015, the CDC reported 33,000 deaths directly resulting from an opioid overdose. This includes prescription opioids such as fentanyl, hydrocodone, and methadone, illegally manufactured synthetics, and heroin.

Almost 225 million opioid prescriptions were written in 2015. The CDC study from the same year found approximately 2 million Americans were suffering from prescription opioid substance abuse disorders. The statistics of opioid misuse are staggering:

  • 21% – 29% of prescriptions for chronic pain are misused
  • 8% – 12% of prescribed opioid patients develop an opioid use disorder
  • 4% – 6% of those who misuse opioid prescriptions move onto heroin

Although the sheer number of annual opioid prescriptions has begun to decline, their misuse continues to increase. And as the number of prescriptions decreased, we may begin to see increased heroin and illicit opioid use in the coming years. Consider the following growth in opioid overdoses:

  • 54% increase in large cities in 16 states
  • 70% increase in the Midwest 2016 to 2017
  • 30% increase in 52 surveyed regions in the U.S.

We are in the midst of a public health crisis. The consequences of which are being felt by individuals, families, employers, and entire communities. Finding the link between suicide and opioid addiction will go a long way toward solving this immense problem.

Connecting Suicide and Opioid Addiction

Overdoses, caused by any substance, can often be difficult to evaluate. Was the overdose accidental or were the drugs consumed with a purpose – suicide?

What we do know are the increases in suicide risk associated with an opioid misuse. For men, the suicide risk nearly doubles if they were known to have an opioid use disorder. For women, there has been found to be an eightfold increase in the risk of suicide. Yet in most cases, the final factor causing an overdose is never known.

Opioid addiction is extremely powerful. The fact that 80% of first-time heroin users were misusing prescription opioids first supports this claim. And regardless of how many of the 115 daily opioid overdoses are attributed to suicide, any number larger than zero is too many.

The likelihood of suicidal thoughts can increase upwards of 60% when while taking an opioid. There are studies indicating death by suicide is 13 times more likely in opioid and injection drug users. More evidence that combating opioid addiction’s role in the nation’s suicide crisis cannot be overlooked

The Role of Dual Diagnosis Treatment Centers

Admittance into rehabilitation centers increased 400% in the decade prior to 2010. As more research is conducted and more is learned about the relationship between suicide and substance abuse, the greater positive impact dual diagnosis treatment centers will have on their patients.

Dual diagnosis takes a coordinated approach to mental health disorders and substance abuse. By using a multidisciplinary team of clinicians, patients with co-occurring disorders are much more likely to find long-term success after receiving treatment. Traditional treatment centers are becoming much better at identifying individuals who are suffering from two or more conditions. And if dual diagnosis treatment isn’t available, such facilities are fortunately opening on a regular basis.

After completing programs offered at dual diagnosis treatment centers, individuals will effectively be able to manage both disorders. If you suspect someone you care about may be struggling with suicide and opioid addiction, let them know not only their friends and family are there for them, but specially trained experts. The community supporting those breaking opioid addiction is growing and help is no further than a phone call away.

stigma of addiction, scottsdale treatment center

We’re Starting to See a Reduction in the Stigma of Addiction, But We Still Have a Lot to Work For

We’re Starting to See a Reduction in the Stigma of Addiction, But We Still Have a Lot to Work For

The stigma of addiction brings a heavy burden to people who are suffering with the problem. These people often feel “marked” with defects that keep them from living sober lives. This can lead to feelings of shame and helplessness. Luckily, there has been a reduction in the negative imagery that goes along with this condition.

How Has This Stigma of Addiction Been Reduced?

This country is experiencing an enormous rise in its drug addiction rates. However, more and more people are speaking out and sharing their stories. Even celebrities in Hollywood have come forward to shine a new light on recovering from addiction. Along with being outspoken in interviews, Demi Lovato speaks through her music. She released a song that discusses her struggles with sobriety. She explains that the road to recovery is not easy for anyone and that there is no shame in the battle.

Recently, Lovato suffered a setback. She was admitted to the hospital after an apparent overdose. Instead of negative comments and statements from the public, there has been an outpouring of support and positive energy. Thanks to social media, her relapse has given people from all walks of life the courage to speak about their similar problems and to offer sympathy to the suffering music star and to others who are in the same position. Lovato has shown that celebrities are human and have the same flaws as other people. It is a great opportunity to knock down some walls and to fight the stigma that is attached to addiction.

Music has allowed Lovato to use lyrics as an outlet to explain the bumps on her journey and to apologize for her mistakes. She wrote in detail about her failures ad this has built trust with her fans. It has allowed other drug users to understand that relapse happens and that it is possible to get back on the right path and to avoid the negativity that often surrounds the shame of addiction. As more and more people offer support, the stigma should continue to decline.

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Why Stigma Should Not Be an Issue

Is there a stigma related to cancer? Is there a stigma linked to having a heart attack? Like these physical ailments, addiction is a disease. It strikes people of all races and classes. Since no other health condition brings a negative stigma, drug addiction should not be the exception.

According to the American Medical Association, addiction is a disease that changes the way a person’s brain functions. Many drugs encourage the brain to release chemicals that bring feelings of pleasure. With continued use, these chemicals change the brain’s systems. This means that an individual will crave the substance. Brain changes can last long after an individual stops using, which leaves the person vulnerable to triggers that often lead to relapse. In many cases, a strong individual with the will to stop using is still left open to fall off a sober path.

Although seeking treatment is a smart way to gain sobriety, it is not a guarantee that the problems are over. Understanding the struggles of a user makes it clear that a negative stigma should not be placed on an individual who is trying to get clean.

How Stigma Prolongs the Problem

Many times, a user who experiences a negative stigma about his or her drug habits have a decreased likelihood of seeking treatment. Even when he or she admits that there is a problem, they may be afraid to come forward and to ask for help. It is essential to uncover a trusted medical professional so that a patient can receive solid advice and treatment. Researching a respected rehab facility is vital as well.

Our Scottsdale treatment center is filled with a compassionate staff. We understand the struggles and realities that addiction brings to an individual’s life. We are not afraid to help patients through the withdrawal process and to assist them on the road to recovery. We never judge or criticize, which means that the environment at our facility is nurturing and relaxing. Patients can feel safe, concentrate on the root of their problems, and learn how to avoid triggers that may cause relapses.

Thankfully, the stigma of drug addiction is becoming less damaging. However, we still have a long way to go. Society is starting to realize that addiction can affect anyone and relapse is not a sign of weakness. As in the case of Demi Lovato, it is important to support people with problems, especially when they decide to get help. To get started on a sober path, call our Scottsdale treatment center today.

hepatitis c and opioid, addiction treatment az

The Link Between Hepatitis C and Opioid Addiction

The Link Between Hepatitis C and Opioid Addiction

The opioid epidemic is characterized by an increase in the number of people who misuse narcotics, including prescription painkillers and heroin. The National Institute on Drug Abuse reports that more than 115 people experience a fatal overdose from these substances every day in the U.S. Many who survive are facing a new challenge: hepatitis C infection. According to a study published in the American Journal of Public Health, hepatitis C and opioid use are linked.

What is Hepatitis C?

Hepatitis C is a disease that damages the liver. It’s spread through the blood and can cause liver failure or cancer. Doctors believed they were on their way to eradicating the disease through the use of certain medications, however, the rise of the opioid epidemic changed those expectations. The number of people with hepatitis C tripled from 2010 to 2015, according to CNN. Currently, approximately 3.5 million Americans have hepatitis C.

The decade from 2004 to 2014 saw a 400 percent increase in acute hepatitis C as well as an 817 percent increase in admissions of people ages 18 through 29 who injected prescription opioids. Most people who had hepatitis C before the 1990s were part of the baby-boomer generation. People born between 1945 and 1965 were more likely to have contracted the disease from unsafe medical procedures or blood transfusions. The increase of hepatitis C in the younger generation points to a link between the disease and opioid injections.

Hepatitis C is Spreading Through Injected Drug Use

Twenty-eight percent of people who inject drugs are infected with hepatitis C every year. Reusing the equipment that’s used to administer opioids intravenously can quickly cause an outbreak.

Jon E. Zibbell PhD was in charge of the study that looked at the connection between hepatitis C and the opioid epidemic from 2004 to 2014. He found statistically significant increases in the rates of hepatitis C among opioid users who injected the drugs.

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hepatitis c and opioid, addiction treatment az

Many people start taking prescription painkillers orally. Over time, they transition to injecting heroin because it is cheaper and delivers a quicker high. New infections occur most often among these opioid users, many of whom are younger than 40.

In some states, the number of people infected with hepatitis C is double the natural average. Once many people within a community are infected, the disease spreads more rapidly because they share equipment.

Women in rural counties are three times more likely to have hepatitis C than women in urban counties, according to a CDC study. The study did not intend to compare opioid abuse rates with hepatitis C rates, however, Dr. Stephen W. Patrick, the study’s author, said that 5 times more infants were born with opioid withdrawal symptoms in rural areas than urban ones. One concern that experts have is that babies born with hepatitis C may not be treated because their mothers are unaware that they’re infected.

Catching Hepatitis C Before It’s Spread Further

Because many people don’t have symptoms or seek treatment, the actual number of people who inject drugs and have the disease is probably much higher than researchers have found.

It takes time for symptoms of hepatitis C to show up, therefore, many people don’t know that they’re infected until it’s too late. Plus, most people with drug abuse disorders don’t seek treatment for their addiction. Oftentimes, many people don’t know that they have hepatitis C until they receive a blood screening for a blood donation or routine exam.

By that time, liver damage may have set in. People who do have symptoms right away are more likely to get treatment that prevents the disease from progressing.

The FDA has approved several treatment regimens that can cure the disease. The problem is that many people who suffer from hepatitis C and opioid abuse disorder don’t get help. People who suffer from addiction may be compelled to take part in risky behaviors, such as sharing needles, even though they know about the dangers.

Jonathan Mermin of the CDC says that testing people who are at risk of developing the disease, which includes anyone who has injected opioids intravenously, can increase the effectiveness of treatment for those who test positive.

Free needle exchange programs have cut down on the number of people who use dirty needles. However, the stigma of drug addiction prevents many people from taking advantage of these programs or going further to attend rehab. Access to treatment is another obstacle that people with hepatitis C face.

Treating Hepatitis C in Addiction Treatment AZ Setting

Many rehab centers are staffed by medical professionals who can provide treatment for hepatitis C alongside therapy for addiction. At rehab, patients can be monitored to make sure that they administer their hepatitis C medication correctly, which is crucial for curing the disease. Because some hepatitis C treatments cause side effects such as depression, getting help at a comprehensive rehab center, such as our addiction treatment AZ, is important for managing psychological and emotional issues as well as physical ailments.

If you have hepatitis C and suffer from opioid addiction, call our addiction treatment AZ to learn how we can help you manage your substance abuse disorder as well as other physical and medical conditions. Treating the mind, body and spirit can help you succeed on your path to recovery.

Arizona Rehabs Discuss the History of Opioid Addiction

Arizona Rehabs Discuss the History of Opioid Addiction

There’s no doubt that our country is in the throws of a crisis. How did opioid addiction begin? Let’s take a look at the history of opioid addiction and how Arizona rehabs are trying to help.

There is reliable evidence of opium use as far back as 3,400 B.C. The opium poppy was called “joy plant,” and it spread from Mesopotamia to Assyria, Egypt and the Mediterranean. In 460 B.C., Hippocrates acknowledged its usefulness. Alexander the Great introduced it to Persia and India, and Arab traders took it to China. The Opium Wars were fought in China from 1839 to 1860.

Opium’s power to alleviate pain has resulted in thousands of years of abuse. In modern history, famous opiate users who battled addiction include Charles Dickens, Edgar Allan Poe, Florence Nightingale, Billie Holiday, Janis Joplin, Elvis Presley and River Phoenix.

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History of Opioid Addiction arizona rehabs

The History of Opioid Addiction in the U.S.

Opiates are an unfortunate part of American history. With the advent of synthetic opioids, the problem only got worse:

  • The armies on both sides of the American Revolutionary War gave wounded soldiers opium. In his final years, Benjamin Franklin took it for a painful bladder stone that had tormented him for years.
  • Morphine was first isolated in 1803, and Merck & Co. took over commercial production in 1827.
  • Morphine and other opiates were widely used by the time of the Civil War. An alarming number of veterans were hopelessly hooked following the conflict.
  • Heroin was first made from morphine in 1874. As a cough suppressant, it was hailed as a wonder drug. Bayer Corp. launched it commercially in 1898. Heroin increased in popularity when users discovered that injecting the drug enhanced its effects.
  • Doctors were alarmed by climbing rates of drug addiction in the early 1920s. Heroin was made illegal in 1924.
  • World War II gave rise to nerve block clinics; anesthesiologists administered injections to treat pain without surgery. The clinics operated during the ‘50s and ‘60s.
  • President Gerald Ford set up a task force to study drug addiction in the 1970s. The focus shifted from marijuana and cocaine trafficking to the heroin epidemic.
  • Painkillers like Percocet and Vicodin were already becoming a problem by the late ‘70s. Many doctors were reluctant to prescribe them.

Dr. Hershel Jick of Boston University School of Medicine disagreed there was a problem. After analyzing almost 12,000 patients who’d been treated with narcotics, Jick concluded that addiction to opioids was rare in patients with no history of substance abuse. A pain-management specialist, Dr. Russell Portenoy, studied 38 patients six years later and also declared that opioid maintenance therapy was safe.

The two studies sparked a discussion that lasted into the early 1990s. Pain management became a priority for patients.

  • Every year in the early 1990s, the number of prescriptions for painkillers increased by 2 to 3 million. Then, from 1995 to 1996, the one-year increase was 8 million.
  • Purdue Pharma launched OxyContin in 1996. One year later, prescriptions of all opioid painkillers on the market increased by 11 million.
  • The Joint Commission is a nonprofit group that accredits medical facilities. In 2000, as part of doctors’ required continuing education, the commission published a book that cited studies in which there was “no evidence that addiction is a significant issue when persons are given opioids for pain control.” It expressed the opinion that doctors’ concerns about addiction were “inaccurate and exaggerated.”

The book was sponsored by Purdue Pharma.

Dr. David W. Baker with the Joint Commission later remarked, “There is no doubt that the widely held belief that short-term use of opioids had low risk of addiction was an important contributor to inappropriate prescribing patterns for opioids and the subsequent opioid epidemic.”

  • Purdue Pharma was charged in 2007 with misbranding and downplaying OxyContin’s high potential for addiction. Three executives pleaded guilty, and Purdue settled with the government for $635 million.
  • In 2010, the manufacturers of OxyContin released a new formula that contained an abuse deterrent. It was supposed to be more difficult to crush, inject or snort the product. According to a study published in the New England Journal of Medicine, 24 percent of abusers reported being able to get around the tamper-resistant measures.  One participant in the study said that most former OxyContin users had switched to heroin. It was cheaper and easier to get.
  • Portenoy, one of the doctors who insisted in the 1980s that opioid therapy was safe, later said, “Clearly if I had an inkling of what I know now then, I wouldn’t have spoken in the way that I spoke. It was clearly the wrong thing to do.”
  • In 2016, the Food and Drug Administration and the Centers for Disease Control and Prevention began taking steps to address the opioid crisis.

As of 2018, several states, including Florida, Nevada, North Carolina, North Dakota, Tennessee and Texas, have sued pharmaceutical companies for their role in the epidemic. Cities that have sued include Chicago, Cincinnati, Dallas, Indianapolis and Seattle.

How Arizona Rehabs Can Help

The history of opioid addiction is a grim one. Substance abuse is a serious brain disease that affects people with all different backgrounds.

Getting clean for good requires professional help. Like many other Arizona rehabs, we at Discovery Cove Recovery are committed to helping people like you reclaim their lives. Call today to speak to an experienced, caring staff member.

insurance coverage for addiction treatment

Increase Insurance Coverage for Addiction to Lower Risk of Opioid Deaths

Increase Insurance Coverage for Addiction to Lower Risk of Opioid Deaths

Patients who are living with an opioid addiction and want to get help shouldn’t be denied access to treatment by their health insurance providers. This statement was one of the new policy recommendations co-authored by Professor Claudio Nigg, from the Office of Public Health Studies, University of Hawaii at Mānoa.

Lack of Full Coverage for Addiction Treatment a Barrier

The most likely reason people who want, but don’t get, addiction treatment is that government and private insurance policies don’t cover the cost of getting help, according to a statement posted June 27, 2018, on the Society of Behavioral Medicine’s website.

Professor Nigg explained, “To fight the opioid addiction epidemic that is ravaging the US today, policymakers need to increase Medicaid funding for addiction treatment and declare the opioid epidemic to be a national emergency, and not just a public health emergency.”

On a typical day in the United States, 3,900 people start taking a prescription opioid medication for non-medical reasons. Dozens of people die each day from an opioid overdose. In 2016, 77 people died from an opioid overdose in Hawaii, according to the National Institute on Drug Abuse.

Medication-Based Treatment for Opioid Addiction

Research has shown that medication-based treatment (MAT) is one approach for clients living with opioid addiction. It includes two components.

First, clients take medication to decrease cravings for drugs (such as oxycodone, morphine and heroin). They also attend behavioral modification therapy (“talk therapy”), which helps them change their thinking and actions.

Funding for Counseling Needed Along with Medications

Professor Nigg points out that while many insurance programs will pay for the medication, getting funding for counseling is much more difficult. He points out that people need the talk therapy, not just the medications to be treated properly for their addiction.

Nigg is an expert in the behavioral health science field. He has studied theories of behavioral change throughout his career and has conducted research on the motivations for people to take part in healthier living strategies.

For more information on opioid addiction treatment, and to find out if you have insurance coverage for addiction treatment, give us a call today.

End the Opioid Crisis, Opioid Addiction Treatment Arizona

How to End the Opioid Crisis, Opioid Addiction Treatment Arizona

How to End the Opioid Crisis – Opioid Addiction Treatment Arizona

According to the CDC, more than 33,000 people died from opioid overdoses in the United States in 2015. Every year, the steadily worsening opioid epidemic poses an economic burden of more than $78.5 billion, which includes costs that are associated with criminal justice activity, health care, addiction treatment and lost productivity. Oftentimes it feels like little or nothing is being done about it. However, many people have ideas about how to end the opioid crisis. The question is which of these proposed solutions will actually put a dent in the problem. Desert Cove Recovery, opioid addiction treatment in Arizona, takes a look at how to end the opioid crisis.

How Did We Get To the Opioid Crisis?

Starting around the late 1990s, pharmaceutical companies looking to peddle opioid painkillers assured the medical community that they wouldn’t lead to widespread addiction. We now know how wrong they were, of course; in no time, as opioids flooded the market, they became increasingly diverted away from people who were legally prescribed them, and misuse became rampant and widespread. When efforts were made to curb their availability, many people simply switched over to illegal drugs like heroin. In 2018, an average of 115 people die from an opioid overdose in this country every day. Read on to learn about some of the ideas for putting an end to the opioid crisis.
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Education about Addiction

Turning a blind eye to a problem is a surefire way to cause it spiral even more out of control, so education could very well be the key to curbing the opioid crisis. The primary goal of education would be to limit the spread of the epidemic by raising awareness about the risks of using opioids. This education should extend beyond the general public to be directed at physicians as well. Many doctors, for example, could benefit enormously from learning more about safely prescribing such medications.

Prescription Opioid Medication

People who aren’t informed about the issue often scoff at the notion of prescribing yet more medication to someone who is coping with an opioid addiction. However, medication-assisted treatment has been shown to be very effective for helping addicts to achieve long-term sobriety from these highly addictive substances. Sometimes referred to as replacement or maintenance therapy treatment, the use of medications like methadone and buprenorophine has been shown to reduce the risk of relapse, which tends to be quite common among those who quit “cold turkey.”

Early Intervention for Opioid Addiction

Another potential key to ending this ongoing crisis is to find help for people as early in the addiction cycle as possible. The sooner people seek treatment, the easier and more effective their results tend to be. A huge part of this will depend on education and raising awareness. If society at large starts being more open about the signs of opioid addiction, for example, it would be easier for people to recognize it in themselves—and they would be more likely to seek treatment sooner. It should also be noted that increasing the availability of medications like naloxone, which reverse overdoses, would also help enormously. Naloxone helps not only by saving lives but by potentially assisting those who have overdosed to seek treatment.

Accessible Opioid Addiction Treatment Arizona Options

Even when a person realizes that they have an opioid addiction, it isn’t always very easy or obvious to know where to turn for help. Increasing the availability of accessible, holistic, evidence-based treatment would streamline the process of reaching out for help when needed. This also means cracking down on treatment facilities that do little or nothing to truly help people overcome addictions. For example, more facilities could be required to employ doctors who are certified by the American Society of Addiction Medicine. Someone shouldn’t have such difficulty locating opioid addiction treatment Arizona or anywhere else.

End the Stigma of Opioid Addiction

Finally, perhaps the best way to turn the tide of the devastating opioid crisis would be to end the stigma that continues to shroud addiction. Although major strides have been made in that regard over the last few decades, there is still a lot of stigma attached to being open about having an addiction. This unfortunately makes it more difficult for people to seek treatment—or even to admit that they have a problem in the first place. Once again, education will play a major role in ending this stigma, so adding information about addiction to school curricula, for example, could be a step in the right direction.

In trying to put an end to the opioid crisis, it’s crucial not to overlook the most important thing of all: the addicts themselves. At the end of the day, the primary goal of this battle will continue to be getting help for those who need it. If you believe that you are addicted to opioids, it’s important to understand that help is available. Our opioid addiction treatment Arizona facility is here to help you take the first step, so give us a call today.

clinical opiate withdrawal scale

What is the Clinical Opiate Withdrawal Scale?

What is the Clinical Opiate Withdrawal Scale?

Everyone’s experience of addiction is different. Likewise, everyone’s path toward recovery is unique. When it comes to overcoming an addiction to opiates, seeking outside help is a must. For that help to be effective, a treatment plan that is tailored to suit the needs of the individual patient is essential. Rehab facilities have many tools at their disposal, and one of the best ones for assessing a patient’s opiate withdrawal symptoms and experiences is something called the Clinical Opiate Withdrawal Scale. Read on to learn more about this useful tool and how it is used to help people overcome serious addictions.

The Basics

Often abbreviated simply as COWS, the Clinical Opiate Withdrawal Scale is an 11-point scale that is used to rate common symptoms and signs of opiate withdrawal. Unlike the Subjective Opiate Withdrawal Scale, or SOWS, which is a self-reporting tool, it is designed to be administered by a clinician. Each of the 11 listed symptoms are given a score on a scale of 0 to 5, with 5 representing the most severe manifestation of the symptom in question. The patient’s score is then tallied and used to determine a tailored opioid withdrawal treatment plan.

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Clinical Opiate Withdrawal Scale

Which Signs and Symptoms are Assessed on the Scale?

Inpatient and outpatient treatment centers alike have numerous tools at their disposal for helping patients to withdraw safely from opiates. In particular, medications like buprenorphine and suboxone are often prescribed to help manage the most severe and uncomfortable symptoms. In turn, patients are less likely to relapse due to severe discomfort. However, to be effective, these medications must be administered at strategic points in the withdrawal process. The COWS scale is the primary tool that clinicians use to determine not only which medications should be used but when they should be administered.

The 11 signs and symptoms that are assessed on the COWS scale are:

1. Resting pulse rate – The patient’s pulse is monitored regularly. A resting pulse of 80 or below is given a score of zero while a resting pulse of 120 or higher is given a score of five.

2. Gastrointestinal upset – Symptoms may range from none to multiple episodes of vomiting and diarrhea.

3. Sweating – This symptom may not be present at all. On the other end, sweat may be streaming from the face or body.

4. Tremors – Tremors may not be present, or they may be severe enough to interfere with a patient’s ability to speak or move.

5. Restlessness – On the COWS scale, this symptom may not be present at all. In the worst case, the patient may be unable to sit still for more than a few seconds at a time.

6. Yawning – No yawning may be happening at all, or it may be happening as frequently as several times per minute.

7. Pupil size – Pupils may be pin-sized when exposed to light, or they may be extremely dilated on the more severe end of the scale.

8. Irritability and anxiety – Someone experiencing opioid withdrawals may show no sign of anxiety or irritability at all, or they may be so anxious or irritable that they struggle to participate in the assessment.

9. Bone and joint aches – This symptom can range from very mild to so severe that the patient is constantly rubbing their joints and unable to sit still.

10. Gooseflesh skin – Skin may be smooth on one end of the scale or look like gooseflesh on the other.

11. Teary eyes and runny nose – These symptoms may be missing entirely, or the eyes and nose may run constantly on the more severe end of the scale.

Benefits of the COWS Scale

After assessing the patient for each of the 11 symptoms, their score is tallied to determine how severe their withdrawal is. A score of 5 to 12 represents mild withdrawal while a score of 36 or higher represents severe withdrawal. Clinicians may use other scales in conjunction with COWS to gain an even clearer understanding of a patient’s current state; the Buprenorphine Administration Scale, for example, is often used in conjunction with COWS to determine effective doses of that medication as well as when to administer it. With many medications, introducing them too early can have the opposite effect, which can lead to a longer and more difficult withdrawal period.

Are You Looking for Opiate Addiction Treatment?

If you are coping with an addiction to opiates and are ready to regain your freedom from substance abuse, it’s important to understand that help is absolutely vital—and it is readily available. Detoxing from the drug is the first step, and the right inpatient or outpatient treatment program will use the COWS scale or other proven tools to determine the best individualized plan for you. Once detoxing is over, you will be free to begin the real work of addiction recovery and to take the first steps toward a lifetime of sober living.

nutrition during rehab holistic addiction treatment center

The Importance of Nutrition During Rehab: A Holistic Addiction Treatment Approach

The Importance of Nutrition During Rehab: A Holistic Addiction Treatment Approach

There are many things that can have a powerful impact on drug addiction recovery. By making wise choices through an accredited holistic addiction treatment center, you can have the best chance of experiencing a successful long-term outcome. The information below will talk about the connection between nutrition and the rehabilitation process. It will also discuss how proper nutrition during rehab can be made possible by seeking treatment from a holistic rehab facility.

How Does Substance Abuse Affect Nutrition?

The process of substance abuse is very complex for each individual. As a result of the difficulties that accompany this problem, many people may find themselves having difficulty maintaining a healthy diet. For example, some people may simply forget to eat at all when they are under the influence of addictive substances. Others may find themselves dealing with strong cravings for junk foods that leave little room for healthier choices. Many addictive substances can cause a decrease in appetite. This can lead to the development of serious nutritional deficiencies over time. Last of all, dealing with disturbing physical and emotional symptoms that accompany drug abuse can also leave a person feeling less hungry.

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Health Implications of Substance Abuse and Addiction

Those struggling with a serious drug or alcohol addiction may discover that they have serious nutritional deficiencies. For example, it is very common for those fighting an addiction to deal with low levels of folic acid, vitamin B6, and Thiamine. Some addictive substances can further deplete the natural stores of specific vitamins and minerals, leading to bothersome physical symptoms that make recovery from addiction more difficult.

In addition to many possible nutrient deficiencies, those struggling with substance abuse can also experience unintentional weight loss. This can become a problem for those who were already thin prior to facing a substance abuse issue. The lack of an appropriate number of calories can result in weight loss, poor muscle tone, weakness, electrolyte imbalances, and many other health issues. The presence of these issues can also lead to an increased risk of the development of many life-threatening diseases. This can include cardiovascular disease, liver failure, hormonal imbalances, and blood sugar problems.

The Importance of Proper Nutrition During Rehabilitation

The process of seeking professional treatment for a drug addiction is difficult for everyone who goes through it. There is no doubt that this journey will require hard work, dedication, and a lot of introspection. However, the process is much harder without the assistance that proper nutrition can provide.

As it turns out, consuming a healthy diet can help you heal from addiction in many different ways. It can also lead to a much lower risk of experiencing a relapse down the road. How is this possible? Proper nutrition during rehab can provide the following important benefits:

Improved Repair to Existing Organ Damage

The abuse of addictive substances can lead to internal damage to vital tissues and organs. Thankfully, much of this damage is often reversible through proper nutrition. Excellent food choices can help heal the damage that has already been done while preventing further damage from occurring.

Increased Immunity

Specific foods can have a very powerful effect on the immune system. This results in strengthening the body to withstand the stress that recovering from an addiction can place upon it. Improved immune functioning will also help you become more resistant to common illnesses you come into contact with regularly.

Better Energy and Mood

It’s no secret that those recovering from an addiction often struggle with mood swings, personality changes, and a severe lack of energy. Giving your body the proper fuel it needs through a healthy diet can boost your energy levels. Excellent nutrition can also have a powerful effect on your overall mood, helping you manage stress and maintain a level of happiness throughout your treatment.

Better Management of Withdrawal Symptoms

No matter how well you manage the recovery process, withdrawal symptoms will always occur. While these symptoms are never easy to bear, they can be made much more manageable with the support of a healthy diet. Even serious issues such as chronic pain can become much easier to handle when healthy foods are a part of your daily routine.

Improved Resistance Against Relapse

Almost everyone who goes through treatment for an addiction faces the fear of a relapse. This is a normal thing to be concerned with. However, healthy food choices can strengthen your resolve to avoid a relapse in the future. Proper nutrition will also make your body that much stronger in the process.

The Benefits of Choosing a Holistic Treatment Center

A holistic addiction treatment center can provide many benefits that go beyond covering your nutritional needs during the healing process. Most holistic treatment centers provide access to a wide variety of tools, in addition to diet, that can go a long way toward helping you recover fully.

For example, holistic treatment facilities are well-known for providing nutritional support, fitness endeavors, spiritual activities, relaxation efforts, meditation, and many other services that provide for all of your needs. Many holistic rehab centers also highly promote family involvement that can lead to the improvement of your interpersonal relationships with others. All of these things can contribute to a successful long-term outcome to your drug addiction treatment journey.

Desert Cove Recovery is a highly esteemed rehab center that focuses on providing individualized and holistic treatment options for those struggling with an addiction. If someone you love has been affected by substance abuse, please contact our facility for more information on the innovative treatment options at your disposal at our holistic addiction treatment center.

VR addiction treatment

Will VR Addiction Treatment Work? Will Arizona Rehabs Incorporate Into Treatment?

VR Addiction Treatment – Will Arizona Rehabs Incorporate Into Treatment?

As the opioid crisis in the United States continues to escalate, treatment options for addictions of all kinds are more available and varied than ever. Throughout the country, there are addiction treatment centers in most major metro areas, and new techniques and treatments are being developed all the time. Technology has naturally played a major role in the evolution of the treatment of addiction and substance abuse, and nowhere is that more evident than in the advent of VR addiction treatment. Indeed, virtual reality technology, which is mostly associated with immersive video games, is increasingly being used in addiction recovery. Read on to learn more about how Arizona rehabs are looking into VR for addiction treatment as a viable option.

What is VR Therapy?

Before delving into what VR therapy is all about, an important caveat: This technology is still in its infancy, and much more research is needed to determine its overall efficacy. With that being said, this type of therapy involves using virtual reality technology, which immerses users in eerily realistic virtual worlds, to address various aspects of addiction. Most commonly, the technology is used to expose people in recovery to triggers and stressors in safe, clinical environments. It is also being explored as a way of making therapy more immediately accessible to those who are at risk of relapse. Some researchers are even exploring the use of the technology as a form of pain control.

History of Virtual Reality for Therapy

Buzz about virtual reality technology has reached a fever pitch lately, so it’s easy to assume that its use in therapeutic and medical settings is fairly new. However, virtual reality has been explored as an option in addiction treatment for some time. During the 1990s, for example, a doctor at USC treated war veterans with PTSD using VR technology. Later, they branched out to treat conditions like depression and schizophrenia with the technology too.

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In the early 2000s, Dr. Patrick Bordnick of Tulane University’s School of Social Work examined the use of virtual reality technology in the treatment of nicotine addiction. His research proved that the technology could trigger cue reactivity in smokers. Cue reactivity is a form of learned response that involves reactions to certain drug-related stimuli, or cues. The fact that VR technology can do this is significant because it offers a way for patients to work on positive reactions to such stimuli in safe, therapeutic environments.

VR Addiction Treatment and Environmental Triggers

As anyone who is in recovery can tell you, even the strongest resolve in the world can be no match for certain triggers. For a smoker, for example, that morning cup of coffee can be enough to make them want to light up. One of the most exciting promises of VR technology when it comes to addiction treatment is its ability to allow people in recovery to “face their fears” virtually. VR technology has come so far that when using it, people really do feel like they are immersed in the virtual world, so their reactions are genuine.

In the studies of VR therapy’s effects on nicotine addiction, researchers found that the technology made a difference when used in tandem with nicotine replacement therapies. Now, researchers are exploring ways in which the technology might be used to treat addictions to opiates. In fact, some versions of this technology place users directly in “heroin caves,” where they are presented with many triggers and cues. The resulting cravings can then be worked through safely with clinicians. Should the person encounter such triggers in the real world, it is hoped, they will be better equipped to cope with them in a healthy way.

Can VR Therapy Be Used to Ward Off Relapse?

Relapse is a common and natural part of the recovery process for many. Naturally, anyone with clean time under their belt wants to avoid it, but willpower often isn’t enough. Support groups urge those in recovery to hit a meeting or to call their sponsor when urges arise, but it isn’t always easy or possible to do. The hope is that VR technology may be turned to by those in recovery for immediate help when the urge to use strikes.

Noah Robinson of Vanderbilt University has spearheaded research into this area of VR therapy. He believes that by making therapy as accessible as, say, heroin, addicts would stand a much better chance of working through triggers and cravings that may lead them into relapse. The doctor has stated that the technology is akin to a “scalable intervention”—one that can be conducted by a single person and the appropriate VR technology.

The Accessibility Problem

To be sure, there is real promise in the use of VR addiction treatment, and the technology has progressed by leaps and bounds over the last handful of years. Even so, it is still a considerable investment for most people, so the odds of it becoming something that is used regularly in private homes any time soon are slim. More likely, the technology will begin finding its way into addiction treatment centers and Arizona rehabs, where it may be used in conjunction with proven therapies and treatments.

Will VR Therapy Ever Replace Traditional Treatment Options?

Some people believe that we will all exist mostly in a virtual realm someday. For now, though, we are all stuck in the real world—and VR therapy alone isn’t enough to ensure long-term sobriety. As exciting as the technology may be, traditional addiction treatment options are and will continue to be an integral part of any recovery. Many Arizona rehabs are available to help, including Desert Cove Recovery, so take the first step today.

medically supervised detox

The Importance of Medically Supervised Detox

The Importance of Medically Supervised Detox

When an addiction sufferer realizes they have a drug or alcohol problem, the decision to stop using is a tremendous first step. However, for a number of reasons sufferers may choose to attempt the detoxification process by themselves.

Drug or alcohol addicts may be ashamed of their use, afraid to share their addiction, or simply may not know where to turn. Unfortunately going through detoxification alone may be more detrimental to the long-term health of the sufferer than not coming clean in the first place.

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importance medically supervised detox

Physical Withdrawal from Drugs or Alcohol

The sickness and physical pain caused by withdrawal symptoms often get the better of those attempting to self-detox. The body has become accustomed to functioning with the addictive substance. Organs and the brain have figured out ways to accommodate and flush toxic chemicals from the body.

But, once the addictive substance has been removed, the body doesn’t adjust as quickly. This results in unpleasant physical side effects including:

  • Nausea
  • Tremors
  • Diarrhea
  • Dizziness
  • Headache
  • Stomach Pain
  • Rapid heartbeat
  • Feeling lightheaded

In the most severe cases, seizures, heart palpitations, and other life-threatening conditions can occur. The possibility of withdrawal resulting in permanent health issues or even death should be reason enough to see medically supervised detox.

With medical supervision and intervention, physicians may be able to introduce medications which can assist in reducing physical symptoms. Fear of replacing one drug with another should be eased. Medically supervised detox can require daily or even weekly supervision. Thus reducing the unlikely development of a secondary addiction.

Mental Obstacles in Detox from Drugs

Patients seeking to detox should not only seek out medical solutions but, mental and therapeutic support. While the physical discomfort of withdrawal can be severe, in some instances the mental anguish associated with withdrawal can become too much to bear for some individuals.

During the detox process, suffers can experience mental symptoms including:

  • Anxiety
  • Depression
  • Nightmares
  • Sleeplessness
  • Feeling of hopelessness
  • Intense desire to use again

Detoxifying can be a psychologically taking ordeal. Having access to the proper level of both medical and mental therapeutic support significantly increase the chances for success.

The Benefits of Medically Supervised Detox

The detox process is similar to other medical treatments. First, the addiction is identified and evaluated. Once understood, the proper treatment plan can be put in place. Finally, and perhaps most important, follow up treatment and assessments help ensure a successful recovery.

Medically supervised detox provides the same benefits as other treatments, such as physical therapy or surgery including:

  • Professional medical and therapeutic staff
  • Clean, safe, and supportive environments
  • Expert symptom relief

Physicians and nurses specially trained in addiction-related treatments can alleviate withdrawal symptoms. They also know when to intervene in an emergency or when to change course if outcomes are not meeting expectations.

Rehabilitation and recovery centers provide a safe environment for sufferers. Surrounded by knowledgeable staff at all levels, comfort and privacy are provided for even the most vulnerable moments of the detox process.

What to Expect During Detox

One of the first questions asked is how long an average detox program can last. There are several factors which determine how long addiction sufferers may spend in a program:

  • Frequency of use
  • Underlying medical conditions
  • Use of single or multiple substances
  • How long drugs or alcohol have been abused

Typical stays last from a few days to a couple weeks. Keep in mind this is only the inpatient treatment portion of the program. Participants will be expected to make regular physician visits and are encouraged to commit to therapy sessions or support groups.

During the time at the rehabilitation center, expect to be surrounded by around the clock care from doctors, nurses, and therapists. Upon entering the center, physicians will establish a medical baseline of health and uncover any medical conditions you may have.

With around the clock monitoring, vitals are checked on a regular basis. As much rest as needed is provided. Each day medications are adjusted appropriately to assist in the detox process. Ultimately the goal is to get addicted suffers back to being themselves as soon as possible.

After Detox

In most instances, it is recommended clients seek continued monitoring. In addition to returning home with the support of friends and family, after detox treatment programs greatly reduce the chance of relapse.

As supportive as friends and family may be, trained professionals can help with unique physical and mental after-effects addiction sufferers may experience. The support in treatment programs provides a source of comfort while adjusting to sober living.

The importance of medical supervision during the detox process cannot be stressed enough. Medically supervised detox is the safest and best step anyone can take to rescue their life from addiction.  If you or someone you know requires detox, there are many organizations including Desert Cove Recovery who can provide the best possible detox options.