Addicts Receiving Treatment Need To Be Accountable. Most drug addicts, except for the few are unemployed, uninsured and on Medicaid. Due to addicts not staying compliant and in recovery there is a lot discussion as to what treatment is the most effective. States with fewer social services will have less treatment options for the Medicaid patients. States with more social services will have a greater variety of treatment options. People addicted to opiates such as heroin, which fondly known as “dope” can elect to go for Methadone Treatment, or be prescribed Suboxone, Subutex or agree to the monthly Vivitrol Intramuscular Injection. Others go to detox and to rehab. Many people continue to stay in recovery after successfully complete detox and rehab. In contrast, there is large population that run into serious problems once treatment is completed. A lot these people return to using opioids. There are a wide variety emotional, psychosocial, and psychiatric reasons why some return to the using heroin.
Vietnam War Veterans Overcome Addiction
During the Vietnam war many military personnel were addicted to drugs and especially heroin. The federal government fearing a multitude of drug addicted veterans would home with the addiction, mandated that a clean urine drug was necessary before getting on the plane to the United States. Those that failed the urine drug screen were kept in the country of Vietnam until they passed. This is significant because it was the first proof that people are able to stop the addiction without treatment. Addicts Receiving Treatment Need To Be Accountable. https://jamesclear.com/heroin-habits
Methadone Treatment and Concurrent Heroin Use
Addicts Receiving Treatment Need To Be Accountable. If a person elects to start on Methadone, they come to the clinic to meet a Certified Alcohol & Drug Counselor (CADC) to discuss the program, their addiction and give a social history. Then the patient meets with the Clinic Doctor for a Health Assessment and Urine Drug Screen. The Clinic’s Methadone Starting Dose is 30 Milligrams. The Clinic Doctor increases the Methadone by 5 Milligrams daily from Monday through Friday. Over the weekend the dosage remains the same until Monday. The patients go to the Methadone Clinic for their Methadone dosage Monday through Saturday. The clinic is closed on Sunday, the patient given a take home bottle.
Patients report that the clinic CADCs, say that until the desired Methadone dosage is reached, they will experience cravings to use Opiates. It’s unofficially understood that the patient’s will continue using heroin while the methadone dosage is gradually increased. From a pharmacologic perspective, the medical logic would be that as the Methadone Dosage is increased, the patient would decrease their heroin usage. But a lot of the patients keep using their full compliment of heroin as they did prior to treatment. Heroin is a sneaky drug because it keeps binding and producing more receptors in the brain. Hence forth, there are always more receptors then there is Heroin which, explains why the habit increases. If addicts keep using the same amount of heroin as they did in pretreatment, then whatever is then the therapeutic effect of the Methadone will be delayed or not reached.
The same scenario of regression could play out with a noncompliant Insulin Dependent Diabetic Mellitus (IDDM) patients who are not mindful to keep their blood glucose regulated with a proper diet and medication regimen. Some IDDM end up admitted to the hospital for very high blood glucose levels and Diabetic Keto Acidosis. Then after discharge continue to be noncompliant.
What Are The Options To Foster Compliance
Addicts Receiving Treatment Need To Be Accountable. Its hard to say what addiction treatment works the best. Quite possibly, its not a cookie cutter explanation. What works for one person might not be effective for another. Some people kick the habit on their own without treatment like the Vietnam War military personnel. Others have gone to tried every treatment option and none of these helped them stay in recovery. If a person has been unsuccessful to stay in recovery after repetitive drug treatment options, then should insurances keep footing the bill? Maybe the person was not really ready to quit and was cornered by family to seek treatment. Perhaps there should be a specified waiting period between future treatment options. The fact is people may go to treatment for addiction, fail to stay in recovery and continue to repeat the process. The drug treatment is a $35 billion dollar business. If the person doesn’t have private health insurance, then the costs is paid by taxpayers. It would be unethical to deny addicts treatment for addiction because its a disease. Its termed a disease because health insurances are billed by treatment providers. There must limits on the frequency and number of times a person may seek drug treatment. Unless these addicts are found to be mentally incompetent, then they need to be held accountable for their compliance to remain in recovery.