Publicly Traded Addiction Treatment Understanding Addiction is a difficult realm to comprehend because each addict has their own reasons why they took up the drug use. There is no cookie cutter reason why people become addicts. Many of these addicts also have mental illnesses, with the symptoms masked over by the drug abuse. It is my contention that the drug treatment centers need to spend an inordinate amount of time weighing in on what was the cause of the addiction and structuring a clinical treatment plan to meet the patient’s needs. A poorly conceived clinical treatment plan will result in unfavorable outcomes and a high degree of recidivism. I believe that high degree relapse might be influenced by many factors:
- mental illnesses
- patient returning to the same environment as pretreatment
- associating with other active addicts
- past demons that remain unaddressed triggering use
- dysfunctional home settings
- child abuse
- domestic violence
- sexual assault
- sex trafficked
- bridges burned with family and or friends
- poor insight and judgement
- a discharge plan that was unrealistic
- unable to cope with being sober
- no case management follow up
- unwillingness to stay sober
- suicidal ideation
- poor coping skills
- poor life skills
- no employment
- learning diabilities
- undiagnosed developmental disabilities
Drug Treatment is a Multi Billion Dollar Business
Forbes Magazine has stated that the Drug Addiction Treatment is a $35 Billion Dollar Business https://www.forbes.com/sites/danmunro/2015/04/27/inside-the-35-billion-addiction-treatment-industry/#1c9c2e7517dc
Publicly Traded Addiction Treatment. Addiction Treatment is Profitable But is it Helping. $35 Billion Dollars is serious money and for that kind profit, one would hope the patient outcomes were exceedingly favorable. The recidivism for recovering addicts relapsing back on drugs is very high. These treatment centers have variable lengths of stay and much of that has to do with insurance approvals, degree of addiction, motivation and or some are ordered through the court. The treatment centers are from the basic ordinary inpatient unit to a high dollar swanky place like the Betty Ford Clinic. Singer musician Eric Clapton, a Addict now in recovery, is the founder of Crossroads Centre located on the island of Antigua. I think going to the island of Antigua for treatment would be highly favorable. The island would be totally positive and patients would likely tolerate the treatment woes better. https://crossroadsantigua.org/
Quitting Addiction Without Treatment
Publicly Traded Addiction Treatment. Some addicts have kicked their addiction without treatment. This was seen at the end of the Vietnam War when many military personnel were addicted to heroin and other drugs. The government fearing that the men would return home still addicted. The government mandated that all military personnel must first have a clean urine drug screen before returning home. Those that failed the urine drug screen were held in country until they could pass the urine drug screen. This was a significant finding, which verified that addicts could quit addiction without treatment.
Some Addicts Do Well With Outpatient Drug Treatment
Some opioid addicted patients do very well outpatient wise with methadone maintenance, prescriptions for Suboxone , Subutex or the intramuscular injection of Vivitrol. The addicts undergoing outpatient care also need a thorough intake assessment and clinical treatment plan. Some of the physicians dispensing Suboxone , Subutex and Vivitrol injection do so without much of a follow through clinical treatment plan to address the underlying issues. The reason is most likely they do not have the time to dedicate to this endeavor. These patients need to be referred to an outpatient counseling center.
Inpatient Drug Treatment is Necessary For Some
Publicly Traded Addiction Treatment. For many addicts who cannot quit on there own, some kind of Drug Treatment is no doubt necessary. According to the recent literature, only 17% of active addicts go for formalized treatment program. If a person does seek of the clinical treatment, then it should meet the patient’s needs. I am not entirely convinced that all drug treatment programs utilize individualized treatment plans of care. Apparently the success rates of staying clean post discharge are not optimum.
In contrast in acute care when a respiratory comes to the hospital emergency department for an exacerbation related to Chronic Obstructive Pulmonary Disease (COPD), there will be similar standards of care that all patients may receive (Mini Nebulizer, Steroids, Chest X-Ray). But if the COPD patient is not responding to the implemented care, then clinical treatment team make adjustments. The Segway here is that treatment facilities should manage patients individually. As discussed earlier many addicts have mental health issues, which are largely unaddressed while they are using a substance. As the person undergoes treatment and enters into drug recovery the mental health issues / symptoms might resurface. I think that more ought to be done to individualize the addicted patient’s plan of care if needed and also include mental health treatment.
There are Dual Diagnoses facilities that treat addiction and mental illness. Its real important during the admission process that a through intake assessment take place. As people progress through treatment new issues may surface and these need to be addressed.
Case Management For All
An important component of recovery should be an involved case management strategy while the patient is inpatient at treatment center and for those under the guise of outpatient care of methadone clinic or a physician. Whenever a patient is discharged from an inpatient and outpatient setting, there ought to be case management follow-up to check in on progress.