Tag Archives: outpatient addiction treatment

Mental health healing

Outpatient detox for abusers of opioid painkillers

Outpatient detox

Outpatient detox for abusers of opioid painkillers marks the beginning of real professional treatment.

Outpatient detox for abusers of opioid painkillers: How true is this?

People get addicted to various substances of choice at will despite the knowledge of their consequences. When one is getting into drugs, initially it is voluntary but as they get used to the substance and the addictive nature of the substance takes effect they become prisoners of the substance to the point that they can’t do without it. If this state progresses for a long time the level of addiction becomes stronger and stronger and within no time the individual graduates to more powerful substances or take more of the same to attain the high they expect at their new level of addiction. While these are happening, many times we often fail to take immediate action to remedy the situation and this is what we want to correct in this article even as we focus on the topic outpatient detox for abusers of opioid painkillers with a view of finding lasting solutions.

We spoke to the experts at AWAREmed Health and Wellness Resource Center to help us in bringing this topic to perspective and doctor Dalal Akoury (MD) a veteran addiction expert and founder of the facility (AWAREmed Health and Wellness Resource Center) is registering that “under normal circumstances patients addicted to opioid painkillers achieve good results with outpatient detoxification.” This according to one of the recently NIDA-funded clinical trial, it was established that a significant portion of individuals who are addicted to opioid painkillers may initiate and maintain abstinence with a brief but intensive outpatient detoxification treatment followed by opioid antagonist therapy using naltrexone. From this trial it was evident that patients achieved higher abstinence rates than are typically obtained with detoxification regimens. The duration of a taper with buprenorphine/naloxone (Bp/Nx) was a determinative factor in patients’ success, with longer tapers yielding greater abstinence.

Outpatient detox for abusers of opioid painkillers: Research findings based on tested opioid users

In this trial, Dr. Dalal Akoury and her team of experts at AWAREmed Health and Wellness Resource Center studied the findings from the enrolled 70 adults who were addicted to opioid painkillers into a double-blind, randomized clinical trial that involved a three-step detoxification process:

  • Stabilization on a Bp/Nx (Suboxone) dosage that suppresses withdrawal symptoms, craving, and use of illicit opioid painkillers
  • Gradual tapering of the Bp/Nx dose to zero over 1, 2, or 4 weeks
  • Transition to the opioid antagonist naltrexone once a patient provides opioid-negative urine samples and reports no opioid use within the past 24 hours

Under this trial says doctor Akoury, away from other treatment the participants also received twice-weekly behavioral therapy using the evidence-based Community Reinforcement Approach and underwent thrice-weekly staff-observed urinalysis testing? Supplementary non-opioid medications were used as needed to treat breakthrough withdrawal symptoms. The patients randomly assigned to the 4-week Bp/Nx taper provided the highest percentage of illicit opioid–free urine samples during the 12-week trial. Of these 22 patients, 63 percent were abstinent at the 5-week mark, and 50 percent were still opioid-abstinent at the end of the 12-week trial. In contrast, 29 percent of each of the two groups receiving shorter tapers provided drug-free urine samples at 5 weeks, and 20 percent or less of each provided drug-free samples at 12 weeks. Similar findings were seen with adherence to naltrexone ingestion and treatment retention.

Outpatient detox for abusers of opioid painkillers: How true is this?



Inpatient versus outpatient treatment options

Inpatient versus outpatient

Inpatient versus outpatient treatment options can only be done professionally by qualified experts

Inpatient versus outpatient treatment options: Medically supervised opiate detox

Like we have already mention, for any effective treatment of opiate addiction, the very first thing to be done is detoxification. This can either be done as an inpatient or outpatient hence our topic of discussion of “inpatient versus outpatient treatment options.

Inpatient detox – At an inpatient opiate detox, the client would check themselves into a facility (typically between 4-14 days in length) where they would be monitored by qualified personnel 24 hours a day. This is an extremely effective means of detoxification from opiates like heroin or OxyContin. Sometimes, if a client has checked into a 28 day program (or a longer term inpatient treatment program), they will start off in detox and then move into another room where they will live during their treatment stay. The financial implications about inpatient detox are that it can be extremely expensive. Ordinarily many insurance health policies will cover an inpatient detox stay only after one has attempted numerous outpatient detoxes.

Outpatient detox – An a medically supervised outpatient opiate detox is also a detox supervised by a medical professional where medication is used over a determined period of time to move the client from a physical addiction to opiates through a taper of medication to an opiate-free life. This is done on an outpatient basis, where the client comes to see the doctor, is assessed and then a plan is determined to use medication to slowly get the client off their physical dependency to narcotics. The downside to an outpatient opiate detox is the client is not monitored 24/7 by staff. This constant monitoring does not make the detox any less safe, as it has been determined that an opiate detox easily can be medically done on an outpatient or ambulatory level of care.

The truth about this is that a person physically dependent to heroin or painkillers is going to have some withdrawal pain, even with a medically supervised detox. And in fact they are going to be uncomfortable and feel awkward. From experience doctor Akoury is registering that medicine and the addiction treatment industry experts are working round the clock to make this process as painless and comfortable as possible, but that doesn’t mean it’s easy or quick or painless. Nor should it be. Addicts are always looking for a quick fix and as it relates to opiate detox, there isn’t one.

Inpatient versus outpatient treatment options: Benefits of outpatient detox

An outpatient opiate detox does have some benefits for the client like:

  • They have the ability to still go to work or to school and not have to miss time away.
  • They get to stay in their own home.
  • It allows them to immediately go to 12 Step meetings and get connected into those fellowships of many people who have experienced what they are going through, can identify with the client and offer help and support.
  • It is also much cheaper than an inpatient medical detox and insurance companies are often more likely to pay for an outpatient opiate detox outright than an inpatient detox.

Finally, it is very important to note that up on arriving at AWAREmed Health and Wellness Resource Center, our team of experts will give you special attention and care to benefit from the services we offer which include a medically supervised opiate detox on an outpatient level of care. And because an opiate detox does not offer a solution to an opiate addiction, we will also advice you as our valued client that up on receiving an opiate detox at our center, to also consider engaging in the full treatment this is very important not just to us but most importantly to you. As professionals we believe in a holistic approach to treating addiction and that is what we will deliver to you.

Inpatient versus outpatient treatment options: Medically supervised opiate detox



Outpatient treatment programs for drug addiction

Outpatient treatment programs

Outpatient treatment programs for drug addiction helps in containing the problem

Outpatient treatment programs for drug addiction: Critical factors that are not necessarily treatment related

The journey of establishing the right outpatient treatment program for your addiction should be broad and wide. Besides the treatment factors, there are many other critical factors that can determine whether or not a given rehab facility is a wiser choice than alternatives says doctor Dalal Akoury MD. She reiterates that the types of treatments offered matters a lot and must never be overlooked when making that very crucial decision for the treatment facility of choice. But even as you take keen consideration on the treatment elements, when looking for the best outpatient drug rehab centers to give you the help you need, there are other justifying factors that are not necessarily treatment related but still very important. Such may include the following:

  • Distance
  • Flexibility
  • Support
  • Cost

Outpatient treatment programs for drug addiction: Distance

Depending on where you live, distance from home or work can be a huge obstacle to getting proper treatment. It’s important to take the big picture into account when planning a solid addiction rehabilitation strategy. The drive time impacts how effective the treatment can be. Not only does the amount of time you spend getting to and from the necessary treatment matter, but the availability of transportation and the route taken to get there should also be considered. It’s never a good idea to have old stomping grounds between an addict and his or her closest access to addiction help. In other words, distance isn’t limited to physical and literal miles. It can also relate to a psychological distance that must be traveled in order to get from home or work to the treatment facility. Make sure you’re close enough to your outpatient drug rehab center to make a real difference when it matters most.

Outpatient treatment programs for drug addiction: Flexibility

Flexibility is important because flexible programs are able to evolve as treatment needs change. If someone in outpatient treatment isn’t responding to one particular type of treatment, these facilities can quickly change to a different type of treatment in order to maximize the odds of success. With outpatient treatment, specifically, flexibility is a requirement in other ways as well. Many people seeking treatment for addiction want no part of the stigma attached to addiction and rehabilitation. They want to have lives that are as close to normal as possible so that no one needs to know they’re getting help. This means that the outpatient drug treatment facilities in question need to have treatment available when it’s most convenient and needed by the person seeking help.

Outpatient treatment programs for drug addiction: Support

Support is one of the most compelling requirements to look for in the best outpatient drug rehab centers. Without support, you’re left on your own to deal with temptation, withdrawals, and countless other pitfalls you may face as you struggle with addiction. Support is not a luxury and it certainly isn’t an option. The clinic in question needs to offer around-the-clock support for all patients seeking treatment.

Outpatient treatment programs for drug addiction: Cost

Finally the cost of the treatment program, as unpleasant as it may be to consider, is also very important when deciding on a treatment facility. There are certain triggers that can send someone back into addiction. Financial trouble is one of those triggers. There is no price too high to pay for sobriety, but it only works if you’re able to remain sober once the bills start rolling in. The good news is that outpatient treatment often costs considerably less than residential addiction treatment programs and more insurance companies are beginning to cover these costs.

Outpatient treatment programs for drug addiction: Deciding factors that are not expressly treatment related


Holistic treatment

Finding drug addiction treatment remedies

Finding drug addiction treatment

Finding drug addiction treatment remedies is often affected by patients denial but is still important to be achieved.

Finding drug addiction treatment remedies: The repercussions of denial

Looking at the neighborhood you will be surprised seeing the kind of pain our people are subjecting themselves to because of misuse of substances. Some of the substances are legally allowed for consumption and our media is reaping big in terms of revenue and as they make money the decay in the society continues with every dollar they make. Until when will we continue being prisoners of alcohol and drugs?  Don’t you think time for finding drug addiction treatment solutions has come? May be your family is not affected directly, but does that makes you happy seeing the rot in your neighborhood? The pain of mothers made widows prematurely, children becoming orphans and homes are disintegrating? This article is not meant to joke with your emotions but to give you the true picture of what drugs and misuse of alcohol is doing to our communities.

Finding drug addiction treatment remedies: The time for action is now

You will agree with me that issues relating to drug addiction and misuse of alcohol are not new. But because they are such addictive, we have periodically had new people being addicted to these habits. Until recently persons abusing drugs were seen as people of weak morals in the society, but today it has been established that addiction is a disease like any other and instead of stocking our prisons with drug addicts, we need to take them to the rehabilitations centers for treatment and have them reintroduced to the societies as new and reformed people ready to take part in the productivity of communities. Because of this, finding drug addiction treatment solution or remedies has become a major challenge to most victims. Many at times the victims may be willing, but the power of denial keeps them at bay. How then do we address this situation?

Finding drug addiction treatment remedies: Professionalism treatment approach  

Having acknowledged that addiction is a disease, the most appropriate thing to do is to seek for treatment. In order to do this effectively we spoke to one of the veteran experts in addiction doctor Dalal Akoury MD about this and this. In her line of duty doctor Akoury acknowledges that the prevalence of drug addiction is worrying and very little is being done at least in relation to other diseases. Noting that there is a gap, she made a decision to create a medical center (AWAREmed Health and Wellness Resource Center) whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. In her opinion, when people are empowered, they will make informed decisions and treatment becomes much easier. It is often easier treating people who appreciate their condition and are not in denial.

Finally, it will interest you to note that doctor Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. This is one of the mile stones in addressing the challenges of drug addiction treatment and the sooner you get the problem solved the better not just for you but to the whole family and even to the society. You now have an option of finding drug addiction treatment remedies by scheduling for an appointment with doctor Akoury today.

Finding drug addiction treatment remedies: The repercussions of denial



Understanding the residential and outpatient addiction treatment

Understanding the residential and outpatient addiction treatment: The broad categories of addiction treatment and care

Understanding the residential and outpatient addiction treatment

Understanding the residential and outpatient addiction treatment is very essential for all addicts if any meaningful treatment is to be offered

All over the world the problem of substance abuse is a thorn in every one flesh and the pain is unbearable not just to the direct victims of addiction but even to their loved ones who are caring for them. Relationships and families often bear the greatest consequences as they are hit the hardest whenever an addiction enters the corridors of families and relationships. We are aware that a lot is being done globally to offer lasting solutions to both the direct and indirect victims of substance abuse and as experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury we are not left out and that is why we want to be very informative in this article by focusing our discussion on the topic “understanding the residential and outpatient addiction treatment.” With this understanding, it will be much easier to settle in for the best treatment categories as we are just about to find out going forward.

Understanding the residential and outpatient addiction treatment: Residential services

Doctor Akoury reiterates that it is important to note that chemical dependence residential services assist individuals who are unable to maintain abstinence or participate in treatment without the structure of a 24-hour/day, 7 day/week residential setting, and who are not in need of acute hospital or psychiatric care or chemical dependence inpatient services. We have three levels of residential services, which vary by intensity of service provided and they include:

  • Intensive residential treatment and rehabilitation
  • Community residential services and
  • Supportive living services

Length of stay ranges from an average of four months in a community residential service to up to two years in the other residential service categories. Besides that all residential chemical dependence services also provide the following procedures: counseling, peer group counseling, supportive services, educational services, structured activity, recreation, and orientation to community services. In addition, some provide the following additional services, either directly or by referral: vocational assessment and services; job skills and employment readiness training; and parenting, personal, social and community living skills training, including personal hygiene and leisure activities.

Understanding the residential and outpatient addiction treatment: Outpatient Services

Outpatient services may be provided in a freestanding setting or may be co-located in a variety of other health and human service settings. Ideally, outpatient services are delivered in the community where the individual lives. This encourages access to the person’s family and other community supports that will help the client maintain an alcohol and substance free life.

There are two types of chemical dependence outpatient services:

Rehabilitation services see clients more frequently (daily initially) and these programs have more staff per client than the more general outpatient programs because persons attending rehabilitation service programs have greater needs. The length of stay and the intensity of services as measured by frequency and duration of visits vary from one category of outpatient services to another. The frequency with which a patient participates in outpatient services also varies during the course of treatment depending on how he or she progresses toward recovery. In general, people are often engaged in outpatient treatment up to a year, with more frequent visits during the earlier stages of treatment process and becoming less frequent as treatment progresses. Even as we progress into the discussion, it is important to note that each chemical dependence outpatient service provides the following procedures:

  • Group and individual counseling
  • Education about alcohol and substance abuse disease awareness and relapse prevention
  • HIV and other communicable disease education, risk assessment, supportive counseling and referral and family treatment

In addition, and as with all levels of service, patients are given orientation to, and opportunity for participation in, relevant and available self-help groups. In this case, providers must make available either directly or through written agreements social and health care services, activity therapies, information and education about nutritional requirements, and vocational and educational evaluation. And remember that all these services are provided according to an individualized evaluation and treatment plan.

Understanding the residential and outpatient addiction treatment: Who Provides Treatment?

Depending on the treatment program and the individual circumstances, a wide variety of professionals can be involved in a person’s treatment. Most commonly, people receive treatment which is overseen by a multi-disciplinary team of professionals under the employment of a treatment program as has been stated earlier. Doctor Akoury further registers that in most cases where chemical dependence treatment program is involved the alcoholism and substance abuse counselor will typically provides the core treatment service. These kind of treatment can also be done by among other professionals including the following:

  • Social Workers;
  • Rehabilitation Counselors and other Vocational Specialists;
  • Physicians;
  • Nurse Practitioners and Physician Assistants;
  • Nurses;
  • Psychologists;
  • Family Counselors; and
  • Recreation Therapists.

Finally chemical dependence is a disease for which there are accessible and effective treatments. And with the advancement in research, treatment practice has of late improved leading to the restoration of hope and self-sufficiency among chemically dependent persons and to stronger families that can provide the love and support which is very essential for recovery. Improvement in treatment has also reduced the enormous economic toll this disease takes on the nation. Therefore you will be doing yourself a lot of injustice if you know that you are struggling with any kind of addiction and you keep silence about it. From this discussion you cannot afford to die in isolation. It doesn’t matter the level of your addiction or the period of abuse. You must rise to the occasion and be part of the many people giving successful stories of their recovery after seeking for help from AWAREmed Health and Wellness Resource Center. This is the home of veteran addiction experts headed by doctor Dalal Akoury who is also the founder of the facility. It will also interest you to note that doctor Dalal Akoury has been in this practice for several decades making her one of the most experienced addicted expert you can always relay on at any time of the day for all your addiction related complications. Therefore waste no time and schedule for an appointment with her today and experience the comfort life can offer in the absence of substance abuse and toxic elements in your body system today.

Understanding the residential and outpatient addiction treatment: The broad categories of addiction treatment and care