Drug Abuse Treatment Centers

Choosing a drug treatment center can be one of the most crucial decisions of your life. It is of vital importance that you consider a few factors before arriving at a decision.

Drug abuse is a disease that requires a doctor specializing in addiction medicine to make an accurate diagnosis and prescribe the most appropriate treatment. You must ensure that a drug abuse treatment center can offer a variety of treatment programs that meet your needs. These programs may comprise inpatient, residential, outpatient, and/or short-stay options. Then another important question arises: how much does a drug treatment center cost? The price tag for treatment is presented in many kinds of formats. You must have a clear idea of what is included, what will be added to your bill as a fee-for-service program, and what services will be covered by your health insurance.

Inquire if the center has provisions for on-site medical care. It is advantageous, since physicians and nurses provide 24-hour hospital services to monitor and ensure a safe withdrawal from drugs. Check the center’s medical credentials and accreditation.

Do not forget to ask which medical costs are included in the price of treatment at the center. As family involvement is a crucial component of recovery, ask if there is any time devoted to family programs, and if group therapy is included. Keep in mind that drug rehabilitation treatment programs should include a continuing care program that supports and monitors recovery.

The Substance Abuse and Mental Health Services Administration (SAMHSA) provides on-line resources for locating drug and alcohol abuse treatment programs. The Substance Abuse Treatment Facility Locator lists private and public facilities that are licensed, certified, or otherwise approved for inclusion by their state substance abuse agency

All information in the locator is completely updated each year, based on facility responses to SAMHSA’s National Survey of Substance Abuse Treatment Services. New facilities are added monthly. Updates to facility names, addresses, and telephone numbers are made monthly, if facilities inform SAMHSA of changes.

Drug Abuse and Addition

The world today has become surrounded by drug abuse as well as drug addiction. This escalating disorder has become so common, that its truth is based on misconceptions that people have concerning drug abuse as well as addiction. This paper briefly provides an overview of drug abuse as well as addiction, and at the same time looks at the aspects of epidemiology, social problems, pathophysiology, as well as ethical issues that might arise with medical emergency responders.

Drug abuse and drug addiction; exactly what does that mean and who is affected by it? There is a confusion between drug addiction and abuse. Drug abuse happens when there is usage of a substance, generally illicit drugs or alcohol, while drug addiction takes place in a broad variety of substances and activities. Addiction can be termed as the compulsive need for usage of substance forming habits, such as alcohol, nicotine and heroin, of which is eventually characterized by obviously physiological signs upon withdrawal as well as tolerance; widely: insistent compulsive use of known substances that are harmful to the user. Drug addiction is usually not a substance forming habit, it also includes things such as gambling, sex, video gaming, and even internet. All the same, the primary focus of society is still to do with drugs, tobacco and alcohol. Several characteristics of pathophysiology and epidemiology will be discussed together with the social implications that addiction causes as well as any ethical problems that lie with addiction and medical emergency service providers.

The addictive behavioral study is relatively new. Science just started to study behavioral addictiveness in the 1930. Prior to this, studies were being carried out by scientist on drug abuse that were plagued by misconception shadows as well as nature addiction. But with present day discoveries as well as information on how brain chemicals work and the methods of alteration, there is now a deeper understanding of alcohol and drug addiction. Drug addiction, according to Dr. Dryden-Edwards also referred to as chemical dependency or substance dependence, is an illness that is described by a destructive drug abuse pattern that leads to major problems which involve tolerance towards or substance withdrawal and other problems arising from substance use that could have implications to the sufferer, either by school performance, socially or in terms of work. More than 2.5% of humanity suffer from drug addiction at some point in their lives. Some of the commonly abused addictive substances are alcohol, anabolic steroids, amphetamines, cannabis, caffeine, ecstasy, cocaine, inhalants, hallucinogens, nicotine, phencyclidine, opiates, sedatives, anti-anxiety drugs, and or hypnotic. Despite the fact that alcohol and drug addiction is viewed as a mental health issue, there is no one particular determinant cause. However, several people believe that drug addiction and abuse is a genetic disease of which is a false fact. A person’s environment is cause for the development of a predisposition dependency drug.

Epidemiology

The socially associated risk factors of drug addiction and drug abuse encompass the male gender, between the age ranges of 18 and 44 years, heritage of Native American persons, low socioeconomic status as well as the marital status of the unmarried. State statistics reveal that residents from the western U.S are more at risk to substance dependency as well as abuse. While males are very prone to alcoholism development, females seem more vulnerable to alcoholism at fairly lower amounts of alcohol consumption, this is because females have a much lower body mass as compared to males. The combined medical, criminal, economical, as well as the social implications costs American taxpayer more than half a trillion dollars annually. Each year drug and alcohol abuses contributes to 100,000 American deaths, with tobacco contributes approximately 440,000 deaths annually. Individuals of all ages suffer the damaging consequences of drug as well as alcohol addiction and abuse. Babies can get affected while within the mother’s womb if the mother is to engage in drug or alcohol use, which as a result causes defects in birth as well as slows down the intellectual development in the later years of the child. As for Adolescents, they usually perform poorly in school and usually drop out while they are abusing drugs. Adolescent girls stand the risk of having unwanted pregnancies, sexually transmitted diseases, and violence. In addition, parents and adults are also affected, usually by having their cognitive abilities clouded. With all the vast exposure, the stage has easily been set for the next generation to simply step into the addictive lifestyle.

Pathophysiology

Drug addiction primarily affects the brain, but also affects the flow of a person’s organ systems. Drugs as well as mind changing substances which can be abused usually target the body’s natural system of reward either willingly or unwillingly causing entire euphoric effects for the drug user. These effects arise from the dopamine, which is a regulated neurotransmitter movement, emotion, cognition, motivation and pleasure feelings. The release of Dopamine is naturally rewarded to the body for natural behaviors as well as initiations for the cycle to repeat the behavior all over. The dopamine neurotransmitter fills the reward system that is often concealed in restricted amounts from routine activities such as sex or eating. The brain perceives this as a life-sustaining action as a result of the activated reward system. On introducing the chemical substance within a person’s system and the euphoric effects are realized, a person’s brain takes note of several significant happening events and teaches itself to do this action repeatedly until it is a habit. The consumption of illicit drugs can cause an individual to impulsively act when the brain’s reasoning system would normally delay or prevent a form of given action.

This reasoning system is circumvented, hence leading to the undesired action that can possibly have negative consequences on the drug user’s life. However, several drug effects as well as chemical substances are at times euphoric, and other times the substance causes depression, suicidal thoughts, and paranoia. Continuation of the drug causes the brain to become acclimatized to the surplus of dopamine within the reward system. This then leads to the decrease of dopamine release as well as the dopamine receptors numbers within the system itself. In turn, this affects the user’s ability to attain the desired effects of the drug usage. This response from the person’s brain causes the person to try and reactivate the receptors by adding the dosage or amount of the drug in order to attain the same dopamine high. This effect process is referred to as a tolerance. Long term drug abuse causes changes to occur to other systems parts within the brain. The neurotransmitter glutamate of which is a part of the reward systems can be changed and hence cause learning inability. When the brain reaches the maximum level of glutamate, it causes an off balance and the brain tries to compensate, of which as a result affects the drug user’s cognitive ability. Once the brain accustoms to the drug effects, dependence is made and drug abuse cessation causes a result known as withdrawal. While most withdrawal signs are very uncomfortable for the drug addict, there are several serious signs such as seizures, strokes, myocardial infraction, delirium tremens, and hallucinations.

Social, Ethical issues as well as the impact on emergency medical services (EMS)

The consequences of drug abuse and addiction are very evident in an individual social life. The addictions destructive behavior affects every area of their personal life, right from the genesis of the drug abuse. The addictions symptoms from a physical perspective include alteration of sleeping patterns as well as eating habits, which in turn contribute to both weight gain as well as loss. Frequent drug abuse tends to lead to failure in meeting important responsibilities at work, school or even home. Other drug addiction effects include domestic violence, family disintegration, child abuse, employment loss, and failure in school. People with addiction engage in risk taking, and with alterations in the reward system within the brain, the drug users expect positive reactions prior to them taking the substance that would satisfy their needs for the risks they take. Impulse control is difficult when drug choice is available to people with addiction. As a result this fuels the addiction even more.

The effect of the emergency medical service is immense. The calls from addiction range from medical overdosage to trauma. The emergency medical provider’s obligation in response to overdosed patients requires paramedics to find out how much as well as what the patients took, and what is the correct medication to give in order to reverse the condition that is being experienced by the patient or drug user. With the various emergency responses comes danger, with the possibility of violent outbreaks by the addicts or users. Therefore, paramedics must be aware of their surroundings while handling the patients. In addition, patients who experience withdrawals tend to hallucinate a complete event as well as incorporate the paramedics, thus causing the patient to react violently towards the care provider. Drug addiction is a very serious condition that can be considered as a psychiatric problem, of which needs to be treated with a sure diligence as well as suspicion.

Within the realm of the emergency medical service, the response rate of addiction is not considered an emergency condition. The incident will arise if an addict is experiencing withdrawal violent signs or has substance overdose, and the patient would appear in a state of agitation or even unconsciousness. There is no prearranged method in handling a patient that is experiencing problems related to addiction. The key element is in treating the symptoms of the patient. All patients require supplementary oxygen through non rebreathe if tolerance is acceptable. To assist in flushing out a normal saline of infusion, obtaining of intravenous access is a must. Should a patient or addict be in a state of agitation or seizure, administration of a sedative is required, such as versed or valium. Caution must be taken when administrating benzodiazepines because of the risks regarding failure or respiratory depression is present. Should a patient experiencing an opiate overdose as well as low breathing, Narcan 0.4 – 2 milligrams must be administered, but caution must be observed when administering the drug of which is done slowly in order for the patient to breathe sufficiently so as to sustain life. Should breathing and airway problems continue then intubation must be considered in order to secure the airway of the patient. Quick transport with due concern is suggested in order for the patient to be evaluated so as to have the hospital staff commence detoxification.

Conclusion

The drug abuse and addiction world is unforgiving and harsh, especially if an addict or user is unwilling to leave it behind. A number of people claim that the addiction is all within the head, and research has verified this notion. The brain effects from a formed learned pattern is similarly rewarded to such activities like drinking or eating.

A lot of people do not comprehend as to how and why other people become drug addicts. It is wrongfully presumed that drug users have no willpower or moral principles and cannot stop using drugs simply by choosing to alter their behavior. The reality is, drug addiction and abuse is a complex illness, and quitting it requires lots of good intentions. In actual fact, because drugs alter the brain in ways that raise drug abuse compulsiveness, quitting becomes hard, even for the willing addicts.

A lot of drug users also believe that they can control their drug abuse and addiction. Having a drug habit is a costly affair that leads to loss of belongings, money and even self-esteem. Curiosity is what drives some people abuse drugs, while others it is peer pressure, and another group of people become addicts of prescription drugs. While drug abuse normally leads to drug addiction, overcoming drug addiction is no easy task. So the question begs, is this drug abuse or is this drug addiction? These are two completely separate paths that lead to the same depressing outcome. In addition, the consequences of drug abuse as well as drug addiction become noticeable after a given period of time whereby compulsiveness and violence take over, furthermore, the physical toll which includes illness and depression at times could be debilitating. Therefore, the only method to reducing drug abuse as well as addiction is through educating or sensitizing the public. Avoidance is viewed as the best prevention.

Drug Abuse and the Gender Gap

Usage rates for prescription drugs continue to rise with nearly 3 in 5 Americans taking prescription drugs including antidepressants and opioids.

In a study published in the Journal of the American Medical Association, researchers found that prescription drug usage among people 20 and older had risen to 59 percent from 51 percent just a dozen years earlier and it was rising at a faster rate than ever before. During the same period, the percentage of people taking five or more prescription drugs nearly doubled, to 15 percent from 8 percent.

Effects of Gender on Addiction

It is no surprise then that the non-medical use of prescription drugs including painkillers, tranquilizers, and sedatives continue to be a growing problem in the United States. Statistics show men abuse prescription drugs at a higher rate than women, however, the gap between the genders is narrowing. Females age 12 to 17 are less likely to take abuse prescription drug and abuse and distribution is much higher in males of the same age range, according to a recent government study on Gender Medicine. The same report shows that young adult females show a higher percentage rate of addiction to cocaine and prescription drugs even though males in that age group abuse those drugs more frequently and take them in larger amounts.

Disturbingly, more recent statistics show that overdose deaths among young women are increasing, especially those who become addicted to opioids. The CDC Vital Signs reported that deaths from opioid overdose among women have increased 400 percent since 1999. By comparison, young men of the same age group suffered fatal opioid overdoses by approximately 265 percent in that same time frame. The CDC has estimated that as many as 18 women in the United States die every day from an opioid drug overdose, most of which were obtained by prescription.

To continue the disturbing downtrend of drug abuse according to the National Institute on Alcohol Abuse and Alcoholism, women are less likely to receive adequate treatment for substance abuse than men. Studies show that women are less likely than men to be placed in a specialized but are often treated by primary care providers or through mental health programs instead. Women also face more obstacles that are an impediment to their treatment, such as lower incomes, the possibility of pregnancy, and the need for childcare. In addition, women show more of a tendency to hide their substance abuse for a variety of reason including fear of social stigma, loss of child custody, or repercussions from a partner or spouse.

In the past, studies in drug addiction was from a male perspective for both males and females and drug abuse prevention programs and rehab facilities were designed with an emphasis on the needs of males. In comparison, outreach campaigns, preventive education, and drug rehab today is tailored to address the needs of both men and women as the scientific and medical community become more informed about how and why these addiction patterns occur in both men and women.

With gender roles playing a role in addiction, Gender-specific treatment programs provide a respite from the social stressors of everyday life. Patients can focus on their recovery without the distraction of the opposite sex. Studies show that both men and women feel more comfortable communicating about issues like sexuality, social prejudice, and domestic abuse with members of their own gender.

Both men and women suffering from opiod addiction, both can benefit from comprehensive rehabilitation programs that focus on the full range of care required to be free from addiction. These programs take a patient from detox to residential treatment, partial hospitalization, outpatient services, and transitional living. Effective treatment therapies include:

  • Fitness training
  • Experimental and holistic modalities
  • Follow up programs
  • Family or marriage counseling
  • Nutritional counceling

Having the support of a highly trained, multidisciplinary staff can help individuals of both genders recover from the disease of addiction and regain hope for the future.

According to a SAMHSA report in 2014, men are more likely than women to use all types of illegal drugs that result in emergency department visits or overdose deaths. These drugs include marijuana (according to federal law) and the misuse of prescription drugs. Men in most age groups have a higher rate of use and dependence on illicit drugs and alcohol than do women. However, women are just as likely as men to become addicted but are more likely to become addicted to prescription drugs and illegal drugs. Women are also more susceptible to craving and relapse which are key phases of the addiction cycle.

Going even further in their research SAMHSA found that women of color may face other unique issues with regard to drug use and treatment needs. For example, African-American and American Indian/Alaska Native women are more likely than women of other racial and ethnic groups to be victims of rape, physical violence, and stalking by an intimate partner in their lifetime-issues that are risk factors for substance use and should be addressed during treatment.

In addition to drug abuse be affected by personality traits, research has shown that in most instances women use drugs differently, respond to drugs differently, and often have unique obstacles that prevent them from receiving effective treatment. Some of these obstacles being as simple as not being able to find child care or being prescribed treatment that has not been adequately tested on women.

Researchers continue to study to learn more about the differing factors that attribute to drug addiction in males and females. As they are able to effectively identify these factors, the medical community more able to develop programs to increase an individual’s chance of breaking free from addictive lifestyles.

They are learning that the physical and mental differences of both men and women contribute how they are introduced abuse an individual’s ability to be successful in a treatment program

In a July 2016 article CNN reported that:

“according to a report released by the United Nations Office on Drugs and Crime, worldwide, drug use has remained steady over the past four years,. However, researchers found that heroin use in the United States is up 145% since 2007.”

One in 20 adults — roughly a quarter of a billion people between ages 15 and 64 — used at least one illegal or improperly used drug in 2014, according to the World Drug Report 2016. Though the numbers have not grown in proportion to the global population, new trends have developed, including increased sales in anonymous online marketplaces.

The U.N. researchers also reported gender differences in drug use. Men are three times more likely than women to use cannabis, cocaine or amphetamines, while women are more likely to take opioids and tranquilizers for non-medical purposes.