All posts by Concerted Care Group

Outpatient Drug Rehab vs. Inpatient Treatment

Drug and alcohol rehabilitation programs were developed to meet the immediate needs of the substance abuser. Lodging Homes and Homes for the Fallen, known as “inebriate homes,” were opened in Boston in the 1850s to treat alcoholics. 

In the 1920s, “Morphine Maintenance Clinics” were opened to treat people with morphine addiction. Halfway Houses began in the 1950s for drug and alcohol addicted persons – designed to be safe, recovery-focused homes. 

From these homes and many other treatment advances came the modern outpatient drug rehabilitation and inpatient drug rehabilitation programs. These rehabilitation programs have helped millions of addicts recover from their drug addiction to lead normal, sober lives. 

Outpatient drug rehab and inpatient drug rehab have both similarities and significant differences. Let’s look at how each one works for the patient.

Outpatient Drug Rehab

This type of rehab is a part-time program that does not require the recovering user to stay in a clinic full-time. Outpatient rehab allows the patient to go home or to school during the day. 

The patient typically attends rehab programming 10-12 hours a week over 3-6 months, up to 12 months when needed. Sessions focus on drug abuse education, individual and group counseling, and learning how to cope with the challenges of life without taking the drug(s). 

Outpatient drug rehab allows patients to remain in their home environment while benefiting from a structured therapeutic program. Clinicians assess their progress every week. 

Outpatient drug rehab programs do not isolate them from people and situations which could negatively impact their recovery. Because patients still live in their own homes during treatment, they have to be genuinely motivated to refrain from drug abuse. 

Support systems in their network, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), provide group counseling and encouragement off-site. Thus, no patient will be recovering alone. Sponsors and peers are ready and willing to stand with them through every step of their recovery.   

Many individuals in a long-term program may utilize outpatient drug rehab. Outpatient drug rehab can be effective for patients with mild or strong drug addictions.

Finally, outpatient care relies significantly on the involvement of the patient’s family. Unwavering family support and encouragement are crucial to the patient’s success in recovering from drug addiction. 

Inpatient Drug Rehab

Individuals in a recovery program may also benefit from inpatient drug rehab. It is different in structure from outpatient drug rehab, but its goals are the same.

Inpatient drug rehabs are held in hospitals or residential substance abuse facilities. Both options require patients to live there 24-hours a day – completely removing the patients from their regular lives and peers. Thus, there is less temptation and opportunity to use drugs. In inpatient drug rehab, the patient’s entire focus is on detoxing from all addictive substances, getting sober, and learning how to stay sober.

Treatments times vary from 30, 60, or 90 days up to a year (or longer, depending on the progress made). Clinicians keep patients on strict schedules for medications, meetings, treatments, counseling, and other addiction care.

Inpatient drug rehab teaches patients to focus all their time and effort on taking personal responsibility for their lives while addressing the negative behavior which led to addiction. They also learn to develop positive habits that will help them stay sober. Their relationships, career, and community are tied to their recovery. Patients also receive recommendations for relapse prevention and sobriety support groups to join when treatment ends.   

Outpatient vs. Inpatient

Both types of drug rehab options are beneficial, depending on the patient’s needs. A healthcare team will make a recommendation for each patient. If you or a loved one has a drug addiction, please consult a physician immediately. 

Concerted Care of Central Baltimore and Brooklyn, MD, has an intensive outpatient drug rehab treatment program that allows clients to get the steady ongoing support they need for difficult periods in their recovery. It includes both individual and group sessions with qualified professionals who help guide individuals through challenging periods in their recovery. IOP is not intended to be a long term solution, but a bridge to stable maintenance.

Call Concerted Care at (833) 224-5483 for a consultation. We serve the Central Baltimore, MD, and Brooklyn. MD areas.

Methadone Treatment vs. Buprenorphine Treatment for Opioid Addiction

Opioid addiction is increasing as millions of American citizens are using it to alleviate pain. According to US drug overdose statistics

The death rate from drug overdoses more than tripled between 1999 and 2017, and that death rate from opioid overdoses increased almost six-fold during the same period. More people in the United States died from overdoses involving opioids in 2017 than from HIV- or AIDS-related illnesses at the peak of the AIDS epidemic.

As a result, new treatments for treating opioid addiction have been developed to help opioid addicts. Two of the most common drugs used are Methadone and Buprenorphine. There are two separate camps that believe that one is better than the other. We will examine both.

Methadone Treatment 

One of the main goals in treating opioid addiction is reducing the craving for it. Methadone is a proven and effective synthetic opioid that reduces the craving. It has a long history of effectiveness as it was developed by German physicians during World War II and later used by US physicians to treat extreme pain. (Addiction was accurately portrayed by Frank Sinatra in the film, “The Man with the Golden Arm”. It is heralded as educating the public on the dangers of heroin.) 

Methadone can be distributed as a liquid, powder, or tablet. It requires a prescription and must be monitored closely by a doctor. Methadone changes the way the brain and nervous system respond to pain. For pain, physicians typically prescribe methadone following surgery or in treatment from an injury or a chronic illness. 

Additionally, methadone treatment is helpful in eliminating addiction to other opioids. Known as “replacement therapy”, this treatment replaces the opioids in your system with somewhat milder effects. Relief comes slowly as it blocks the high that comes from drugs like oxycodone, hydrocodone, morphine, heroin, and codeine.  

Methadone treatment is most effective when supplemented with individual or group counseling. Opioid addicts are referred to drug counselors, social services, or medical personnel trained in opioid addiction counseling. Many companies offer these services under their medical benefits packages.   

Buprenorphine Treatment

Buprenorphine is an opioid medication that is also used to treat opioid addiction. It is dispensed in a physician’s office. It can also be taken at home as a prescription. 

Buprenorphine is known as “partial opioid antagonist,” meaning it may decrease physical dependence on opioids. Buprenorphine’s potential for misuse is lower than that of full opioids, and it also can reduce the craving for them. 

Buprenorphine is still an opioid, however, so its side effects can be problematic. It is known to cause euphoria and respiratory depression in some patients. In low doses, buprenorphine can produce a basic agonist effect to reduce cravings and withdrawal symptoms. It can, however, reach a “ceiling effect” when increasing doses of the drug begin to reach a plateau. At this point, buprenorphine may no longer be effective for the individual. 

 Conclusion

Both methadone and buprenorphine have been proven to be effective treatment options for opioid addiction. Methadone, however, may be the most effective for long-term treatment. 

If you or a loved one are battling opioid addiction, consult a physician immediately. They can recommend licensed drug addiction treatment centers suited to your needs. Opioid addiction cannot be treated alone. A team of medical personnel and addiction specialists are needed to help the addicted individual overcome this painful situation.

Concerted Care of Central Baltimore and Brooklyn, MD, Methadone Maintenance Treatment (MMT) utilizes methadone as one element in a comprehensive treatment program in which methadone replaces opiate drugs, including heroin and oxycodone. Call (833) 224-5483 or email info@concertedcaregroup.com for an immediate consultation.

Drug Addiction Help for a Loved One: How You Can Support Them

“Rock bottom became the solid foundation on which I rebuilt my life.”

~ J. K. Rowling

Sometimes, a person has to hit the bottom in their drug addiction before they can get help. Recovery is rarely a thought for them when they are intoxicated.

So, when they do hit rock bottom, like Rowling did, their loved ones need to be there to help them get treatment and help them, if possible, every step of the way to recovery.

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Ron Shelley: Methadone Maintenance Treatment and The Step Up Program

Ron Shelley is the chairman of the Concerted Care Foundation, a non-profit organization under the Concerted Care Group (CCG). The Concerted Care Foundation focuses on rehabilitating the community and servicing the needs of its clients and others in the Baltimore community; their focus is career development and education.

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Treating the Whole Person: Methadone Maintenance Treatment and The Step Up Program

Drug addiction recovery has been compared to a ladder leading out of a deep, dark hole. As the substance abuser climbs each rung up the ladder, they are closer to recovery. They never, ever want to fall back into the abyss as it will be even more difficult to climb out of it.

No recovering opioid addict wants to slip back into his or her destructive ways; they would rather  get off the drug now and forever. This  isn’t easy, even with the many benefits of methadone maintenance treatment. In fact, it could be a life-long battle.

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Coming to Grips with It: Methadone Maintenance Treatment

“Speaking as somebody who’s been in the drug scene, it’s not something you can go on and on doing, you know. It’s like drink or anything, you’ve got come to grips with it.”

~ John Lennon

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Doug Rashid, Board Member: Our Methadone Maintenance Treatment Strategy is Working

Doug Rashid became a board member for Concerted Care Group soon after it opened. He serves on the board as a communications consultant for the board, as he is experienced in doing publicity and public relations for businesses in the Washington, D.C. area. Doug was also a pharmaceutical salesman for several years, which gives him a knowledge of medications.

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Opioid Addiction: Ten Red Flags that Someone Has It

Have you seen some strange behavior recently?

Have you wondered if they are addicted to some substance?

These are serious questions to ask yourself if you believe that your loved one, friend, classmate, co-worker, spouse or neighbor may have an opioid addiction.

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Find Opioid Addiction Treatment: Ms. Edith Ogunsanya, Nurse Practitioner

Edith is a nurse practitioner, in her first year at Concerted Care Group, Baltimore. She provides addiction assessments and addiction treatments. Her main focus is on opioids.

She became a nurse practitioner in drug treatment and counseling because she wants to help people. Based on studies, she believes opioid addiction to be a brain disease. So, with intense treatment, guidance and counseling, she sees her clients succeed in treatment.

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Methadone Treatment: How it Works

Methadone saves lives.

It also ends lives, if done incorrectly.

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