All posts in Addiction Treatment

What is Behavioral Therapy?

Treatments for people addicted to drugs vary in scope and focus. 

One type of treatment that has several types of therapies is known as “Behavioral Therapy”***. Addicts need incentives to reduce and end their dependence on the drug(s). Behavioral therapies accomplish this on several levels: 

  1. It helps the addict develop life skills that help them handle stressors that once caused them to resort to the addiction. 
  2. Cravings are blunted by redirecting environmental cues that make them desire the drug. 
  3. Drug abstinence is incentivized through newly learned behaviors.  

Behavioral therapy intimately involves the patient in changing their behavior and moving forward, addiction-free and permanently changed. There are several types of behavioral therapy that are used for addicts and, specifically, opioid users:

  1. Contingency Management (CM) is a popular behavioral therapy. It reinforces positive behaviors. Abstinence is the focus. This is used in methadone programs and has been shown to promote abstinence and increase treatment retention. 
  2. Voucher-Based Reinforcement (VBR) is for opioid abusers, mainly heroin, and cocaine users. The patient gets a “voucher” when their urine is tested and it’s drug-free. That voucher can then be used to purchase food, tickets, or other valuable items the patient can use. The vouchers start at a low value and increase in value as the patient successfully passes each urine test. If the patient has a positive urine test, the voucher values are reversed. Vouchers are an effective method of incentivizing opioid and cocaine users to stay clean. 
  3. Prize Incentives (PI) is similar to the vouchers but actually uses cash prizes as an incentive to stay abstinent. During a three-month period, the patient participates in breath tests or urine tests. If they are clean, their name is entered into a bowl for prizes worth $1-$100. Additionally, the patient may also get extra draws for attending counseling sessions or accomplishing goal-related activities.  (This method has been criticized for promoting gambling though studies have shown that it does the opposite.) 
  4. 12-Step Facilitation Therapy: Once again, abstinence is focused on utilizing 12-step self-help groups. From the patient’s daily or weekly attendance, they agree that their addiction is overwhelming and that they have absolutely no control over it. They cannot overcome their craving and dependence on it by themselves. So, they must surrender to a “Higher Power”. The patient then seeks the fellowship of other recovering addicts. The patient’s commitment to regular attendance and participation in the meetings has been shown to keep them abstinent and sustain recovery. 
  5. Family Behavior Therapy (FBT): Bringing a spouse, parent or significant other into the treatment has been shown also to be quite effective in leading the patient into positive behavior reinforcement. Opioid abuse is addressed along with other issues such as depression, unemployment, and abuse. Family Behavioral Therapy combines behavioral contracting with contingency management. The patient and family members apply the strategies and skills to improve their home life. Patients use new behaviors to stop opioid abuse. CMS (Contingency Management System) is used as an incentive when the behaviors are demonstrated. At the session, behavioral goals are reviewed. Rewards are given as goals are met. Patients can choose interventions from a menu. 

This is not a complete list of behavioral therapies. There are other therapies that we will focus on in a future blog. If you or a family member have an opioid addiction, please contact a drug treatment center immediately. 

Concerted Care Group of Central Baltimore, MD, and Brooklyn, MD, has a compassionate Behavioral Health team which includes therapists, a psychiatric nurse practitioner, a nurse practitioner, and a psychiatrist. Services include individual and family therapy for adults and adolescents. Group therapy and psychiatric services are available for adults.

Contact us at (833) CCG-LIVE to make an appointment. 

***Click here for more information on behavioral therapy.

 

   

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.

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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Methadone Treatment: How it Works

Methadone saves lives.

It also ends lives, if done incorrectly.

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Opioid Addiction Recovery, Baltimore Style: Cleaning Up 26ers Park Brings a Sense of Purpose

It’s hard to miss the symbolism: Former opioid addicts cleaning up the drug-infested park they once used. A park that was filled with broken glass, used needles and shattered lives.

But it is much more than just symbolism. It is real change.

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Methadone Treatment: 5 Things to Know

Opioids are in the news.

From the news conferences to talk shows to television dramas, opioids and the people affected by them are getting a lot of exposure. Methadone abuse is costing lives and money. It’s taking a toll on American society. It cannot be ignored anymore.

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Outpatient Addiction Treatment: One Success at a Time

David Cox is an IOP counselor with the Concerted Care Group in Baltimore, Maryland. He specializes in outpatient addiction and was motivated to be a counselor because of his own experiences. David was tired of being a negative and destructive force in his community, so when his life changed, he was able to counsel others who have substance abuse issues.

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Substance Abuse: What is “Whole Person, Whole Life Treatment”?

There are many ways to treat substance abuse.

In fact, there are probably as many different treatments as there are substances. Some substance abuse treatments are successful and have stood the test of time. Many others are trendy and controversial and have not withstood research and testing.

And while the success of any substance abuse treatment truly depends on the patient receiving it, the elements of the treatment and the treatment center doing it are also crucial. It is, ultimately, a team effort.

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Interview: Alfreda Patterson, Substance Abuse Counselor

Ms. Alfreda Patterson is a Substance Abuse Counselor at the Concerted Care Group in Baltimore, Maryland.

She began working at CCG in 2015. Her personal experiences and deep desires to assist people motivated her to become a counselor. Especially, people who have substance abuse disorders.

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Heroin Addiction: Facts and Treatments

There is nothing positive about heroin.

It’s illegal.

It’s addictive.

It’s expensive.

It can be fatal.

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