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Essays on Treatment
An Introduction to Intensive Outpatient Treatment At one time, people with substance use disorders who wanted consistently effective treatment had only one option — inpatient treatment. Attention Deficit / Hyperactivity Disorder One strategy for improving the effectiveness of chemical dependency
treatment has been the identification of co-existing psychiatric disorders,
commonly
known as "dual diagnoses." In regard to Attention Deficit/Hyperactivity
Disorder ("AD/HD"), two findings have already been well documented. Biopsychosocial ConceptWe have endogenous systems in our brain that influence our behavior by creating a natural rewarding experience in response to certain stimuli such as food, sex and social interactions. Buprenorphine Buprenorphine (Suboxone, Subutex) is a medication that has significantly improved our ability to help patients with addiction to pain pills and heroin. It became available in the US and many years of use in Europe. Buprenorphine is an opioid with unique characteristics that give it four advantages over its predecessors. History of Drug TreatmentThe phrase, drug treatment, is currently used to refer to treatment for problems with a wide array of substances including both illegal drugs and prescription medications. From the 1950’s through the 1970’s, however, drug treatment programs focused primarily on heroin and other opiates and were operated separately from programs focusing on alcohol.
How is Alcohol Rehabilitation Different at Kolmac Alcohol rehabilitation refers to the second phase of treatment for alcohol problems, sandwiched between detoxification, when necessary, and continued care. At its core is a structured and intensive treatment program in which patients interact in a specialized healing environment composed of an organized series of group sessions. Inheritance Inheritance of vulnerability to substance use disorders has been an
issue provoking controversy in the past, at times sparking sharp "nature
vs. nurture" debates. Clarifying the matter is of much more than
just academic interest because of the effect on prevention and treatment
strategies as well as on attitudes. As new studies are completed, they
tend to support the existence of a genetic factor. The evidence is
stronger for alcohol, which is easier to study than other drugs Integrating Buprenorphine Stabilization Into an Abstinence Based Treatment Program
In April, 2007 Dr. Kolodner presented a summary of the Kolmac buprenorphine treatment program at the Annual
Medical-Scientific Conference of the American Society of Addiction Medicine (ASAM) The Importance of Drug Rehabilitation One of the controversaries in the field of drug treatment is the role that a formal drug rehabilitation program should play in the overall treatment strategy. Medications for Relapse PreventionNon-addictive medications can play an important ancillary role in a recovery treatment plan. At Kolmac we use three of these. Mood Disorders and Substance Use Disorders Mood disorders and substance use disorders (SUDs) can complicate one
another. This essay addresses SUDs and some of these complications. Outpatient DetoxificationAdvances in treatment now allow people to be detoxified from alcohol and opioids safely and comfortably on an outpatient basis. Kolmac Clinic has pioneered in these developments. The Transformation of Alcohol TreatmentTranscript of talk on the transformation that has occurred in the treatment of alcohol problems over the past 40 years and the role that medications have played in this change. |
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