Screening, Assessment, Mental Evaluation, Medical History, Social History
Random Urine Testing
How the referral service work
One-One Screening with Counselor
Signing of contract service agreement
An Opioid is a chemical substance that has a morphine like action in the body. Opioid's can be classified as natrual, semi-synthetic, and fully-synthetic.
Natural opioid's include morphine, codeine, thebaine, and oripavine. Semi-sythetic opioids include hydromorphone, hydrocodone, oxycodone, and heroin. Fully-synthetic opioids include fentanyl, pethidine, methadone, and propoxyphene.
Opioid's bind to specific opioid receptors in the central nervous system and in other tissues.
Opioids are medications that are derived from opium, which is collected from the seed pods of opium poppies. Many synthetic, or man-made, opioids are also available, as are semi-synthetics, which are made by changing the chemical structure of opium.
What is Buprenorphine?
Suboxone is the first narcotic drug available for prescription from a doctor's office for use in the treatment of opioid dependence under the Drug Addition Treatment Act of 2000 or DATA 2000.
The primary active ingredient in Suboxone is Buprenorphine, which itself is a partial opioid agonist. This means the the opioid effects and withdrawal symptoms from Buprenorphine are less than other full opioid agonists such as heroin, methadone, morphine, oxycodone, hydrocodone, codeine, and others.
Suboxone, taken as sublingual tablets or "under the tongue", has been shown to help in suppressing opioid withdrawal symptoms, decrease illicit opioid cravings and use, and under the correct supervision can help with overcoming an opioid dependence. Suboxone comes in 2mg and 8mg sizes of sublingual tablet form.
Suboxone contains naloxone, which blocks the effects of medicines and drugs like methadone, morphine, and heroin. This is added to prevent people from injecting Suboxone and improper use of the medication. Injecting naloxone can cause withdrawal symptoms.
Suboxone is the most commonly prescribed medication and given to patients during the maintenance phase of treatment. Subutex is typically given during the first couple of treatments.
Because Suboxone has a lower potential for overdose and abuse, unlike methadone, Certified Doctors are able to prescribe take home supplies of Suboxone in certain circumstances.
What is Suboxone?
We found that physical dependence on opiates is a possible side effect to prescription pain killers and proper weaning off can be accomplished by the use of Suboxone or Buprenorphine.
We know that addiction is a primary and chronic disease of the brain. Due to this nature, long term treatment may be necessary.
We believe that addiction is treatable and that addicts can become functioning, productive pillars of the community.
We understand that addiction is usually the result of genetic, environmental and psychosocial factors.
The stigma imposed on addicts by the prevailing cultural beliefs usually result in profound feeling of inadequacy. We believe that this is unfair and will help patients regain their self confidence..
By working with patients and their families we will assist in restructuring the social frame work of our patients.
To relapse is human. However, if it occurs remedial steps should be taken together with education to prevent recurrence.
CARE Consultants Treatment Center (CCTC) referral service purpose is to comply with the SAMHSA’S treatment guidelines which state that any client being treated for pain medication and opium addiction have to develop a comprehensive maintenance treatment program that include, detoxification outpatient counseling and medically supervised withdrawal, screening, assessment, and administrative and ethical issues.
Soboxone Referral and Counseling Services
Who is appropriate for the program?
Individuals, 18 years and older, who exhibit symptoms of physical addiction, psychological addiction, or addictive behavior, defined as problematic by the individuals and/or significant others.
Individuals who are unable to interrupt drug use without professional assistance.
Individuals who do not require intensive inpatient medical detoxification or have completed inpatient detox.
Who is not appropriate for the program?
Individuals who require care other than that which is designed for the treatment of chemical dependency.
Individuals who refuse to comply with the requirements of the CCTC program.
How long am I on Suboxone?
Until the patient and Doctor decide there is sufficient stability in the patient's life and there is a solid program of recovery in place.
How long does the program last?
The program consists of two phases. The primary phase (Phase I) last for 12 weeks with 2 group or individual sessions per week. The aftercare phase (Phase II ) last from 6 to 9 months, with one group that meet once every two weeks.
Will my insurance pay for this?
Medicare and most insurance accepted. CARE Consultants Treatment Center will assist in insurance verification as a courtesy prior to admission to the program.
Four Components of Assisted Recovery
1. Biological- First addressing the biochemistry (the biological component) of opiate dependence, with the anti-craving medication Buprenorphine and medication Suboxone.
2. Psychological- Using Cognitive Behavioral Therapy to learn how to be happy once again, without the use of alcohol.
3. Environmental- Addressing family, relationship, employment, and legal issues.
4. Spiritual- At Assisted Recovery we recognize that a spiritual component is helpful for many people seeking recovery. We feel however that this issue is best left to the individual.
There are 3 phases of Suboxone or Buprenorphine treatment therapy
1. Induction Phase - 12 to 24 hours after last opioid use, where Suboxone or Buprenorphine is medically administered.
2. Stabilization Phase - patient no longer craves opioid, usage has stopped or decreased significantly, and no longer experiencing side effects.
3. Maintenance Phase - the detox phase where patient usage of opioid has stopped and Suboxone or Buprenorphine dosage is steady or ended completely.
What is an Opioid?
Buprenorphine is an FDA approved opioid addiction treatment. Currently Subutex & Suboxone are the only Buprenorphine medications approved by the FDA.
Buprenorphine itself is opioid , but the maximal effects are less than other more dangerous opioid agonist like methadone and herion. By producing enough agonist, individuals taking Buprenophine that have become addicted to other opioids are able to discontinue abuse with minimized withdrawl side-effects.
In 1965, K.W. Bentley discovered the class of compounds synthesized from an alkaloid of thebaine, the opium poppy plant, known as Papaver somniferum. Among these semi-synthetic compounds is Buprenorphine - the first in a series of opioid agonists. Many were more than 1000 times more effective than the analgesic, morphine.
In the 1980s, Reckitt & Colman, today known as Reckitt Benckiser, introduced Buprenorphine hydrochloride for sale. Buprenorphine, an analgesic, was first made in sublingual tablets of 0.2 mg (Temgesic). It was also made as an injectable of 0.3 mg/ml (Buprenex