Tag Archives: Medication Assisted Treatment

Overdose: Condolences to One Of Our Group Members Who Lost a Family Member

By now, everyone is knowledgable about the high number of opioid overdose deaths and what public health officials are calling an epidemic. In spite of public awareness and prevention efforts, the death toll continues. In this podcast, one of our group members shares his experience of the recent death of his family member from overdose. Listen in to these group members as they offer support.

Discussion Guide:

Have you lost a family member or friend to opiate overdose?

How did it affect you?

Did you have any negative automatic thoughts?

What are alternate healthier thoughts?

What could have been done differently for the person who died, prior to the overdose?

What can be done for you?

Supplemental Reading:

SAMHSA Behavioral Treatment Services Locator, https://findtreatment.samhsa.gov/

SAMHSA Opioid Overdose Toolkit, http://store.samhsa.gov/shin/content/SMA14-4742/Overdose_Toolkit.pdf

Overdose Awareness and Use of Naloxone Test, http://www.opiatesupportgroup.com/wp-content/uploads/2016/04/Overdose-Awareness-and-Use-of-Naloxone-Test.pdf

SCARE ME, http://www.opiatesupportgroup.com/wp-content/uploads/2016/04/SCARE-ME.pdf

Dr. Oz’ On Air Intervention

It is a delicate matter to talk with someone about what you perceive as their shortcomings. This is especially true when you believe they are putting themselves in harms way with substance abuse. Formal, organized interventions may use "tough love"  to get the person with an addiction into treatment. This person may be confronted in a harsh or stern manner with the intent to help them in the long run. They may be presented with education, fear tactics, surprise, pressure, guilt, shame and resources. Dr. Oz orchestrated a public intervention on his nationally televised show. Listen to this support group discuss their reactions to Dr. Oz' intervention.

Discussion Guide:

Are you familiar with the concept "Tough Love"? If so, what is it?

Have you been the subject of an intervention?

If so, did you find the intervention more helpful or hurtful?

When people have expressed their concerns about your substance use, did they lean more heavily on "tough" or "love"?

Are you familiar with motivational interviewing, a counseling approach to help people work through ambivalence? What are the principles of motivational interviewing?

How would you advise someone talk to someone who has problems with substances?

Supplemental Reading:

Jami Wolf-Dolan, PsyD, What I Learned About Addiction From Attending the Dr. Oz Show, http://www.thefix.com/what-i-learned-about-addiction-attending-dr-oz-show

When Treatment Programs Are Abusive

It is a sad occurrence when people seek help and instead find abusive practices. Kenneth "Kenny" Chatman and his wife operated a sober home in Florida committing acts of human rights violations and fraud. He was sentenced to 27 1/2 years in prison and his wife could be sentenced to 10 years. Chatman pled guilty to money laundering, healthcare fraud and sex trafficking. He admitted he controlled his patients by taking their car keys, phones, medication and food stamps. He allowed his patients to do drugs in his sober homes, as long as they let him bill their insurance for treatment they never received. Some patients died. Hopefully, these crimes are few among recovery programs. Listen in to this opiate support group talk about their reactions and experiences in treatment. Warning: The content of this podcast may be disturbing.

Discussion Guide:

Have you experienced poor treatment in a recovery program?

If so, did you file a complaint, and did you receive a satsifactory response?

What are the pros and cons of informing the authorities about poor practices of the facility, staff or other patients?

Do you know how to find a reputable program?

Supplemental Reading:

Lawrence Mower, Sober Home Owner Kenny Chatman Pleads Guilty, Faces Life in Prison http://www.mypalmbeachpost.com/news/sober-home-owner-kenny-chatman-pleads-guilty-faces-life-prison/0YngSRJ4ZjbgfsO74e2neL/

Zachary Seigel, South Florida Sober Home Operator Sentenced To 27 1/2 Years, Crackdown Continues, http://www.thefix.com/south-florida-sober-home-operator-sentenced-27-12-years-crackdown-continues

What You Should Know About Methadone

Opioid addiction and overdose deaths are an epidemic. Methadone treatment for this epidemic is the treatment of choice. And yet, the stigma surrounding this effective medication keeps people from getting the help they need. Listen to this opiate support group discuss their experience of methadone.

Discussion Guide:

1. Methadone has been used to help treat heroin addiction and other opioid use disorders for over 50 years. Where and why was it developed? When was it first used to treat addiction?

2. Methadone is the most successful treatment option for opioid misuse, period. What research and statistics back up this assertion?

3. Methadone is a medical treatment for a medical condition. Why wouldn't you treat it with a medicine?

4. Propaganda and stigma prevent many people from seeking MAT and can contribute to people leaving treatment early. Has the stigma against Methadone caused you to consider tapering your dose for a premature discharge?

5. Relapse is much less likely to result in a fatal overdose because Methadone provides a protective barrier. What is meant by a protective barrier?

6. Methadone, as a controlled substance, is one of the most tightly-regulated medications in the United States. And yet, a stigma persists that it is easily abused. Why?

7. Methadone isn't right for everyone. Who would not be appropriate for Methadone assisted treatment?

Supplemental Reading:

Jeremy Galloway, 7 Things You Need to Know About Methadone Treatment, http://www.thefix.com/7-things-you-need-know-about-methadone-treatment

Should You Stop? Criteria for Ceasing Medication Assisted Treatment

The properties of Medication Assisted Treatment are such that they stop withdrawal symptoms, decrease cravings and block the user from getting high if they use opiates. Because of this, MAT is a godsend to opiate addicts. But many hope to stop MAT at some point. Have you thought about tapering off your medication? What do you hope for and what do you fear about ceasing your medication? Listen to a group of opiate addicts discuss their hopes and fears.

Discussion Guide:

Do you intend to stop utilizing medication assisted treatment for your recovery?

How long do you believe one should engage in treatment before tapering off medication?

What are the pros and cons of stopping your medication?

Do you meet the criteria for ceasing medication assisted treatment?

What are your fears of ceasing MAT?

Supplemental Reading:

Centre for Addiction and Mental Health, Client Handbook, Chapter 8 How Long Will I Be On Methadone? http://www.camh.ca/en/hospital/health_information/a_z_mental_health_and_addiction_information/methadone/Documents/mmt_client_hndbk.pdf