Sunday, October 31, 2010

Stigmatization Inherent in Addiction Treatment:

A comment from a long-term, thoughtful provider of "substitution" treatment in Germany, and one that applies in most countries (most particularly the US): "Wherever we fight for a better treatment of addicted patients, our goal should be the same as the ones we apply to the treatment of all other chronic diseases. Three common violations of this principle:

- The considerable centralization/concentration of patients in specialized 'programs' is suboptimal and in many ways counterproductive. Part of the healing process for many involves new relationships and the ability to be integrated into all segments of society - including the medical care system..

- The attitude of many government officials, insurers and clinicians (including, perhaps most of all, addiction treatment providers) that patients should be grateful for what they get, accept the fact that there will be many associated restrictions, and an expectation that all "rules" must be followed, including abstaining from non=prescribed drugs/medicine, and that non-compliance will lead to therapeutic abandonment.

- Policies and practices that reflect mistrust towards all patients, regardless of treatment duration or individual therapeutic response. (In the US the most glaring example may be the demand of the federal government that every methadone maintenance patient, forever, submit no less than 8 urine specimens per year, and the insistence of many programs that urine be provided under the direct observation of staff)."


At 5:17 PM, Anonymous 3 Day Addiction Cure said...

There are other options of treating addiction which is more secure. Curing addiction at home is more effective because patient will feel comfortable which contributes a lot in recovering from addiction. Thus it is a private treatment and less expensive.

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At 11:23 AM, Anonymous LisaH said...

I attend a Methadone program in Asheville, NC. I have been on this program on and off for 10 years. Mostly on, this time is 7 years. We have several clinics in our little city-more than most actually. I have been in 3 of them (one out of the city about 25-30 miles.) The reason I have had to change is because of a slip or in one case I was only going 2 times a month to the clinic and picked up 2 weeks "take homes" each time I went. I was nauseous one morning and decided to wait to dose a little later while at work. I did this but I had to carry the bottle with me in my pocket.It was in my pocket most of the day. It was summer so label got wet with sweat and rubbed some in my pocket. It was still perfectly legible-all info on it. Well I took it back and got my take homes but when I came back the next time they called me into a back office & told me I was being administratively detoxed. I had no choice unless I transferred to another clinic and you know it costs about $350 to get in one. This was all because my label got wet. I ended up going to the one about 30 miles away so I had to go 60 miles a day-everyday at first, to get my meds. I had to do all this b4 work. Get up at 3am and get ready for work, drive down to the clinic and get in line b4 5am or you would have to stand in line for 1-2 hours. Keep in mind this is all BEFORE work. I was exhausted all the time and gas money was killing me, $140 a week just in gas not to mention $65 to pay for the doses.
We are at their mercy. There's no other way to say it. Sometimes it seems harder to keep up with the clinic's policy's than just do drugs. All I know is that without the Methadone (or some opiate) I can't function anymore. All those years I used caused me to alter my brains chemistry some way that makes it not produce(or if it does it doesn't produce enough) the chemicals that make you have energy, be happy and content. Without this I feel like I can't get off the couch. I am SO TIRED all the time. I don't want to do anything or be around anyone. I guess I'll be on a clinic for the rest of my life. At least I can use one here in Asheville now and not drive forever-not the same one mind you- I can't go there anymore. Can you believe that? The one I go to now is government regulated because it accepts Medicaid. There are many more rules there than at the others. Example: If you need take homes because you are going on Vacation somewhere there are no clinics around to guest dose at you have to ask them at least a month ahead because they have to get permission from state and federal overseers to even think about giving them to you. Thats both states-ours and the one where you are going. I get anywhere from 1-12 drug tests a month. You never know if you'll get tested 2 or 3 days in a row or 1 in 2-3 months. Its crazy. Supposedly the computer spits a list out daily-they have no power over it.
The main thing I wanted to talk to you about was when I go to a different Dr or dentist I'm in shambles. I don't know if I should tell them I'm on the clinic or not. I know I really need to medically wise but I've seen so many nice, friendly Dr.s face take an immediate transformation when they hear it. Its like I can see the distaste (sometimes disgust)flow over their face as soon as they hear it. They immediately become brusque-get really short with you then practically run out of the room as if addiction is catching and they are afraid to become a carrier and take it home to their kids. That's why I mull over telling them, medical conflict or no.To them we are not much different from the people they sidestep on the street while being begged for change.
Is this what I have to look forward to for the rest of my life? I would enjoy hearing from you- or others.Email me at Maybe I wont feel so alone regarding this.

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At 10:40 PM, Anonymous Alexis said...

This is a great post. I disagree with 3 Day Addiction Cure because I feel as though an addict needs to be removed from his or her environment in order to get a fresh start.

At 1:30 AM, Blogger Unknown said...

I loved this article. There are many drug addicted cases which have not yet treated. According to recent survey report, about 10 people die each minute due to consequences of drug addiction in America.

Arnold Brame
Health And Safety Consultant Peterborough

At 5:09 PM, Anonymous Rapid Opiate Detox said...

Many methods of drug & opaite addiction treatment involve breaking down a patient’s self esteem. The Waismann Method believes in treating each patient with dignity, respect and compassion. Everyone has their own unique story as to why the addiction began. And because each person is unique, the method of opiate or other substance abuse recovery will depend on them. There is no cookie cutter approach to treatment.

Here at the Waismann Method, we treat opiate addiction. Right now prescription painkiller abuse is at an all time high. Those of us in the recovery industry should all try to get along as we have the same end goal in mind.

At 4:35 AM, Blogger zoekaitlyn said...

Great Article,This is a great post. I disagree with 3 Day Addiction Cure because I feel as though an addict needs to be removed from his or her environment in order to get a fresh start.
Thanks for share.

At 12:51 AM, Anonymous R Johnson said...

Unfortunately those who have dealt with the hard work of recovering from an addiction do have to deal with the stigmas that still exist. Those who have been helped by the comprehensive services at a good methadone treatment center should leave with the tools to deal with this too through the help of counseling, education and other needed medical services.

At 3:44 PM, Blogger Smith said...

It's so hard to get off heroin and prescription drugs on your own. I tried traditional drug rehabs many different times before I tried something new. Personally, I think you gotta do what you gotta do, find the right treatment that works for you, and then move on with a better life. I hope everyone gets that same opportunity to be drug free.

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