Students may benefit from reviewing their work from all of the lessons. The crux of the paper should be that drug addiction is a brain disease and drugs cause long-term changes in the function of the brain.
Depending on the treatment program and the individual circumstances, a wide variety of professionals can be involved in a person's treatment. Most commonly, people receive treatment which is overseen by a multi-disciplinary team of professionals under the employment of a treatment program as summarized in the previous section. Programs can be for-profit, not-for-profit, and, in New York State, the state, counties and some cities deliver publicly operated chemical dependence treatment services. New York State law requires that chemical dependence treatment organizations must be certified by the Office of Alcoholism and Substance Abuse Services to provide services in New York State. In addition, professionals with appropriate state licensure may operate out of a private practice to provide treatment services. Examples of these private practitioners include: Physicians, Psychologists, Certified Social Workers and Psychiatrists.
The treatment delivery process assures that all necessary and available services are delivered to address individuals' needs relating to addiction. Other issues that may be addressed in a comprehensive treatment process, in addition to addiction management, include physical health, mental health, strengthening the family, legal, financial, child care, housing, parenting, transportation, education, prevocational and work readiness. A quality process must include the availability of longer-term supports to sustain recovery and prevent relapse. Quality treatment also addresses public health concerns commonly associated with alcohol and substance abuse, including sexually transmitted diseases (STDs), hepatitis, HIV/AIDS and tuberculosis. Further, many providers now integrate treatment for nicotine dependence into chemical dependence programs.
Recent NIH–industry partnerships, such as the Accelerating Medicines Partnership, demonstrate the power of public–private collaboration in speeding the development of new medications. Ending the opioid crisis will require this kind of collaboration. In April 2017, the NIH began discussions with pharmaceutical companies to accelerate progress on identifying and developing new treatments that can end the opioid crisis. Some advances may occur rapidly, such as improved formulations of existing medications, opioids with abuse-deterrent properties, longer-acting overdose-reversal drugs, and repurposing of treatments approved for other conditions. Others may take longer, such as MOR-biased agonists, opioid vaccines, and novel overdose-reversal medications. For all three areas, our goal is to cut in half the time typically required to develop new safe and effective therapeutics.
The point at which an abuser becomes addicted is specific to that individual. Addiction is a chronic and progressive medical condition, with genetic, physical and behavioral components. It is similar to other chronic medical conditions such as hypertension, diabetes, and asthma, all of which can be treated effectively. Research has demonstrated that the relapse rates (40% - 60 percent) for those diseases is the same as for chemical dependency and equally dependent upon how patients comply with treatment recommendations.
Growing to become a big social challenge affecting all aspects of the American society, addiction rates have escalated to enormous proportions within the country as reported by the National Institute on Drug Abuse (NIDA)....
Some recovering addicts might say that another contributor to long-term sobriety is spirituality, that with the pattern of powerlessness, which is true of all addictions, there must be a relationship with a higher being. However, others who have started the road to recovery years ago with drug abuse help and have remained sober neither needed nor wanted the spiritual component. Their disbelief in anything spiritual kept them far from it. Yet, others who remained at arm’s length to the spirituality of AA, for example, later found that it was an essential part of their recovery process.
A few minor, modifications were made to the language contained in the original 13 principles set forth by NIDA. The NIDA publication was written specifically for - and was limited to - drug addiction treatment. This OASAS paper encompasses all alcohol and substance abuse treatment. Therefore, the most significant change to the 13 principles is to broaden them to be applicable for all chemical dependence treatment. In addition, the term "patient," has sometimes been changed to "individual" to reflect New York's view of the chemical dependence client as an active participant and consumer or customer of services.
And once an individual realizes that he or she is not alone in the drug rehab process, there’s hope. And in that moment of hope, there’s that decision that anyone who wants to recover from an addiction must make – it is the decision to stay sober, that no matter what, you’re going to keep choosing sobriety. And even if you relapse, you commit to drug rehab again. You commit to moving upward and onward, despite the steps backward.
In New York State, the recent consolidation of alcohol treatment services and substance abuse treatment services into chemical dependence treatment services has resulted in four broad categories of care. (Private licensed practitioners also provide alcohol and substance abuse treatment, but they are not reflected in the four categories.) The four categories are summarized below.
Through my research, I have examined the current addiction rehabilitation centers, and I believe there needs to be a restructuring of the existing strategies used to help addicts....
It should be noted that historically alcohol and drug treatment programs have concentrated on returning each person to be a self-sufficient, productive member of his or her community. However, with the advent of welfare reform in 1995, many treatment organizations have made employment-related services even more important components of their treatment regimens. That is, the close alignment of welfare reform strategies and the renewed emphasis on work in the welfare system have reshaped some chemical dependence services, making employment readiness a more central feature of the chemical dependence system.