Commonly Asked Questions about Addiction and Treatment
How can a homeless person get help for substance abuse?
For homeless individuals struggling with substance abuse, accessing help can be particularly challenging due to factors such as limited resources, absence of stable housing, and potential co-occurring mental health disorders. However, there are a number of avenues that a homeless person can explore to get help:
Government Programs: Many cities have government-funded programs that provide services for homeless individuals, including substance abuse treatment. These may include detoxification, outpatient counseling, residential treatment, and medication-assisted treatment. The U.S. Department of Housing and Urban Development (HUD) and the Substance Abuse and Mental Health Services Administration (SAMHSA) are two significant sources of such assistance.
Community Health Clinics: Community health clinics often offer a range of services, including substance abuse treatment, on a sliding scale based on income. These clinics also frequently provide referrals to other necessary services.
Nonprofit Organizations: Many nonprofit organizations offer resources and support for homeless individuals struggling with substance abuse. These may include recovery support groups, transitional housing, job training programs, and other services.
Outreach Programs: Outreach programs are designed to connect with individuals who may not seek help on their own. Outreach workers may go to places where homeless individuals congregate to provide resources and assistance.
Housing First Programs: These programs, which prioritize providing individuals with stable housing without requiring sobriety or participation in treatment first, have been shown to be effective in helping people maintain recovery and improve their quality of life.
Emergency Departments and Hospitals: In a crisis, emergency medical personnel can provide immediate assistance and connect individuals with longer-term substance abuse treatment resources.
Veterans Services: If the individual is a veteran, the U.S. Department of Veterans Affairs offers many services, including substance abuse treatment, mental health services, and housing assistance.
Why are drug addicts so manipulative?
Individuals struggling with addiction can sometimes exhibit manipulative behaviors, but it's essential to understand that this isn't a characteristic of the person themselves, but rather a manifestation of the disease of addiction. These behaviors are typically driven by a powerful compulsion to continue using substances, often rooted in physical dependency, fear of withdrawal, or a desire to escape from negative feelings.
Manipulative behaviors can manifest in various ways. For instance, a person may lie or deceive others about their substance use, make excuses, shift blame, or use emotional tactics to avoid confrontations about their behavior or to secure resources for continuing their drug use. Often, these individuals are not consciously trying to be deceptive or manipulative; instead, they are driven by the intense compulsion created by their addiction.
Addiction also affects brain functions, including those responsible for judgment, decision making, learning, memory, and behavior control. When the brain's reward system is hijacked by substance use, obtaining and using the substance can take priority over everything else, leading to behaviors that the individual might not exhibit otherwise.
It's worth noting that not every person with a substance use disorder exhibits manipulative behaviors, and if they do, it's not a sign of their character, but rather the severity of their disorder.
The development of manipulative behaviors signals a need for professional help. Substance use disorders are serious, and effective treatments often involve a combination of medication, therapy, and long-term follow-up. Therapies like cognitive-behavioral therapy (CBT) can help individuals understand their behaviors, develop healthier coping mechanisms, and rebuild damaged relationships. Family and loved ones can also benefit from guidance and support on how to navigate these challenges without enabling the addiction.
What is the purpose of drugs such as methadone, suboxone and subutex in the recovery process?
Methadone, Suboxone (a combination of buprenorphine and naloxone), and Subutex (buprenorphine) are medications used in Medication-Assisted Treatment (MAT) for opioid use disorders. Their primary purpose in the recovery process is to help manage withdrawal symptoms and reduce cravings, facilitating a safer, more comfortable transition to abstinence or long-term management of the disorder. Here's a more detailed look at how each of these medications function:
Methadone: Methadone is a long-acting opioid agonist, which means it activates the same receptors in the brain that other opioids like heroin, morphine, or prescription painkillers do. However, it does so more slowly and for a longer duration, without causing the intense euphoria associated with misuse of those drugs. This helps to mitigate withdrawal symptoms and cravings, enabling individuals to function more normally in daily life.
Suboxone: Suboxone contains two active ingredients: buprenorphine and naloxone. Buprenorphine is a partial opioid agonist, meaning it activates the opioid receptors in the brain, but to a lesser extent than full agonists like heroin or methadone. This can help manage cravings and withdrawal symptoms without producing the high associated with opioid misuse. Naloxone is an opioid antagonist, meaning it blocks the effects of opioids. It's included in Suboxone to discourage misuse of the medication; if someone tries to inject Suboxone, the naloxone will trigger withdrawal symptoms.
Subutex: Subutex is the brand name for buprenorphine alone. Like in Suboxone, buprenorphine in Subutex serves to lessen withdrawal symptoms and reduce cravings. It is typically used in the initial stages of treatment, while Suboxone is more commonly used for maintenance.
These medications are typically used as part of a comprehensive treatment plan that also includes counseling and behavioral therapies. It's important to note that while these medications can be highly effective in supporting recovery, they should be used under the guidance of a healthcare provider due to the risk of misuse and potential side effects. Each individual's treatment plan should be tailored to their unique needs and circumstances to ensure the best possible outcomes.