Commonly Asked Questions about Addiction and Treatment
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.
How can I get a person help that is addicted to drugs?
Educate yourself: Learn about drug addiction, its causes, symptoms, and treatment options. Understanding the complexities of addiction will help you better empathize with the person and offer informed support.
Approach with compassion: Initiate a conversation about their drug use in a non-confrontational, empathetic, and non-judgmental manner. Express your concerns about the impact of their drug use on their well-being and the potential consequences.
Encourage professional help: Encourage the person to seek professional assistance from a medical professional, therapist, or addiction counselor. Offer to help them find suitable resources and provide support as they take steps towards treatment. It's important to remember that professional help is often crucial for successful recovery from addiction.
Offer emotional support: Be available to listen and provide emotional support throughout the recovery process. Maintain open communication and offer a safe space for the individual to share their experiences and feelings.
Suggest support groups: Recommend joining support groups such as Narcotics Anonymous (NA), Alcoholics Anonymous (AA), or SMART Recovery, which provide a community of individuals with similar experiences and offer guidance and encouragement throughout the recovery process.
Set boundaries: Establish clear boundaries to protect your own well-being and communicate your expectations about the person's behavior. Be firm yet compassionate, making it clear that you will not enable their drug use.
Assist with lifestyle changes: Help the person develop healthier habits, such as engaging in physical activity, improving their diet, and finding alternative ways to manage stress. Offer to participate in these activities together to provide additional support and motivation.
Be patient: Recovery from drug addiction is a long-term process, and relapses may occur. Understand that setbacks are part of the journey, and continue to offer support and encouragement as the person works towards sobriety.
Care for yourself: Supporting someone with drug addiction can be emotionally taxing. Ensure you are taking care of your own mental and emotional health by seeking support from friends, family, or professional counselors if needed.
Is there Government assistance to pay for rehab?
Yes, in the United States, there are several forms of government assistance that can help pay for rehab.
Medicaid: Medicaid is a state and federal program that provides health coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Many states' Medicaid programs provide coverage for a range of substance use disorder services, including detoxification, outpatient counseling, residential treatment, medication-assisted treatment, and more. The specific services covered and eligibility criteria can vary by state.
Medicare: Medicare, a federal program primarily for people age 65 and older, also provides coverage for some substance use disorder treatment. This can include inpatient rehab, outpatient treatment services, and medication-assisted treatment.
The Affordable Care Act (ACA): The ACA, also known as Obamacare, requires health insurance plans sold on the Health Insurance Marketplace to cover substance use disorder services. This means that individuals who purchase insurance through the Marketplace can access rehab services, often at a lower cost due to income-based subsidies.
Substance Abuse and Mental Health Services Administration (SAMHSA): SAMHSA offers grants to states and organizations to provide treatment and recovery services for individuals with substance use disorders. Individuals may be able to access services funded by these grants at little or no cost.
State and Local Government Programs: Many states and localities have their own programs to help residents access substance use disorder treatment. These programs may offer direct funding for treatment, operate state-funded treatment facilities, or provide vouchers to pay for private treatment.
Veterans Affairs (VA): The VA provides a range of substance use disorder treatment services to eligible veterans, including detoxification, rehab, outpatient counseling, and medication-assisted treatment.
Indian Health Service (IHS): The IHS provides a comprehensive health service delivery system for approximately 2.6 million American Indians and Alaska Natives, including services for substance use disorders.