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Founded in 1792 as the state's capital city, majestic Raleigh, North Carolina was named for the now famous Sir Walter Raleigh, who tried (some would say unsuccessfully) to establish the first English colony there in the 1580s. Today, Raleigh is commonly referred to as the "City of Oaks," because of the myriad of beautiful, ancient oak trees lining its streets, and the city supports a state population second only to Charlotte. Unfortunately though in recent years Raleigh has also become known for something far more sinister - a rising tide of opioid addiction.
In North Carolina, it is estimated that 3 people die per day from opioid overdoses, (equaling out to 79% of all drug overdose deaths in NC in 2018.) And in that same year, North Carolina providers wrote 61.5 opioid prescriptions for every 100 people! A shocking statistic. Since we know that prescription opioids are highly addictive and can get people hooked after using just a couple pills, it's no wonder the numbers are so high.
So, what's the solution? Authorities in Raleigh are working the problem from every angle. Through regulation, they're cutting the supply of inappropriately prescribed opioids, and increasing penalties for providers found to not be in compliance. They're also supporting youth through funding programs to reduce misuse of drugs and improving pre-natal care for women who are addicted. Additionally, they've made Narcan (also known as "naloxone")—a drug that, when administered properly, can reverse the effects of an overdose--ubiquitously carried among first responders and more widely available to members of the community at large. And, it appears that their significant efforts are working.
Since new pressure was brought to bear in 2017, opioid dispensing has decreased by over 24% in North Carolina as a whole. And, prescriptions for medications used to treat opioid addiction increased by 15 percent, indicating that addiction is being treated. Perhaps what's most encouraging is that there were nearly 10% fewer emergency department visits for opioid overdoses in 2018 than in 2017. North Carolina at large has also received over 54 million dollars in funding from the federal government earmarked for substance abuse treatment. We can only hope that these significant efforts will prevail.
Even so, for individuals struggling with alcohol and drug addiction problems, Raleigh can also offer workable solutions in the form of 44 alcohol and drug rehab facilities designed to help patients in their recoveries.
Alcohol and Drug Rehab Methods and Settings
Raleigh area residents who have a problem with drug and alcohol abuse have many rehab settings available to them, such as the following: inpatient drug addiction treatment, short term rehab programs, outpatient counseling, long term rehab centers, inpatient detox programs.
These rehab programs make substance abuse treatment easy to obtain, with convenient locations and numerous varying rehabilitation approaches from which to choose, such as these listed here: cognitive/behavior therapy, behavior modification, brief intervention approach, contingency management/motivational incentive, trauma-related counseling, 12-step facilitation approach.
Special Programs for Substance Abuse Recovery
Addiction impacts every person differently. In order to address these differences and deliver a more tailored treatment, addiction treatment programs in Raleigh offer several special programs for [patients such as: aftercare/continuing care, housing services, transgender or (LGBT) clients, persons with eating disorders, social skills development, persons with serious mental illness.
Patients who feel they may need these customized services can discuss them with the rehab facility to get help that is designed to maximize the likelihood of lasting recovery.
Rehab Payment Options
Residents of Raleigh come from differing financial situations, making it vital for rehab centers to provide several payment options that place treatment within financial reach. Clients can expect to find funding options at nearby addiction treatment facilities such as the following: private pay, private medical insurance, payment assistance, medicaid, medicare, state education funds, state welfare or child and family services funds.
Despite a client's financial situation, money should not be an obstacle to treatment. Alcohol and drug rehabs guide individuals through their payment alternatives and help them find a way to pay for their rehab.
The result of varied rehab centers, approaches, programs, and financing alternatives is that treatment for addiction is possible for as many individuals who need it.
Commonly Asked Questions about Addiction and Treatment
Are some individuals genetically predisposed to drug and alcohol addiction?
Yes, research indicates that genetic factors can play a significant role in an individual's susceptibility to drug and alcohol addiction, although they are only part of the picture. It's estimated that genetics account for approximately 40-60% of a person's vulnerability to addiction, with the remaining risk coming from environmental and psychological factors.
Here's a closer look at the role of genetics in substance use disorders:
Genetic Predisposition: Certain genetic variations can influence how an individual reacts to drugs or alcohol. For example, some people might experience a more intense "high," or they might not get unpleasant side effects that deter others from continued use. These genetic differences can increase the likelihood of repeated use and, ultimately, addiction.
Co-occurring Disorders: Genetic factors can also contribute to mental health disorders such as depression, anxiety, or bipolar disorder. Individuals with these conditions are often at a higher risk for substance abuse and addiction, creating a potential link between genetic predisposition to these mental health conditions and increased risk for addiction.
Family History: A family history of addiction can indicate a possible genetic predisposition. If close relatives, such as parents or siblings, have struggled with addiction, an individual may be more likely to develop a substance use disorder. However, a family history of addiction also often comes with certain environmental factors that can increase risk, such as exposure to substance use at a young age or a lack of stable, supportive family structures.
Epigenetics: Epigenetics, or changes in gene expression due to experiences and environment, can also play a role in addiction. For instance, exposure to high levels of stress or trauma can cause changes in the way genes function, potentially increasing susceptibility to addiction.
However, it's essential to understand that while genetics can increase the risk for addiction, they do not determine destiny. Environmental factors such as exposure to drugs, family environment, peer influences, and individual resilience can heavily influence whether a person with a genetic predisposition will develop a substance use disorder. Furthermore, effective prevention and treatment strategies can help individuals at risk for or struggling with addiction to lead healthy, fulfilling lives.
How to talk to a family member about their addiction to drugs?
When addressing a family member's addiction to drugs, it is essential to approach the conversation with empathy, understanding, and a non-judgmental attitude. Here are some steps to consider when discussing this sensitive topic:
- Educate yourself: Before initiating the conversation, educate yourself about addiction, its causes, and available treatment options. This knowledge will help you better understand the situation and provide accurate information to your family member.
- Choose the right time and place: Find a suitable environment where both of you can have a private and uninterrupted conversation. Pick a time when your family member is sober and relatively calm, as it increases the chances of having a productive discussion.
- Express concern and love: Begin the conversation by expressing your genuine concern and love for your family member. Use "I" statements to convey your feelings without sounding accusatory. For example, say, "I've noticed some changes in your behavior, and I'm really worried about you."
- Use non-confrontational language: Avoid blaming or criticizing your family member, as it can lead to defensiveness and hinder the conversation. Instead, use non-confrontational language to express your observations and concerns. Focus on their well-being and the impact their addiction may be having on their life and relationships.
- Active listening: Encourage your family member to share their feelings, thoughts, and experiences regarding their addiction. Practice active listening by giving them your undivided attention, maintaining eye contact, and offering supportive responses. Show empathy and try to understand their perspective without judgment.
- Offer help and support: Let your family member know that you are there to support them through their journey to recovery. Provide information about available resources, such as local support groups, counseling services, or addiction treatment centers. Offer to accompany them to appointments or assist in finding suitable treatment options.
- Establish boundaries: While offering support, it is crucial to establish clear boundaries to protect yourself and other family members from enabling or codependent behaviors. Make it clear that you will not tolerate or participate in any activities that enable their addiction.
- Encourage professional help: Suggest the importance of seeking professional help from addiction specialists or therapists. Assure your family member that seeking help is a sign of strength, and it can greatly improve their chances of recovery.
- Avoid enabling behaviors: It's important not to enable your family member's addiction by providing financial assistance or covering up the consequences of their actions. Enabling can perpetuate the cycle of addiction and hinder their motivation to seek help.
- Self-care: Supporting a family member with addiction can be emotionally challenging. Take care of your own well-being by seeking support from friends, support groups, or therapists. Remember that you cannot control or fix their addiction, but you can offer love, support, and encouragement.
Where can I enroll for online drug abuse counseling?
Online drug abuse counseling is increasingly available, offering a convenient and flexible option for those seeking help with substance use disorders. You can enroll in online counseling through several different types of services. Here are a few to consider:
- Substance Abuse and Mental Health Services Administration (SAMHSA): This U.S. government agency provides a treatment services locator on their website, which can be used to find both local and online resources.
- Private Therapy Platforms: Numerous online platforms, such as Talkspace or BetterHelp, connect individuals with licensed therapists who are trained in treating substance abuse. These platforms offer a variety of communication options, including messaging, video calls, and phone sessions.
- Local Healthcare Providers: Many hospitals, clinics, and private practitioners have started offering teletherapy services, especially in the wake of increased demand during the COVID-19 pandemic. Check with local providers to see if this is an option.
- Insurance Providers: If you have health insurance, check with your provider to see if they cover online substance abuse counseling. They may have a list of preferred providers or platforms.
- Online Support Groups: While not a replacement for professional counseling, online support groups can be a valuable part of a recovery strategy. Groups like Narcotics Anonymous and SMART Recovery offer online meetings.
- Employee Assistance Programs (EAPs): If you're employed, your workplace may offer an EAP, which often includes mental health resources and may cover substance abuse counseling.