Duke City Recovery Toolbox had an open house on October 26, 2012. Our family of providers welcomed guests to a preview of the newest Medication Assisted Treatment Program (MATS) to Albuquerque! Photographed during the festivities were Tia, our Nursing Supervisor, Joseph, the front desk/medical billing guru, Adan who plans to make us certification worthy and Charlotte our pharmacist! Other staff , our Program Sponsor, Kevin and the our elected Senator, Michelle Lujan-Grisham were in attendance. Our Clinical Supervisor, Hari was photographed with Ellen Braden from the City of Albuquerque’s Substance Abuse Program.
Our Program Director, James Widner and his wife Summer with their newest family member, Ollie were there to kick off the newest addition to Opioid Treatment providers in Albuquerque.
We are a Faith-Based Recovery Opioid Treatment Program with an ongoing behavioral health component at Duke City Recovery Toolbox. We believe all people should be treated with courtesy, respect and dignity. We follow a Holistic approach in that we believe Addiction and other mental illnesses are: Physical, Mental, Emotional and Spiritual maladies.
We treat individuals who suffer from dependence on Opioids. Program participants receive individualized medical and psychosocial evaluations and receive appropriate physical and counseling support. Each participant will develop a plan of action to address their individual physical, emotional, and spiritual needs. When mental health issues are indicated, they will see our on-staff psychiatrist for evaluation, and be assigned to a professional mental health counselor. Alternatives to “treatment as usual” may include services such as Acudetox, Spiritual counseling, Yoga, Indigenous healing, and Tai-chi. For complex cases we will refer to other professionals.
Duke City Recovery Toolbox is accepting participants for Medication Assisted Treatment on most Monday, Tuesday, Wednesday and Thursdays from 5:30am to 9:30am. The methadone process takes about three hours so please plan to arrive early and be patient with us. Suboxone, Vivitrol or Naloxone treatment induction is by appointment . We hope to see you soon Please call (505)224-9777 or email us here.
WHAT IS MEDICATION ASSISTED TREATMENT?
When a person is addicted to a substance, the brain craves that substance, and in order to stop the cycle, one option is to receive a medication to allow a normal state of mind, free of drug-induced highs and lows. This option is called medication assisted treatment (MAT), and there are a number of medications currently used. MAT is one tool that assists in freeing the person from the mental obsessions and physical compulsions and helps them to withdraw without severe physical symptoms, and although no withdrawal is completely painless we do assist with various comfort modalities. Recovery is a model; it takes time, a desire to change, and counseling to achieve sustained improvement in lifestyles.
Based on scientific evidence the answer is No! Would you suggest that a Diabetic not take insulin? Is there something wrong with taking medication for the rest of your life if you need it? While a person is taking illicit drugs compulsively the consequence is disastrous. The improvement with medication taken properly, along with, counseling, a commitment to change, as well as spiritual healing may be astonishing to the program participant, and their family.
The most common “opioid replacement therapy” medications in use for treatment of opioid addiction are Methadone and Buprenorphine. These medications work by filling many of the opioid receptors in the brain which can satisfy the craving. You may have heard about Suboxone. What is that? It is a brand name for a special formulation of Buprenorphine which also has an antagonist in the formula, naltrexone to prevent abuse. What is an antagonist? Well, in the case of naltrexone, it completely blocks the brain from craving Opioids (alcohol too). Naltrexone alone can also be injected in once a month treatments. This medication is marketed as Vivitrol.
One advantage of Methadone is that it can be taken safely from the start of treatment, even while still using other opioids, with close medical supervision. It is expected that the participant will eventually take Methadone exclusively. Our staff carefully monitors and warns Suboxone participants that a certain degree of withdrawal must be happening to administer this medication without causing more serious withdrawal. Naltrexone cannot be taken until the opioids are completely out of the body or intense uncomfortable withdrawal will occur. This is an uncomfortable time to be sure, but our staff will provide comfort and support during this time. During the first days and weeks there are frequent sessions to monitor medication and other drug interactions. While frequent attendance may be challenging, it has the benefit of preventing possible life-threatening side effects. There is no “magic bullet”, but our staff is specialized in treating addiction and supporting recovery. All these medications have the same potential positive effect: with counseling and behavior change, they may reduce problematic behaviors, and spiritual healing.