Author: Addiction Blog

  • Drug treatment rehab centers: Who should go?

    Here, we’ll review who is best served by rehab and what you can expect during a typical stay. Then, we invite your questions about drug rehab centers at the end. In fact, we try to respond to all questions personally and promptly.

    Who needs drug treatment rehab centers?

    If you need to use drugs (any psychoactive substance) to get through the day, you may need addiction treatment. In fact, one of the best indications that a person needs a drug rehab center is psychological dependence on your drug of choice. Psychological dependence is characterized by:

    1. drug craving
    2. drug use despite negative life consequences
    3. loss of control of drug use

    Physical dependence on a drug can also signal need for drug treatment.  This occurs when a person’s brain and body become accustomed to functioning with the drug. When a physically dependent person stops taking the drug, they will typically experience withdrawal symptoms that can be relived by using the drug again.

    Who else can benefit from a drug treatment rehab center?

    People who

    • are faced with legal problems regarding drug use
    • are unable to stop using their drug of choice
    • experience mood swings or violent behavior
    • experience relationship and family problems
    • have decreased work or school performance because of drugs
    • neglect other responsibilities in favor of using drugs
    • see an increase in health problems related to drug use
    • spend a great deal of time using, trying to find, or recovering from their drug of choice

    Going to drug rehab treatment centers

    The goal of drug rehab treatment is to ultimately live a drug-free life. An effective treatment program will help you understand addiction and give you the skills you need to resist the temptation to use again. For many, going to rehab centers is much less intimidating when you know what to expect from a drug rehab program. So what happens in a drug rehab treatment center?

    1. Initial intake

    When you first start drug rehab, you will undergo an intake assessment. This is used to determine the severity of the addiction, and will ultimately be used to create an addiction treatment plan. Assessments usually include interviews, urine/blood tests, and a medical exam. During intake, you will be assigned a lead counselor (usually a certified psychologist) who will be your main contact throughout treatment.  Additionally, you will be shown the facilities and be introduced to patients currently enrolled in rehab. This begins your stay at a drug rehab treatment center.

    2. The treatment itself

    Your addiction treatment plan will include several psychological treatments, including therapy and counseling. Medications are also sometimes used to treat certain drug addictions. In fact, a combination of pharmacological and behavioral interventions often shows greater success than either used alone.

    3. Daily or weekly sessions

    If you choose an inpatient drug rehab treatment center, you will be required to reside in the treatment facility. This intensive drug rehab treatment can last anywhere from a month to a year and is organized around a strict daily routine.  Expect to be present and accounted for multiple times throughout the day for individual sessions, group sessions, educational sessions, exercise, and meal time.

    In comparison, outpatient drug rehab often requires 1-3 hours of attendance per day or multiple sessions per week.  While less rigorous in terms of time requirements, outpatient drug treatment rehab is often most successive when it is intensive in nature, 9+ or more hours per week.

    Reasons to go to drug rehab treatment

    There are several reasons to go to drug rehab for addiction treatment. Of course, it can sometimes be difficult to think of these reasons when you’re struggling with a drug addiction, so we’ve put together a list for you. Once you overcome addiction, you’ll be able to

    • be more productive
    • enjoy a healthier lifestyle
    • regain your loved ones’ respect and trust
    • repair broken relationships
    • stay away from legal troubles
    • stop wasting your money on drugs

    Who is affected by drug addiction?

    An addict as well as everyone around him or her is affected by drug addiction. After using drugs for a period of time, a person’s health will often start to decline. Drug abuse can also cause a number of financial, family, and social problems for an addict.

    An addict’s family is also strongly affected by drug addiction. They will often feel helpless and frustrated in the face of addiction. In many cases, a drug addiction can cause family members to lose trust in and respect for their loved ones.

    Drug rehab centers truly help addicts as well as their loved ones. After overcoming their addictions, addicts can live much healthier lives. They can also work toward reconciling with their family and friends that they hurt while they were doing drugs.

    Drug treatment rehab center questions

    Do you still have questions about the benefits of drug treatment and attending a rehab center?  Please ask us in the comments section below.  We do our best to respond to each question personally and promptly.

    Reference Sources: Medline Plus: Substance use disorder
    State of Kentucky: Signs of alcoholism and addiction
    SAMHSA: Screening, Assessment, and Drug Use Testing
    NIDA: The Clinical Assessment of Substance Use Disorder

    View the original article at addictionblog.org

  • Kratom withdrawal

    You know about Kratom addiction potential -you want to stop using Kratom!  So, what can you expect during Kratom withdrawal? And how can you cope? We explore here, and invite your questions about withdrawal from Kratom at the end.

    Severity of Kratom withdrawal

    From personal and anecdotal experience, the nature of withdrawal from Kratom and Kratom effects on body in terms of severity and occurrence seem to depend on a number of factors. The factors that contribute to Kratom withdrawal include:

    1. Duration of use – The length of time you have been taking Kratom. The longer you have been using it the more severe the symptoms.

    2. Type of Kratom – The type of Kratom you have been taking. Withdrawing from highly concentrated extracts of the alkaloids found in Kratom results in a worse withdrawal experience. Method of administration usually contributes to withdrawal symptoms, but as Kratom snort is not recommended, we assume that you are taking oral doses of Kratom.

    3. Previous mental health issues – Anecdotal evidence from online forums suggests that those who suffered from depression prior to becoming dependent on Kratom find withdrawals particularly difficult.

    4. Personal pain tolerance -It also seems that some people just manage Kratom withdrawals better. There are many who claim quitting Kratom even after more than a year’s daily use is no more difficult than quitting caffeine, while others talk about it like being hell on earth. So there certainly is a subjective element.

    My Experience withdrawing from Kratom

    I have personally withdrawn from Kratom after more than a year’s use and can therefore talk about my own withdrawals which I have been led to believe mirror those of others but not necessarily in their severity or duration.

    I took Kratom leaf twice a day, ever day for over a year. I decided one day to quit cold turkey; I used up the last of my supply and held my breath. I knew what was coming, I had tried to quit in the past but had always given up due to the crippling sadness that had enveloped me.

    Psychological Kratom Withdrawal

    Within 8 hours of my last dose of Kratom, I began to feel anxious and incredibly sad, despondent and plain depressed. It is difficult to describe the sense of loneliness and desolation I felt, everything seemed amazingly bleak. For me, this aspect of withdrawals was by far the most difficult to cope with and it continued for over a month. I must stress again that this was my experience others state that all their symptoms including the despondency disappeared after 4 or 5 days.

    Physical Kratom Withdrawal

    The other symptoms I experienced during Kratom withdrawal were all physical and ‘only’ lasted for 3 or 4 days. These self-reported symptoms during Kratom withdrawal are similar to those seen in individuals undergoing opiate withdrawal but are far less severe. If you have experienced other symptoms, please share them in the comments section of this article. The symptoms of physical withdrawal from Kratom included:

    • anxiety
    • cold-like symptoms
    • insomnia (the tick-tock of the clock just went on and on, night seemed as if it would never end)
    • lethargy/apathy
    • RLS – restless leg syndrome (it felt as if my legs were electrified and this contributed to insomnia)
    • sweating

    Coping with Kratom Withdrawals

    You can get through Kratom withdrawals. Kratom withdrawal can be a mere inconvenience for some and difficult for others. Here are some tips and suggestions based on my own experience about how you can cope during the period of Kratom withdrawal. Again, if you have other ideas, please leave them at the end.

    • I would advise anyone planning to withdraw from Kratom to seek the advice of a sympathetic physician. A prescription for a sedative like diazepam can help with the anxiety and insomnia. The problem is, though, that many doctors have never heard of Kratom and so will not know what to do.
    • You might want to take time off work/responsibilities during the initial stages of withdrawal as it can be very difficult to find the motivation to get tasks done.
    • It is also good to have a friend/loved one with you during the first few days as you can get quite despondent. This should be someone who knows that you are going through Kratom withdrawals and who knows what to expect as you go through the process of withdrawal.
    • If you are prone to depression anyway, then you really need to see a mental health care professional prior to quitting Kratom.

    Kratom withdrawal questions

    If you are going through Kratom withdrawal, you are not alone! We invite your questions about Kratom withdrawal. Or maybe you have an experience or feedback to share with other readers. Please let us know. We try to reply to all questions and comments with a personal and prompt response.

    View the original article at addictionblog.org

  • How to STOP enabling my drug addicted husband

    In terms of addiction, enabling has a negative connotation. It refers to a dysfunctional way of helping someone else in such a way that hurts the enabler and the person they think they are helping. In the article, “8 Signs You are a Co-addict“, we discussed many types of enabling. Whichever type you engage in, there are consequences to each.

    So, how can you end the enabling and move towards a healthier relationship…a healthier you? We review here. Then, we invite your questions at the end. In fact, we try to respond to all legitimate questions or comments with a personal and prompt response.

    Are you ready to hear the truth?

    Some women will post on my blog about how they want to stop enabling their husband’s addiction. Their posts seem so desperate and so imminent. I know what they are going through because I have been there; I was married to an addict, too. So, I spend time and energy crafting a heartfelt and realistic response. I try to address their needs and personalize the advice for them and then … weeks will go by and … nothing. Months and … nothing. Some of these women never reply.

    I thought about this for a while and tried to put myself in their shoes. When they are reading online for answers and posting their frustrations and their stories they are usually in a crisis situation, either the addict is binging on drugs, disappeared, or done some other inexcusable act. Just because they are posting on my blog does not mean that they are ready to hear what I have to tell them.

    When I explain what is most likely to happen or what will help them in the long run, they do not answer back because that is not the answer they were looking for. Most women are not ready to hear that they need to change. Perhaps telling their stories just helps them purge all of their anxiety or they still believe I can tell them how they can fix their partner.

    STOP enabling

    When I was married to an addict, the only advice I hoped to hear from my therapist and from other support people was that I could do “X,Y, and Z” and that would help me fix my husband and his addiction. I wanted to know that living with an addict was possible, and that he could change. When people suggested I had issues or that I should leave my husband I was mortified. I thought I could not live without him so I continued on the same path hoping something would happen that would change him.

    Twelve years passed and nothing happened.

    I still wanted to fix him, until one day an event forced me to fix myself. It was like I was tuning out all of the advice I needed to hear until one day I heard it because I was ready to listen.

    My husband was not forcing me to enable him; I was taking it upon myself to help him because I felt bad for him and I loved him. I realized when I did things that I knew made his addiction and life easier, even if it was acting crazy so he could feel justified to abuse drugs more, that I was not only enabling him but hurting myself. If he ever had a chance to stop using drugs, I had to realize it was not going to be because of me.

    Most enablers already know that being married, having children, and responsibilities are not enough reason for an addict to get sober. But, they still think one day they will say something and the addict might all of a sudden realize they are.

    It’s about boundaries

    Most addicts have no boundaries. An enabler eventually loses their own boundaries and their lives become convoluted and controlled by addiction. Enablers lose their identity and do not understand why they keep on doing what they are doing. So, how can you pull yourself back up to stand on your own two feet?

    Start empowering yourself!

    How to stop enabling a drug addict?

    To stop enabling a few things need to happen:

    1. You need to make a commitment to change.
    2. You must commit to stop your part in enabling 100%, not just some of the time.
    3. You must stop negative patterns and behaviors and replace them with positive ones.
    4. You need to get support from someone with experience and someone you trust to help you.
    5. You need to stop enabling him and start empowering you.

    Enablers feel the illusion of control when they help their partner. Once you let it go, you can stop trying to fix and control your partner, take that energy, and fix yourself. You can start asking yourself the questions:

    1. Why am I allowing this person and his addiction control my life?
    2. Why do I not feel good enough about myself to want to be treated better?
    3. Why am I so afraid to leave?
    4. Why do I have fears of abandonment, of being alone, of standing on my own two feet?

    If you focus on you, there is less of a chance you will have the time to focus on him. If you change your life and start doing things that bring back your self-confidence then it is less likely you will want to repair him.

    Addiction is a selfish condition because it usually involves the complete attention of more people than just the addict. It can draw in the wife, the children, the parents, and the friends if you allow it. Nevertheless, enabling is a choice even though it does not feel like one. The best way to stop enabling is to learn your enabling behaviors and make a conscious choice to STOP.

    Need some help?

    We invite you to leave your questions in the comments section below. We do our best to respond to each person individually and promptly!

    View the original article at addictionblog.org

  • Is Bunavail like Suboxone?

    Yes and no.

    Suboxone and Bunavail are Schedule III narcotics that contain a combination of buprenorphine and naloxone as active ingredients. Both these meds are prescribed in the treatment of opioid addiction. The buprenorphine in these medications is an opioid, while the naloxone is substance that reverses the effects of opioid drugs. The combination is made to lower the chances for abuse and addiction to buprenorphine.

    They may seem to be the same drug under a different brand name, but Suboxone and Bunavail have their significant differences. Continue reading as we get into the details about these medicines and compare their effects. If you have any questions and comments, you can post them in the section at the end of the page.

    Bunavail and Suboxone similarities

    Suboxone and Bunavail are different from current medications (like methadone) used in the maintenance phase of opioid addiction treatment. They are more convenient, are prescribed in doctor’s office, and are available in most commercial pharmacies. As patients progress in therapy, they may even be allowed to take a supply of the medication and use it at home.

    Note here that both Bunavail and Suboxone are not intended to be used as stand alone treatments. Instead, medication should be combined as a part of a complete treatment program that includes counseling, individual, group or family therapy sessions, cognitive-behavioral and educational classes, psychological support, and adopting new, positive life-style practices.

    Bunavail and Suboxone: How supplied and dosing

    Suboxone is supplied in the form of sublingual tablets, taken by placing the tablet under the tongue and waiting for it to dissolve. Suboxone is available in two strengths:

    • 2 mg buprenorphine/ 0.5 mg naloxone
    • 8 mg buprenorphine / 2 mg naloxone

    Bunavail, on the other hand, is made of a buccal film that stick to the mucosa on the inside of the cheek and are then quickly dissolved. Bunavail is available in three different strengths:

    • 2.1 mg buprenorphine/0.3mg naloxone
    • 4.2 mg buprenorphine/0.7mg naloxone
    • 6.3 mg buprenorphine/1mg naloxone

    Bunavail and Suboxone differences

    1. Mode of administration/delivery mechanism

    One of the main differences between these two medicines is that Bunavail buccal film delivers buprenorphine through the buccal mucosa, while Suboxone is taken sublingually (put under the tongue). Bunavail offers delivers a dose of buprenorphine to the bloodstream via a polymer film that attaches to the buccal mucosa at the inside of the cheek. The film will disappear within 15-30 minutes, it has a pleasant taste and doesn’t disrupt swallowing or speaking while dissolving. However, speaking is not as easy with Suboxone sublingual.

    2. Bioavailability

    You have probably noticed that Bunavail comes in lower dose strengths than Suboxone. Taking one Bunavail 4.2 mg/0.7mg buccal film will provide equivalent level of buprenorphine in the system as taking 8mg/2mg Suboxone sublingual tablet. The level of naloxone supplied with Bunavail buccal film is about 33% lower than naloxone levels supplied by Suboxone sublingual.

    It doesn’t make Bunavail less effective in the maintenance treatment for opioid dependence. Instead, Bunavail buccal film is designed with the new BEMA delivery technology or BioErodible MucoAdhesive drug delivery mechanism. This allows Bunavail to be absorbed more quickly than Suboxone, so patients need a lower dose to achieve the same effects.

    However, this difference in bioavailability between Bunavail and Suboxone requires a different dosage strength to be administered by patients who are switching from one to the other (generally from Suboxone to Bunavail). It’s important for doctors to prescribe dosage strengths that will correspond to the amount and strength in which the other medication was taken.

    3. Less risk

    Taking your maintenance medication in lower doses, while achieving the same medical effects is great because you have less chances of developing cross-addiction and getting unwanted side-effects.

    Bunavail v.s. Suboxone questions

    We hope we answered all you wanted to know about the similarities and differences between Suboxone sublingual tablets and Bunavail buccal film. Keep in mind that a doctor’s clearance and approval are crucial for prescribing either one of these medications, and for switching from one to the other.

    If you have any further questions you’d like to ask us, please post them in the section below and we’ll do our best to provide a personal and prompt response.

    Reference Sources: PBM: Buprenorphine/Naloxone Buccal Film (BUNAVAIL )
    FDA: BUNAVAIL (buprenorphine and naloxone) buccal film
    NCBI: New Drug Approvals: New Formulations: Bunavail for Opioid Dependence; page 5
    NC State Health Plan: Buprenorphine tablets and Buprenorphine/Naloxonetablets/films

    View the original article at addictionblog.org

  • Drug Courts in California

    Drug Courts in California

    ARTICLE OVERVIEW: A complete guide to California drug courts. We review eligibility requirements, how to get started, and what happens when you complete the program. A detailed explanation of the legal process here.

    TABLE OF CONTENTS:

    What is a Drug Court?

    California drug courts are problem-solving courts specially designed as an alternative to traditional criminal justice prosecution. These courts are mainly set up for non-violent, substance-related offenses. In short, drug courts put treatment and rehabilitation ahead of punishment.

    The main idea behind drug courts is that crime and addiction can be treated. The traditional approach of punishment has proven ineffective, otherwise, the system would have stopped it a long time ago. Compared to incarceration, addiction treatment improves the long-term outcomes because it addresses the root cause of drug-related crime. Treatment improves a person chances of reintegrating into the community and becoming a productive member of society. [1]

    In fact, there are numerous benefits of drug courts. Some of them include:

    • Promoting long-term recovery
    • Reducing crime
    • Reducing drug and alcohol use
    • Reunifying families
    • Saving tax money

    On average, treatment costs for California drug courts range from $900 to $1,600. Compared to an average cost of $5,000 per person for a minimal period of incarceration, perhaps you’ll agree that this seems to make economic and judicial sense. [2]

    If you or a loved one has recently been arrested or charged with a drug-related crime in California, we are here to let you know that treatment works! In fact, can help you if you are ready to start treatment. American Addiction Centers provides care to adults struggling with addiction and co-occurring mental health disorders. We can help you get better. Please call our hotline number today to speak with an admissions navigator. Hope is here.

    California’s Drug Court History

    The concept of drug courts spread across the country in the early 90’s. Getting treatment is a cost-effective and beneficial option for people who get into legal trouble. These courts offer more targeted help that gets at the root cause of the issue. But when did the state first begin offering drug courts?

    California’s first adult drug court began in Alameda County in 1991. In 1995, California’s first juvenile offender drug court began hearing cases in Tulare County. In 1998, The Department of Alcohol and Drug Programs started supporting the development of drug courts in California.

    California drug courts are much less formal than traditional courts. They are much more loosely structured, giving each court some flexibility as to how it will run. There is an ongoing dialogue between the judge, prosecutor, defense attorney, and defendant. The focus is on people rather than punishment. [3]

    California is committed to the concept that alcohol and drug treatment are preferable to the incarceration of nonviolent drug offenders. Indeed, the effectiveness of the drug courts has been proven by numerous scientific studies. It’s been shown to reduce re-arrest rates, lower costs and provide better treatment outcomes. It is not just clients who benefit from drug courts… but American society as a whole. [4] [5]

    Drug Court Requirements and Eligibility in California

    Each drug court in California has its own eligibility and exclusion requirements, so, when defining drug court eligibility, it’s better to first define who is not eligible to participate in a drug court. In general, you are not eligible if you have:

    • A prior conviction for a violent crime.
    • Been charged with a DUI and resulting serious injury.
    • Been charged with a crime involving possession of a firearm.
    • Been charged with a violent offense.
    • been charged with arson or sex crimes.
    • Been charged with drug possession with intent to sell.
    • Been charged with drug manufacturing or trafficking.
    • Refused treatment.
    • Unlawful presence within the United States.

    Additionally, you must be diagnosed with addiction in order to go through drug court. This makes sense. Plus, you must be eligible for probation in order to participate. Since the program takes place out of custody, you must be on probation in order to attend activities. Finally, you must not be under active deportation process.

    What laws support these guidelines?

    Drug court programs are legally authorized by California Penal Code 1000.5 PC. [6] According to this code, defendants are referred to drug court by written agreement of a judge, the prosecutor, and the public defender.  Graduation requirements vary, but usually involve the completion of educational and job training requirements with addiction treatment. Successful completion of a drug court program can result in a dismissal of the drug charges.

    In terms of eligibility, the most important criteria are that California drug courts are designed to treat non-violent drug-using offenders whose criminal history is related to drug abuse and addiction.

    The State of California has authored innovative legislature to back up the idea. Proposition 36, also known as the Substance Abuse and Crime Prevention Act, is a mandatory diversion program for those who qualify. Its main goal was to allow first and second-time, nonviolent offenders get treatment rather than go to jail. [7]

    Getting Started

    Currently, California has over 200 drug courts within its 58 counties. [3] The different types of Collaborative Justice Courts in California include:

    • Adult Drug Court
    • Back on TRAC
    • DUI/DWI Courts
    • Family Dependency Drug Court
    • Federal District Drug Court
    • Homeless Courts
    • Juvenile Drug Courts
    • Mental Health Courts
    • Re-Entry Courts
    • Tribal Healing to Wellness Courts
    • Veterans’ Treatment Court

    Drug Courts in California work according to certain models. There are four ways to enroll in a drug court program. Since each drug court in California has different criteria and each case is unique, it’s best to consult an attorney to learn more about how you can enroll into a drug court program as an alternative sentence. The main ways you can request participation in a CA drug court include:

    1. The pre-plea model allows drug possession offenders a stay of prosecution if they participate in a treatment supervised by the court.
    2. Post-plea models state that a defendant has to enter a guilty plea before entering treatment. The treatment lasts from nine months to three years.
    3. The post-adjudication model gives opportunity drug offenders to re-enter treatment after their conviction. But first, the convicted person has to serve the sentence. If the case is referred to drug court following a conviction at a jury trial, the trial judge has the option of retaining jurisdiction of the case or referring it to a calendar court.
    4. The civil model allows individuals to enter treatment as a condition of retaining or regaining custody of a child or children. Failure to complete the program can result in permanent loss of custody.

    So, what’s the process like?

    STEP 1: If you are eligible for a drug court, a judge will order a screening. This will be conducted by the Program Manager or Therapist involved in the program. Screening takes place in the form of an interview and it will usually last for an hour.

    STEP 2: After the screening, a multidisciplinary team will assess your record and personal history. This usually happens the same week or the week following the assessment. Screening and assessment ensure that each participant receives appropriate substance abuse disorder treatment services and community-based support.

    STEP 3: If it is decided that you will be accepted into the program, it is very likely that you will be placed in residential treatment or sober living program. You will be expected to complete the course of recommended treatment.

    STEP 4: Ongoing activities may be set up by drug court judges for you during and after rehab. You may need to attending ongoing counseling session, for example. Or, you may need to attend support group meetings. Compliance ensures success. Follow the drug court plan … and you’re on your way to a new life!

    STEP 5: Successful completion of a program entitles you to a dismissal of the related charges.

    The Process

    Drug Court is a four-phase program that usually lasts from 6 to 24 months. n California, drug courts usually implement a multi-phased treatment process. You will move from one phase to the next when you complete the requirements of the phase and make progress in your recovery. Poor performance during any phase may result in going back to a previous phase with more intensive monitoring and restrictions.

    In general, drug court programs in CA are divided into four phases. If you are a drug court participant in California you must complete all these phases in order to qualify for dismissal of charges and a clean legal record.

    1. Stabilization Phase. This first stage of treatment focuses on your  stabilization. The stabilization phase may include a period of detox, psychosocial and physical assessment and development of treatment plan. During this phase, you will have to attend court once a week.

    2. Intensive Treatment Phase. Abstinence from drugs and alcohol as a primary focus. This phase typically involves intensive individual and group counseling, attend weekly AA and NA meetings. Usually, participants attend court twice a week.

    3. Aftercare Review Interview Phase: You will continue with group therapy and individual counseling, and you will still have to attend support group meetings. Typically, during this phase, you will be interviewed by the Drug Court team. The interview will determine if you are ready to move to the last phase which is the aftercare. You are required to make monthly court appearances.

    4. Transition Phase. This phase focuses on the planning necessary to transition you out of the drug court, and relapse prevention strategies. The transition phase may emphasize social reintegration, employment and education, housing services, and other aftercare activities. You will have to attend court once a month.

    Treatment

    When the court orders someone to attend rehab, the next step is to gather a treatment team. The treatment team consists of a judge, attorneys, case managers, health care providers, and therapists. These professionals all work with the offender to ensure an effective treatment plan, and also to make sure the offender is complying with the court orders. Team members provide regular communication, encouragement, and support for the offender. But drug court also extends support to their friends and family members throughout the hearings, therapy, and discharge.

    Drug court participants in CA should be able access to a continuum of treatment and rehab services. [8] Treatment services should include:

    • Aftercare services
    • Attendance at support group meetings
    • Detox
    • Individual and group counseling
    • Inpatient or outpatient rehab
    • Mandatory drug tests
    • Medications
    • Regular appearances before the court

    You will be required to pay for the treatment, and you can choose where you want to be treated. Insurance may pay for all or part of a treatment program, and some facilities offer reduced or subsidized payments for qualifying individuals.

    The severity of your addiction and your dedication will determine your recovery time. However, it is expected that most participants should be able to successfully complete the treatment program after 10 to 24 months. If you cooperate with the court you can turn this situation at your advantage, your probation terminated or charges dismissed.

    Violations

    After enrollment in a drug court program, your progress will be closely monitored by the court. You are expected to be on time, to show up to and complete drug tests. You are also required to attend all group sessions and court dates. You will be asked to be honest.

    In other words, when you go through a drug court in CA, you are held accountable for your progress. You are expected to comply with the court’s orders and respect the court.

    In order to encourage compliance, behavioral changes and adherence with treatment, the court will use sanctions and incentives. Rewards for compliant behavior can include:

    • Certificate of graduation
    • Extended curfew
    • Gift certificates
    • Praise by the court or judge
    • Promotion to the next phase
    • Sobriety tokens
    • Termination of probation

    Conversely, sanctions for non-compliance may include: writing a letter to the court or to your case manager, coming to court more often, community service, time in jail, termination from drug court. Although there is no set number of violations that result in termination, persistent noncompliance are not tolerated. If you are terminated from the program, you will be sent back to court for sentencing.

    Still, most people successfully complete of all phases of treatment.  In some cases, probation may be terminated at the end of the program. In other cases, you must successfully complete the full three years of probation after participation.

    California Drug Court Statistics

    Drug courts are generally thought to be more effective than routine criminal justice case-processing at reducing rates of recidivism and drug use among offenders. There have been many successes in California Drug Court programs. Participants have remained off of drugs, stayed out of the criminal justice system, obtained their driver’s licenses, become employed, gone back to school, received vocational training and started their own businesses, and gained or regained custody of their children.

    SO, what are the number say about the effectiveness of drug courts? The data taken from the Collaborative Courts 2016 Annual Report by the County of Orange shows that:

    The adult and juvenile programs have saved more than $120.6 million through the avoidance of more than 852,848 custody bed days.

    The re-arrest rate for Drug Court graduates, three years after graduation, is 28.15% for any crime, compared with a re-arrest rate for comparable non-participants of 74%.

    The Drug Court program avoided 28,637 jail and prison bed days prior to the application of custody credits, which were stayed pending graduation in 2016— which translates to a cost savings of $4,196,179.

    Two drug-free babies were born to women while they were participating in Drug Court in 2016, bringing the cumulative total to 153 drug-free babies born since the inception of the program.

    Participants performed 1,275 hours of community service in 2016.

    During the year, 63 participants graduated from the Drug Court program, free of addiction and employed or pursuing educational goals. [9]

    Nationwide, the numbers show that drug Courts reduce crime by an average of 8% to 26%, with most estimates from 9% to 14%. Well-functioning drug courts reduce crime rates by 35% and the effects last at least 3 years. Additionally, the average recidivism rate for those who complete Drug Court is between 4% and 29%, compared to 48% for those who do not participate in a Drug Court program. Finally, for every $1,000 invested in adult drug courts, communities reaped approximately $2 to $4 in benefits, totaling roughly $3,000 to $12,000 per participant. [10]

    These numbers show the effectiveness and importance of drug courts.

    Drug courts can save lives.

    Drug courts help individuals.

    Drug courts heal our society.

    Completing California Drug Court

    You graduate from drug court when you complete all four phases of the program. You must be at least 90 consecutive days clean and sober. Except in unusual circumstances as determined by the judge, a participant who graduates after less than nine months in the program will remain on probation until the expiration of the nine-month period.

    But before you leave supervision, the court want you to have a strong recovery support system. This includes employment and stable housing. Then, graduation is a time to celebrate your accomplishments! You may invite your family and friends to join you at your drug court graduation. It’s often a life changing moment.

    What happens next?

    If you successfully complete a Drug Court program in California:

    • Your probation may be terminated early.
    • Your charges may be reduced.
    • Your case may be dismissed.

    Also, if you are involved in a child custody case, you may get your child back.

    Successful completion will give you the tools to become contributing members of society and your community.

    Your Questions

    If you still have questions about California’s drug court system, we encourage you to leave a question in the comments section below. We’ll try to respond to you promptly and personally.

    Reference Sources: [1] James E. Lessenger / Glade F. Roper (eds.) Drug Courts: A New Approach to Treatment and Rehabilitation
    [2] California Department of Alcohol and Drug Programs – Drug Courts Overview.
    [3] California Courts: Drug Courts
    [4] HHS: Drug Court Effectiveness: A Review of California Evaluation Reports, 1995–1999
    [5] National Institute of Justice: Do Drug Courts Work? Findings from Drug Court Research
    [6] California Legislative Information: California Penal Code 1000.5 PC
    [7] Proposition 36 Drug Treatment Diversion Program. Initiative Statute
    [8] California Courts: 2019 California Rules of Court
    [9] Superior Court of California County of Orange: 2016 Annual Report
    [10] Drug Courts: National Perspective
    Superior Court of California: County of San Diego: Drug Court Process
    Superior Court of California: Drug Court Participant Handbook

    View the original article at addictionblog.org

  • Alarming Facts About Teens and Drug Use

    Alarming Facts About Teens and Drug Use

    ARTICLE SUMMARY: Drugs are all around us, and they don’t discriminate. Drugs don’t care what your background is, what you look like or where you come from. The facts tell it all and they are frightening. It’s time to be realistic and realize drugs are impacting the youth of today, even possibly yours.

    Table of Contents:

    The Impact on your Child’s Development

    No one has a dream or goal to become an addict when they try drugs. Unfortunately, it’s not up to them. This is especially true for teens. Their brains are still developing through adolescence and the risk of addiction is higher than that of adults.

    According to sources, “By the time adolescents do require treatment for [addiction], they are well on their way through the developmental stages during which risk emerges”. What does this mean in layman’s terms? Basically, this means that we need to be aware of the risk factors and the outcomes or drug use. People who use and abuse drugs at a young age often suffer from mental health problems, including depression, personality disorders and suicidal thoughts later in life. The specific damage that can be done is extremely concerning.

    However, you are the anti-drug.

    One in three parents believe there is little they can do to prevent teen drug use. However, evidence that shows parental involvement is the strongest factor in prevention. So the good news is that you can make a direct and positive impact on your teen’s mental health. The bad news is that more and more teens are using to the point of addiction…just how many?

    The Statistics are Alarming

    Statistics don’t lie.

    As parents, you can choose to ignore the findings, however, it’s important to pay attention before your own child becomes a statistic. Below are many alarming stats from recent U.S. Health and Human Services report that will make you cringe.

    • In 2018, over 15% of American 12th-graders misused prescription drugs.
    • There were 5,455 deaths due to drug overdose among teens in 2017.
    • In 2017, about one in four high school seniors used an illicit drug, such as heroin or marijuana, in the past 30 days.
    • In 2016, more than 1.4 million adolescents ages 12 to 17 needed treatment for an illicit drug problem.
    • From 2014 to 2015, the rate of drug overdose deaths among teens in the United States increased by 19 percent.
    • In 2015, 5% of high school students (grades 9-12) reported using any form of cocaine.

    Where are the Drugs Coming From?

    Without you realizing it, you may actually be feeding your child’s curiosity and habit. While parents certainly don’t want to admit they are enabling their children to use drugs, a 2013 study reports that over half of teens got prescription drugs from their parents’ medicine cabinet. Most parents are in denial that their child would ever do something like that … but it might be happening, right in front of your eyes.

    As a precaution, parents need to ensure their children and their friends don’t have access to any prescription medication that can be harmful to them.

    Teens are well aware of the intoxicating effects prescription drugs can have on them. So what can you do? If you’re a parent with a script for OxyContin or Xanax, just to name a few, make sure they’re out of reach. Pay attention to how many pills you have, so if any are missing, you’ll notice. Medications like these are highly addictive and can lead to overdose.

    What you may consider to be a harmless everyday medication lying around the house, such as cough medicine, may be seen by your teen as a way to get high. You baby-proofed your house when your child was a toddler to protect them. How is teen-proofing any different?

    How to Approach your Child

    If you suspect your teen is using drugs, or even selling drugs, you need to act swiftly. Some of the main signs of a problem include when your teen starts:

    • Acting differently
    • Looking unhealthy
    • Losing interest in their normal activities such as sports
    • Not performing well at school

    If you notice any of these signs, it’s time to have a conversation with them. The reality is your child may not admit the truth for fear of punishment, embarrassment or judgement. Often, the signs are obvious. So, you need to master open communication. When you communicate without judgment and your message comes with a lot of love, your family can get through this.

    When you connect with your teen on an emotional level instead of shaming and blaming, they’re more likely to share the why, the how and the how long.

    No one wants their child to use drugs. While your initial reaction of discovering drug use may be to yell and be angry at your child, overreacting will only push your teen further away. It’s time to put your emotions to the side and discover how deep your teen may be into their drug habit. How can you do this?

    Try to get into the mind of your addicted teen and see more from their perspective. Let your child know how important they are to you and how you only wish them health, happiness and success in their future, all the things drugs can and will destroy. Research tells us that teens who feel supported and loved are more likely to stop experimenting with drugs or seek help if they have an addiction.

    You can make a difference in your child’s life and there is support out there to help your family get through this. There is no guarantee your child will never use drugs just because you’re a loving and present parent, however, you will be able to reduce the possibility of your child experimenting with drugs, possibility leading to addiction.

    There are many programs available and while it can be overwhelming to figure out which one is right for your child, there is help to navigate through these uncharted and choppy waters. Organizations such as HelpYourTeenNow, an advocacy group, is dedicated to helping parents understand which form of treatment is best for their child, free of charge.

    Preventing the Problem

    So, how can you prevent your kids from getting into trouble with drugs or alcohol?

    Believe it, or not…your presence alone goes a long way. Let your child know you care. Be present in their life and make an effort to know who your child is hanging out with. This will enable you to feel comfortable with their choice of friends or be able to recognize when there may be a concern.

    Then…talk, talk, talk. Talk to your kids about drugs, even if you’re convinced they aren’t using them. While they may roll their eyes or consider you a clueless parent, there could be important information you offer they may not have been aware of.

    Finally, create a plan of action in case your child is ever put in an uncomfortable situation where drugs may be present. Whether it’s texting or calling with a code word, let them know you are available to pick them up no matter what time or where, no questions asked. Parents! Stop pretending drugs aren’t an issue. Kids are getting high right now, in your community,and possibly right in your home.

    Face the Music

    Parents, it’s time to wake up.

    The statistics don’t lie. Your child is at risk for using drugs. It’s very scary indeed but you have to face reality. “No, not my child”, isn’t going to cut it. While your child may be sweet and honest and immature, s/he is facing a new world. There’s peer pressure, curiosity, an escape from something happening in their lives…. and many other reasons your child could be dabbling into the world of drugs.

    This article isn’t to frighten you, but rather to educate you, and perhaps save your child’s life. The youth of today feel they are untouchable and don’t have much worry about the long-term damage drugs can have on their bodies. Talk to your kids. Talk to other parents.

    Finally, know that there is support.

    View the original article at addictionblog.org

  • Addiction and Child Custody Laws in Texas

    Addiction and Child Custody Laws in Texas

    ARTICLE OVERVIEW: Parenting and drug use never go together. In Texas, family laws consider drug use a type of “child abuse”. What can you do if you have an addiction problem? A review of Texas child custody laws here.

    TABLE OF CONTENTS:

    “The Best Interest of the Child” Policy

    Under Texas Family Code § 153.002, all Texas courts are guided by the best interests of the child principle when deciding child custody and visitation orders. [1] That means that Texas courts aim to make an order that best serves the physical, mental, and emotional needs of a child. But how do judges make decisions about child custody?

    The decision on where to place a child for their best interest takes into account many variables. Some factors used to determine rulings on child custody cases include, but are not limited to:

    A child’s preference when s/he is at least 10 years old.
    A history of abusive or assaultive behavior by the child’s family.
    Each parent’s future plans for the child.
    Parental history of substance abuse.
    The ability of each parent to care for the child.
    The child’s age and physical and mental vulnerabilities.
    The environment and stability of each parent’s home.
    The parents’ plan for caring for the child.
    The physical, emotional, and mental needs of the child.

    Also, when deciding parenting plans, courts follow Texas public policy. The goal is to provide a safe, stable and nonviolent environment. But the state also wants to keep both parents in the life of the child. Where possible, courts want to encourage parents to share rights and responsibilities of raising the child. Another thing worth mentioning is that Texas courts will not consider the marital status or the sex of the parents when deciding parenting plans.

    Supervising Courts

    In Texas, there are hundreds of courts that operate in the state. Each has a different jurisdiction. Jurisdiction is based on location, topic, and offense severity. Some courts overlap each other, making the whole  system complex and confusing.

    At the highest level is the Texas Supreme Court which handles civil matters. Then, the Texas Court of Criminal Appeals handles criminal matters. On the next level are the 14 Courts of Appeal. They, too, have appellate jurisdiction.

    The major trial courts in Texas are called “district courts”. They are responsible for civil and criminal cases. Some district courts specialize in a particular type of case, such as juvenile or family law. But there are also county courts, statutory probate courts, justice of the peace courts, and municipal courts. While these have limited jurisdiction, any one of these courts may be involved in a child custody case. [2]

    Family law matters, including divorces and child custody cases are generally handled by the district courts. In most counties, a divorce case is filed through the District Clerk’s office. However, there are also child support specialty courts, and specialty child protection courts in Texas. [3] Moreover, the Office of the Attorney General is the official child support enforcement agency for Texas. It provides services in establishing and enforcing child support. [4]

    Laws

    All Texas child custody laws comply with the Uniform Child Custody Act, whose aim is to minimize custody disputes that involve more than one state. [5] The Family Code and Health & Safety Code are the two main Texas codes for child custody and drug engendered children, respectively. What other laws exist in Texas that outline child custody guidelines?

    We’ve gathered a list of the most important laws and chapters of those laws concerning child custody in Texas. It should be noted that this list is not extensive and is not intended to provide legal advice. For detailed explanation on any legal matter, you should consult an attorney.

    Family Code § 263.307(b) This section list the factors that should be considered in determining whether the child’s parents are willing and able to provide the child with a safe environment. [6]

    Family Code § 263.307(a), (c) This section provides guidelines that should be considered by the court in determining whether to adopt the permanency plan submitted by the Texas Department of Family and Protective Services. [7]

    Family Code § 261.001 This Chapter defines investigation of report of child abuse or neglect. It also defines the terms “abuse” and “born addicted to alcohol or a controlled substance”. [8]

    Health & Safety Code § 468.102 A chapter that regulates how The Department of Family and Protective Services should protect a drug-endangered child “exposed to methamphetamine or to chemicals and other hazardous materials used in the illicit manufacture of methamphetamine.” [9]

    Health & Safety Code § 468.103 A chapter that defines how the Department of Public Safety of the State of Texas and each local law enforcement agency shall report on discovering the presence of a child in a location where methamphetamine is manufactured. [10]

    Types of Custody

    In Texas, laws refer to child custody as “conservatorship”. Conservatorship outlines the rights and duties parents have towards children. Conservatorship includes important decisions like education or medical treatment, among many other things. The parent with court ordered custody is called a “conservator”. There are two types of conservatorship in Texas:

    Sole Managing Conservatorship where only one parent has the right to make all the decisions for the child.

    Joint Managing Conservatorship where both parents make decisions together.

    Texas law encourages joint custody whenever possible. It is considered that it is in the best interest of the child to have both parents live near one another and make decisions together. [11]

    “Proof” of Drug or Alcohol Use

    Using a controlled substance that impairs a caregiver’s ability to adequately care for a child is considered “child abuse” or “neglect” in Texas. In child custody cases, parents may file a motion seeking to have the other parent tested for drugs. However, the court will need some proof that a drug test is needed. The proof that the court can take into consideration includes:

    • Criminal records
    • Medical reports
    • Records from social welfare agencies
    • Third party eye witnesses

    The court is not obliged to grant the motion if there is not enough evidence provided. But, most courts will grant a motion for drug testing, usually a urine drug test, because that is in the best interest of the child. If the parent suspected of drug or alcohol use wants to oppose this, s/he needs to file counter motion and lists reasons why drug testing is not necessary. Also, if the court suspects one or both parents are using drugs, it can order a drug test as part of its child custody evaluation.

    Visitation Rights

    Texas does not use the term “visitation” ; instead Texas law outlines the practice of “possession and access”. Possession and access refers to physical custody of children and when a parent can visit the children. Usually, the child will live with one parent while the other will have visitation rights. How is possession and access arranged in Texas?

    If you and the other parent agree, you can create a schedule or an informal parenting plan. If you can’t agree, the court will develop a plan based on the best interest of the child. The visitation plan needs to be fair. Both parents should agree to it. The court’s possession order will indicate when each parent has the right to be with the child. A typical visitation schedule might include alternate weekends, alternate holidays, and vacation time.

    There are several types of possession orders in Texas. We list the most common four types of possession and access setups here.

    1. Standard Possession Order. This type of order designates who gets the kids and on what weekends. The parent with visitation rights can visit the child on the first Friday of the month, followed by the third and fifth Fridays of the same month. Access usually ends on the Sunday of the same week at 6:00 p.m. Every Thursday evening, the parent can visit the child between 6:00 p.m. and 8:00 p.m.
    2. Modified Possession Orders. If there’s been a change in circumstances, a parent may want to pursue a modification of the original possession order. However, there are certain elements that must be met to modify a standard possession order. These modifications will be considered on a case-by-case basis.
    3. Possession Orders for a Child Under 3. If a child is under three, parents may still agree to use the Standard Possession Order. Or they may agree to use a different possession schedule. If they are unable to agree on a schedule, the judge will make an order based on all relevant factors, like those listed in Texas Family Code Section 153.254. [12]
    4. Supervised Possession Orders. When a parent is supervised by a neutral third party, the other parent or designated professionals must be present when s/he is visiting the child. In cases of severe parental alienation, substance abuse disorder, mental or physical abuse, neglect or mental illness the court may order limited or supervised visitation.

    Whatever your current situation it is important to remember that custody and visitation are never considered “final”. As situations change, you can come back to court to request changes. So, if you’re struggling with addiction, just know that your access to your kids may be limited now…but that can change. The idea is that as you show signs of healthier living, judges and courts can adapt new possession orders.

    What Happens If I Test Positive?

    If you are actively using drugs or alcohol and you fail a court ordered drug test, the court takes the drug test very seriously. In fact, it will be a major factor in influencing the court’s decision on visitation and custody, especially if you have a young child or a child with special needs. You may lose all visitation rights or you may get only supervised visitation.

    Repeated positive drug or alcohol tests may end in termination of visitation rights in Texas.

    The Texas legal system prioritizes the child’s best interest. Judges will be very cautious when granting custody to a parent who uses drugs. That is because substance abuse:

    • Exposes the child to illegal drugs.
    • Increases the risk of neglect.
    • Indicates an unhealthy environment.

    In these cases, a parent with and addiction problem may be referred to rehab, counseling, or parent classes. Have in mind that a positive drug test doesn’t automatically mean losing your parental rights. Your willingness to change and work towards that goal will make all the difference.

    Can Someone Subpoena My Records from Rehab

    In principle, your medical and health records are private. The federal Health Insurance Portability and Accountability law and the Texas Medical Records Privacy Act serve to help you protect your personal health information.

    However, Texas courts have held that the privilege to privacy in medical records is not absolute in custody cases. In cases of neglect, abuse or domestic violence the court may order disclosure of rehab records for the purposes of the custody case only. Since parental substance abuse is considered child abuse in Texas, you should be aware that your medical records may be disclosed and used against you.

    What laws protect your privacy in the Lone Star State?

    HIPAA is a federal law designed to provide privacy standards to protect patients’ medical records and other health information provided to health plans, doctors, hospitals and other health care providers. [13]

    Texas Medical Records Privacy Act requires “certain persons and entities including health care providers, health plans and entities that process health insurance claims to take certain measures with respect to protected health information…” [14] This law that provides more protection for patient privacy than is provided under HIPAA. The Act adopts the basic tenets of the HIPAA Privacy Standards and provides additional protections for Texans in some areas where HIPAA has left gaps. In most cases, the act prohibits using or disclosing health information without first obtaining an individual’s consent.

     

    How to Be Reunited with My Kids?

    It is very simple.  You just have to show willingness to change. Then, comply with the court’s orders.

    As mentioned above, Texas’ public policy is to encourage parents to share custody. The state government wants both parents be present in the child’s life. So, if the judge grants a drug test motion, you should comply with the order and submit to the drug test. If the judge refers you to rehab, you should comply with that order, too.

    While in rehab you may be granted supervised visitation, or your visitation rights may be completely suspended. It will depend on your specific case.

    If you successfully complete a treatment program and are actively participating in an ongoing recovery, it is very likely that the court will reverse its decision. In contrast, failing to comply with a court order could result in permanent termination of parental rights.

    American Addiction Centers is a leading provider of inpatient and outpatient addiction treatment services. In fact, we have a treatment center in Texas. We offer same-day admissions and arrange transportation. Call our free and confidential helpline to explore your treatment options today. You want to be with your kids. Get better with treatment. Call us to get started.

    What Happens When I Finish Rehab?

    If you have lost custody of your children because of a drug problem, you can file a motion to get your custody back. But, the court will want to be sure that issues have been resolved before they consider returning the children to your care. When will your kids be back in your care?

    How long it takes to be reunited with your children will depend on you. If you commit to maintaining a drug-free lifestyle, you’ll need to show proof over time. You’ll need to have and maintain a stable home and job. Then, you’ll need to provide evidence that you have mental, emotional, and financial stability. Finally, the court may evaluate your case and modify the custody or the visitation order.

    Finishing rehab is only the first step in getting your kids back during a custody battle that involves drug or alcohol use. You still have a long road ahead of you. You’ll need to adjust to day-to-day life without using. This is why it is very important that you have an aftercare treatment plan developed that will keep you motivated to stay clean and sober. Aftercare usually includes a combination of counseling, support groups, or a stay in a sober home.

    Yes, addiction is a disease,. The good news is that it can be treated and managed. It just takes time, proper treatment and motivation. Being a parent your children deserve is the best motivation. Change is possible. Call us today to learn how American Addiction Centers can help. Our admissions navigators are ready to talk with you 24-7, day or night. We’re waiting for your call.

    Where to Find Rehab?

    Finding a good rehab program that fits your needs may seem difficult, but there numerous treatment options in Texas. Where can you find a reputable rehab?

    SAMHSA’s National Helpline – 1-800-662-HELP (4357)

    SAMHSA’s Treatment Locator

    Texas Department of State Health Services – Find Substance Abuse Services

    CALL OUR HOTLINE

    Don’t wait another day. Seeking treatment is not a sign of weakness. Think about your children and how your recovery will affect their lives in the long run. Every child deserves healthy and productive parents. Ask for help today!

    When to Get Legal Help

    Child custody and visitation rights issues can be emotionally demanding and legally complex. But, an experienced child custody lawyer can help you determine your best course of action, provide legal guidance, and represent your best interests in court. Here’s some useful links where you can search legal help:

    Texas Access and Visitation Hotline (866)-292-4636, Monday – Friday, 1–7 p.m.

    Legal Help Finder

    CPS Family Helpline 1-844-888-6565, Monday through Friday from 9:00 AM to 6:00 PM. 

    Texas Advocacy Project – Legal Phone Lines

    Your Questions

    We hope to have covered the topic of legal custody in Texas and to have answered your questions. But we know that you probably want to talk personally. Please feel free to call us day or night. Or, leave a questions in the comments below. We try to respond to all real life questions personally. And if we can’t answer your questions, we’ll refer you to someone who can help.

    Reference Sources: [1] Texas Constitution and Statutes: Texas Family Code
    [2] Texas Judicial Branch: About Texas Courts: Court Structure Chart
    [3] Texas Judicial Branch: About Texas Courts: SPECIALTY COURTS
    [4] Ken Paxton Attorney General of Texas
    [5] U.S. Department of Justice: The Uniform Child Custody Jurisdiction and Enforcement Act
    [6] Texas Statutes: Texas Family Code
    [7] Texas Statutes: Texas Family Code
    [8] Texas Statutes: Texas Family Code
    [9] Texas Statutes: Health & Safety Code
    [10] Texas Statutes: Health & Safety Code
    [11] Texas Statutes: Texas Family Code
    [12] Texas Statutes: Texas Family Code
    [13] HHS: Summary of the HIPAA Security Rule
    [14] OFFICE OF THE TEXAS ATTORNEY GENERAL: TEXAS MEDICAL RECORDS PRIVACY ACT ANNUAL REPORT
    Texas Statutes: Health and Safety Code: Medical Record Privacy
    American Addiction Centers

    View the original article at addictionblog.org

  • The Child Welfare System and Addiction in Nevada

    The Child Welfare System and Addiction in Nevada

    ARTICLE OVERVIEW: This article provides an overview of child welfare systems in Nevada. It explains what happens when abuse or neglect are reported in combination with substance use. Review how the process is directed by the NV State Child Welfare Agency. Plus, learn about state laws that protect children. More below.

    TABLE OF CONTENTS:

    Why Did They Take My Child?

    If you are using drugs or drinking while your kids are in your care, the State of Nevada can find you “unfit” to properly care for your child. Being under the influence of drugs or alcohol can mean that you cannot provide proper:

    • Care
    • Control
    • Supervision

    Further, parents who are high or drunk have problems providing adequate food, education, shelter, medical care, or other care a child needs for his/her well-being. This is considered child neglect.

    Child Protective Services, or CPS, is a state run agency set up through law. The Nevada Revised Statutes, Chapter 432B outlines CPS duties. Mainly, the Nevada State CPS is in charge of investigating reports of suspected child abuse and neglect.

    If it’s determined that you’ve been using drugs or drinking in the presence of your children, you could lose legal custody of your kids. They might be placed in foster care or even adopted by another family. [1]

    You need to know what to expect and what steps to take if you’re are involved in a child protective service case. Using drugs or drinking doesn’t mean you’re a bad person, it just means you need professional help. Reach out and let us help you. We can discus treatment options together.  Call us today and be connected with American Addiction Centers. Or, continue reading to learn more about the procedure of the Child Welfare system in Nevada.

    Who Has Reported Me?

    Anyone in the state of Nevada can report a parent to the local child welfare agency or to the police. If you suspect that a parent neglecting is drinking or using drugs, your call can help a child. The identity of the person making the report is kept confidential. NRS 432B.260 does not allow the child welfare agency to release the name of the person who reported the abuse and neglect concerns. [3]

    1. Nevada’s CPS hotlines:

    • Clark County: 1-702- 399-0081
    • Washoe County: 1-755-784-8600
    • All other counties: 1-800-992-5757

    2. Childhelp USA National Child Abuse Hotline: 1-800-422-4453

    3. Your local police department

    In the State of Nevada, there are professionals who are obligated by the State law NRS432B.220 to report their suspicions. [2] Mandated reporters are required to make a report immediately to a CPS or law enforcement agency. A report must be made within 24 hours after there is a reason to believe that a child has been abused or neglected. There are penalties for mandated reporters when a report is not received within the time limit NRS 432B.240. [4] Mandatory reporters include:

    • Athletic trainer
    • Attorneys, under certain circumstances
    • Christian Science practitioner
    • Counselors, therapists, and other mental health
    • Foster care and child care employees
    • Hospital administration and personnel
    • Law enforcement officers
    • Medical examiners or coroners
    • Members of the clergy ,religious healers
    • Optometrist
    • Persons who maintain youth shelters or foster homes
    • Physicians, nurses, and other health-care workers
    • Probation officers
    • Schools employees
    • Social workers
    • Volunteer referral abuse service

    What Happens When I’m Reported?

    STEP 1. Intake. Intake is the first stage of the child protective service process and is one of the most important decision-making points in the child protection system. It is the point at which reports of suspected child abuse and neglect are received. Information gathered by caseworkers is used to make decisions regarding safety, risk, and the type of CPS response required. Referrals in Nevada are accepted from all sources, and each report is treated as a potential case of child maltreatment.

    STEP 2. Investigation. Upon receiving a referral, the intake worker attempts to gather as much information as possible about each family member, the family as a whole, and the nature, extent and severity, of the alleged child maltreatment. Once the initial intake information is collected, the caseworker conducts a check of agency records and the Central Registry to determine any past reports or contact with the family. Then, the caseworkers must collect and analyze the information and determine if it meets the criteria outlined in Statute regarding the definition of child abuse and neglect and the requirements for response.

    STEP 3. Prioritization and Response. Nevada State CPS prioritizes the investigation response time based on a number of factors including the nature of the allegations and the age of the child. The response times are either immediate, within 24 hours, 48 hours, 72 hours, or 10 days. The average response time for CPS agencies in Nevada is at the 90th percentile level.

    STEP 4. Case Determination. Upon completion of the investigation of a report of abuse or neglect, a determination of the case findings are made based on whether there is reasonable cause to believe that a child is abused or neglected or threatened with abuse or neglect. The case manager will assess whether the child is safe or unsafe, and if the child or family is in need of services. S/he will review what changes need to happen for the child to be safe at home. If the case manager determines that abuse or neglect did not occur, the report is “unsubstantiated.” If the case manager determines that abuse or neglect has occurred, the report is “substantiated.” You have the right to appeal a substantiation. [5]

    What Happens Next?

    Within 45 days of beginning the assessment, the case manager must decide if abuse or neglect has occurred. If the case manager finds that your child is unsafe, the case manager will work with you to establish a safety plan and services will be provided to assist in reducing any safety threats that exist. If a safety plan cannot be made, the case manager will talk with your family to:

    • Find a temporary safe place for your child to stay with relatives.
    • Place your child in foster care.
    • Arrange for you to see your child.
    • Arrange services for your child and family.

    In certain situations, your child may be placed outside of your care without your permission. A protective custody court hearing must be held within 72 hours excluding weekends and holidays from the time the decision was made to remove your child. You will be notified of the date, time, and location of the hearing. You must attend the hearing. At the hearing, the court decides whether your child can safely be returned to your care until the next court hearing. You will be informed of your rights at this hearing. [6]

    Child Welfare Laws

    There are federal requirements for each state to have laws about reporting and investigating child abuse and neglect, as mandated by the Child Abuse Prevention and Treatment Act. The laws in Nevada that protect children and incorporate the federal mandates can be found under Nevada Revised Statutes, Chapter 432B. Here’s a basic review of main federal and state laws regarding child protection.

    1. Child Abuse Prevention and Treatment Act,CAPTA. This is the key federal legislation addressing child abuse and neglect. [7]

    2. Protection of Children From Abuse and Neglect – CHAPTER 432B. This Law defines child abuse and neglect for NV State. The law authorizes child protection and law enforcement agencies to investigate reports of alleged child abuse and neglect. Parental substance abuse is considered neglect. The statute also outlines who is obligated to report child abuse and neglect. [8]

    3. NRS 128.106 (d) Specific considerations in determining neglect by or unfitness of parent. This law states that in determining neglect by or unfitness of a parent, the court shall consider, without limitation, the following conditions which may diminish suitability as a parent: Excessive use of intoxicating liquors, controlled substances or dangerous drugs which renders the parent consistently unable to care for the child. [9]

    The Courts that are In Charge?

    Family matters in Nevada are resolved under the jurisdiction of the District Courts. Only Clark County has a specific Family Court Division. The Family Court helps people with divorce, annulment, child custody, visitation rights, child support, spousal support, community property division, name changes, adoption, and abuse and neglect. [10]

    The Supreme Court is the state’s highest court and its primary responsibility is to review and rule on appeals from District Court cases. The court does not conduct fact-finding trials, but it rather determines if legal or procedural errors were committed during the case. The Supreme Court assigns one-third of all submitted cases to the Nevada Court of Appeals. [11]

    What Happens to Parents?

    If CPS’s case worker decides that a child has been neglected because of parental substance abuse, s/he will work with the parent to establish a safety plan. Services like rehab and counseling will be probably provided in order to reduce the harm caused to the child. If the parent doesn’t want services, but the child is unsafe, the case worker may ask the court to order that the parent takes part in a treatment program. It is very important for the parent to be involved in the discussion with the case worker.

    What Happens to Children?

    Depending on the severity of the case, children may remain at home or be removed into foster care.

    In low-risk cases, children may remain in their own homes with their families. In these cases, families may receive in-home services and supports. This usually includes a combination of parent education, safety planning, counseling, and more. Families may also be connected with community services such as therapy, parent training, and support groups.

    Most children in foster care are placed with relatives or foster families, but some may be placed in a group or residential setting. While a child is in foster care, he or she attends school and should receive medical care and other services as needed. Visits between parents and their children and between siblings are encouraged and supported, following a set plan. [12]

    What Happens if I Drink or Use?

    The goal of the NV State Child Welfare System is to reunite child with parents. But if you drink or use drugs, you need to go through  rehabilitation to make it possible. You must follow the Nevada court’s orders. This means that you’ll need to actively participate in counseling. Plus, you’ll need to make other lifestyle changes so that your child can live with you safely.

    If the judge sees that you have continued to drink or use drugs and made no real effort toward reunification with your child and s/he might order that your parental rights be terminated. When this happens, the child is placed for adoption or with a legal guardian, possibly a family member.

    While foster care is defined as temporary placement of the children until you get better, the termination of parental rights in permanent.

    So why risk it?

    Your children need you. And you deserve a better life. You can live a life without drugs or alcohol. A good treatment program can change your life forever. Are you ready to do what’s best for your family? Call us to learn more about your rehab options in the Silver State. Our admissions navigators are available day and night to talk with you. We can walk you through the process of change. You can do it!

    Can I Get My Child Back?

    Yes. About 3 in 5 children in foster care return home to their parents or other family members. However, before your children come home, the Nevada child welfare agency and court must be certain that:

    • You can keep your children safe.
    • You can meet your children’s needs.
    • You are prepared to be a parent.

    Being involved with the child welfare system can give your family support and a chance to be stronger than before. By fully participating in your case plan and the services it includes, you can strengthen your skills to become the best parent that you can be for your children. [13]

    Your Questions

    Got any questions?

    If you still have question and concerns about the child welfare system in Nevada, please post your comments in the section below. You can also find more information about the child welfare system in Nevada here.

    Reference Source: [1] Nevada Revised Statutes: CHAPTER 432B- PROTECTION OF CHILDREN FROM ABUSE AND NEGLECT
    [2] Nevada Revised Statutes: CHAPTER 432B- PROTECTION OF CHILDREN FROM ABUSE AND NEGLECT
    [3] Nevada Revised Statutes: CHAPTER 432B- PROTECTION OF CHILDREN FROM ABUSE AND NEGLECT
    [4] Nevada Revised Statutes: CHAPTER 432B- PROTECTION OF CHILDREN FROM ABUSE AND NEGLECT
    [5] Nevada Department of Health & Human Services: Division of Child & Family Services
    [6] Nevada Department of Health & Human Services: DCFS: Parents Guide to CPS
    [7] Child Abuse Prevention and Treatment Act (CAPTA)
    [8] Nevada Revised Statutes: CHAPTER 432B- PROTECTION OF CHILDREN FROM ABUSE AND NEGLECT
    [9] Nevada Revised Statutes: CHAPTER 128 – TERMINATION OF PARENTAL RIGHTS: Specific considerations in determining neglect by or unfitness of parent.
    [10] Eight Judicial District Court, Clark County Nevada: Family Courts
    [11] Nevada Judiciary: About the Nevada Judiciary
    [12] Child Welfare Information Gateway: How the Child Welfare System Works
    [13] Child Welfare: Reunification
    Nevada Department of Health & Human Services: DCFS: Nevada Child Abuse and Neglect Allegation Definitions

    View the original article at addictionblog.org

  • How To Party Without Mixing Alcohol And Drugs

    How To Party Without Mixing Alcohol And Drugs

    ARTICLE SUMMARY: Are you a young person in early recovery? Take note! You need to know when to avoid a party. But when you’re ready to hit the scene, practice these refusal lines. More here.

    TABLE OF CONTENTS

     

    Night Life in Addiction Recovery

    Leaving old habits behind might be challenging and tricky. If you used to mix alcohol with drugs, it can be really uncomfortable to go out again. Can night life ever really be the same? If you’re in recovery, you actually might want to pass it up for a while.

    Why?

    Being near the scene can be dangerous. Just exposing yourself to triggers can lead you to relapse. If you are in treatment, it’s highly advisable you stay away from direct triggers. Sounds. Smells. Images. These are the things that can jeopardize the effort and progress on your road to reaching and maintaining sobriety.

    So how do you party when in recovery? Is it possible to have a good time without the influence of drugs and/or alcohol?

    Of course you can.  Keep reading further to find out how to protect yourself when the environment and people around you act as a temptation. Plus, read about alternative fun activities that do not include the use of alcohol and drugs. All your questions and/or personal experiences about partying without mixing alcohol and drugs are welcomed at the end.

    Can I Party In Drug And Alcohol Addiction Recovery?

    Absolutely!

    Recovery programs exist to teach addicts that sobriety is not boring! On the contrary, recovery opens up a lot of new opportunities. You just need to learn and practice some alternatives to bring you fun and joy without exposing yourself to danger.

    Q: Who should refrain from partying?
    A: If going out endangers your recovery, maybe you should stay home.

    At least for now.

    Why?

    Common Triggers

    When you make a decision to quit mind-altering drugs, some situations are just not healthy. Seeing a set of friends who look like they are having fun. Or, hearing the sound a lighter hit glass. Or, listening to that song that brings back nostalgia and a desire to get high.

    These are all triggers that might set off a desire for you to reach out for drugs and alcohol again.

    Theoretically, there are two types of triggers:

    1. Internal triggers, which usually manifest themselves as negative feelings.
    2. External triggers, that include people, places, things, and situations that provoke you to get back to your old substance abusive behaviors after a period of abstinence.

    When you are in early addiction recovery, you’ve just started developing a sober lifestyle. You aren’t quite used to feeling subtler emotions. We who are in recovery have all been through it.  You’re used to getting high…and dealing with the lows. But, we just don’t have healthy habits ingrained into our brain pattern yet.

    So, it’s best to avoid:

    1. Parties at clubs where you used to drink alcohol or use drugs.
    2. Acquaintances that still drink and take drugs.
    3. Visiting places while you are in an emotional period where drugs and alcohol are expected to be present.

    In fact, a night out can be super confusing. While it can be a learning experience, you need to be in a really stable place in early recovery. This is because hitting the night life can make you feel vulnerable. It might even lower your enthusiasm for change, or impact your self-esteem…both of which eventually may increase the possibility of relapse.

    The Cycle of Craving

    So, here’s a little deeper explanation into why you might want to wait. I’m not suggesting that you not have fun. I’m just saying that changing the way you have fun can be worth it.

    Addiction triggers involve high-risk situations. They are viewed as stressors that spark a thought, feeling, or action which makes you desire drugs/alcohol over and over again. When a trigger strikes in you get a sudden and unexpected urge to use again, it’s called a “craving”. In short, addiction triggers usually lead you to cravings and cravings stimulate your urges to use.

    This is why one of the main focuses of rehab is to teach you to become more aware of your specific triggers. Once you identify the trigger, you can learn how to control the sequence of events. Perhaps you can avoid the trigger totally. Or, you can learn how to change your related thought pattern. Or, maybe you intervene on the behavior-level.

    This is possible only through education. If you learn successful craving or coping management skills, you’ll necessarily learn techniques for fighting craving in recovery.

    Refusing an Offer

    Learning to say NO takes a little practice. Relapse prevention tips and refusal lines are taught during every addiction treatment program. But we’ve noticed that you need to actually practice these lines BEFORE you’re in a tight spot. Here are some suggestions about what you can say/do in different situations.

    1. First, go to events where there are no drugs and alcohol.

    2. Second, connect with friends who support your decision not to use drugs. Ask for support from these friends when others become pushy in their offerings.

    3. When in a problematic situation, make an excuse to leave. Just get out of there.

    When you are offered with drugs or alcohol, use definitive refusal lines such as:

    • I’m good.
    • No, thank you.
    • I can’t.
    • I have some medical issues right now.
    • I pass.

    I made the mistake in early recovery of trying to “explain it all”. No one who’s using wants to hear why you’re not using. They just want you to join them so that they can feel less alone.

    So, the bottom line is that you don’t feel like you need to explain yourself. No one needs to “get it.” They probably don’t want to.

    Alt Partying

    The sober community has many members. Most of us know what it’s like to wake up the next morning, blacked out. But just because we’re not using doesn’t mean that we’ve lost the will to have fun. Recovery is about building a new life, one that drugging and drinking parties are not a part of any more.

    If you want an alternative way to party, think about hosting your friends at your house. You can be the host of a sober party. You don’t need to socialize with just people in recovery. But make sure people know that substances are off limits.

    Some people like board games. Other people just party around food and music. Still others meet and then go to an event together. Whatever. Just get some people together and find something you all like to do. Talk to people at the party and connect. That’s more than a party; that’s creating a community.

    Or, find hobbies that don’t involve alcohol/drugs but are still entertaining such as: table sports, darts, card games, going to the zoo, or to the movies. Dancing is one of most recommended ways lifting your mood.

    Finally, be prepared. If you’re going to an event where psychoactive substance will be present…resolve to:

    • Choose mocktails instead of cocktails.
    • Use your refusal lines.
    • Plan an escape if temptations gets too great.

    Your Questions

    At some point, mixing alcohol and drugs gets old. It leads you down that same dead end.

    But maybe you have questions about what you’ve just read. Maybe you have an experience to share? Feel free to leave your comments below. Me and my team will make sure to get back to you with a personal and prompt response.

    Reference sources: Dr. Chad Coren: TRIGGERS OF ADDICTION
    Girl’s Health: Ways to say “no” to drugs
    NIH: Building your drink refusal skills

    View the original article at addictionblog.org

  • Traveling and Planning for Rehab in Rhode Island

    Traveling and Planning for Rehab in Rhode Island

    ARTICLE OVERVIEW: Traveling for rehab is a personal choice. There are pros and cons. What are the unique benefits of traveling for rehab to Rhode Island? We review here.

    TABLE OF CONTENTS:

    Why Travel for Rehab

    Finding a rehab that fits your personal needs might require that you move from your home state. In fact, completely changing completely your environment to break free from addiction can help you a lot! First of all, you’ll avoid triggers more easily. You’ll be far from dealers, bars,or people that you were using with. Plus, you’ll avoid the things that remind you of addiction.

    Second, traveling to Rhode Island can make you more committed to your recovery. You’ll necessarily put your life on hold. A new environment can push you more quickly towards the “new you”.

    But why Rhode Island, particular?

    A stay in a good rehab can help you focus 100% on your recovery. Programs like those operated by American Addiction Centers provide 24/7 medical care along with talk therapy. Plus, you will be able to uncover the underlying issues behind addiction. Educational sessions on addiction can help you understand how this disease works. Finally, you will get the chance to rebuild your social and family relationships.

    Traveling to another state can be expensive, but there are many ways cut expenses. What you need is to plan ahead. This article can help you set a budget to anticipate the real cost of living in Rhode Island. More here on cost of living,  types of accommodations, and what can you expect when you sign up for rehab in RI.

     

    PROs and CONs

    Whenever you’re traveling for treatment, you should always consider the good and the bad. Be sure that the treatment center sets up customized treatment plans and uses evidence-based therapy. Here, we offer you some more practical PROs and CONs to consider if you’re planning to travel to Rhode Island for rehab.

    PRO #1. Change in scene. Distancing yourself from your everyday routine can help you see life more objectively. Without distractions, you can go deeper. Moving away from your triggers can be crucial when going through treatment. A new environment can help keep you on track, which essential in the recovery process.

    PRO #2. Increased dedication. Rehab is voluntary. But, the fact that you have traveled for miles to get into a treatment center will increase your sense of responsibility and commitment.  Basically, an out of state rehab can give you a positive attitude towards treatment.

    PRO #3. Privacy and confidentiality. Are you worried about being judged or facing professional issues if someone finds out you went to rehab? Being away in Rhode Island for rehab will make it less likely to be recognized and will guarantee your privacy. Plus, it may be easier to open up about your problems in front of strangers. Meeting new people with similar experiences can help you feel supported.

    PRO #4. A fresh start. The goal of rehab is to start over. Rhode Island can be a great place to begin a new way of living. Traveling for rehab means you’re giving yourself the chance to start a new life and rediscover yourself.

    CON #1. Distance from family. Addiction recovery is difficult. Many people need the support of their loved ones to get through. In fact, when family members are involved in the process, the rates of dropping out of treatment decrease significantly. However, recovery is an internal process. Distance from family can be a good thing.

    CON #2. Fear of the unfamiliar. Getting sober means facing your fears and overcoming your fears. Fear of getting better, fear of the unknown, fear of letting go of old destructive habits, fear of change. But, you mustn’t let fear stand on your way. Once you face your fears you’ll feel liberated and more confident. Learn more about the programs available in various substance abuse treatment centers in Rhode Island. Get in touch with people who succeeded. You can do it.

    CON #3. Cost. Transportation, accommodation, or the cost of other basic necessities can hit your pocket. But, if you weigh your options you can see that there is nothing more important than investing in your health and future. We’ve outlined the main costs of traveling to Rhode Island outlined below. Also, there are treatment centers that include travel expenses in the cost of treatment. Call us now so we can discuss treatment options. We offer a 90-day guarantee. This way, you can be assured of successful outcomes.

    CON #4. Legal issues. Certain legal restrictions may complicate going to rehab in another state. However, with the help of your lawyer, you may ask the drug courts and the judges to authorize your traveling for rehab to Rhode Island.

    Visiting a Loved One in Rehab

    Visiting a loved one in Rhode Island rehab can be more than welcomed. Support is one of the most important things for someone going through rehab. But, you should know what to expect and prepare yourself for the visit. Usually, rehabs organize visits after 2-3 weeks of residency. Visits may be limited to weekends or weekday afternoons. Take the invitation, even if it’s just once. Your visit may mean the world to your loved one.

    But keep your visit positive and directed on good mental health. If you can’t think of anything positive to say, just stick to small talk like sports, news, and the weather. Or, give them praise. Keep in mind that rehab is a difficult time for them and they need a little bit of encouragement that they get can go a long way.

    Then, check the rehab’s visiting policy. Residential treatment centers are very strict with visiting policies. Make sure you always arrive on time and follow the process. These rules are made to help your loved ones get better, so try to respect them.

     

    Finally, plan to meet with staff. They are important part of your loved one’s treatment plan and recovery progress. Rehab staff usually have a lot to share with you. They can give you advice going forward, because they know what is really happening. Also, they are seeing your loved ones for who they really are and they can help you understand them a little bit more.

    What NOT to do?

    1. Never get into big discussions. Leave the family drama at home. Treatment is about breaking the chains of addiction, not about discussion something negative. These talks won’t help the recovery process. In fact, they could add extra anxiety.

    2. Never discuss the cost of treatment. Rehab costs money. This is not a secret to keep, but reminding your loved one how much they’ve spent, it may trigger unwanted feelings including guilt and shame.

    3. Never discuss weight. People who are in treatment usually gain weight. But discussing their figure may raise embarrassment which can lead to negative reactions.

    4. No jokes, nor sarcasm. During the stay at rehab, most people are sensitive and emotional. Usually, they have question how they ended there. So, making jokes or giving sarcastic comments is not an option. Instead, show support and encouragement about their progress.

    5. Avoid talk about the future. The idea behind the recovery is to teach you to ‘live in the moment’, day to day, one day at a time. Making plans about the future can create a lot of pressure for your loved one.

    Travel to and from Rhode Island

    There are several ways you can travel to get to Rhode Island form anywhere in the country. Depending on where you live you can choose to go either by car, by bus or by plane.

    Car: If you want to know how much a trip to by car Rhode Island will cost, you can check AAA’s calculator for more information. It calculates and compares gas prices depending on where you are in the country.

    Bus: You can choose from several bus companies that offer services. Book tickets and check schedules on the Greyhound bus schedule.

    Train: Trains can be fun. There are different options you can choose. For more information on prices, routes and scheduling check Amtrak.

    Airplane: Airplane prices may vary depending on whether or not you are flying during a low or high season. For example, you can expect prices to be much more expensive during the holidays or weekends. All of the following prices for plane tickets are based on round trip searches made in 2019:

    New York ↔ Providence RI: $240
    Chicago IL↔ Providence RI: $150
    Los Angeles CA ↔ Providence RI: $300
    Tampa FL ↔ Providence RI: $270
    Las Vegas NV ↔Providence RI: $290
    Atlanta GA ↔ Providence RI: $250

    Average Cost of Living in Rhode Island

    The following prices are compared to the United States’ National Average:

     Cost of living Rhode Island United States
     Overall  119.4  100
     Grocery  105.7  100
     Health  80.1  100
     Housing  143.8  100
     Median Home Cost  $269,000  $216,200
     Utilities  115.9  100
     Transportation  120.8  100.0
     Miscellaneous  109.8  100.0

    Short Term Rentals

    If you’re going to Rhode Island for rehab, you will probably be placed in the treatment facility itself.

    If you’re visiting a loved one you’ll need to find a place for short term stay. The average prices for apartment rent in 2017 differentiate depending on the location. Some towns are more affordable than others. For instance, average price for rent for a two-bedroom apartment in Rhode Island was $1,385. More precisely, Foster, Glocester, Exeter, Richmond, West Greenwich and Little Compton all average $944 per month in rent for a two-bedroom apartment. At the top of the list in monthly rent is Jamestown at $1,932 per month for a two-bedroom apartment. Providence comes in at $1,357 per month.

    For shorter period stays you can visit the site Airbnb and find a location and price that suits you best.

    Hotels

    When you book a hotel online, it’s important to be located near places you want to visit. Also, pay attention for hidden fees and special deals. Finally, we suggest that you read visitor’s recommendations to learn about how the hotel can suit your needs.

    If you’re planning on staying in Providence, the average price for a hotel room per weeknight is $150 and for weekend night $200. The most expensive time to stay is September, while the cheapest month to stay is November. Hotel prices in Warwick are averaging around $100 for weeknight and weekend nights. The most expensive time to stay is August, while the cheapest month to stay is March. In North Kingstown, the average price for a hotel room per weeknight is $100 and for weekend night $120. The most expensive time to stay is August, while the cheapest month to stay is June.

    Other Places to Stay

    If you are looking for other cheaper places to stay you can consider short-term, cheaper stays in a hostel. The positive side of staying in a hostel that you can meet new people. However, hostels are not so clean and you’ll have limited personal space and lack of privacy.

    The cheapest option may be visiting relatives or friends. If you have someone close in Rhode Island you should consider reaching out to them. It can be a good experience catching up with someone you haven’t seen in a while. The downside of this kind of stay may be that you won’t have much privacy and you’ll have to synchronize your period of staying with their availability.

    The Statistics

    Feel alone?

    The fact is that you’re not alone in your battle with addiction. According to the 2018 NSDUH, it’s estimated that 11.2 percent of the nation’s population used illicit drugs in 2017. That’s 1 in 9 people, or 30.5 million. Out the 30.5 million people, an estimated 20.7 million were in need of substance abuse treatment. That is 1 in 13 people. [1]

    In Rhode Island in particular, between 2014-2015 about 63,000 individuals aged 12 or older or 7.0% of all individuals in this age group had an alcohol use disorder in the past year. In a single-day count in 2015, 14,269 individuals in Rhode Island were enrolled in substance use treatment. [2] Among those individuals in Rhode Island enrolled in substance use treatment in a single-day count in 2015:

    • 34.0% were in treatment for a drug problem only;
    • 20.5% were in treatment for an alcohol problem only;
    • 45.5% were in treatment for both drug and alcohol problems.

    As you can see, many people are actively looking for help.

    If you’re struggling with addiction, it’s important to seek treatment. Enrolling into a treatment facility increases your chances of recovery. Call our helpline and learn more about your treatment options. Our admission navigators are available to talk with you day and night. They are waiting for your call …why not make a change today?

    Your Questions

    Beating addiction is a long and difficult process. It takes courage, careful planning, and professional help. A good program will address the root of your addiction, and teach you how to live a drug-free life.

    Still have questions?

    Give us a call. Or, leave us a comment. We try to answer all questions related to rehab in Rhode Island personally and promptly. If you have any additional questions, please feel free to post them in the comments section below. If we do not know the answer to your question, we will refer you to someone who can help.

    Reference sources: [1] SAMSHA: NADUH 2017 Annual National Report
    [2] SAMSHA: Behavioral Health Barometer for Rhode Island, Volume 4

    View the original article at addictionblog.org