Getting Treatment: Who Decides?
On the other side of the equation, many in the insurance industry were unimpressed. Who’s supposed to pay for all that? they wanted to know. It won’t be us.
Category: Treatment
What works? For who? What doesn’t? Why? A complicated disease makes for complexities in treatment.
Treatment
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MAT for Meth?
If Medicaid, for instance, expanded approval of naltrexone injections to include methamphetamine, that would make the combination more useful to addiction treatment.
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The Quality of Sobriety
Once the patient gained insight, the theory went, the drive to abuse drugs or alcohol gradually disappears.
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A Chronic Case
Risk goes up with advancing age and declining health, and this patient, a former star athlete still in his early 30’s, is a better candidate for surgery than many.
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Trauma and EMDR
You want to see what PTSD is really about? Do room checks on these wards at night. Nobody here ever gets a decent night’s sleep. It’s a succession of nightmares.
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An Update on Business Ethics
How could any treatment program anywhere assure its customers that drugs and alcohol were behind them once for all?
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Rehab Shopping: Who Gets What?
One valid issue in the admission process for all three tiers is who makes the decision. If it’s the consumer, then are they under the influence? In the grip of withdrawal? In crisis, emotionally disturbed?
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Cannabis as a Treatment for Opioid Use Disorder (OUD)
So why hasn’t cannabis already prevented them from developing a severe opioid problem?
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He’s Outta There…
They enter the hospital late in the day, usually through the ER, spend a day or two (or less) in acute distress, then sign out AMA as soon as they can walk again.
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Chronic Relapse and Secondary Gain
By secondary gain, I’m referring to a psychological or emotional advantage or benefit that occurs from an illness or behavioral disorder.
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Booze-Opioid Connection
After the third incident, the doc gave him an ultimatum – either get help or face a taper off the program.
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The Nausea Solution
Of the patients I met, all decided on aversion therapy for essentially the same reason: they’d tried other things, experienced relapse, and lost patience.
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Opioid Tapering
Of more than 9000 Veterans Administration patients, only one-quarter rated their pain control with opioids as excellent or very good.
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