Topic: treatment models
Of course with additional treatment responsibilities, a counselor couldn’t be expected to manage a caseload of up to 75.
An answer such as vigorous exercise or meditation or going to a meeting will never be as universally attractive to someone a few weeks sober as “well, here, why don’t you toke this?”
As any case manager knows, making a referral can be a challenge, since many fall by the wayside during transition to another provider, different therapist, etc.
Many new programs are started in the hopeful expectation that they’ll become self-supporting within a few years.
From a patient’s viewpoint, physicians can be somewhat blase’ about risks associated with a medication.
It may be that kratom is a drug that some can use without much difficulty, while for others, it becomes pathological.
So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.
In terms of a comfortable detox, Suboxone was a success. In terms of a return to opiate use, it was a failure.
Reliable stats on relapse can be hard to come by, but return-to-heroin rates appear to run above 80% (and in some cases, higher).