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What To Expect from Addiction Treatment

Tue, 22 Mar 2022 19:21:22 GMT

What To Expect from Addiction Treatment at Dynamic Healthcare

Welcome! We’re glad you’re here!

When you come to the office for your first visit, you will check in with our receptionist. You’ll be handed an iPad to fill out a variety of paperwork, including a general health history form and a HIPAA form. Any copay or deductible will be collected as well.

Our medical assistant will lead you from the lobby to the vitals room, where she will check your vital signs, such as blood pressure and heart rate. She will go over your current medications and allergies and will also ask a few questions about your substance use history. You will then be asked to provide a urine sample for a drug screen.

At this time, you will be ready to see one of our providers. The provider will ask about things like your medical history, home environment, and any history of treatment. They will also ask about your history of different substance use, such as:

Opioids (heroin, fentanyl, oxycodone, hydrocodone, methadone, morphine, codeine, tramadol)
Stimulants (Adderall®, Ritalin®, crack/cocaine, methamphetamine)
Benzodiazepines (Xanax®, Ativan®, Klonopin®, Valium®)
Alcohol
Gabapentinoids (gabapentin, Neurontin®, Lyrica®)
Kratom
Marijuana

Our providers are compassionate and will help make you feel as comfortable as possible – remember, they talk about this all day long with patients, they don’t judge! The provider will then discuss treatment options and along with your help, come up with a treatment plan. You will be provided with a variety of resources based on your needs and interests, including counseling, peer recovery coaching, meetings, and community support.

You will then check out at the check out counter and schedule your next appointment. For a new patient, we generally see you back in one week to see how you are doing and monitor how the treatment plan is working. The goal is to gradually decrease the frequency of office visits to only once a month.

Areas We Serve

Wed, 16 Mar 2022 18:54:52 GMT

In 2018, more Michiganders died because of drug overdoses than car accidents. In Macomb County alone, opioid-related deaths have increased by 400% since 2014. Macomb County saw 119 drug-related deaths in 2015, averaging one death every three days. This means that every three days, someone in our very own community dies from an overdose. This could be a neighbor, friend, family member, classmate, someone you see at the grocery store. The truth is addiction does not discriminate. It affects people of all ages, races, gender, and economic status.

The good news is opioid use disorder can be very treatable. Medication-Assisted Treatment can help save lives. There is absolutely no shame in asking for help. At Dynamic Healthcare we are passionate about serving the people in our community.

Macomb County consists of:

Armada
Center Line
Chesterfield
Clinton Township
Eastpointe
Fraser
Grosse Pointe Shores
Harrison Township
Memphis
Mount Clemens
New Baltimore
New Haven
Richmond
Romeo
Roseville
Shelby Township
St. Clair Shores
Sterling Heights
Utica
Warren
Washington Township

There are many wonderful resources in our community for people struggling with addiction:

Families Against Narcotics (FAN): https://www.familiesagainstnarcotics.org/
CARE of Southeastern Michigan: https://www.careofsem.com/
Live Rite: https://www.liveritestructuredcorp.com/

If you are struggling or someone you love are struggling with addiction, please call Dynamic Healthcare at 586-585-6500 to schedule an appointment. We are conveniently located in Sterling Heights.

Willis, S. (n.d.). U.S. Department of Labor grant provides funds to combat opioid crisis in Macomb County [Review of  U.S. Department of Labor grant provides funds to combat opioid crisis in Macomb County ].  Michigan.gov . Retrieved March 15, 2022, from https://www.michigan.gov/opioids/0,9238,7-377-88143_88334-495936--,00.html

Get the Facts About Opioids . (n.d.). Michigan.gov. Retrieved March 15, 2022, from https://www.michigan.gov/opioids/0,9238,7-377-88139---,00.html

‌Maier, E. (2019). Macomb County Opioid Community Health Assessment . Office of Health Planning. https://health.macombgov.org/sites/default/files/content/government/health/pdfs/OCHAReport021419.pdf?webdesign=adaptive?webdesign=adaptive

What is MAT?

Mon, 14 Mar 2022 20:44:33 GMT

What is Medication-Assisted Treatment (MAT) for Opioid Use Disorder?

Medication-Assisted Treatment (MAT) is the use of an FDA-approved medication for the treatment of addiction. MAT is also sometimes referred to as Medications for Opioid Use Disorder (MOUD).

These medications include:

Buprenorphine (Suboxone®, Zubsolv®, Sublocade®, Subutex®)
Naltrexone (Vivitrol®, Revia®)
Methadone

What are opioids?

Opioids are a unique class of drugs that includes both legal pain relievers that can be prescribed by a provider and illegal formulations (“street drugs”). When misused, opioids can cause feelings of euphoria or a “high,” and can also lead to overdose and death.

Examples of opioids:

Heroin
Fentanyl
Oxycodone (Percocet ®, Oxycontin ®, “percs,” “oxys”)
Hydrocodone (Vicodin ®, Norco ®, Lortab ®, “vikes”)
Tramadol (Ultram ®, ConZip ®)
Codeine (Tylenol-Codeine #3®, Tylenol-Codeine #4®)
Morphine (MS Contin®)

How does Medication-Assisted Treatment (MAT) work?

In our brains, we have opioid receptors. Opioids bind on to the opioid receptors, which causes the effects of opioids to occur. The three medications used for MAT, methadone, buprenorphine, and naltrexone, all interact with the opioid receptors in our brains differently.

Methadone binds onto the opioid receptor fully
Dispensed daily at a methadone clinic/Opioid Treatment Program
Buprenorphine only partially binds onto the opioid receptor
Can be prescribed at a medical office and picked up at a pharmacy
Naltrexone covers or blocks the opioid receptor so other opioids can’t bind onto the receptor
Comes in two formulations: a once monthly injection (Vivitrol®) or a daily oral medication (Revia®)

MAT is most effective when combined with behavioral therapy or psycho-social support. MAT combined with behavioral therapy is more effective in treating OUD than either behavioral therapy or medications alone. Types of psycho-social support or behavioral therapy include:

Individual counseling
Group counseling
12-step programs (AA, NA, MARA)
Self-help or peer support meetings
Intensive Outpatient (IOP)

What are the benefits of MAT?

Sustained recovery (“staying clean”)
Reduction in overdoses and overall death rates
Decreased illicit opioid use
Decreased use of other non-opioid substances, such as cocaine, methamphetamine, and benzodiazepines
Improved quality of life
Less involvement in the criminal justice system
Decreased risk of contracting and spreading HIV and Hepatitis C

Chanell Baylor. (2021). Medication-Assisted treatment (MAT) | SAMHSA - Substance Abuse and Mental Health Services Administration. Samhsa.gov. https://www.samhsa.gov/medication-assisted-treatment

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. (2017). What Are Opioids? HHS.gov. https://www.hhs.gov/opioids/prevention/index.html

Medication-Assisted Treatment Improves Outcomes for Patients With Opioid Use Disorder Combination of behavioral health interventions and FDA-approved drugs can help reduce illicit opioid use A fact sheet from. (2016). https://www.pewtrusts.org/-/media/assets/2016/11/medicationassistedtreatment_v3.pdf

Ford, B. R., Bart, G., Grahan, B., Shearer, R. D., & Winkelman, T. N. A. (2020). Associations Between Polysubstance Use Patterns and Receipt of Medications for Opioid Use Disorder Among Adults in Treatment for Opioid Use Disorder. Journal of Addiction Medicine, 15(2), 159–162. https://doi.org/10.1097/adm.0000000000000726