Medical Detox Facilities For Drugs, Meds And Severe Alcoholism In New York

Created On Wednesday, 19, November 2014
Modified On Friday, 17, September 2021

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According to the New York City Drug Use Patterns and Trends for 2017, heroin was involved in 55% of all overdose deaths in 2016. Most heroin addicts require medical detox and often do this because the withdrawal symptoms become too severe. From 2010 to 2016, there was an 86% increase in benzodiazepines involved in overdose deaths. In 2016 approximately 33% of all overdose deaths in the state involved benzodiazepines. There are many medical detox programs in New York, as more addicts abusing prescription drugs such as benzodiazepines need it. Pain medication dependency also requires medical detox because it is the safest way for someone to stop taking the drug. Regardless if a person is dependent and does not display drug-seeking behavior or is addicted to the drugs, it is necessary for most substance abuse problems.

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New York Drug and Alcohol Medical Facilities

In 2017 there were 3244 opioid overdose deaths in New York state, per the National Institute on Drug Abuse. The greatest spike in deaths occurred with synthetic opioids, predominantly fentanyl. The deaths connected to prescription opioids have not increased much since 2013. In 2017, New York doctors gave 37.8 legal prescriptions for opioids for every 100 people in the state. The average rate in the United States that same year was 58.7 opioid prescriptions for every 100 people. Medical detox programs in New York regularly treat people who became addicted to opioids through a prescription.

This is a common problem when prescribed opioids. When you become physically and psychologically dependent on the drug, it becomes difficult to stop taking it. The drugs create a strong physical dependency. Medical detox will help a patient manage the withdrawal symptoms safely. You will be under the supervision of medical professionals, such as doctors and nurses. There is a certain level of risk involved in stopping the use of opioids. When prescription opioids are concerned, your prescribing doctor will help you wean off the drug safely. It is important to taper off the drug and manage the withdrawal symptoms as they come.

If you are unable to manage the withdrawal pain, your best solution is to attend a medical detox program. The doctors and nurses working at these types of facilities can help manage the possibility of fever, seizures, aches and pain, and other symptoms. It will be in a closed environment that will often be an inpatient drug rehab program, which will allow you to focus on your recovery from the addiction. Relapse does occur quite easily, and the detox process is an important first step. The people working at such centers will help you manage cravings and triggers.

There is an increased focus on recovery when you start with a medical detox program. Because of how difficult the process is, most patients have the drive to finish drug rehab once detox is complete. It is the perfect spot to place the focus on recovery. Having drug rehab available after medical detox is essential because the detox process is not the final solution. According to Statista, in 2017 there were over 1.3 million people who attended local county or community government-run drug rehab centers. In 2007 it was over 1.1 million, and over a ten-year period was a steady increase in people accessing drug treatment.

Medical Detox Programs in New York Prevent Opiate Overdose

The sooner an opioid addict can get to a medical, the better they will be. Medical detox programs in New York prevent overdose and help opioid users manage withdrawal symptoms. According to the 2019 Drug Use Patterns and Trends for New York City, the number of prescription opioid analgesics being given continues to decline. In 2018, over 1.4 million opioid prescriptions were filled, which was down from over 1.5 million in 2017. The average person addicted to opioids began with a prescription to manage pain or for some other reason. Unfortunately, heroin continues to fill the void left behind by prescription pain medication. For example, heroin use among public high school students in NYC continues to grow. Medical detox does help someone addicted to heroin and or opioids safely withdraw and start treatment.

Opioid overdose does impact every demographic within the state and NYC differently. Per the 2019 Drug Patterns and Trends, rates of overdose death were similar in 2016 and 2017. However, there was a dramatic shift in the demographics of individuals dying. For the first time in 11 years, overdose deaths were higher among African American New Yorkers when compared to Caucasian and Hispanic New Yorkers. The number of heroin or fentanyl-related overdose deaths was higher among older New Yorkers. Fentanyl and cocaine are increasing the number of overdose deaths among many different demographics within the city. The first step is a medical detox and it will save a life and help an opioid user, alcoholics, heroin addicts, or prescription drug addicts safely withdraw and save their life.

Substance Abuse Detox Centers Using Buprenorphine in New York

According to the New York City Health Department, approximately $4.3 million was spent in 2018 to continue to raise awareness about the opioid epidemic and promote medication for opioid addiction treatment. During that same year, more than 43,000 New Yorkers received buprenorphine or methadone treatment for opioid addiction. Medication-assisted treatment is a common approach used along with behavioral counseling. The process starts with medical detox or during the withdrawal management phase. The patient is prescribed buprenorphine or suboxone to help manage the cravings and will then continue taking this during therapy. However, this approach is only successful when behavioral counseling is done. Medication-assisted treatment should not be considered the only treatment approach used.

Per the New York City Health Department, in 2016, over 13,000 New Yorkers filled at least one prescription for buprenorphine. Approximately one in three New Yorkers who received buprenorphine in 2016 were new to the drug. New York residents aged 45 to 54 had the highest rate of buprenorphine prescriptions, followed by those aged 35 to 44 and 25 to 34. Between 2008 and 2016, the rate of patients filling prescriptions for buprenorphine increased by 75%. Opioid addicts turn to this type of treatment to manage the difficult withdrawal symptoms. The rate of relapse is high with those who are addicted to opioid medication because of the physical and psychological cravings.

In most cases, a person taking Buprenorphine started the drug to get off other opiates, and because this is not a final treatment for addiction, an addict should attend a drug and alcohol rehabilitation center. Once a person has completed a Buprenorphine detox program, they should make arrangements to transition into a drug treatment center, which will provide services to suit their needs.

Substance Abuse Detox Programs Using Suboxone in New York

Suboxone is the brand name for an opioid-based prescription medication used to treat opioid addiction. The two active ingredients in Suboxone are buprenorphine and naloxone. Buprenorphine is a partial opioid agonist, blocking opioid receptors and reducing the urge to use opioids. Naloxone assists in reversing the effects of opioids and preventing overdose. Suboxone is a common medication used during medication-assisted treatment. The drug is often prescribed during detox or as part of counseling and therapy. Medical detox or withdrawal management programs in New York State will often use Suboxone as part of treatment. According to New York City Health, from 2008 to 2016, the rate of buprenorphine prescriptions filled by NYC residents increased by 145%.

In 2016 there were over 1,800 prescribers within the state writing prescriptions for buprenorphine. During that same time, roughly two-thirds of prescribers had only three patients who filled the prescription. Additionally, 9% of prescribers had more than 30 patients to whom they prescribed buprenorphine. Approximately one in three New Yorkers who were abusing opioids were new to buprenorphine treatment in 2016. As of 2020, the use of suboxone or buprenorphine is common and is part of all opioid treatment programs and or medication-assisted treatment options within the state. Detox is the first step that any person struggling with opioid addiction will take. Locating the best possible detox process is crucial, and there are numerous options across New York State.

Medication-Assisted Treatment in New York

Opiate addiction in New York affects many of the individuals and families living throughout the state. There are numerous residential or outpatient treatment services providing medication-assisted treatment. MAT programs use medication and behavioral therapy to treat opioid addiction. The medications that are used include buprenorphine and suboxone, which treat withdrawal and block cravings. During detox at a drug rehab center, the patient is prescribed one of these drugs to manage the withdrawal symptoms. There is also the option to continue taking the medication during therapy. MAT programs are only effective when counseling or therapy is done with it. However, not every heroin addict or pain drug user can be convinced to get treatment. Some addicts will only use the medication, and will not do anything else for their addiction. This approach is not recommended by the experts and does increase the chance of relapse. Moreover, when a patient finishes medication-assisted treatment, they should strive to become completely drug-free, and not rely on opioid medications for sobriety.

Do private medical detox programs offer more services?

It is common that private medical detox centers will provide more luxuries and amenities for their clients, but this is what the patient is paying for. Private medical detox centers can offer more, as the length of stay can sometimes be longer, and there will be more opportunities for a patient to go through extensive methods of treatment.

Is Withdrawal Management and Medical Detox in New York the same Treatment Method?

Withdrawal management is defined as the medical or psychological care of patients experiencing withdrawal symptoms due to stopping drug or alcohol use. Withdrawal symptoms occur when someone becomes dependent on drugs or alcohol. Withdrawal management is not a rehabilitation process and should not be considered treating the underlying problems of the addiction. Medical detox is often a residential service providing withdrawal management. Functions within such a program may include medication-assisted treatment for someone addicted to opioids. Across the state of New York are different medical detox programs, which are privately operated, such as hospital inpatient services or state-funded health services for people experiencing dangerous withdrawal symptoms.

New York Withdrawal Management and Medication-Assisted Treatment Services

The Coalition of Medication-Assisted Treatment Providers and Advocates (COMPA) of New York State is a non-profit organization. The organization assists in providing treatment utilizing medication-assisted programs and behavioral therapy for various types of addiction. Along with medication-assisted treatment, there are opioid treatment programs, which are for opioid addicts who require help with withdrawal management and rehabilitation. According to the New York City Department of Health, in 2016, the opioid treatment programs in the city were working with close to 32,000 patients. Medication-assisted treatment programs will use drugs such as Vivitrol, Buprenorphine, or Suboxone. Opioid treatment programs will utilize buprenorphine, suboxone, and or methadone.

According to the New York City Department of Health, from 2008 to 2016, the rate of buprenorphine prescriptions in the city increased by 145%. The number of prescribers in 2016 increased by 16% from over 1,600 in 2008. Medication-assisted treatment programs help alcoholics, opioids addicts, or prescription drug users. These are often inpatient services, which utilize the medication in combination with behavioral therapy. Medication-assisted treatment programs are only effective when counseling or treatment is used. Drugs such as buprenorphine, suboxone, or Vivitrol are only effective when done in conjunction with therapy. In 2016, per the NYC Department of Health over 13,600 New Yorkers filled at least one prescription for buprenorphine. Approximately one in three New Yorkers were new to buprenorphine treatment in 2016. Roughly two-thirds of New Yorkers had filled at least one buprenorphine prescription in 2015.

CONTRIBUTORS TO THIS ARTICLE

Marcel Gemme, DATS

Author

on September 17, 2021

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Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on September 17, 2021

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Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.

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