Opioid Rehabilitation Program

 

An initial intake appointment is required to go over your entire medical & substance abuse history. If you are not already stable on  Suboxone, we will discuss plans to end your current opioid use and begin  Suboxone (this is called “induction”).

On the day we choose for induction after your visit with the  provider, you can pick up your prescription from the pharmacy and return to the office with the medication.  You will need to be in  moderate opiate withdrawal prior to starting your first dose. During  initial doses we suggest 8 mg strips and we recommend taking 4 mg (1/2 a  strip) for your first dose. You may need to repeat this every 3 to 4 hours  for control of your withdrawal symptoms and cravings. We will meet 2-3 times for the first week and then weekly for the next 3-4 weeks and fine-tune the dosing. During the  second month, provided there are no relapses, we will meet every other  week. Beginning the third month, we intend to go to monthly visits,  however, that is patient-dependent and dictated by the presence or  absence of relapses. Once a stable dosage has been achieved and toxicological tests do not indicate illicit drug use, less frequent follow-up visits may be appropriate. 


Telemedicine Visits

Those patients that continue to do well and are treated  successfully for six months may be eligible to begin telemedicine  visits. Telemedicine visits would be  every other month in lieu of your  visit to the clinic. Your regular monthly fee would still be collected during the telemedicine visit,  however, you could perform your visit from home through any smart device  or camera enabled computer.


Counseling Requirements

Once Suboxone treatment starts, all patients are required  to be in active counseling/therapy. Counseling must continue for the  duration of treatment. It is essential to your recovery. Counseling may incorporate such elements as motivational enhancement therapy, cognitive behavioral therapy, prevention education, and intervention in case of relapse. 


Options for counseling/therapy:

1.  Contact your insurance company to find a contracted substance  abuse counselor in your area and once treatment has started have the  counselor fax us proof of attendance.

2. Referral list of local substance abuse counselors is available upon  request. Once established, have the counselor fax us proof of  attendance.


Why is counseling an essential tool in the treatment process?

Addiction is a learned behavior that changes the brain to become  conditioned to continually wanting the substance.  Counseling and  other behavior health modifications can help  the brain change physically.  Changing your environment,  starting a new job, new hobbies and making new friends can all alter the brain in some way.  It is possible to undo some of the changes that occurred  while addicted.  Therapy will recondition the brain closer to  pre-addiction status.  This will better prepare the patient for a time  when they may no longer require medication.


Medication

You will  need to obtain your medication from a pharmacy; the  cost may be largely covered by your health insurance. Please check with  your insurer to find out. The retail cost of Suboxone varies depending  on dose. You may wish to check with your pharmacy before pursuing  treatment. Providers will usually have medication discount cards on hand  for the medication but these are not guaranteed to be in stock and may  or may not benefit your financial need.

If for any reason we determine at your intake meeting that we are not able to treat you, there will be no fee for that visit.


Testing

Urine drug screens must be performed at each appointment while in  Suboxone treatment, and may be necessary more often if there is  suspicion of a problem.  If you are seeing the provider through telemedicine visits  you will test only on your required office visit appointments.

Testing positive for substances of abuse may be grounds for dismissal  from treatment. Once  treatment starts, we will be giving patients two exceptions when  relapsing and testing positive for illicit drugs occur. However, on the third relapse and  positive test, we will dismiss you from our program and provide resources  to facilities that may help you in a different setting.


Additional Information

Please be aware that patient confidentiality will not protect  fraudulent attempts to obtain controlled substance prescriptions. If we  suspect any deception or fraud (such as selling medications, altering  prescriptions, obtaining prescriptions from multiple doctors, etc.), it will  be grounds for immediate termination from treatment and we will report it to law enforcement.

Please be aware that NO MEDICATIONS of any kind are stored in our office. We do not physically dispense medication. Anyone needing medication will be obtaining it from a local pharmacy.


Next Steps

If you feel that you would be a good fit for treatment here, please  call the office at 480-770-4540. You can also submit your contact information  through the “contact us tab” on our website page  www.eastvalleyserenityhealth.com

Forms needed for your initial visit can be found on our website.  You may also choose to arrive fifteen minutes  early to your scheduled appointment and complete the forms in the office.


Prior Treatment

East Valley Serenity Health will not provide treatment if you have been dismissed  (“fired”) from Suboxone treatment by any other provider within the last twelve months. We will provide treatment if you are currently in good standing with another Suboxone provider, and need to transfer care due  to a geographic move, retirement of your provider, or similar reason.  We will also provide treatment if you were previously seen by another provider but  cannot return to that provider due to such reasons. We  may request records from your previous provider. It is your  responsibility to ensure that you can send these materials to our office  prior to beginning Suboxone.

If you are currently under treatment with methadone (or have been within the past two  years), we will need to discuss your situation in more detail prior to beginning treatment.

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