What It Means To Be A Culturally Competent Clinician
It is agreed widely in the health care field that an individuals culture is a critical factor to be considered in treatment. The Surgeon Generals report, Mental Health: Culture, Race, and Ethnicity, states, Substantive data from consumer and family self-reports, ethnic match, and ethnic-specific services outcome studies suggest that tailoring services to the specific needs of these groups will improve utilization and outcomes . The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition calls on clinicians to understand how their relationship with the client is affected by cultural differences and sets up a framework for reviewing the effects of culture on each client.
Because verbal communication and the therapeutic alliance are distinguishing features of treatment for both substance use and mental disorders, the issue of culture is significant for treatment in both fields. The therapeutic alliance should be informed by the clinicians understanding of the clients cultural identity, social supports, self-esteem, and reluctance about treatment resulting from social stigma. A common theme in culturally competent care is that the treatment providernot the person seeking treatmentis responsible for ensuring that treatment is effective for diverse clients.
Best Budget: Freedom House Recovery Center
Freedom House Recovery Center
Why We Chose It: Freedom House Recovery Center is a non-profit treatment provider that will not turn individuals away, offering payment on a sliding scale based on need for those without insurance.
Payment on a sliding scale based on need
Accepts Medicare and Medicaid
Locations only in North Carolina
Residential treatment not available at every location
Based in North Carolina, Freedom House Recovery Center never turns away individuals seeking treatment to recover from substance abuse. With locations in Chapel Hill, Durham, Norlina, Roxboro, and Warrenton, it receives grants and donations to offer care to anyone who needs it in fact, donations are often made in memory of a loved one so others can receive treatment.
Freedom House Recovery Center is accredited by the Commission on Accreditation of Rehabilitation Facilities and partner of United Way of the Greater Triangle, providing services to people of all genders, ages 3 and up. Services include detoxification, short-term and long-term residential care in the form of halfway houses, out-patient services, aftercare, and counseling, even for children whose parents have a substance use disorder diagnosis. It also treats co-occurring mental disorders and behavioral issues.
What Is Substance Abuse Disorder
Substance abuse disorder, or drug addiction, can be defined as a progressive disease that causes people to lose control of the use of some substance despite worsening consequences of that use. Substance use disorder can be life-threatening.
Addictions are not problems of willpower or morality. Addiction is a powerful and complex disease. People who have an addiction to drugs cannot simply quit, even if they want to. The drugs change the brain in a way that makes quitting physically and mentally difficult. Treating addiction often requires lifelong care and therapy.
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What Are Drugs Of Abuse
Drugs that are commonly misused include:
- Synthetic cannabinoids .
- Synthetic cathinones .
- Tobacco/nicotine and electronic cigarettes .
While these drugs are very different from each other, they all strongly activate the addiction center of the brain. That is what makes these substances habit-forming, while others are not.
Drug And Alcohol Recovery Centres In Edmonton
Edmonton offers several inpatient residential treatment centres for those who need a structured recovery environment for both drugs and alcohol addiction. These facilities often serve both types of addictions because they both require a similar path of care.
These recovery centres are usually located in a central area, where its easy for clients to access services in the local community, while still staying within a reasonable distance of the treatment centre. Other times, especially with private recovery centres, they will be located in an isolated and undisclosed location to give the clients residing their privacy while they recover.
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How Are Behavioral Therapies Used To Treat Drug Addiction
Behavioral therapies help patients:
- modify their attitudes and behaviors related to drug use
- increase healthy life skills
- persist with other forms of treatment, such as medication
Patients can receive treatment in many different settings with various approaches.
Outpatient behavioral treatment includes a wide variety of programs for patients who visit a behavioral health counselor on a regular schedule. Most of the programs involve individual or group drug counseling, or both. These programs typically offer forms of behavioral therapy such as:
- cognitive-behavioral therapy, which helps patients recognize, avoid, and cope with the situations in which they are most likely to use drugs
- multidimensional family therapydeveloped for adolescents with drug abuse problems as well as their familieswhich addresses a range of influences on their drug abuse patterns and is designed to improve overall family functioning
- motivational interviewing, which makes the most of people’s readiness to change their behavior and enter treatment
- motivational incentives , which uses positive reinforcement to encourage abstinence from drugs
Types Of Behavioral Treatments
CognitiveBehavioral Therapy can take place one-on-one with a therapist or in small groups. This form of therapy is focused on identifying the feelings and situations that lead to heavy drinking and managing stress that can lead to relapse. The goal is to change the thought processes that lead to alcohol misuse and to develop the skills necessary to cope with everyday situations that might trigger problem drinking.
Motivational Enhancement Therapy is conducted over a short period of time to build and strengthen motivation to change drinking behavior. The therapy focuses on identifying the pros and cons of seeking treatment, forming a plan for making changes in ones drinking, building confidence, and developing the skills needed to stick to the plan.
incorporates spouses and other family members in the treatment process and can play an important role in repairing and improving family relationships. Studies show that strong family support through family therapy increases the chances of maintaining abstinence , compared with patients undergoing individual counseling.
Brief Interventions are short, one-on-one or small-group counseling sessions that are time limited. The counselor provides information about the individuals drinking pattern and potential risks. After the client receives personalized feedback, the counselor will work with him or her to set goals and provide ideas for helping to make a change.
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Explore Your Addiction Treatment Options
Once youve committed to recovery, its time to explore your treatment choices. While addiction treatment can vary according to the specific drug, a successful program often includes different elements, such as:
Detoxification. Usually the first step is to purge your body of drugs and manage withdrawal symptoms.
Behavioral counseling. Individual, group, and/or family therapy can help you identify the root causes of your drug use, repair your relationships, and learn healthier coping skills.
Medication may be used to manage withdrawal symptoms, prevent relapse, or treat any co-occurring mental health condition such as depression or anxiety.
Long-term follow-up can help to prevent relapse and maintain sobriety. This may include attending regular in-person support groups or online meetings to help keep your recovery on track.
Tips For Selecting Treatment
Professionals in the alcohol treatment field offer advice on what to consider when choosing a treatment program.
Overall, gather as much information as you can about the program or provider before making a decision on treatment. If you know someone who has first-hand knowledge of the program, it may help to ask about his or her personal experience.
Here are some questions you can ask that may help guide your choice:
What kind of treatment does the program or provider offer? It is important to gauge whether the facility provides all the currently available methods or relies on one approach. You may want to learn if the program or provider offers medication and if mental health issues are addressed together with addiction treatment.
Is treatment tailored to the individual? Matching the right therapy to the individual is important to its success. No single treatment will benefit everyone. It may also be helpful to determine whether treatment will be adapted to meet changing needs as they arise.
What is expected of the patient? You will want to understand what will be asked of you in order to decide what treatment best suits your needs.
Is treatment success measured? By assessing whether and how the program or provider measures success, you may be able to better compare your options.
How does the program or provider handle relapse? Relapse is common, and you will want to know how it is addressed. For more information on relapse, see Relapse Is Part of the Process.
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Heroin Research Reportwhat Are The Treatments For Heroin Use Disorder
A variety of effective treatments are available for heroin use disorder, including both behavioral and pharmacological . Both approaches help to restore a degree of normalcy to brain function and behavior, resulting in increased employment rates and lower risk of HIV and other diseases and criminal behavior. Although behavioral and pharmacologic treatments can be extremely useful when utilized alone, research shows that for many people, integrating both types of treatments is the most effective approach.
An Individualized Treatment Plan
The crucial principle of effective treatment is, No single treatment is appropriate for everyone. Proper treatment depends on the type of drug thats abused and a patients characteristics. Matching treatment settings, interventions, and services to an individuals particular problems and needs is critical to his or her ultimate success. Ethical medical practice means meeting a patients needs, respecting existing scientific evidence, and providing the best care.
Part of treatments effectiveness also hinges on the individuals ability to incorporate what they learn into their life after treatment. Its important to consider an individuals values, and that treatment be appropriate to the individuals age, gender, ethnicity, and culture. Research shows the one-size-fits-all approach does not work.
Novelty seekers and risk takers with insufficient inhibition and judgment will not necessarily respond to the same methods that work for people afflicted by traumatic stress or hypersensitivity to everyday stress, says Harvard Health. Treatment will always depend on the type of addiction and the type of addict.
There are discrepancies between traditional methods and scientific evidence because different things work for different people. One person thrives in a 12-step program, while another thrives with relapse-prevention medication, while another thrives in therapy for a co-occurring condition. Most often, effective treatment involves numerous approaches in conjunction.
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Individualized Treatment Is Key
Drug addiction treatment centers that use a one-size-fits-all should be avoided at all costs. If these centers claim their methods are working and have a high percentage of success cases, they are usually an unaccredited and unprofessional facility. Instead, search for a treatment center that provides individualized programs, unique therapy modalities, and the ability to customize your treatment plan.
Find a drug addiction treatment center that offers plans to fit your situation. Some therapy modes that can work best for you could be experiential therapy, PTSD therapy, cognitive-behavioral therapy, or hiking therapy.
This Addiction Treatment Works Why Is It So Underused
An approach called contingency management rewards drug users with money and prizes for staying abstinent. But few programs offer it, in part because of moral objections to the concept.
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PHILADELPHIA Steven Kelty had been addicted to crack cocaine for 32 years when he tried a different kind of treatment last year, one so basic in concept that he was skeptical.
He would come to a clinic twice a week to provide a urine sample, and if it was free of drugs, he would get to draw a slip of paper out of a fishbowl. Half contained encouraging messages typically, Good job! but the other half were vouchers for prizes worth between $1 and $100.
Ive been to a lot of rehabs, and there were no incentives except for the idea of being clean after you finished, said Mr. Kelty, 61, of Winfield, Pa. Some of us need something to motivate us even if its a small thing to live a better life.
Early data suggests that overdoses have increased even more during the coronavirus pandemic, which has forced most treatment programs to move online.
As of yet, there are no medicines proven to suppress the intense cravings that come with addiction to meth and cocaine. Instead, there are a raft of behavioral interventions, some of which have very little evidence of effectiveness.
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Adult Recovery Centre Edmonton Locations And Accessibility
The main adult recovery centre in Edmonton is located directly in the citys downtown core, which provides an accessible location for those seeking treatment. Edmontons transit services cater to downtown, with many bus routes going there from all corners of the city, plus LRT services providing stops that are steps away from the centre.
Of course, there are other residential recovery centres located throughout the city and in surrounding areas. For instance, Andy Bhatti offers drug and alcohol interventions that serve Edmonton and the area, including Calgary.
Other recovery centres like Adeara offer womens only residential addiction recovery services in the south side of Edmonton, while other services like Our House Addiction Recovery Centre cater to men only.
Regardless of where you live and what type of addiction recovery centre you need to access, it should be easy to find information about where addiction services are located and how to access them.
If youre looking for more information on finding an Edmonton addiction recovery centre, Andy Bhatti has an easily searchable database that you can use to find the treatment you or a loved one needs.
Addiction Can Be Generational
Although you may feel as if your grandfather who is an alcoholic cannot affect you, addiction can be generational. While it is not technically inherited, a family member who is using drugs, drinking excessively, or misusing prescription drugs can influence your behavior. One of the most important things to keep in mind about addiction is that your family and close friends can significantly influence your decisions and behavior.
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Inpatient And Outpatient Treatment Centres
There are two different types of addiction recovery centres in Edmonton: inpatient and outpatient.
Inpatient means that it is a residential facility where the person lives and participates in a very structured recovery program for a certain time. Inpatient facilities often include medically supervised detoxification, plus individual counselling, group counselling, and group activities for all patients.
Residential treatment centres must meet the requirements outlined by Alberta Health Services and be licensed under the Mental Health Services Protection Act. Usually, those suffering from severe addiction are best suited for inpatient recovery centres.
Outpatient facilities are a bit different, in that the patient doesnt live at the facility, but goes there daily or several times a week for some time to seek treatment. The AADAC recovery centre is an example of a well-known facility in Edmonton that offers both inpatient and outpatient treatment options for both drug and alcohol addictions.
Are Drug Treatment Programs Successful
The answer to this question is yes, they can be very successful. According to research by the National Institute on Drug Abuse, most people who get treatment are able to overcome drug addiction and become contributing members of society again. I should mention that a person’s success in overcoming addiction depends on several factors:
- Severity of the addiction
- Getting treatment specific to the addiction
- Quality of interaction between the patient and the providers
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What Makes A Good Drug And Alcohol Treatment Center
Now that you know how to find which drug treatment is best, you might wonder what makes a good drug and alcohol treatment center? Just as no treatment is right for everyone, the same is true of treatment centers. There isn’t one treatment center that fits the needs of every person battling drug addiction.
There are more than 14,000 drug and alcohol rehab centers in the US. Here are some things to look for when choosing a rehab center.
Treatment Approaches For Drug Addiction Drugfacts
NOTE: This fact sheet discusses research findings on effective treatment approaches for drug abuse and addiction. If youre seeking treatment, you can call the Substance Abuse and Mental Health Services Administration’s National Helpline at 1-800-662-HELP or go to for information on hotlines, counseling services, or treatment options in your state.
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Do I Need Health Insurance To Receive This Service
The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.
The Edge Treatment Center
Located in Orange County, CA, this drug addiction treatment center focuses on helping people recover by providing long-term tools and methods to dealing with societys pressures after getting sober, learn more about The Edge Treatment Center. With a highly qualified staff and programs specifically for drug or alcohol abuse, this center has something for everyone.
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Addiction By The Numbers
According to the latest government statistics, nearly 23 million Americansalmost one in 10 are addicted to alcohol or other drugs. More than two-thirds of people with addiction abuse alcohol. The top three drugs causing addiction are marijuana, opioid pain relievers, and cocaine.10,11
The cost of addiction is high and impact life expectancy, crime, and the economy. Here a few of the startling numbers:
- $740 billion: The annual cost related to crime, lost work productivity, and health care as a result of abuse of tobacco, alcohol, and illicit drug use in the United States.
- 165.4 million: The number of people aged 12 or older who used a substance, including alcohol, tobacco, or an illicit drug, in the past month.
- 20.4 million: According to the 2019 National Survey on Drug Use and Health, this is the number of people aged 12 or older, with a substance use disorder. More specifically:
- 8.3 million people had a past year illicit drug use disorder
- 1.6 million people had a past year opioid use disorder
- 1.4 million people had a past year prescription pain reliever use disorder
- 904,000 people had a past year methamphetamine use disorder
- 2.4 million people had both an alcohol use disorder and an illicit drug use disorder in the past year.