Detox doesn’t happen overnight. It’s a process that takes time, dedication, and perseverance. Detox induction is the beginning step to an ambulatory detox program with the first dose of medication, either Vivitrol® or Suboxone®. Detox induction differs according to a patient’s drug of choice and history of drug use. So, before detox induction can begin, a patient’s induction type needs to be determined with an assessment.
When a patient comes to Diablo Valley Drug and Alcohol Services, they are first given an assessment to determine their needs and treatment plan. This assessment is given by our facility physician and chief medical director, Daniel Smeester M.D. Dr. Smeester has years of experience helping individuals gain freedom from physical dependence and addiction with intensive step-down treatment models and tailored medication management. Upon assessment, Dr. Smeester helps to explain to patients the process of detox, instructions for the night before detox induction, and what to expect during the detox process. This way, both our medical staff and patients are on the same page before the detox begins and the process runs smoothly and efficiently.
Chronic pain patients usually begin taking prescription opioids as directed by a physician. However, with long-term use, these prescriptions become more of a problem than an assistance. Fortunately, chronic pain patients can find relief from physical dependence on opioid medications with the non-habit forming medication, Suboxone®. Typically, chronic pain patients who utilize an ambulatory detox induction will utilize a Suboxone® prescription for around a year before our doctor will help to taper the medication. During this year, patients can develop alternatives to manage chronic pain. Examples of alternatives to managing pain may include mindfulness meditation and ecotherapy.
Induction for these individuals includes taking their last dose of prescription opioid medication at 10 p.m. the night before induction. This begins the detox process and allows our physician to identify and assess withdrawal the following morning. Then, the individual will be given a small dose of the medication-assistance prescription and monitored for the next 24 hours to determine medical reactions and effectiveness. Upon 24 hours of monitoring, the individual can go home with a prescription and instructions to complete detox from home. Then, patients will meet with our doctor monthly to make sure the patient is comfortable and start tapering from the medication when eligible.
The second type of detox induction is developed for those struggling with addiction or dependence to heroin or alcohol. After long-term use, detoxing from heroin and alcohol is not only uncomfortable, it can be dangerous. To reduce the risk of medical issues during the detox process and alleviate some of the uncomfortable withdrawal symptoms, medication-assisted treatment is available for these patients. Typically, when individuals struggling with these severe addictions go through a short-acting detox process and go to inpatient treatment, they relapse within a few months. Sadly, many of these relapses lead to the increasing overdose deaths we are currently witnessing as an epidemic. So, to make treatment more effective and reduce the risk of relapse and overdose, Diablo Valley offers ambulatory detox for these individuals.
The night before detox induction, individuals will take their last dose of heroin or alcohol at 10 p.m. The following day, they will come in for their initial assessment with Dr. Smeester. After a full 24 hour of monitoring, the patient goes home with a prescription and instructions to finish detox. Then, after 5 days of detoxing, patients can enroll in the 36 session IOP, which includes 3 hours of support.
Both chronic pain and addiction induction patients may benefit from outpatient treatment. Consider the Intensive Outpatient Program at Diablo Valley Drug and Alcohol Services. This program allows individuals to get the support and develop recovery skills they need. And, continue with work or school obligations. For three hours a night and 36 sessions, individuals can participate in a number of opportunities. These include cognitive-based meditation sessions, educational workshops, and various group therapy opportunities.
Ready to take control of your chronic pain or addiction? We can help! Send us a message or give us a call today at 925-289-1430 to learn more about our ambulatory detox and IOP opportunities. Start on the road to recovery now.