Twenty-eight Day Treatment Twelve Step Based Predominantly AA – Strong Ties to Treatment Medical Detoxification Assessment of Bio-Psycho-Social, Behavioral and

Spiritual Status Drug Abuse Secondary, i.e. prescription drug

abuse; street drugs such as marijuana, Quaaludes (ludes), Amphetamines (crank), Valium, etc.

Precursor to Medication Assisted Treatment

Alcohol Metabolized in Liver: Liver Pathways: ADH (normal) vs. MEOS

(addictive): increased tolerance to alcohol Brain: THIQ Delta 9 (Therahydro-isoquinoline

delta 9). A tar like substance like the residual from cannabinoids. Slows synaptic junctions responces.

THIQ Delta 9 a close relative to opiate in its effect on the brain.

Both P.E.T. and MRI Scans show in real time the Frontal Cortex lights up when influenced by alcohol, opiates and cocaine.

The dopamine pathway is the Frontal Cortex to the Nucleus Accumbens to the Ventral Tegmental portions of the brain.

Additionally other “soft addictions” light up this same area of the brain: gambling, sex, shopping etc.

Reasonable outcomes for Minnesota Model (traditional treatment) and Aversion Therapy were identical: 1 in 3 individuals who enter into treatment would get sober.

Haymarket Center as an example. 1990 starts a cocaine treatment program for

pregnant women. 1991 starts a treatment program for post

partum women. Babies reside with mothers. 1993 with Anixter Center starts a treatment

program for the deaf. 1993 starts a maternal addiction program

where children are allowed to be in treatment with their mothers.

1994 starts a co-ed Undomiciled Mentally Ill Substance Abuse (UMISA) program. Now separate men’s and women’s programs.

1995 Alternative to Incarceration (ATI) and Rehabilitative Confinement Program (RCP) primarily for DUI offenders

2003 MOMs Program for pregnant women from the Cook County Jail’s Department of Women’s Justice Services.

Behaviora health programs

Medication Assisted Treatment for opiate users

Anybody remember: Antabuse (disulfiram) Shick Shadle Aversion Treatment Methadone (opioide) Valium (benzodiazapine(s))

How long should clients/patients be allowed to be on opiate suppressing medications?

Which medications should be used? Suboxone, Vivatrol, Naloxone or methadone?

Should these clients be given Naltraxone to be used in case of overdose? Does this promote irresponsible behavior on the part of the addict?

What does this mean? When treatment studies are done on programs

why do the designers of the studies constrict the parameters of what clients can and cannot do? Is this reasonable?

Is this the wave of the future? Is it affordable? Will clients stay connected to treatment?