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Prescription pain killers (from the Orlando Sentinel 9/1/10)

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Prescription painkiller drug abuse is now one of the leading killers of middle-aged Floridians. And, with painkiller abuse on the rise,  a coalition of Florida health organizations is launching an awareness campaign called The Pain Truth.

The Pain Truth is a 3-month public education program, which will include public service announcements, education, awareness, Internet, and community events across the state.  This offensive will canvas the state and reach people at home, workplaces, schools, churches and more, leading up to a Dec. 1 event when
Florida, the Sunshine State, ”Goes Dark for a Day.”

  The event is meant to recognize lives lost, by offering an official day of mourning for families and friends of thousands who have died.

The Pain Truth is the brainchild of the Florida Society of Interventional Pain Physicians (FSIPP), with endorsements from the Florida Medical Association (FMA), and the Florida Society of Addiction Medicine (FSAM).  The program is also supported by the Florida Office of Drug Control’s 2009 Drug Control Strategy regarding prescription drug abuse and diversion.

 Recent statistics demonstrate the importance of growing awareness of prescription drug abuse throughout the state:

  • Nearly 3,000 Floridians died from prescription drug use in 2009.
  • Prescription Oxycodone was responsible for more deaths in Florida in 2009 than cocaine, heroin and morphine combined.  The increase is up 25.9% over 2008.

 

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New Director for the Vince Carter Sanctuary

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The Vince Carter Sanctuary, a division of Stewart-Marchman-Act Behavioral Healthcare System (SMA) is a world class, private drug rehab, detox and alcohol treatment recovery center located near Daytona Beach, Florida.  The 100-bed facilities at the Vince carter Sanctuary are designed for the purpose of serving clients with substance abuse and dual-diagnosis or co-occurring issues. Please visit at www.VinceCarterSanctuary.org.

Jeremy Mirabile, M.D. (Murr-ah-ba-lee) has been named Director of the Vince Carter Sanctuary and Deputy Medical Director for Addiction Services at Stewart-Marchman-Act Behavioral Healthcare.

 

Read about this announcement here Press Release.

 

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Research Update at the Vince Carter Sanctuary

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While there has been a lot of activity to open the Sanctuary for clients, the research program has been busy as well. Our "Florida Substance Abuse Surveillance and Epidemiology Database" has cleared the UF Ethics Committee and will be open to survey adult patients in July 2009. All Stewart-Marchman-Act Behavioral healthcare's clients will have the opportunity to voluntarily participate in a survey, which will be added to a national databank. The information will be used by UF Department ofPsychiatry under the direction of Dr. Sara Jo Nixon to develop prevention, intervention, and treatment programming. On the horizon, a team has been assembled to pursue the possibility of conducting research with clients on effectiveness of using virtual reality to help reduce the effects of relapse cues. A computer lab would be established where clients would use virtual reality goggles and work with counselors to experience situations that could cause their relapse. The goal would be to reduce, eliminate, or lessen relapse rates. Sara Jo Nixon, PhD was named President of the Research Society on Alcoholism, a national forum for communication among researchers who share common interests in alcoholism. The Society's purpose is to promote research that can lead the way toward prevention and treatment of alcoholism. Congratulations, Dr. Nixon!

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TOBACCO CESSATION

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The Vince Carter Sanctuary has implemented Tobacco Cessation treatment as a part of standard treatment procedure for drug and alcohol problems. Nicotine, one of more than 4,000 chemicals found in the smoke from tobacco products such as cigarettes, cigars, and pipes, is the primary component in tobacco that acts on the brain, with effects similar to both cocaine and heroin. Smokeless tobacco products such as snuff, dip and chewing tobacco also contain many toxins as well as high levels of nicotine. Nicotine is recognized as one of the most frequently used addictive drugs, and cigarette smoking is the most prevalent form of nicotine addiction in the United States. Recent research has shown that continued nicotine use challenges the recovery of alcoholics and drug dependent clients in the same way that continued use of any addictive drug does.

Addiction is characterized by compulsive drug-seeking and use, even in the face of negative health consequences, and tobacco use certainly fits the description. It is well documented that most smokers identify tobacco as harmful and express a desire to reduce or stop using it, and nearly 35 million of them make a serious attempt to quit each year. Unfortunately, less than 7 percent of those who try to quit on their own achieve more than 1 year of abstinence; most relapse within a few days of attempting to quit.

What people frequently do not realize is that the cigarette is a very efficient and highly engineered drug-delivery system. By inhaling, the smoker can get nicotine to the brain within a few seconds of every puff. (This is comparable to the speed with which drugs of abuse reach the brain when injected intravenously.) A typical smoker will take 10 puffs on a cigarette over a period of 5 minutes that the cigarette is lit. Thus, a person who smokes about 1-1/2 packs (30 cigarettes) daily gets 300 "hits" of nicotine to the brain each day. These factors contribute considerably to nicotine's highly addictive nature.

In order to offer you the most effective treatment services and do all that we can to reduce the suffering and social costs resulting from the abuse of alcohol and drugs, the Vince Carter Sanctuary prohibits the use of tobacco products within residential programs.

To support you in this challenge, tobacco cessation programming is offered in residential treatment programs. In addition, assistance in the form of appropriate medications to counter depression and craving and nicotine replacement products (patches, nicotine gum, etc.) for the detoxification process are offered to clients.

We are well aware that detoxification and abstinence from tobacco presents a challenge greater than that of any other drug. We hope you may capture some motivation to meet this challenge in considering the benefits to your health, longevity, social freedom, modeling the behavior you want your children to learn, and saving a lot of money.  The average smoker spends between $250. - $300. monthly, or $2500. - $3000. annually on tobacco products.

To this end, the Vince Carter Sanctuary offers a tobacco cessation and taper program. Your tobacco will be kept locked in the medical building, and dispensed to you in accordance with the taper program.  Our medical staff will design a taper program for you, with gradually decreasing use of tobacco over a 7 - 10 day period of time.  You

must receive your tobacco (cigarette) from the nurse, where you can then smoke the tobacco in a designated area behind the medical building.  This is not a social time, so smoking is not done in a group setting, and it is done outside of the medical building.  Following this taper, you will be moved to NRT (Nicotine Replacement Therapy) as directed by our medical staff, until you are safely withdrawn from the physical and psychosocial aspects of nicotine addiction.  If you have any questions, and need additional assistance, please call (800) 478-0331.

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Group Therapy in Residential Substance Abuse Treatment

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This type of therapy involves the dynamics of group interaction, including group confrontation of denial, dealing with issues of interpersonal conflict or closeness, and the sharing of painful experiences or affects. Group therapy can be agroup therapy supportive, therapeutic, and educational experience that can motivate and sustain invididuals struggling to cope with life stresses and drug craving while remaining drug free.

Group therapy offers individuals opportunities to identify with others who are going through similar problems, to understand the impact of substance use on their lives, to learn more about their own and others' feelings and reactions, and to learn to communicate needs and feelings more constructively. Group therapy can also be useful in providing a forum for discussing and updating the treatment plan and for developing and monitoring specific behaviors that promote recovery and prevent relapse.

 

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Family Therapy in Residential Substance Abuse Treatment

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It is accepted knowledge that addiction is a family disease. This means that people have become ill with this disease while in a family unit and every person in the family is somehow affected by the disease. Once the addicted person reaches outfamily therapy for help, it is important for those close to the individual to participate in the treatment process. 

Family Therapy programs recognize the concept of "family system" in offering help to those served in residential substance abuse treatment. The "family system" model proposes that the family consist of individuals whose behavior impacts others in the system and the system as a whole. Better healing occurs if as many people as possible from the system work together to form a healthier group. It is quite common to find relationships in recovery in which communication is difficult, or non-existent, improve once the substance is gone. All too often, relationship stress leads to relapse for the recovering person.

The family program attempts to change the habit of blame into actions of healing.  Families are assisted in moving toward healthier family relationships by first understanding the impact of learning experiences in the family of origin. Assessed is the functional "climate" of the current family unit that promotes skill building that enhances communication, builds problem-solving behaviors, and strengthens trust and commitment. Families in treatment work with other families to support, encourage, and share experiences in an air of acceptance.

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