Inpatient Treatment using Suboxone
The first step after assessment is Developing a Suboxone maintenance plan with short term- and long-range goals for each patient. Accordingly, patient-treatment matching involves individual counseling, to diagnose the correct Suboxone dosage and expected length of treatment and to the extent possible. the choice and application of medical resources to each patient’s needs. The doctor explains the recommended course of treatment along with the policy for prescribing Buprenorphine for long term medication assisted treatment.
When a patient completes inpatient detox for opiate addiction, they are still going to experience mild withdrawal symptoms for a few weeks. Making it harder to stay in treatment ,and the relapse rate during those 2 weeks is very high. If they go straight from the detox facility to drug rehab that offers medication assisted treatment with suboxone this increases their chances of staying in treatment. The doctor at the clinic prescribes subutex(Buprenorphine) at the correct dosage and it is dispensed to the client by the medical staff at the rehab center.
Patient–Treatment Matching protocols
a thorough assessment by a certified suboxone doctor is necessary to determine each patient’s recovery needs and matched to appropriate levels of substance abuse treatment. History and Assessment should include the extent, nature, and duration of the addicts Heroin or pain medication abuse as well as their medical, psychiatric, and psychosocial needs and functional status. Doctors prescribing suboxone require a comprehensive blood work up should determine any medical conditions other than addiction are present.
Type of Medication Assisted Treatment Services Needed
In a comprehensive MAT setting, suboxone patients often have access to individual, family, and group counseling, as well as case management. Both residential and outpatient programs may offer intensive therapy from licensed professionals on a periodic or as-needed basis. Ideally, intensive outpatient programs using subutex will have prescriptions delivered to the facility. Most patients in phase one of Buprenorphine treatment need to see the nurse daily just to become stabilized. Clients with less severe heroin addiction problems, require fewer counseling services.
Suboxone assisted treatment is controversial. Professionals in the field, who support the appropriate use of the drug, differ on the administration process, there are some who don’t want to make it more widely available. Buprenorphine, unfortunately has street value. Patients can sell it to support a heroin addiction, although some evidence shows that on the street subutex is mainly used by people trying to fight off withdrawal symptoms, not get high.
But the drug gets diverted by some addicts, and law enforcement officers seize it, and addicts talk about how easy it is to buy. If used illegally, it can cause overdose especially if combined with other drugs.
For the past two decades, private suboxone doctors have been allowed to prescribe it to 100 patients at a time, as long as they get online training from the Drug Enforcement Administration and follow strict policies intended to keep the drug from reaching the street. Recently congress has amended the number of patients a certified physician can treat to 300 allowing more heroin addicts to receive help.