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| Name: | felicity |
| E-Mail: | stardustedrose7687@hotmail.com |
| Date: | Wed Jun 12 19:58:02 2002 |
| Wrote... Hi I go to school in Tustin, California; and I'm doing a report on my career choice... I have been unable to get a required interview with local DAR counselors so I was hoping a counselor could answer my following 15 question and email me back before Friday, June 14, 2002.... Thank you so much!! Questions: 1. Who was your childhood role model? And how did you know them? (i.e. Mom, Dad, etc.) 2.Did what they did in their life influence your career choice? 3.What are the reasons you chose this career? 4.What degrees did you get? 5. What degrees should I get? 6.What does getting those degrees entail? 7.What courses should I take? 8.What do those courses entail? 9.What colleges in the U.S. offer those degrees? 10.Did you have any experience in "the field" before entering the profession? If yes, what? 11.Do you recommend I have "in field" experiences? If yes, what? If no, why not? 12.What education path do you recommend I take prior to college if I wish to pursue the profession? 13.What obstacles did you meet? How did it effect your ability to pursue the profession? 14.What obstacles might I meet? How will they effect me? How do I avoid/ overcome them? 15. Please give a job Description of @ least ten sentences? Will you please also send photos, flier type info, and a "day in the life of," type description "from 6:00 a.m. to 6:00 p.m."? Thanks a million... you can send it to: Stardustedrose87@aol.com or Stardustedrose7687@hotmail.com Sincerely, Felicity Russell | |
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| Name: | Robert S. Edwards |
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| Date: | Fri Jun 7 19:16:57 2002 |
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| Name: | Paula |
| E-Mail: | pmk40@hotmail.com |
| Date: | Fri May 3 05:30:23 2002 |
| Wrote... Is there some way a doctor would be able to give methodone? What about weekends and holidays? Does anyone have any suggestions for someone w/out transportation? | |
| Name: | Lilly |
| E-Mail: | tarterwoman@yahoo.com |
| Date: | Mon Apr 29 01:35:47 2002 |
| Wrote... I would like everyone who plans on staying on methadone long term to hook up with an advocacy group. It is important that we work togethere to make their modality of treatment legitiment to the medical profession as well as the communities where the clinics are set. There are some very bad clinic out there that work at keeping the clients off balance and mistrustful of each other by encouraging them to tell on each other for activities that should only be delt with by a trusted, well trained counsleor or a personal doctor. Groups like NAMA are an important resourse to make sure that your program is treating you with the dignity and respect that would be given any person with a chronic illness. With all programs having to reaccredidated this year it is now the time to stand up, quit taking what ever is given to you,(thats old junkie behavior) we deserve better, we demand better!!! But that will only happen if you take the risk of opening your mouth and your heart. Lets help each other help our programs. Because not all of us will beable to get "medical maintenance" for some time. Let's make our programs accountable for their treatment of paying customers. Togethere we can make a difference. | |
| Name: | Ida M.Morin |
| E-Mail: | dmorincsr@cs.com |
| Date: | Mon Apr 22 19:50:55 2002 |
| Wrote... I would like to know the long term side effects of the treatment. Please elaborate, as I am concerned about long term adverse side effects. For example, any studies linking this drug to cancer, and or calcium depletion in teeth an bones? What is the normal length of time to be under treatment? How do you wean off of this treatment, if the patient becomes dependant upon this as well? Please share any information available, as I am doing my best to be supportive of a loved one. | |
| Name: | Lisa Massey |
| E-Mail: | only1lisa@hotmail.com |
| Date: | Mon Apr 15 10:29:19 2002 |
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| Name: | robin |
| E-Mail: | seanagogirl@yahoo.com |
| Date: | Wed Mar 27 13:18:31 2002 |
| Wrote... looking for clinics try this www.samhsa.gov they ask for city and state and list them all.hope that helps..... | |
| Name: | robin |
| E-Mail: | seanagogirl@yahoo.com |
| Date: | Wed Mar 27 13:11:08 2002 |
| Wrote... ive been on methadone maitenance for 2 years.it saved my life. if you are willing and ready to change.if not nothing will work. i had a beautiful baby on methadone. the clinc and dr,s monitor u.if u come off clinic baby could die. but she was weened with phenobarbytol and adjusted great. shes awonderful healthy child. | |
| Name: | Don Cram |
| E-Mail: | dcluvhammer@aol.com |
| Date: | Sun Mar 24 19:06:26 2002 |
| Wrote... My wife & I are in the process of adopting a child. The birthmother has been on methadone her entire pregnancy. Could you provide us with any information regarding the potential short term & long term effects on the child. Also, is there any testing that can be done to determine such effects. Thanks! | |
| Name: | karl |
| E-Mail: | big_ass_shabang |
| Date: | Tue Feb 12 21:21:02 2002 |
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| Name: | Shirley Phillips |
| E-Mail: | sdent@wk.net |
| Date: | Mon Dec 31 12:46:02 2001 |
| Wrote... My daughter has had by-pass surgery and is also a drug addict & alcoholic. She has been on some methadone treatment and may even had used other things while on this treatment. Is it dangerous for her heart treatment of she doesn't get methodone? She is currently in jail. | |
| Name: | Dee |
| E-Mail: | Lioness0070@hotmail.com |
| Date: | Sun Dec 30 16:39:11 2001 |
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| Name: | marcela |
| E-Mail: | tensemom@aol.com |
| Date: | Sun Dec 23 15:15:40 2001 |
| Wrote... I don't know anything about methadone and being preg. but I'm adopting a baby thats mother was on it the entire preg. The baby is 17 months now and everything seems fine. I'm interested in all information. Thank you | |
| Name: | marcela |
| E-Mail: | tensemom@aol.com |
| Date: | Sun Dec 23 15:15:38 2001 |
| Wrote... I don't know anything about methadone and being preg. but I'm adopting a baby thats mother was on it the entire preg. The baby is 17 months now and everything seems fine. I'm interested in all information. Thank you | |
| Name: | James Price |
| E-Mail: | jprice4449@hotmail.com |
| Date: | Thu Dec 20 06:39:21 2001 |
| Wrote... Well ive been on meth for about 10 years . Of course it started out because of the accident I had. I was taking 10 to 14 Percoset and other stuff daily. So the ins. sent me to a pain clinic and they added 30 ml. of meth and some other stuff . Befor I could be treated I won my law suit afainst workman comp. so the pain clinic dropped me . They sent me back to my primary Dr who didnt know squat about meth. Sohe took me off the rest of meds and left me on the meth . For the next year we increased to 50 ml. and thats were we have been every since. He feels bad because I am a bonified addict but he says its the best pain med I could be on, and since I have been diag. with RSD so be it But anyone with a little knowledge knows that the 50 ml. ran its course of helping a few years ago . We don't talk about uping the ml. and he feels so bad about the addiction he even lets me come a day or so early sometimes . He is a good fried now and I dont blame him for anything he has caused over the years I won't you to know if you plane on getting on Meth for any reason, dont think you can control it , its the meanest drug I know . Because of it everytime I have to take any kind of meds I have to take a lot of extra because of the meth cancels out the effect . I will not try to explain the withdrawal symp. to you . All you need know is you have never at least I hope not felt that bad in your life . So please think twice befor you jump A CONCERNED FRIEND | |
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| Date: | Tue Dec 18 20:42:19 2001 |
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| E-Mail: | mehdi_r_fard@yahoo.com |
| Date: | Mon Dec 17 23:22:37 2001 |
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| E-Mail: | DRQueen@Collegeclub.com |
| Date: | Tue Dec 11 09:40:09 2001 |
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| Name: | Gina Conte |
| E-Mail: | StarletteGina@earthlink.net |
| Date: | Wed Dec 5 08:27:41 2001 |
| Wrote... Methodone has saved my fiance's life! He was a heroin user for over 30 years! He has been on the methodone program for over 3 years now. He works and leads a productive life. We are moving to Peoria, Az. just outside of Phoenix and I want to make sure there's a clinic nearby before we move there. Can you help?? Thanks! | |
| Name: | Monica |
| E-Mail: | redheadedmonica@yahoo.com |
| Date: | Fri Nov 16 18:29:01 2001 |
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| Name: | Steve Miller |
| E-Mail: | Smiller@datawise.net |
| Date: | Fri Sep 28 18:43:31 2001 |
| Wrote... Help! I suffer from cronic restless leg syndrome and have tryed many different medications in the last 10 years. My doctor told that methadone is possibly my last resort so I started taking it about 2weeks ago. The most severe problem I have is the droziness during the day. It is interfering with my work. Does this side effect wear off or will it continue. I am currently taking 10mg and think I will have to increase dosage in the near future. Does the side effects disipate? If not are there any other alternatives. If not I will have to quite work. Thanks Steve | |
| Name: | JEnnifer |
| E-Mail: | istheremeaning@hotmail.com |
| Date: | Wed Sep 12 20:10:56 2001 |
| Wrote... I was wondering about use of street drugs while on methadone. Is there a dose that causes you not to be able to get "high" with street drugs and if so what is that dose limit? | |
| Name: | Rachel |
| E-Mail: | achibay@aol.com |
| Date: | Thu Sep 6 12:17:04 2001 |
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| E-Mail: | achibay@aol.com |
| Date: | Thu Sep 6 12:15:37 2001 |
| Wrote... hello everyone. my brother has been using heroin for about 10 months. last weekend he decided to try and stop. he and i were locked in a room together for 4 days but in the end he went back to the dope. he has tried methadone before but eventually went bakc to heroin again..... he has no health insurance and WE NEED HELP. please email me with any information and/or advice. Thanks | |
| Name: | cami |
| E-Mail: | cami366@yahoo.com |
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| E-Mail: | yvonne45@hotmail.com |
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| E-Mail: | kashmir0420@hotmail.com |
| Date: | Mon Jul 16 09:48:40 2001 |
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| Name: | Dennis C Black |
| E-Mail: | c__robinson@hotmail.com |
| Date: | Sat Jul 14 02:42:17 2001 |
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| E-Mail: | Sandra_Jamieson@hotmail.com |
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| Name: | nicole |
| E-Mail: | angelbear1210002AOL.COM |
| Date: | Sun May 20 08:36:49 2001 |
| Wrote... SORRY SENT WRONG MESSAGE. JUST NOTICED TODAY | |
| Name: | nicole |
| E-Mail: | angelbear121000@aol.com |
| Date: | Thu May 10 09:06:44 2001 |
| Wrote... congradulations on your pregnancy. i too just had a little boy on methodone. he is 5 months old and perfect. there are many myths and truths about babies and methodone. i can say that i practically know all of them. so, if you have any questions or you just need some support please feel free to e-mail me. i would be more than happy to help you in any way i can. (p.s. my screen name is actually my sons nickname and birthdate!!!!!!!!!!! he is my whole world. babies are amazing gifts so treat your body with love and respect. that is your babies home for the next 9 months. anything that enters your body you are sharing with your child. give him or her the healthy start he or she needs)good luck and god bless and watch over the both of you!!!!!!!!! | |
| Name: | nicole |
| E-Mail: | angelbear121000@aol.com |
| Date: | Thu May 10 09:06:43 2001 |
| Wrote... congradulations on your pregnancy. i too just had a little boy on methodone. he is 5 months old and perfect. there are many myths and truths about babies and methodone. i can say that i practically know all of them. so, if you have any questions or you just need some support please feel free to e-mail me. i would be more than happy to help you in any way i can. (p.s. my screen name is actually my sons nickname and birthdate!!!!!!!!!!! he is my whole world. babies are amazing gifts so treat your body with love and respect. that is your babies home for the next 9 months. anything that enters your body you are sharing with your child. give him or her the healthy start he or she needs)good luck and god bless and watch over the both of you!!!!!!!!! | |
| Name: | Mindy Jensen |
| E-Mail: | m-jensen@northwestern.edu |
| Date: | Fri May 4 14:31:34 2001 |
| Wrote... Hello- I am a reporter in the Washington DC area working on a story about heroin addiction and methadone treatment. I would like to talk to someone who has successfully undergone treatment and is now doing well. Anyone interested in talking to me can email me with their information. I will be working on this until May 20th. I look forward to hearing anyone's story. | |
| Name: | Barbara Hagar |
| E-Mail: | octanary@aol.com |
| Date: | Sun Apr 29 07:10:49 2001 |
| Wrote... www.acupuncture.com offers information on acupucture treatment for substance abuse using auricular acupuncture. This is being successfully used in over 100 drug treatment clinics in the U.S. and 25 other countries. Acupuncture greatly reduces symptoms of withdrawal, relieves depression, anxiety and insomnia. Coupled with ongoing counseling seems to be quite successful. Being a firm believer in Eastern Medicine I would love to see this treatment offered more extensively through out clinics. | |
| Name: | Megan Aldridge |
| E-Mail: | ald8862@netzero.net |
| Date: | Fri Apr 27 10:09:04 2001 |
| Wrote... I found a site at www.atforum.com, which is the addictions forum website. I chose this site due to the variety of information located therein. It provides information for both clients and professionals including a newsletter containing recent advances and reports in MMT which appear to be well researched. Further, you can review patient brochures, and locate MMT clinics. In addition, it provides a link to related web sites. | |
| Name: | |
| E-Mail: | |
| Date: | Wed Apr 25 20:50:55 2001 |
| Wrote... | |
| Name: | Troy Mikels |
| E-Mail: | tmikels@worldnet.att.net |
| Date: | Wed Apr 25 20:25:33 2001 |
| Wrote... The web site I chose was http://www.methadonetoday.org/ Methadone Today is the official newsletter of Detroit Organizational Needs in Treatment(DONT). DONT is a methadone advocacy group organized by methadone patients to return dignity to methadone maintenance treatment and to protect the rights of patients. This site is an excellent resorce for methadone information and advocacy. It even has a Watchdog link that lists clinics by state and it critiques the methadone clinics and informs people about costs, policies, and procedures. As quoted on their site "Detroit Organizational Needs in Treatment is dedicated to: improving the quality and accessibility of pharmacological treatments for opiate addiction, specifically opioid replacement therapy (including but not limited to methadone maintenance treatment) eliminating discrimination against patients of these treatments creating a more harmonious relationship between patients, treatment providers, and the community empowering methadone patients with a strong, unified voice promoting harm reduction practices by educating patients, medical personnel, policy makers, and the general public about the numerous life-saving benefits of opioid replacement therapy" This site was easy to find using a Netscape search engine and was tagged as "editors choice" I am going to recommend this to someone I know in treatment. | |
| Name: | Michele Padilla |
| E-Mail: | CBHRENO@aol.com |
| Date: | Mon Apr 23 08:36:04 2001 |
| Wrote... PLEASE NOTE ***** I will be out of town without computer access from April 26-29th. I will respond to your homework for module #4 and correct and score Post-tests on the 30th of April. Please submit your homework and assignments as normal. Certificates will be mailed to everyone upon completion of all the homework, assignments and post-test. | |
| Name: | Michele Padilla |
| E-Mail: | CBHRENO@aol.com |
| Date: | Mon Apr 23 08:33:57 2001 |
| Wrote... Regarding homework assignments for Module #3 - Pro and Anti Harm Reduction Arguments for opening a HR Treatment Center - everyone did a good job. I was impressed with all the different points everyone made. Many of you seem to be Pro HR Programs at this point - that is great! Keep up the good work. | |
| Name: | Charles Burnell |
| E-Mail: | cburnell@phonewave.net |
| Date: | Sun Apr 22 22:41:30 2001 |
| Wrote... Cures-not-Wars.org Website offers interesting information. As far as providing it to a client, that would depend on the client and their goals. I can see where it would be an alternative for some people as harm reduction, but I think others may view it as a means to justify their continued use with no change in behavior. I am certainly interested in Ibogaine. I read an article about it in Time or Newsweek some time ago. I remember thinking “I wish that had been available 20 years ago.” I know if I needed treatment I would be enthusiastic about trying this treatment. 1.) It reduces the craving and makes the detoxification process easier. This would enable a person to concentrate on behavior modification. 2.) From what I read, it appears that this 24 – 48 hour, introspective journey (under clinical conditions, with a therapist) would be a very intense 4th and 5th step (of a 12 step program). The dream like state may enable people to be more honest, thorough and insightful than they would be without the drug. It sounds especially valuable in that it is the only promising treatment for polysubstance abuse. I agree that more research needs to be done. But in order to accomplish this the government needs to provide the funds. I doubt that it needs the 30+ years research that methadone has received. | |
| Name: | Jessica Morrison-Dahl |
| E-Mail: | morrisongw@aol.com |
| Date: | Sun Apr 22 22:01:10 2001 |
| Wrote... Module 4 response: One of the most useful www sources given to me in the course of this class was www.mindspring.com/-methinfex/directory/index.html. This was useful because it lists the locations of all methadone clinics by state and city and gives directions as well as addresses and phone numbers. I truly value this resource. Naturally, I use it for Nevada, though I note that American Therapeutic Clinic is not listed and exists in Reno, but I also have used it for a family member in Atlanta, Georgia who is currently looking for a methadone clinic. This type of referral source is invaluable to a clinician. We have been provided with numerous www sites in this training. All have proven valuable to me. The www.csdp.org/factbook/methadon.htm was very useful in terms of giving a clear set of facts about methadone maintenance therapy. Over all the www citations have been among the most valuable resources in this training. Jessica Morrison-Dahl | |
| Name: | Megan Aldridge |
| E-Mail: | ald8862@netzero.net |
| Date: | Sun Apr 22 18:39:26 2001 |
| Wrote... The Cures-not-wars website, while interesting to read, provided little information that I would accept as scientific fact. If I had a client that was searching for alternatives, I would locate a source of information that was more trustworthy. | |
| Name: | Troy Mikels |
| E-Mail: | tmikels@worldnet.att.net |
| Date: | Sat Apr 21 20:28:52 2001 |
| Wrote... Regarding Cures-Not Wars…sharing of this type of information would be circumstantial. If someone was in a methadone treatment program and wanted to look at other options, then legal marijuana use could be considered a harm reduction intervention. On the other hand, an alcoholic who has not recovered would probably abuse and overindulge in marijuana use, just like they do with alcohol. The problem with marijuana use is the fact that you can grow it in a closet, without any need for a pharmaceutical company or laboratory setting, which makes it very difficult to control and/or administer (unlike Methadone, which is created in a laboratory setting and administered through a clinic). | |
| Name: | Barbara Hagar |
| E-Mail: | octanary @aol.com |
| Date: | Sat Apr 21 16:47:35 2001 |
| Wrote... I was not convinced by the studies and research presented that Ibogaine would be a safe choice for eliminating or reducing dependency on addictive substances. Would be interested in a comparison study between methadone and ibogaine. | |
| Name: | Jessica Morrison-Dahl |
| E-Mail: | morrisongw@aol.com |
| Date: | Fri Apr 20 08:42:58 2001 |
| Wrote... I am very uncomfortable with giving the information on the "cures-not wars" site. It is very unsound science. There are omissions and inappropriate assumtions about research facts. I work with clients who want any reason in the world to not have to quit using their drug of choice and this site seems to give them as much fuel as possible. Grant you, there are some correct facts in the material, and much work needs to be done on research, but I do not see this material as a support for harm reduction. I truly wanted to be mroe open minded about this site,but the more I read, the more uncomfortable I felt. Substituting marijuana for alcohol abuse may well be harm reduction, but I am not sure that this is something I want to offer as a first option. I'll be interested in hearing how others respond. Jessica Morrison-DAhl | |
| Name: | Troy Mikels |
| E-Mail: | tmikels@worldnet.att.net |
| Date: | Sun Apr 15 14:04:06 2001 |
| Wrote... I believe that OMT is very cost effective. Here's an example. Someone I know who was an ex-heroine user sustained a back injury and was prescribed opiate-based pain medication. He began "doctor shopping" to maintain his high on pain killers (about 30 pills a day). Every doctor visit and prescription refill had a co-payment and his insurance company had to pay for each visit and prescription. Even though the out of pocket expense paid by him (co-payments) were affordable, his insurance company was paying around $100.00 (new Doctor each time) for every visit and probably $20.00 for every prescription. Multiply these costs by about 12 visits a month and you're looking at about $18,000.00 a year, compared to the OMT he is currently on, which costs $1,920.00 a year. Also, when he was finally noticed by doctors and the DEA about his behavior ("doctor shopping,") he had to start buying prescription pain killers on the street at a cost of $3.00 a piece. When he ran out of resources to by pills, he started using heroine again because it was cheaper. I think that if he had been more informed about Methadone maintenance and the costs, (including job security) he would have started on the Methadone program a lot sooner than he did. | |
| Name: | Barbara Hagar |
| E-Mail: | octanary@aol.com |
| Date: | Sun Apr 15 08:25:28 2001 |
| Wrote... Cost effectiveness of Methadone Treatment: Methadone treatment reduces criminal behavior, promotes health, improves social productivity and reduces the societal cost of drug addiction as a whole. Basic math shows us MMT=$4,000 year health and social costs 4 to 5 times that amount $16,000 to $20,000 year incarceration= $20,000 to $40,000 year residential drug treatment program=$13,000 to $20,000 year MMT=$4,000 yr Societal costs= $49,000 to $80,000 yr. | |
| Name: | Barbara Hagar |
| E-Mail: | octanary@aol.com |
| Date: | Sun Apr 15 07:48:35 2001 |
| Wrote... In reference to #7 MMT combined with medical, psychiatric, social-economic isssues and drug counseling has the highest probability of being effective. This statement is quite obviously clear to me.As we are all very complex individuals each aspect must be addressed to heal the whole. Addiction is not selective in affecting only one aspect of life. #23 MMT reduces criminal behavior, addicts in MMT don't have to finance their heroin addiction which allows stabilization in their lives. Once the maintenance phase has been established and the patient feels comfortable in their skin more effort can be placed on attending counseling sessions and creating a treatment plan , a new way of life. | |
| Name: | Troy Mikels |
| E-Mail: | tmikels@worldnet.att.net |
| Date: | Sat Apr 14 21:29:43 2001 |
| Wrote... Quick fact number 6 states "Although a drug-free state represents an optimal treatment goal, research has demonstrated that this goal cannot be achieved or sustained by the majority of opiate-dependent people." One factor that needs to be considered is some of the reasons that people depend on opiates. If someone is chronically experiencing a tremendous amount of pain in their body, opiates may be one of the only things that help alleviate this problem. I think that it is very important to identify all underlying causes of drug use and abuse. Quick fact # 10 talks about the financial costs of untreated dependence ($20 billion/ year). In Las Vegas, Nevada, methadone maintenance cost around $160.00 a month. Even though heroine has gone down in price, it still costs around a minimum of $30 a day. I think that they should transition individuals with medical coverage from Methadone clinics to their physician for two reasons. One, it would be cheaper if it was prescribed as a medication that's covered by insurance companies. Two, the physician could pay closer attention to other medical problems the individual has. | |
| Name: | Charles Burnell |
| E-Mail: | cburnell@phonewave.net |
| Date: | Sat Apr 14 14:22:35 2001 |
| Wrote... Question #2. It is my understanding that all substance abuse treatment is cost effective when considering the cost of continued substance use and the results of the associated behaviors related to substance use. It not only costs $20,000. to $40,000 per year to incarcerate someone, it costs $60,000 to $100,000 per cell to build new prisons. And very little treatment options are offered while these people are incarcerated. If funds were to be re-allocated from the judicial system to treatment/prevention services, I will speculate that there would be enough funds for ‘entire family involvement’ in the treatment process. I will also predict that there would be enough funds to pay for and mandate people in participate in a program that would increase their educational level by at least one rung as part of their treatment process. It is my opinion that the more education people possess the better their chances of sustained recovery. From working in a treatment center and doing volunteer work within the prison system, it is my observation that basic educational needs are often neglected. This devaluation of basic education both contributes to and is a result of a multi-generation substance abuse epidemic. The viability of an entire society is dependent upon ‘its’ willingness to address these issues in an open-minded, progressive and generous manner. | |
| Name: | Charles Burnell |
| E-Mail: | cburnell@phonewave.net |
| Date: | Sat Apr 14 13:54:23 2001 |
| Wrote... In the last post, the word 'quit' should follow the word 'expected' in the firs sentence. Sorry, guess I should proof read. | |
| Name: | Charles Burnell |
| E-Mail: | cburnell@phonewave.net |
| Date: | Sat Apr 14 13:51:46 2001 |
| Wrote... #4 "Whatever conditions may lead to opiate exposure, opiate dependence is a brain-related disorder with the requisite characteristics of a medical illness." How after using opiates for an extended period, can one be expected when there is physiological as well as psychological craving for the drug? I don’t think that people should be required to have a year history of opiate dependence in order to be eligible for MMT. Their overall history is what should be considered, without placing this restriction on the user. Especially in light of the fact that opiate users are more prone to polysubstance dependence/abuse and/or mental (mood) disorders. For example if a person is using opiates to self-medicate for six months, then switches to alcohol or another substance as their ‘medication’ of choice it could prevent them from being eligible for MMT. When MMT could enable the individual to remain free of all harmful substances. Once stabilized on methadone the client could address issues that were causing him/her to self-medicate. I believe that all abuse of all chemical substances leads to structural and biochemical changes in the brain that need time to mend. Whatever that mending process involves. #5. "The safety and efficacy of narcotic agonist (methadone) maintenance treatment has been unequivocally established." I think sometimes when the government is involved many issues become over-studied because of an unwilling for those agencies to make a definitive decision. From working 12 years in the medical laboratory field, I am of the opinion that people who are in decision-making positions in these agencies do not have a comprehension awareness of the reality of those in need of the services offered. They should be more receptive of input from those who actually work in the trenches. | |
| Name: | Megan Aldridge |
| E-Mail: | ald8862@netzero.net |
| Date: | Fri Apr 13 16:37:26 2001 |
| Wrote... In response to question #2: I think the first sentence of "Methadone is cost effective" pretty much says it all. In a society that is struggling with the cost of health care, crime, increased illegal drug use, HIV/Aids/STD's and out of control spending, anything that would put a dent into all at the same time would be beneficial. No client I have ever met would prefer to be out on the street and using, or in prison. I believe that most opiate addicted people, if given a choice of being free and productive without suffering from withdrawal and cravings and a criminially active street user would choose the former rather than the later. However, I would be hesitant to allow the prescribing of methadone and the treatment of addicts to be handled by GP's "low-service clinics and pharmacies." Individuals requiring MMT are in need of much more than just a prescription. | |
| Name: | Megan Aldridge |
| E-Mail: | ald8862@netzero.net |
| Date: | Fri Apr 13 16:24:53 2001 |
| Wrote... In response to Fact #'s 4 & 6: Taken together, these to facts seem to indicate that opiate-addicted persons will be so for life. Fact 4 indicates that opoiate dependence is a brain-related disorder - does this refer to chemical imbalances like those found in schizophrenia and depression? If so, then opiate dependency is only treatable - it cannot be cured. Fact 6 indicates that while the ultimate goal of treatment is to be drug-free, the majority of opiate addicted persons are unable to obtain or maintain this level of recovery. If methadone dosages are slowly reduced over time, and the client is receiving thorough counseling, how, and at what point is the brain-related disorder treated? | |
| Name: | Michele Padilla |
| E-Mail: | CBHRENO@aol.com |
| Date: | Thu Apr 12 22:50:07 2001 |
| Wrote... WOW - I apoligize for the triple posting of my message. It never did appear on my second computer! Happy Easter. | |
| Name: | Michele Padilla |
| E-Mail: | CBHRENO@aol.com |
| Date: | Thu Apr 12 07:40:59 2001 |
| Wrote... Everyone did a great job on the homework for Module 1 - thank you for keeping an open mind and expanding your "toolbox" through taking this course. Regarding a few comments on the bulletin board: MMT is a Harm Reduction Treatment - it is not an Abstinence Based Level of Treatment. In Module 4 - we will discuss at length the difference between the two. Regarding pregnancy and methadone: yes, we do get very concerned when a woman becomes preganant while on methadone. What we need to consider is the alternative for a woman quitting methadone once pregnant. The opiate withdrawal that the woman would experience would also be felt by the fetus. With a pregnant woman in methadone, we can enforce that the women obtain pre-natal care, medical follow-up, etc., but would never eliminate methadone from the woman. This is dangerous. There continues to be on-going research on methadone and pregnancy -- between the two choices (1) pregnancy and continued heroin use (2) pregnancy and monitored methadone treatment.... option 2 is far safer. In fact, Federal Law prohibits MMT Programs from discharing pregnant women from treatment due to inability to pay - because we are fearful that the withddrawal could be detrimental to the fetus. Regarding counseling and methadone: Nevada Law mandates that patients in MMT have at minimum 1 hour of counseling per month while in treatment for the first two years. After two years the requirement drops to 1 hour / every 2 months. I cannot emphasize enough the importance of the counseling component. Patients must realize that this is where the "real work" is done. While methadone eliminates the need to keep using street opiates - the counseling component addresses the addiction, addictive behaviors, teaches lifeskills, helps patients develop supports systems, learn coping mechanisms, and deal with case management issues. The unfortunate fact is that many patient DO NOT WANT TO access counseling. Fear keeps many of us from many things! Regarding methadone stigma: I am saddened to hear the comment one person made regarding public opinion of methadone --- 12 of 12 people agreeing that methadone is "switching one addiction for another." This simply is not true. I invite any of you to contact me if you are interested in spending some time at a methadone clinic. This experience may allow you first hand to educate yourself further on methadone, treatment, give you a chance to talk with the patients, etc., and experience the real life saver that methadone can be! Keep up the great work and Happy Easter! Michele | |
| Name: | Michele Padilla |
| E-Mail: | CBHRENO@aol.com |
| Date: | Thu Apr 12 07:40:18 2001 |
| Wrote... Everyone did a great job on the homework for Module 1 - thank you for keeping an open mind and expanding your "toolbox" through taking this course. Regarding a few comments on the bulletin board: MMT is a Harm Reduction Treatment - it is not an Abstinence Based Level of Treatment. In Module 4 - we will discuss at length the difference between the two. Regarding pregnancy and methadone: yes, we do get very concerned when a woman becomes preganant while on methadone. What we need to consider is the alternative for a woman quitting methadone once pregnant. The opiate withdrawal that the woman would experience would also be felt by the fetus. With a pregnant woman in methadone, we can enforce that the women obtain pre-natal care, medical follow-up, etc., but would never eliminate methadone from the woman. This is dangerous. There continues to be on-going research on methadone and pregnancy -- between the two choices (1) pregnancy and continued heroin use (2) pregnancy and monitored methadone treatment.... option 2 is far safer. In fact, Federal Law prohibits MMT Programs from discharing pregnant women from treatment due to inability to pay - because we are fearful that the withddrawal could be detrimental to the fetus. Regarding counseling and methadone: Nevada Law mandates that patients in MMT have at minimum 1 hour of counseling per month while in treatment for the first two years. After two years the requirement drops to 1 hour / every 2 months. I cannot emphasize enough the importance of the counseling component. Patients must realize that this is where the "real work" is done. While methadone eliminates the need to keep using street opiates - the counseling component addresses the addiction, addictive behaviors, teaches lifeskills, helps patients develop supports systems, learn coping mechanisms, and deal with case management issues. The unfortunate fact is that many patient DO NOT WANT TO access counseling. Fear keeps many of us from many things! Regarding methadone stigma: I am saddened to hear the comment one person made regarding public opinion of methadone --- 12 of 12 people agreeing that methadone is "switching one addiction for another." This simply is not true. I invite any of you to contact me if you are interested in spending some time at a methadone clinic. This experience may allow you first hand to educate yourself further on methadone, treatment, give you a chance to talk with the patients, etc., and experience the real life saver that methadone can be! Keep up the great work and Happy Easter! Michele | |
| Name: | Michele Padilla |
| E-Mail: | CBHRENO@aol.com |
| Date: | Thu Apr 12 07:40:07 2001 |
| Wrote... Everyone did a great job on the homework for Module 1 - thank you for keeping an open mind and expanding your "toolbox" through taking this course. Regarding a few comments on the bulletin board: MMT is a Harm Reduction Treatment - it is not an Abstinence Based Level of Treatment. In Module 4 - we will discuss at length the difference between the two. Regarding pregnancy and methadone: yes, we do get very concerned when a woman becomes preganant while on methadone. What we need to consider is the alternative for a woman quitting methadone once pregnant. The opiate withdrawal that the woman would experience would also be felt by the fetus. With a pregnant woman in methadone, we can enforce that the women obtain pre-natal care, medical follow-up, etc., but would never eliminate methadone from the woman. This is dangerous. There continues to be on-going research on methadone and pregnancy -- between the two choices (1) pregnancy and continued heroin use (2) pregnancy and monitored methadone treatment.... option 2 is far safer. In fact, Federal Law prohibits MMT Programs from discharing pregnant women from treatment due to inability to pay - because we are fearful that the withddrawal could be detrimental to the fetus. Regarding counseling and methadone: Nevada Law mandates that patients in MMT have at minimum 1 hour of counseling per month while in treatment for the first two years. After two years the requirement drops to 1 hour / every 2 months. I cannot emphasize enough the importance of the counseling component. Patients must realize that this is where the "real work" is done. While methadone eliminates the need to keep using street opiates - the counseling component addresses the addiction, addictive behaviors, teaches lifeskills, helps patients develop supports systems, learn coping mechanisms, and deal with case management issues. The unfortunate fact is that many patient DO NOT WANT TO access counseling. Fear keeps many of us from many things! Regarding methadone stigma: I am saddened to hear the comment one person made regarding public opinion of methadone --- 12 of 12 people agreeing that methadone is "switching one addiction for another." This simply is not true. I invite any of you to contact me if you are interested in spending some time at a methadone clinic. This experience may allow you first hand to educate yourself further on methadone, treatment, give you a chance to talk with the patients, etc., and experience the real life saver that methadone can be! Keep up the great work and Happy Easter! Michele | |
| Name: | Jessica Morrison-Dahl |
| E-Mail: | morrisongw@aol.com |
| Date: | Sun Apr 8 22:36:06 2001 |
| Wrote... uestion 1: The best part about this assignment is that we got a facts sheet that had 28 quick facts rather than just 8, and it will be hard to limit myself to a comment on just two. The first fact stating that methodone maintenance treatment reduces illicit opiate drug us, reduces crime and enhances socialproductivity and reduces the spread of viral diseases such as AIDS and hepatitis is extremely powerful. These are the essential reasons why every treatment provider should do a thorough assessment and see whether referral is warranted for any opioid user that comes through his/her facility. These are significant treatment plan goals and if achieved can make a significant difference to the client. From now on, whenever I engage in a conversation regarding the value of methadone treatment, I will cite these 4 elements of a treatment plan. Fact 7: "Methadone Maintenance Treatment, combined with attention to medical, psychiatric and socioeconomic issues, as well as drug counseling, has the highest probablity of being effective." This is a very effective treatment option, but can be given in isolation without the other factors being addressed. One client I worked with in groups, (I am not her primary counselor), is pregnant and just started on methadone. She had no information on pregnancy and methadone use given to her by the methodone clinic. I was grateful that I had written information to share with her as a result of this class. But, I wonder how one individual counseing session per month could address the many health, socioeconmic, and psychological issues a client may well have as a recovering addict. Why would methadone treatment be any less thorough than any form of outpatient treatment? I would very much like to see a much stronger commitment to counseling interventions as a requirement for methadone maintenance and methadone step down treatment. Treatment, even a very effective treatment modality like this one, needs to be wholistic and take into consideration all the needs of the client. FACT 11: ". . . effective treatment of opiate dependence marketly reduces rates of criminal activity." This is a significant finding and would support the offering of methadone maintenance in jails and prisons. Has this been addressed and is it being considered? Could this be a significant factor that could reduce recidivism among criminals? There is a great deal of power in this statement. A solid research study could identify the specific effectiveness of this treatment and might lead to a change in criminal justice policies regarding treatment of addicted inmates. Every fact is of interest to me. I would like to see much more information on the use of both LAAM and burenorphine. What little this fact sheet offers us makes me very open to learning more. Question 2: The issue of cost effectiveness is well covered in the Research Brief handout. The numbers speak clearly--an annual cost of $4,000 for methadone treatment vs. $20-40,000 for incarceration or $13-20,000 for residential treatment. The savings as regards the criminal justice system are not only saving on the cost of incarceration, but also saving on the cost of restitution on the part of the criminal, and the cost of insurance payments to restore victims who are both physically and psychologically hurt by the crime, as well as to restore the goods stole, damaged, or destroyed as a result of the criminal act(s).The additional cost benefits are significant in terms of health and social costs. The suggestion that treatment can be provided evern more cheaply thorugh physicians in general medical practice does not "sell" methadone treatment to me. Using both limited service methodone maintenance and physicial prescriptions raise issues for me. I fear a lack of a thorough treatment plan to address socioeconomic, and psychological needs of the client. I would continue to want a variety of services to be offered to the recovering opioid addict. | |
| Name: | Barbara Hagar |
| E-Mail: | octanary @ aol.com |
| Date: | Sun Apr 8 20:40:33 2001 |
| Wrote... I found the material in module 1 interesting and informative overview of this debated subject. After the quiz I decided to ask a dozen people their opinion about the myth:Is methadone maintenance trading one addiction for another? Hands down all 12 said yes. Hopefully with continued education and involvement in the addiction field public awareness will become the norm. | |
| Name: | Charles Burnell |
| E-Mail: | cburnell@phonewave.net |
| Date: | Sun Apr 8 18:39:04 2001 |
| Wrote... I learned from the quiz and readings that I know very little about MMT. Probably because I come from the so called old school of complete abstinence is the only road to recovery. Any time the subject ever came up, I think I blocked out everything after the word 'methadone.' My views are rapidly changing. Especially since I have taken a couple of CEP courses at UNR. This is one reason why I elected to take this course, to help me obtain a different perspective about MMT. I am of the opinion now that the Tx should be tailored to the client not the client to the Tx. Almost all of the information presented here is new to me. | |
| Name: | Troy Mikels |
| E-Mail: | tmikels@worldnet.att.net |
| Date: | Wed Apr 4 20:45:35 2001 |
| Wrote... About the quiz....I was suprised to find out so many positive things about methadone treatment. I think what happens in society is that we associate behaviors and conditions, like bad teeth, and lets say lethargy with whatever that person is taking. For example, I know someone who used heroin on and off for a long time. This person just started methadone maintenance a few months ago, but his teeth were already in bad shape from using street drugs. If I wasn't aware of his past history of heroin addiction and didn't know how long he has been on a methadone maintenance program (a few months), then I may stereotype him and conclude that methadone rots everybody's teeth. I also notice that this person spends a lot of time lying around his house after work and on weekends. It's easy to generalize causation as being attributed to a high dosage of methadone (100 milligrams) a day, but he also has type II diabetes (his blood sugar is constantly too high)and hepatitis C. This is probably how myths begin, from a lack of knowledge of underlying causes of conditions. The concern that I have about people in treatment here in Las Vegas at the methadone outpatient clinic is the fact that counseling is offerred once a week, but not required. I think that counseling should be required after the patient has been on the program long enough to feel comfortable with the methadone treatment, like a second stage similar to "take-homes". Also, if a person has low energy levels or nodding that's noticed by a spouse, then maybe the clinic should encourage proper diabetes management in order to rule out the dosage of methadone as being too high. I think methadone has great potential if it is included in a treatment plan, not just maintenance. | |
| Name: | Megan Aldridge |
| E-Mail: | ald8862@netzero.net |
| Date: | Tue Apr 3 21:22:29 2001 |
| Wrote... I had never heard the myth about orange organs, nor the myth about methadone being named after Adolph Hitler. I am surprised about the facts presented about pregnant women, and I still find it hard to believe that infants born addicted to opioids are easily treated, with no long term effects. | |
| Name: | Jessica Morrison-Dahl |
| E-Mail: | morrisongw@aol.com |
| Date: | Mon Apr 2 13:32:57 2001 |
| Wrote... I had no preconceived negative notions about methodone maitenance prior to taking this class. I have visited a methadone clinic here in Reno and was given a very positive orientation to this form of treatment. Just this weekend, I was informed that a family member is a heroin addict, and I was asked for help and referrals. There was a great deal of negative attitude toward methodone treatment--the old belief that it is just substituting one addiction for another was voiced by the husband of the addicted woman. This first module reinforced my belief that this is an effective treatment modality for those with a track record of failing to achieve their goal of sobriety with other forms of treatment, and I continue to offer this information to the family members involved. I had heard none of the "myths" regarding rotting teeth, or calcium loss, or coloration of internal organs, so that information was merely of interest as a way to address and combat street myths. I value the information offered to combat those myths. I am wondering how methodone was developed into to a form of treatment from its orginal purpose as developed in Germany. What studies were performed, and how did this transition happen? I would like more information on this process. I like the analogy of methodone and insulin. It makes sense. However, I do not feel the addiction or lack thereof was completely addressed. You describe a withdrawal process and state that methodone use is necessary for maintaining stable functioning. Isn't this addiction as defined in DSM-IV? I like to hear more discussion on this topic. I understand clearly that methodone blocks the response to narcotics and does not leave the user "high." But, methodone use is different than abstinence and I would like all the information I can get to clearly distinguish the difference between the goal of methodone maintenance and the goal of abstimence. I am very aware that methodone maintance allows people to return to socially productive lives. I have worked with and met people for whom this is true. I also feel secure in the safeguards the local methodone clinic I visited provided to insure that methodone was used by the client for whom it was intended at a proper dose level, and on a regulated schedule. One of the "complaints" of a counselor at that clinic was not enough clients participated in on-going counseling groups. She would have preferred to have some inducements in place to get clients in for group and individual counseling sessions. I am aware that traditional residential s/atreatment programs often do not have in-service opportunities for new counselors on methodone maintenance and that it is still considered by some "old line" counselors to be a breach of strict abstinence which they consider the "only goal of treatment." I have also heard from s/a counselors (usually those who were trained 8 to 10 years ago) the words "I hate heroin addicts--I just don't know what to do with them." I would like to see methodone maintenance become a required topic covered in the education of all beginning s/a couselors and I would like to see a lot more in-service opportunities such as this one for currently licensed/certified counselors. I look forward to more information in future modules. Jessica Morrison-Dahl | |
| Name: | Michele Padilla |
| E-Mail: | CBHRENO@aol.com |
| Date: | Sun Apr 1 21:08:07 2001 |
| Wrote... Welcome students! I hope you find this course enjoyable and most importantly, educational. There are many myths about methadone and methadone treatment - I hope this class dispels and corrects any myths you may have. Please feel free to use this bulletin board at any time - I check it several times a week. Also email me at anytime with questions. Happy Springtime. | |
| Name: | Beth Nettles |
| E-Mail: | beth@scs.unr.edu |
| Date: | Sun Apr 1 16:56:30 2001 |
| Wrote... Test message. Welcome students, hope you enjoy the class. | |