An initial intake appointment is required to go over your entire medical & substance abuse history. If you are not already stable on Suboxone, we will discuss plans to end your current opioid use and begin Buprenorphine (this is called “induction”).
On the day we choose for induction, after your visit with the provider, you will pick up your prescription and you will need to be in moderate opiate withdrawal prior to starting your first dose. Initial doses are prescribed in 8 mg strips and we recommend taking 4 mg (1/2 a strip) for your first dose. This may be repeated every 3 to 4 hours for control of your withdrawal symptoms and cravings. We will meet weekly for the first four weeks and fine-tune the dosing. During the second month, provided there are no relapses we will meet every other week. Beginning the third month, we intend to go to monthly visits however that is patient dependent and dictated by the presence or absence of relapses.
Those patients that continue to do well and have been treated successfully for six months may be eligible to begin telemedicine visits. Telemedicine visits would be conducted every other month in lieu of your visit to the clinic. Your regular monthly fee would still be collected however you could perform your visit from home through any smart device or camera enabled computer.
Once Buprenorphine treatment starts, all patients are required to be in active counseling/therapy. Counseling must continue for the duration of treatment.
Why is counseling an important tool in the treatment process?
Addiction is a learned behavior that changes the brain to become conditioned to continually want the substance. Through counseling and other behavior health modifications it has been known that the brain can actually change physically. By changing our environment, starting a new job, new hobbies and friends, all will alter our brain in some way. It is possible to undo some of the changes that occurred while addicted. Therapy will recondition the brain closer to pre-addiction status. This will better prepare the patient for a time when they may no longer require medication.
Medication alone can reduce cravings and withdrawal, but recovering from an addictive disorder requires a rewiring of the brain and medication alone is not enough. Attention to eliminating things in life that cause stress or depression will help minimize the chance of relapse. Disassociating with friends who are in active addiction can be difficult but very necessary, An experienced counselor/therapist will be able to teach other techniques that will further help undo some of the brain changes and conditioned learning that occurred while becoming and once addicted.
Counseling/therapy helps the patient rebuild relationships, repair finances, assume family responsibilities, decrease stress, anxiety and depression, and helps the patient make other meaningful changes in their lives that will allow them to achieve and maintain addiction remission.
See below for a few options:
1) Contact your insurance company to find a contracted substance abuse counselor in your area and once treatment has started have the counselor fax us proof of attendance.
2) Referral list of local substance abuse counselors available upon request . Once established have the counselor fax us proof of attendance.
You will also need to obtain your medication from a pharmacy; the cost may be largely covered by your health insurance. Please check with your insurer to find out. The retail cost of Suboxone varies depending on dose. You may wish to check with your pharmacy before pursuing treatment. Providers will usually have medication discount cards on hand for the medication but these are not guaranteed to be in stock and may or may not benefit your financial need.
If for any reason we determine at your intake meeting that we are not able to treat you, there will be no fee for that visit.
Substance testing must be done at each appointment while in Suboxone treatment, and may be required more often if there is suspicion of a problem. Urine test will be done in our office (at no additional expense) and sent off to the lab for confirmation. If you are seeing the provider through telemedicine visits you will test only on your required office visit appointments.
Testing positive for substances of abuse may be grounds for dismissal from treatment. We have the three strikes you are out rule. Once treatment starts, you are given two exceptions when relapsing, and testing positive, however, on the third relapse and positive test, you will be dismissed from our program and given resources to facilities that may help you overcome the strong hold the substances have on you.
Please be aware that fraudulent attempts to obtain controlled substance prescriptions are not protected by patient confidentiality. Any suspected deception or fraud (such as selling medications, altering prescriptions, obtaining prescriptions from multiple doctors, etc.) will be ground for immediate termination from treatment and will be reported to law enforcement.
Please be aware that NO MEDICATIONS of any kind are kept in our office. We do not physically dispense any medication; it is obtained from a pharmacy with a prescription.
If you feel that you would be a good fit for treatment here, please call the office at (602-601-7429) or submit your contact information through the “contact us tab” on our website page www.direct2recovery.com.
When we schedule your initial appointment, you can also download the additional intake paperwork, print it off, complete it, and bring it to your appointment with you, or you may choose to arrive fifteen minutes early to your scheduled appointment and complete the paperwork in office.
Direct2Recovery will not provide treatment if you have been dismissed (“fired”) from Suboxone treatment by any other provider within the last twelve months. We will provide treatment if you are currently in good standing with another Suboxone provider and need to transfer care due to a geographic move, retirement of your provider, or similar reason. We will also provide treatment if you were previously seen by another provider but cannot return to that provider due to such reasons. We may request records from your previous provider. It is your responsibility to ensure that these materials are sent to our office prior to beginning Suboxone.
If you are currently being treated with methadone (or have been treated within the past two years), we will need to discuss your situation in more detail prior to beginning treatment.