Treatment FAQ

how to talk to family about medication assisted treatment

by Everette Dibbert Published 2 years ago Updated 2 years ago
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To help your family understand the benefits of an MAT program, talk with your family about the common misconceptions about medication-assisted treatment and explain to them how beneficial it can be. Be sure to inform them that: MAT is not trading one drug for another.

Full Answer

How do I contact SAMHSA about other medication-assisted treatment programs?

For information about other medication-assisted treatment (MAT) or the certification of opioid treatment programs (OTPs), contact the SAMHSA Division of Pharmacologic Therapies at 240-276-2700. [email protected]

How can I help a family member with addiction?

You can do things for a family member, such as encouraging, listening, or offering to help them find a treatment program. 4 Click on a pin to learn more information on a specific facility location. Choosing a treatment program can seem overwhelming at first.

How is medication-assisted treatment used to treat substance use disorders?

Learn how medication-assisted treatment (MAT) is used to treat substance use disorders as well as sustain recovery and prevent overdose. Medication-assisted treatment (MAT) is the use of medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders.

Should medications be used in addiction treatment?

To be sure, the use of medications in addiction treatment has long been controversial topic. This dates back to the days of Synanon, the originators of the first “therapeutic communities” that, at the time, offered some of the only help to people with drug addictions.

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What are the goals of medication-assisted treatment?

The goal of medication-assisted treatments is to control a specific set of conditions during the early stages of recovery. Once the conditions are addressed, the individual should taper off the medication as they replace negative coping skills with functional behaviors.

What are the benefits of medically assisted treatment?

The Benefits of MAT Treatment for Substance AbuseFacilitates safer withdrawal by relieving symptoms and controlling cravings.Reduces the risk of death due to overdose.Increases retention in treatment with safer, controlled medications.Decreases illegal drug use and, with it, the potential dangers and legal consequences.More items...•

Is opioid treatment confidential?

Certification of Opioid Treatment Programs, 42 Code of Federal Regulations, Part 2 protects patient confidentiality through restrictions concerning the disclosure and use of patient records pertaining to substance use treatment.

What is Mat medication?

Medication-Assisted Treatment (MAT) is the use of medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. It is also important to address other health conditions during treatment.

What is the most common type of substance use disorder?

Alcohol use disorder is still the most common form of substance use disorder in America, fueled by widespread legal access and social approval of moderate drinking.

How does methadone work for addiction?

Methadone is a synthetic opioid agonist that eliminates withdrawal symptoms and relieves drug cravings by acting on opioid receptors in the brain—the same receptors that other opioids such as heroin, morphine, and opioid pain medications activate.

When Hipaa allows a doctor to notify an individual's family friends or caregivers that a patient has overdosed eg because of opioid abuse?

When does HIPAA allow a doctor to notify an individual's family, friends, or caregivers that a patient has overdosed, e.g., because of opioid abuse? (6) the notification is necessary to prevent a serious and imminent threat to the health or safety of the patient or others.

What does OTP mean in medical terms?

An Opioid Treatment Program (OTP) is defined as “a program or practitioner engaged in opioid treatment of individuals with an opioid agonist medication”.

What does OTP stand for opioid?

Opioid Treatment Programs (OTPs) provide medication-assisted treatment for people diagnosed with an OUD. OTPs must be certified by the Substance Abuse and Mental Health Services Administration (SAMHSA) and accredited by an independent, SAMHSA-approved accrediting body.

What is the difference between MOUD and mat?

Recently, SAMHSA recommends replacing the term “Medication Assisted Treatment (MAT)” with “Medications for Opioid use Disorder (MOUD).” The term “MAT” implies that medication plays a secondary role to other approaches while the term “MOUD” reinforces the idea that medication is its own treatment form.

Is Suboxone considered mat?

Suboxone is a considered a partial agonist form of MAT. This means that this form of therapy does not fully activate receptors in the brain, which results in a “ceiling effect” from these types of medications.

Does Medicare cover mat?

As shown in Table 2, Medicare covers MAT services as a comprehensive benefit under Medicare Parts A, B, and C, as well as some MAT under Part D. Part A Inpatient services, including counseling, and MAT drugs administered during a covered stay in a Medicare-approved hospital or inpatient facility.

How to contact SAMHSA for buprenorphine waiver?

Contact Us. For information on buprenorphine waiver processing, contact the SAMHSA Center for Substance Abuse Treatment (CSAT) at 866- BUP-CSAT (866-287-2728) or [email protected]. (link sends email)

What does a prescribed medication do?

The prescribed medication operates to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and normalize body functions without the negative and euphoric effects of the substance used.

What is MAT approved for?

Medications used in MAT are approved by the Food and Drug Administration (FDA) and MAT programs are clinically driven and tailored to meet each patient’s needs. Research shows that a combination of medication and therapy can successfully treat these disorders, and for some people struggling with addiction, MAT can help sustain recovery.

Why is naloxone used?

Naloxone is used to prevent opioid overdose by reversing the toxic effects of the overdose. According to the World Health Organization (WHO), naloxone is one of a number of medications considered essential to a functioning health care system. (link is external) .

What is the best medication for alcohol use disorder?

Acamprosate, disulfiram, and naltrexone are the most common medications used to treat alcohol use disorder. They do not provide a cure for the disorder, but are most effective in people who participate in a MAT program. Learn more about the impact of alcohol misuse.

How to contact the Opioid Treatment Program Extranet?

For assistance with the Opioid Treatment Program Extranet, contact the OTP helpdesk at [email protected]. (link sends email) or 1-866-348-5741. Contact SAMHSA’s regional OTP Compliance Officers to determine if an OTP is qualified to provide treatment for substance use disorders. Last Updated.

What is the confidentiality regulation for alcohol?

Under the Confidentiality Regulation, 42 Code of Federal Regulations (CFR) 2, personally identifiable health information relating to substance use and alcohol treatment must be handled with a higher degree of confidentiality than other medical information.

Why Family Members Should Participate In Treatment

Most family members see the individual as the one with “the problem”, but can’t see how the addiction has affected them as well. The complexities of addiction are hard for the majority of people to understand, especially since there’s still a societal judgement about the disease.

Benefits of Family Support During Medication Assisted Treatment

There are two types of support: primary and social support. Both are equally important. Primary support systems are made up of people who are closest to us. These are the people we can be open and honest with and who knows us better than anyone. We depend on these people to be with us through the good and the bad.

Offering Support from a Distance

Just because you live far away does not mean that you can’t be part of your loved one’s primary support system. Technology allows us to communicate easily and effectively with our loved ones, regardless of distance. Use it!

Where Do Family Members Find Support?

We encourage family members to attend support groups themselves. Families Anonymous and Al-Anon are two well-known support groups for families. The structure of the groups is similar to that of AA, NA and MARA, in that, there is no membership fee, registration, and you can share as little or as much as you would like.

Medication-Assisted Treatment (MAT)

The use of medication along with counseling and behavioral therapies to treat substance use disorder and prevent opioid overdose is referred to as medication-assisted treatment (or MAT).

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ABSTRACT

This Issue Brief represents the finding of a white paper prepared by RTI under funding from ASPE. The analysis included a programs scan of policy initiatives in 21 states and individual interviews with academics, federal experts, state officials and individual providers.

Background

Between 1999 and 2014, the rate of opioid use disorder (OUD) among women who gave birth at United States hospitals more than quadrupled during 1999 to 2014. [ 1] This rise in OUD in pregnant women corresponds with an escalation in the prevalence of Neonatal Abstinence Syndrome (NAS), increasing nearly seven-fold between 2000 and 2014.

Family-Centered Medication-Assisted Treatment

Family-centered treatment programs recognize women's roles as primary caregivers and provide services for women, their children, fathers, and other family members. Services are delivered during pregnancy for women who are pregnant and ideally continue up to one year after delivery, and even longer in order to help support women in recovery.

Challenges to Expanding Access to Family-Centered Treatment

In order to reduce barriers and expand access to OUD treatment for pregnant and parenting women, policymakers face several challenges.

Opportunity for Policymakers

Many states and programs focus on treatment during pregnancy but do not extend services to women after delivery, despite treatment in the postpartum period being critical to prevent relapse. Some states like New Mexico used Medicaid 1115 waivers, others like Texas used state dollars to fund services for postpartum women in recovery.

Endnotes

Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. August 10, 2018. Opioid Use Disorder Documented at Delivery Hospitalization--United States, 1999-2014. https://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6731a1-H.pdf.

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