Category: Treatment

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Anniversary Blogs Service Treatment

Joseph Rogers: Educational Director at Visions Day School

It was January, 2005 when Joseph Rogers joined the Visions crew. He started out as a tech but soon moved on to exercise his teaching and psychology degrees as the Educational Director at our Outpatient Day School. Since then, he has created an environment of trust and care within the classroom. Joseph has also created a wonderful space for nurturing spirituality, as he’s lead a weekly meditation group for the several years. In many ways, Joseph has become the gardener of spirituality and compassion amongst those that are under his tutelage. Many an alumni make efforts to come back for visits and to ask him for advice or direction when they encounter difficulties, and regardless of circumstance, he greets them with an open heart.

Joseph is currently pursuing his Masters in Divinity at the University of the West. He has long been pulled toward teaching the practice of meditation and becoming a chaplain will allow him to reach more people struggling with addiction and mental health from the spiritual perspective. It’s exciting to know that we’ll have a chaplain in our midst.

The Visions team genuinely adores Joseph. This really became apparent to me when I began to receive comments about him from some of his colleagues. What I received was amazing and heartfelt. We are truly lucky to have Joseph Rogers in our midst:

Fiona A. Ray, our Director of Outpatient and Aftercare Services had this to say, “Joseph’s approach to instilling academic esteem with his students is unparalleled and refreshing.  He brings creative innovation to the learning process and continues to develop new methods to address various learning styles.  It is an honor and a privilege to work in tandem with someone who inspires both his students and co-workers.

Daniel Dewey, our Teacher/Residential Director of Education, aptly quotes the Buddha when he thinks of Joseph, “His work is to discover his work and then with all of his heart give himself to it.”

John Lieberman, our Director of Operations, says, “I believe that Joseph is the perfect man to teach out kids. Joseph is a combination of edge, gentle, fun and calm. I would want Joseph to be my teacher.”

And Amanda Shumow, our fearless leader and one of our Founders really says it all: “Joseph truly exemplifies what it is Visions sets out to do as a company. He takes care of the students with compassion and efficiency and shows them they can be successes in this world with the right support. As an educator, Joseph finds the best way for a child to learn and then meets their needs as opposed to teaching with a “one size fits all” approach. Joseph is also a trained meditation instructor and helps to bring mindfulness to all of us. He is without a doubt, one of Visions’ best!”

Hear what Joseph had to say when we asked him a few, erm, pointed questions:

1.  What is the name of your favorite book?

“Tropic of Cancer” by Henry Miller

2.  What would you prefer to vacation next to … River, Ocean or Lake?

Definitely the ocean, fewer bugs that way. And I’ve never been to a tropical   island.

3.  Favorite food as a kid?

Escargot. True story.

4.  You can only bring 3 items with you to an island for 5 years…what are your 3 items?

A boat. A tent. My wife.

5.  Who’s a better Super Hero…Superman or Batman?

Spiderman: He’s the “everyman,” the superhero with problems. I don’t like            nationalism or revenge as motives.

6.  Have you ever been Skydiving?

Yes, I like to jump out of high places. My dad took me for my 21st birthday. He is    afraid of heights.

7.  Favorite dish your wife makes?

Apple cobbler on the 4th of July with fresh apples from our tree.

8.  If Kermit the Frog came to you for advice about what to buy Miss Piggy for her     Birthday what would you tell him?

I miss Jim Henson.

9.  Ice Cream or Pinkberry?

Life is short. Ice cream.

10.  Why do you choose to work for Visions?

The free trip to a tropical island for seven years of service. It helps that I love what I do, too.

Categories
Recovery Service Treatment

Visions Hits Double-Digits: Celebrating a Decade of Adolescent Treatment

This past decade, Visions has set a mission to provide a treatment plan that truly caters to youth and their families. We’ve coexisted alongside a myriad of recovery centers, working hand in hand with them to bring a sense of healing to the entirety of the family dynamic. As we celebrate 10 years of providing treatment, our professional growth, and the program development we’re embarking on, it behooves us to acknowledge and celebrate our treatment team and the culture they have built at Visions.

There is something that lies within every single person at Visions, something which connects all of us in a very unique way. As I’ve sat and pondered what that “thing” is, I‘ve realized it’s the sense of being of service which we all embody. The thing that drives us to get up and “do it again” isn’t the promise of a paycheck or the gratification of completing a task on time; instead, it’s the desire to put forth the effort in watering the seeds of recovery planted at the very beginning of treatment. It’s a continuum, this process, one which starts at intake and continues on to supporting healthy living. There is no “end” to the dedication and perseverance of our team. Selflessness is what I continue to notice about those who’ve been here since the beginning and in those just planting their feet. There is an element of altruism within the team, not forced, just naturally there and engaged beyond any expectations placed upon us by simply being an employee.

Amidst all of the selflessness and service, however, runs an underlying tone of never taking ourselves too seriously.  The team wears their hearts on their sleeves and carries laughter in their hearts. Frankly, we can’t see any other way to show our clients our authenticity.  As we know, adolescence is strife with the mistrust of adults and a deep need for autonomy; having adults who care for them and are willing to share their ability to be themselves while maintaining positive boundaries is crucial. There’s nothing forced about this, and the organic factor allows us to be consistent in our care and treatment. Remember, teens can suss out a fake in two seconds flat…especially when it comes to adults.

The treatment world understands a language all its own.  It feels the pain of the mentally ill, the addict, the depressed, the eating disordered, the anxious, and the suicidal. From our perspective, there’s no judgment, just the sincere effort to help someone heal. There comes a point where the need to “just” be of service ceases to solely focus on recovery and begins to seep into paving the path to living better lives. At Visions, we shoot for the families’ new beginning and aim to be the best examples of recovery, compassion and fun. As Dr. Seuss liked to say, “Fun is good.”

Categories
Addiction Anxiety Depression Mental Health Obsessive-Compulsive Disorder (OCD) PTSD Recovery Therapy Treatment

MDMA: Is This Psychotropic Drug Helpful, Harmful, or Both?

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Last time I wrote about ecstasy, it was about the rise in ER visits and the inherent dangers of using a drug that inevitably depletes one’s levels of serotonin and has the potentiality of long-term brain damage. So, when I came across an article talking about using MDMA (ecstasy) to treat post-traumatic stress syndrome (PTSD), my curiosity was sparked. Psychedelic drugs have been used to treat mental illness before, and with some success: In the 50s and 60s, psychology was in a Freudian phase, viewing psychological issues as conflicts between the conscious and unconscious minds. At that time, psychedelics were used to allow patients to face their unconscious minds while awake, which purportedly eliminated the variables of memory retrieval. Still, these methods of treatment weren’t without controversy.  With the influx of street use, and folks like Timothy Leary telling people to “”Turn on, tune in and drop out,” the use of psychedelia to treat mental illness was met with great discernment and fell to the wayside.

Currently, interest in using MDMA and other psychedelics to treat depression, obsessive-compulsive disorder (OCD) and PTSD is gaining traction. MAPS is doing extended research on this subject, and states that MDMA isn’t the street drug we call ecstasy, noting that while ecstasy contains MDMA, it also may contain ketamine, caffeine, BZP, and other narcotics and stimulants. According the MAPS site they are “undertakinga 10-year, $10 million plan to make MDMA into an FDA-approved prescription medicine.” They are also “currently the only organization in the world funding clinical trials of MDMA-assisted psychotherapy. For-profit pharmaceutical companies are not interested in developing MDMA into a medicine because the patent for MDMA has expired. Companies also cannot profit from MDMA because it is only administered a limited number of times, unlike most medications for mental illnesses which are taken on a daily basis.”

The use of this drug has leaned so far from its psychotherapeutic roots, proving to be one of the most popular, highly sought-after street drugs around. Because of this, the useful aspect of this drug may easily be overlooked, forcing us to question how we can take something that has morphed into a social enigma and call it useful. I’m curious, will sufficient research place this drug at the discerning hands of medical professionals once again? And how do we, as a recovery community accept this when we have kids coming in suffering from the long-term, negative effects caused by this very drug?

Related articles:

MDMA May Help Relieve Posttraumatic Stress Disorder(time.com)

Ecstasy As Treatment for PTSD from Sexual Trauma and War? New Research Shows Very Promising Results (alternet.org)

Clinical Study of MDMA Confirms Benefits Noted by Therapists Before It Was Banned (reason.com)

Neuroscience for Kids

Ecstasy Associated With Chronic Change in Brain Function

 

Categories
Addiction Opiates Recovery Treatment

Saboxone: A Methadone Alternative?

Recovering from opiate addiction is no walk in the park. With something like heroin, symptoms can occur within 12 hours of the last high, causing addicts several days of sheer misery. Some addicts have no other choice but to detox on their own, suffering the miserable consequences of their addiction. In some ways, if they can make it past that second day, they have a good chance for a successful detox.  Some, however, have the opportunity to go to treatment, which provides addicts the benefit of supportive care and medications to ease the pain and discomfort of withdrawal. A common medication used for this is called Suboxone (bupenophine and noloxone) and purportedly shortens the length of the detox while also treating the withdrawal symptoms. It’s also used for long-term maintenance much like methadone has been used in the past, sans the stigmatization. A prescription for Suboxone means you don’t have to stand in a clinic line for your daily dose, but rather, you get your 30-day rx from a physician.

There are three phases to the using Saboxone in opioid addiction therapy. The induction phase, which is a “medically monitored startup” of the medication, begun 12-24 hours after the addict has abstained from opiates and is in the early stages of withdrawal.  This is typically done under observation in the doctor’s office. Next is the stabilization phase, which happens when the patient has “discontinued or greatly reduced” the use of their drug of abuse and is suffering from little to no cravings. Last is the maintenance phase, which culminates in a “medically supervised withdrawal.”

Nothing is ever that simple, though, when it comes to treating addiction.  While Suboxone certainly has its value for assisting with opiate withdrawal and turning people’s lives around, there is a dark side. It is just another opiate after all.  Some addicts will inject it, some will take more than their prescribed dose, if just for a brief bout of euphoria. Suboxone reportedly has a “ceiling effect,” which means it levels off after a certain amount. Additionally, the naloxone component of the drug is supposed to “precipitate withdrawal symptoms” when the drug is injected. Still, the state of Maine has reported some pretty disturbing news events surrounding Saboxone, with reports of the drug being smuggled into prison, hidden behind postal stamps and kids’ coloring pages. Prison smuggling of this drug is widespread, creating problems from New Mexico to Massachusetts.

Despite the reports of abuse and prison smuggling, the use of Saboxone is still proving to be a promising component to treating opiate addiction. Some experts suggest more training for physicians and tighter regulation of the drug in order to address the rate of abuse. This is definitely something the recovery industry will be paying attention to.

Related articles:

Understanding Drug Addiction Withdrawal (everydayhealth.com)

When Children’s Scribbles Hide a Prison Drug

Getting High on Suboxone? The FDA Says It’s Happening

 

Categories
Alcoholism Mental Health Recovery Treatment

Wet House, Wet Drunk

What do they do with the hopeless, late-stage alcoholics in Minnesota? They sometimes send them to the St. Anthony Residence, which is one of five “wet-houses” in the Twin Cities area. Wet houses are residential facilities where sobriety and recovery aren’t expected. They use a “harm-reduction” model, which employs a set of strategies meant to reduce the negative effects of alcohol (homelessness, panhandling, jail, etc.). These wet houses also provide shelter, meals, and medical attention for late-stage alcoholics. Often, their modality of thought is, “It’s safer and cheaper to have these guys drinking in a controlled environment than out on the cold Minnesota streets.”  And expense certainly does motivate:  Rather than the state spending inordinate amounts of money on jails, detox, et cetera, they now share the $18,000 per year costs for room and board with Catholic Charities. Residents receive $89 a month for expenses (most of which is spent on alcohol). This is a clear savings for the state. In fact, research done regarding a similar program in Seattle and published in the American Medical Association in 2009, showed striking savings in their public spending:

“The year prior to the opening of the wet house, its 95 participants had cost the government nearly $8.2 million in policing, jail, detox and other medical spending, an average of $4,066 per person per month. But after moving into the wet house, costs were reduced to $1,492 per person monthly after six months, and to $958 after 12 months.”

Still, according to Bill Hockenberger, a recovering alcoholic who manages St. Anthony’s, three to five percent of the residents stop drinking. But I wonder if cost is really a good reason to give up on the 12-step model that has been clearly shown to work.

As I watched these interviews with some of these men today, I was struck by the textbook depiction of their addiction to alcohol. Deluded into thinking that all they’ll ever be is an alcoholic, they’ve literally thrown in the towel and succumbed to the disease. One resident says, “There’s no hope for a scoundrel like me.” Their descriptions of drinking and their corresponding alcoholism mirror the way it’s described in the “Doctor’s Opinion”: “The sensation is so elusive that, while they admit it is injurious, they cannot after a time differentiate the true from the false. To them, their alcoholic life seems the only normal one.” Many of these men were homeless and had been in and out of detox facilities and treatment centers–all resulting in relapse. Their “failure” at sobriety ultimately led them to their residency in a wet-house either via county recommendation or by a self-appointed application. Residing in a wet house may mean retaining the last shred of one’s dignity, and it also may represent the end of the line for the hopeless and often-times dying: the “unfortunates” as the Big Book describes them, those “constitutionally incapable of being honest with themselves.”

St. Anthony’s takes men who would otherwise be homeless and panhandling and provides them with a safe place to lay their heads…and to drink. Perhaps placing an active, low-bottom drunk in an environment which actively shows them what drinking does will bring about an awareness of the disease. There are certainly those who stay in these wet houses and choose not to drink. In fact, some even get sober and leave, though I believe those to be in the minority. Even though counseling is made available, and drinking is only allowed in one area, I’m just not convinced that sobriety is attainable when recovery is looked upon with such complacency.  Just because the alcoholic is hopeless doesn’t mean we have to become hopeless in our approach.

Related articles:

A safe place to drink, or just giving up? (cnn.com)

You Are Here: The ‘Wet House’ Where Alcoholics Can Keep Drinking (nytimes.com)

At St. Paul ‘wet house,’ liquor can be their life – and death (twincities.com)

‘Wet Houses’: Letting Alcoholics Drink, with Surprising Results (healthland.time.com)

 

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