Tag Archives: Opioid Crisis

Tag Archives: Opioid Crisis


The dangers of doctor shopping to abuse opioids The prescription opioid epidemic shed much light on secret practices that were taking place amongst many Americans – doctor shopping, which is defined as,

“The practice of visiting multiple physicians to obtain multiple prescriptions for otherwise illegal drugs.”

Doctor shopping often takes place in emergency rooms and urgent clinics, with the most commonly sought-after drugs being Vicodin and Percocet. These types of medications are controlled substances, which means that it’s much more difficult to return to a person’s primary care physician for more; antidepressants, muscle relaxers and medication used for conditions like attention deficit hyperactivity disorder (ADHD) are being prescribed from several different people, which are then used to sell on the street or to lend towards a person’s addiction.

A 2017 study published in the journal Substance Abuse emphasized that from previous studies, approximately 60% of prescription opioid users report obtaining their medications from dealers – and for individuals who aim to manipulate the system, doctor shopping is where many of these dealers obtain the drugs. Despite many people having executed doctor shopping, there are a lot of dangers that come from it:

  • First and foremost, a person is breaking both state and federal law if they lie to their doctor about the symptoms their experiencing and engage in doctor shopping
  • Overdoses are much more likely to occur, because some dealers mix substances together in an effort to make more money from their product
  • Serious mental health conditions could arise because a person is not consuming an appropriate amount of the drug related to their mental or physical condition
  • Addiction is the result for many who doctor shop
  • And more

In 2018, the American Council on Science and Health noted that along with this dangerous practice that’s taking place, people are becoming more creative in efforts to beat the system, as even veterinarians are being asked to watch out for instances that don’t feel right. While more nationwide regulations are being set in place (such as a database that is currently in 20 states which shows the history of what patients have received in the past), community efforts are still needed to combat the complex cycle of addiction from hurting our loved ones.

Cumberland Heights is a nonprofit alcohol and drug-addiction treatment center located on the banks of the Cumberland river in Nashville, Tennessee. On a sprawling 177-acre campus, we are made up of 2 12-Step immersion campuses, 12 outpatient recovery centers and 4 sober living homes. We believe that each person has a unique story to tell – and that’s why we always put the patient first.

Safe start program focusing on the opioid crisis at Cumberland HeightsThe National Institute on Drug Abuse (NIDA) reports that in 2017, more than 47,000 Americans lost their lives to opioid overdose. The tragedy of this nationwide occurrence has left so many broken families and communities in a state of disorder, as government agencies, healthcare professionals and organizations alike have been working diligently to combat the horrific outcomes that have resulted from the opioid crisis. Safe Start is an evidence-based program of Cumberland Heights that provides those struggling with moderate to severe opioid addiction with medication assisted treatment (MAT).

The MAT program utilizes Naltrexone, which is an opiate antagonist that works in the brain to prevent opiate effects such as euphoria, pain relief, etc. The generic form of the brand name Vivitrol, Naltrexone can help reduce someone’s desire to use opioids, but of course, this medication alone isn’t as effective as it would be combined with other forms of treatment. Dr. Chapman Sledge, Chief Medical Officer at Cumberland Heights, stated,

“The basis of a strong spiritual foundation in the recovery process is essential. Medication is only part of the solution.”

The Safe Start program at Cumberland Heights starts with an evaluation to determine if a potential client is a good fit; after that, and once Naltrexone has been assessed as a good fit for the individual, they will detox in a safe residential setting with 7-10 days to allow their opioid receptors to clear before starting the MAT. With this Safe Start program, a person will have everything they need to start restoring their mind, body and spirit. Intensive support is provided, and with 12-Step programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), individuals are likely to be well on their way to safely transitioning from a life of active addiction – to one of recovery.

Once a person has transitioned out of residential treatment, Cumberland Heights will assist the individual in creating a plan in which they’ll receive the Naltrexone shot every 28 days. If a person’s recovery is going strong after a year, a person may they choose to discontinue the medication. If this is something you or a loved one may be interested in, please speak with a professional from Cumberland Heights today.

Cumberland Heights is a nonprofit alcohol and drug-addiction treatment center located on the banks of the Cumberland river in Nashville, Tennessee. On a sprawling 177-acre campus, we are made up of 2 12-Step immersion campuses, 12 outpatient recovery centers and 4 sober living homes. We believe that each person has a unique story to tell – and that’s why we always put the patient first.

Man fighting heroin addictionAs the National Institute on Drug Abuse (NIDA) states, about 948,000 Americans reported using heroin in 2016. The number has consistently risen since 2007, even as individuals are continuing to hold jobs and pay the bills for their family. In February of 2018, CNN reported the rise of those with “functioning heroin addiction”, which means that a lot of people are hiding from their families – and themselves – the seriousness of their substance abuse.

Heroin is an opioid that’s made from morphine and individuals can inject, sniff, snort or smoke it. Immediately after taking heroin, a person will experience a plethora of effects such as dry mouth, heavy feelings in the arms and legs, nausea and vomiting and an overall state of feeling in-between consciousness and semi consciousness. The opioid epidemic has sparked many concerns about prescription medications as well as illegal ones, such as heroin. How can we help people recover from heroin addiction? What are some tools and strategies that will not only address substance abuse issues in our loved ones, but also components of their mind, body and spirit?

Interventions in Recovery

1. Medication

Medications for either detoxification or long-term maintenance fall into one of three categories: 1) agonists, 2) partial agonists and 3) antagonists. Agonists activate opioid receptors in the brain, which mean that without close monitoring, a person could become addicted to them. Partial agonists activate opioid receptors but yield much smaller effects, which is likely to be less of a risk for addiction. Lastly, antagonists block the rewarding effects of opioids, which help people combat the pleasurable feelings their brain previously associated with the drug. These are the most three common types of medications in heroin addiction recovery:

  • Methadone (opioid agonist)
  • Buprenorphine (partial opioid agonist)
  • Naltrexone (opioid antagonist)

Please keep in mind that we don’t use Methadone or Buprenorphine at Cumberland Heights. Here at Cumberland Heights, we use Naltrexone for opioid abuse disorders when appropriate. Read more about our plan here.

Some research has shown that medications, in combination with psychotherapy, can help reduce drug use and increase engagement in treatment programs.

2. Cognitive Behavioral Therapy (CBT)

Dr. Elizabeth Hartney, a psychologist and professor at Royal Roads University, Canada, explained to Very Well Mind the way we think or feel can influence our behaviors. CBT trains us to recognize these connections and utilize healthy coping strategies to only act on meaningful thoughts and feelings, rather than place meaning on all thoughts. The Substance Abuse and Mental Health Services Administration (SAMHSA) notes several core components of CBT, including:

  • Instructional and time-oriented
  • Focuses the client on the “here and now”
  • Helps individuals recognize and understand their thoughts and how they can lead to irrational fears and worries
  • New skills are developed and “homework” is often assigned
  • A trusting relationship between the person and their therapist is built as they explore key issues surrounding the mental, physical and spiritual health

3. Peer-Led Support Groups

Support groups, such as Narcotics Anonymous (NA), can greatly help those with heroin addiction by providing them with a safe space to meet others on the recovery journey as well as learn from those who’ve been working towards their recovery for quite some time.

Combining Treatment Interventions

While evidence has been shown for all three interventions separately, it’s best for a combination of these interventions to be employed throughout heroin addiction treatment. A 2016 study published in the Journal of Substance Abuse Treatment, for example, sought to explore the effects of medication-assisted treatment alongside 12-Step program attendance of those in recovery for a heroin use disorder (HUD). The researchers discovered that 12-Step attendance was associated with better outcomes especially for the first 6-months of treatment; however, sincere engagement is where individuals truly find transformation on their journey.

Respecting the Journey

Recovery has its ups and downs and those with heroin addiction may find themselves battling between engaging in treatment or leaving altogether. Routine is the most important part of recovery and if a person can hold onto that structure provided by treatment programs, they will find that the path towards healing and restoration open more doors for them as time goes on. Although there are many people in the United States – and around the world – addicted to heroin, there are still many people able to recover as well.

The National Public Radio (NPR) published a story in 2017 of Andrea Towson, a woman who used heroin for more than 3 decades. After having a near-death experience with fentanyl, a very deadly opioid, Andrea combined medication with support group meetings to help her get back her life. It wasn’t easy and she notes that she still has struggles regarding where she will live, but her recovery journey has been worth it. The reporter of NPR asked Andrea if it was worth it to live a “normal” life now and she said “yes”.

If you’re ready to begin the path towards healing, speak with a professional from Cumberland Heights today. The time to rejuvenate your mind, body and spirit is now.

Cumberland Heights is a nonprofit alcohol and drug-addiction treatment center located on the banks of the Cumberland river in Nashville, Tennessee. On a sprawling 177-acre campus, we are made up of 2 12-Step immersion campuses, 12 outpatient recovery centers and 4 sober living homes. We believe that each person has a unique story to tell – and that’s why we always put the patient first.

Call us today at 1-800-646-9998 to take the next step towards your happiness and health.

Safe Start – Cumberland Heights’ Response to the Opioid Crisis
We created Safe Start, a recommended medication-assisted treatment to anyone diagnosed with a moderate to severe opioid abuse disorder

Safe Start

In 2017, nearly 70,000 people died from drug-related overdoses, and research shows opioid abuse is more rampant than ever. A report from the National Safety Council says more people died from accidental opioid overdoses than car crashes in 2017.

Cumberland Heights is very in tune with the epidemic and that’s why we created Safe Start, our official response to the opioid crisis. Safe Start is medication-assisted treatment and recommended to anyone diagnosed with a moderate to severe opioid abuse disorder.

Essentially, it’s extended release Naltrexone, a long-acting opioid antagonist used to reduce cravings. Naltrexone blocks the effects of opioids if they are used. Unlike other medications used to treat opioid addiction like methadone, there is no chance of dependency with Naltrexone. Naltrexone can also be an effective treatment for alcohol addiction.

Dr. Chapman Sledge, Chief Medical Officer at Cumberland Heights says as a stand-alone treatment Naltrexone is not effective. “The basis of a strong spiritual foundation in the recovery process is essential. Medication is only part of the solution,” said Sledge.

The Proof

Before the FDA approved Naltrexone for opioid dependence in 2010, they conducted a study dividing opioid addicts, primarily heroin users into two groups going through the same course of treatment. The only difference was one group got extended release Naltrexone and the other group was given placebo. The groups were monitored for 24 weeks. The group that got the Naltrexone injection had 90% abstinence confirmed on urine drug screens compared to 35% abstinence among the group that got the placebo injection. As a secondary measure, the study looked at cravings. Cravings were decreased by 55% in the group that received the extended release Naltrexone injection. In the group that got the placebo, cravings increased.

How it Works

This is how Safe Start looks for a patient coming into Cumberland Heights: Once the patient is evaluated and it is determined Naltrexone would be a good tool for them in their recovery, they will detox in a safe residential setting and then have 7-10 days for the receptors to clear before staff administers Naltrexone.

As they continue with their recovery, and transition out of residential treatment, Cumberland Heights sets them up with a plan that ensures they get their shot every 28 days. Dr. Sledge says it is reasonable to discuss discontinuing Naltrexone after a year if recovery is solid.

If you or someone you know is struggling with Opioid Dependence or Opioid Addiction, please visit our Admissions section to learn more about what to do and how we can help.



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