Tag Archives: Safe Start

Tag Archives: Safe Start


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.

Original Article by: Brittany Weiner, WSMV NEWS CHANNEL 4
Originally Posted on: January 29, 2019

As our country fights an opioid crisis, prescriptions for another class of drugs are seeing a steep increase, and they too can be dangerous and addictive. A new study just published this month shows between 2003 and 2015 Benzodiazepine prescriptions have doubled, and about half of them are coming from primary care physicians. Women are twice as likely to be prescribed than men.

Benzodiazepines are used for anxiety and insomnia but they can also be prescribed for chronic pain, and those prescriptions are skyrocketing. “Benzodiazepines are a class of medication that have a significant addiction forming liability,” Chief Medical Officer for Cumberland Heights Foundation, Dr. Chapman Sledge said. “If opioid prescribing goes down there’s some concern that Benzodiazepine prescriptions will continue to go up.” Dr. Sledge says many times these drugs are actually prescribed with opioids. “What we usually see if Benzodiazepine dependence in conjunction with opioid dependence or alcohol dependence,” Dr. Sledge said. A combination that can be dangerous and deadly especially if used long-term.

“Benzodiazepines are not benign drugs,” Dr. Sledge said. “There’s good data that suggests the combination of Benzodiazepines and opioids prescribed together increases the risk of death by fourfold.” According to the study long-term use has also increased with continued prescriptions increasing by 50 percent.

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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