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Suboxone Rehab: How to Find the Best Treatment Provider

Suboxone is a partial opioid agonist, meaning treatment centers that specialize in opioid addiction are the best options to treat abuse of this drug.

SUBOXONE ADDICTION

Suboxone is a brand-name drug that combines buprenorphine and naloxone.

Buprenorphine is a partial opioid agonist, meaning it activates opioid receptors not dissimilarly to full opiate agonists (like methadone or heroin) but with a milder effect. Naloxone is an opioid antagonist, which blocks opioid receptors, helping to prevent abuse of Suboxone.

Suboxone is used to treat opioid addiction. It helps to taper a person off of a true opioid without feeling the extreme discomfort serious withdrawal produces.

The medication can be a helpful middle ground drug between full opioids and total abstinence. Unfortunately, because it is a partial opioid agonist, some people fall into abusing Suboxone itself, which can be addictive.

WHAT SORT OF TREATMENT SHOULD I SEEK FOR SUBOXONE ADDICTION?

The best treatment plan that is right for you or a loved one will depend on the level of abuse. 

There are a few things to look for in a good facility. Primarily, you want to research, as fully as possible, how capable the facility you are considering is at treating addiction. Look for options that offer evidence-based treatment rather than trendy options.

Ruben Castaneda, an author on the subject, notes that you should avoid facilities that guarantee success. The nature of addiction means this is only a marketing gimmick. Relapse is often part of the recovery process, and too many individual factors are involved in offering any kind of assurance of success. 

Once you get into contact with a treatment professional, they can help you determine what is the best course forward. The first major obstacle to overcome will be to detox from Suboxone. This will likely be a relatively expensive process and fairly intensive. 

The bulk of Suboxone detox will take about two weeks, although the overall process will last longer than that. It may take more or less time, depending on the nature of the abuse. 

Suboxone withdrawal is complicated by the fact that it is a medication generally used to treat opioid addiction. This makes medication-assisted treatment (MAT) more difficult since Suboxone is often used as the medication of choice. Treating physicians will have to determine what is best for the individual situation.  

Following the detox plan, the primary goal of the program will be to overcome your addiction in therapy. You will probably work with a treatment professional to determine if an inpatient or outpatient program is going to be most effective to treat your addiction.

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DIFFERENCES BETWEEN OUTPATIENT AND INPATIENT TREATMENT

In outpatient treatment programs, you come to the treatment center for your therapy appointments and other treatments. You then leave the facility to return home each evening. 

There are different levels of intensity with outpatient treatment. Some programs involve a couple of hours of care each day, whereas others involve up to eight hours of therapy. Some programs allow you to continue working or caring for your family, while others take up the bulk of your time. 

Inpatient treatment programs, as the name might suggest, are those where you will be required to stay at the facility around the clock.

This treatment option is more intense, generally ensuring you are surrounded by treatment professionals and have

much more difficulty abusing drugs even if your cravings are particularly fierce.

Inpatient treatment is considered the more comprehensive option since you are entirely focused on your recovery. Suboxone abuse is usually a sign that someone has been struggling with long-term addiction, as it was initially prescribed to them as a treatment medication. This is why inpatient treatment is often recommended.

PROGRAMS COSTS

The cost of a given program can vary pretty widely.

A site specializing in insurance information noted the following average costs in 2011 for certain types of programs:

  • Medical Detox: $1,707 per day
  • 28-day residential treatment programs: $19,067 ($680.96 per day)
  • 10-week intensive outpatient programs: $6,863 ($98.04 per day)

A few things need to be taken into account before feeling overwhelmed by these numbers.

First, most insurance policies will cover some, the majority, or all of these costs. Second, the price varies, with less intensive treatments generally costing less. Outpatient treatment is significantly cheaper than inpatient treatment.

INSURANCE COVERAGE

Exactly what can be covered by your insurance is important to figure out before you begin treatment. Most treatment facilities will have professionals who can advocate for you to get the best coverage from your insurance policy. Exactly how much is covered will depend on your particular plan.

While specific plans may cover more or less, most policies will at least cover some of the costs, as long as treatment is deemed medically necessary. With the Affordable Care Act currently in place, most people should be able to get reasonable coverage for chemical dependency treatment.

Those without any insurance are a disadvantage, but they still have options.

There are federal and state options that offer inexpensive or even free treatment to people in specific financial situations. People can also potentially qualify for Medicare or Medicaid.

Most treatment centers want to help you get the care you need, and they’ll assist you in figuring out the financial aspect of treatment. Many offer payment plans where you can finance the cost of care.

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Over time, once you are stable in recovery, you can pay off the bill monthly.

Some treatment centers offer scholarships or treatment prices based on a sliding scale related to income levels.

FIND A SUBOXONE TREATMENT CENTER

The Substance Abuse and Mental Health Services Administration (SAMHSA) offers a treatment center location finder as well as a confidential and free helpline at 1-800-662-4357. The helpline is available in both English and Spanish and can guide you to more resources.

If you’ve been abusing Suboxone, it’s likely a sign of chronic opioid abuse. Treatment centers that specialize in opioid abuse are your best option.

Sources

(February 2018). Suboxone: Professional. RxList. Retrieved March 2019 from https://www.rxlist.com/suboxone-drug.htm

(February 2018). Suboxone: Side Effects. RxList. Retrieved March 2019 from https://www.rxlist.com/suboxone-side-effects-drug-center.htm

(September 2015). Insurance and Payments. Substance Abuse and Mental Health Services Administration (SAMHSA). Retrieved March 2019 from https://www.samhsa.gov/medication-assisted-treatment/treatment/insurance-payments

Paying for Behavioral Health Treatment: The Role of the Affordable Care Act. Substance Abuse and Mental Health Services Administration (SAMHSA). Retrieved March 2019 from https://www.samhsa.gov/data/sites/default/files/report_2050/Spotlight-2050.html

Addiction Treatment and Your Health Coverage. Insurance Quotes. Retrieved March 2019 from http://www.insurancequotes.org/health-insurance/health-resources/addiction-treatment-coverage/

Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition). National Institute on Drug Abuse (NIDA). Retrieved March 2019 from https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/frequently-asked-questions/how-long-does-drug-addiction-treatment

SAMHSA Treatment Locator. Substance Abuse and Mental Health Services Administration (SAMHSA). Retrieved March 2019 from https://findtreatment.samhsa.gov/

(August 2018). Opioid Abuse and Addiction Treatment. MedlinePlus. Retrieved March 2019 from https://medlineplus.gov/opioidmisuseandaddiction.html

Mental Health & Substance Abuse Coverage. U.S. Centers for Medicare & Medicaid Services. Retrieved March 2019 from https://www.healthcare.gov/coverage/mental-health-substance-abuse-coverage/

Medical Necessity and the Effect on Insurance. The Balance. Retrieved March 2019 from https://www.thebalance.com/what-s-medical-necessity-how-does-it-affect-insurance-4172148

(December 2017). What to Know About Health Insurance for Addiction Issues. U.S. News & World Report. Retrieved March 2019 from https://health.usnews.com/health-care/health-insurance/articles/2017-12-18/what-to-know-about-health-insurance-for-addiction-issues

(September 2017). 6 Tips for Finding a Good Drug and Alcohol Treatment Center. U.S. News & World Report. Retrieved March 2019 from https://health.usnews.com/wellness/articles/2017-09-07/6-tips-for-finding-a-good-drug-and-alcohol-treatment-center

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