Fremont drug rehabs and substance abuse treatment centers offer services for those suffering from addiction.
Fremont, a city located in Alameda County, CA has a population of 233,136. The city has a large afghan community that celebrates their heritage with a large selection of Indian cuisines. It is also full of amazing history that can be seen as well. The Niles Canyon Railway Museum, which includes train rides is full of spectacular views and The Niles Essanay Silent Film Museum, formerly known as the Edison Theater dates all the way back to 1913.
There are many great heritage spots around Freemont and its surrounding areas such as Livermore, Pleasanton, Oakland and Union City. These areas also have another common factor: opioid use. Opioid use is becoming an epidemic in cities all over the United States. This is highly linked to opioid prescription drugs being prescribed to patients who shouldn’t have them and then, those same patients turning around and selling their prescriptions to other people. It’s a domino effect. In 2005, 536 out of 1,000 residents were prescribed an opioid prescription drug. In the U.S., prescription opioids have more than doubled from 75 million grams in 2001 to 159 million grams in 2015. Every day, more than 78 people die from opioid use. It is estimated that 2,000,000 people have an addiction to opioids.
Opioids comes from an opium, a narcotic that can be obtained from a particular type of poppy. It’s been used as a healing agent for thousands of years. It can be used to make morphine, heroin and prescription pain-killers like Oxycontin, Percocet and Vicodin, which are all known as opiates.
Heroin is another popular opioid found in Freemont because it is much cheaper and easier to get than prescription drugs. Methadone, a synthetic opioid used for opiate dependency also gets a high rating in the city, with 26 percent of overdoses going to it. While opiates kill many people in the Alameda County, Cocaine comes is at a close second.
In Fremont, drug issues are mostly found in a large number of adults, but teens are also hooked on them. In fact, 38 percent of teens are getting high off an illicit drug while hiding their drugs in places their parents won’t look. A popular choice is in an old stuffed animal.
The issue with drugs in Alameda County comes from four different factors:
- High Crime Rate (28 out 100, 100 being the safest)
- Low Employment Rate (2.9 percent)
- Poor Mental Health
- Lack of Education
Crime is abundant all over the United States. Robberies, vandalizing, rape, and murder are wide-spread across newspapers and electronic devices. Many times, crime is born in cities that are overpopulated with a low unemployment rate. Poor mental health is an increasing challenge in a society who is also suffering another addiction, phone addition. People aren’t going outside as much and would rather be behind their phones, playing games or something else. The sun provides vitamin D, which is especially important for mental health. A vitamin D deficiency can lead to depression and anxiety. In many cases, people don’t seek help for their mental health, which can lead to a bigger issue such as doing drugs.
With an opioid epidemic making its presence across the nation, many drug rehabilitation centers have started to up their game when it comes to reaching out to those with an addiction. Drug rehabilitation centers are designed to help those with a drug addiction to acquire the step-by-step help they need for recovery.
Here’s a step-by-step guide to show the path to recovery more clearly:
Step 1: Assessment/Pre-Intake
An assessment or pre-intake is the first step after making the decision to enter rehab. This is the most basic step within the whole process but it is an important one. The assessment or pre-intake step gives the doctor and psychiatrist the information that they need to find out what sort of help a patient needs. Frequently, people with a drug addiction are also suffering from anxiety or depression. Or sometimes, a potential patient is suffering from both a drug and alcohol addiction. These factors will change up the type of assistance a patient needs. An assessment or pre-intake is a simple questionnaire that allows the doctor and psychiatrist to ask some important questions.
- Date of Birth
- Has the patient ever been in drug or alcohol drug rehabilitation before?
- Is the patient using drugs? What kind of drugs? How long?
- Is the patient using multiple drugs? What are the different types? How long?
- Is the patient using alcohol? How much? How long?
- What is the patient’s social environment like? Married? Single? Children?
- Is there a history of mental health issues? Depression? Anxiety?
These questions are basic but important so that the doctor and psychiatrist can answer their own questions. These questions look like this:
- Is the patient suffering from an actual addiction?
- Is there are a combination of drugs or of drugs and alcohol being used?
- Is the patient a binge drinker?
- Is the patient depressed or full of anxiety?
- Are there any mental illnesses that need to be addressed in therapy?
All of these questions will be answered during the assessment/pre-intake so that the doctor and psychiatrist can move on to the next step. In certain cases, the facility might not have the right set-up for some patients and so a recommendation is made for another facility. However, many drug rehabilitation centers are designed with a set-up that is helpful to all patients.
Step 2: Intake
This step is devoted to several different things. First and foremost, there will be another questionnaire for the patient. This time the questions will dive a bit deeper. The assessment or pre-intake is very basic. It is a “Hi, how are you?”, a get-to-know-you sort of quiz. An intake questionnaire is like being interviewed for a job.
- Family health history
- Family mental health history
- Drug use history, family and individual
- Alcohol use history, family and individual
- When did the patient first realize there was an addiction to drugs or alcohol?
- What was the method of ingestion used for drugs? Smoking? Snorting? Injecting?
The questionnaire becomes the introductory phase of a patient being admitted to the facility. Once it has been completed, a physical examination and a series of lab tests need to be ran. The physical examination will allow doctors to find out what sort of shape a patient is in. If the lab results, which is most common a urine test shows drugs in the system, a patient will need to do though detoxification. A physical examination will provide the doctor with the information necessary to make sure the patient is physically capable of enduing the possible withdrawal from drugs or alcohol. Since detox can cause a lot of strain on the body, this is an important measure to take.
Next, the patient is given a list of items they can or cannot bring into the facility. Most often these items are the same for each drug rehabilitation center. However, some items vary depending on where one goes.
Items that are not permitted on the premises:
- Drugs or alcohol
- Food or drinks
- Large amounts of cash
- Bed linens or pillows
- Over-the-counter medication/herbs
- Excessive make-up or jewelry
- Revealing clothing
Financial arrangements will also be made during this time. Many rehab centers work on a sliding scale so that they are more affordable. Employees can check with their employer to find out what sort of policy there is for drug rehabilitation. In some cases, it may be covered.
Step 3: Detoxification
Detoxification is the process of cleaning one’s system of drugs. A patient’s system is used to having a constant supply of the drugs so when that goes away, the body and brain can rebel against itself, causing some severe withdrawal symptoms.
- Runny Nose
- Violent Outbursts
- Agitation/anxiety/depression/ paranoia/ irritation
- Physical pain-muscle aches/stomach cramping/tension
- Skin irritation
- Drug cravings
- Blurred vision
The severity of these symptoms is dependent on a number of factors.
- Length of addiction
- Combination of drugs and/or alcohol
- Dosage taken
- Any prior physical or mental disorders
- Pain tolerance
Since withdrawal symptoms can be very hard on some patients, doctors have the option to prescribe medications to their patients. The medications prescribed can help decrease cravings while also helping with certain pain that a patient is suffering from. However, lessening the drug cravings is often all a patient really needs.
- Methadone, can last up to 36 hours and it the most widely used
- Buprenorphine, has a ceiling effect in order to prevent overdose
- Naltrexone, an extended injection that can last up to a month
- Acamprosate, helps to normalize brain activity and isn’t dependent-based
- Disulfiram, for alcohol detox, helps to prevent relapse
Over all, detox is completed inside a facility. However, there are some cases where the doctor and psychiatrist agree that a patient can do an outpatient detox. This simply means that a patient can do their detox at home and come into the facility for a drug test at a given time. Since detox can be so hard on the body, doctors highly recommend that patients do an inpatient detox. Inpatient detox can last for three days or up a week. In some cases, even longer. The length of detox depends on some factors stated above:
- Type of drug, length of drug used, combination of drugs or alcohol used
Detox, due to the withdrawal symptoms can be a grueling experience on a lot of patients but it is worth it. Without cleansing the drugs from a patient’s system, the patient can not get the most out of the next step, which is the therapy step. Patients would be more focused on getting their next fix verses tackling their addiction head-on. Detoxing is for the body, as much as it is for the mind.
Step 4: Inpatient and Outpatient Treatment
Inpatient treatment is highly rewarding to a patient trying to recover from drug or alcohol addiction. Inpatient treatment takes place in the facility and usually covers a period of 28 days. However, some patients stay 30, 60 or even 90 days depending on a number of factors.
- Type of drugs taken
- Combination of drugs and alcohol
- Mental health disorder
- Personality style
Some people heal faster than other people. Some slower than others. There should not be a time table placed on recovery so that one can properly heal in an effort to avoid relapse.
Residential Treatment Center (RTC)
RTC is the very backbone to the entire recovery process. It implements that very core of what patients need in order to carry on with their recovery after being released from rehab. RTC also digs into the seeds of the past to find out why addiction happened in the first place.
RTC allows trigger points to be uncovered. Trigger points are moments in time that depict a person’s reaction to something that happened in their life. When we see something funny, we laugh. It is natural. The same happens with trigger points. The difference is that trigger points usually are not acknowledged. A smell, a sound, a word, a feeling or something else can trigger an emotional response which can trigger a verbal or physical response in some people. Trigger points can lead to depression, anxiety and anger which all can lead to drinking or drug use. Trigger points become a focal point in therapy and many patients find out that their trigger points stem from a childhood memory or traumatic experience in their life.
RTC incorporates a series of different therapies into daily life with patients in an effort to work through their addiction and any past issues that may be affecting them. It also helps to incorporate some coping skills that can be helpful when trigger points arise. Coping skills can be anything that helps a patient to become involved in something that takes their mind off of wanting to drink, do drugs or self-destruct in any way. Painting, bowling, writing, drawing, horseback riding, any type of sport, any type of hobby, cooking, etc., are all great coping skills that can help with trigger points.
RTC also implements yoga, meditation and affirmations into daily life. These three things are so important when it comes to leading a balanced life. Yoga not only helps keep the body aligned and stretched out, it also helps with breathing and stress releasing. Meditation is all about breathing and allowing a person to completely relax for a period of time. It helps to center a person. Affirmations are little daily builders that keep us going. They can be quotes from others or self-made. “I can do this!” is a great affirmation used in drug or alcohol rehab and it is enough to keep some patients pushing forward. Affirmations do not have to be deep in meaning or even long, they keep be short and simple.
RTC is all about opening up so it is important to be honest. Honesty will not only help a psychiatrist to provide a way for recovery, it will also help to keep relapse as far away as possible. During RTC, it is all about feeling and letting those feeling flow freely. It is a necessary part of recovery that will allow for a longer, happier sobriety. There is no judgement when it comes to feelings or crying in therapy. Doctors, psychiatrists and therapists are all available to help a patient heal and return to their life or in most cases, create a new life. There is absolutely no reason to fear one’s true feelings because the more a person feels, the better chance of healing they will have.
Partial Hospitalization Programs (PHP)
After inpatient care, patients are usually recommended to outpatient care. Outpatient care generally starts with Partial Hospitalization Programs (PHP). This type of outpatient care helps to instill those coping skills into daily life while also going back over trigger points and why they affect a person the way they do. PHP doesn’t want to reinvent the wheel and take a person back through their entire journey in RTC but it is important to address trigger points and coping skills. These two things will be huge factors in daily life and trigger points can lead to relapse. PHP helps to solidify a daily routine that can be used to avoid one. The program usually takes place the same facility as inpatient care, though this can change up from place to place. PHP takes place 5-7 days a week for 6 hours a day. Individual and group therapy are two focal points within this outpatient therapy.
Intensive Outpatient Program (IOP)
IOP is generally the last stop in therapy when it comes to patient care. It usually lasts for 3 hours a day, 3 days a week and is filled with group therapy sessions. Although, there are some moments of individual therapy sessions. Families are also encouraged to attend some meetings to learn about their loved one’s recovery as well. Again, coping skills are discussed during this time to help patients to remember that there are other options available to them outside of drinking or drug use. IOP is the introductory phase to support groups, which will become a huge part of the next step in rehabilitation.
Step 5: Aftercare
Aftercare is a process that patients start doing even before they leave rehab. It’s a series of support groups while also putting those coping skills into action when trigger points pop up.
Support Groups and Sponsors
Recovery is a lifelong goal. There is no cure for drug and alcohol addiction, there is simply recovery and one will have to stay in recovery mode their entire life. It is a simple fact. Temptation is too prevalent in society today and stress is a huge factor that drives people to drink and do drugs. No guards can be dropped when recovering because that is the moment that temptation will sneak in and stake it’s claim. Support groups are a huge part of recovery because they allow many people who are enduring the same thing to meet up and talk about it. Feeling alone is the one of biggest reasons people drink or do drugs. Support groups can help a person to feel like they are not battling their addiction alone. A sponsor will help a person to stay on track while also lending a shoulder to cry on an ear for listening. Support groups and sponsors go hand-in-hand for recovery.
Hobbies are the perfect option for people who are recovering from drug or alcohol addiction because it keeps a person busy. Any hobby will do as long as it keeps a person happy, is positive and isn’t hurting anyone. While most people choose cooking, playing a musical instrument or painting, there are many positive benefits that come from exercise. Yoga, which is most often taught during inpatient care is a great way to stay focused on recovery but things like kick-boxing or some other cardio can help with keeping drug or alcohol cravings away. Granted, it’s important to up the protein when one starts working out regularly so that body doesn’t try to overcompensate for everything the body loses during a workout. Regular workouts and a high protein diet can lead to a lot of energy, leaving drugs and alcohol back where they belong, in the past.
Sober Living Houses
Just out of rehab, it might seem impossible to readjust to life. RTC provides a lot of structure. There was most likely a schedule of events that were supposed to be achieved daily. Having structure can provide the balance needed to keep a person on the straight and narrow. Without it, anxiety is triggered and relapse appears imminent. Due to Sober Living Houses, relapse doesn’t have to happen. Sober living houses provide way for patients to still get the structure they need without so much being put on their shoulders at one time. Usually these houses will rent out rooms for about $450-$750 a month and typically, they do not charge for utilities. This makes it very possible for those who are recovering to have a stable place to live and save money toward their future. Sober living houses usually have multiple residents as well, providing a social environment. Patients right out rehab have lived among other patients so this social setting can be helpful. It is not recommended for someone just out of rehab to be left in a situation where they will be alone. Chances are higher for relapse. These houses have rules such as no sexual relations with other residents, no alcohol or drugs on premises and only smoking in certain areas. These are the general rules but each house will have their own rules that will need to be followed. If rules are broken, it could mean an eviction notice or a certain period of days in rehab.
We all live with some sort of addiction. It is at our human core. Anyone who doesn’t have an addiction mostly likely has not come across the one thing they are addicted to. But chances are very high that everyone is addicted to something out there and too much of anything can be bad. Some people are addicted to coffee, but too much caffeine can be really bad for the heart. Some people are addicted to chocolate, but too many sweets are bad for the teeth. Some people are addicted to burgers and fries, but too much fat can be bad for the cholesterol. This can go on and on. There are so many addictions out there and it becomes a decision to continue to let that addiction consume us. That is why rehabilitation is so important. For burgers, fries, chocolate and coffee, the answer appears simpler than with drugs or alcohol, just stop eating or drinking it. The answer isn’t that clear cut. Most often there is a reason that a person is addicted to whatever they are drawn too. Rehabilitation can help a person to find out what that reason is so that they can learn to let go of it and in turn, break free from addiction.