Treatment for Addiction in Orangevale, CA
Covering an area of 11.6 square miles, Orangevale is located in Sacramento County in the State of California. According to estimates, the population of Orangevale is 34, 836 people. Orangevale is famous for the rolling hills that provide a scenic view to the landscape of Sierra Nevada. The poverty rate of the census-designated place is at 9.2%, relatively lower than California at 14.3% and Sacramento County whose poverty rate is almost double at 20.3%. Bordering Orangevale is Folsom, Roseville, Granite Bay and Citrus Heights.
The median household income in Orangevale is $70,000 with the unemployment rate at 7.9%. This is higher than that of the state at 7.0% and almost double the national rate which is currently estimated to be at 4.1%. In Orangevale, an estimated 88.7% of the population has completed high school education with about 26% having a degree. The percentage of degree holders is relatively small given the national average.
The Substances Influencing Crime Rates
The crime rates in Orangevale are higher compared to the State and National averages. In California, the rate of crime is 8.21 per 100,000 people. On a daily basis, per 100,000 people, the number of crimes is 9.98 in Orangevale. This is higher compared to the national average by 28%. The likelihood of an Orangevale citizen being the victim of a crime is 1 in 28. However, the rate of crime has reduced by an estimated 2%, making the census-designated place 19% safer compared to other cities nationally. In Orangevale, by percentage, the two most common crimes are;
Orangevale California U.S
Property Crime 37% 9% 38.1%
Violent Crime 40% 7% 31.1%
Alcoholism rates in Orangevale are high and at almost the levels nationally. Alcohol drinking and abuse are common among the young people in Orangevale, especially in higher learning institutions. 62% of youths according to data by the National Survey on Drug Use and Health suffer from the disorder of alcohol abuse. Underage drinking is common in Orangevale as it is nationally, illustrating the extent of the problem of alcoholism. Binge consumption of alcohol has a damaging effect on the youth with the greatest adverse effect of abuse being poor brain development. Physical injuries and poor performance in education are other effects of alcohol abuse among adolescents.
Drug abuse is a significant problem in Orangevale, and the problem can be related to the high crime rates, high unemployment rate and levels of poverty. The use and abuse of drugs are considered to be an escape route for many, from the life challenges that they encounter. Dependence on drugs is a problem among people of all demographics including; age, race, gender, and education. The commonly abused drugs in Orangevale include;
- Prescription drugs.
Ecstasy Widely Used
Ecstasy is a widely abused drug in Orangevale, CA. The drug works by altering of the mood and perception of a user. The most common users of ecstasy are club-goers, especially the young people from higher learning institutions. The drug is trendy among the general population as well due to its stimulant effects. The rampant use of ecstasy can be attributed to ease in its accessibility as well as a high number of traffickers in Orangevale.
The chemical components and characteristics of the drug, ecstasy, are similar to those of stimulants or hallucinogens. The chemical characteristics of ecstasy results in;
- A user gains excess energy.
- Increase in pleasure.
- The altered perception of time.
- Increased emotional warmth.
- Sensory distortion.
The use or abuse of ecstasy is done in many forms and one of them is as a capsule. The capsules come in many different colors. However, others use ecstasy in the liquid form while others crush the tablet and sniff the powder. The different formats of ecstasy have the same effect given that the chemical characteristics do not change.
Ecstasy Addiction Treatment
The frequency of use and dosages mainly determines the addictiveness of ecstasy. Addiction by ecstasy is mostly evident through psychological as well as physical signs. Often, the use of ecstasy is done together with various types of intoxicants including alcohol, an aspect that makes it a challenge to identify its users. One of the main parts of the body that is negatively affected by addiction to ecstasy is the brain, and it impacts the following brain chemicals;
- Serotonin – ecstasy increases the activity of serotonin, an aspect that results in mood elevation, increased empathy, lack of sleep and appetite.
- Dopamine- Results in euphoria increment as well as increased energy and activity by an individual.
- Norepinephrine – due to ecstasy, the hormone results in increased blood pressure and the heart rate of a user, increasing the likelihood of heart attack other heart-related problems.
Understanding whether an ecstasy user is addicted is based on fundamental indicators. An ecstasy addict is likely to have the following signs;
- Dilated pupils.
- Lack of sleep.
- An addict does not feel pain.
- Abnormally excess energy.
- Unnecessarily touching or wanting to be touched by people.
Treatment for ecstasy addiction begins with a thorough assessment of the addict. The assessment provides a physician or psychiatrist with an understanding of the effect that ecstasy has had on an individual, physically, mentally, and psychologically.
Testing for Ecstasy
In the assessment for ecstasy addiction, one of the tests that are done is that of urine. A regular user of the drug tests positive within 2-5 days after using ecstasy in a urine test. A wide range of factors influences the results of an ecstasy urine test. The metabolism of an ecstasy user alters the outcome of the test results. The dosage of the drug taken by a user also affects the outcome of an ecstasy test results. A urine test could also help determine other drugs that an ecstasy addict has been using. The information is vital since it factors in the selection of the most appropriate treatment option and program. The urine test is conducted by a physician or professional that can interpret and understand the results. A urine test is extremely reliable in providing accurate information to facilitate decision making in the addiction treatment process.
A blood test is also used in the determination of drug use by an addict. A small sample of blood taken from the body of a drug addict and analyzed for the specific drug and in this context, ecstasy. In the case of ecstasy, it stays in the blood for 24 hours meaning that a test conducted within 24 hours of use would be positive. It means that an ecstasy addict would be likely to test negative if they have not used the drug in more than 24 hours. The fact that a user can fail to use it in the period before testing to get a negative result means that it this testing method could be unreliable in testing for ecstasy addiction. A blood test during treatment should, however, be done to determine whether the addict uses alcohol or other illicit or prescription drugs. Information from a blood test could be corroborated with that of a urine test to make a more informed decision on the treatment procedure and option most appropriate.
Testing of hair follicle
Most accurate compared to blood or a urine test in the context of assessing the problem of ecstasy abuse is a hair follicle test. The accuracy of hair follicle testing is because it provides test results concerning past use of a drug in greater detail irrespective of the period that one has been using the drug being tested. The application of this method to check for ecstasy addiction is relatively expensive compared with urine or blood testing. The fact that it can help detect ecstasy used in the past three months makes it highly reliable and accurate. Despite the fact that this technique of testing is more expensive compared with other technique, it is recommended since it is more reliable and accurate. The use of the three in a complementary manner could also be done in the treatment process to enable a physician to have a greater understanding of the patient as well as their needs.
In the testing of the patients which is an integral step in the assessment of an ecstasy addict, there are key factors that need to be taken into consideration. These factors have an influence of the ecstasy assessment test and include;
- The dosage of the drug – the consumption of higher doses increases detectability as well as the amount of time it remains in the body.
- The height and weight of an addict – these aspects affect the amount of time when a drug stays in their system, influencing its detectability.
- Metabolic rate – different people have different metabolic rates, and with an increase in the metabolic rate, there is a decrease in the period the drug is in the body of an addict. Increased speed in the rate of metabolism reduces the detectability of ecstasy since it is removed from the body as a toxic substance at a faster rate.
Other than hair follicle, urine, and blood tests, assessment in ecstasy addiction treatment collects different sets of information that facilitate appropriate treatment. The information is crucial since it helps in planning and informed decision making for appropriate treatment. The information collected covers the areas of;
- The strengths that could assist in the treatment of the ecstasy addict.
- Issues that are likely to inhibit appropriate ecstasy addiction treatment.
- The number of years or months an addict has been using the drug.
- Mental health problems that are as a result of abuse of the drug.
- The severity of addiction and harm caused by dependency on ecstasy.
- The disorders that could have resulted from ecstasy abuse.
- The cultural and lingual requirements to address these needs in a patient.
- An assessment of the functional impairment due to dependence on and abuse of ecstasy.
In the assessment of co-occurring disorders as a result of ecstasy addiction, counselors and psychiatrists are required to adhere with the limitations and authority per their certification to diagnose an addict. There are legal repercussions for failure to adhere with the certification limits of the counselor. The validity, as well as legitimacy of the results of the assessment on ecstasy addiction, is influenced by certification and authority bestowed upon a professional.
Pre-enrollment primarily refers to a period before the admission of an addict for treatment. There is a broad range of activities during pre-enrollment, and these are equally important in addiction treatment. These include;
- A list of the items that required during inpatient or outpatient treatment.
- The addict gets information on the payment options available.
- The cost to be incurred in the rehabilitation process.
- Information on the treatment options recommended based on assessment is made available to the addict.
- Information on any drugs that could be necessary to purchase to assist in the addiction treatment.
- A date for admission in the case of inpatient or outpatient treatment.
- Contacting family members or close associates is done to collect information concerning the addiction problem by the addict.
If any case the addict is incapable of meeting specific requirements, like cost, an alternative procedure or rehabilitation center is recommended. The addict should be assisted irrespective of their inability to meet certain requirements, especially those that have shown willingness to overcome the ecstasy addiction challenge. Pre-enrollment activities prepare an addict for enrollment for treatment in a rehabilitation center.
Intake for Treatment
Intake essentially involves the filling of a form that provides vital information about the addict. The information is important for record keeping for purposes of reference in the future. During intake, an interview is conducted to understand a patient and their needs for successful treatment better. The following are the fields that need to be filled in the process of ecstasy addiction treatment;
- Full Names, Identification, Passport, Phone, and address.
- Details concerning the Primary insurance provider.
- Information on the Secondary insurance provider.
- Information on previous therapy in the past year or 6 months.
- Names and contact of close family members or relatives.
The assessment that helps facilitate further understanding of an addict is in the form of questions. These questions are in the form of a questionnaire. Some of the likely questions that would be asked to aid in the treatment of an ecstasy addict include;
- Is anyone in your family an alcoholic or an addict of any drugs?
- Where and when died you begin using drugs?
- Why did you begin using drugs?
- Have your close friends or peers influenced your use of the drug?
- How much has drug use and addiction affected your life, studies or work?
- What is the motivation behind seeking addiction treatment?
- Are there other drugs that you use?
During intake, a checklist of important items that the ecstasy addict is to use during inpatient treatment is done. Some of these items are unnecessary during inpatient treatment for addiction. The checklist includes;
- Clothing to wear and change regularly during the treatment period.
- Credit to spend on necessities during treatment.
- Personal hygiene items including a toothbrush, toothpaste, a towel, shampoo, and deodorant among others.
- A robe and appropriate sleepwear.
- A watch for time keeping.
- Supplements or medication is taken regularly for health-related purposes.
Detoxification from is a critical step in the treatment process. Detox is beneficial in the following ways;
- Improved emotional and mental functioning; an addict becomes more receptive to the therapy and counseling, facilitating proper rehabilitation.
- Elimination of other toxins in the body; detoxification helps in the removal of various additives as well as adulterants that could be in the drug. These include laxatives, arsenic, and hallucinogens.
The drug, ecstasy, has various toxins and it takes the body between two to four days to effectively remove these through detoxification. Withdrawal symptoms are likely during detox hence the need for a physician to medically detox the drug and monitor the addict. Medical detox helps ensure that relapse does not happen. The chronic users of ecstasy are likely to suffer from various physical and psychological issues during detox due to withdrawal. Some of the possible problems that an ecstasy addict undergoing detox is expected to suffer from include;
· Blood pressure changes.
· Poor memory.
· Gastrointestinal distress.
Some of these withdrawal symptoms, especially hyperthermia and tachycardia are lethal and could even cause death. A patient undergoing ecstasy detox should be monitored throughout to ensure that the withdrawal symptoms are controlled. It ensures that they are medically stable and do not cause self-harm during the process.
During ecstasy detoxification, there is no specific prescribed medication. The assessment of the withdrawal symptoms guides the use of detox control drugs. To address some severe withdrawal symptoms, some of the medicine that could be used include; anti-depressants, painkillers, and sedatives. The use of these is aimed at suppressing the symptoms to ensure successful treatment and recovery.
Treatment is done in an inpatient rehabilitation facility or outpatient at home. However, many dangers are involved in home detox. Serious complications that are harmful to the health of an addict are likely to arise during detox at home and failure to monitor these could have adverse health consequences. It is also difficult to control the psychological effects that would result from withdrawal from use of the drug.
While the removal of toxins during ecstasy detox takes a few days, the management of various symptoms takes between 30 – 90 days. Some of the psychological symptoms that take longer managing include anxiety, depression, and cognitive adjustment to living without dependence on or the use of the drug. The efficient management of the psychological withdrawal symptoms is fundamental in ensuring that an addict does not relapse after undergoing treatment.
Various programs help during ecstasy detox, and these are used in organized groups of addicts undergoing treatment and individually. The following programs and activities are available for inpatient and outpatient ecstasy detoxification;
- Counselling individually and in groups.
- Education on ways of coping without dependence on the drug.
- The best techniques for relaxation.
Inpatient treatment for addiction involves a patient living in a rehabilitation facility where they get to receive treatment for the addiction problem. The choice for inpatient treatment is recommended for addicts that;
- Have a severe addict who needs provision with assistance on a daily basis.
- An addict that is poor shape physically and requires monitoring.
- Addicts that abuse other drugs or alcohol.
During inpatient treatment for addiction, counseling is done to the addict. The advice provides the addict with guidance on the manner in which they should avoid the use of the drug in the future. Information on the positive and beneficial aspects of avoidance of the use of the drug is provided during inpatient treatment as well. During counseling, a reflection on the harms that have resulted from drug abuse is done to caution the addict from future use.
Medical and mental health treatment is also provided to recovering ecstasy addicts during inpatient treatment. The type of assistance provided by these professionals is dictated by the results of the assessment conducted before and during intake in an inpatient facility. The correction of the mental and medical consequences of addiction is done conveniently during inpatient treatment by doctors and psychiatrists.
Inpatient treatment has extremely limited distractions to a recovering addict, an aspect that increases the probability of success and achievement of the target treatment goals. Few distractions are essential in ensuring that the recovering ecstasy addict pays full attention to the self and ways of improving their condition.
The likelihood of relapse after full inpatient treatment is very low. The patient does not access any drugs other than those that are administered to facilitate full recovery at in the inpatient treatment centers. The supervision of the addict during treatment and detox further improves the efficiency of inpatient treatment for addiction.
Outpatient programs of treatment for ecstasy addiction are designed to rehabilitate ecstasy addicts that cannot be treated in an inpatient center. In some cases, inpatient treatment is not provided in certain treatment centers, making outpatient treatment the only option available. An individual is likely to choose outpatient ecstasy addiction treatment due to the following reasons;
- Problems with insurance – some insurers are likely not to cover inpatient treatment in rehabilitation centers. In case the only insurance option is that of outpatient treatment, it could make an ecstasy addict choose this option.
- Unaffordability – Outpatient treatment is by far, cheaper compared to inpatient treatment. An ecstasy addict unable to afford the costs of inpatient treatment is likely to take the outpatient treatment option.
- Taking care of the elderly – an ecstasy addict that is taking care of an elderly relative cannot neglect them without proper care and is forced to choose the outpatient treatment option.
- Duties of childcare – Parents suffering from ecstasy addiction are in charge of taking care of their children. It means that they cannot stay away from their children for long, making outpatient treatment the only viable option.
Outpatient treatment for ecstasy addiction is helpful and efficient. However, there are many limitations to this type of treatment, and these could negatively impact its effectiveness. These include;
- A myriad of distractions including stress from the family, duties one should deliver on at work and home.
- Regularly being tempted to use ecstasy when one craves for it is likely in outpatient treatment.
- The lack of supervision from a medic in the case of withdrawal symptoms which could cause significant harm physically, mentally and to the health of a recovering addict.
Aftercare in Addiction Treatment
Aftercare in addiction treatment helps the recovering addict overcome the problem entirely. It involves enlightening the treated addict on avoidance of relapse while treatment has been completed. The following are some of the activities included during aftercare after ecstasy addiction treatment;
- Methods of coping with ecstasy cravings.
- How to develop a schedule to ensure that one is always busy and not thinking about the drug.
- Education on how to build a strong support network.
- Movement into a facility designated for a sober life; this is an institution where an individual interacts with other recovering addicts. In sober living facilities, the recovering addicts engage in various household chores and activities. These help facilitate a proper transition to normalcy by a recovering addict.
Sober living is also directed towards ensuring that relapse does not happen for an addict. The following are an integral to a sober life for a treated and recovering ecstasy addict;
- The treated addict should avoid regular interaction with ecstasy users and visitation to places where ecstasy can be easily triggered.
- Strictly sticking to a set schedule to prevent idleness which could result in thoughts of drug use.
- Regular attendance to counseling and other therapy sessions as required.
- Interact with people that help live healthy lifestyles and free from drugs.
- Exercising regularly.