FAQ

Frequently Asked Questions

 

Florida Model inpatient (also known as PHP with Recovery Residence) is typically more engaging in several ways, due to not living in a institutional setting. Therefore, patients are usually willing to stay for recommended length of time, which is key to long-term success.
Dr. Jamie Fernandez joined our team in July of 2015. As the Medical Director of Psychiatry at HCA Memorial, she gives us enhanced linkage with inpatient hospitalization when needed. Her expertise with complex dual-diagnosis immediately gave us confidence to handle thought disorders and more severe mood instability safely. Dr. Derek Robben joined BoardPrep in early 2016 and brings additional expertise as the head of the Addiction Psychiatry Fellowship Program at USF. Both doctors are well liked by the patients. The strong positive rapport is highly predictive of good follow through and better long-term outcomes.
BoardPrep is o ered to the community as a center of excellence, based on the successful physician recovery models developed by boards of medicine. These programs have demonstrated an 80% success rate in 5-year follow-up studies. BoardPrep offers the same approach with the latest advances in science and technology for dual-disorders recovery.
Our focus is on engaging our patients and families into a personal, meaningful and lasting recovery process. We are also solution-oriented. Addiction creates a difficult landscape to navigate. Adhering to solutions and engagement creates better patient follow-through and better long-term results.
  There are plenty of very good treatment programs available across the country. However, the following qualities set BoardPrep apart from most other centers:
  • Integrated Addiction Psychiatry
  • Clinician ownedAdherence to all NIDA “best-practices”
  • Affordable
  • 5-phase continuum of care
  • Approved for health professionals
  • Integrated monitoring and coaching

Rehab is a slang term used to describe TREATMENT (usually inpatient treatment) for substance use disorders (addiction or alcoholism)

Also drug rehab or alcohol rehab

Principles of Effective Treatment

National Institute of Drug Abuse 2012
  1. Addiction is a complex but treatable disease that affects brain function and behavior.  Drugs of abuse alter the brain’s structure and function, resulting in changes that persist long after drug use has ceased. This may explain why drug abusers are at risk for relapse even after long periods of abstinence and despite the potentially devastating consequences.
  2. No single treatment is appropriate for everyone.  Treatment varies depending on the type of drug and the characteristics of the patients. Matching treatment settings, interventions, and services to an individual’s particular problems and needs is critical to his or her ultimate success in returning to productive functioning in the family, workplace, and society.
  3. Treatment needs to be readily available.  Because drug-addicted individuals may be uncertain about entering treatment, taking advantage of available services the moment people are ready for treatment is critical. Potential patients can be lost if treatment is not immediately available or readily accessible. As with other chronic diseases, the earlier treatment is offered in the disease process, the greater the likelihood of positive outcomes.
  4. Effective treatment attends to multiple needs of the individual, not just his or her drug abuse.  To be effective, treatment must address the individual’s drug abuse and any associated medical, psychological, social, vocational, and legal problems. It is also important that treatment be appropriate to the individual’s age, gender, ethnicity, and culture.
  5. Remaining in treatment for an adequate period of time is critical.  The appropriate duration for an individual depends on the type and degree of the patient’s problems and needs. Research indicates that most addicted individuals need at least 3 months in treatment to significantly reduce or stop their drug use and that the best outcomes occur with longer durations of treatment. Recovery from drug addiction is a long-term process and frequently requires multiple episodes of treatment. As with other chronic illnesses, relapses to drug abuse can occur and should signal a need for treatment to be reinstated or adjusted. Because individuals often leave treatment prematurely, programs should include strategies to engage and keep patients in treatment.
  6. Behavioral therapies—including individual, family, or group counseling—are the most commonly used forms of drug abuse treatment.   Behavioral therapies vary in their focus and may involve addressing a patient’s motivation to change, providing incentives for abstinence, building skills to resist drug use, replacing drug-using activities with constructive and rewarding activities, improving problem-solving skills, and facilitating better interpersonal relationships. Also, participation in group therapy and other peer support programs during and following treatment can help maintain abstinence.
  7. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies.  For example, methadone, buprenorphine, and naltrexone (including a new long-acting formulation) are effective in helping individuals addicted to heroin or other opioids stabilize their lives and reduce their illicit drug use. Acamprosate, disulfiram, and naltrexone are medications approved for treating alcohol dependence. For persons addicted to nicotine, a nicotine replacement product (available as patches, gum, lozenges, or nasal spray) or an oral medication (such as bupropion or varenicline) can be an effective component of treatment when part of a comprehensive behavioral treatment program.
  8. An individual's treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs.  A patient may require varying combinations of services and treatment components during the course of treatment and recovery. In addition to counseling or psychotherapy, a patient may require medication, medical services, family therapy, parenting instruction, vocational rehabilitation, and/or social and legal services. For many patients, a continuing care approach provides the best results, with the treatment intensity varying according to a person’s changing needs.
  9. Many drug-addicted individuals also have other mental disorders.  Because drug abuse and addiction—both of which are mental disorders—often co-occur with other mental illnesses, patients presenting with one condition should be assessed for the other(s). And when these problems co-occur, treatment should address both (or all), including the use of medications as appropriate.
  10. Medically assisted detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug abuse.  Although medically assisted detoxification can safely manage the acute physical symptoms of withdrawal and can, for some, pave the way for effective long-term addiction treatment, detoxification alone is rarely sufficient to help addicted individuals achieve long-term abstinence. Thus, patients should be encouraged to continue drug treatment following detoxification. Motivational enhancement and incentive strategies, begun at initial patient intake, can improve treatment engagement.
  11. Treatment does not need to be voluntary to be effective.  Sanctions or enticements from family, employment settings, and/or the criminal justice system can significantly increase treatment entry, retention rates, and the ultimate success of drug treatment interventions.
  12. Drug use during treatment must be monitored continuously, as lapses during treatment do occur.  Knowing their drug use is being monitored can be a powerful incentive for patients and can help them withstand urges to use drugs. Monitoring also provides an early indication of a return to drug use, signaling a possible need to adjust an individual’s treatment plan to better meet his or her needs.
  13. Treatment programs should test patients for the presence of HIV/AIDS, hepatitis B and C, tuberculosis, and other infectious diseases as well as provide targeted risk-reduction counseling, linking patients to treatment if necessary.   Typically, drug abuse treatment addresses some of the drug-related behaviors that put people at risk of infectious diseases. Targeted counseling focused on reducing infectious disease risk can help patients further reduce or avoid substance-related and other high-risk behaviors. Counseling can also help those who are already infected to manage their illness. Moreover, engaging in substance abuse treatment can facilitate adherence to other medical treatments. Substance abuse treatment facilities should provide onsite, rapid HIV testing rather than referrals to offsite testing—research shows that doing so increases the likelihood that patients will be tested and receive their test results. Treatment providers should also inform patients that highly active antiretroviral therapy (HAART) has proven effective in combating HIV, including among drug-abusing populations, and help link them to HIV treatment if they test positive.
The experts at BoardPrep Recovery Center have successfully led thousands of individuals into lasting recovery. Call 813-600-7929 to discover how BoardPrep can help you or your loved one get onto the road to recovery now.

Fentanyl is an opioid that is sometimes sold as heroin. It is thought to be partly responsible for the rise in overdose deaths because users do not always know what they are getting. Even experience users have overdosed due to variability in purity and misinformation from dealers.

Brief Description

Molecular structure of fentanyl

Fentanyl is a powerful synthetic opioid analgesic that is similar to morphine but is 50 to 100 times more potent.  It is a schedule II prescription drug, and it is typically used to treat patients with severe pain or to manage pain after surgery. It is also sometimes used to treat patients with chronic pain who are physically tolerant to other opioids. In its prescription form, fentanyl is known by such names as Actiq®, Duragesic®, and Sublimaze®.Street names for fentanyl or for fentanyl-laced heroin include Apache, China Girl, China White, Dance Fever, Friend, Goodfella, Jackpot, Murder 8, TNT, and Tango and Cash.

NATIONAL INSTITUTE ON DRUG ABUSE

Recovery is …  … being honest with myself … being able to enjoy life without drinking or using drugs like I used to … living a life that contributes to society, to your family or to your betterment … being the kind of person that people can count on … about giving back … striving to be consistent with my beliefs and values in activities that take up the major part of my time and energy. For the full list of recovery elements, readers should go to the “What Is Recovery?” study website, http://whatisrecovery.org/
Alcoholism, also known as alcohol use disorder, was classified as an illness by the American Medical Association in 1956. Since that time, studies of alcohol use disorder have enabled a comprehensive understanding chronic, progressive and often fatal disease. Alcohol use disorder is characterized by drinking more than intended and continuing to drink in spite of adverse consequences from drinking. As the illness progresses, tolerance for alcohol consumption increases and physical changes to the brain and body set in, making it harder to recover.
John Harden
Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.
Short Definition of Addiction, Public Policy Statement: Definition of Addiction, American Society of Addiction Medicine