Click Here to View Original Article Alexa Case, a recovering alcoholic, works as a recovery coach for pregnant women addicted to opioids through Safe Communities of Madison-Dane County. Case, 31, [...]
An Online Resource Center for Family and Friends of People Battling Drug Addiction
Treatment for Drug Use Disorders
The Parent Addiction Network hopes the information on this page will help you know what treatment services are available in Dane County, better understand treatment options, questions to ask, and navigate the often complicated drug treatment issues and systems.
I’ve learned that there is no one way or “right” approach to treatment and recovery. Each person’s journey is unique. -Madison Parent
I wish there were a cookbook and we could just follow the treatment recipe. -Madison Parent
It takes a lot of hard work; there are no easy or silver-bullet solutions. -Dane County Parent
Treatment of drug use disorders is NOT one thing. It is not just detox; it is not just 30 days in a rehab facility. Rather, it is a set of services that occur in different settings, in different forms and over different periods of time. Effective treatment is individualized to meet the person’s unique physical, psychological, emotional and social needs. See below for “levels of care” in the treatment of drug use disorder.
Co-Occurring Disorder is when there is a mental health issue and substance use issue at the same time. This can make diagnosis and treatment more difficult. Sometimes the effects of drug use resemble mental health issues or your child may be using drugs to deal with a mental health disorder. Ensure an accurate assessment of your child’s situation.
Drug Treatment Directory
The Substance Abuse Treatment Delivery Map(pdf) lists providers, contact information, brief description, services provided and financing arrangements. The Parent Addiction Network has tried hard to make this directory as accurate as possible. However, it is possible that some information is missing or incorrect as programs and services often change. Please contact us with corrections @ firstname.lastname@example.org. The Parent Addiction Network does not recommend or endorse any provider or agency listed in the directory. This information is offered solely for informational purposes.
SEE ALSO: Dane County Human Services; Alcohol and Other Drug Abuse (url) The Dane County Department of Human Services offers a comprehensive array of alcohol and other drug abuse (AODA) services.
Drug Treatment Options
Research shows that addiction is a brain disease that can be treated effectively. Effective drug treatment is based on the type of drug used, stage and severity of the disease, overall health status, past treatment and particularities of the individual. There is no one treatment or process that suits all. The “one-size-fits-all” approach is bound to fail.
Successful treatment often includes multiple components through a multi-step process, including comprehensive assessment (extent and severity of use), detoxification and stabilization, counseling, the use of medications, care of co-occurring health conditions, ongoing disease management, and support services. As a chronic disease, using the term “cured” is inappropriate. “In recovery” vs. “recovered” is more appropriate.
Drug addiction treatment falls largely into two categories: behavioral (psychosocial) and medication -assisted (pharmacological)
- Behavioral treatment helps people stop drug use, deal with cravings, avoid drugs and triggers and handle relapse if it should occur. It might include individual counseling, group or family counseling, contingency management, cognitive-behavioral therapies to help the person improve personal relationships and function in the family, community and at work.
- Medication-Assisted treatment involves the use of medications. These medications block the addictive quality of the ‘street drug’ and provide for a steady state. Use of medication in addiction treatment is done in combination with counseling and other support. For opioid addiction treatment, medications include:
Buprenorphine (Suboxone, Subutex)
Naltrexone (Vivitrol, ReVia, Depade)
Methadone: requires a licensed methadone clinic
Suboxone: requires a DEA authorized physician to prescribe it. For doctors who prescribe Suboxone in Wisconsin go to http://www.buprenorphine-doctors.com/suboxone-doctors/Wisconsin-WI.cfm
Naltrexone comes in pill form and the extended-release injectable form, called Vivitrol. For doctors who prescribe Vivitrol, do a google search, “find a doctor who prescribes Vivitrol in Madison, WI.” Also, see Feb 7, 2014 WI State Journal article on Vivitrol as an opiate bockade and its potential in treatment.
Another information piece from SAMHSA about Vivotrol: An Introduction to Extended-Release Injectable Naltrexone for the Treatment of People with Opioid Dependence.
See also, new digital resource from DrugFree.org, with e-book, videos, and links to additional resources.
- Suboxone Prescriptions: (information provided by the Parent Addiction Network, September 2013, for Dane County)
Cheapest rates for filling Suboxone prescriptions are downtown Madison at Community Pharmacy.
If going through AccessCommunityHealthCenter at 1102 South Park St., and getting connected to a Suboxone doctor, you can get a box of 30 each of 8mg. strips for $155.
If prescribed Suboxone from a non-Access clinic or doctor, the cost is $260 for 30 each of the 8mg. strips. However, when filling this script at Community Pharmacy, they can offer you a $50 coupon, lowering the cost to $210.
If getting Generic Buprenorphine (Subutex), you will pay $88 for a box of pills.
The Family Guide to Adolescent Substance Abuse Information and Services in Wisconsin (pdf) from Wisconsin Family Ties, provides information on treatment plans, locating a treatment provider, consent to voluntary treatment, court-ordered treatment, how to pay for services. Click on the link to the pdf file and see pages 16-28.
Levels of Care in Treating Drug Use Disorder
- Assessment – extensive interview that often includes testing to measure or assess an individual’s level of substance use, abuse, or dependence (addiction).
- Detoxification (detox) – medical intervention that manages an individual safely through the process of acute withdrawal.
- Outpatient care – structured substance abuse treatment that typically incorporates counseling with substance abuse education and group participation. Outpatient care averages less than nine hours per week. Intensive outpatient (IOP) services involve a minimum of nine hours per week.
- Residential treatment – individual lives at the treatment facility and participates in day and evening treatment and support activities. Programs are often 28 or 30 days but may involve longer lengths of stay (e.g., 90 days, 6 months or even 2 years).
- Inpatient treatment – hospital-based and medically managed treatment; the most intensive therapeutic option.
- Intervention – a specific and orchestrated process to compel the individual to “get help” for addiction. Individuals who lead the process are trained as interventionists.
- Recovery – a process of change through which an individual achieves abstinence and improved health, wellness, and quality of life.
Individualized treatment plan – developed to meet the individualized need of the client is a written plan that includes goals and objectives, timeframes designed to stay on track with strategies that move the individual to recovery.
You can download a copy of “Levels of Care” (pdf) prepared by the Parent Addiction Network.
See the Drug Treatment Directory, Dane County(pdf) for treatment services in Dane County. For adolescents, remember that AADAIP (url) offers affordable assessment and referral.
Detoxing from alcohol and benzos is life threatening; so Dane County hospitals take individuals for this service or refer them out. Detoxing from opioids is not life threatening so there are no hospitals in the area that accept individuals seeking to detox from opiates. Tellurian runs Dane County’s Detoxification and Treatment Readiness Center (TRC). More information on the TRC is below. Detoxing in opioid addiction can be dangerous. It is ill-advised in cases of pregnant women and can leave the addict with “low tolerance” and lead to fatal overdose. Medical care is important.
Treatment centers outside Dane County but in Wisconsin or nearby offer a range of services. They include:
- Rosecrance, Rockford IL
- Rogers Hospital, Oconomowoc
- NOVA Counseling Services, Oshkosh
- Ministry Behavioral Health, Stevens Point
- Hazelden, various Minnesota locations
- Presentation, Professional Intervention and Treatment Related to Opioid Misuse and Addiction (pdf), by Dr. Michael Miller to Safe Communities Summit, January 30, 2012 (pdf)
- Summary of steps in treating opiate addiction, see the “Learn to Cope”
- Seeking drug abuse treatment: Questions to ask (url). This publication from the National Institute on Drug Abuse (NIDA) provides information about seeking treatment with questions to ask.
- Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends (url); gives families and friends information about medication-assisted treatment for opioid addiction; from the Substance Abuse and Mental Health Services Administration (SAMHSA)
- Principles of Drug Addiction Treatment: A research-based guide (url); from the National Institute on Drug Abuse, 2012
Detoxification and Treatment Readiness Center
Also, known as the Dane County Residential Treatment Assessment Clinic
Address: 2914 Industrial Dr. Madison, WI
The TRC provides assessment for eligible individuals seeking county funded residential AODA treatment.
Who is eligible?
Any Dane County resident, 18 years of age or older, who is non-funded (no insurance, no tribal affiliation, not a Department of Corrections (DOC) client, or a veteran) and is requesting Dane County funded residential AODA treatment. Eligibility to receive county funded AODA services through TRC depends on a number of factors which may include: motivation, pending legal situation, previous treatment experience, etc. If for any reason residential county-funded treatment is denied, county funded outpatient treatment may be possible.
What services are provided?
The Monday clinic is an assessment clinic for county funded residential treatment only. The assessment clinic is held most Mondays. It is not open on holidays and other random Mondays when there are staffing conflicts. Call Detox, 608-223-3311608-223-3311
Interested parties need to be at the clinic by 9 am. Individuals who are late are not accepted.
Why go here?
To receive an assessment in order to be eligible for Dane County funded residential AODA treatment.
What can one expect when you go here?
You will be asked to complete a one-page screening form that will be reviewed by staff at Dane County Department of Human Services. The next step is to wait until you are called for an assessment. This process may take up to 4 hours. Everyone who comes will speak to an alcohol and drug counselor; some individuals are provided partial screening and referral while others are offered a complete assessment. Eligibility and capacity determine the type of assessment you receive.
If you are in withdrawal, you will be evaluated by the nurse for a TRC admission.
Location: The assessment takes place in the administration side of the building (not by the police drop off), so please use the door by “Enter Here” sign. You will see a signage for assessment as well.
- Seek professional care. Knowing what drug treatment options are available is one thing, knowing which is appropriate for your loved one is another. This is not a decision to be made alone. Get professional advice for an accurate diagnosis of the problem and a recommendation for care.
- If you and your child want YOU to be involved in drug treatment, your child needs to sign a “release of information” or “disclosure authorization” form. In most circumstances, parents need the consent of a minor to access records for substance abuse treatment.
- Remember, you are not alone. Reach out and seek help.
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