1. Where is the Coleman Network for Addiction Medicine located?
We have a national network of independent medical practices with whom we have partnered to deliver detox services using the Coleman Method. All of the Coleman Network providers have extensive knowledge and experience in the field of Addiction. They currently include the following locations:
2. What type of detox programs does the Coleman Network for Addiction Medicine offer?
We offer outpatient medically-supervised withdrawal management (aka detoxification) services for people who are addicted to opioids or alcohol. We also offer a Rapid Benzodiazepine Detox at several locations, including Denver and Phoenix (Glendale).
3. What makes the Coleman Method unique?
Our unique approach for an opioid detox, called the Coleman Method, uses a combination of specific comfort medications and small doses of Naltrexone to help patients safely and comfortably detox in as few as three days. Historically, 98 percent of patients successfully complete their opioid detox, without the risks and costs of General Anesthesia, or the need to take an extended break from their daily responsibilities. It is faster than a traditional buprenorphine taper. Upon completion of their detox, each patient will begin Naltrexone therapy.
4. What is Naltrexone therapy?
Naltrexone is a medicine that blocks the opiate receptors in a person’s brain — which means it dramatically reduces cravings when they’re taking it. It is non-addictive and does not block the body’s natural endorphins. And if someone used an opioid while they are on Naltrexone, the medicine prevents the patient from feeling high.
The Coleman Network has historically been a leader in the use of long-acting formulations of Naltrexone, using both implants and injections. Vivitrol® is an injectable form of naltrexone that is FDA-approved for use in the treatment of both Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD). For the best chance for lifelong recovery, we recommend that most patients continue with their Naltrexone therapy for a year after completing detox to give them enough time to develop new, healthy habits.
5. How much does a typical detox cost?
The treatment cost varies somewhat based on each patient’s specific usage patterns and treatment needs. We accept all major credit cards and offer third-party financing for each of our treatment options to make treatment as financially feasible as possible.
6. Is detox covered by insurance?
Most insurance companies currently consider our innovative procedure to be elective and many of our partner offices are out-of-network, but some commercial insurance companies may be willing to reimburse you for portions of your detox procedure after the fact. We can provide supporting documentation to help you seek reimbursement after your detox. We are actively working to expand commercial insurance coverage.
7. How do I prepare for my detox?
You will decide on the dates you would like to come in for treatment. We do not have a waiting list and can typically begin your treatment within a week of scheduling. Once availability has been confirmed, a non-refundable deposit is collected to secure your treatment dates. A practitioner will call you directly to review your medical history. They will give you instructions on when to discontinue opioid and/or alcohol use, as well as any other treatment information needed before your start date.
8. What happens during a detox treatment?
How it Works and What to Expect
Before the Detox Begins: Patients are advised to discontinue alcohol use at midnight the day of their scheduled appointment, based on guidance from our physician.
Day 1: This is our patients’ longest day in the office. Patients arrive first thing in the morning and have blood drawn and an intravenous line started. The patient’s level of withdrawal is assessed, vital signs are measured and the process of administering Phenobarbital through the IV is started. Phenobarbital is a barbiturate medication used to keep the patient safe and comfortable while the alcohol is being metabolized and the body adjusts to not having alcohol present. We monitor patients very closely during this period of time. We continue to administer Phenobarbital as long as there is alcohol present and the assessment tool and vital signs indicate continued withdrawal. Our patients are typically in the office for 6-8 hours.
The alcohol detox process typically takes 3-4 days. The Phenobarbital which was administered IV on Day 1 is now taken orally in a schedule prescribed by the healthcare provider. The patient will visit the office and meet with their treatment provider to review progress. Other medications may be used to treat side effects that may occur.
By the third and final day of the detox, patients will have made significant progress. We administer long-acting Naltrexone, and the patient can return home and the brain begins the healing process.
9. What happens after detox?
We recognize that completing a detox is just the first step towards recovery; behavioral and environmental changes are also necessary so that the brain has time to recover. After the detox, we use long-acting Naltrexone to help patients begin their recovery. Naltrexone is a non-addictive opioid blocker that reduces cravings and blocks the “high” from opioids. It is also effective in reducing cravings for alcohol. Available in two-month implant as well as a one-month injection, Naltrexone is highly effective in bridging the gap between detox and recovery. We recommend that our patients have 6-12 months of Naltrexone therapy following the detox, while they begin to work their recovery program.
As with any method of detox, there is a recuperation period following detox which includes symptoms known as Post-Acute Withdrawal Symptom (PAWS). During this period, your receptors are healing and endorphin levels are slowly rising back up to a normal level. The symptoms can vary from patient to patient, but typically include fatigue, weakness, and restless sleep. Since we are using Naltrexone to help speed up the healing process, most of our patients report these symptoms being very mild and only lasting a few weeks.
We strongly believe that detoxification without appropriate follow up and treatment is almost always unsuccessful. Because of this we encourage all of our patients to find a treatment program that will best suit their needs and begin therapy with an appropriate substance abuse facility in their area as soon as possible following detoxification. Types of treatment modalities include:
Clinical Case Management: Case managers provide support by putting you in contact with recommended health and human services. A clinical case manager can help develop a treatment plan and help you connect with resources to begin treatment. By staying involved, they can help you stay on the right track.
Behavioral Therapy: Behavioral therapies help you change your attitude and behavior, increasing your ability to handle situations that may lead to substance misuse.
Individual Counseling: Often called psychotherapy, or talk therapy, individual counseling is the process of working one-on-one with a trained mental health professional in a safe, confidential, and caring environment. It is highly encouraged to research your mental health professional to learn more about their specialty (i.e. do they have the experience related to your situation) and their practice philosophy (such as core beliefs of the practice) to ensure a good fit.
Substance Use Group Counseling: Substance use group counseling is a process where a number of individuals with similar issues or concerns meet as a group with one or more therapists or facilitators to process and learn from one another’s experiences. Substance use groups tend to have higher rates of success than other treatment methods. Groups reduce isolation, allow individuals to witness recovery in others, gain hope, and often can draw them into a culture of recovery.
Partial Hospital Program: Partial Hospital Program (PHP) is an outpatient model of care that is time limited based on medical necessity of services. PHP would serve as an alternative to inpatient care or is the next step in care after an inpatient stay in lieu of continued hospitalization. These programs are available at least five days a week but also can offer half day, weekend, and evening hours.
Intensive Outpatient Program: Intensive Outpatient Program (IOP) is a series of sessions aligned to person-centered plans. This may include services provided during evenings and on weekends and/or interventions delivered by a variety of service providers in the community. The program may function as the next step following partial hospitalization, detoxification, or residential services. IOP may also be used to prevent or minimize the need for a more intensive and restrictive level of treatment and is considered to be more intensive and integrated than individual outpatient services.
Structured Outpatient Addiction Program: Structured Outpatient Addiction Program (SOAP) is an outpatient program designed for the treatment of addiction and/or co-occurring mental health disorders. Similar to IOP, the program operates five days per week, including evening hours, and is determined by specific conditions. The average length of treatment is six to eight weeks.
Residential Treatment: Residential treatment is treatment taking place in an inpatient unit. Generally, it is between 30 and 90 days. The length of time is determined by your individual symptoms. Treatment may or may not include medication-assistance or dual-diagnosis treatment for psychiatric illness.
Trauma-Informed Services: Some patients may require a trauma-informed treatment approach, as trauma may impact their substance misuse. SAMHSA defines a trauma-informed treatment approach to mental health treatment as one that: Models of trauma-specific interventions for substance use disorders generally use a multicomponent approach consisting of working collaboratively with patients, families, friends, and human services providers. These individuals come together to contribute to empower and educate about trauma and its effects, and train in coping and interpersonal skills.
Family Engagement and/or Therapy: Substance misuse can not only affect you, but also your family members. Therapy can help you to address any family-related factors contributing to substance misuse, as well as help improve family relationships. Family therapy may involve educating the family about substance use disorders and their psychological, medical, and behavioral effects, or it may actively engage all family members in psychological therapy to address how family relationships may affect or be affected by substance misuse.
Support Groups: Community-based support groups include Alcoholics Anonymous, Narcotics Anonymous (NA), SMART Recovery, Refuge Recovery and others. These groups are typically peer-led and many incorporate a 12-step program that encourages regular participation in meetings.
We encourage you to discuss these aftercare treatment options with your doctor.
10. How do I manage chronic pain after detox?
After dealing with chronic pain, worrying about your pain returning if you don’t take opiates is completely understandable. Thankfully, many effective non-narcotic medicines exist for pain. In addition, other treatments can dramatically reduce your pain without medication, such as massage therapy, physical therapy and spinal cord stimulators. In our experience, many of these options prove very helpful to patients once they detox completely and their body no longer craves narcotics.
11. What is the difference between the Coleman Method and Ultra Rapid Detox?
Ultra Rapid Detoxification (URD):This inpatient, hospital-based method involves putting patients under anesthesia and pushing the drugs out of their system in as little as five minutes. URD has a 100% completion rate, but it comes with a high cost and serious medical risks — including death.
Accelerated Opioid Detoxification:This outpatient approach uses sedative medicines and Naltrexone to help patients safely and comfortably detox in as few as three days. At our clinics, 98% of patients successfully complete their detox, without the risks and costs of general anesthesia, or the need to take an extended break from their daily responsibilities.
12. What is the Rapid Benzodiazepine Detoxification (RBD) program?
This program uses an accelerated outpatient detoxification method that can complete the acute withdrawal process in 8-10 days. The patient stops their benzodiazepines and begins a slow infusion of Flumazenil. The Flumazenil provides good relief for the withdrawal symptoms and at the same time actually removes the benzodiazepines from the patient’s body. All patients must have a support person who will be with them throughout the detox. Throughout the period of their detoxification, patients usually remain comfortable, and by the completion day, they are free of the benzodiazepines. The cost for 8-10 day Rapid Benzodiazepine Detox is $8,725.
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