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Maryhaven SUD Services
- 1. Emanuel Delaveris Manager ofOutcomes and Community Engagement, Maryhaven Addiction Stabilization Center®
- 2. 1430 South HighStreet Columbus, Ohio 43207
- 3. The Maryhaven Addiction StabilizationCenter Developed with ADAMH Board, City of Columbus 57 bed facility Admission & Triage (7 beds) Detoxification (50 beds) 100+ Maryhaven employees Interdisciplinary Teams Physician, Nurses, Nurse Practitioners, Counselors, Social Workers, Patient Care Assistants, Admission Specialists, Peer Recovery Supporters Contracting with CPD for Special Duty Security
- 5. Maryhaven – AlumCreek Inpatient Residential Services Inpatient Residential – AC Residential North 30 beds LOS: 21-28 days Inpatient Residential – AC Residential South 32 beds LOS: 21-28 days Admissions are scheduled
- 6. Maryhaven Outpatient Services Outpatient Services at Alum Creek Outpatient Ambulatory Outpatient Suboxone (MBAR) Outpatient Methadone Outpatient Vivitrol One More Chance (Gambling Addiction Treatment) Outpatient Services at South High Street Office-Based Opiate Treatment (OBOT) Adult Outpatient (ADOP)
- 8. Challenges Staffing Nursing Limited space Diversion Policy EMS and Full Referral-Out Process Housing Increased Drug Lethality Decreased Engagement Opportunities
- 9. Admissions to MASC Overdose Narcan EMS decides if person needs hospitalization or direct transport to the Addiction Stabilization Center SAFE Station RREACT Team Walk-Ins On Divert/Having Trouble? Emanuel Delaveris: 614-570-6739
- 10.
- 11. 11 CompDrug, a nonprofitorganization, is a leader in developing, promoting and providing services to assist in prevention, treatment, recovery, and wellness of those affected by the disease of addiction. Proudly serving Central Ohio for more than 40 years.
- 12. 12 • Focus onOpiate addiction • Medication Assisted Treatment: The use of medications in combination with counseling and behavioral therapies to provide a whole patient approach to treatment • Individual and Group Counseling OUTPATIENT TREATMENT SERVICES
- 13. 13 • Intake Assessment •Methadone • Suboxone • Vivitrol • CompDrug accepts Medicaid, Medicare, ADAMH, and some forms of Private Insurance OUTPATIENT TREATMENT SERVICES
- 14. 14 • Patient doesnot require inpatient treatment at this time in their recovery • Allows patients to attend to their responsibilities such as child rearing, family responsibilities and/or employment • Provides a balance of taking care of their responsibilities while also affording them time to focus on their recovery WHY OUTPATIENT?
- 15. 15 • Counseling, bothindividual and group counseling • Case Management • Psychiatry • Women’s Health Center • Support for Pregnant Patients • Peer Mentors to assist new patients in their recovery • Childcare • Intensive Outpatient Groups and Counseling • Medication Management • Specific programming for patients from the criminal justice system WHY COMPDRUG?
- 16. 16 Medication Assisted Treatment •Replace a short acting drug with a long acting medication • Replace an illegal drug for a legal medication • Replace illegal activity for a legal solution • Replace a drug for a medication • Reduces the cravings
- 17. 17 Medication Assisted Treatment •Pre-Admission screenings • AlcoSensor Testing • Urinalysis Testing • Facilities monitored by Columbus Police Officers
- 18. 18 Methadone, Buprenorphine, & Naltrexone areused to treat Opioid Use Disorder. These medications may be safely taken for months, years, or even a lifetime.
- 19. 19 METHADONE • Liquid • Ingestorally • Staff observed application • Daily dose • Easier Transition to Treatment • Decrease Mental Cravings
- 20. 20 SUBOXONE • Film • Ingestorally • Staff observed • Daily dose • Stronger bond making it harder to overdose • Cravings less due to receptors being filled
- 21. 21 VIVITROL • Injection • CompDrugMedical staff administered • One injection every thirty (30) days • Opioid blocker, will not accept opioids • Reduced cravings
- 22. 22 Myths & Facts MYTH– Just trading one addiction or drug for another FACT – Medication Assisted Treatment bridges the biological and behavioral components of addiction.
- 23. 23 Myths & Facts MYTH– This system only works for a short term treatment. FACT – Research indicates that patients on Medication Assisted Treatment for at least 1 to 2 years have the greatest rates on long-term success.
- 24. 24 Myths & Facts MYTH– Many patients’ addictions are not severe enough to require Medication Assisted Treatment. FACT – Medication Assisted Treatment utilizes a multitude of different medication options that can be tailored to fit the individual needs of the patient.
- 25. 25 Myths & Facts MYTH– Medication Assisted Treatment increases the risk for overdose in patients. FACT – Medication Assisted Treatment helps to prevent overdoses from occurring.
- 26. 26 Myths & Facts MYTH– Providing Medication Assisted Treatment will only disrupt and hinder a patient’s recovery process. FACT – Medication Assisted Treatment has been shown to assist patients in recovery by improving quality of life, level of functioning and the ability to handle stress.
- 27. 27 Myths & Facts MYTH– There is not any proof that Medication Assisted Treatment is better than abstinence. FACT – Medication Assisted Treatment is evidence based and is the recommended course of treatment for opioid addiction. NIDA, SAMSHA, CDC and others emphasize MAT as first line treatment.
- 28. 28 Myths & Facts MYTH– Most insurance programs do not cover Medication Assisted Treatment. FACT – Ohio Medicaid programs and many private insurance companies cover methadone maintenance treatment provided in out patient programs.