Resources

Finding the Addiction Treatment Center and Resources You Need

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Those who are suffering from substance abuse should have access to addiction resources at a treatment center. But, many find themselves without the proper tools or services at their disposal. Sadly, this is true for many individuals in San Diego and throughout the country as a whole.

From 2005 to 2010 (according to the last census), the average population of people 12 years old or older living in the San Diego-Carlsbad-San Marcos Metropolitan Statistical Area (MSA) was 2.8 million. In that same MSA, an average of 426,000 people (15.3%) used an illegal drug in the previous year. The rate of marijuana use was 11.1%, and the past year rate of nonmedical use of prescription-type pain relievers was 5.3%. Marijuana was not legal at that time, and the percentage has gone up since then. 

In the same MSA, 323,000 people 12 and older, were classified as having a substance use disorder (SUD) in the past year. The percentage, 11.6%, is higher than the rate for the State of California and the Nation as a whole.

Among adults aged 18 and older, 120,000 (4.8%) said they had experienced a major depressive episode in the past year. This is lower than the national rate.

24.3% of people 12 or older reported binge alcohol use in the previous month. This was higher than the California rate. Alcohol was the cause of more nonfatal ER visits in California than all other drug diagnoses combined. 

About 17% of people 12 or older smoked cigarettes in the past month. This rate was lower than the national rate.

Prescription Misuse

San Diego has been focusing on fighting prescription drug abuse in recent years. Law enforcement and public health leaders have promoted places to drop off unwanted medications and increased access to treatment programs.

A recent report said the number of prescription drug-related deaths increased, despite the efforts to curtail use. San Diego County’s annual Prescription Drug Abuse Report Card showed that painkiller use by 11th graders also rose in the same year. Although the statistics have dropped since the records set in 2012, prescription drug abuse is still a major problem.

The county’s report card also shows that the heroin epidemic in the area has continued to increase. Heroin now equals methamphetamine as the No.1 reason for admittance to treatment programs in San Diego County. Attempts to decrease the nonmedical use of prescription drugs have caused people to turn to heroin, which is usually cheaper and easier to get. 

But the street drug being sold now in San Diego County may not be the same as it was before. Reports have surfaced that cartels are adding a powerful painkiller called fentanyl to the heroin. Because it is 40 times more powerful than heroin, overdoses are more likely.

Mental Health Crisis in San Diego

Patients in crisis are pouring into emergency departments in San Diego county. Sometimes they wait for days to move into an inpatient bed in a local hospital. After they have a bed, are stable, and out of the hospital, they wait again for a spot in a specialized facility—another extreme wait time.

There are basically 3 stages of medical care for patients in psychiatric need:

  1. Emergency room
  2. Inpatient hospital bed for stabilization
  3. Post-hospital care for specialized treatment

During an 11 month period, adult behavioral health patients with Medi-Cal insurance collectively spent 13,200 days waiting in hospital beds throughout the region. This was after being released by doctors to a lower level of care. That wait is already 27% higher than the waits reported over a 12-month period two years ago.

Wait times for patients at the county’s psychiatric hospital in Midway also were up 45% during the same period. Waits for post-hospital psychiatric care increased dramatically after an explosion in Medi-Cal enrollment tied to the Affordable Care Act (ACA). The ACA went into effect in 2014.

Long Wait Times for Mental Health Treatment

San Diego County’s health and human services agency reports that patients waited for an average of 61 days in 2019 at Scripps Mercy Hospital for an opening in one of the county’s long-term care facilities. Some patients have spent as long as 120 days waiting.

It appears clear that there is evidence for more psychiatric beds. But county officials, hospital leaders, and activists aren’t sure that adding more hospital beds is the answer. It has been argued that patients are often forced to take the resources that are available even if they aren’t the most appropriate care.

The county is exploring future steps, including plans to open crisis centers and expand post-hospital options for homeless people across the region. But for patients and families, there will still be long waits after being discharged.

Getting the Help You Need in San Diego, CA

Do those facts come as a surprise to you? Do you recognize yourself or someone close to you? It’s time to think seriously about turning your life around. At Refresh Recovery Rehab, we have the resources you need to get back on track to accomplish your goals. 

If you are starting to look into treatment, that’s a very important step. There is no single treatment program that works for everyone, so let’s discuss some issues and see what type of rehab suits you best.

Issue 1

Medically supervised detoxification—If your substance abuse has been a long-term problem and your usage is increasing, you will need a detox program. Detoxification is a medically supervised period of withdrawal to rid your body of toxins before your treatment starts.

Withdrawal symptoms range from physically mild to extremely painful and life-threatening. It depends on the drug you have been using. Some people relapse during withdrawal because the symptoms are so uncomfortable they go back to using.

Issue 2

Do you have a dual diagnosis? Are you battling a mental or medical problem along with your substance use disorder? It is common for individuals with a SUD also to have a co-occurring mental or medical issue.

If so, these need to be treated simultaneously. Due to the cycle of self-medication, which feeds the co-occurring condition, it will increase tolerance.

Inpatient treatment, where you will live in a hospital or medical center, may be necessary if your conditions are severe. Living in a treatment center allows you to receive supervision 24 hours a day should you have any problems or concerns.

Issue 3

Previous relapses—Have you quit before and subsequently relapsed? This is not a failure on your part. Relapse for drug and alcohol addiction are as common as they are for other chronic diseases.

The question is, did you have a “slip” or a full-blown relapse back to regular use? This will help you decide whether you need to go back to detox, inpatient treatment, or outpatient treatment. During inpatient treatment, you will live at the treatment center and be monitored. You are in a safe environment free of drugs, alcohol, or temptations to use.

Issue 4

Is it possible to live away from home for 1 to 6 months?—The length of Inpatient stays on the severity of your SUD, any co-occurring conditions, and your ability to be away from home, work, or school for some time. This is the most intense level of treatment. If you absolutely can not stay in a facility, then an outpatient program may be workable for you.

Issue 5

Supportive family and social network—If you have friends and family that support your treatment goals, then an outpatient program may work for you. If you’re going back to treatment after a brief relapse, an outpatient program may help you back to sobriety.

If you have only friends that you used substances with, and your home situation triggers your use, then you really should try to enter an inpatient program. However, there are outpatient programs available with different levels of intensity.

California Mental Health Care

Medi-Cal—San Diego County is held accountable for Medi-Cal mental health services and non-Medi-Cal services. These are called safety-net services. The counties provide Medi-Cal through the county mental health plans and fee-for-service plans. Benefits for mental health care were expanded in 2014 for Medi-Cal beneficiaries.

Behavioral Health Services (BHS)–provides a Continuum of Substance Use Disorder treatment services for San Diego County residents. This includes youth and adolescents, pregnant and parenting women, and adults. Programs serve Medi-Cal or Medi-Cal eligible residents, including individuals with low income.

California Medicaid—Medicaid is a state and federally funded program for pregnant women, the elderly, and people with a low income. This includes those that are unable to work due to a mental health disability.

California 211—This is a free information and referral helpline that connects people to a range of health and human services.

National Alliance on Mental Illness (NAMI)-California—NAMI is a nationwide advocacy group. It serves people and families affected by mental health disorders in the United States. It is grouped into state and local chapters. NAMI-California is one.

Addiction Treatment Programs and Resources

We have discussed issues that will affect your treatment plans. Every person needs and deserves a program developed specifically for them. After an initial assessment, here are some of the options:

Detox

Most people need a detox program, and it is the safest way to get through withdrawal. Withdrawal symptoms can be extremely painful, physically, and psychologically disturbing. If you have a dual diagnosis, you need treatment for your mental or medical condition as you detox. You will require medical supervision for the, particularly uncomfortable symptoms.

Inpatient treatment

After detoxification, you may enter an Inpatient treatment program. During this treatment, you will live at the facility and attend therapy and counseling sessions. Your treatment program will engage you from morning to evening with healthy meals, recreation, and counseling sessions. The treatment facility is a safe, drug-free environment that can help you begin living without drugs or alcohol.

Outpatient programs

Outpatient rehabs are a lower level of care than Inpatient programs. Occasionally, this level works as a step-down from the inpatient rehab program. If you’re not ready to go back to your life after inpatient rehab, it’s best to prepare yourself before returning to life outside of treatment. We offer:

During outpatient treatment, you will live at home and possibly continue your work, school, and family obligations. You will attend counseling and therapy sessions at the treatment facility. The number of sessions attended, and the duration of the sessions is dependent on the intensity of the treatment program you enter.

Medication-Assisted Treatment (MAT)

The use of medications combined with counseling and behavior therapies. Medications can ease the withdrawal symptoms and psychological cravings that cause the chemical imbalance in the body. 

Disulfiram, Acamprosate, and Naltrexone are used to treat chronic alcohol use disorder (AUD). They help the individual to reduce their drinking behavior, stay sober, and stay motivated.

Buprenorphine is commonly used in the treatment of opioid use disorder. For long-term maintenance, Methadone is typically prescribed.

Treatment Therapies

We combine evidence-based therapies with holistic and alternative methods. In this way, we are able to customize a program specifically for you.

Dual Diagnosis Rehab

Our facility in San Diego collaborates with Board Certified Psychiatrists. We also employ graduate-level counselors to concentrate on co-occurring mental disorders that are often rooted in the addiction diagnosis. If your dual diagnosis includes a physical condition such as pain due to surgery, previous accident, or any chronic physical pain, we have internal and general medicine physicians on staff. Common psychiatric disorders with addiction are:

Medication-Assisted Treatment (MAT)

The use of medications combined with counseling and behavior therapies. Medications can ease the withdrawal symptoms and psychological cravings that cause the chemical imbalance in the body. 

Disulfiram, Acamprosate, and Naltrexone can help treat chronic alcohol use disorder (AUD). They help the individual to reduce their drinking behavior, stay sober, and stay motivated.

Treatment programs commonly use buprenorphine in the treatment of opioid use disorder. For long-term maintenance, professionals typically prescribe Methadone.

Behavioral Therapies

Behavioral therapies are science-based therapies that help the patient recognize the differences between what they want to happen from their behavior and what actually happens. They learn to recognize their prior thoughts as responses to a faulty reading of the situation. Common behavioral therapies are:

Alternative Therapies

We use alternative therapies that are still evidence-based but include other healing philosophies such as:

Holistic Healing

This is a philosophy that regards the whole individual—body, mind, spirit, and emotions in an effort to have a proper balance in one’s life.

Refresh Recovery for a Lifetime of Sobriety

At Refresh Recovery in San Diego, we have a wide array of therapies and treatment frameworks that can work to maximize your potential to reach your goal of lasting sobriety. No cookie-cutter approach for you. After you complete your treatment program, continuing aftercare of some type will greatly improve your chances of attaining your goals.

Support Groups in San Diego

Alcoholics Anonymous (AA)—AA is an international fellowship of men and women who are dealing with an alcohol use disorder. They share their experiences with each other in the hope that they can recover and help others to recover. They follow a group of principles known as the 12-Step approach. You can contact the San Diego Central Office for more information.

Narcotics Anonymous (NA)—Narcotics Anonymous uses the same guiding principles as AA but it is a group of individuals dealing with drug addictions. You can contact the San Diego Imperial Counties Region of Narcotics Anonymous for more information.

SMART Recovery—Self-Management And Recovery Training is a global group of people who get together to help each other with any type of addiction. Whether it is alcohol, drugs, gambling, or overeating, members help each other discover their inner power to deal with their addiction problems. There are meetings in San Diego and via Zoom.

Paying for Addiction Treatment Resources at Our Rehab Center

No matter how you go about it, paying for treatment is the best investment of your life because it is an investment in your life! 

Insurance—Group health plans and health insurance issuers must, according to The Mental Health Parity and Addiction Equity Act of 2008, provide the same amount of treatment coverage for mental health and addiction treatment as it provides for medical care. We accept most major insurance plans. Our insurance specialists can work with out-of-state insurers and will be glad to help you.

Personal Payment—Sometimes, insurance doesn’t cover the total cost of a treatment program. Sometimes people don’t want to use their insurance coverage. You may want to pay the total cost or the balance yourself if possible.

Personal Loan—You may have friends or family that are willing to loan you the money for treatment. If not, you may be able to get a personal loan from your bank. There are also special healthcare credit cards with deferred interest that you can use.

San Diego County Programs

Substance use disorders are a major public health and safety problem. SUDs impact children, youth, families, and communities. Substance use disorder treatment programs provide a consolidated system of community-based substance use disorder prevention, intervention, and treatment and recovery services throughout San Diego County. 

The County of San Diego provides a range of programs and services to address substance use across the lifespan, to include specialized programs to address the needs of pregnant and parenting women, youth and adolescents, and individuals with justice involvement.

Clients receiving services through County-operated or contracted programs are treated with equality, in a welcoming and non-discriminatory manner. This is in accordance with applicable state and federal law. Client fees are waived for Medi-Cal eligible individuals participating in Medi-Cal certified services (except the required share of cost). No services will be refused due to a client’s inability to pay. 

Finding the appropriate program involves increasing the types of programs available. About 3.4% of residents say they have had a type of mental illness with a substance use disorder, and 1.1% of the residents of 

California reported having a serious mental illness co-occurring with a SUD. Treatment needs to help them learn to deal with both conditions at the same time. Since 2015, programs in California offered programs for co-occurring disorders.

Methods of finding addiction treatment include the California Department of Health Care Services, the California Society of Addiction Medicine, and the California Association of DUI Treatment Programs.

The Birthplace of California

San Diego is a city that is most famous for—-its climate! It has one of the top 10 best climates, according to the Farmer’s Almanac, and has one of the two best summer climates, as judged by The Weather Channel. It also has 70 miles of white sand beaches and the world-famous San Diego Zoo.

San Diego has been called “the birthplace of California.” It was the first site visited by Europeans on the West Coast of the U.S. in 1542. In 1821 it became part of the Mexican Empire. California became part of the United States in 1848 after the Mexican-American War.

In 1916, a rainmaker named Charles Hatfield was blamed for San Diego’s worst flood, which killed about 20 Japanese Americans and caused $4 million in damages. Despite the rascally rainmaker, San Diego was ranked as the 20th safest city in America in 2013 and had the lowest murder rate of the ten largest cities in the U.S.

Let Our Addiction Treatment and Resources Center Help You!

You know you need help. You might not even know what all you need help with, but you know something’s wrong. Don’t live in this cycle of using substances to feel better, but it never quite works, and you need more. 

Get off the treadmill, stop the spiral—however you characterize it—start now to take care of yourself. It doesn’t have to be this way for you or perhaps for someone close to you. 

Refresh Recovery has comprehensive programs and treatments for substance use, alcohol use, and mental conditions. Whatever it is, we can find out together, and we have got you covered. Contact us and get on the path to the complete, confidant, self-aware life you deserve. Get the resources you need at our treatment center today!