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  • AADD Moderators: swilow | Vagabond696

Rehab clinics; how, where, who, when and what you have experienced..

I've always thought it's absurd that testing positive for drugs is an automatic fail in rehabs. I mean the whole point of the facility to get you to stop using drugs, so they kick you out if they can't do their job? It's like a hospital kicking out patients who don't respond to treatment.

I mean sure if they're just sitting around getting high all day not giving a fuck or threatening other people's recovery,that makes sense, but just getting high once in your room? Pointless.
 
Does anyone know much about joining a health fund before you enlist for rehab? I'm assuming I would not be legebal with it being a pre exsisting condition? How can I use a health fund for payment if my addiction is pre exsisting? Do I just join and wait out the waiting period then apply for rehab?
 
There seem to be waiting list at most rehab facilities in Australia. Even the two in Thailand that have good reps, do not except health fund to cover payment. 12k upfront is just not possible for me unless I get a loan out. Then when I have completed treatment, I will be released to have a 12k debt :( my best bet is private health care. Can anyone refer me to the right fund for this particular treatment?
 
I have private health insurance and was told I could use it to go to a private rehab clinic. I'm not sure how much the fee would've been reduced though as I didn't end up going there.

I'm not sure about the details of getting private health insurance before going to rehab either, sorry. I would've thought that you could get it to cover rehab, but you'd have to sit out the waiting period, which would prob be a year or more, a significant amount of time when I imagine you'd want to go sooner rather than later. Also, private health insurance is pretty expensive, not up near $12,000, but still a significant amount to pay for the year or so you were waiting, and then it may just cover a bit of the rehab price, not the whole lot.

A site like iSelect is worth a shot, where you can compare health funds.
 
Just on this topic (timely that it was on the front page), has anyone had any good experiences with amphetamine detox/rehab places in Adelaide? My brother managed to get a spot at Warinila but then decided not to go and instead to on a 3 month bender. Now he wants to quit again but considers Warinila too rough for him with the excuse its full of parolees and mentally ill patients. What other options does he have? Ironically he's avoided gaol a few times only by the skin of his teeth and with 20 years of off and on meth abuse is not exactly in the best of mental health. I used the outpatient service at Warinila for a few years to help overcome alcohol abuse and thought it was fantastic.
 
NSW Meth Rehab - where and how to make it work

I fortunately have private health insurance and think I should go to detox/rehab to try and short circuit my IV meth addiction.

I have been to rehab before and believe it works - however in the 3 years since last time I have "forgotten" and the techniques about thinking positively, managing triggers, self care etcetc - I am confident I can relearn all that good stuff and make it work if I can get off my treadmill habit of 3-day binge 2-day sleep 7-day abstinence ....then start again.

However - it seems that in most places almost everyone is there for booze and opiates and a tweaker is the odd man out.

Any suggestions for a place that is geared for stimulant addicts as well as everyone else AND in a place full of alcoholics any advice for getting the most out of rehab as a stimulant addict?

PS - I believe ANY rehab methodology from AA to drug substitution to physical boot camp to whatever is valid if there is an addict it can help - so hopefully no bashing of different approaches in replies

Thanks for your time and your comments
 
Hey atelier, I just noticed your thread at the bottom of the forum with no replies. I'm really sorry we missed it. I've merged it with the existing rehab thread because I think there's some valuable information in here. Whereabouts are you located?

I remember when I went to detox a couple of times for methamphetamine in 2008 it was heavily geared towards opioid/alcohol withdrawal and they really didn't have much understanding of what people coming off meth experienced - they got shitty I was sleeping all the time, for example, and would come past banging on the door to wake me up during the day for seemingly no reason. But I think in the years since, the numbers of people going into rehab/detox for methamphetamine have really increased - I heard somewhere lately that there had been a dramatic increase in people seeking treatment for meth in residential places, so I'd hope that the treatment centres have become better at accomodating that addiction too.
 
Hey, replying having done a few rehabs in the last few years.
Last one was a private detox first then 28 day private rehab in richmond in Melbourne which has a well known multi faceted approach to recovery mostly based on 3 or 4 modern approaches with a small aspect of AA/NA.

I was there in September last year and at least a 3rd I was with were there for Meth. So I believe they are well aware of the changing drug demographic. As stated above, meth users do tend to sleep allot at least initially and the staff don't appreciate this much at all.

In terms of treating Methamphetamine addiction in a clinical environment they treat it no differently than booze, coke or whatever... They do seem to use anti craving meds for meth but in terms of drug replacement for meth as has been studied previously with Dex or Ritalin inconclusively they do not use anything like this and seem unlikely to do so for a very long time.

So I doubt you'd be the only meth user but the treatment of your addiction would be essentially the same as a booze hound or a coke head yada yada. Addiction is addiction being the attitude
 
I don't know if they're still there , or operating as they did ....

back in the 1980s I knew people who would go into " Killara House " - a rehab somewhere near lake Hume , around Albury somewhere . [ I dropped off a couple of people at the railway station to be collected by KH staff , as visitors were not permitted ] .
If I recall correctly , the only fees were signing over their dole-cheques , to cover their board and lodging .
Six months later I would pick a cured and entirely different person . Afik , few relapsed after completing the live-in course ....
 
This is about New Life Lodge in Burns TN, near Nashville.

Be very careful in selecting your treatment. While New Life Lodge has some nice features, most of the key and core services are egregiously deficient.

Before I begin, one sort of humorous dynamic turned up. This rehab place, NLL in Burns TN, is in the South. I'm from northeast WV (West Virginia is pretty South in the minds of most folks), it is country yet in some ways more Atlantic than Southern in culture, but some of both. I was told by the Clinical Director, that I came off as "entitled". It's absolutely preposterous as my style has always been to treat people in a respectful and gentle fashion. While most of the 20-something aged patients were blurting out demands for more granola bars and gatorade, I would only kindly make requests that I thought were important. For example, even though I asked, it took four days to get my clothes washed. I kept saying "whenever you are ready" to the floor technicians. I dealt with stinky withdrawal laundry as well as I could, including washing in the nearest sink. That was extra anxiety that I didn't need. I can name names here, but unless I believe it will do anyone good, there is zero point of it.
I did recognize that my English and writing skills in general seemed to be different than other patients or staff. I lacked a heavy country/southern accent. So, if you are adept at putting together the Queen's English, expressing yourself, don't carry lots of extra weight, and don't have a southern accent, chances are you will be considered an "entitled punk". I mean, I didn't draw any personal conclusions to the fact that well over half the staff is obese or XL, other than the idea that southern food is really good. It is, but I'm just pointing out that if you are smart, you might want to dumb down a bit, or you could be put at the back of most lines.

The general setup works like this. I'm going to emphasize opiate treatment, since that's what I needed, and if I had to guess, over 70% of the entire patient population were also in for opiates as well. You stay in detox where you can rest any time of day till you feel better. If you want to try and make groups, you can. At some point unbeknownst to you, they will change your status to residential. All's that I could tell it was based on patient numbers or room maintenance, but nothing health based. Once moved there, you are locked out of a room from 7:30am till 8:30pm. Pretty ambitious if you are over 45 or 50 and have medical issues. I simply wanted to see the Doctor before being moved. I never did, through many written and verbal requests, 11 days went by, so I left on day 17. I was still having withdrawals and among others things, I wanted to see if I could get a pass to shower multiple times a day, as that was the only time-out I could get from the symptoms. They completely missed or dropped my last appointment I had with the Psychiatrist. I was there 17 days and never spoke to a counselor one on one. I'm not counting the one where they surprised called my wife without first conferring with me and then talked to a supposed counselor who was so taken by her own generosity of letting me use a phone. I did get about 20 minutes with the top counselor, the last day. It was the "don't leave" pitch, and while his seemed very sensere , it was frankly too late for me to trust. The people there are not bad, perhaps overwhelmed and lacking solid framework for process, but not bad.

A little more on Mike's (the Clinical director), his pitch to get me to stay. Tears started to well up from his eyes, he seemed to mention people passing (Perhaps passed away), a specific person, a good person, an honorable person. Did I remember him of this person? I'm thinking, dang, this guy needs more help than I do, and he's in charge of the whole counseling staff here. Ouch, I'm stunned for a moment. Got a little heavy. I thought how odd and heavy you know me now. And didn't know me before. He said "I really like you". I don't know exactly my strengths, but damn, I knew this person had some deep inner issues and was tossing them about in a clinical environment. Not cool, this was not group with the tissues and all. Totally not cool, my resolve to depart became more real. I almost wanted someone so real to talk to. No. Dude needs help himself, it is the wrong environment.

In New Life Lodge advertising and reviews, you are certain to come across something about Dr. "G", the doctor and medical director. He has become somewhat of a facility mascot. And what a wonderful wiz he is. Mostly when you ask where he is, he is whizzing across country to some forum or symposium.
The famous and reportedly much loved Dr. "G", is only there Mon - Wed and even then sporadically, I call him Dr. "Gone". In his absence which is most of the time, you get a Nurse Practitioner of dubious disposition. She will more likely to advise you to "stop living in sin and marry that girl", than to address any medical need. The aforementioned quote was said to my roommate. Another young lady patient was having a bad day of anxiety, she hadn't complained prior, the NP told her to "get over it".

You are not going to get many needs met here, simply because there is far too few staff. If you have any medical problems or mental issues that require a little more than 12 step groups , definitely stay away. Depending on your issues, it's so bad, that your health could be at risk. Also due to the understaffing, they are unable to keep the drama , sex, and skirmishes that occur with the under-30 crowd to at least a reasonably mitigated state. It didn't bother me, I was distantly entertained, but I saw that it did bother other mature people, both young
and old.

Some bright spots about NLL:
The campus is naturally pretty and well kept. The pond offers decent fishing recreation if you feel well enough to try. The cleaning staff is quite good, and the cafeteria staff does have some southern knowhow in food prep. The hardest working folks were the food staff and cafeteria staff. Some of the other staff had such weight issues, I sometimes feared they would'nt make it through the days. As indicated in the NLL advertising, there really are dogs and ducks that are therapeutic. 3 dogs, and 2 ducks, all as sweet as you can imagine. One dog is very old (14 I think), but still enjoying his life. Don't bother worrying if they are fed, watered or medicated from fleas and ticks. They are well handled and taken care of. I enjoyed seeing them.

The staff is generally nice, yet the "entitled" moniker I got, did take me by surprise as I was a "yes mam, yes sir" person the whole way. I have no advice really to counter that. Dr. "G" is so highly lauded in reviews and elsewhere, and while he may be a nice fellow, he isn't often there and I question if he's keeping up with treatment practices. Examine this for example, all of his subutex tapers end with 2mg. Even a layperson with some reading behind them, should know the new best standard is about 0.5mg. This can help diminish symptoms of the "detox" which occurs at NLL when your locked out of your room.

On a ten scale, I give the place a 4. But if you want to get lost in the mix, get good meals and possibly flirt, for you it could be a 10! I have some experience in Process Improvement, trained at Carnegie Mellon institute. Writing SOPs (standard op procedures), would not help this place at this point. There is too few staff, they need third party help. Then get more staff, then a second doctor, let Dr. Gone be a medical staff head/greeter or something. The current Nurse Practioner is not suited for the dynamics of dealing with addicts, especially of varying age and culture origins. Senior home or a military facility would likely be a better fit. I know this seems harsh, but you go in for a visit or two with this person, and lets here what you think.
I'm usually very easy on people that have chosen to work with addicts, I have mad respect. The poor fit is obvious, and it's important because this is your doctor Thu-Sun.

Some of the following paragraph is going to be brutally honest. It is what I observed. I'm 51 and happily married, and even if I was 21 would have second thoughts about being intimate with IV users.....but here is truth:
If you are young and strong, want a chance at getting laid in a chaotic, less structured environment. This may be the place for you. Maybe your on court order and like the idea of a bed and 3 square meals. Also, this might be for you. Getting completely locked out of your room, without any recourse may blow the fun some. But if you don't have arthritis, and don't look like hell, chasing the girls (or guys) around could make the time seem shorter.

The spirit of getting and staying sober is there AT TIMES, if you want it. This is usually controlled by the current contingent of patients. Find some mature people (patients) with leadership skills and you should be ok. For the most part , your access to staff won't cover that. Also note: I overheard a drug arrangement that was apparently being setup, an H dealer was supposed to meet someone near a woods, and the place is surrounded by thick woods. I didn't confirm or follow up on it. I had already learned too much. I didn't see that this was rampant, but between that and a third party discussion, I counted 2 potential incidents. Maybe more disturbing is that I stayed to myself more than anyone, yet still ran into this.
 
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Ice treatment clinics and prescription drug replacement therapy access to expand across NSW

The New South Wales Government will open four new ice treatment clinics offering counselling and stimulant-replacement therapy across the state to cope with demand.

They will be modelled on two existing stimulant treatment programs - one at the Hunter New England Health Service in Newcastle, and another at St Vincent's Hospital in Sydney.

The entrance to the St Vincent's clinic is hidden on a side street near a bus stop in inner-city Darlinghurst.

Counsellor Dan Herman said the plant-filled, white and green foyer is designed to provide a calming environment for patients.

"We've tried to make it as friendly and warm as possible," he said.

He said assessing the harm caused by methamphetamines was complex and there was not a one-size-fits-all approach.

"We have a lot of people who would use significant quantities [of ice] each day and wouldn't experience that many problems," he said.

"Where as we have some people who use once a month or once every few months and find that very problematic."

The Federal Government's national ice taskforce has found the number of people treated for ice addiction more than doubled from 2010 to 2013, putting strain on treatment centres across the country.

The long-term counselling program at St Vincent's has a waiting list of several months but also offers short-term stimulant check-up assessments and drop-in clinics.

"There's not a lot of specialist stimulant services anywhere, we've had clients who have flown in from interstate to talk to us," St Vincent's drug counsellor Michael Magee said.

Experimental ADHD medication used to treat ice addiction

For a small number of clients, a strictly supervised drug substitution program using prescription ADHD stimulant dexamphetamine is also used.

Like the more well-known opiate substitution therapy drug called methadone, which is offered to heroin addicts, the aim is to wean stimulant users off more harmful illicit drugs.

Those patients on the experimental dexamphetamine program at St Vincent's come to the clinic each day for supervised dosing of up to 16 tablets of the drug.

There is a quest internationally to find out if there is a magic pill to curb stimulant misuse, but Mr Magee said it had not been found yet.

"Receiving a relatively high dose of dexamphetamine can help them to reduce their street drug use and that helps people spend more time in the counselling program and make more changes in their external life as well," Mr Magee said.

New South Wales Health chief addiction specialist Adrian Dunlop said it was important there was a flexible range of services available across the state.

"Some people just want brief advice and information, some want more detailed information, some people want counselling, some people don't respond to counselling and it's that group that we might consider offering dexamphetamine to," Dr Dunlop said.

The $7 million expansion will see new stimulant treatment programs in the Illawarra Shoalhaven, Mid North Coast/Northern NSW and Western Sydney Local Health Districts, but the exact locations are yet to be announced.

"These additional clinics will provide help for people in those four local health districts," Dr Dunlop said.

"It's essentially more people and resources in those areas who have had methamphetamine problems.

"There's a lot of stigma associated with substance use and that's probably one of the biggest barriers to people coming forward.

"Treatment works and we need to promote treatment more and we need to encourage people to seek treatment despite the stigma."

St Vincent's drug counsellor Mr Magee said the stimulant treatment program offered a supportive and safe environment.

"We don't turn people away if they're intoxicated, so what that ends up meaning is a lot of the time you can have conversations that are quite intense," he said.

"We need to get the message out there that it's not going to be invasive, it's supportive, it's collaborative, it's trying to help people get back on track with their lives."

Those wanting to access help in New South Wales can call the Alcohol and Drug Information Service (ADIS) on 1800 422 599 or the 24-hour Stimulant Treatment line on (02) 9361 8088

http://www.abc.net.au/news/2015-07-...prescription-drug-replacement-therapy/6625948
 
Has anyone had experience with Regen in the inner Northern suburbs of Melbourne?

I had an assessment there last week for poly drug abuse (MDMA and Meth mainly) and codeine addiction (about 300mg a day).The psychologist there was very nice and they were able to get in for an assessment within a few days of calling them.

Its been almost two weeks since I have had any drugs except social drinks and valium a couple of times a week for anxiety (at prescribed levels 5-10mg). The first week sucked arse, probably my longest codeine withdrawal. It seems to get harder every time. It took me about a week before I felt that the physical withdrawal was done. It being so fucking cold hasn't helped. The weekend also felt weird to not use drugs and I did have some cravings and didn't know what to do with myself.

Physically I have felt a lot better and have been able to focus on regular exercise. My fitness seems to be much better. Further, my sex drive has increased and my skin looks healthier and I look healthier in general. I think I may have lost some weight. My mood has definitely being worse though. I guess when you are not in the warm embrace of opiates all day every day, normal everyday life stuff gets to you a lot more. Is going through PAWS common with codeine withdrawal?

Regen seems pretty good in that they have accomodating of fitting me in after working hours (although it will be over 2 weeks after my initial consultation). I feel that the service isn't really set up for people with jobs and I had to take the day off work to get the initial assessment. I'm only going for drug counselling rather than any type of inpatient or outpatient deal.

One criticism I do have is that they have pushed going on suboxone. I refused this and told them that I felt that was overkill for my situation. Particularly, considering I have now come off it completely.
 
Does Anyone know what the Rehab Moonya is like that's in brisbane, i'm thinking of going there????? Any feedback on the program, the success rate, etc would be highly appreciated. I've thought of the buttery but the waiting list is months plus its 2 hours or so drive away for me so it would be exhausting coming home for weekend leave when i get it with a 4-5 hour round trip and i wouldn't likely be able to participate in their after care program being so far away and family wouldn't be able to visit me .
 
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