Hanley Pain & Rehabilitation Center, Inc.

Frequently Asked Questions

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 Why Do Some People Become Dependent?

Drug dependence can run in the family. A person's genetic makeup can affect how the body processes a drug. It can also determine the drug's effect. These individual differences can make some people more likely to become dependent.

 

 More Are Addicted Now Than Ever Before

Many People Are Dependent.

Approximately 4.4 million Americans are currently using prescription pain relievers

non-medically and another 2.5 million have used heroin at some time in their lives.

Many More People Are Becoming Dependent.

In 2001, approximately 2.4 million Americans began using prescription pain relievers non-medically for the first time. This is a 282% increase over the numbers from 1990, when an estimated 628,000 first-time users were recorded.

 

 Get Treatment NOW

For the first time every, Opioid Dependence can be treated in the privacy of your physician's office. The first medication for in-office treatment of opioid dependence has been approved.

The number of people seeking help for drug dependence keeps growing. Having this option makes it possible for people to get the treatment they need.  

Embrace Treatment with our Out-Patient, Home-Based Treatment Program

Being treated with the medication in a doctor's office means that:

People can be treated by a doctor they

   already know

Treatment can be at a convenient time

People feel they no longer need the

   drug they were dependent on (reduced

     cravings)

Treatment can be kept private

Planning travel is easy because the

   medication is approved for take-home

   use

Treatment does not need to interfere

    with normal activities*

 

* This medication may affect a person's ability to perform dangerous tasks such as driving a car or operating machinery, especially at the start of therapy and whenever the dose is changed.

 

 Checklist for your First Doctor's Visit

Arrive experiencing mild-to-moderate

   opioid withdrawal symptoms

Arrive with a full bladder

Bring completed forms (or come 30

   minutes early)

Bring ALL medication bottles

 

Contracted Fee paid in full at time of visit. (Cash, Check or Credit Card)

The Program

 

At Hanley Pain & Rehab we firmly believe that addiction is a medical condition just like hypertension and diabetes, and that no one sets out to become addicted or be dependent on alcohol or drugs. We feel that people who struggle with dependency and addiction struggle daily to strike a stride of balance and normalcy in their lives to  achieve a level of daily function. We do not believe that people who struggle with dependency fight daily to achieve that stereotypically high.

 

We feel that the roots of alcohol and drug dependency are unfortunately found in the wreckage of an adverse childhood experiences and to some extent your genetic make up. Certainly no faults of your own and nothing to be ashamed of as we all endure afflictions from these situations in one form or another. We understand fully that many people under such circumstances use alcohol and drugs as a coping mechanism just to feel normal for daily function, and to ease the stress of physical and emotional pain that may have been triggered by a major life circumstance, or physical trauma. It is for this reason, that at our institution will always look to you as a whole person, addressing not only your mental aspect as in your dependency and  addiction, but also address your physical aspects as in your chronic painful conditions, physical nutritional condition, and other co-morbidities with deepest respect and care.

 

Hanley Pain & Rehabilitation uses a new novel approach to Alcohol and Drug Addiction & Dependency that will allow you to immediately and painlessly remove the instability, preoccupation, and frustration of drug use and  return you to enjoy your work and family with passion and a sense of purpose. This new approach draws upon recent breakthroughs in science and technology which have given rise to the discovery of Buprenorphine (Suboxone, Subutex) designed for the safe and comfortable withdrawal from opiate dependency. For those who take narcotics because of painful physical conditions, this new drug and our novel approach will also control much of your physical pain . We also will  recommend combinations of effective nutrition products (through our Nutritional Department at Orlando Weight and Nutrition Center), and physical medicine using physical rehabilitation and acupuncture. As full service medical center, we are also able to fully address those symptoms of anxiety, sleeplessness, and stress as you go through your detoxification.

 

Managing Your Pain When Opioids Are A Problem

 

Hanley Pain & Rehabilitation Center, Inc. treats addiction first. The next and widely under-served group are those pain patients who have become opioid dependent. Hanley Pain & Rehabilitation Center, Inc. is excited to break ground in this field with an aggressive expansion to treat these special cases.

 

Many of our patients were started on pain medications and now either no longer have a pain generator or aren't sure if their level of pain warrants the use of the medication. Very often, their use escalated because of tolerance or prolonged treatment.

 

"What If I Still Have Pain?"

 

Hanley Pain & Rehabilitation Center, Inc. won't know how to best manage your condition until we take you off of everything. Our role is to both manage your withdrawal as well as craft a long-ranging treatment plan for any residual pain you experience.

 

How Does This Program Work?

 

You will call our office number (You will not be required to divulge your full name or any personal information during this interview.) 

 

Your call will be answered live by a caring professional who will:

 

Walk you briefly through our program and help you to make an appointment for a

    consultation visit

An appointment time will be set up. You will be expected to keep this appointment or

    notify us 24 hours in advance to reschedule or cancel.

 

At the time of the appointment:

 

You will come to our private waiting room.

You will be greeted by our receptionist. You will be asked to have a seat.

The receptionist will notify our consultation specialist, who will meet and greet you

    and take you to an inside private office to discuss your needs and tell you about

    our program.

During this interview you will learn first hand about our proprietary program. Prices

   and payment arrangement will be discussed. Your questions will be answered, and

   decision will be reached as to whether this program is right for you.

 

When you decide to enroll in our program

the following will occur:

 

Intake

 

You will be given a medical questionnaire to fill out for you next appointment visit:  In this questionnaire you will  be asked questions about your medical health history, your mental health history, and your substance use history, including your current opioid use.

 

There are no wrong answers to these questions—the goal is to be sure that your doctor has accurate information so she or he can create a treatment plan that meets your needs.

 

All the information you give will be held strictly confidential.

 

First Visit:

*(A  first visit & induction may  take place on the same day)

 

During this visit, you will meet the doctor who will go over the pros and cons of SUBOXONE treatment.  Your treatment expectations, as well as your doctor's expectations of you, will be discussed. You will be asked to provide a urine sample so the doctor's office can confirm any use of opioids and, possibly, other drugs. You may also need to have blood drawn: blood analysis is important for detecting any health conditions which might need to be addressed and might interfere with your SUBOXONE treatment (such as anemia or hepatitis).

 

Induction


The goal of induction is to switch you from your current opioid (heroin, methadone or a prescription painkiller) on to SUBOXONE. You MUST arrive for your induction already experiencing mild-to-moderate opioid withdrawal symptoms. This point cannot be emphasized enough. If you take SUBOXONE before you are in withdrawal, the medication will make you feel worse because it can cause withdrawal symptoms. (For more on this, see Why Do I Need to Be in Withdrawal?).

 

The following guidelines are provided to ensure you are in withdrawal for the visit.

 

No methadone or long-acting painkillers for at least 24 hours. Also, Methadone levels

   must be below 30 MG before induction and must be reduced under the guidance of a

   health professional.

No heroin or short-acting painkillers for at least 4 to 6 hours must be taken.

 

The  doctor or nurse will assess your withdrawal symptoms and give you your first SUBOXONE dose in the office. You can begin to feel some relief within 20 minutes, although the full effects take place about an hour, at which point your symptoms will be reassessed. Your doctor will  suggest that you pass the time in the  private waiting area or by taking a short walk and returning to the office at a specific time. Depending on the extent to which the first SUBOXONE dose suppressed your symptoms, your doctor may decide to give you a second dose.

 

When you are ready to leave the office after your first induction visit:

 

The doctor will make arrangements for you to have SUBOXONE to take home.

    Typically, your doctor will give you a prescription for the amount of SUBOXONE that

    you will need until your next appointment, along with any special instructions related

    to your care

The doctor may also prescribe other medications to help control withdrawal symptoms

 

During induction, daily appointments are not uncommon. This allows your doctor to adjust for your withdrawal symptoms and cravings. Induction can last anywhere from 2 to 7 days. Urine drug screening at every visit is also fairly standard during induction. Patients whose SUBOXONE dose may be too low often use other drugs to try to suppress the withdrawal symptoms and cravings; doctors look for this when evaluating whether a patient is at the right dose.

 

Intake and induction may both occur at the first visit, depending on your needs and your doctor's procedures.

 

Stabilization


During stabilization, your SUBOXONE dose is "fine tuned" about once a week, as needed. The goal is to find a dose where your withdrawal symptoms and cravings are suppressed, and you experience minimal to no side effects. You and your doctor will discuss your treatment options going forward, specifically, maintenance versus medically supervised withdrawal.

 

Maintenance


Once your dose is stabilized, the maintenance phase of treatment begins. During maintenance, your treatment compliance and progress will continue to be monitored.

 

Participation in some form of behavioral counseling is strongly recommended to maximize the likelihood of your treatment success. You and your doctor will discuss counseling options that meet your needs.

 

Your doctor may request urine samples from time to time. Some doctors find urine testing a helpful part of treatment because by verifying the absence of opioids in your system they can evaluate the effectiveness of your SUBOXONE dose. Talk with your doctor if you have questions about the role of urine testing in treatment.

 

During your ongoing maintenance treatment, your doctor will want to know if you experience any cravings. If you do, your dose may need to be adjusted.

 

Appointments are usually scheduled on a weekly basis. However, if treatment progress is good and goals are met, monthly visits may eventually be considered sufficient. The maintenance phase can last anywhere from weeks to years—depending on what you, your doctor, and, possibly, your therapist or counselor determine is best for your individual needs.

 

Medically Supervised Withdrawal


Length of therapy is up to your doctor, you, and sometimes your therapist or counselor. In this phase of medically supervised withdrawal, your doctor will slowly taper your SUBOXONE dose, taking care to see that you experience minimal withdrawal symptoms or cravings. Your dose can always be changed if you experience uncomfortable symptoms or cravings at the reduced dose. This will save you waiting time on your first medical visit.

 

Hanley Pain & Rehabilitation Is Trained to Use This New Medication for Outpatient Addictions Treatment

 

We are deeply committed to patient care, and have made the effort to become a trained provider of opioid-dependence treatment.

 

To become qualified, we have complete an accredited OPT-in™ Opioid-Dependence Physician Training Program, provided through a group of federal agencies and National Medical Associations. This program has trained us to identify and treat the specific needs of opioid-dependent patients. Because of these efforts, we can now treat opioid dependence.

 

Please note: Hanley Pain & Rehabilitation does not accept insurance for Substance Abuse Programs at this time