2 Our Vision Reduce Health risks in the community Minimize the impact of criminal behaviorKeep families togetherImprove quality of life for community members
3 Swinomish Wellness Program State Certified Chemical Dependency ProgramServices Offered:Intensive OutpatientOutpatient TreatmentIndividualized ProgramsYouth TreatmentAssessments and ReferralSuboxone and Vivitrol (Naloxone)
4 Why is it needed?Increased number of patients seeking services for opiate dependency.Prior to program 1 opiate dependent person in outpatient treatmentLimited treatment options due to funding sources and remoteness of the community for sources.Funding process was taking too longAbstinence based treatment ineffective, poor local detox options.Limited Medication Assisted Programs in area i.e. Methadone or Suboxone-nearest 30 miles awayAs we change from alcohol to opiates, we need to treat opiate addiction with opiate treatment.Men and women without children could receive no funding.
6 What is Suboxone(Buprenorphine)? Narcotic MedicationUsed for substitution of Heroin, Pain pills and other opiatesBinds to the mu-receptorPrescription from Suboxone Certified Physician only
7 Why Suboxone? Suppress opiate withdrawal symptoms Reduces cravings Success rate is much higher with medicationLower abuse potential than MethadoneFaster set up time, no added certification for Wellness Program
8 Admission ProcessChemical Dependency Assessment, dx of opiate dependenceRefer to Medical Clinic for physical and blood work (our requirements)Schedule admit appt. for treatment program.Schedule Doctor appt. for physical.Treatment team meets with physician.Pt. attends induction appt. in full withdrawal and is written a prescription
9 Evolving treatment ~ Empowering patients…….. Phase I ~ 12 weeksTreatmentIntensive outpatientThree groups a weekCultural Component-reintroduction to storytelling, nutrition, traditional foods, beading, history, crafts, canoe journey.Individual session per weekSuboxone OrientationWeekly to bi-monthly doctor appointmentsUA’sStrip CountsIntroduction of Mental HealthGroup EducationReferral for Individual sessions(Based on patient needs assessment)Evolving treatment ~ Empowering patients……..
10 Phase II ~ 16 weeks Treatment Mental Health Relapse prevention Two group sessions per weekIndividual session bi-monthlyMonthly doctor appointmentsUA’sStrip countsMental HealthGroup EducationIndividual sessions as neededBased on patient needs assessment
11 Phase III ~ Duration based on patient need Maintenance programRecovery support groupMonthly individual counselingDoctor visits as neededUA’sStrip Counts
12 Controls for Diversion Pharmacy1-3x/week pickup at PharmacySuboxone UA’sStrip CountsStrict diversion ContractHealthy community Tip Line-dealing
13 Currently have 24 active participants SWP numbers since July 20121st year admissions-408 still in program2nd year admissions-2216 still in program7 returning patients from 1st year3 Program Graduates detoxed off of SuboxoneCurrently have 24 active participants13 have over one year of sobriety!!
14 “Live life without the need of alcohol and other drugs.” QUESTIONS???“Live life without the need of alcohol and other drugs.”