Drug Rehab Approach:
Progressive, balanced and comprehensive: Dealing with problems posed by the use and misuse of drugs in the community. The Drug & Alcohol Rehab Strategic Framework focuses on the following key elements of treatment.

Drug Rehab Cocaine:
Addiction-Treatment for cocaine: is to find a medication to block or greatly reduce the effects of cocaine, to be used as one part of a comprehensive treatment program. We are also looking at medications that help alleviate the severe craving that people in treatment for cocaine addiction often experience. Several medications are currently being investigated for their safety and efficacy in treating cocaine addiction.
In addition to treatment medications, behavioral interventions (particularly cognitive behavioral therapy) can be effective in decreasing drug use by patients in treatment for cocaine abuse. Providing the optimal combination of treatment and services for each individual is critical to successful outcomes.
Many scientific studies have documented that babies born to mothers who abuse cocaine during pregnancy are often prematurely delivered, have low birth weights and smaller head circumferences, and are often shorter in length. Many may recall that "crack babies," or babies born to mothers who used cocaine while pregnant, were written off by many a decade ago as a lost generation. They were predicted to suffer from severe, irreversible damage, including reduced intelligence and social skills. It was later found that this was a gross exaggeration. Most crack-exposed babies appear to recover quite well. However, the fact that most of these children appear normal should not be over-interpreted as a positive sign. Using technology, scientists are now finding that exposure to cocaine during fetal development may lead to subtle, but significant, deficits later, especially with behaviors that are crucial to success in the classroom, such as blocking out distractions and concentrating for long periods of time.
During Cocaine Detoxification several kinds of pharmaceutical drugs have been used in the detoxification of cocaine. Withdrawal from chronic cocaine use produces anxiety, depression and intense cravings for the drug. Several types of pharmaceuticals address these issues in different ways.
Antidepressant drugs such as desipramine or a combination of phentermine and fenfluramine have been used to reduce cocaine withdrawal symptoms such as anxiety and depression. Benzodiazepines, tranquilizers such as Diazepam, have been used to reverse anxiety induced by cocaine withdrawal. Amantadine, an antidyskinetic used in Parkinson's Disease, may be an effective treatment for cocaine-dependent patients with severe cocaine withdrawal symptoms and may reduce cocaine craving. Bromocriptine, a drug that works on the brain's dopamine system, has been used to decrease the craving for cocaine during detoxification and to reduce mood disturbance.
Propanolol, a beta-blocker antihypertensive drug, may be useful for severe cocaine withdrawal symptoms, as it inhibits the effects of adrenaline, thereby calming the body's "fight or flight" response to stressful situations. Beta-blockers have been used clinically to treat general anxiety and anxiety associated with alcohol withdrawal. Propranolol's lessening of symptoms such as palpitations and sweating has helped to reduce cocaine craving associated with such symptoms . The use of beta-blockers in patients who have ingested cocaine, however, is not risk-free and can be associated with decreased coronary blood flow and increased coronary vascular resistance, predisposing patients to arrhythmia and triggering a hypertensive crisis. Delayed toxic effects are possible. Any use of beta-blockers in this setting requires careful monitoring and caution.

Drug Rehab Alcohol:
Addiction-Treatment for Alcohol: Includes Behavioural Therapy, Cognitive Therapy, Psychodynamic Therapy, and Psycho-Educational Approach.
Behavioursal Therapy focuses on modifying, ultimately ‘unlearning? your negative behaviours. This therapeutic practice does not explore nor examine underlying causes or emotional issues, and does not strive to make changes to your personality. Behavioural Therapy aims to give you an arsenal of effective responses to physical triggers and chemical urges.
Cognitive Therapy is a therapeutic approach that works to change inaccurate and distorted beliefs and perceptions—of self and others. Cognitive Therapy works to heal the emotional problems that have resulted from these distorted views, correcting and revising them, while examining both positive and negative results.
Psychodynamic Therapy closely examines the underlying and often subconscious causes of your addiction, tracing behaviours to their very origins. Psychodynamic Therapy examines those events that have shaped your personality, attitudes, and, ultimately, has resulted in an emotional disorder that has lead you to addiction. This therapy results in lasting changes to your emotional and psychological health, helping to resolve past trauma, grow self-esteem, and create healthy relationships.
Psycho-Education Therapy focuses on educating you on the emotional and behavioural difficulties that has lead you to addiction; teaching you techniques to effectively control these undesired behaviours, arming you with knowledge. Both you and your loved ones gain a deep understanding of your addiction, why you use, and the harmful psychological effects on all.
During Alcohol Detoxification many patients experience mild to moderate symptoms during withdrawal and can undergo detoxification without medications if they receive supportive care and monitoring. Inpatient medical detoxification services are appropriate for alcoholics at risk for serious complications of withdrawal or those with co-existing medical conditions. These patients and those with previous alcohol withdrawal seizures, delirium tremens, or moderate to severe withdrawal symptoms should receive benzodiazepines to reduce the risk of adverse events. Other medications have also been used in the detoxification process including clonidine, an alpha-adrenergic agonist, and carbamazepine, an anticonvulsant used to prevent seizures or delirium.

Drug Rehab Opiate:
Addiction-Treatment for Opiates: include Medical Detoxification, Rapid Detoxification, Stepped Rapid Detoxification, Ultra Rapid Detoxification, and Methadone.
Medical Detoxification: In order to withdraw from certain addictive substances safely, it may be preferable and in some cases necessary to undergo medically supervised detoxification in a hospital or residential treatment center that has a detoxification unit. This would be advisable for patients that have been using an addictive substance heavily for a longer period of time and are more likely to have more severe withdrawal symptoms, or those with other significant health problems. Inpatient detoxification allows the patient to be closely monitored throughout the process and given appropriate medication to prevent severe withdrawal symptoms. It commonly involves the gradual administration of decreasing doses (tapering) of an agent that is related to the original drug of abuse that is now substituted to prevent withdrawal.
A new method of rapid opiate detox, endorsed by the Anaesthesia Assisted Medical Opiate Detox, Inc., is called the Waismann Method. This rapid opiate detox option became available in 1997, and is much faster than cold turkey or detoxing with methadone or Suboxone--though it may have a tougher impact on the wallet. In the Waismann Method an opiate-dependent person is first placed under general anaesthesia. Then, opiate antagonist drugs--or drugs that rapidly clear opiates from the brain's receptors--are introduced into the patient's body. Under anaesthesia, rapid opiate detox occurs, and the endorsers of this method claim that when the patient wakes up, he is free of opiate dependence and unaware of what happened. Before considering the Waismann Method, consult a doctor to determine potential problems with anaesthesia and to discuss the potential risks and associated costs.
Stepped Rapid Detoxification: This alternative to rapid detoxification provides small doses of Narcan (Naloxone) subcutaneously and naltrexone orally every hour or so, together with reduced withdrawal management medications , mostly orally, as necessary. This approach using the slower oral and subcutaneous routes rid the body of the opiate more slowly than intravenous Rapid Detoxification . In addition the pacing can be controlled and responsive to any withdrawal symptoms that develop in the patient by having them quickly suck on Buprenorphine tablets under the tongue. There is less need for withdrawal management medications. The patient is alert and directly communicating with medical staff until the situation has been resolved. It is possible to be detoxified and stabilized on Naltrexone Maintenance Therapy with 2 to 4 small manageable bites. If someone tries to use any kind of opiate while they are on Naltrexone, they feel no effect because all of the receptors are completely blocked.
Ultra Rapid Detoxification: This procedure involves putting patients under general anesthesia and giving them a drug called Naltrexone which blocks all of their endorphin receptors. This accelerates the withdrawal process, pushing them into 100% detoxification within a 5-30 minute period. Although this is an extremely painful process it is tolerable under anesthesia. As with rapid detoxification, it is very costly and has significant medical risk.
Methadone: The most common method of opiate detoxification is to use Methadone in an approved clinic and slowly taper the patient down from the usual dose to zero over a period of approximately 21 days. Two popular methods of rapid opiate detox that have been approved by the U.S. Food and Drug Administration are methadone rapid detox, and rapid detox with Suboxone. The two methods are similar, although Suboxone is a newer option, while methadone has been available since the 1970's. According to the White House Drug Policy website, methadone detox is a highly effective way to rapidly get off opiates. A person entering the methadone clinic is given a dose of the drug, which is a synthetic opiod itself, and the amount is gradually reduced over a period of 30 days. Suboxone detox works in a similar way, although an opiate-dependent person usually must locate a doctor who dispenses the medication via a special license. With Suboxone, which is yet another long-lasting synthetic opioid, the patient's dose is adjusted downward over a similar period to that of methadone. These two methods of rapid opiate detox minimize withdrawal symptoms, and have shown success. They are somewhat costly, with daily doses usually in the $15 per dose range, and some insurance will not cover either method.

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