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Day: August 7, 2024

What are the Different Types of Medication-Assisted Treatment?

Posted on by cmarnew

Did you know that medication-assisted treatment (MAT) has been shown to reduce the risk of fatal overdose in individuals struggling with opioid addiction? This statistic, backed by the National Institute on Drug Abuse, underscores the life-saving potential of MAT.

Medication-assisted treatment is a comprehensive approach that combines FDA-approved medications with counseling and behavioral therapies. This integrative method addresses the complex nature of substance use disorders and helps individuals achieve long-term recovery.

We want to explore along with you the different types of medication-assisted treatment, how each one works, and the unique benefits they offer. Whether you are seeking help for yourself or a loved one, we at Colorado Medication Assisted Recovery can help you take that first vital step toward addiction recovery.

What-are-the-Different-Types-of-Medication

Understanding Medication-Assisted Treatment (MAT)

Medication-assisted treatment (MAT) is a holistic approach that combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders. This method addresses both the physical and psychological aspects of addiction, providing a comprehensive pathway to recovery.

How MAT Works

  • Medications: MAT utilizes medications to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and stabilize body functions. The medications used in MAT do not substitute one addictive substance for another; instead, they help manage withdrawal symptoms and reduce the risk of relapse.
  • Counseling and Behavioral Therapies: Alongside medications, MAT includes counseling and behavioral therapies to address the psychological aspects of addiction. These therapies help individuals develop coping strategies, improve their mental health, and build a support system.

Benefits of MAT

  • Reduces Cravings and Withdrawal Symptoms: MAT medications help alleviate the intense cravings and withdrawal symptoms that often lead to relapse.
  • Improves Treatment Retention: Individuals receiving MAT are more likely to stay in treatment compared to those who do not.
  • Enhances Overall Recovery Outcomes: By addressing both the physical and psychological aspects of addiction, MAT improves the chances of long-term recovery and reduces the risk of overdose.

Types of Medication-Assisted Treatment

Medication-assisted treatment (MAT) encompasses a variety of medications, each designed to aid in recovery from substance use disorders. Here, we explore the different types of medication-assisted treatment, detailing all you need to know in order to make an informed decision.

Buprenorphine (Suboxone, Subutex, Sublocade)

Overview: Buprenorphine is a partial opioid agonist that can be prescribed by certified physicians and dispensed at pharmacies, offering more flexibility than methadone.

How Buprenorphine Works:

  • Buprenorphine binds to opioid receptors in the brain, reducing cravings and withdrawal symptoms without producing significant euphoria.

Suboxone:

  • Contains: Buprenorphine and naloxone.
  • Benefits:

Subutex:

Sublocade:

Naltrexone (Vivitrol)

Overview: Naltrexone is an opioid antagonist used to treat both opioid and alcohol addiction, available in both pill form and as a monthly injection (Vivitrol).

How Naltrexone Works:

  • Naltrexone works by blocking opioid receptors, preventing the euphoric effects of opioids and alcohol.

Benefits and Considerations:

  • Benefits:
    • Non-addictive and has no potential for abuse.
    • Reduces cravings for alcohol and opioids.
    • Monthly injection (Vivitrol) improves adherence.
  • Considerations:
    • Requires detoxification before starting treatment.
    • Not suitable for individuals with liver issues.

Disulfiram (Antabuse)

Overview: Disulfiram is used to treat chronic alcoholism by causing unpleasant effects when alcohol is consumed.

How Antabuse Works:

  • Antabuse works by inhibiting the enzyme involved in metabolizing alcohol, leading to an accumulation of acetaldehyde and causing symptoms like nausea, vomiting, and headaches when alcohol is consumed.

Benefits and Considerations:

  • Benefits:
    • Acts as a deterrent to alcohol consumption.
    • Supports abstinence in highly motivated individuals.
  • Considerations:
    • Requires strict adherence to avoid accidental alcohol consumption.
    • Can interact with other substances containing alcohol.
MAT-types-of-medication

How to Choose the Right Medication-Assisted Treatment

Selecting the most suitable Medication-Assisted Treatment (MAT) is a vital step in achieving successful recovery from substance use disorders. With several options available, it is important to consider various factors and work closely with healthcare providers to determine the best fit. Let’s examine the most important factors:

Type of Substance Use Disorder

  • The specific substance being abused (e.g., opioids, alcohol) can influence the choice of medication.
  • For opioid addiction, medications like methadone, buprenorphine, and naltrexone may be considered.
  • For alcohol addiction, naltrexone and disulfiram (Antabuse) are commonly used.

Severity of Addiction

  • The intensity and duration of the addiction can impact the effectiveness of different MAT options.
  • For severe opioid addiction, methadone may be preferred due to its long-acting properties.
  • For less severe cases, buprenorphine or naltrexone might be more appropriate.

Medical History

  • Existing medical conditions, such as liver disease, can affect the choice of medication.
  • Some medications, like naltrexone, may not be suitable for individuals with liver issues.

Lifestyle and Preferences

  • The patient’s daily routine and lifestyle can influence treatment adherence.
  • Medications like Sublocade, which require monthly administration, may be more convenient for some individuals.

Role of Healthcare Providers

At CMAR, we truly understand the importance of healthcare providers in guiding individuals to the right MAT. Through comprehensive assessments, we take the time to delve into each patient’s unique medical history, addiction severity, and individual preferences. We even make sure there the insurance verification process goes as smoothly as possible. This allows us to create personalized treatment plans that offer the best possible chance for successful recovery.

Individualized Treatment Plans

Creating personalized treatment plans is crucial as they cater to the specific needs and circumstances of each person. These plans frequently integrate the different types of medication-assisted treatment with behavioral therapies and counseling, offering a holistic approach to recovery. By prioritizing the overall well-being of each individual, we at CMAR can develop tailored plans that enhance treatment adherence and long-term results. This approach ensures that each person receives the best possible care for their unique situation.

mat-for-opioid-use-disorder

Combining MAT with Behavioral Therapies

While medication-assisted treatment (MAT) addresses the physical aspects of addiction, combining it with behavioral therapies provides a comprehensive approach to recovery. This integrated method not only helps manage withdrawal symptoms and cravings but also addresses the underlying psychological factors contributing to substance use disorders.

How Does Behavioral Therapy Work in MAT

Behavioral therapies are designed to modify attitudes and behaviors related to drug use, enhance life skills, and support other forms of treatment. These therapies play a crucial role in helping individuals understand the root causes of their addiction and develop healthier coping mechanisms.

Benefits of Combining MAT with Counseling and Therapy

  • Holistic Treatment: Combining MAT with behavioral therapies addresses both the physical and emotional aspects of addiction, providing a more holistic treatment approach.
  • Improved Coping Strategies: Behavioral therapies help individuals develop effective coping strategies to deal with stress, triggers, and cravings.
  • Enhanced Motivation: Counseling sessions can boost motivation, helping individuals stay committed to their recovery goals.
  • Relapse Prevention: Therapies teach skills to manage triggers and prevent relapse, increasing the likelihood of long-term recovery.

Effective Behavioral Therapies Used with MAT

Cognitive Behavioral Therapy (CBT)

Contingency Management (CM)

  • Overview: CM uses positive reinforcement to encourage sobriety and adherence to treatment.
  • Benefits: Provides tangible rewards for meeting treatment goals, which can enhance motivation and engagement.

Motivational Interviewing (MI)

  • Overview: MI is a client-centered counseling style that enhances motivation to change.
  • Benefits: Helps individuals resolve ambivalence about recovery and strengthens their commitment to positive behavioral changes.

Family Therapy

  • Overview: Family therapy involves family members in the treatment process to improve communication and support.
  • Benefits: Strengthens family dynamics, provides a support system, and addresses any familial factors contributing to addiction.

12-Step Facilitation Therapy

  • Overview: This therapy encourages participation in 12-step programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
  • Benefits: Provides a structured approach to recovery with peer support and a sense of community.

Your Next Steps

Medication-assisted treatment (MAT) is incredibly important in providing support to individuals struggling with substance use disorders. By combining FDA-approved medications with behavioral therapies, MAT offers a comprehensive approach that addresses both the physical and psychological aspects of addiction, providing a pathway to complete recovery. Unfortunately, many people still do not have access to this vital form of treatment. This emphasizes the critical need to comprehend the different types of medication-assisted treatment in order to effectively provide support to those in need.

If you or someone you care about is struggling with addiction, it’s crucial to seek professional support. Medication-assisted treatment can provide the necessary help to overcome addiction and lead a healthier, more fulfilling life.

Take the first step toward recovery today by reaching out to Colorado Medication Assisted Recovery. Our team of experienced professionals is committed to offering personalized, compassionate care to help you or your loved one achieve lasting recovery. Don’t hesitate to take charge of your life. Begin your journey toward a brighter, healthier future. Our caring team is here to assist you every step of the way.

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Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.