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Medication-Assisted Treatment Examples

Posted on by cmarnew

Medication-assisted treatment (MAT) has emerged as one of the most effective approaches for treating substance use disorders, particularly those related to opioids and alcohol. By integrating FDA-approved medications with behavioral therapies, MAT not only helps reduce cravings and withdrawal symptoms but also supports sustained recovery.

In this article, we’ll explore various medication-assisted treatment examples, highlight the phases of MAT, and delve into how it improves overall well-being. Whether you’re seeking more information for yourself or a loved one, this guide provides a comprehensive look at the benefits and components of MAT, helping you understand why it’s often considered the gold standard in addiction recovery.

Examples of Medications Used in MAT

Medication-assisted treatment examples include several FDA-approved medications designed to manage withdrawal symptoms, reduce cravings, and support long-term recovery from substance use disorders.

Medications for Opioid Use Disorder (OUD)

  • Methadone: This long-acting, full opioid agonist attaches to the same brain receptors as opioids like heroin but without the intense highs and lows. Methadone helps manage cravings, diminishes euphoric effects, and stabilizes individuals in recovery.
  • Buprenorphine (e.g., Suboxone, Subutex, Sublocade): As a partial opioid agonist, buprenorphine reduces cravings and withdrawal symptoms. It offers a safer option with a lower potential for misuse compared to full agonists, making it an effective part of medication-assisted treatment.
  • Naltrexone (e.g., Vivitrol): This opioid antagonist blocks the euphoric effects of opioids. It helps suppress cravings and is often given as an extended-release injection for better compliance.

Medications for Alcohol Use Disorder (AUD)

  • Acamprosate: This medication stabilizes brain chemistry and helps individuals maintain abstinence. While it doesn’t relieve withdrawal symptoms, it reduces the risk of relapse for those in recovery.
  • Disulfiram (Antabuse): Disulfiram deters alcohol use by causing unpleasant reactions like nausea and headache if alcohol is consumed, making it one of the more aversive medication-assisted treatment examples.
  • Naltrexone: Used for both OUD and AUD, naltrexone blocks the rewarding effects of alcohol, reducing cravings and decreasing the likelihood of continued use.
Phases of Medication-Assisted Treatment

Phases of Medication-Assisted Treatment

Medication-assisted treatment typically unfolds over several phases to ensure comprehensive care:

Phase 1 – Assessment and Planning

Patients undergo an initial medical evaluation to determine the most suitable medication, dosing, and accompanying therapies. This personalized approach helps align treatment with individual needs.

Phase 2 – Medical Detoxification

The detox phase helps manage withdrawal symptoms using MAT medications. This phase stabilizes patients physically, preparing them for the next step in recovery.

Phase 3 – Maintenance and Rehabilitation

In this phase, medication is combined with behavioral therapies to support long-term sobriety. The focus shifts to relapse prevention, coping strategies, and addressing underlying issues that contribute to addiction.

Phase 4 – Continued Recovery and Relapse Prevention

The final phase emphasizes ongoing support and medication maintenance as needed. Patients transition into community life with strategies to manage triggers and reduce the risk of relapse.

Medication-assisted treatment examples in this phase include sustained medication use alongside outpatient support, ensuring a balanced recovery.

Behavioral Therapies Combined with MAT

Medication-assisted treatment is most effective when combined with behavioral therapies, which address the psychological aspects of addiction:

  • Cognitive-Behavioral Therapy (CBT): This therapy helps patients recognize and change negative thought patterns that contribute to substance use.
  • Contingency Management (CM): CM uses rewards to encourage positive behaviors, like maintaining sobriety or attending therapy sessions.
  • Motivational Enhancement (ME): ME works to enhance a patient’s motivation to engage in and adhere to the treatment plan.
  • Group Therapy: Peer support through group sessions fosters community and accountability, reinforcing the benefits of MAT.
Benefits of Medication-Assisted Treatment

Benefits of Medication-Assisted Treatment

Medication-assisted treatment offers numerous advantages for individuals struggling with substance use disorders:

  • Reduced Cravings and Withdrawal Symptoms: MAT medications help stabilize the brain’s chemistry, making it easier to focus on recovery.
  • Improved Treatment Retention: Patients on MAT tend to stay engaged in treatment longer, increasing their chances of sustained recovery.
  • Enhanced Social Functioning and Employment Stability: MAT improves social interactions and makes it easier for patients to maintain employment, providing a more stable foundation for life after treatment.
  • Lower Risk of Overdose: By blocking or reducing the euphoric effects of substances, MAT decreases the risk of overdose, making it one of the safest approaches in addiction treatment.

Who is a Good Candidate for MAT?

Medication-assisted treatment can benefit a wide range of individuals with substance use disorders, particularly those dealing with opioid or alcohol addiction. Ideal candidates often include:

  • Individuals who have tried other treatments without success: MAT offers an alternative path for those who haven’t found lasting recovery through other methods.
  • Patients with severe withdrawal symptoms: MAT medications help manage withdrawal, making it easier for patients to transition to sobriety.
  • Those committed to a comprehensive treatment plan: Medication-assisted treatment examples work best when patients are willing to engage in both medication management and regular behavioral therapy sessions.
Addressing Common Concerns About MAT

Addressing Common Concerns About MAT

Many people have misconceptions about medication-assisted treatment, such as the belief that it substitutes one addiction for another. In reality, MAT aims to stabilize individuals so they can focus on recovery without intense cravings or withdrawal symptoms.

Is MAT Safe for Long-Term Use?

Yes, MAT is safe for long-term use when managed by healthcare providers. Many patients benefit from extended maintenance, especially when combined with therapy and support services.

Is MAT Effective as a Standalone Treatment?

No, MAT works best as part of a holistic approach, incorporating counseling, peer support, and lifestyle changes. The goal is to address the physical, psychological, and social aspects of addiction.

Colorado Medication-Assisted Recovery Center

Medication-assisted treatment examples demonstrate the effectiveness of this approach in managing both opioid and alcohol use disorders. By combining FDA-approved medications with therapy, MAT provides a comprehensive path to long-term sobriety. For those considering MAT, consulting a healthcare provider is crucial to determine the best medication and therapy combination for individual needs.

At Colorado Medication Assisted Recovery, we’re dedicated to helping you or your loved ones achieve lasting recovery. Our holistic approach, which highlights the benefits of Medication-Assisted Treatment (MAT), integrates MAT with counseling and behavioral therapies, ensuring that each person receives the care and support they need.

What Is Ambulatory Detox?

Posted on by cmarnew

Ambulatory detox, also called outpatient detox, is a structured, medically supervised program designed to help individuals safely manage withdrawal symptoms from substances like drugs or alcohol. But what is ambulatory detox exactly? It’s a flexible approach that allows people to detoxify while maintaining their daily routines, making it ideal for those with mild to moderate substance use disorders.

At Colorado Medication Assisted Recovery, our ambulatory detox program combines FDA-approved medications with personalized counseling and behavioral therapies, offering comprehensive support without the need for overnight stays.

Understanding Ambulatory Detox

Ambulatory detox is a part of medication-assisted treatment (MAT) that allows patients to receive treatment on an outpatient basis, helping to reduce the physical discomfort of withdrawal while addressing psychological needs. Unlike inpatient detox programs that require complete immersion in a treatment facility, ambulatory detox offers the flexibility to manage recovery while maintaining work, family, or school commitments.

Key Features of Ambulatory Detox at Colorado Medication Assisted Recovery

  • Medication-Assisted Treatment: Our program uses FDA-approved medications to alleviate withdrawal symptoms and reduce cravings. Medications like Suboxone, Vivitrol, and other MAT options are utilized based on individual needs.
  • Personalized Counseling: We pair detox with personalized therapy sessions, including cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), to help address the mental and emotional aspects of addiction.
  • Convenient Scheduling: We offer flexible scheduling to accommodate busy lifestyles, allowing patients to attend detox sessions around work or school obligations.
Understanding Ambulatory Detox

Benefits of Ambulatory Detox

Ambulatory detox is designed for individuals with a stable home environment who do not require round-the-clock medical supervision. It offers several benefits, making it an effective option for many seeking recovery:

1. Maintain Daily Routines

Patients can continue with work, school, or family responsibilities while undergoing treatment. This level of flexibility is particularly beneficial for busy professionals, students, and parents who cannot afford to take time off for inpatient care.

2. Cost-Effective Treatment

Ambulatory detox tends to be more affordable than inpatient programs since it eliminates the costs associated with residential stays. By opting for outpatient care, patients receive high-quality medical support at a lower overall cost, making it a more accessible option.

3. Supportive Recovery Environment

Patients undergoing ambulatory detox can return to their home environment after treatment sessions, provided they have a strong support system. This approach allows individuals to apply newly learned coping skills in real-life scenarios, making it easier to transition to a sober lifestyle.

4. Comprehensive Care

The ambulatory detox program at Colorado Medication Assisted Recovery is comprehensive, addressing not only withdrawal symptoms but also the psychological triggers of addiction. This includes access to individual therapy, group sessions, and peer support networks.

Who Is a Good Candidate for Ambulatory Detox?

Ambulatory detox is ideal for those with mild to moderate withdrawal symptoms and a supportive home environment. But what is exactly, and who makes a good candidate? Here are some criteria that indicate a person may benefit from this approach:

  • Stable Home Environment: The presence of family or friends who support recovery can enhance the effectiveness of ambulatory detox.
  • No Severe Medical Conditions: Candidates should be in good physical health without co-occurring conditions that may complicate withdrawal.
  • Commitment to Recovery: Patients must be committed to follow-up care, including therapy sessions and regular check-ins, to ensure long-term success.

At Colorado Medication Assisted Recovery, our team conducts thorough assessments to determine if ambulatory detox is the right fit. We evaluate physical health, addiction severity, and personal circumstances to ensure the best treatment plan for each individual.

Who Is a Good Candidate for Ambulatory Detox

Ambulatory Detox vs. Inpatient Detox

While both ambulatory and inpatient detoxification aim to manage withdrawal safely, they differ in terms of structure and intensity:

  • Ambulatory Detox: Ideal for individuals with less severe substance use disorders who can safely detox in an outpatient setting. It offers flexibility, reduced costs, and continued access to daily life responsibilities.
  • Inpatient Detox: Suited for those with severe withdrawal symptoms or complex medical conditions, requiring 24/7 medical supervision in a residential facility.

At Colorado Medication Assisted Recovery, we offer both options, ensuring patients receive the most appropriate level of care based on their unique circumstances.

The Role of MAT in Ambulatory Detox

Medication-assisted treatment (MAT) plays a crucial role, ensuring a safer and more comfortable withdrawal process. MAT involves the use of medications that help manage physical symptoms, stabilize brain chemistry, and reduce cravings, all while the patient continues to participate in counseling and behavioral therapies.

MAT Medications Used in Ambulatory Detox

  • Buprenorphine (Suboxone, Subutex): A partial opioid agonist that helps manage withdrawal symptoms for opioid dependence.
  • Naltrexone (Vivitrol): Used to block the euphoric effects of alcohol and opioids, making it effective for both alcohol and opioid use disorders.
  • Acamprosate and Disulfiram: These medications aid in the treatment of alcohol use disorders by reducing cravings and discouraging alcohol consumption.
MAT Medications Used in Ambulatory Detox

How to Get Started at Colorado Medication Assisted Recovery

If you’re considering ambulatory detox, our team at Colorado Medication Assisted Recovery is here to help. We start with a thorough evaluation to understand your substance use history, overall health, and personal needs. Based on this assessment, we create a personalized treatment plan that includes:

  1. Initial Assessment: Our medical team conducts an evaluation to determine the severity of withdrawal and the most appropriate medications.
  2. Personalized MAT Plan: We tailor the treatment plan to include medication management, therapy, and support services.
  3. Ongoing Support: Throughout the detox process, our team provides continuous monitoring and adjustments to ensure safety and comfort.

We’re committed to guiding you through a smooth detox process that sets the foundation for lasting sobriety.

Contact us today at 855-454-4003 to learn more about our services, schedule an assessment, and begin your journey to a healthier, substance-free life. Don’t let addiction control your future—let’s start your recovery together.

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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.