MASSACHUSETTS BEHAVIORAL HEALTH ACCESS: Allows you to search using level of care and proximity to you for treatment facilities. Gives you bed availability and when the information was last updated. https://mabhaccess.com
SAMHSA: SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION. Treatment facilities can be search within given areas. While it does not list availability, this site gives a lay outs of what the program offers and contact phone numbers. Also included is a medically assisted treatment (Buprenorphine) Treatment locator. This lists all certified physicians with their addresses, phone and fax information. https://samhsa.gov/
SAMHSA: Direct link to their buprenorphine provider locater: https://www.samhsa.gov/medication-assisted-treatment/physician-program-data/treatment-physician-locator
MEDICATION ASSISTED TREATEMENT RESOURCES: Provides information on addiction treatment methods and has directories for methadone and suboxone treatment. http://www.opiateaddictionresources.com/
LITERATURE - BSAS: Massachusetts BSAS page and contact information. http://www.mass.gov/eohhs/gov/departments/dph/programs/substance-abuse/
National Institute on Alcohol Abuse and Alcoholism: https://www.niaa.nih/gov/
National Institute on Drug Abuse: provides educational information on substance abuse, what it is and how it happens. https://www.drugabuse.gov/
12 Step Support
Phone number and website
Addiction discussion questions:
1. Oftentimes, a person's relationship with drugs and alcohol will change over time. For example, you might've initially used drugs only a few times a month as a fun way to relax, but eventually they become an everyday necessity. How has your relationship with drugs changed from the time that you first used to now? Do you still use for the same reasons, or have those reasons changed?
2. Some people are able to function adequately and complete their responsibilities such as work or school, despite having an addiction. However, for most of these people, functioning would be even better without drugs. How did your functioning change at work or school after you started using?
Even if you're able to keep up with your responsibilities while you use, how do you think sobriety would change things?
3. The rituals and activities that surround drug use can be difficult to give up. For example, a smoker might enjoy the ritual of having a cigarette -- not just the nicotine. Similarly, a drinker might have more trouble saying goodbye to their drinking buddies than to alcohol itself. What are some rituals or activities that you associate with drug use, and how do you feel about giving them up? Do you think you could achieve sobriety without changing your lifestyle?
4. Many people use drugs as a crutch to help them handle difficult emotions such as anger, depression, and anxiety. These emotions are challenging for everyone and it can be hard to resist the temptation of an easy escape. What choices does a person have, other than drug use, when they are confronted with these painful emotions? What emotions might lead you to using drugs or alcohol?
5. Some people say that addiction is a disease, and others believe it's a choice. What do you think, and why? How do you believe counseling, support groups, or other treatments could help a person who struggles with addiction?
6. Drugs and alcohol affect your judgement, thoughts, feelings, and more. Such changes might lead you to make decisions that you wouldn't make while sober. Have you done things under the influence of drugs that you wouldn't have done while sober? Have you noticed any behavior patterns that occur only when you're intoxicated?
The Stages of Change
Precontemplation: The costs of problem behavior (such as drug use) are not yet recognized. The individual is in denial and is not seriously considering their behavior. They may have made previous attempts to change but have since given up.
Contemplation: The individual is experiencing ambivalence about change. They can see reasons to change their behavior, but they are still hesitant. The problem behavior continues.
Preparation: The individual has decided to change their behavior, and they begin to think about how to do so. During this stage they will begin to make minor changes to support their goal, but they might not have completely ended the unwanted behavior.
Action: Significant steps are taken to end the problem behavior. The individual might be avoiding triggers, reaching out for help, or taking other steps to avoid temptation.
Maintenance: The changes made during the action stage are maintained. The individual may continue to face challenges but at this point they have successfully changed their behavior for a significant period of time.
Relapse: After making changes, some individuals will return to their previous problem behavior. This can happen at any time during the previous stages. Not everyone will experience relapse, but it is always a risk.