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Dear Dr. Levy:

My son is 24 years old, addicted to heroin, and has been detoxed many, many times. I sometimes think that he will never stop using, a thought which bothers me so much. Do you have any ideas about what he can do to stop? Going in and out of detoxes just doesn’t seem to be working. Thanks.

First, I just want to say how painful this situation must be for you. One of the hardest things parents experience is when they see their child struggling and there isn’t much that a parent can do to turn it around. Regarding your son, based upon what you said, it doesn’t sound like going in and out of detoxification programs is working, which is true for many people who struggle with heroin use. My first question is what he does after he gets out of the detoxification program? For example, does he enter another treatment program such as some kind of residential treatment program for additional support? It clearly sounds like he could use this as detoxification programs often don’t longer term benefit without post-detoxification residential care. There are even intensive outpatient treatment programs where people can go five days/week while living at home for intensive outpatient support.

Another treatment option is opiate replacement therapy with either methadone or buprenorphine. Many people who suffer from opiate addiction need replacement therapy and in fact, for many, opiate replacement therapy is the treatment of choice. Much research has demonstrated that opiate replacement therapy saves lives and decreases mortality associated with addiction to opiates. Methadone treatment is available through specific methadone programs and buprenorphine can be obtained through physicians who are certified to prescribe this medication. To find a methadone treatment program, you can call 1 800 327-5050 and this help line can give you the names of programs in your area. To find a physician who prescribes buprenorphine, you can log onto www.buprenorphine.samhsa.gov and click on buprenorphine locator and you can find a physician who prescribes this medication in your area. By the way, CAB offers all of these services in our different locations. If I can be of further help, please contact me.

Dear Dr. Levy:

I have a 21 year old son who is an alcoholic and drug addict. He is in a program in Manchester, NH. He has been there 9 weeks and this is his 5th recovery attempt. Do you know if there is a list of Sober Houses in MA?

In Massachusetts, there is a 24 hour, 7 day/week helpline that maintains a list of numerous alcohol and drug abuse treatment programs within the state, whether this involves detoxification programs, outpatient programs, halfway houses, or intensive outpatient treatment programs to name just several. They also maintain a listing of sober houses. Their number is (800) 327-5050 and you can call them, tell them the area you are looking for, and they should be able to assist you. If I can be of further help, please contact me again.

Michael Levy, Ph.D.
Director of Clinical Treatment Services
CAB Health & Recovery Services, Inc.
(978) 739-7691
e-mail: michael_levy@cabhealth.org

SEN 5-9-2008

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