Ideal option responds to questions about its services news electricity outage houston


I am not comfortable getting into specifics such as multiple exact boundaries, but I can provide some general numbers. Substantially all of our patients are within 30 minutes of Cut Bank. Almost 40 percent of our patients are actually within the City Limits of Cut Bank. Those numbers fall in line with many of our other locations.

The action of increasing the police presence is not a tacit admission, but a show of our alignment within the community. In conversations with several leaders in Cut Bank, there were concerns; not reports, of public safety. We are confident that our patients are seeking treatment to better their lives, not to cause any additional civic disturbances. To show our support of the leaders and community we offered to help bring in additional personnel that can be available and ready should an incident arise. They not only patrol near Ideal Option, but also are employed by the city and available for the needs of the City of Cut Bank.

Absolutely. Not only have our practitioners completed the Substance Abuse and Mental Health Health Services Administration (SAMHSA) required training to have buprenorphine prescriptive authority, but also each practitioner receives a significant amount of training, education and real-time guidance from double Board-Certified physicians.

Both Kenneth Egli and myself are Board-Certified in Addiction Medicine and Emergency Medicine. Each of these certifications required multiple years of education, training and experience. The two certifying boards are the American Board of Addiction Medicine and the American Board of Emergency Medicine, respectively.

I could continue to list the education, experience and credentials that each of our practitioners has as it relates to addiction medicine, but hopefully the above dialogue helps everyone realize the nature of the specialized training required from our practitioners.

I am glad this was brought up and it is a very valid concern. A clarification of this statement is important: For patients who do not have an opioid use disorder, most function with a normal mood. They have typical human fluctuations of anxiety, depression, and euphoria, but they generally hover around normal.

In patients who have trouble with opioids, this is very different. Although they may be able to initially get through a few days of withdrawal symptoms, it is the next few months to years that are often torturous for these people. These folks wake up every day feeling anxious, depressed and terrible. They hardly sleep, and their baseline status is that of dysphoria (which means feeling terrible). In this population, Suboxone helps these people feel normal. It does not get them high.

Without Suboxone, these people constantly live in a state of tortuous dysphoria and as a result, they almost universally relapse. Suboxone is a lifesaving medication for these patients and allows them to feel normal. For someone who is opioid naïve (meaning they use no opioids), Suboxone can cause some euphoria.

It is important to note that Suboxone is not a perfect medication. However, in the evidence-based medical community and based on all internationally peer-reviewed evidence based guidelines, the debate on the efficacy and benefits of Suboxone is over.

There is no longer any debate among the true experts that the benefits of Suboxone greatly outweigh the problems. The American Society of Addiction Medicine, American Medical Association, National Institutes of Health, Centers for Disease Control, Substance Abuse and Mental Health Services Administration, National Institute on Drug Abuse, Centers for Medicare and Medicaid, etc., all agree on this.

From the National Institute on Drug Abuse: “Is the use of medications like methadone and buprenorphine simply replacing one addiction for another? No.” This is a very understandable and very common misconception. This is absolutely not the case and every evidence-based major organization agrees.

From Kelly J. Clark, MD, MBA, DFASAM, DFAPA, who is the current President of the American Society of Addiction Medicine: “The data really have shown that the longer people remain on medical treatment for Opiod Use Disorder (OUD), the better their clinical outcomes. The chronic brain disease construct, with accompanying science related to brain changes with opioid addiction, really support the concept of ongoing care being the default position. While many people with diabetes can diet and exercise their way to glucose control, at least for a time, many more will require medical care.

And one of the strongest psychosocial predictors of good clinical outcomes, as we see with the history of Vietnam vets and animal models, relates to moving into long term nurturing and supportive environments. The nature of this epidemic is that the patient, their spouse, siblings, parents, and friends often have OUD – which tremendously complicates the “change your playmates and playpens” good advice from the 12-step world.

From Andrew Saxon, M.D., Professor, Department of Psychiatry and Behavioral Sciences, University of Washington, Director, Center of Excellence in Substance Abuse Treatment and Education (CESATE) VA Puget Sound Health Care System, Director, Addiction Psychiatry Residency Program, University of Washington: “We recommend against tapering in most circumstances unless that is a goal that the patient clearly wants to pursue. The relapse rates (and overdose rates) after tapering are just too high.”