Hazelden responds to national opioid epidemic with enhanced evidenced-based treatment protocols

Nov 05, 2012, 10:49 ET from Hazelden Foundation

CENTER CITY, Minn., Nov. 5, 2012 /PRNewswire-USNewswire/ -- Hazelden, the nation's leading provider of addiction treatment and education, announced today it is taking comprehensive action to address the nation's growing tide of addiction to prescription painkillers and stem the alarming increase in the number of fatalities related to opioid overdose.

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"Deaths from drug overdose, driven by the increase in prescription painkiller abuse, now outnumber those caused by car accidents," said Marvin D. Seppala, M.D., Hazelden's chief medical officer. "This is an unspeakably tragic public health crisis -- one that demands up-to-date, evidence-based treatment protocols that offer the brightest promise of recovery."

The death toll from prescription painkiller overdose across the U.S. has increased more than fivefold in the past decade (from 3,000 deaths in 1999 to 15,500 in 2009), prompting the Centers for Disease Control to define the problem as an epidemic.

Hazelden facilities have seen a corresponding increase in the number of patients seeking treatment for opioid addiction. In Center City, Minn., for example, those seeking treatment for opioid addiction rose from 19 percent of patients in 2001 to 30 percent in 2011. An even more dramatic jump was seen at Hazelden's facility for young adults and adolescents in Plymouth, Minn., from 15 percent of patients in 2001 to 41 percent in 2011.

As part of a comprehensive response to this crisis, Hazelden will begin to offer extended, adjunctive medication assisted treatment (MAT) for opioid dependence as a means to assist people to a stable, Twelve Step-based recovery lifestyle and ultimate abstinence from opioids. This will take place at Center City and St. Paul, Minn. before the end of 2012, and Hazelden will broaden the option to its residential and outpatient facilities in 2013.

"Our aim is to provide improved treatment using any and all means for those with opioid dependence," said Seppala. "We have examined the research literature and will use medications to engage our opioid dependent patients long enough to allow them to complete treatment and become established in solid Twelve Step recovery. Our goal will always be abstinence.

"We must move past stigma and let evidence-based science and compassion guide our response to this crisis."

To improve chances for long-term recovery from opioid addiction, two medications will be offered in combination with psychological and psychiatric care, Twelve Step-based counseling and other evidence-based therapies. One, extended release injectable naltrexone, is an opioid receptor blocker (opioid antagonist) that is injected once a month to eliminate the ability for opioids to produce intoxication or reward. It has been shown to improve treatment retention and reduce craving and relapse. The other, buprenorphine/naloxone, is a partial opioid agonist that is taken daily as part of an extended detox protocol. It inhibits craving, reduces relapse to opioid use and improves treatment retention, and has also been shown to improve self-help group attendance.

In addition to adjunctive MAT, Hazelden's new protocols will include opioid dependent specific groups and lectures, and an intensive Twelve Step-based approach extending across the continuum of care. Before administering MAT, Hazelden will work to ensure patients have access to adequate continuing care, including doctors who are licensed to administer these medications and Twelve Step groups that are receptive to those who are using them.

About Hazelden
Hazelden, a national nonprofit organization founded in 1949, helps people reclaim their lives from the disease of addiction. Built on decades of knowledge and experience, Hazelden offers a comprehensive approach to addiction that addresses the full range of patient, family and professional needs, including substance abuse treatment and continuing care for youth and adults, research, higher education, public education and advocacy, and publishing. Learn more at www.hazelden.org.

SOURCE Hazelden Foundation