The American Journal on Addictions published studies showing that around 40 percent of people seeking treatment for methamphetamine abuse also reported struggling with anxiety. Mood and anxiety disorders and drug abuse co-occur at rates as high as 50 percent, NIDA publishes. Contingency management is so effective at helping people with stimulant use disorder that California is set to become the first state Medicaid program to pay for the treatment. The pilot program, set to launch by early 2023, is part of the CalAIM (California Advancing and Innovating Medi-Cal) initiative,  a multiyear plan to overhaul the state’s Medicaid program. Working with the Centers for Medicare & Medicaid Services (CMS), the California Department of Health Care Services (DHCS) received authorization for what they’re calling the Recovery Incentives Program.

Many people receiving treatment for substance use disorders, including those participating in contingency management programs, have setbacks along the way. But his case also shows what’s possible when people are highly motivated to stop using methamphetamine and receive the support they need and deserve. Although many people in recovery do eventually get to a point where living a healthy, substance-free life feels natural to them, they are never “finished” recovering from meth addiction. Recovery is an ongoing journey that doesn’t end and continuously evolves.

Treatments

You can also search for a treatment center close to where you live. It’s a free online tool provided by the Substance Abuse and Mental Health Services Administration. Your doctor can assess your overall health by performing a physical exam. They can also refer you to a treatment center and answer any questions you may have. You might wonder if it’s drug use or something else, such as stressful job or time in their life.

Meth releases high levels of the neurotransmitter dopamine into the brain’s “reward circuitry” very quickly. Dopamine plays an important role in movement and motor function, motivation, and the reinforcement of rewarding behaviors. The rapid release of dopamine meth addiction into this system powerfully reinforces the urge to continue using the drug. Methamphetamines are in a class of drugs that act as stimulants on the central nervous system. Methamphetamine production also involves a number of other very dangerous chemicals.

Other NIDA Sites

The agency also advised the trials should be randomized, double-blind and placebo-controlled, which is considered the “gold standard” of collecting evidence. In November 2022, when Mayor Eric Adams of New York announced that the city would begin sending people with untreated mental illnesses to hospitals, even against their will, the controversial decision resonated with me. I believe that moral obligation extends to people with substance use disorders. I would have wanted someone to intervene with my child on the street using potentially lethal drugs and admit him to a hospital.

With proper treatment, individuals can learn to manage the possible side effects of repeated abuse and disruption to the brain, and minimize instances of relapse for a healthy recovery. Criticisms of contingency management often center around paying people with substance use disorders https://ecosoberhouse.com/ to not use drugs, and questions of whether people will start using again when the payments stop. But the rewards should be thought of not as money, per se, but like any other treatment for a chronic illness. And just like with any chronic disorder, the disease can wax and wane.

Leave a Reply

Your email address will not be published. Required fields are marked *