specializing in addiction recovery
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2583 S Volusia Avenue Suite #200 Orange City, FL 32763
4750 E Moody Blvd, Suite #208 Bunnell, FL 32110
386.960.7830
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Pathfinder Advocacy Center is a team of highly dedicated and experienced treatment professionals dedicated to the well-being and wholeness of the individual, i.e., mind, body and spirit. The team consists of a Certified and Licensed Addiction
treatment plan is individualized throughout the length of the program starting with admissions and continues through aftercare support. Each layer of treatment has the individual in mind. By doing this we believe that we
demonstrate to our clients and their families respect, consideration and compassion. We begin your journey at Pathfinder Advocacy Center with a clinical assessment by our professional staff. This is when your treatment plan begins and the precise level of care for you is determined. Pathfinder Advocacy Center offers a dedicated team of addiction professionals with
our Treatment Philosophy focuses on treating each person individually
Medicine Physician, Certified Addiction Registered Nurses and Certified Addiction Professionals. The specialized team assists the individual and family in developing and obtaining a treatment plan for recovery. The primary goal is to preserve the family unit while we provide stability, on- going support, and education to the patient, family and
community. At Pathfinder Advocacy Center our Treatment Philosophy focuses on treating each person individually because we believe that every individual has unique challenges and specific needs. We are a dual-diagnosis program with full continuum of care option. We utilize a person-centered philosophy that offers a welcoming and sincere atmosphere. Every
over 50 years of combined experience in the field of addiction. Our individualized addiction treatment philosophy incorporates the most effective and proven modalities in the field. Applying various modalities of treatment options along with appropriate group sizes, our addiction treatment program guarantees that everyone receives specifically what they need.
· Substance Abuse/Use Education - Psycho-educational program designed to educate you on the negative effects of the various drugs abused, impact on the brain and the human body, as well as academic, social and familial areas. · Anger Management - SAMHSA Designed for use by participants in group cognitive behavioral therapy sessions on anger management for people with substance abuse problems or mental illness. Summarizes core concepts for each session;
· T hinking Errors and Correctives - designed to describe many common thinking errors present in the criminal/offender/drug abuser/user population. The assignments associated with the thinking errors focuses on developing your reasoning process. You are instructed to complete assignments that focus on how your actions and behaviors have victimized others.
· Relapse Prevention - Relapse Prevention teaches participants to identify early warning signs of relapse and encourages more appropriate alternatives. Relapse Prevention is intended to assist you in gaining insight into your drug use and providing you with the necessary tools to help prevent the return to drug/alcohol use/ abuse. In the group setting, you will learn to recognize warning signs of relapse and to intervene long before drug use resumes. You will identify the specific strengths and weaknesses of your addictive behavior and learn to make better decisions with regard to alcohol and drugs.
includes worksheets and homework assignments.
Family therapy is an integral part of treatment and recovery
· Health Education - The health education program is designed to educate you about the health risk involved in drug use and covers areas such as HIV/AIDS, Hepatitis, and STD’s as well as other medical issues that may arise due to drug use and abuse. · Group Therapy - Group therapy is utilized to encourage growth and communication amongst your peers to support one another in treatment and recovery. Various topics are discussed that focus on addiction and recovery.
· Individual Therapy - The ultimate goal of your therapy should be to recover! To learn to be more confident in yourself, to make your voice heard through communication, to validate your own emotions, to learn to love yourself, and to learn better ways of coping with anger, sadness and stress. To this end you will do one- on-one session with a therapist and address those issues pertinent to your recovery and abstinence, and work towards establishing and achieving identifiable goals that support recovery.
· Family Therapy - Family therapy is an integral part of treatment and recovery and focuses on working with families to nurture change and development. Its main purpose is to utilize the system of interaction between family members to assist you in obtaining a positive outcome and maintaining it upon completion of treatment. It emphasizes family relationships as an important factor in psychological and emotional healing.
Pathfinder Advocacy Center provides an Intensive Outpatient and Outpatient Substance Abuse Program designed to provide in- depth treatment for individuals experiencing chronic problems with alcohol/drugs and other dependence. The goals of the program are to provide information about the physical, emotional, social, and legal consequences of alcohol consumption and/or drug use and prevent recidivism. Alcoholism or drug addiction is a serious progressive illness that unless treated and arrested, can lead to mental, physical, and emotional pain. The treatment components focus on a recovery program concerned with not just abstinence, but abstinence as a fulfilling, productive way of life. Individual treatment plans based on a face- to-face interview, screening results and intake information are conducted to assess what specific issues need to be addressed. Individualized treatment plans will then be developed to address those specific treatment and life area needs pertinent to maintaining recovery, and a sober and healthy lifestyle. Treatment may begin with detox to cleanse the body of harmful substances, followed by either our Intensive Outpatient or Outpatient Program Services.
OUTPATIENT PROGRAM SERVICES OFFERED ARE: • Individual Counseling • Individualized Treatment Planning and Goal Setting • Family Counseling • Psycho-educational groups • 12-Step Fellowship Groups
• Anger Management • Medication Assisted Treatment • Relapse Prevention • Court Advocacy • Bio-psycho-social Assessments
• Alcohol/Drug Screenings • Family Education Program • Court Evaluations
PATHFINDERWELLNESS.NET
GET HELP TODAY 386.960.7830 2583 Volusia Avenue Suite 200 Orange City, FL 32763
SAMHSA PUBLISHES BEST PRACTICES ON MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER Best Practices
Treatment Improvement Protocol 63, “Medications for Opioid Use Disorder,”
reviews the use of methadone, naltrexone, and
buprenorphine, the three FDA-approved medications to treat opioid use disorders.
Data indicate that OUD-treating medications are both cost effective and cost beneficial
The Substance Abuse and Mental Health Services Administration has published new guidance to help health care professionals better understand medications that can be used to treat Americans with opioid use disorder (OUD). Treatment Improvement Protocol (TIP) 63, “Medications for Opioid Use Disorder,” reviews the use of methadone, naltrexone, and buprenorphine, the three FDA-approved medications to treat opioid use disorders. TIP 63 provides guidance for health care professionals and addiction treatment providers on how to appropriately prescribe these medications and effectively support patients using these medications for OUD treatment. “We know that people can and do recover from opioid use disorders when they receive appropriate treatment, and medication-assisted treatment’s success in treating opioid use disorders is well documented,” said Dr. Elinore F. McCance-Katz, assistant secretary for Mental Health and Substance Use. “TIP 63 emphasizes that increasing access to medications to treat opioid use disorder will help more people recover, enabling them to improve their health, living full and productive lives.” TIP 63 is part of SAMHSA’s larger response to the opioid crisis. More access to treatment with OUD medications is critical to closing the gap between treatment need and treatment availability and an important public health strategy. Data indicate that OUD-treating medications are both cost effective and cost beneficial.
4750 E Moody Blvd Suite 208 Bunnell, FL 32110 Call Us 386.960.7830
pathfinderwellness.net to the well-being and wholeness of the individual, i.e., mind, body and spirit. Pathfinder Advocacy Center is a team of highly dedicated and experienced treatment professionals dedicated
CHANGING LIVES
& GIVING HOPE
2583 S Volusia Avenue Suite 200 • Orange City, FL 32763 CONTACT US (386)960-7830 PATHFINDER ADVOCACY CENTER
Are you missing 18%* of your Patients’ Positive Opioid Test Results? You may be without High Sensitivity Definitive Testing.
2583 S Volusia Avenue Suite 200 • Orange City, FL 32763
GET WELL WITH US TODAY 386.960.7830 pathfinderwellness.net
“We were surprised that morphine was able to induce these really long-lasting changes,” says Dr. Peter Grace, the study’s lead author. Dr. Grace says the cause of the chronic pain increase has to do with cells that form part of the immune system. He says if those areas could be isolated or their eects reduced, the resulting pain may not be as great. “If it does turn out to be a relevant issue to patients, then what our study suggests is that targeting the immune system may be the key to avoiding these kinds of eects,” Dr. Grace says. “Opioids could essentially work better if we could shut down the immune system in the spinal cord.” e team’s research only looked at spinal cord injuries and morphine, and did not study other opioids that are commonly prescribed to patients experiencing pain. But he said it’s likely drugs like Vicodin or OxyContin could aect other parts of the body in a similar way. “While we haven't actually tested other opioids in this particular paradigm, we predict that we would see similar eects,” Dr. Grace says.
ain relievers are supposed to relieve pain. It sounds simple enough, but new research suggests a common pain medication may actually be prolonging chronic pain. Morphine is an opioid painkiller commonly prescribed in hospitals and clinics, and while it is eective in the short term, doctors don’t always consider the potential consequences for pain down the road.at’s why a team of researchers based out of the University of Colorado - Boulder set out to study how morphine treatment aects chronic pain, and found some troubling results. e team, which used mice with spinal cord injuries, found that in mice not given morphine, their pain thresholds went back to normal about four to ve weeks after the injury. But mice who were given morphine didn’t see their pain levels return to normal until around 10 to 11 weeks, meaning the use of morphine eectively doubled the length of their chronic pain. P
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Chronic problem Chronic pain can be debilitating for many people facing serious health problems, and it can also be a key factor in substance abuse. Many people report developing a dependence on opioids after having them prescribed for an injury. But new research suggests the number of people who develop dependency issues because of chronic pain may be far higher than people realize. A study from researchers at Boston University looked at a group of nearly 600 people who had either used illicit substances or misused prescription drugs.
ey found that 87 percent reported suering from chronic
pain, with 50 percent of those people rating their pain as severe.ey also found that 51 percent of people who had used illicit drugs like marijuana, cocaine and heroin had done so to treat their pain. While many prevention eorts focus on recreational users, the numbers suggest that chronic pain plays just as prominent a role in substance abuse. “Many patients using illicit drugs, misusing prescription drugs and using alcohol reported doing so in order to self-medicate their pain,” the authors of the study wrote. “Pain needs to be addressed when patients are counseled about their substance use.”
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Dead people don’t get into recovery
D. Waters Is Suboxone a Reasonable Treatment Option for Opioid Addicts? After twenty years of providing substance abuse treatment I can tell you that the ultimate goal of anyone battling an addiction is total abstinence. Every addict and alcoholic eventually figures out they can not control their usage, and moderation is unrealistic. Learning to live life on life’s terms is part of the process of learning to live abstinent. Self-help programs like Alcoholics Anonymous(AA) and Narcotics Anonymous(NA) do a great job of helping people understand their addiction, themselves, and effective solutions for coping with their disease. Dead people don’t get into recovery Opioid addicts are not terribly different from any other addict or alcoholic, except the risk of death by accidental overdose is huge. People are dying in droves from opioid overdose. The current heroin epidemic is even more dangerous than the pain killer epidemic it replaced. Relapse rates are tremendous. Unfortunately, it may take years before an individual addict is ready to give the 12-Step AA/NA
I’ve truly never seen anything work better, and when it works it’s a beautiful thing.
process the thorough try it requires to be effective. Therefore, Suboxone is a terrific option for chronic relapsers. You can’t generally get high from it, unless you haven’t used in awhile, or never used in the first place. You can’t overdose on it from use or abuse, and any other opioid you take while it’s in your system will be nullified and wasted.
Not the solution, but maybe a good step forward Suboxone is not the solution, but in many cases it’s better than nothing, and a good response for chronic relapsers who are risking death from overdose. At least the addict is getting some exposure to treatment which is more likely to lead to recovery in the long run. Suboxone buys people time and keeps them alive. There are quite a few people who’s funerals I’ve attended that I wish had gotten on Suboxone. You can’t treat the dead.
The Subs knock down the monster cravings almost completely, and people don’t go through the nasty withdrawal that’s so painful. Once dysfunctional people who couldn’t hold a job, or were constantly on the obsessive hunt for the next fix suddenly become much more functional, and the addiction looks like it’s in remission. They can work consistently, they stop chasing the drugs, they have more money and can care for themselves and their families, and their addiction doesn’t seem to be ruling their lives. It seems like magic! Very few people actually wean off Suboxone successfully Suboxone users often wrongly think they’re cured because they look and feel more functional. Then they think all they have to do now is wean down, or taper off the medication, which is what the clinic doctors help them manage over a number of months to years. The problem is they’ve done nothing about the underlying addiction and all the addictive thinking and coping that go along with it that drive the addiction from within. They haven’t developed any social support, or learned anything about themselves and their disease. We like to say that using, or putting some chemical into the body, is only a symptom of the underlying disease. Abusing substances is not the actual disease—just a symptom. As soon as they stop using the Subs the addiction is still there and ready to start expressing itself all over again through the many painful ways it does. Chemically addicted people cope with life stressors with chemicals—that is, unless they make some fairly significant changes. Suboxone changes nothing in the end. Suboxone changes nothing A combination of Suboxone treatment coupled with AA/NA (with Sponsor and Step work) is a great thing. At Crossroads Counseling we require anyone with a substance abuse issue
to attend AA/NA, obtain a Sponsor, and work the 12-steps. If they don’t we won’t sign-off on their program. Most Suboxone clinics require their participants to attend at least one counseling meeting a month. Unfortunately, this is almost completely useless unless the individual engages in a personal program of recovery that addresses not only the biological issues, but the social, psychological, and spiritual issues related to the disease, as well.
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PATHFINDER ADVOCACY CENTER
Our Services:
• Individual Counseling • Individualized Treatment Planning and Goal Setting • Family Counseling • Psycho-educational Groups • 12-Step Fellowship Groups • Anger Management • Medication Assisted Treatment • Relapse Prevention • Court Advocacy • Bio-psycho-social Assessments • And Much More...
2583 S Volusia Avenue Suite 200 • Orange City, FL 32763 | PH: (386)960-7830
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No matter where it hurts, we can handle it. Our physicians are ready to help you get back into the swing of things.
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The harsh reality is that opioids are killing thousands of people in this country, many of them young people
State legislators focused on opioid addiction treatment and prevention in schools and prisons Thursday while reviewing bills that would both use medications to thwart overdoses and assist in recovery. A bill making its way through the Legislature would require all schools with grades 9 to 12 to have policies for training nurses on how to administer naloxone. The schools would also have to keep a supply of the medication ready. “The harsh reality is that opioids are killing thousands of people in this country, many of them young people,” Assemblyman Vincent Mazzeo, D-Atlantic, bill sponsor, said in a statement. “Narcan has been proven to save lives. Having it readily available in schools can help ensure that our schools are ready to respond in every emergency situation.” Several South Jersey schools, including Millville, Mainland Regional High School, the Egg Harbor Township School District and the Ocean City School District, already have such policies in place. As of 2017, New Jersey ranked eighth in the nation for drug overdose deaths among people ages 12 to 25, according to the national nonprofit Trust for America’s Health. There have been an estimated 654 overdose deaths in New Jersey since Jan. 1, according to the Department of the Attorney General.
The bill would require that nurses be taught how to use the anti-opioid drug and have a prescription standing order for naloxone to keep it in supply. There were more than 14,300 uses of naloxone in the state last year, state data shows. If passed, the law would also provide immunity from liability for school nurses and other employees when an opioid reversal is performed. Nearby, members of the Assembly Health and Human Services Committee reviewed a bill sponsored by Assemblyman Herb Conaway, D-Burlington, that would require state correctional facilities to offer inmates naltrexone and naloxone just before their release. Naltrexone, known by its brand name Vivitrol, is a type of nonopioid medication- assisted treatment (MAT) for a substance-use disorder. Studies have shown medication-assisted treatments like naltrexone, methadone and buprenorphine have successfully been used to reduce relapse rates and help people maintain recovery from opioid addiction. Vivitrol completely blocks the euphoric and sedative effects of opioids. Recipients often need a monthly shot of the medication administered by a medical professional.
At John Brooks Recovery Centers in Atlantic City and Pleasantville, Vivitrol is just one medication-assisted treatment offered to inpatient and outpatient patients, but it is coupled with counseling and other treatment education. Alan Oberman, CEO of John Brooks Recovery Center, said that while the bill looks well intentioned, giving one shot of Vivitrol, which costs about $1,000, to an outgoing inmate without follow-up or counseling only buys that person about three or four weeks of sobriety before they may use again. “It’s more than just giving an injection, which at least requires a nurse to do it, and many outpatient programs in the community don’t have medical staff there to do it regularly,” he said. While methadone and buprenorphine are MATs that have been on the market for some time, Vivitrol is relatively new. John Brooks and the Atlantic County jail teamed up last summer to create the state’s first mobile methadone program for inmates. Oberman said they now offer inmates Vivitrol, but they haven’t yet had any takers.
We offer a variety of treatment options to meet your needs.
PATHFINDER ADVOCACY CENTER WE CAN HELP YOU. VISIT US TODAY 2583 S VOLUSIA AVENUE SUITE 200 ORANGE CITY, FL 32763 pathfinderwellness.net | 386-960-7830
CONTACT US (386)960-7830
4750 E MOODY BLVD SUITE 208 BUNNELL, FL 32110
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