Choosing an Oxycodone Addiction Treatment Program
Finding the right oxycodone rehabilitation program for you or your loved one can begin with educating yourself about how recovery works and then investigating different treatment options.
- Types of treatment for oxycodone dependence include inpatient or residential rehab, outpatient, 12-step recovery and dual diagnosis programs.
- Things to look for in an oxycodone recovery center include the location, the credentials and quality of the staff and the cost.
- The general sequence of a treatment program consists of an initial evaluation, a period of detoxification, ongoing therapy and aftercare planning prior to program completion.
Reasons People Become Addicted to Oxycodone
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- After receiving a prescription for acute or chronic pain. A significant number of oxycodone users were introduced to the drug as a way to manage pain. It is often prescribed for acute and chronic pain. But some users who initially use it for these purposes progress to opioid addiction. 5
- By purchasing it on the street for recreational use. Some oxycodone users are introduced to the drug on the street, where diverted prescription pills are often sold illicitly with other opiates.
- In an attempt to avoid withdrawal symptoms. Many people who begin using oyxcodone because it feels pleasurable find it difficult to stop because of the withdrawal symptoms. For many, this withdrawal syndrome can be intensely unpleasant—placing the user in profound gastrointestinal distress with flu characteristics.
The Substance Abuse and Mental Health Services Administration (SAMHSA), which conducts the National Survey on Drug Use and Health each year, reports that more people abused prescription drugs such as oxycodone than heroin, cocaine, methamphetamine, and hallucinogens in 2015. 1
How Do You Know if You’re Addicted?
People can become addicted to oxycodone even if they take it as prescribed.
Even when taken as prescribed, oxycodone users may develop a chemical dependency and may require substance abuse treatment.
Many oxycodone users who become addicted note the drug’s ability to elicit a pleasant “high.” Since oxycodone is an opiate agonist, it attaches to the opiate receptors in the brain and creates a pleasurable experience similar to heroin.7
The incidence of oxycodone addiction is alarmingly high. Fortunately, treatment is available to help the user decrease their use, manage their oxycodone withdrawal symptoms and learn to cope with the reasons that led them to use drugs in the first place.
Some signs and symptoms of oxycodone addiction indicating the need for treatment include:2
- Feeling unable to control use.
- Unsuccessfully trying to cut down.
- Spending large amounts of time trying to acquire and recover from oxycodone.
- Giving up on responsibilities, hobbies and/or social activities in favor of oxycodone use.
- Isolating from friends and family.
- Engaging in risky behaviors such as stealing and other illegal activities.
- Psychological symptoms such as anxiety, depression and low self-esteem.
- Feelings of guilt, hopelessness and worthlessness.
- Low motivation and/or irritability.
- Experiencing withdrawal symptoms, including cold sweats, low energy, irritability, muscle aches, abdominal cramps, nausea and vomiting, diarrhea and insomnia. 4
How Much Does Treatment Cost?
The cost of treatment can be a deterrent for many people who would otherwise benefit from oxycodone rehabilitation.
Costs depend on a variety of factors, including:
- The length of treatment—longer programs typically cost more.
- Type of treatment center—inpatient typically costs more than outpatient; luxury, private and/or executive treatment generally costs more than standard residential programs.
- How much insurance will reimburse.
- The location (rehab centers closer to the ocean or in warmer climates will cost more).
According to the Patient Protection and Affordable Care Act (2010), substance use disorders are considered medical disorders that must be covered by health insurance companies. Additionally, health insurance companies cannot deny coverage because of a pre-existing condition.3
If you do not have health care coverage you can apply through the health insurance marketplace established under the Affordable Care Act.
How to Pay for Oxycodone Addiction Treatment Without Insurance
If you don’t have insurance, there are a few different ways you can finance your recovery:
- See if the treatment program offers a sliding scale or scholarships for those who are motivated for recovery but cannot cover the costs.
- Use money from a savings account or 401(k).
- Borrow from friends or family.
- Take out a loan.
What Types of Treatment Are Available?
Many different types of treatments are available for oxycodone addiction. The decision of which one to pursue should be based on each person’s individual needs. It is important to be well-informed about the available options before making a decision.
Inpatient or residential oxycodone addiction treatment involves entering and residing in a treatment facility for a period of time. Most inpatient rehabilitation programs include some form of individual therapy, group therapy and possibly medical detox.
- Residential programs vary in length, but are often 30 days, 60 days or 90 days The goals of these programs include detox (if needed), learning new ways to cope with the stressors that led to substance use, and providing support.
- Executive rehabs are less restricted than traditional residential programs. While you still temporarily reside at the treatment center, you are also given the opportunity to work. This approach is tailored toward people who cannot ignore their work commitments, such as CEOs or other business executives.
- Luxury treatment centers offer treatment combined with beautiful sceneries and additional amenities such as acupuncture, yoga and exercise, massage therapy, equine therapy and spa treatments.
Outpatient oxycodone addiction treatment differs from inpatient therapy in that you do not live at the treatment center. Instead, you attend treatment for a portion of the day and then return home. Many outpatient therapy programs offer both group therapy and individual therapy.
- Partial hospitalization plans (PHP) offer approximately 5 hours of treatment 5 days a week.
- Intensive outpatient plans (IOP) offer about 2 to 3 hours of treatment a few days a week. Some people start with a PHP program and then transition to an IOP program.
- Counseling and therapy involve seeing a therapist either once or twice a week for an hour. It can include group therapy, individual therapy or a combination of both.
Today, many rehabilitation programs consider themselves “12-step” or “non-12 step” programs. Twelve-step programs focus on principles taken from the 12 steps of Alcoholics Anonymous. The majority of treatment programs are 12-step programs.
- Belief in a higher power.
- Providing support to one another.
- Recognizing one’s powerlessness over drugs.
- Helping make amends.
12-step programs also encourage attending 12-step meetings and finding a sponsor. A sponsor is someone who is a guide and support through working the steps.
On the other hand, non-12-step programs emphasize learning new coping skills and self-empowerment. They are not based on the 12 steps.
Dual diagnosis programs address both addiction and mental health issues. Often, an underlying mental health problem-like depression, anxiety, or trauma-can contribute to using drugs in the first place. Other times, these problems come about because of the drug use.
Dual diagnosis programs are aimed at helping treat both conditions and teaching ways to manage mental health symptoms.
Choosing a Recovery Program
It might feel overwhelming considering all the different treatment options. Here are some tips to help you find the right oxycodone recovery center.
- Speak to a treatment representative. You can also speak to a treatment support specialist anytime by calling 1-888-319-2606 Who Answers? and learn more about how to choose a rehabilitation program.
- Think about how severe your oxycodone addiction is. The type of program and length of treatment that is best for you will depend on the severity of your addiction. More severe addiction problems are best treated with inpatient treatment, while less severe addiction problems may be adequately addressed in outpatient treatment.
- Talk to your doctor. A good place to begin is to talk to your doctor about your symptoms and concerns. He or she may be able to refer you to a treatment program that best fits your needs.
What Does Addiction Treatment Include?
Who Answers? to talk to a trained treatment support specialist about the costs of recovery options, using insurance to pay for rehab, and how to pay for rehab without insurance.
Inpatient or residential oxycodone addiction treatment involves several steps.
First, a counselor or therapist conducts an intake evaluation. They ask in-depth questions to get a better idea of what led up to coming to treatment, as well as details on the length of time and severity of previous drug use.
After the intake is completed the detox process begins. Oxycodone detox is an uncomfortable and difficult process. While not usually presenting any immediate medical dangers, the process can be facilitated and managed supportively under close medical supervision by a doctor. This includes prescribing medications to ease some of the withdrawal symptoms of oxycodone. Medically assisted treatment may include administration ofmethadone,buprenorphine or naltrexone to help ease uncomfortable withdrawal symptoms as well as minimize cravings.
The next step is therapy, which is the core of the treatment process. This may begin during or after oxycodone detox is complete. Treatment centers vary in the specific types of therapy that they offer, but the most popular approaches include:
- Cognitive behavioral therapy or CBT helps you understand how your thoughts impact your emotions, and how they can lead to relapse. The therapist helps you change negative thoughts to healthier, new thoughts.
- Psychoeducation focuses on teaching ways to cope with stress and triggers for relapse.
- 12-step facilitation therapy teaches the philosophy of the 12 steps and supports engagement in the program.
- Dialectical behavior therapy involves psychoeducation, group therapy and individual therapy. It focuses on 4 interventions: mindfulness, distress tolerance, interpersonal effectiveness and emotional regulation.
The final stage of treatment is aftercare. This step is very important, and shouldn’t be overlooked, since it includes planning for the future.
- Transitioning from inpatient. For those in inpatient oxycodone treatment, aftercare will either involve returning home or transitioning to a sober living facility. Sober living homes are drug-free homes that are less structured than inpatient treatment programs.
- Transitioning from outpatient. For those enrolled in a structured outpatient treatment program, aftercare will include transitioning to a lower level of care. Aftercare often involves finding recovery meetings in your area, meeting with a therapist or counselor and developing a relapse prevention plan that identifies triggers for relapse and healthy coping skills.
What Other Factors Should You Look for in a Rehab Program?
Deciding to seek treatment is a big step toward your future and recovery. In addition to considering the type of treatment, length, and cost, you also might think about a couple other factors.
- Traveling for rehab. If you are considering residential oxycodone treatment, you might choose to remove yourself from the environment that you were using in and look for a program in another state.
- Staying near home. If you choose to stay home for outpatient treatment, you should also consider how far you are willing to commute. If you choose a program too far away, it may be difficult to remain committed. Further, people with a good family or other support system may benefit from being treated in a location near home.
Recovery Center Staff
Another important point to consider is the type of treatment team you would like to work with. Your treatment team will likely include one or more of the following professionals:
- Physicians and nurses who can closely monitor your detox from oxycodone and address your medical needs, including prescribing medications.
- Psychiatrists who can assess any underlying mental health issues and prescribe medications if needed.
- Psychologists to evaluate any mental health issues and provide therapy.
- Licensed social workers (LCSW), mental health counselors (MHC), marriage and family therapists (MFT), and licensed professional counselors (LPC) can provide group and individual therapy to help with addiction and mental health issues.
- Alcohol and drug counselors provide support and therapy related only to substance abuse. They often run group therapy sessions and can be knowledgeable on recovery meetings.
Many recovery centers incorporate family into the treatment process.
Many people consider addiction a family disease, both because of the family issues that can impact the development of an addiction, and because of the negative impact that addiction has on family.
As a result, many recovery centers are now incorporating families into the treatment process by inviting them to participate in therapy. Family involvement in treatment can help both the family and person with an oxycodone addiction work through their issues with the support of a therapist.
Often, family members hold resentment and distrust toward the user. Family therapy allows everyone to express their concerns and learn healthy ways to communicate.
Addiction is a personal and unique experience. Treatment works best when it addresses each person’s individual needs. When looking for a treatment program, it is important to ask about their experience treating prescription drug abuse and any other unique issues that you might have.
Are There Treatment Programs for Teens?
National surveys have found that almost 2% of teens ages 12 to 17 use prescription painkillers such as oxycodone without a prescription.1 Teens can turn to oxycodone and other prescription drugs because they are easily accessible and carry less stigma than illegal drugs such as heroin and cocaine.
If a teen is using drugs, now is the time to intervene. The negative impact of addiction increases with time.
Types of Teen Recovery Centers
Fortunately, many programs are available that are geared specifically toward teens:
- Inpatient treatment offers the opportunity for adolescents to remove themselves from the influence of peers and work on their recovery while developing relationships with other sober teens.
- Outpatient therapy allows teens to continue to live at home and even attend school while in treatment. The intensity of outpatient programs can range from once a week to 5 days a week.
- Wilderness therapy usually includes spending days to weeks exploring the wilderness accompanied by mental health professionals who help teens process and work through difficult emotional issues.
- 12-step programs programs include teaching the philosophy of the 12 steps, encouraging attendance at meetings, and helping teens understand they are powerless to their addiction.
How Teen Rehab Programs Differ From Adult Programs
Substance abuse treatment for adolescents is different than adult treatment programs in that they address the unique needs of teens.
- School programs and tutoring. Many residential programs include some form of schooling so that adolescents can continue their studies while receiving treatment.
- Family involvement. Family involvement is especially important for adolescents. Many programs encourage parents to take an active role and provide education on ways to support their teen’s recovery.
Find an Oxycodone Rehabilitation Center
Oxycodone abuse can severely interfere with your health, daily life and relationships. If you or someone you love is addicted to or abusing oxycodone, call 1-888-319-2606 Who Answers? to speak to a treatment support advisor about getting into a recovery program today.
. Center for Behavioral Health Statistics and Quality. (2016). Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health (HHS Publication No. SMA 16-4984, NSDUH Series H-51).
. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
. Croft, B., & Parish, S. L. (2013). Care integration in the Patient Protection and Affordable Care Act: Implications for behavioral health. Administration and Policy in Mental Health and Mental Health Services Research, 40(4), 258-263.
. Heller, J. (2013, April 5). Opiate withdrawal: MedlinePlus Medical Encyclopedia. Retrieved November 21, 2015, from https://www.nlm.nih.gov/medlineplus/ency/article/000949.htm
. Miller, N. S., & Greenfeld, A. (2004). Patient characteristics and risks factors for development of dependence on hydrocodone and oxycodone. American Journal of Therapeutics, 11(1), 26-32.
. Patient Protection and Affordable Care Act, 42 U.S.C.18001 et seq. (2010).
. Trescot, A. M., Datta, S., Lee, M., & Hansen, H. (2008). Opioid pharmacology. Pain Physician, 11(2), S133-53.