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DRUG OVERDOSES CONTINUE TO RISE IN NEW JERSEY

According the CDC, the opioid epidemic with take more lives in New Jersey this year homicide, suicide and car accidents combined. This year, deaths from the opioid epidemic could reach 3,000 and is expected to be the sixth leading cause of death in the garden state. Opioid related deaths accounted for 90% of all drug-related deaths in 2016. In the 1st quarter of 2018, NJ already had 765 suspected drug deaths.

 

WHEN IS A OVERDOSE MOST LIKELY

  • If you use alone
  • When you have just been released from jail, prison, drug treatment or drug detox
  • When you are sick
  • If you have kidney disease, liver disease, AIDS or hepatitis
  • When you have not used for a while
  • If you are rushing
  • When you don’t know what you are taking

POSSIBLE SIGNS OF OPIOID OVERDOSE

 Small, constricted “pinpoint pupils”

  • Falling asleep or loss of consciousness
  • Slow, shallow breathing
  • Choking or gurgling sounds
  • Limp body
  • Pale, blue, or cold skin
  • Unresponsive to outside stimulus
  • May be awake, but unable to talk
  • Pulse (heartbeat) is slow, erratic, or not there at all
  • Body is very limp
  • Face is very pale or clammy
  • Fingernails and lips turn blue or purple
  • Vomiting

SAMSHA RECOMENDED STRATEGIES TO PREVENT OVERDOSE DEATHS

  • Encourage providers, persons at high risk, family members, and others to learn how to prevent and manage opioid overdose.
  • Ensure access to treatment for individuals who are misusing opioids or who have a substance use disorder.
  • Ensure ready access to naloxone. Opioid overdose-related deaths can be prevented when naloxone is administered in a timely manner. Naloxone is an appropriate response for all opioid overdose events, including fentanyl-involved overdoses.

NARCAN

Between 2015 to February of 2018, NJ first responders gave 23,887 doses of Narcan to 17,964 people. In all but 6 percent of cases, the person survived.

 

 

The Addiction Support Cycle

Sober Housing is usually considered to be a form of aftercare – the phase of treatment that is focused on maintaining sobriety.

Addiction Support Cycle
 If you’re ready to apply to one of our sober living locations, submit your application today or contact our admissions team at (908) 946-0005 for more information about men’s sober living with Cambridge Recovery or visit our website at www.cambridgerecoveryestates.com

Sober Housing

The purpose of a Sober Housing is to provide a safe and healthy living environment to initiate and sustain recovery—defined as abstinence from alcohol and other non-prescribed drug use and improvement in one’s physical, mental, spiritual, and social wellbeing. Individuals build resources while living in a recovery residence that will continue to support their recovery as they transition to living independently and productively in the community.

The four types of recovery residences, as classified by the NARR are as follows:

  • Peer-Run – Peer-run recovery residences (level one) are democratically run by the residents in the home. The residents of these homes have made a commitment to maintain abstinence from addictive substances and their behaviors are self-monitored. Residents keep each other accountable with drug screenings and house meetings. Therapeutic sessions are also recommended but not required. Peer-run recovery residences are usually single-family homes and the staff is comprised of volunteers.
  • Monitored – Monitored recovery residences (level two) are run by a house manager or senior resident and require all residents to adhere to established policies and procedures. These types of residences provide structure and accountability with drug screenings, house rules, house meetings, peer group sessions, and involvement in recovery treatment services. Monitored recovery residences are typically single family homes but may also be apartment complexes or similar community environments.
  • Supervised – Supervised recovery residences (level three) are managed with an organizational hierarchy and follow a strict set of policies and procedures. They are run by a facility manager and certified staff or case managers work with residents one-on-one. Supervised recovery residences are licensed facilities, but the type of license may vary depending on the state. These residences can be residential homes, apartment complexes, or other similar types of living environments. Services at a level three recovery residence emphasize the development of life skills and clinical services from the outside community. House service hours are also provided.
  • Service Provider – Service provider recovery residences (level four) incorporate clinical and administrative supervision, a managed organizational hierarchy, and strict policies and procedures within the sober community. Residential services are focused on life skill development and clinical services and programs are provided in-house. Service provider recovery residences are licensed, although the type of license may vary from state to state, and the staff has the appropriate credentials to provide residents with professional recovery services. Level four residences are often part of a continuum of care program that starts with detox and residential inpatient treatment and carries the client through into a structured sober living program.

A transitional housing program may help to break the addiction cycle by providing people with:

  • A low-cost, or no-cost, place to live
  • Access to community programs regarding education, employment and more
  • Social skills training
  • Sober surroundings
  • Support group meetings

Why Choose to Live in a Sober Living Home?

There are many benefits to living in a sober living home. If you have recently completed an inpatient drug and alcohol rehab program, here are a few reasons to consider continuing your recovery journey at one of our sober living facilities.

  • A sober living home provides stability and keeps you from returning to a harmful living environment after rehab.
  • You have increased independence, with the freedom to attend work, school, and pursue hobbies and other interests as you choose.
  • You receive extended recovery support with peer accountability and readily available recovery resources.
  • The cost to live at a Cambridge Recovery sober living home is affordable.
  • You have the ability to attend local recovery groups in your area both during and after the completion of your sober living program.
  • Your family can rest easy knowing you are in a safe, sober, and structured environment.

If you’re ready to apply to one of our sober living locations, submit your application today or contact our admissions team at (908) 946-0005 for more information about men’s sober living with Cambridge Recovery or visit our website at www.cambridgerecoveryestates.com

The Four Levels of Recovery Residences

Levels of Recovery Residences

Recovery Residences (RRs) are organized into four categories, or “levels,” by the NARR. The levels describe the intensiveness of the program and the level of care provided. Level 1 houses provide almost no recovery-orientated structure (other than requiring residents to attend mutual support groups or the like), while Level 4 houses are considered “Therapeutic Communities” and share much in common with residential inpatient treatment. In-house therapy and sometimes even medical services are provided. While there are fundamental differences between the levels (discussed below), their basic purpose is all the same – to provide a substance-free environment where people can continue their recovery while relying on support from their peers. Additionally, they share the following features in common.

  • Peer Support: Forming relationships with others who are in the process of recovery can provide encouragement and inspiration – especially from those who are further along in the process.
  • Drug-Free Environments: Many patients who have been through treatment have no other option but to return to living environments where drug or alcohol use is either present or readily available. RRs provide a place to live where drugs and alcohol are neither present nor allowed.
  • Full-Time Residential: All levels of RRs require residents to stay there full time. While some may allow a day or two away occasionally, most require a 100% commitment to living at the home. Most homes have two or more beds per room, and all living spaces are shared.
  • Shared Cost: The basic principle of RRs is that each resident pays a portion of the rent and utilities, as well as other expenses. While most RRs are self-sustaining, some houses do receive federal or state funding to offset the cost, especially level 3 or 4 houses. Many RRs require the residents to work, or at least be actively looking for work.
  • House Rules: Each RR has it’s own house rules about who can move in and what’s required of residents. Common rules include regular chores, random drug and alcohol tests, and strict rules regarding activities like stealing and sexual conduct. Many houses also require residents to regularly attend some sort of therapy, such as AA or NA meetings, 12-step alternatives, or counseling sessions.

Level 1 Recovery Residences include and closely resemble Oxford Houses

Level 1 houses provide the least amount of oversight and services. A good example of Level 1 houses is the Oxford House model. Oxford Houses are governed by a charter and rules that are agreed upon at the outset, but those are kept to a minimum and decisions are made democratically. For instance, house members vote on whether to allow a certain individual into the house. Each member has one vote, and no outside supervisor or manager is hired.

Many houses require residents to attend some sort of recovery, be it a 12-step program or outpatient counseling sessions. However, most Level 1 RRs don’t provide onsite recovery services, with the possible exception of an optional 12-step recovery meeting held weekly at the home.

The cost of a Level 1 home is simply the cost of rent, utilities, and other shared expenses divided by the number of residents. A small association fee is often required to maintain membership in the affiliate’s network.

Level 2 houses generally elect a supervisor, but don’t offer recovery services

The main difference between Level 2 homes and Level 1 homes is with the way that they are governed. Most often, a supervisor is elected, and he or she is responsible for ensuring that residents comply with the rules and works to resolve any community complaints.

While Level 2 homes don’t have recovery services onsite, there’s usually a strict requirement for maintaining membership in a recovery group or sticking to an aftercare plan with a counselor. Additionally, strict sobriety test requirements are typically enforced. This differs from Level 1 homes which tend to have more relaxed policies on how often drug or alcohol tests are required.

Aside from each resident’s portion of rent, utilities, and shared expenses, a small fee may be required for network membership and for the services of a supervisor and drug testing, which usually make them slightly more expensive than equivalent Level 1 houses.

Level 3 homes offer professional management and some recovery services

While Level 3 houses are still considered “sober living homes,” they do incorporate aspects of clinical treatment. Their primary purpose is still to provide a substance-free environment for people to live in, but the programs are more structured than Level 2 homes. They often include paid counselors and staff to assist patients in developing and following through with their aftercare plans. Most of the actual treatment doesn’t happen on site, but certain life skills and support groups may be provided at the house.

Most Level 3 houses are overseen by paid staff, rather than self-governing like Level 1 and 2 homes. As a result, the cost of Level 3 homes often includes the expense of paying counselors and administrative staff, in addition to the shared expenses of living in the home.

Level 4 houses are considered residential inpatient rehabilitation facilities

While Level 4 homes are included in “recovery residences” they wouldn’t typically be considered “sober living homes” since they fall into the category of inpatient treatment, rather than aftercare. They are most often referred to as Therapeutic Communities (TCs). TCs are a structured, clinical environment and are usually full-service, meaning that residents don’t have to go offsite for treatment.

Residents in Level 4 homes are usually not able to work (at least not full-time) since they are engaged in recovery activities throughout the day. Often residents are not allowed to come and go as they choose.

If you’re ready to apply to one of our sober living locations, submit your application today or contact our admissions team at (908) 946-0005 for more information about men’s sober living with Cambridge Recovery or visit our website at www.cambridgerecoveryestates.com