Samaritan Behavioral Health Inc. (SBHI) is now offering a 10 day outpatient opioid ambulatory detoxification/withdrawal management service.

The purpose of the service is to medically assist individuals with withdrawal from opioid use, especially heroin, over a 10 day period with services provided seven days a week.

The process includes:

• Comprehensive Diagnostic Assessment
• Nursing Assessment
• Blood test
• History and Physical
• Daily medication management by licensed nurses including drug screening and vitals
• Daily educational/support group sessions
• Case management services
• Referral and linkage to substance use disorder treatment services based on assessed level of care
• Referral to other needed community services
• DAWN training and Narcan kit available to patients and significant others
• Availability of Vivitrol at the end of withdrawal management service

The Ambulatory Detoxification/Withdrawal Management service offers medication and medical support designed to help an individual transition from opioid usage to being drug free and able to manage cravings with Vivitrol. All patients will be referred for ongoing counseling services based upon their provider choice and their assessed level of care recommendations.

601 S. Edwin C. Moses Blvd, Dayton, Ohio 45417
937-734-4310 or 734-4311

NOW OFFERING

All Substance Abuse Services patients will have access to physical health services on site.

Samaritan Behavioral Health, Inc. is a contract agency of the Alcohol, Drug Addiction, and Mental Health Services Board of Montgomery County.

Opioid Ambulatory Detoxification/Withdrawal Management Service

Questions/Answers For Patients

• Q: Who is eligible for this service?
  • A: Anyone who is actively using opioids, has been assessed as having an active Opioid Use Disorder, and who does not have any medical conditions preventing participation such as severe liver disease.
• Q: How do I pay for the service?
  • A: We accept all Medicaid insurance and limited private insurance. With your Medicaid insurance there may be a copay for the medication (usually less than $5.00). Limited funds are available for Montgomery County residents who do not have insurance.
• Q: Can I start the service if I used opioids/heroin the same day?
  • A: You can start the assessments and get the blood tests while you are still using. You will need to have not used for 24 hours before receiving the first dose of medication on day 3 (after the assessment and blood test results come back).
• Q: Will I be “dope-sick” during the process?
  • A: When you start the medication on day 3, you need to be in withdrawal. After you start the medication you might feel uncomfortable, however the medications that you will be provided when you come each day will help you feel better. Each day you come, you will feel better than the day before.
• Q: Do I have to go to counseling/treatment?
  • A: When you come each day to get your medication, there will be an educational group. You will also meet with a case manager who will help to refer you for ongoing counseling at an agency of your choice based on your assessed level of care need. Withdrawal is just the first step. If you do not get the extra support you need to stay off drugs long term, you are at high risk to use again.
• Q: What if I am using other drugs?
  • A: You cannot have benzodiazepines, methadone or alcohol in your system on day 3 when starting the withdrawal management process or you greatly increase the chances of getting “dope-sick”.
• Q: What if I want Suboxone on an ongoing basis or more than one injection of Vivitrol?
  • A: The medications you will be given during ambulatory detoxification include buprenorphine and naltrexone; however, you will no longer be receiving the buprenorphine after the end of the ambulatory detoxification service. If you want ongoing buprenorphine services, you will be referred to a program at Samaritan Behavioral Health or another agency of your choice.
  • You will have the opportunity to be linked to other opiate treatment services if you want ongoing Vivitrol injections. Most programs (including SBHI’s other services) require active participation in individual/group counseling 2-3 days a week to continue receiving Vivitrol.
• Q: How do I get started and how long does it take from beginning to end?
  • A: To get started, you contact SBHI Access to Care at 734-4310 or 734-4311 and request the Opioid Detoxification/Withdrawal Management Program and you will be scheduled for an assessment. On the day of your scheduled assessment, you will receive the diagnostic assessment, a nursing assessment, and a blood draw (Day 1). On Day 2 you will receive a nursing visit and education. On Day 3 you will receive a physical examination and your first dose of medication. This is when you will need to be in withdrawal. You will return daily (including weekends) for 2-3 hours for medication management, educational groups, case management, and referral services every day for the next seven (7) days. On the seventh day you will receive your Vivitrol injection.
• Q: What if I drop out before getting the Vivitrol injection?
  • A: You will be given referrals to other substance abuse services in the area, including other services provided by SBHI. You may return to the ambulatory detoxification/withdrawal management service after 60 days.