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Design Recovery offers medication monitoring for addiction and monitoring resources to all residents at our Los Angeles sober living homes. We understand that during the early days of recovery, much of life is often in disarray. Residents can find it overwhelming dealing with financial wreckage, legal consequences, messy family dynamics, getting employment, or even knowing what time it is. Monitoring one’s intake of medicine can be a complicated business. However, taking care of one’s mental and physical health during sobriety is of paramount importance.
We are not doctors or medical professionals, but we understand that our residents often arrive with a range of both physical and mental health disorders aside from addiction that require care and treatment. While certain medications used to treat mental health disorders are psychoactive, and some even have the potential for recreational abuse, we understand that treating these conditions often requires drugs of this kind. Being experienced in addiction recovery, we consider ourselves close allies with medical professionals who work to treat these other conditions.
Individuals who suffer from a substance use disorder and other comorbid mental health disorders are referred to as “dual diagnosis.” Many people develop mental health disorders as a direct result of their habitual substance abuse. In fact, studies show that individuals who abuse drugs and alcohol have far higher rates of depression, anxiety, and suicidal ideation. However, the reverse is also often true. Many individuals turn to drugs and alcohol as a means of escaping from the painful symptoms of mental health conditions. The result is a vicious cycle, wherein a person suffering from symptoms of mental illness engages in substance abuse for temporary relief, only to exacerbate their conditions over the long term and fortify patterns of addiction.
For dual diagnosis residents, getting sober can be somewhat more complicated. As such, it requires a higher degree of care. Merely receiving addiction treatment is rarely sufficient for someone also suffering from mental illness. No matter the quality of addiction care a person receives, if their mental health disorders remain untreated they will continue to be at a high risk for relapse. The reverse is also true. Treatment programs for mental health are unlikely to be effective if an individual continues to engage in destructive substance abuse, which inevitably worsens mental health conditions over time. It is crucial for dual diagnosis patients to receive treatment concurrently for all comorbid conditions. Because of this we work with outside outpatient programs to help assist with these residents.
Design for Recovery works with each of our residents to help ensure that all of their individual needs are met. Initial life skill questions are used to determine the best supportive recovery services for each resident. While resources within the sober living home are generally sufficient for most residents, it is sometimes necessary to coordinate with outside professionals, including doctors and psychiatrists. If pharmacological or other forms of treatment is necessary, Design for Recovery works with other facilities to help ensure that residents’ needs are met and supported.
Medication monitoring is an important part of the recovery services offered at Design for Recovery. Young men getting sober for the first time often struggle to take care of themselves. In fact, The average adult forgets four fairly trivial things a day, according to a 2012 study conducted by The 3M Company. That means, some time in the last year, you misplaced your wallet, left the house without your phone, or forgot where you parked your car 1,460 times.[1] For young men suffering from substance use disorders and dealing with the challenges of early sobriety, this number is likely far higher. Expecting people new to recovery to monitor their own intake of medicine can be a disaster waiting to happen.
Our short-term memory is fragile. Recent experiments suggest it can hold only about four pieces of information at any given time.[2] With our fast-paced lifestyles and over-reliance on technology, it appears unlikely that these numbers will improve any time soon. It is no wonder so many people forget to take medications when they rely so heavily on a flawed memory. In fact, it is estimated that up to 75 percent of people worldwide do not take their medications properly.[1] For young men suffering from substance use disorders and dealing with the challenges of early sobriety, this number is likely far higher.
When individuals fail to take their medicine properly, either through deliberate misconduct or forgetfulness, it is known as medication non-adherence—that is, failing to take the right amount of medication at the right time, in the right way and frequency—and it is a major healthcare problem today, according to the Institute of Medicine of the National Academies.
Medication non-adherence raises several potential health concerns. According to the U.S. Food and Drug Administration, “Not taking your medicine as prescribed by a doctor or instructed by a pharmacist could lead to your disease getting worse, hospitalization, even death.”
Part of the reason for the prevalence of non-adherence is the complicated dosage of certain medications. Mood stabilizing medications (such as Divalproex or Lamotrigine) and antipsychotics (such as Abilify or Latuda) often require a strictly regimented dosing schedule, sometimes taken three to four times a day. Sudden changes in a dose for treatment of bipolar disorder, for example, greatly increases the risk for a manic or depressive episode.
Other factors also contribute to medication non-adherence. These include prematurely discontinuing a medication, double-dosing a medication to make up for a missed dose, or inability to refill a medication.
Abuse of anti-anxiety medications known as benzodiazepine (such as Valium) or opiate-withdrawal medications (such as Suboxone, a mixture of naloxone and buprenorphine[2]) is particularly common. Benzodiazepines account for more than 8,000 deaths in the United States every year, and the number of buprenorphine-related ER visits quintupled between 2006 and 2011.[3] Individuals who are in the initial stages of addiction treatment are at particular risk of abusing these substances. Doing so can trigger a full-fledged relapse. However, for individuals suffering from these mental health disorders, these medicines are often essential.
Needless to say, Design for Recovery recognizes the need for proper medication monitoring. With a dedicated staff on call 24 hours a day, every medication in recovery is diligently monitored, counted, and tracked in a well-organized filing system.
Staff members also remind each client when they are suppose to take their medications. Design for Recovery requires each client to initial on an Excel sheet—containing the names of every client and their respective medications—after a medication is taken. This ensures that every medication is taken at the proper time and at the correct dosage.
Design for Recovery also handles medication refills and billing issues. Additionally, every new prescription Is delivered personally by a staff member to a nearby pharmacy.
During the course of an individual’s addiction recovery, their pharmacological needs, often change. We coordinate with outside professionals to oversee that. Young men often make amazing progress during the first few months in addiction recovery; during newfound sobriety, many find that their symptoms of depression and anxiety lessen considerably.
It is also a fact that many young men arrive at Design for Recovery believing that their only problem is addiction, despite suffering from undiagnosed mental health disorders. After spending years abusing drugs and alcohol as a means of self-medication for these undiagnosed conditions, getting sober and facing the reality of mental illness for the first time can be both painful and revelatory. It is also a fact that many young men arrive at Design for Recovery believing that their only problem is addiction, despite suffering from undiagnosed mental health disorders. After spending years abusing drugs and alcohol as a means of self-medication for these undiagnosed conditions, getting sober and facing the reality of mental illness for the first time can be both painful and revelatory.
While facing the world with no filter, sometimes people find that their underlying mental health conditions are far more evident. This experience, while challenging, is in some ways the greatest gift that sobriety offers. It is a chance to finally receive help and get relief from conditions that have likely inflicted suffering for many years.
At Design for Recovery, medication monitoring isn’t just a matter of helping residents handle their prescriptions, it’s about improving their circumstances so they can stay sober for the long haul. Beyond that, it’s about relieving suffering so that freedom from all conditions — from addiction to mental health disorders — can be achieved.
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Excellent choice for anyone in need of support through challenging times in their lives. My brother entered the program almost 4 years ago and has never looked back. Now actually employed within the company and able to help others as they connect with him well knowing he has been in their shoes at one time! Been the best choice of his life and I couldn’t be prouder of him or the staff who helped him get there!
If I have ever felt truly apart of something positive, it would be Design For Recovery. I’ve spent alot of time in and out through different programs, some good, some bad, but nothing even comes close to the experience that I’ve had, and am still having at this place. Truly blessed and grateful that something has actually given me my life back. Professional staff, clean homes, and people that actually care about seeing you succeed. Thank you DFR!
My son has been living in a sober living home which has taught him how to control his addiction and become a better person. This house is very well maintained and beautiful. Because they have gone through the program themselves and are familiar with it, house managers are able to guide you during the whole process. Attending meetings on a weekly basis and keeping a clean environment contributed to his growth.
In my opinion, this is one of the TOP resources that contributed to saving my son’s life. Staff and managers go above and beyond to make sure your transition after detox or rehab is as smooth as possible. If you’re truly committed to your recovery, then this is the place for you. The house is comfortable and in an excellent location. Choosing a sober living home in Los Angeles for my son was the best decision I could have made.
My son Zachary was at his breaking point his mother and I had sent him to multiple rehabilitation centers and other sober livings. Nothing seemed to work. Then Design For Recovery gave Zach the gift of the opportunity to recover from a seemingly hopeless state of mind and body. The accountability within the house is amazing. The loving and understanding kindness of the staff gave him a good example of how to conduct himself as a sober person. Zach was never told what to do just given the opportunity to do it with kind understanding, guidance and direction. It was very clear to us that he was in a great place that genuinely cared about sobriety. The opportunity that Zach was given of a safe, sound and sane place to be at while he recovered from this horrific addiction has allowed him to re-establish my relationships with us, his family, Zach’s life was literally saved in this place I will forever be grateful for Design.
Design For Recovery’s sober living environment is definitely the best I’ve ever sent my son to for sure. Micah has been to other places that were not even close in comparison. If you follow their rules and actually open your mind up to new ways of living you won’t regret it. I recommend their sober living for those who really need a structured environment to grow in, the way they have it set up will definitely help change the way you view or do things for the better. It has truly set my son on the right path. Thank you Design!
This place saved my life when I needed it most!
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Design for Recovery provides structured sober living in Los Angeles, California. Through our programs, weekly house gatherings, employment support, money management, family outreach, and a solid foundation based on the 12 Steps of Alcoholics Anonymous, Design for Recovery offers the skills and support for lifelong sobriety.
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