- Abstinence Model
- Goal is complete abstinence, heavily influenced by 12 Step Model.
- Harm Reduction Model
- Accepts that for better and or worse, licit and illicit drug use is part of our world and chooses to work to minimize its harmful effects. It uses a set of practical strategies aimed at reducing negative consequences associated with drug use and acknowledges that some ways of using drugs are clearly safer than others.
The Medication Assisted Model uses certain drugs to reduce cravings for alcohol, and does not see abstinence as the final goal (unless it is the client’s goal).
- The Sinclair Method (www.cthreefoundation.org)
- taking 50mg of Naltrexone one hour to drinking alcohol
- In one study 75% of people reduced their alcohol intake from 6/day to 1/day over a 12-month period, 25% of people obtained abstinence.
- Baclofen Treatment (baclofentreatment.org)
- Start at 10mg three times per day and slowly titrate up to a dose that eliminates cravings for alcohol (80mg-160mg daily)
- Use of this medication started in France, and is very helpful for very heavy drinkers
How the Program Works
I have treated over 100 people with the above drugs and find using either drug to be very helpful to decrease alcohol consumption. Generally, people can reduce their alcohol consumption without going to a 30-day rehab or engage in long-term therapy. But sometimes people do find it helpful to meet regularly with a therapist as their lives change substantially after reducing their alcohol intake.
I would like to make you aware that there are only two FDA approved uses of naltrexone are for opioid or alcohol substance use disorder. I recently had a client refused health insurance because the insurance company asked her to sign a release that allowed IntelliScript to access all her pharmacy records which showed the use of naltrexone. If this is a concern for you, we can order the medication through www.canadapharmacy.com for $90 per month.
If you chose to use a local pharmacy, but not use your insurance, you can use the app “Good Rx”, this app will give you a list of local pharmacies and the price they charge if you use their coupon. In Fort Collins you can get naltrexone for about $35 per month.