What Do Expanded Telehealth Services Mean for the Mental Healthcare Industry Beyond COVID-19?

To limit the spread of COVID-19, The Council on Recovery has joined numerous behavioral health organizations across the world in adopting telehealth into our services, which means we treat people remotely for addiction and co-occurring mental health disorders. While telehealth has its drawbacks, expanded telehealth services across the globe is a significant step forward for mental healthcare, during the pandemic and beyond.

Here’s the problem – one in five adults in the United States live with a mental illness, but only half of them seek treatment. On top of this dismaying statistic is another reality – trauma and isolation from the global Coronavirus pandemic will undoubtedly trigger a mental health crisis in the United States. Unlike hurricanes and wildfires, which are localized, the virus brings devastation to all communities, and intensifies the need for mental health services in our country where million people are estimated to live in regions without direct access to mental health professionals.

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Here’s another problem – despite major strides toward a better understanding and awareness of the importance of mental health, having any sort of mental illness, from anxiety to substance use disorder, is still highly stigmatized around the world and across cultures. People living with a mental illness may experience prejudice and discrimination, especially if they live in communities which downplay the importance of mental health.

The mental healthcare system going virtual breaks down barriers for many of those who need it.

Right now, telehealth is bringing needed services to individuals while still allowing them to stay inside and distance from people. Beyond, it means essential treatment is now accessible for people who aren’t mobile due to financial or health reasons, or those 111 million people who live in areas that lack mental health services.

The expansion of telehealth services also means that those who come from backgrounds in which mental illness is highly stigmatized can get treatment without drawing too much attention to themselves from their family or community members. They can also skip that scary first step of physically going to a treatment center.

Telehealth isn’t the ultimate answer to the mental health crisis America is about to face, especially since there are still technologically-poor populations who need our help. However, it is a big step forward in terms of accessibility, and The Council will continue to take whatever actions necessary to serve people struggling with substance use.

We’re seeing telehealth’s positive impact right here at The Council.

“Telehealth services have provided a unique opportunity for social interaction and normalcy during an otherwise traumatic, solitary collective experience,” says Jaimee Martinez, case manager for the Cradles program at The Council. “The feedback I had previously gotten from clients regarding in-person classes was that they enjoyed the secondary benefits of having some time to themselves to grow, learn and take a breather. I am finding this to be true with virtual classes as well.”

If you or a loved one need help with substance use or a co-occurring mental health disorder, contact us here or call us at 713.914.0556. Click here to learn more about our telehealth services.

Coping & Self-Care: How Do I Take Care of My Mental Health During COVID-19?

In this episode of Healing Choices: Conversations on Addiction and Recovery, President and CEO Mel Taylor and Clinical Director of the Center for Recovering Families Lori Fiester meet virtually to discuss how to best take care of your mental health during the Coronavirus pandemic and social isolation. They also discuss resources that are available to you if you need professional help.

This episode was originally recorded for The Council on Recovery’s new video conversation series, Conversations on Addiction, Recovery, & Family, and adapted for Healing Choices. Weekly video conversations with our clinician staff occur every Tuesday at 4 PM CST on Zoom and Facebook Live.

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Maintaining Community During COVID-19

By Lori Fiester, Clinical Director of the Center for Recovering Families

As the last week wound down and settled, my staff and I made it through the trials and tribulations of integrating telehealth into our services. The reward – we are able to connect with our clients, see their faces, continue the work prior to this pandemic and offer assistance with this struggle. Most clients’ response was similar, “This got real!” Along with this response, most were grateful to get back to their recovery groups and have a safe place to talk. Reality appears to have shifted throughout everyone’s life. We all have been significantly impacted one way or another, and maintaining community seems harder than ever.

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Change and the unknown can bring fear and anxiety. Some feel resistance to the change, which can increase such feelings. Another feeling common among our clients is grief. Not only from seeing the daily news and how this pandemic has killed thousands, but how the disruption of our daily routine magnifies all the little things we ordinarily do without a thought. Clients have expressed grief about their connections being disrupted or lost, friend/family becoming sick, employment threats or lay-offs, and how isolation compounds their feelings.

Isolation is one of the worst possible positions someone who is struggling with sobriety can be in, yet here we are.

Mandated to shelter in place. Isolation in any addiction or compulsive behavior is that ‘ism’s’  best friend. It causes us to think negatively, erroneously, and mostly disengage from the connection we most want and need. It can cause us to turn on ourselves, only to fill with self-loathing. As clinicians, our efforts are aimed at assisting our clients to navigate these changes by maintaining community in the chaos.

The technology that has often led to disconnection is now assisting us in the recovery community to connect with telehealth, online meetings, and online activities like yoga or meditation. While many are working from home, there are many others that are not working at all, and thus have even less connection to the world and more time on their hands. We are encouraging all our clients to reach out and connect, so the isolation can be lessened. Isolation, often the most troublesome of characteristics in this disease, now feels like it’s quadrupled. 

And while there are a lot of unknowns, what is known is that we need each other.

We cannot do this alone. As human beings, we aren’t wired that way, which is very similar to those in the recovery community trying to stay sober…. we all need the help of another. Today we need connection even more, even if it’s six feet apart and no more than 10 people at a time. Maintaining community in recovery is key. Another known is that the feelings of fear, anxiety, grief or any other feeling will become more manageable if we allow them in. If we can feel the feelings and allow them to move through, they will leave. Often we resist because the feelings overwhelm us, which causes suffering and more times than not, the feelings will come out sideways in unwanted behaviors. Another known is that we are in this together. If this is happening to you, help is just a phone call away. 

So, together we need to support one another to stay home and stay safe. We must continue our lives in recovery by maintaining community through attending online meetings, virtual classes, calling or video chatting with our sponsor, and if any of that hasn’t been attempted, it’s time now more than ever. 

Please visit The Council on Recovery’s remote resource page, as well as participate in our daily meditation offerings. If not now, when?

If you or your loved one needs assistance, please do not hesitated to contact the Council. We are here, ready and able to help in any way we can.

What is Acudetox, and why has The Council decided to offer it?

By Lori Fiester, Clinical Director of the Center for Recovering Families

I have been in the social work field for approximately 32 years and have seen trends come and go in substance abuse treatment settings. Treatment for substance abuse was primarily geared to the 12 Steps when I first entered the field, along with licensed chemical dependency counselors. Today we have a plethora of providers that give a vast array of therapeutic interventions that can assist those seeking help. Recently, I stumbled upon an opportunity to learn another intervention that can assist people who want to get sober, are sober, or are in sustained recovery, called Acudetox.

Acudetox is a five-point acupuncture protocol specifically designed for those struggling with substance use issues. The acupuncture needles are gently placed in the ear at specific points. This helps balance the body’s energy and assists the healing process. It is referred to in Eastern medicine as a yin tonification, restoring calm inner qualities like serenity. This process is best done in a group setting lasting from 30-45 minutes and is non-verbal with minimal interaction from the facilitator.

Acudetox has shown to decrease cravings for alcohol and drugs, withdrawal symptoms, relapse episodes, anxiety, insomnia and agitation.  Even more exciting, the effects can be immediate. There are usually no side-effects and the intervention is inexpensive.  Clients report relaxation, stress and craving reduction, mental clarity, an increased sense of wellbeing and more energy.  Programs have reported more successful completions and less client discharge against medical advice, along with higher client satisfaction improvement.

This seemed too good to be true, so off I went to get trained in Acudetox. As a result, I’m a firm believer that this intervention can assist anyone in the process of recovery. While practicing the protocol, I experienced immediate relaxation myself and noticed later that my mindless eating wasn’t as mindless. As I practiced on friends and colleagues, they reported decreased blood pressure, better sleep and more concentration. Even those who chose not to have the intervention in the group setting experienced a meditative state. As a therapist, it’s an interesting shift from talk therapy to inserting needles, but I see the value as clients become more aware of their body and their thoughts, and are able to settle more quickly to begin their work.   

The Council is offering Acudetox to clients in The Center for Recovering Families’ Intensive Outpatient Program, and is also now offering appointments open to the general public.  Click here for more information on Acudetox or to register for a session.

The Link Between Childhood Trauma and Addiction

For decades, the professional approach to addiction has been shifting away from shaming and blaming, and toward the belief that addiction is a normal and common biological response to adversity experienced in childhood. The popularization of this game-changing perspective is credited to Dr. Daniel Sumrok, director of the Center for Addiction Sciences at the University of Tennessee Health Science Center’s College of Medicine, who began his crusade to change the narrative around addiction after treating Vietnam veterans with PTSD in the early 1980s.

Adverse Childhood Experiences (ACEs) affect long-term health, and can include physical, emotional, and sexual abuse; physical and emotional neglect; living with a family member who’s addicted to substances; depression and other mental illnesses; parental divorce or separation; incarceration or deportation of a family member; racism; involvement in the foster care system, and more. Clinicians like Dr. Sumrok administer an ACE assessment upon meeting a patient for the first time, and for good reason.

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According to ACE studies, about 64% of people have at least one ACE, which can double to quadruple the likelihood of using drugs or alcohol, particularly at an early age. Having an ACE score of 4 nearly doubles the risk of heart disease and lung cancer and increases the likelihood of becoming an alcoholic by 700%. People with a score of 5 or higher are seven to 10 times more likely to use illegal drugs and become addicted. Furthermore, these studies show that it doesn’t matter what type of trauma the patient experienced. Different combinations of ACEs produce the same statistical health consequences.

Considering potential childhood trauma is necessary for addressing one’s addiction.

This requisite has fortunately also normalized the concept of addiction as “ritualized compulsive comfort-seeking” – it’s something one adopts as a coping behavior because they weren’t provided with a healthy alternative when they were young. This approach is not only supported by psychological research, it’s also the compassionate route to treating clients with substance abuse problems. Rather than labeling someone as an addict and punishing them for their behavior, clinicians like those at The Council find it’s kinder and more productive to address ACEs with their clients, and to help them seek comfort in other behaviors. Since its inception, the staff at the Center for Recovering Families is dedicated to helping their clients by looking at their trauma when appropriate and providing the necessary skills to deal with their feelings.

For more information about ACEs, read here. To calculate your ACE score, click here.

For questions about The Council’s assessment and treatment options, or if you or a loved one needs help, call (713) 914-0556 or contact us here.

CDC Reports High Tobacco Use Among Youth in 2019

The Center for Disease Control released a report earlier this month on tobacco product use among middle and high school students in public and private schools across America, reminding The Council on Recovery that although we’ve made great strides in the past decade, we still have much work to do in the coming years in our fight to reduce substance use and abuse by minors.

The National Youth Tobacco Survey (NYTS) is an annual, cross-sectional, self-administered survey of U.S. middle school and high school students attending public and private schools that uses a representative sample to estimate how many youths are using tobacco, and what factors contribute to this number, such as type of tobacco product, exposure to tobacco marketing, perceptions of harm, and more. Here are its major findings:

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Over half of all U.S. high school students (53.3 %, around 8 million) have used a tobacco product.

Almost a third of high school students (31.2%) reported they were currently using tobacco products. E-cigarettes were the most commonly used tobacco product among high schoolers, with 27.5% reporting they had used one in the past 30 days.

A fourth of all U.S. middle school students (24.3%, around 2.9 million) reported using a tobacco product.

About 12.5% of middle school students reported they were currently using tobacco products. E-cigarettes were also the most commonly used tobacco product with middle schoolers, with 10.5% reported using them.

E-cigarettes remain a major public health concern.

The prevalence of cigarette smoking among students was the lowest ever recorded by the study since 1999. This is no cause to celebrate, however, as this is due to the emergence and popularization of e-cigarettes, which have been recorded as the most popular tobacco product among youths since 2014. In 2017-2018, the use of e-cigarettes increased by 77.8%, prompting the U.S. Surgeon General to declare e-cigarette use a national epidemic last December. This 2019 report reports even higher e-cigarette usage, but takes into consideration changes to the survey itself that could have affected outcomes.

This survey acts as a reminder to The Council that there is still much work to be done in middle schools and high schools across the major Houston area. Through the CHOICES program, The Council will continue to meet schools where they are at to help students and their families resist the seductive appeals of e-cigarette and other tobacco product marketing, and learn the risks and consequences of substance use at such an early age.

“Longitudinal studies have shown that youth vapers are four times more likely to smoke combustible cigarettes than non-vapers,” says Patrick Hagler, CHOICES counselor. “CHOICES can help by educating teens and parents about the real consequences of vaping.”

The Council on Recovery and Prevention Resource Center 6 have also teamed up to host a Houston Vaping Summit on February 21, 2020, with the goal to educate local school administrations (as well as healthcare, law enforcement, mental health professionals, and parents) on vaping and to equip them with the tools they need to respond promptly and effectively.

In positive news, the federal government has raised the legal age for purchasing tobacco products to 21, effective in the summer of 2020.

For more information on the National Youth Tobacco Survey, click here.

If your teen or child needs our help, call (713) 914-4100. For information on how to create a CHOICES program at your school, please contact (281) 200-9272.