Drug rehabilitation facilities comprise a vital component of the nation’s solution to the problem of substance abuse. If these establishments are not up to par, the efforts of the law enforcement and drug testing components of the war against illegal drugs will be wasted.
While it is encouraging that many such facilities have been established throughout the country, the rate at which they have sprouted up is also cause for concern. Being a largely unregulated business, the “addiction treatment” industry suffers from quality control issues. A considerable number of these establishments employ methods that border on pseudo-science.
It is not unlawful for people in a free country like ours to throw their money away on snake oil remedies and fanciful beliefs. However, when the prominence of these unwarranted cures causes people to forgo valuable help that would otherwise be their first option, then we have a serious problem.
Assuring quality among drug rehab centers throughout America is an extremely tall order: It may even be impractical to ensure quality without having to padlock a good number of establishments. There are a number of valuable pointers to bear in mind to improve drug rehabs and how they are run.
Drug Rehabs: What Can You Do to Improve?
1. Never forgo hard science
Drug rehab centers should adopt holistic outlooks to treatment and be open to various approaches that may contribute to the overall well-being of their patients. These so-called humanistic principles that regard the patient as a total person who needs spiritual as well as mental and physical healing will not hurt. They can only be harmful if they constitute the totality of the treatment and rehabilitation in the facility’s program and displace actual scientifically-founded methods.
There is undoubtedly much testimony and anecdotal evidence that exists on miraculous cures occurring in people at rehab centers who completely turned themselves around when they surrendered to a higher power. It is, however, not the sort of thing one should count on or hope for when being treated at these facilities. Even clerics who pray over these patients encourage the correct and compliant use of the medication employed at treatment facilities to help patients overcome their chemical addiction.
2. Praise the Lord, and pass the medication
The belief that the only way to kick the drug habit is to quit cold turkey is both archaic and potentially harmful. Many patients suffering from substance abuse or addiction are in need of appropriate detoxification medicines for long-term, stable recovery.
Sadly, changes in local legislation are still direly needed to provide access to such treatments for all patients suffering from opioid addiction. At the same time, not all treatment facilities are legally and technically equipped to provide such treatment. There are still rehab centers that subscribe to the abstinence-only model of substance withdrawal irrespective of the specific circumstances of their patients.
Apart from the inefficacy of a purely cold turkey approach, there are real dangers to be worried about. There have been instances of death in patients who overdosed immediately upon leaving the treatment facility as they were never informed of the role of maintenance medication in reducing their mortality risk.
3. Consider more outpatient treatment
Allowing patients to go home to their families and communities has been proven as a more effective approach in drug rehab than requiring them to remain in the facilities for the duration of their treatment. In the case of opioid abuse, outpatient maintenance with appropriately administered drugs such as buprenorphine or methadone has been shown to reduce mortality by at least half.
It is important to disabuse ourselves of the image of the perfect drug rehabilitation program being one that is conducted entirely in a resort or spa-like facility that famous rehabilitating celebrities are associated with. Complete recovery involves reintegration into one’s life, and not merely being kept off drugs while in the custody of a treatment center.
4. Enforce real standards
Developing and abiding by national standards of care would go a long way in rationalizing the drug rehab efforts of institutions throughout America. Patients and anybody who desires to overcome a substance abuse problem should never be shortchanged in the therapy and even diagnosis made available to them.
The U.S. Food and Drug Administration (FDA) cautions consumers about irresponsible claims floated by some companies that promote their marijuana-based products as “cancer treatments.”
These companies, namely: Greenroads Health, Natural Alchemist, That’s Natural! Marketing and Consulting, and Stanley Brothers Social Enterprises LLC were issued warning letters by the FDA after found to be distributing a total of 25 marijuana-related products that claimed to be able to prevent, treat, diagnose, and even “cure” cancer. None of these claims were backed by any medical or scientific data. These products were being distributed through product webpages, online stores, and social media websites.
None of these products were in violation of laws on regulated or prohibited drugs because they do not contain actual marijuana but merely an extract of the hemp plant called Cannabidiol (CBD) which is not approved by the government for any actual drug product. CBD is commonly used for pain relief and relaxation. The companies are, however, in violation of the Federal Food, Drug and Cosmetic Act for selling unapproved products with unsubstantiated therapeutic claims.
The FDA notes that the act of making unfounded therapeutic claims exposes people to potential harm because they might choose to forego their effectual, recognized, and proven life-saving medication in favor of these dubious products. Some of these claims were notably outrageous such as “combats tumor and cancer cells,” or “makes cancer cells commit ‘suicide’ without killing other cells. Leading people into believing such claims is a deceptive marketing practice that endangers the health of Americans, the FDA asserted.
The government aims to remove products claiming they are marijuana treatments for cancer and any other such products from the market to safeguard the health of countless Americans, especially those undergoing treatment for the said illness..
Marijuana Treatments for Cancer Claims Unfounded
Can marijuana treat cancer?
There are many pharmaceutical products used in cancer treatment, but there is presently no scientific evidence to support the efficacy of a marijuana-based product in treating cancer. The FDA welcomes any research or product studies, however, that show any promise of making such a medication a reality. CBD and actual Marijuana is presently used in an unofficial and even unlawful capacity by some people to help relieve symptoms of cancer. It is also used to help alleviate the unpleasant effects of medical treatments for cancer.
The medical science community still needs to see, however, any definitive evidence of marijuana’s effects on malignant tissue. For now, the drug is still among those being monitored in routine drug tests to detect illegal substances.
Tramadol is a relatively new pain medicine, having been in use for just a quarter of a century. Like many other such products, Tramadol is an opioid drug because it can produce effects similar to morphine by acting on the body’s opioid receptors.
Most of the products in the opioid class of drugs are regarded as illegal because of the likelihood of drug abuse and addiction. These include drugs like morphine and heroin. Tramadol, however, is not an illegal drug but a controlled substance, despite being an opioid.
It is a valuable product in the medical profession as it is fast-acting and used in treating acute and chronic pain. Dispensed only by prescription, this medicine comes in various dosage forms. It can be taken as a liquid through drops, syrups, elixirs, effervescent tablets and soluble powders. It is also available in pills and tablets. The drug can also be administered as a suppository and injection.
Will drug tests detect Tramadol?
As this painkiller is so useful, its many satisfied users are likely to ask their physicians the question: Will tramadol make you fail a drug test? As an opioid drug, this product can surely be detected by a fully equipped laboratory in a test sample taken from a suspect. The drug remains in the body for a number days and shall continue to be detectable in specific types of sample during this time. These tests can detect the drug in a subject’s saliva and blood in as long as 24 hours, in a urine sample for up to 24 hours, and in the person’s hair for as long as 90 days.
However, Tramadol is not detected by routine drug tests that are designed to be sensitive to commonly abused drugs. Therefore, the more common answer to the question, “Will tramadol make you fail a drug test?” is “No.” This is because most of these routine tests are only on the lookout for a few substances, and typically only have three to five panels.
Drug testing is typically conducted in single cups in which the test subject is made to urinate. The cup has multiple panels that indicate the presence of specified substances in the urine. The more common tests would not indicate the presence of Tramadol because opioid drugs are not always among the abused substance being tested.
Extended toxicology tests, however, are often required by government agencies, especially for those in sensitive positions, and by some private employers. These assays are designed to be sensitive to more commonly abused substances, whether in the therapeutic arena or even as recreational drugs on the street. Included in these single-cup screens are cannabinoids, amphetamines, cocaine, phencyclidine (PCP), and opiates. These higher-end test cups could have 10 to 12 panels that can be read within minutes of sample collection.
With the use of these more extensive tests, the final answer to the query, “Will tramadol make you fail a drug test?” is a definite “Yes.”
As employers, we value safety and productivity in the workplace. After all, healthy and productive employees are keys to business success. This is why more and more businesses are investing on various health and wellness programs for their employees, from mindfulness training to developing a drug free workplace program.
This might be a tall order for most private companies, especially with the recent developments in the legalization of marijuana in almost half of the states. Some employers are caught in between, especially when the situation involves creative employees in private companies – how should they deal with employees that do not comply with the Drug Free Workplace Act – considering lawsuits have been filed against employers for invasion of privacy, wrongful discharge, defamation, and discrimination?
Although private companies are not legally required to have drug free workplace policies of any kind, many firms have sponsored elaborate and extensive pro-grams to control alcohol and drug misuse since 1980. They believe that positive results in drug tests are related to impairments in job performance, attendance, and safety in the workplace.
With seven out of ten employees admitting to having drugs while at work, causing a $100 billion unrealized productivity due to substance abuse, what kind of employer would not be concerned?
So how can company owners promote a drug free workplace this 2020? Read on and find out.
How to Promote a Drug Free Workplace
1. Create and implement a strong and detailed policy
If you do not have an existing policy, create one. Be aware, however, that it will be best to seek the help of lawyers within your state as they are aware of the current drug policies that apply to you. They have extensive connections and resources to draw information from. Hiring a lawyer might mean an additional expense, but considering the benefits of having a drug free workplace, that added expenditure more than makes up for the cost.
2. Create a positive company culture
In this day and age, employees are no longer satisfied with perks and benefits, no matter how great they seem to be. Surveys show that a positive company culture – one that recognizes efforts, allows room for growth and flexibility of options, gives a sense of empowerment – makes happier, more productive, and more responsible employees who care about their jobs. And when an employee cares for his job, he knows the repercussions of taking drugs while at work.
3. Engage with your employees
How many employees do you have? Do you know them by name? Are you aware of the jobs they are doing for you? Do you have drug users in your company? If yes, do you have an idea why? Are they using it off work, as a form of recreation? Or to escape problems that seem to overwhelm them?
How would you know that Mr. Green, one of your most creative and exemplary employees, is suffering from chronic pain due to a vehicular accident a few years ago, and as a consequence, needs to take Amitriptyline, a drug that can cause a false positive, if you do not engage with them?
Without knowing that piece of information, you might fire him due to noncompliance with your drug free workplace policy. This might backfire if Mr. Green sues you for wrongful discharge and discrimination.
4. Perform regular drug testing
Some of your employees might disagree with this – but if you have a well-written policy that includes having a periodic drug test, a positive company culture with engaged employees – they will understand why this procedure needs to be done.
Having a drug free workplace will not only increase your employees’ productivity, lessen their absences, and ensure safety in the workplace. It will also help them live better, healthier lives for years to come.
For more topics like this, visit the Ovus Medical Blog. It contains information on drug testing in the workplace and related topics.