NJ Detox Center's Innovative Ambulatory Program Delivers Vastly Superior Results

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As America succumbs to an addiction epidemic, Center for Network Therapy’s avant-garde and cost-effective treatment program could help to dent the addiction curve.

Ambulatory Detox delivers “nirvana” because, in the field of medicine, better outcomes usually come at a significantly higher cost.

America’s addiction epidemic has taken on momentum calling for innovative treatment programs that can deliver higher efficacy. For addiction treatment pioneer Dr. Indra Cidambi, the cost of sticking to the status quo in terms of human lives was just too great, which led her to develop the Ambulatory (Outpatient) Detox model at the Center for Network Therapy (CNT) in New Jersey.

The Ambulatory Detox model offers patients an integrated approach that delivers a higher success rate at a lower cost, relative to the traditional inpatient model. The initial response from the treatment community to this innovative approach to detoxing individuals off alcohol, benzodiazepines and opiates in an outpatient setting was, “Madness!” The hesitancy to welcome this novel treatment method was understandable; detoxification from alcohol and benzodiazepines was never attempted on an outpatient basis due to risk of seizures and stroke, and, patients would be returning home at the end of treatment each day.

To effectively address these concerns, Dr. Cidambi put in place innovative techniques and processes, which, when combined with longer length of stay, delivered stellar results. She has proven the model to be safe - with nearly 1,000 patients detoxed over 4 years without a single untoward incident, and effective – it has delivered vastly superior outcomes relative to inpatient treatment (statistics below).

Additionally, this model saves payers significant money when compared to inpatient detoxification. Although the length of stay at the detoxification level of care in the ambulatory detox setting is much longer than in an inpatient setting, the cost of care is far lower - by 40% - driven by eliminating the overnight stay. Ambulatory Detox delivers “nirvana” because, in the field of medicine, better outcomes usually come at a significantly higher cost.

Dr. Cidambi has made numerous adjustments to detox medication protocols and introduced innovative therapeutic approaches, including network therapy, that drive better outcomes, including:

Individualized Treatment: Medication titration is customized for each patient depending on the substance of choice, severity of use and other medications the patient is currently on. This ensures patient comfort and aids compliance.

Integration with home environment: The patient eventually has to learn to live in his or her home after treatment. At Center for Network Therapy, the integration starts on day one. Therapy is tailored to meet the patient’s specific home environment, so that the patient learns to cope with his/her specific living situation.

Family Involvement: The permanent support system for any patient is his or her loved ones. At CNT, the focus is to involve them in treatment, with the patient’s consent. Family interventions assure the patient of an elevated level of support at home to maintain sobriety over the long-term.

Longer Length of Stay: Health insurance providers are able to extend stay, as ambulatory detox is more economical. Consequently, medication can be tapered more gently and patients are able to engage in therapy and start making lifestyle changes that contribute to sobriety.

CNT surveyed 136 former detox patients at random and found that over 70%* of them were sober longer than 90 days after completing Ambulatory Detoxification at CNT. In stark contrast, statistics show that less than 40%** remained sober for 90 days after inpatient detoxification.

The treatment community is now much more comfortable that ambulatory detox is a safe alternative to inpatient treatment. If imitation is the sincerest form of flattery, incumbent substance abuse treatment providers are now following Dr. Cidambi’s example.

For more information on Dr. Cidambi’s innovations in the treatment community or to learn more about Center for Network Therapy please visit, http://www.recoverycnt.com.

  • Telephonic survey of past CNT patients; 242 called, 136 responded (survey conducted in early 2016)

**Notes:
http://www.drugandalcoholdependence.com/article/S0376-8716(99)00063-0/abstract?cc=y=
(Inpatient opiate detoxification in Geneva: Follow-up at 1 and 6 Months. Barbara Broers, Francisco Giner, Patricia Dumont, Annie Mino. University Hospital Dept. of Psychiatry, Switzerland)
http://onlinelibrary.wiley.com/doi/10.1080/13556219872146/full
(Society for the Study of Addiction: Predictors of relapse to heavy drinking in alcohol dependent subjects following alcohol detoxification—the role of quality of life measures, ethnicity, social class, cigarette and drug use. J.H. Foster, E.J. Marshall, T.J. Peters)

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Jessica Moschella
Center for Network Therapy
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