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Long Term Treatment and Therapeutic Communities

Long term treatment involves individuals spending a substantial amount of time on a drug addiction treatment program. Generally, long term treatment programs are conducted in Residential Treatment facilities. When an individual enters a long term treatment program they know that they have truly dedicated themselves to recovering from drug addiction. Long-Term Residential Treatment provides care 24 hours per day, generally in nonhospital settings. The best-known long term treatment model is the therapeutic community (TC), but Residential Treatment may also employ other models, such as cognitive-behavioral therapy.

Long term treatment generally lasts anywhere from 3 to 12 months and is focused on the "resocialization" of the individual. Long term treatment uses the program's entire "community," including other residents, staff, and the social context, as active components of treatment. Long term treatment focuses on developing personal accountability and responsibility and socially productive lives. Long term treatment is highly structured with activities designed to help residents examine damaging beliefs, self-concepts, and patterns of behavior and to adopt new, more harmonious and constructive ways to interact with others.

Through long term treatment patients are able to live life for a substantial amount of time off drugs, knowing what sobriety truly feels like. With shorter treatment programs the drug addict does not get to experience a significant amount of time off drugs. They have just enough time to withdrawal, detox and receive little therapy before they are back in society dealing with the same social pressures that drove them to treatment in the first place.



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In the United States, heroin is a schedule I drug according to the Controlled Substances Act of 1970, making it illegal to possess without a DEA license.
Among teens 12 to 17, the average age of first trying marijuana was 14 years old.
Often these heroin users are under the misconception that if they do not inject the drug they will not become addicted. Those who have entered rehab to recover from heroin addiction include every method of heroin user. Annual admissions to substance abuse treatment for primary heroin abuse increased from 228,000 in 1995 to 254,000 in 2005; however, the proportion of primary heroin admissions remained steady at about 14 to 15 percent of all admissions. Between 1995 and 2005, inhalation and injection accounted for at least 94 percent of annual primary heroin admissions.
Cocaine is abused using numerous methods. It is snorted, injected swallowed, applied to oral, vaginal, or even rectal mucous membranes and even mixed with liquor. Snorting cocaine is the most common method of administering the drug. When one snorts cocaine they typically place a line of coke, about 0.3 cm wide by 2.5 cm long, on a smooth surface. The finely divided powder is then snorted (inhaled quickly) into a nostril through a plastic or glass straw or a rolled currency bill. This ritual is usually repeated within a few minutes using the other nostril. There are also special spoons and other paraphernalia addicts use for snorting cocaine.

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