Drug addiction treatment approaches that works

November 23, 2015

Drug addiction treatment approaches that works: How it should be done?

Effective approaches for drug addiction treatment are essential in delivering a drug free society

Because of the nature and complications of addiction, it is always very important to be very careful with the way one choses to handle the recovery process. Professionally doctor Dalal Akoury MD and addiction expert of several decades is registering that the effective approaches for drug addiction treatment should include and is not limited to medication and behavioral therapy, especially when combined. It is important to appreciate that these are very important elements of an overall therapeutic process that often begins with detoxification, followed by treatment and relapse prevention. Bringing the withdrawal symptoms complications to manageable levels can be very important in the commencement of treatment. And besides that, preventing relapse is also very necessary for maintaining the effects of treatment. And according to the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury, it is important to note that sometimes just as with other chronic conditions, incidents of relapse may require a return to the prior treatment components. A variety of care and services that includes a customized treatment regimen addressing all aspects of an individual’s life, including medical and mental health services and follow up options like for instance, community or family based recovery support systems can be crucial to a patient’s success in achieving and maintaining a drug free lifestyle says doctor Akoury.

Drug addiction treatment approaches that works: Medications

Medications can be used to help with different aspects of the treatment process including:

Withdrawal – From the past experience it is worth noting that medications is very essential as it facilitates the process of suppressing withdrawal symptoms during detoxification. And besides that it is also important to note that, medically assisted detoxification is not in itself treatment of an addiction, as a matter of fact, it is only the first step in the treatment process. It therefore means that patients who go through medically assisted withdrawal and fail to go for any further treatment show drug abuse patterns similar to those who were never treated.

Treatment – Medications can be used to help re-establish normal brain function and to prevent relapse and diminish cravings. Currently, we have medications for opioids which may include heroin and morphine, tobacco, (nicotine), and alcohol addiction. Efforts are also being made in developing others for treatment of stimulant e.g. cocaine, methamphetamine etc. and cannabis (marijuana) addiction. Most people with severe addiction problems, however, are poly-drug users meaning that they are using more than one drug at the sometime. Such people will definitely require treatment for all of the substances that they abuse like for instance:

Opioids: Methadone, buprenorphine and, for some individuals, naltrexone are effective medications for the treatment of opiate addiction. Acting on the same targets in the brain as heroin and morphine, methadone and buprenorphine suppress withdrawal symptoms and relieve cravings. Naltrexone works by blocking the effects of heroin or other opioids at their receptor sites and should only be used in patients who have already been detoxified. All medications help patients disengage from drug seeking and related criminal behavior and become more receptive to behavioral treatments.
Tobacco: A selection of preparations of nicotine replacement therapies now exist including the patch, spray, gum, and lozenges that are available over the counter. In addition, two prescription medications have been FDA–approved for tobacco addiction: bupropion and varenicline. They have different mechanisms of action in the brain, but both help prevent relapse in people trying to quit. Each of the above medications is recommended for use in combination with behavioral treatments, including group and individual therapies.
Alcohol: Three medications have been approved by FDA for treating alcohol dependence: naltrexone, acamprosate and disulfiram.

Naltrexone blocks opioid receptors that are involved in the rewarding effects of drinking and in the craving for alcohol. It reduces relapse to heavy drinking and is highly effective in some but not all patients—this is likely related to genetic differences.
Acamprosate is thought to reduce symptoms of protracted withdrawal, such as insomnia, anxiety, restlessness, and
Dysphoria (an unpleasant or uncomfortable emotional state, such as depression, anxiety, or irritability). It may be more effective in patients with severe dependence.
Disulfiram interferes with the degradation of alcohol, resulting in the accumulation of acetaldehyde, which, in turn, produces a very unpleasant reaction that includes flushing, nausea, and palpitations if the patient drinks alcohol.

Compliance can be a problem, but among patients who are highly motivated, disulfiram can be very effective.

Drug addiction treatment approaches that works: Behavioral Treatments

Behavioral treatments help patients engage in the treatment process by modifying their attitudes and behaviors related to drug abuse besides increasing healthy life skills. These treatments can also enhance the effectiveness of medications and help people stay in treatment longer. Treatment for drug abuse and addiction can be delivered in many different settings using a variety of behavioral approaches.

Outpatient behavioral treatment encompasses a wide variety of programs for patients. Most of the programs available involve individual or group drug counseling. Some programs also offer other forms of behavioral treatment such as:

Cognitive–behavioral therapy, which seeks to help patients recognize, avoid and cope with the situations in which they are most likely to abuse drugs
Multidimensional family therapy, which is targeting adolescents with drug abuse problems alongside their families. It addresses a range of influences on their drug abuse patterns and is designed to improve overall family functioning
Motivational interviewing, which capitalizes on the readiness of individuals to change their behavior and enter treatment
Motivational incentives also known as contingency management, which uses positive reinforcement to encourage abstinence from drugs

Residential treatment programs can also be very effective, especially for those with more severe problems. For example, therapeutic communities (TCs) are highly structured programs in which patients remain at a residence, typically for 6 to 12 months. TCs differ from other treatment approaches principally in their use of the community treatment staff and those in recovery as a key agent of change to influence patient attitudes, perceptions, and behaviors associated with drug use.

Drug addiction treatment approaches that works: Treatment within the criminal justice system

We conclude with the treatment in a criminal justice setting which is tailored into succeeding in preventing an offender’s return to criminal behavior, particularly when treatment continues as the person transitions back into the community. Finally with these effective approaches for drug addiction treatment, you can call on doctor Akoury for professional help by scheduling for an appointment so that your concerns can be addressed effectively and professionally.

Drug addiction treatment approaches that works: How it should be done?

Inpatient medical detox facility appropriate for healing addiction

October 19, 2015

Inpatient medical detox facility appropriate for healing addiction: Choosing the best

AWAREmed Health and Wellness Resource Center is an Inpatient medical detox facility appropriate for healing all your addiction related complications.

The frustrations that are associated with alcohol and drug addiction can make one to jump into conclusion without really getting the facts correctly. It is true that when one is struggling with any kind of addiction, treatment is very necessary and detoxification is very instrumental in laying the foundation for proper treatment. The challenge that many people often have includes that of identification of the right experts for the job. It is important to note that when the right choice is not made from the beginning, then the whole process is likely to be even more frustrating, demoralizing because the desired objectives may not be realized. In our previous article we did mentioned that detox is very important for individuals suffering from alcohol and drug abuse. We also noted that for this to be done effectively, certain protocols must be observed. In view of this and so that we avoid making costly mistakes, we want to focus the discussion of this article on identifying the right inpatient medical detox facility because it is emerging that not all that glitters is not gold. Many inpatient facilities are business oriented and are focusing more on the financial returns than the key objective of transforming lives. To that effect, doctor Dalal Akoury who is an addiction expert of several decades and also the founder of AWAREmed Health and Wellness Resource Center is going to help us in unlocking the facts about what we must look for, and questions we must ask to get value for our money and eventually free ourselves and loved ones from the scourge of addiction.

To start us off, doctor Akoury is highlighting certain things to ask for before going to an inpatient medical detox facility. She says that it is very important that anyone seeking medical detox at an inpatient facility should ask the following questions and must ensure satisfactory responses from the people concerned:

What is the medical protocol for the substance from which the person will be detoxing?
Enquire of to know about changes if any that will be made to the medical protocol if the patient reacts differently to the withdrawal than earlier expected?
What is the length of time like for instance does the facility offer 24-hour medical supervision?
Trace the statistics of the facility and find out what percentage of people who start a medical detox that actually completes it?
What is the estimated time required for the detox requested?
Will the person leave the medical detox facility on new drugs?
Can the person walk outside and what is the surrounding environment like security wise in terms of availability of potential triggers?
Enquire if the facility has some prohibitions like are there any restrictions on smoking, watching television, making telephone calls, eating meals and internet access?
Assess the level of privacy within the facility. That is to say does the person have a private room?
Read wide and find out for yourself about the experiences your predecessors have. Find out what are the comments of former patients about their experience at the facility?

There are a lot one will need to find out and this is just a pointer to the approach one should always take in identifying the right inpatient medical detox facility. Depending on the way you the above is responded to, you can carry out a self-evaluation on the suitability of the facility.

Inpatient medical detox facility appropriate for healing addiction: The AWAREmed Health and Wellness Resource Center experience

If these questions were to be directed to us at AWAREmed Health and Wellness Resource Center, we would answer these questions in the following way to help you stick with professionalism and assurance of delivery of results that are not only timely but are also going to last for a life time:

The AWAREmed Health and Wellness Resource Center protocol includes not only the standard medical handlings but also hydration, vitamins, minerals and good food. This gives us the zeal to deliver on our objectives effectively.
AWAREmed Health and Wellness Resource Center offers 24-hour medical supervision is continually monitoring the patient’s progress and frequently will adjust the rate of the patient’s taper in accordance with the comfort and safety of the patient.
AWAREmed Health and Wellness Resource Center has a more than 90% completion rate of people who start their medical detox at our facility.
Generally, people can complete their detox in from six to eight days and even very high doses of opioids can be detoxed in less than fourteen days.
The person will not leave on additional drugs.
AWAREmed Health and Wellness Resource Center is on 3.25 treed acres and our patients regularly take walks or sit outside.
AWAREmed Health and Wellness Resource Center has designated smoking areas but our patients are free to smoke at any time. They have a television in their room. They have a phone in their room and there are no restrictions on cellphone usage. They have internet access and the food is rated as excellent by patients.
Each AWAREmed Health and Wellness Resource Center patient has his/her own private room.
There are patient comment forms available for review.

Do we know that if you come to AWAREmed Health and Wellness Resource Center you will not revert to using the substance from which you detoxed? Absolutely No, however what we can associate ourselves with is that almost all of our patients complete their medical detox and that their testimonies keeps us to be among the leading addiction solution providers in the global market. We are actually not a shame to note our team of experts have impacted positively to all our clients both at the present and in the past thereby making all patients who have passed through AWAREmed Health and Wellness Resource Center feeling better than they have in years before. This is what we take pride in and we would wish to request you not to stay with your problem in silence, remember that a problem share is half way solved. Therefore if you or anyone you know is struggling with any kind of addiction, then you have an opportunity of regaining your life back by scheduling for an appointment with doctor Dalal Akoury today.

Inpatient medical detox facility appropriate for healing addiction: Choosing the best

Eliminating drug addiction by leading from the top

October 17, 2015

Eliminating drug addiction by leading from the top: Pooling together from all angles

All leaders ores their subject the duty of care in offering guidance and leading by example when it comes to eliminating drug addiction.

In normal day to day life there will always be people in the position of leadership and subjects to be lead. These are positions that we will always have in life and there is very little we can do to avoid them. And if you think you can then you are wrong, take a look at this illustration of a family where there is the husband (male) and wife (female) and their children, in such a setup there will be some elements of leadership in different roles performed by each member of the family. That is just to explain why some people will be leaders and others will be the subject to be lead. Now in any good leadership, leading by example from top is always the secret to success. In this article however, we want to look at how best eliminating drug addiction by leading from the top can be made possible. This could be applicable everywhere including workplaces, families, learning institutions and many more. Our focus is however going to be on the taking good leadership about eliminating drug addiction in our work places. Previously we dealt with addiction in workplaces but now we want to see how good leadership can be an effective tool for effective management of the scourge of addiction. Experts from AWAREmed Health and Wellness Resource Center, under the able leadership of doctor Dalal Akoury says that any effective health and safety performance in a work environment can only come from the top trickling down.

Doctor Akoury says that in an organization where there is the board of directors as the top decision making organ, it is always very important that members of the board have both collective and individual responsibility for health and safety as one of the pillars of the organizations’ policy. When it comes to alcohol and substance abuse, directors and boards need to examine their own behaviors, both individually and collectively, against the guidance given and, where they see that they fall short of the standards set by them as policy makers, then they must held themselves accountable to change what they do to become more effective leaders in health and safety matters. This is the only way through which they can be good implementers of the policies they formulate and that explain why they should always be seen to be leading by example from the top on addiction and any other matters of policy.

Eliminating drug addiction by leading from the top: Why directors and board members need to act

The question as to why the senior officers of any organization should and must always be on top of everything in terms of offering good leadership is one that many leaders often want to ignore by hiding under the umbrella of delegation. I agree that delegation is one of the leadership and management strategies, but it is important to note that the person delegating is responsible for any failures that may occur. Therefore the policy makers bear the greatest load in ensuring that all the health and safety policies are observed to the latter. The following are some of the reasons why directors and board members must lead from the front:

By doing so they will be protecting the health and safety of employees or members of the public who may be affected by the illicit activities including alcohol and drug addiction. This is an essential part of risk management and must be led by the board.
Failure to include health and safety as a key business risk in board decisions can have very serious catastrophic results. Many high-profile safety cases over the years have been rooted in failures of leadership.
Health and safety law places duties on organizations and employers, and directors can be personally liable when these duties are breached. Like for instance, members of the board have both collective and individual responsibility for health and safety.

Eliminating drug addiction by leading from the top: Strong leadership and workers involvement from the top

When an organization is based on strong leadership and the involvement of the workers is trickling down from the top, the following are possible:

Visible, active commitment from the board;
Establishing effective ‘downward’ communication systems and management structures;
Integration of good health and safety management with business decisions.
Engaging the workforce in the promotion and achievement of safe and healthy conditions;
Effective ‘upward’ communication;
Providing high quality training.

Leading by example from the top on addiction: Assessment and review

Identifying and managing health and safety risks including the alcohol and drug abuse
Accessing (and following) competent advice
Monitoring, reporting and reviewing performance.

Addressing health and safety should not be seen as a regulatory burden: it offers significant opportunities. Benefits can include:

Reduced costs;
Reduced risks;
Lower employee absence and turnover rates;
Fewer accidents;
Lessened threat of legal action;
Improved standing among suppliers and partners;
Better reputation for corporate responsibility among investors, customers and communities;
Increased productivity, because employees are healthier, happier and better motivated.

We must appreciate that the power to succeed is in the ability and willingness of your work force to deliver. This willingness can be impaired by alcohol and drug abuse badly. And that is why when it comes to addiction in workplace, leading from the top is not an option but a must. The problem that can arise to defeat this initiative could be when the top managers and directors are the ones struggling with the scourge. If this is the case and it is quite common these days, then the organization must seek for help immediately for her senior managers. These are the drivers of the economy of your organization and therefore drugs or alcohol must not be the reason of their underperformance. According to the experts at AWAREmed Health and Wellness Resource Center, many highly ranked organizations have gone under receivership because of alcoholism and substance abuse. Doctor Akoury is a veteran addiction expert and has been impacting positively to the lives of many people across the globe and you and your organization must not do down because of a problem that can easily be fixed. All you need to do for the rebirth of you position of profitability is to schedule for an appointment with doctor Dalal Akoury today by calling her on telephone number 843 213 1480 and she will gladly handle your individual and collective problems with utmost confidentiality while delivering lasting solutions professionally.

Eliminating drug addiction by leading from the top: Pooling together from all angles

Keeping hopes alive during rehabilitation

October 16, 2015

Keeping hopes alive during rehabilitation: Do not give up help is on the way

Addiction to drugs is not the end of life keeping hopes alive during rehabilitation will help you regain your life back.

The encouragement I want to pass to all people who may be going through hardship due to alcohol or drug addiction, whether directly or indirectly is that there is hope for everyone and there is help with the right experts like professionals from AWAREmed Health and Wellness Resource Center and finally there is healing for those who seek for help by calling doctor Dalal Akoury MD. Doctor Akoury is a veteran addiction expert and has been of great help to very many people across the globe for well over two decades now. She founded this health facility (AWAREmed Health and Wellness Resource Center) with a sole aim of making a positive impact on the lives of people who are losing hope of ever recovering from their addiction to various substances. Keeping hopes alive during rehabilitation and even before you are enrolled into a rehabilitation program is very helpful as it gives you the will to push on no matter the ups and downs along the way. Therefore as we progress into this discussion, if you are struggling with any kind of addiction in your life, or if you know of a friend, relative, colleague whether at workplace, in schools, collages of higher learning or in your place of worship, you can be the bridge through which they will get their addiction solutions by calling doctor Dalal Akoury on telephone number 843 213 1480 to schedule for an appointment either for yourself or on behalf of your friend. Up on doing that doctor Akoury will gladly attend to you professionally and evaluate your individual conditions before putting you on the right recovery program and by the end of it you will have your life back and enjoy it to the fullest.

The consequences of using alcohol or other illicit drugs by a friend or family member and other people who are close to us can actually leave us with many unanswered questions. Because of these pending concerns like for instance being unable to understand what is happening and developing the feeling like you are being pushed beyond the limit and that you are living on an emotional rollercoaster can actually give you the incentive of losing hope and even giving up the fight all together. In fact as this habit continues from one lever to another, you are likely to find yourself struggling with a number of painful and conflicting emotions, including guilt, shame, fear and self-blame. Looking at a loved one get lost into drugs can be very painful, take for instance this victim was the bread winner with several dependents her or she was taking care of, if he or she is sinking in the pit of addiction his dependents and people around him or her can and will definitely become frightened, frustrated, scared and angry. While I am agreeing with you that the frustration can be overwhelming at times, keeping hopes alive during rehabilitation is very healthy as this will give both the victim and the caregiver the will power to keep moving even when the victim relapses several times along the way.

Keeping hopes alive during rehabilitation: Do not give up there is help

We are not going to get tired by repeating the fact of keeping hopes alive during rehabilitation because we understand the significance of doing so and not doing so. Alcohol and substance abuse is no respecter of persons. Doctor Dalal Akoury is making emphasis that just like any other chronic disease, addiction to alcohol and other substances affects people of all ages regardless of their social status in the society, the strength of their income, educational background, country of origin, ethnicity, sexuality, and or community where they live. Anyone can become addicted to alcohol and drugs and anyone can be affected by another person’s addiction especially friends and family members. As a matter of fact, experts have estimated that more than 23 million people over the age of 12 in America alone are addicted to alcohol or drugs. As a friend or family member this may sound very scary but be rest assured that we are not passing this information to scare you in anyway. Ours is to reassure you that irrespective of what is happening around you and your family, you are not alone. Doctor Dalal Akoury and her team of experts from AWAREmed Health and Wellness Resource Center will not hesitate to come to your aid if only you can schedule for an appointment with the home of addiction solutions through doctor Akoury today.

At this facility (AWAREmed Health and Wellness Resource Center) we professionally offer a range of services including helping individuals and family members to regain their potential in the society by putting them into recovery programs that are tailored for their specific needs. Therefore if you are concerned about your own alcohol or other drug use or that of someone you care about a child or other relative, a friend or co-worker, with great humility I want to beseech you to make the bold step of contacting the experts at AWAREmed Health and Wellness Resource Center. You will be able to speak to someone who will listen, assess your needs and provide you with all the relevant information about available services, costs and how to deal with another person’s alcohol and or drug use.

Keeping hopes alive during rehabilitation: The damages of alcohol and substance abuse

For family and friends you have seen and felt the negative effects and damage done by alcohol and drugs. In some ways, your awareness and understanding of the damage being done is far greater than the person who is actively drinking or using. By virtue of your relationship, you can see the changes and consequences as they are taking place physically, emotionally, socially, financially and legally. Addiction, without treatment and recovery, can and will literally tear families apart and destroy strongly bonded friendships. But, you can be part of the solution. Doctor Akoury will help you in all the way to make a difference but remember that even though you need to get the knowledge adequately about alcohol and drugs, but this knowledge may not be helpful if it is not applied appropriately, it is no wonder experts say that there is no question that gaining a greater understanding of alcohol, drugs and addiction will help you to better handle the situation. What that means is that for families and friends it is important to recognize your own feelings and reactions when dealing with a loved one who is abusing alcohol or using drugs. It actually it is useless to be in denial or minimize the problem. Face the problem head on because the fact is those who confronted their addicted family members with a view of helping them find solutions are always achieving much more success in getting them into admitting that they have a problem which needs to be fixed. This acknowledgement is a serious breakthrough because the next step would be that they will consent to enrolling in a rehabilitation program. So don’t give up in keeping hopes alive during rehabilitation process says doctor Dalal Akoury.

Keeping hopes alive during rehabilitation: Do not give up help is on the way

Alcoholism prevalence in senior citizens

October 16, 2015

Alcoholism prevalence in senior citizens: Growing older brings on many changes

Understanding the consequences of alcoholism prevalence in our senior citizens is very important for treatment to be done effectively and professionally.

We once said that alcoholism and drug abuse knows no boundary and affects without any form of discrimination. Based on that fact, we want to focus our discussion on the alcoholism prevalence in senior citizens in our societies today. These are older people in our societies who need care, love and support from all of us. It is not a secret that when we grow old a lot of changes takes place in the process. Some of those changes may include:

Changes in health, lifestyle, roles and support
Changes in physical pain and loss of mobility
Growing older can be stressful and loneliness is common

With these changes, experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury says that alcohol and prescription drug problems and particularly among our senior citizens age 60 and above is actually one of the fastest growing health problem facing most nations across the globe including America. Doctor Dalal Akoury says that even though this is a proven fact, the situation has stagnated and remain neglected, underestimated, under identified, underdiagnosed and undertreated thereby creating the catastrophe of thousands of our senior citizens who desperately require treatment and don’t get it. And because of this, alcohol and drug related problems among senior citizens is a condition many do not want to talk about, be associated with, deal with or even treat for various reasons including some of the following:

Health care providers tend to overlook alcohol or drug problems among older people, mistaking the symptoms for dementia, depression, or other problems common to older adults.
Older adults are more likely to hide their alcohol or drug use and less likely to seek professional help.
Many relatives of older individuals with substance use disorders, particularly their adult children, are living in denial or ashamed of the problem and choose not to address it.

Alcoholism prevalence in senior citizens: Family disease

The effects of alcoholism and drug addiction are a phenomenon that does not have any respect for status, race, gender and age. Everyone and everybody can and is a victim. It affects at all levels globally to the smallest unit of the family. And because we are focusing on the family, alcoholism and drug addiction affects the whole family whether young, teenage, or grown-up children, wives or husbands, brothers or sisters, parents or other relatives and friends no one is speared when it comes to addiction. It therefore means that when one family member is addicted to alcohol and drugs the whole family suffers. According to the experts at AWAREmed Health and Wellness Resource Center, addiction is a family disease capable of destroying the whole unit; it stresses the family to the breaking point, impacts negatively on the stability of the home and the family’s unity. In terms of health, it affects the mental health, physical health, finances, and basically the entire family dynamics. Doctor Akoury is very concern that with the strength of denial, help may come too late and without help, active addiction can totally disrupt family life and cause harmful effects that can last a lifetime. It is for this reason this reason that doctor Akoury founded this health facility to primarily transform each and every individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. In this facility, doctor Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms making her one of the most qualified professionals you can rely on with your addiction complications. You can reach her on telephone number 843 213 1480 to schedule your appointment with her today for the commencement of your recovery program.

Alcoholism prevalence in senior citizens: Roadblock to recovery

I had previously mentioned this but because of the magnitude of the problem I will mention it again and again. The fact is that one of the biggest challenges to family recovery in substance abuse is the belief and feelings that everything will be ok if they can just ‘fix’ their loved one who is addicted to alcohol or drugs. This school of thought appears to work in isolation where the indirect victims let the direct victim to face the challenge squarely. This is not the way to approach this problem, in fact helping families understand that just as the addict is responsible for their own recovery, and in the same way they too are responsible for their own recovery. Meaning that, the whole family must be in it together including the children. And remember that a single addiction in the family strains relationships by causing people to become anxious, mistrustful, tired which can eventually result in an overwhelming sense of hopelessness. Therefore because addiction hurts the whole family, it is absolutely essential that solutions are designed to restore the whole family.

Alcoholism prevalence in senior citizens: Recovery from addiction is a family affair

Having identified some of the roadblocks of recovery, it is very important that as a family disease, those who have been affected by addiction should seek for immediate help from the right professionals to recover and rebuild the stability of their lives and regain independent and freedom from all the effects of alcoholism and drug addiction. At a family level, members of the family need not to shy away from asking questions when they feel that something is not right. This is very important because without question, the damage could be worst when it is finally realized at a letter date.

Besides that, constructive and active family engagement in the recovery process is essential if the family is to heal from the destructive impact of addiction. To move on in hope, families need a variety of supports, information and skills including the following visiting the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury for a one on one consultation and treatment.

Alcoholism prevalence in senior citizens: Growing older brings on many changes

Tag Archives: Substance abuse