Hazelden Betty Ford's Response to the Opioid Epidemic—Comprehensive Opioid Response with the Twelve Steps (COR-12™) Our specialized COR-12 program includes opiate-specific group therapy, educational sessions and individual therapy. Our comprehensive approach also keeps you engaged in rehab activities over a longer period of time than most addiction treatment programs, and includes family involvement, recovery support groups and accountability as integral parts of COR-12 services. We know from experience that this combination of enhanced opioid rehab services, medication-assisted treatment, clinical interventions and active engagement over a longer period of time offers the best chance for long-term recovery. In order to plan the most effective substance use disorder treatment for each patient, our clinicians consider many factors, such as: How long you’ve been using opioids, heroin or other opiate drugs The amount and frequency of your substance use Whether you use alcohol other drugs in addition to opioids These are just a few of the considerations that provide us with important information about each patient’s specific situation. In planning a rehab program tailored to meet your individual needs, we will also take into account your medical condition and any other physical or mental health issues you are experiencing. A quick note about opioid withdrawal symptoms: Many people with opioid dependence avoid going to rehab due to fears about the side effects of withdrawal. Don’t let such fears stop you from getting the help you need and deserve. Our clinicians know how to expertly guide you in safely and successfully managing the physical challenges of opioid withdrawal. Learn more about opioid addiction, dependence and symptoms. How Do You Know if You’re Addicted to Opioids? While there isn’t a blood test or other lab work to diagnose addiction, there are distinctive behavioral indicators that the disease has taken hold. If you obsess about getting the drug and using the drug and then spend the remainder of your time recovering from the effects of substance abuse, you’re probably looking at addiction. Other telltale signs include compromising your values, behaving in ways that put yourself or others at risk, and experiencing negative consequences in your relationships and other aspects of your life because of your use. If you're unsure about the extent of your problem, take a short inventory to get a better sense of how much your drug use is impacting your life. How Is Opiate Addiction Treated? Heroin and opioid treatment programs and services vary by provider and by the type and level of services needed to effectively address your particular situation. Here are some key components of successful opioid addiction treatment programs: Medical detox Assessments including medical, mental health and substance abuse history Mental health services Medical services Medication-assisted treatment Group and one-to-one chemical health services Wellness and fitness Twelve Step Facilitation Nutritional counseling Individualized planning Family services Spiritual care Educational and experiential workshops Post-rehab planning It’s also important to know that your pace through rehab won’t be identical to those around you. While there are common milestones in healing from opioid use disorder, your recovery path will be your own—based on your specific situation, challenges and needs. One or more of the following rehab levels may be recommended for you: Inpatient—24/7 staffing and programming Day Treatment—20 or more hours of programming a week for four or more days per week with possible on-site sober housing options Intensive Outpatient Program (IOP)—Usually starts with 12 hours of programming for four days per week but can lessen over time as you progress in your recovery Continuing Care—This can be anywhere from one to eight hours a week depending on your needs How Long Is Rehab for Opioid and Heroin Addiction? The length of time you participate in an opioid treatment program will be based on your individual needs. Our clinicians will work with you, your family and your insurance provider to come up with the best plan for you. Like diabetes or hypertension, addiction is a chronic disease. Regaining and maintaining your health means learning to manage your symptoms, first within the structure and support of a rehab setting and eventually in your home environment where you’ll be in charge of your sobriety. The latest scientific research on recovery from drug abuse identifies ongoing involvement in recovery-focused activities as the best predictor of long-term sobriety. Active engagement is especially important during your first 18 months of recovery when the risk of relapse is most intense. How Much Does Treatment for Opiate and Heroin Addiction Cost? The cost of treating opiate addiction depends on the provider you choose, the level of care recommended and your length of time in rehab. Your cost will also depend on whether you have insurance coverage for rehab or you are paying out-of-pocket. Hazelden Betty Ford is an in-network provider with most insurance carriers. The majority of our patients access insurance benefits to help cover the cost of treatment. Insurance policies and benefits vary greatly. As a non-profit treatment center, the Hazelden Betty Ford Foundation provides Patient Financial Assistance funds when available, on a limited basis, to help offset costs for qualifying patients. Learn more about insurance coverage options. What Is the Best Treatment for Heroin Addiction? In 2015, in recognition of the nation's emerging opioid addiction crisis—including an unprecedented epidemic of opioid overdose deaths —clinicians at Hazelden Betty Ford developed the Comprehensive Opioid Response with the Twelve Steps (COR-12®) program, a medication-assisted adjunct to our evidence-based Twelve Step treatment programs. If you are diagnosed with opioid use disorder, COR-12 may be recommended by your Hazelden Betty Ford clinical team to: Ease the discomfort of opioid withdrawal with the use of Suboxone (Buprenorphine) Reduce cravings Help you engage more successfully in rehab programming and activities With COR-12, our immediate goal is to help you get through the discomfort of opioid withdrawal and reduce drug cravings. Further, we aim to provide our patients with personalized care that embraces multiple pathways to recovery and promotes sustained engagement in treatment to enhance their progress towards healing from addiction and life-long recovery. Opioid treatment at Hazelden Betty Ford begins with a clinical team of addiction specialists who will develop a plan to address your specific recovery needs and challenges. In designing your rehab plan, this multidisciplinary team will consider multiple variables, including: Substances used Physical health Mental health Family relationships Gender How Are Opiate Withdrawal and Addiction Treated? At Hazelden Betty Ford, medications are used to ease withdrawal symptoms, if clinically indicated. Our medical experts will work with you to make withdrawal and detox as comfortable as possible. Once your medical condition is stabilized, your clinical team will recommend the best COR-12 pathway for you. We provide three rehab paths for opioid use disorder: No Medication You will be gradually tapered off of Suboxone® over a one- to two-week period while in residential rehab. You will participate in the same treatment therapies, activities and groups as other patients in the COR-12 program. Buprenorphine/Naloxone (taken on a daily basis) Buprenorphine/naloxone (Suboxone®) is a combination of two medications in one film, which dissolves under the tongue. Buprenorphine is a “partial opioid agonist,” meaning it can block opioid withdrawal symptoms and cravings but does not have all the effects of other opioids. If taken by injection, the naloxone in Suboxone® prevents any euphoric effects or breathing problems. You can experience opioid withdrawal symptoms when you stop taking buprenorphine/naloxone but not as severely as you would if withdrawing from heroin use or other opioid/opiate drug use. Extended-Release Naltrexone (injected every four weeks) Naltrexone is an “opioid receptor antagonist,” meaning it blocks the effect of opioids. If you use opioids while naltrexone is in your system, you will not get high. Naltrexone itself has no euphoric effects and does not cause dependence, withdrawal symptoms or breathing problems. It has been shown to reduce cravings and the likelihood of relapse. Extended-release naltrexone (Vivitrol®) is a formulation of naltrexone that is injected and slowly released. Many treatment centers use Methadone for opioid use disorder. Learn why Hazelden Betty Ford uses Suboxone rather than Methadone for opioid use disorder. Do you have questions about medication-assisted treatment for heroin, opioid or opiate addiction? Read our FAQs on medication-assisted treatment. Opioid Addiction Treatment Facilities Hazelden Betty Ford opioid treatment programs and services are offered at the following locations: Rancho Mirage, California; Naples, Florida; Center City, Plymouth and St. Paul, Minnesota; Beaverton and Newberg, Oregon. Should We Keep Narcan in Our Home? According to the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA), having Narcan on hand could be a lifesaver for families who have a loved one in recovery from opioid use disorder. Narcan is the brand name for a drug called Naloxone, which blocks the effects of an opioid overdose. People who are dependent on opioid drugs face unique challenges that can undermine their ability to achieve long-term recovery. Anxiety, depression and intense craving for opioids can continue for months, even years. These dynamics create a high risk for accidental overdose and death during relapse. When people with opioid dependence stop using—for days, weeks or even years—and then pick up again, their tolerance for the drug changes so that an amount they could previously tolerate can become a lethal dose. Find more information and helpful resources about Naloxone, including Narcan, at NIDA and SAMHSA.