Addiction Recovery Psychiatry

Brigham and Women’s Hospital Addiction Recovery

The medical psychiatry service offers expertise in the assessment and management of substance use disorders for all BWH patients, under the direction of Joji Suzuki, MD. Our staff provides comprehensive assessment and treatment recommendations for substance withdrawal and detoxification for inpatients, as well as a host of other complications of substance use. In the context of the rising prescription opioid epidemic in this country, we also offer assistance for medical inpatients with known or suspected opioid use disorder having difficulties with acute and/or chronic pain. We also offer outpatient consultations and work collaboratively with a variety of primary care and specialty clinics to improve the treatment of substance use disorders, including the various BWH primary care, HIV, OB mental health, and outpatient psychiatry clinics.

Brigham and Women's Faulkner Hospital's Addiction Recovery

The Brigham and Women’s and Faulkner Hospital Addiction Recovery Program offers a comprehensive array of clinical services for individuals seeking recovery from alcohol and other drugs. We have been serving Boston and its surrounding communities for over 20 years with a long tradition of inspiring hope and self-empowerment to allow individuals to live a life in recovery. Under the direction of Claudia Rodriguez, MD, a team of experts in the field has been created to provide knowledgeable, compassionate, evidence-based addiction treatment. Our team is unique in that it brings together experts from the field of medicine, psychiatry, and addiction, giving us the ability to care for patients with addiction who also have co-existing medical and/or psychiatric illnesses.

Brigham and Women’s Faulkner hospital takes pride in providing a wide range of pharmacologic and non-pharmacologic treatment services for individuals struggling with addiction. Our services range from inpatient level of care for medically monitored withdrawal to outpatient treatment for addictions, including a dual diagnosis partial hospital program. We offer medication treatment for alcohol and opioid use disorders, including medications such as buprenorphine/naloxone (Suboxone) and extended release naltrexone (Vivitrol). Therapy options range from individual to group-based therapy. Our mission is to provide individuals with tools to engage in their path toward recovery, and to be with them every step of the way.

 

 

Our Programs

Inpatient Medical Detoxification Unit

A new, state-of-the-art chemical dependency unit integrated into a medicine unit to enhance quality of care for patients also suffering with medical conditions alongside addictive disorders. Please call 617-983-7060 (option 2) for referrals.

Outpatient Addiction Recovery Services

Please call 617-983-7060 (option 2) for referrals.

Dual Diagnosis Day Treatment Program

The BWFH Dual Diagnosis Partial Hospital Program is a 7-10-day program that addresses the needs of patients who have both substance use and psychiatric disorders. The program runs from 8:30 am to 2:45 pm, Monday through Friday. The primary goals of the program are to provide guidance, self-empowerment, and healthy living techniques to promote recovery from drug or alcohol use.

Under the direction of Saria El Haddad, MD, the program provides comprehensive, intensive treatment for addiction. Each patient receives a full psychiatric evaluation and ongoing assessment by the addiction psychiatry team, daily individual counseling by an addiction counselor, and coordination of care with current outpatient providers and aftercare referrals. During treatment, patients may also be prescribed medication to assist with the treatment of psychiatric and substance use disorders.

Buprenorphine/Naloxone (Suboxone)

Suboxone is a medication used to treat opioid use disorder/addiction. Examples of opioids include heroin, Percocet, Vicodin, Oxycodone, Oxycontin, Morphine, Fentanyl, and Methadone. The process begins with an initial medical evaluation with a board-certified addiction psychiatrist, followed by an appointment with an addiction experienced licensed social worker. Following a successful suboxone induction, the patient enters a weekly group for at least 8-weeks. The actual length of this phase of treatment is a collaborative decision between the patient and the treatment team. Following the completion of the weekly maintenance group, patients transfer into a monthly maintenance group for ongoing addiction education and support while receiving suboxone maintenance therapy. In groups, patients explore healthy coping skills, provide and offer peer support, and engage in building self-empowerment and comfort in recovery. Groups offer psychoeducation, cognitive behavioral therapy, and dialectical behavioral therapy techniques. Individual therapy is an integrated part of treatment.

Extended Release Injectable Naltrexone (Vivitrol)

Vivitrol is a once monthly injection used for treatment of opioid and alcohol use disorder. The Vivitrol program consists of options for individual and group therapy, in addition to medication management visits with a board-certified addiction psychiatrist. The process begins with a medical evaluation with an addiction psychiatrist, obtaining basic laboratory work, and starting a short trial of oral naltrexone if appropriate. Injections are delivered monthly at the outpatient infusion clinic by experienced nursing staff who are committed to helping individual struggling with the disease. The frequency of follow up treatment is a collaborative decision between the patient and the treatment team, and can vary from weekly to monthly based on several factors, including other recovery supports, stability in recovery, and non-addiction mental health needs.

Outpatient Therapy

Outpatient Individual Therapy for adult patients struggling with both addictive and psychiatric disorders. Please call 617-732-6753 for referrals.

Addiction Education and Support Groups

Brigham and Women’s Faulkner Hospital offers a Men’s Early Recovery Group as well as a Relapse Prevention Group one night a week for 8 to 12 weeks. The Men’s Early Recovery Group occurs on Tuesday evenings from 5:30pm to 7:00pm. The Relapse Prevention Group occurs on Tuesday evenings from 6:30pm to 8:00pm. Please call 617-983-7060 (option 2) for referrals.

Our Mission, Vision and Core Values

Our Vision: to continue our long tradition of inspiring hope and providing dignified, respectful care to our patients, while incorporating the latest advances in Addiction Medicine in order to provide our patients will the fullest range and highest quality of treatments.

Our Mission: to provide evidence-based, compassionate care in a professional and collaborative manner which creates an atmosphere of hope that not only promotes recovery from alcohol or drug addiction, but provides a space where patients can discover their highest human potential and be inspired to make recovery-oriented changes medically, socially, emotionally, and/or spiritually.

Our Core Values: To Create Hope and Inspire... 

Patient-Centered Care:  We believe that the patient knows himself or herself better than any of us. We aim to provide care that elicits the patient's strengths and supports the patient in a way that helps him or her to make long lasting recovery-oriented changes.

Collaborative CareWe achieve the best outcomes when we foster collegial staff relationships and deliver care that is team oriented, including recognizing that the patient is a vital part of the team. We strive to dismantle the stigma associated with substance use disorders .

Professional CareFor us, professional care is an attitude that supports recovery-oriented change in our patients, supports our colleagues to continue to provide quality care, and continues to take advantage of opportunities for growth and learning so that we can provide the highest quality, evidence-based treatments.

Inspirational Care: We believe that providing hope to our patients by highlighting their strengths is key to improving their confidence and discovering their human potential, and ultimately inspiring recovery-oriented changes.

Referrals

Patients may self-refer to all treatment by calling 617-983-7060 and completing an intake interview with a clinician.

Teaching

As part of our academic mission, the ARP is involved in the training of psychiatry and medical residents as well as trainees from local social work graduate programs. Residents and trainees are closely supervised by attending physicians, and will inform patients about their training status.

Research

The ARP is working on several research projects in which patients are offered the opportunity to participate. Treatment is never contingent on participation in any project, but we believe that our involvement in research and teaching helps us provide evidence-based, state-of-the-art care.

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