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PostPosted: Mon Dec 26, 2016 1:22 am 
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Campobello was founded in 1985 by innovative treatment thinkers Bill Twitchell and Chuck Brissette. Chuck created an effective treatment approach, part of which is shared with clients today.

As the field of chemical dependency has developed, Campobello has remained current on best methodologies. We continually upgrade our curriculum with evidence-based approaches that include the neuroscience of addiction and psychopharmacology of drug use.


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PostPosted: Mon Dec 26, 2016 2:03 am 
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It doesn't seem that the evidence based approaches include treatment with buprenorphine or methadone, however. The original post is a direct quote from the "about" campobello section of their website. In fact this appears to be nothing but a commercial.

The "new approach" appears to be rooted in Carl Roger's ideals of complete positive regard for the client. However, the program is still a detox/sober living environment, rather than one that utilizes pharmacology for maintenance. But let's face it. People who are maintained on buprenorphine typically do not need residential treatment, which costs an arm and a leg.

Here is another quote from their site that explains their treatment program:

"We offer sub-acute detoxification for individuals withdrawing from alcohol, benzodiazepines, and opiates. The use of medication for detoxification is determined by assessment and medical judgment. Our addiction specialists use the American Society of Addiction Medicine (ASAM) model.

The program supports our clients in recognizing that continued use of addictive substances will continue to yield dysfunction. Developing a sobriety-centered life based on solid principles is necessary to recover from the ravages of addiction. For many of our client’s treatment at Campobello is a life changing experience and the beginning of an exciting journey where healing and love are possible.

When you have made the decision to come to treatment at Campobello, you have made the first step in your recovery process. Your recovery process can save your life.

12-Step Fellowships from Sonoma County meet on our campus five nights a week, providing the opportunity for our clients to meet local sober individuals and build new support networks."

So obviously this is a program that is abstinence based. I guess the big difference is that the environment is not confrontative unlike some other popular programs.

My feeling and thought is that residential programs will always be abstinence based, despite the lack of proof of efficacy, because only people who are craving their drug hard needs 24/7 treatment. As we all know, we on buprenorphine do not feel this desperate craving and are relieved of the obsessive nature of addiction that would require us to take a 30 day vacation from our lives. Although much of the work done at this kind of treatment program can be valuable, people on maintenance can learn to deal with their addiction while also being parents and working regular jobs.

Amy

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PostPosted: Mon Dec 26, 2016 9:44 am 
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Where oh where is the "like" button for Amy......


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PostPosted: Mon Dec 26, 2016 10:59 am 
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Amy, Is this Campobello post just an advertisement? If it is, is that allowed?


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PostPosted: Mon Dec 26, 2016 3:22 pm 
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I second the like button lol that would be great!

Michelle I was wondering if that was an advertisement also..... it does seem like it doesn't it.

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PostPosted: Mon Dec 26, 2016 3:31 pm 
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To those who are wondering. Yes, Amy, or any other moderator could have just deleted the thread and moved on to business regarding our main subject of Suboxone maintenance.

Amy is in a generous holiday mood and decided to leave it with an explanation instead. I agree with her approach in regards to a company placing a commercial on our forum. She gave an insightful response so all the members are able to see the available choices out in the recovery world today.

Thing is, haven't we already made our choice in the recovery world? If I was able to stay clean with only a 12 step program then you would never have seen my name here. Been there, done that. The 12 steps are a great program and one in which I work to this day so don't get me wrong. AA saved my sorry ass many years ago when I couldn't seem to stay sober no matter what so I surely won't bash them or NA or any of the other 12 step modalities. Amy is just being fair. Plain and simple. Some people can go that route and others like us choose the Suboxone way along with some other recovery program of our choice.

Thanks Amy for an insightful response.

r

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PostPosted: Mon Dec 26, 2016 3:32 pm 
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They are technically playing by the rules. No links, and we probably wouldn't have realized the text was lifted from their website if I hadn't investigated.

I actually want to keep this up as an example though. Although there is a place for residential treatment, for other kinds of addicts and those with co-occurring psychiatric disorders for example, these folks need to recognize the validity of buprenorphine in treating opiate addiction.

Amy

P.S. Thank you, Rule. We posted at nearly the same time. I just want to add that I respect 12 step groups and the good they can do. I believe that when a person throws themselves into stepwork, their focus shifts, at least partially, from their drug of choice. That change in focus, plus the insights gained about their inner selves, can have a transformative affect on an addict that can help them stay sober. I think it works less well for opiate addicts because of the force of our obsession.

What I don't agree with is entire programs being built around the 12 steps and abstinence only focus. From my classes I have come to the opinion that pharmacology should be used when appropriate and that therapy should include evidence based practices such as motivational interviewing and cognitive behavioral therapy. I'll shut up now. :)

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