{"id":10919,"date":"2017-04-17T18:47:00","date_gmt":"2017-04-17T18:47:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/04\/17\/home-based-drug-treatment-program-costs-less-and-works\/"},"modified":"2017-04-17T18:47:00","modified_gmt":"2017-04-17T18:47:00","slug":"home-based-drug-treatment-program-costs-less-and-works","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/home-based-drug-treatment-program-costs-less-and-works\/","title":{"rendered":"Home-Based Drug Treatment Program Costs Less And Works"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/17\/523016186\/home-based-drug-treatment-program-costs-less-and-works?utm_medium=RSS&amp;utm_campaign=healthcare\">Jack Rodolico<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/17\/523016186\/home-based-drug-treatment-program-costs-less-and-works?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/04\/07\/in-home-1-af6ab618895602866768c360f1a2da7909b3c857-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/04\/07\/in-home-1-af6ab618895602866768c360f1a2da7909b3c857-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Hannah Berkowitz in her parents&#8217; home in West Hartford, Conn. Getting intensive in-home drug treatment is what ultimately helped her get back on track, she and her mom agree.<\/p>\n<p>                <b><\/p>\n<p>                    Jack Rodolico\/NHPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Jack Rodolico\/NHPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>Hannah Berkowitz is 20 years old. When she was a senior in high school her life flew off the rails.<\/p>\n<p>She was getting high on whatever drugs she could get her hands on. She was suicidal. Berkowitz moved into a therapeutic boarding school to get sober, but could only stay sober while she was on campus during the week.<\/p>\n<p>&#8220;I&#8217;d come home and try to stay sober really hard \u2014 really, really hard,&#8221; says Berkowitz. &#8220;Sometimes I&#8217;d make it through the weekend, and sometimes I just couldn&#8217;t make it. It was white-knuckling it, just holding on.&#8221;<\/p>\n<p>The transition back home always triggered a relapse for Berkowitz.<\/p>\n<p>&#8220;I thought it was just my fault and there was no hope,&#8221; she says.<\/p>\n<p>No hope \u2014 but Berkowitz did have luck. She had private health insurance and she lived in Connecticut, where a startup company, <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.awarerecoverycare.com\/\">Aware Recovery Care<\/a>, had begun treating clients in the very environment where Hannah was struggling to stay sober: her home.<\/p>\n<p><strong>A chronic disease approach<\/strong><strong><\/strong><\/p>\n<p>Treating addiction is a growing business, but a lot of the treatment that&#8217;s available is expensive and patients often relapse. Fortunately, there is a way to help some people pay less for better results, says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.awarerecoverycare.com\/team\/matthew-eacott-carc-matc\">Matt Eacott<\/a>, vice president of Aware Recovery Care.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>&#8220;Ninety-nine percent of the industry really treats addiction as an acute problem \u2014 like a rash on your arm that you rub lotion on and you&#8217;re done,&#8221; says Eacott.<\/p>\n<p>Instead, Aware treats addiction as a chronic illness \u2014 it doesn&#8217;t disappear just because symptoms are temporarily under control. The approach is a cost-effective way of treating addiction, Eacott says, with better results than most competitors achieve.<\/p>\n<p>Aware comes into clients&#8217; homes and connects them with a nurse, a primary care doctor, a therapist, peer support, 12-step meetings and a case manager. Clients hooked on opioids can get medication-assisted treatment. They can also submit to urine screening and GPS tracking, if that helps them stick with the program.<\/p>\n<p>Hannah&#8217;s mother, Lois Berkowitz, says the program is intense at first. But as Hannah built coping skills the supports faded into the background.<\/p>\n<p>&#8220;It&#8217;s not like they&#8217;re doing the work for the addict,&#8221; says Lois Berkowitz, &#8220;they&#8217;re just basically taking them by the hand and saying, &#8216;Here are the places you need to go that will help you. And I&#8217;m going to go with you to start, so it doesn&#8217;t feel that uncomfortable. And then we&#8217;re going to let you fly.&#8217; &#8220;<\/p>\n<p>Before they &#8220;fly,&#8221; Aware clients have a pretty long runway. The treatment lasts for a full year.<\/p>\n<p><strong>Benefits worth the initial cost, insurer says<br \/><\/strong><\/p>\n<p><strong><\/strong>Aware has now expanded from its base in Connecticut into New Hampshire. The program is expensive. It costs $38,000 a year. As of now, it&#8217;s only available to private-pay clients and people insured through <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.anthem.com\/\">Anthem<\/a> health insurance in New Hampshire and Connecticut.<\/p>\n<p>Anthem became the first insurer to pay Aware, because the treatment is based on hard science that&#8217;s yielding solid results for clients, says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.linkedin.com\/in\/steve-korn-356b414\">Dr. Steven Korn<\/a>, Anthem&#8217;s behavioral health medical director. Science and results are rare in addiction treatment, he says.<\/p>\n<p>&#8220;There are old, old notions that have hung pretty tough,&#8221; says Korn. &#8220;When I was young \u2014 when I was in training \u2014 as soon as substance abuse was mentioned, the response of physicians was, &#8216;Well, go to AA. That&#8217;s not our problem. We don&#8217;t treat that.&#8217; &#8220;<\/p>\n<p>For a year of treatment, Anthem says it&#8217;s paying Aware about the same as the cost of a month or two of inpatient treatment. Anthem also says 72 percent of Aware clients are either sober at the end of one year or still in active treatment.<\/p>\n<p>That&#8217;s about twice the sobriety rate of people who check in to a facility for a month and then get no follow-up care, says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.asam.org\/about-us\/leadership\/board-of-directors\/biography-stuart-gitlow\">Dr. Stuart Gitlow<\/a>, past president of the American Society of Addiction Medicine.<\/p>\n<p>Treating addiction at home makes sense because it&#8217;s the exact place where people learned all their bad habits, Gitlow says.<\/p>\n<p>&#8220;It&#8217;s all based on this concept that addiction is not about the substance use,&#8221; he says, &#8220;but is about what led to the substance use in the first place. And you can&#8217;t really get there without getting to know the patient.&#8221;<\/p>\n<p>Aware says it&#8217;s in negotiations with four more major insurers. The program hopes to have a couple hundred clients in New Hampshire by the end of the year.<\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with New Hampshire Public Radio and <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/17\/523016186\/home-based-drug-treatment-program-costs-less-and-works?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Home-Based Drug Treatment Program Costs Less And Works\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/17\/523016186\/home-based-drug-treatment-program-costs-less-and-works?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/17\/523016186\/home-based-drug-treatment-program-costs-less-and-works?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/04\/07\/in-home-1-af6ab618895602866768c360f1a2da7909b3c857-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/04\/07\/in-home-1-af6ab618895602866768c360f1a2da7909b3c857-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Hannah Berkowitz in her parents&#8217; home in West Hartford, Conn. Getting intensive in-home drug treatment is what ultimately helped her get back on track, she and her mom agree.<\/p>\n<p>                <b><\/p>\n<p>                    Jack Rodolico\/NHPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Jack Rodolico\/NHPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>Hannah Berkowitz is 20 years old. When she was a senior in high school her life flew off the rails.<\/p>\n<p>She was getting high on whatever drugs she could get her hands on. She was suicidal. Berkowitz moved into a therapeutic boarding school to get sober, but could only stay sober while she was on campus during the week.<\/p>\n<p>&#8220;I&#8217;d come home and try to stay sober really hard \u2014 really, really hard,&#8221; says Berkowitz. &#8220;Sometimes I&#8217;d make it through the weekend, and sometimes I just couldn&#8217;t make it. It was white-knuckling it, just holding on.&#8221;<\/p>\n<p>The transition back home always triggered a relapse for Berkowitz.<\/p>\n<p>&#8220;I thought it was just my fault and there was no hope,&#8221; she says.<\/p>\n<p>No hope \u2014 but Berkowitz did have luck. She had private health insurance and she lived in Connecticut, where a startup company, <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.awarerecoverycare.com\/\">Aware Recovery Care<\/a>, had begun treating clients in the very environment where Hannah was struggling to stay sober: her home.<\/p>\n<p><strong>A chronic disease approach<\/strong><strong><\/strong><\/p>\n<p>Treating addiction is a growing business, but a lot of the treatment that&#8217;s available is expensive and patients often relapse. Fortunately, there is a way to help some people pay less for better results, says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.awarerecoverycare.com\/team\/matthew-eacott-carc-matc\">Matt Eacott<\/a>, vice president of Aware Recovery Care.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>&#8220;Ninety-nine percent of the industry really treats addiction as an acute problem \u2014 like a rash on your arm that you rub lotion on and you&#8217;re done,&#8221; says Eacott.<\/p>\n<p>Instead, Aware treats addiction as a chronic illness \u2014 it doesn&#8217;t disappear just because symptoms are temporarily under control. The approach is a cost-effective way of treating addiction, Eacott says, with better results than most competitors achieve.<\/p>\n<p>Aware comes into clients&#8217; homes and connects them with a nurse, a primary care doctor, a therapist, peer support, 12-step meetings and a case manager. Clients hooked on opioids can get medication-assisted treatment. They can also submit to urine screening and GPS tracking, if that helps them stick with the program.<\/p>\n<p>Hannah&#8217;s mother, Lois Berkowitz, says the program is intense at first. But as Hannah built coping skills the supports faded into the background.<\/p>\n<p>&#8220;It&#8217;s not like they&#8217;re doing the work for the addict,&#8221; says Lois Berkowitz, &#8220;they&#8217;re just basically taking them by the hand and saying, &#8216;Here are the places you need to go that will help you. And I&#8217;m going to go with you to start, so it doesn&#8217;t feel that uncomfortable. And then we&#8217;re going to let you fly.&#8217; &#8220;<\/p>\n<p>Before they &#8220;fly,&#8221; Aware clients have a pretty long runway. The treatment lasts for a full year.<\/p>\n<p><strong>Benefits worth the initial cost, insurer says<br \/><\/strong><\/p>\n<p><strong><\/strong>Aware has now expanded from its base in Connecticut into New Hampshire. The program is expensive. It costs $38,000 a year. As of now, it&#8217;s only available to private-pay clients and people insured through <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.anthem.com\/\">Anthem<\/a> health insurance in New Hampshire and Connecticut.<\/p>\n<p>Anthem became the first insurer to pay Aware, because the treatment is based on hard science that&#8217;s yielding solid results for clients, says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.linkedin.com\/in\/steve-korn-356b414\">Dr. Steven Korn<\/a>, Anthem&#8217;s behavioral health medical director. Science and results are rare in addiction treatment, he says.<\/p>\n<p>&#8220;There are old, old notions that have hung pretty tough,&#8221; says Korn. &#8220;When I was young \u2014 when I was in training \u2014 as soon as substance abuse was mentioned, the response of physicians was, &#8216;Well, go to AA. That&#8217;s not our problem. We don&#8217;t treat that.&#8217; &#8220;<\/p>\n<p>For a year of treatment, Anthem says it&#8217;s paying Aware about the same as the cost of a month or two of inpatient treatment. Anthem also says 72 percent of Aware clients are either sober at the end of one year or still in active treatment.<\/p>\n<p>That&#8217;s about twice the sobriety rate of people who check in to a facility for a month and then get no follow-up care, says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.asam.org\/about-us\/leadership\/board-of-directors\/biography-stuart-gitlow\">Dr. Stuart Gitlow<\/a>, past president of the American Society of Addiction Medicine.<\/p>\n<p>Treating addiction at home makes sense because it&#8217;s the exact place where people learned all their bad habits, Gitlow says.<\/p>\n<p>&#8220;It&#8217;s all based on this concept that addiction is not about the substance use,&#8221; he says, &#8220;but is about what led to the substance use in the first place. And you can&#8217;t really get there without getting to know the patient.&#8221;<\/p>\n<p>Aware says it&#8217;s in negotiations with four more major insurers. The program hopes to have a couple hundred clients in New Hampshire by the end of the year.<\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with New Hampshire Public Radio and <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\">Kaiser Health News<\/a>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-10919","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/10919","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=10919"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/10919\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=10919"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=10919"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=10919"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}