Pierce County Drug CourtJudge Philip Sorensen

Dr. Asif Khan,

Jami Bonomo, Collaborative Court Coordinator

Building the Team

• Communication-

• Scheduling appointments-

• Monthly check-ins with clients-

• Monthly meetings with the Provider-

THE TREATMENT TRACK

• Groups- minimum of 3 per week-process, MRT, TRAUMA- Relapse Prevention

• Individual sessions- 2 per month-1 with Primary counselor and 1 with the Patient coordinator

• Monthly Vivitrol appointments

• Court reviews- 1 to 2 per month

Out patient vs. inpatient with and

without Vivitrol

Out 53%Vivitrol out

34%

inpt8%

Vivitrol-inpt5%

Networking

• Facilitating Vivitrol for clients at inpatient treatment centers

• Communication with Alkermes

• Constant staffing of cases

• Communication with the provider

Symptoms Reported

Headaches24%

soreness10%

Restlessness4%

Nausea11%

none31%

Exhaustion16%

Depression4%

Symptoms

• Headaches- lessen with each injection

• Soreness- continues with each injection

• Nausea- lessens with each injection

• Depression- seen in clients already DX

• Exhaustion-seen with clients using Meth

• Restlessness- onset after the first injection

Drug Use while on Vivitrol

0 20 40 60 80

no use

Meth

Cocaine

THC

Opiates

Alcohol

one shot

2 shots

3 + shot

Substance Use on Vivitrol

• Opiates/Alcohol- Clients reported wanting to see if Vivitrol worked

• Meth- Knew they would experience “ a high”

• Cocaine- Knew they would feel it

• THC- Could not use opiates

BARRIERS

• Detox days-7- 10- most detox takes place in jail

• Transportation- to the Dr. office after initial appointment

• Housing-

• Continued use-Clients want to know if Vivitrol really works

CLIENT EXPERIENCE

AARONI highly recommend the shot to anyone that is serious about recovery and is struggling with addiction.

JASONI am very thankful for the Vivitrol shot because it changed my life for the better, if it wasn’t for Pierce County Alliance and the Vivitrol shot I would probably be dead.

JARED

I look at it like a kiss from God. I’m happier than I have ever been.

MarikoI have been on suboxone, I have been on methadone and most recently I am on the Vivitrol shot. I was addicted to both suboxone and methadone, getting high off both pills. It was harder for me to get off of the suboxone and methadone than it was for me to get off of the heroin. I am grateful for this opportunity to be on Vivitrol.

JUSTIN

I would recommend this shot to anyone who is actually trying to quit using heroin.

JONI thought I could not live without heroin. I am truly grateful for Vivitrol.

Chelsea

The shot has reduced my using dreams to zero and has cured my cravings completely. I am confident that I will be able to complete the Drug Court program as long as I stay on the Vivitrol.

DUSTIN

I have a history of methadone, subutex, and suboxone, Vivitrol has contributed the most towards maintaining sobriety paired with Drug Court’s treatment and Mental Health.

Amanda

Vivitrol helps me get through each day without an overwhelming urge to use. It’s taken away my cravings and most importantly it’s given me my freedom back.

Savana My Vivitrol experience is that it has definitely taken my cravings away.

Meghan

Vivitrol helped me get my life back and if you want it, it can happen.

ANTHONYVivitrol doesn’t have an intoxicating affect like suboxone does. The only adverse effects that I have noticed is a little tiredness and minor headaches directly after the shot, which go away fairly quickly.