Comprehensive Opioid Response with Twelve Steps (COR-12) The Addiction Medicine specialty at St. Elizabeth Physicians partners with you, your family and other members of your healthcare team to guide you toward a stable recovery lifestyle and abstinence from opioids and other drugs of addiction. We have partnered with the Hazelden Betty Ford Foundation to offer the best, most effective and evidence-based treatment available. Through the partnership, we have adopted the "Comprehensive Opioid Response with Twelve Steps (COR-12)" treatment program which applies the latest research in treating opioid addiction. The COR-12 treatment program integrates Medication Assisted Therapy (MAT) with a twelve step-based recovery support service with behavioral and talk therapy sessions. Medication Assisted Therapy uses medications to prevent relapses in the recovery process by reducing the severity of symptoms and cravings associated with opioid withdrawal. The providers at St. Elizabeth Physicians will analyze each patient to determine one of the below pathways to ensure a successful treatment: No Medication Pathway - during this treatment, patients may be treated with medication to prevent initial withdrawal symptoms and gradually tapered off in 1-2 weeks of the program. Buprenorphine/Naloxone Pathway - this treatment uses a combination of Buprenorphine and Naloxone medications to prevent withdrawal and cravings while the patient engages in supportive services over a longer period of time. Extended-Release Naltrexone Pathway - this treatment administers an opioid receptor antagonist called Naltrexone through a monthly extended release injection to block the effects of opioids and also helps with cravings while patients participate in treatment services. Once a medication pathway is selected, the patient will start the COR-12 program through the following phases: Phase One: Inpatient treatment for one to three months which involves: Detox and a physician assigned medication pathway Participation in individual and group therapy sessions Joining of a support group for other similar opioid users Introduction to Twelve Step groups, alumni services and other recovery resources Phase Two: Intensive outpatient treatment begins for the next two to six month period which involves: Monitoring and adjustment of medications as needed Participation in therapy sessions continues with an strong recovery program which includes developing daily recovery disciplines, attending Twelve Step group meetings frequently, finding a home group, getting a sponsor, and participating in fellowship and other recovery events During this time, patients may begin to re-establish themselves with work, school and family relationships Phase Three: During the seventh to eighteenth month of the program, patients end therapy sessions while participating in their opioid-specific support group. This phase also involves: Focusing on consistency in work, school while establishing relationships An evaluation to decide whether a patient should discontinue medication Phase Four: A lifelong recovery plan is established and medications are discontinued for most patients while: Continuing the Twelve Step or other community support group Using the family to become the patient’s primary support system Recovery is a life-long journey and our goal at St. Elizabeth Addiction Medicine is that you will have full support from our physicians and staff so that recovery from addiction will become a reality in you or your loved ones life. If you, a family member or friend would like to overcome the addiction to opioids and other drugs, please view our locations here and call us today to set up an appointment.