New York City Private Home Detox

New York City Home Detox: We come to you!

New Yorkers know how to live. New Yorkers love to have services brought to them, rather then having to travel for services. Enter Executive Home Detox. We come to you! We travel to our clients wherever they are located. That includes Manhattan, Brooklyn and the surrounding Burroughs.

New York City Home Detox: How it works: 

Executive Home Detox provides supervised in-home detox for Alcohol or Opiate dependence in New York City. This is a high-end concierge level treatment model.  One nurse travels to the client and lives with the client throughout the medical detox (Private duty nurse). This ensures the highest level of privacy as only one nurse is working with the client from the beginning of the detox to the end of the detox. There is no break in the continuity of care. The nurse is a Certified Addictions Registered Nurse. Expert in the area of addictions nursing.

New York City Home Detox: High Quality Competent Partners

EHD has had the benefit of working with a number of highly reputable physicians who specialize in addictions. EHD also has high quality connections to outpatient services designed to sustain sobriety. These referral sources include:  Sober companions, sober coaches, Intensive Outpatient Programs, and therapists.

EHD often works with the client's current treatment team; including the client's physician, therapist, and other treatment providers.

New York City Alcohol Home Detox and Opiate Home Detox

Alcohol Home Detox is a minimum five days, usually seven days. A five day medical detox can be accomplished, however a seven day program allows for EHD to set up an aftercare plan in NYC that may sustain sobriety.

Opiate Home Detox is a minimum of seven days, usually ten days. EHD prefers a Suboxone (Buprenorphine) induction and subsequent taper. We can also detoxify the client using comfort medications.

Opiate Home Detox includes: Heroin, Oxycodone, Oxycontin, Hydrocodone, Hydromorphone, Morphine, and other opiates.

NYC Home Detox, Manhattan, Brooklyn

Librium, or Chlordiazepoxide for Alcohol Withdrawal

Librium (Chlordiazepoxide) for Alcohol Withdrawal

The use of medication to manage symptoms of withdrawal from alcohol dependence is frequently necessary. I often get asked what medications Executive Home Detox uses to manage withdrawal symptoms in alcohol detoxification. In general, most prescribing physicians and nurse practitioners use a benzodiazepine to manage withdrawal symptoms.  

Chlordiazepoxide, or Librium, is one of the first benzodiazepines created. Librium is a long acting benzodiazepine. It comes only in pill form and in strengths of 10 mg and 25 mg. Many physicians prefer to use Librium for Detox Physician and Detox Team because it is well known to the physician, long acting, and stays in the body for a longer time than other benzodiazepines, thus has the potential to offer longer protection against the risk of seizures and other withdrawal symptoms.

Chlordiazepoxide or Librium should only be used under the supervision of a physician or nurse practitioner. The information in this post is meant for information purposes only. 

Librium, like other benzodiazepines, has the potential for dependence or abuse. The reality is that it is rarely abused and it is prescribed almost solely for short periods of time so dependence does not occur.

Librium is also sedating, and depending on the recipient's liver function, can contribute to a syndrome called delirium. Due to the sedation and delirium, Librium used for alcohol detox is best monitored or supervised by others during the alcohol home detox.

Prior to the start of Librium, the physician will strongly consider ordering lab studies that include Liver Function Tests. Many alcohol dependent clients have a long history of alcohol use and abuse and their Livers may be impaired. Librium is contraindicated in clients with impaired liver function and another benzodiazepine will usually be ordered.

EHD and nurses who work for EHD are very familiar with Librium, it's mode of action, and it's possible side effects.  

Delirium Tremens and Alcohol Seizures

Alcohol withdrawal can be very dangerous due to the possibility of seizures and the possibility of delirium tremens. Seizures and delirium tremens or DT's can both be life threatening. Seizures are more common and better known to the general public. DT's are less common but have a higher lethality than seizures.
Alcoholic Seizures: Seizures can occur in anyone who is physically dependent on alcohol and who stops drinking. The brain becomes dependent on alcohol over a period of time and when it is taken away precipitiously, the brain may react by having a grand mal seizure.

Delirium Tremens:According to the National Institute of Health; "Delirium tremens is a severe form of alcohol withdrawal that involves sudden and severe mental or neurological changes. Delirium tremens can occur after a period of heavy alcohol drinking, especially when the person does not eat enough food.It may also be triggered by head injury, infection, or illness in people with a history of heavy alcohol use. It is most common in people who have a history of alcohol withdrawal. It is especially common in those who drink the equivalent of 4 - 5 pints of wine or 7 - 8 pints of beer (or 1 pint of "hard" alcohol) every day for several months. Delirium tremens also commonly affects those who have had a history of habitual alcohol use or alcoholism for more than 10 years."

Additionally, according to the NIH:

"Symptoms most commonly occur within 72 hours after the last drink, but may occur up to 7 - 10 days after the last drink. Symptoms may get worse rapidly, and can include:

• Body tremors
• Mental status changes
  • Agitation, irritability
  • Confusion, disorientation
  • Decreased attention span
  • Decreased mental status
    • Deep sleep that persists for a day or longer
    • Stupor, sleepiness, lethargy
    • Usually occurs after acute symptoms
  • Delirium (severe, acute loss of mental functions)
  • Excitement
  • Fear
  • Hallucinations (such as seeing or feeling things that are not present are most common)
  • Highly sensitive to light, sound, touch
  • Increased activity
  • Mood changes rapidly
  • Restlessness, excitement"

Delirium tremens is a serious medical emergency and can result in death. Signs may include:

• Heavy sweating
• Increased startle reflex
• Irregular heartbeat
• Problems with eye muscle movement
• Rapid heart rate
• Rapid muscle tremors

Treatment must be given at a hospital immediately in the event of seizures or delirium tremens.

The early recognition of alcohol withdrawal and the early treatment with appropriate medications will decrease the likelihood of alcohol seizures and delirium tremens. Executive Home Detox has not had a client develop seizures during an alcohol detox. We attribute this to early intervention with appropriate medications.

Alcohol withdrawal

Alcohol withdrawal is an actual diagnosis contained in the American Psychiatric Association's Diagnostic and Statistical Manual - IV (DSM IV). Alcohol withdrawal can be mild, moderate, or severe. The moderate and severe withdrawal may require intense medical treatment.

Alcohol consumption that is heavy and prolonged will cause a withdrawal syndrome if alcohol consumption is reduced or stopped altogether. The withdrawal syndrome usually starts six to twenty-four hours after the last drink and may start prior to the blood alcohol level returning to zero.

The DSM - IV requires that two of the following criteria be met to diagnose someone with Alcohol Withdrawal who has been consuming alcohol in a heavy and prolonged manner:

1. Sweating, also known as diaphoresis. Most people who complain of sweating complain of night sweats. 
2. Pulse rate greater than 100. This may be referred to Tachycardia,
3. Increased hand tremor.
4. Insomnia or sleeplessness. 
5. Nausea or vomiting.
6. Transient (on and off) visual, tactile, or auditory hallucinations or illusions.
7. Psychomotor agitation
8. Anxiety
9. Grand mal seizures

A further requirement is the symptoms above cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. A further requirement is the symptoms are not caused by another medical concern (ie Parkinsons) or another mental disorder.

A way to quantify or measure the withdrawal symptoms and place some type of severity scale to the symptoms is to use the Clinical Institute Withdrawal Assessment - Alcohol, or CIWA. Executive Home Detox does use the CIWA scale when assessing clients during an alcohol detox. The expert nurse also monitors vital signs, specifically Temperature, Blood Pressure, Pulse rate, and Respirations.

A future blog will discuss the CIWA in greater detail.

The Principles of Addiction Medicine, Fourth Edition was utilized as a reference for much of the information above.

Boston Globe says Juice Cleansing going mainstream

The Boston Globe published a piece in their "Living" section titled:

Juice ‘cleansing’ is going mainstream

The recent trend is becoming a big business, but is it really good for you?

The gist of the article states that Juice Cleansing has gone mainstream and is quite popular. However there is little evidence that this cleansing process is actually good for those doing the juice cleanse. 

Evidence of the popularity of juicing is the displays in department stores and specialty stores like Bed, Bath and Beyond.  There are lots of different choices of blenders and juicers.  

EHD is often consulted about the use of a cleanse during a medical detox process. We don't support cleansing during a medical detox. A medical detox is necessary when the body is dependent on a substance like Alcohol, opiates, or sedatives (benzodiazepines).  A medical detox can be very taxing on the body. A "body cleanse" or "liver detox" or "GI detox" should not be attempted until the client has a clean bill of health from a physician after engaging in an alcohol detox, opiate detox, or a benzo detox. 

A Challenge

Executive Home Detox has submitted a challenge to the New York Times and Wall Street Journal. You can read the challenge at www.ExecutiveHomeDetox.com/blog/

Sobrexa

SOBREXA

I have been asked about Sobrexa in my travels, by colleagues and by clients. Sobrexa is a trade name for a purported herbal remedy to decrease or eliminate alcohol consumption. By a number of reports; the active ingredient in Sobrexa is a root from a vine found in Asia, the Kudzu vine. The active ingredient is Daidzin.  The makers / sellers of the product state the use of this herbal supplement decreases the craving for alcohol. It is unclear how it may relate to other anti-craving medication. You can see information at their website: drinklessnow .com

The makers cite an 84% success rate. "Success in the program was de fined as not having unusual cravings for alcohol and following Last Call Program post-program guidelines." Well, the 84% success rate may or may not be impressive. Now you have to define "unusual cravings".  What if the users continued to have cravings for alcohol? Is that usual or unusual? Lots of other questions about the study.

I suggest any program dealing with alcohol use disorder that can cite and legitimize an 84% success rate would have clinicians, clients, the government, and others flocking to their door. This does not seem to be the case with Sobrexa.

All this said. I did contact Sobrexa and offered to use it on a few clients EHD has that have trouble sustaining their sobriety. I informed them I would be happy to comment on it's efficacy and informed them if I saw positive results then I would recommend if for many of my clients.  They were kind enough to offer to sell me the product.  I can't, in good faith, recommend a product I have never used, nor never seen used by any reputable treatment program.

I would hope Sobrexa can help and assist the person struggling with alcohol. I don't believe the data is convincing at this time. Maybe with a double blind study by a reputable research organization will convince me otherwise.

Celebrity Home Detox

LiLo is back in the news, but this time I see it as good news. Lindsay Lohan allegedly struck a person outside a hotel in NYC sometime after 2am.  The good news is the reports state "Alcohol was not involved". It's always good news when a person who has had a problem with alcohol and / or drugs is not using.

Celebrities, including actors, actresses, sports figures and others benefit with treatment from professionals that know this culture.  Bill Carrick, the president of Executive Home Detox has worked closely with celebrities (rock stars, actors, professional athletes) and royalty. It is important to meet clients where they are at.  EHD can provide a balance to these clients, a balance of recognizing their fame and their needs - including their medical and emotional needs.

We come to you. We travel to where the client is located. One expert care provider stays with the client for as long as the medical detox and early recovery requires. We specialize in Alcohol Home Detox and Opiate Home Detox.

Opiate Home Detox includes; Heroin, Oxycodone - (Oxycontin, Percocet),  Hydrocodone - (Lortabs, Vicodin), Morphine MS-Contin, Fentanyl, Dilaudid, and other opiates.

Home Detox Options

Home Detox Options

Home Detox for alcohol or opiate dependence is an option for consumers looking for an alternative to an inpatient setting. There are a number of options to choose when considering Home Detox.

1. An Intense Supervised at home medical detox. 
2. A Supervised at home medical detox.
1. Nurse and Physician supervised
2. Physician only supervised. 
3. An Office based Outpatient medical detox.
4. A prescribed medical detox with a layperson present.
5. Cold Turkey

1. An Intense Nurse Supervised at home medical detox. A nurse is present 24 hours a day for as long as the alcohol detox or opiate detox requires. One model has the same nurse present 24 hours a day for as long as the detox takes - this is the model for Executive Home Detox - this model assures the utmost in continuity of care, privacy, and convenience. Another model has rotating nurses coming into the home. 
2. A Supervised at home medical detox.
1. Nurse and Physician supervised: A nurse visits the client at least once a day and the physician maintains some degree of daily contact - either with the client, or through the nurse.  An aide or companion may assist on site. 
2. Physician only supervised: The prescribing physician maintains daily contact with the client. It is rare that a physician visits the client in the home on a daily basis, but there are some physicians that provide this service. 
3. An Office based Outpatient medical detox: The client would be expected to make daily or some regularly negotiated visits to the physician to monitor and to receive medication for the medical detox.  Most physicians would rightly require another person to be present in the home in case there were problems with the detox. 
4. A prescribed medical detox with a layperson present: This type of home or outpatient detox may occur if a client went to an emergency room and received medication or if a primary care physician was confident the detox was going to have mild symptoms.  
5. Cold Turkey: This home detox does not have the medical support the above options have. The person in detox attempts to stop using alcohol or opiates on their own without prescribed medications. This option is not recommended by anyone in the medical establishment. At a minimum, anyone attempting to detox on their own should have a responsible sober / clean person in the home observing or helping them.  

Home Detox Phoenix and Scottsdale

Home Detox Phoenix and Scottsdale: Dr. Yasinsky

I had the good fortune to meet with Dr. Michael Yasinsky (www.YasinskyPsychiatry.com) in Scottsdale, Arizona.  Dr. Yasinsky has taken the "concierge" level of care to a new extreme. In a good way!

Dr. Yasinsky does not have an office. He sees his clients in the comfort of their home. He provides medication evaluation and assessment, as well as psychotherapy. I found Dr. Yasinsky to be thoughtful and professional in his approach to care.  He is the first physician I have met that sees clients 100% in their own home.

Since Dr. Yasinsky sees clients or patients in their own home it makes sense he would also support a client going through a medical detox for alcohol or drugs in the home as well.  Dr. Yasinsky does do home detox .  He is not a suboxone provider and prefers to detox the client from opiates using Clonidine and comfort medications.

Home Detox looks forward to working with Dr. Yasinsky in providing private home detox to that rare client who knows they need additional medical supervision but for some reason will not or cannot go into an inpatient setting.

Home Detox of California

Home Detox of California has been in business since the mid 1990's.  I met with Mike Ezell, the owner of Home Detox, this past week. Home Detox of California provides home based medical detox primarily from Alcohol and Opiates. Their treatment model provides for a physician's examination and daily visits from a nurse, often Mike himself, until the medical detox is complete.

Home Detox of California provides a good service at a relatively reasonable price. Like so many Home Detox programs, it is not covered by insurance.

Home Detox of California is similar to Norman Shewman's program; Home Detox Inc. of Venice California. Both programs use a daily home visits by RN's expert in the field of medical detox.  These Home Detox models differ from the model of Executive Home Detox. EHD places an expert RN in the home for 1:1 supervision throughout the entire medical detox. This intense model is more expensive than the above programs, however it can be argued that it provides a greater safety net as well.

Additionally, Home Detox of California and Home Detox Inc. of Venice Florida are community based or region based.  Executive Home Detox travels anywhere in the US to provide private duty nursing services to clients in need of supervised medical detox.

Home Detox of California: www.HomeDetox.org
Home Detox Inc:. www.HomeDetoxInc.com
Executive Home Detox: www.ExecutiveHomeDetox.com

Home Detox: Anti-craving medication: Naltrexone

Executive Home Detox comes to the client. Wherever they live, EHD travels to the client and manages the alcohol detox in the comfort of the client's home. But what happens after the alcohol home detox? EHD works with the client to create an aftercare plan to sustain sobriety. One specific treatment option is the use of medication. Anti-craving medications include Naltrexone (Revia, Vivitrol) and Acamprosate (Campral)).

Naltrexone is a medication that, in theory, decreases the cravings for alcohol. Naltrexone works by interacting with the brain to interrupt the messages the brain gives the alcoholic to make him or her drink. The Naltrexone may interrupt the 'cues' the brain gives to the person to make them drink.

Oral Naltrexone (Revia, and generics) is usually given in a 50 mg dose each day. Naltrexone can cause some GI upset the first few days but then has minimal to no side effects. It is very important to know that Naltrexone will trigger opiate withdrawal in anyone that is dependent on opiates and have used opiates in the past seven days. Additionally, Naltrexone attaches itself to opiate receptors and blocks opiate effectiveness.

Intra-Muscular Naltrexone (Vivitrol) can be given every three to four weeks in the gluteal maximus - the backside - this method of Naltrexone delivery provides a steady therapeutic dose and eliminates the need to take the pill (oral Naltrexone) every day. This form of medication is expensive and has it's own side effects, namely the possibility of an abscess at the injection site.

The use of Naltrexone alone may assist in decreasing cravings for alcohol. The use of Naltrexone, Campral, and Antabuse altogether increases the likelihood of maintaining sobriety compared to using any of those medications alone.

Home Detox Physician

Executive Home Detox has a unique treatment model that compliments the home detox physician who treat the alcohol dependent or drug dependent patient on an outpatient basis. EHD places one expert addictions nurse in the home of the client to monitor the detoxification of the patient.  This treatment model provides for a relatively safe, comfortable detox and decreases the liability for any physician who treats addicted patients on an outpatient basis.

The Certified Addictions Registered Nurse (CARN) is a private duty nurse who stays with his or her client 24 hours per day for as long as the medical detox requires. The physician / nurse communication can be daily or every couple days depending on the comfort level of the physician and the condition of the client.

The prescribing physician is the lead clinician in treating the patient or client. The nurse monitors vital signs, monitors signs and symptoms of alcohol withdrawal and evaluates the effectiveness of medication management. The certified nurse uses the CIWA scale and COWS scale to assist in the measurement of withdrawal symptoms. The nurse communicates his or her findings to the physician as necessary.

EHD utilizes the client's current physician or accesses a physician to assist in the client's care. EHD prefers to use physicians affiliated with ASAM (American Society of Addiction Medicine) or the AAAP (American Academy of Addiction Psychiatry).

Executive Home Detox has worked with highly reputable physicians throughout the United States.

Alcohol and Opiate Home Detox

Executive Home Detox is an addiction treatment program with a unique treatment model. EHD delivers the most private supervised medical detox possible. A Certified Addictions Registered Nurse (CARN), expert in addictions and detox, manages the alcohol detox or opiate detox from beginning to end. This qualified and expert nurse remains with the client 24 hours a day for as long as the medical detox requires. We actually live with our clients and are available every minute of every day to intervene with the client, to make the client comfortable, and to provide direction and education to the client and family about alcoholism, addiction and recovery.

Alcohol home detox and opiate home detox are the most frequent medical detoxifications EHD provides. EHD has assisted with benzodiazepine, barbiturate, and Zolpidem (Ambien) detoxes as well.

EHD always works with a qualified physician and strongly encourages the client to accept the help of multiple team members to sustain their sobriety after the medical detox. These team members include physician specialists, therapists, group leaders, and sober companions when indicated.

The use of Benzodiazepines in the medical detox process

The use of benzodiazepines in the medical detox process can assist with withdrawal symptoms and can make a person experiencing medical detox more comfortably however, due to possible adverse consequences, the use of benzodiazepines should be monitored by a medical professional. 

Alcohol dependence or withdrawal often require the use of a benzodiazepine or barbiturate to safely alleviate the dependency or withdrawal symptoms. 

Opiate withdrawal can be very uncomfortable and the judicious use of benzodiazepines may allow the person going through opiate withdrawals to tolerate the symptoms long enough for a buprenorphine induction or long enough for a full 4-5 day medical detox. 

Benzodiazepines have to be used judiciously and supervised by a knowledgeable professional because of their own possible negative consequences. Benzodiazepine use can result in addiction and dependency, it can cause respiratory depression, and it can cause confusion, delirium, and psycho-motor impairments. 

Executive Home Detox is skilled with the use of benzodiazepines. EHD uses benzodiazepines, under a physician's supervision, for the medical detox of alcohol and often uses benzodiazepines as a comfort medication for opiate detox. 

Boston Home Detox

Home Detox is the process of going through a medical detox or withdrawal from alcohol or opiates (Oxycodone, Oxycontin, Percocets, Vicodin, Heroin, and many others) in the comfort of your own home. A moderate to severe medical detox should not be attempted alone. Moderate to severe home detox requires some sort of supervision. 

The Boston area has many top treatment facilities and many highly competent physicians. It also has a highly qualified home detox professional available to assist in a home detox from alcohol or opiates. Executive Home Detox (EHD) provides 1:1 In-Home Supervised medical detox. 

A Home Detox supervised by an onsite highly specialized nurse provides competent care and oversight to a process that includes the potential for adverse medical effects. EHD employs Certified Addiction Registered Nurses. Certified by the International Nurses Society on Addictions. The nurse remains with the client 24 hours a day for as long as the medical detox requires. 

This treatment model provides the most private and convenient medical detox available. Detoxification of alcohol or opiates in the comfort of your home. 

Executive Home Detox can be reached at 781 439 2603 or 888 9 detox 9.  

Executive Early Recovery Dinner Group

Executive Home Detox is a unique treatment model. One of a kind in the United States. EHD is used to thinking outside the box. EHD and the O'Connor Professional Group continue to think outside the box by creating an Executive Early Recovery Dinner Group. 

EHD removed the barrier of insitutional care by providing 1:1 in-home supervised medical detox. We are removing the barrier to peer group interactions by sponsoring a "Dinner" group for executives in early recovery. The executives in early recovery will network at a fine dining establishment and participate in a facilitated discussion. This is a weekly group with a minimum committment of 12 weeks. 

This is a link to the Early Recovery Group.  

Home Detox: What is Home Detox?

A Home Detox is the process of going through a medical detoxification while remaining in the home. The medical detoxification is necessary because of physical dependence on a substance such as alcohol, opiates, or benzodiazepines. The person in need of the detox is physically dependent on these substances and may be addicted as well. 

A medical Home Detox can have serious consequences and should only be attempted with medical supervision. A physician can assess the client to determine what medication and / or safeguards need to be in place. A responsible person should be available to stay with the person who is in the midst of a medical detoxification. Ideally a medical professional will check on the person daily, or, in the case of Executive Home Detox, an expert nurse will stay with the client 24/7 and supervise the medical detox while the person is in the comfort of their own home. 

An Alcohol Detox at home may take anywhere from a couple days to 6 days depending on the length of time and amount of alcohol the person has been consuming. An opiate detox at home may take anywere from seven days to fourteen days depending on the desired comfort of the medical detoxification. 

Executive Home Detox is a unique treatment model that delivers the medical detox care to the home. The nurse stays with the client 24/7 and focuses on safety and comfort. 

Opiates include: Heroin, Oxycodone, Oxycontin, Percocet, Roxicet, Roxies, Roxy's, Oxy's, Dilaudid, Hydromorphone, Opana, Hydrocodone, Vicodan, 

Home Detox: We Come to You

Executive Home Detox gets calls from all over the United States. Most callers ask "Where are you located?" Well, EHD is located wherever you live. We come to you.

EHD is based in the Boston, Massachusetts area, however our clients have historically been in the following areas: New York, Florida, Texas, Nevada, California, Minnesota, Illinois,  and Connecticut.

We recognized years ago that a barrier for treatment for many clients is the institution itself. Many clients don't want to enter a hospital or rehab for a number of reasons. These include privacy, convenience, past trauma, and other reasons. EHD removes this barrier by providing an in-home detox.

Home Detox New York

Executive Home Detox recently had an opportunity to work with a highly qualified addictions physician in the New York Metropolitan area. A client in New Jersey needed an expert physician to assist with a Home Detox for opiates and alcohol. Dr. Edward Ratush has an office in Manhattan and is able to travel to areas surrounding Manhattan. Dr. Ratush demonstrated a high degree of expertise in treating our client. He provided a number of options for a medical detox and also provided names for possible aftercare needs.

New York Detox

Private Home Detox

Executive Home Detox recently assisted a businessman. He was on 150 mg of Oxycodone and he was drinking daily. The client was very concerned about privacy.
A confidential medical detox was orchestrated. An expert nurse, a physician with a specialty in addictions, and the client were the only people to know of the medical detox.
The client was fully detoxed from opiates and alcohol in a period of six days.

Private and Confidential

Opiate Detox includes: Heroin, Oxycodone, Oxycontin, Percocet, Roxicet, Roxies, Roxy's, Oxy's, Dilaudid, Hydromorphone, Opana, Hydrocodone, Vicodan, Lortabs, 

Risk Reduction

Sean, a Wall Street executive, contacted Executive Home Detox. He wanted to get off Oxy's - Oxycontin, but didn't want to stop drinking alcohol... could Executive Home Detox do that? Sean was grateful to hear that EHD would work individually with him to reduce his overall risk related to substance use.

Sean agreed to a medically supervised Oxycodone / Oxycontin detox. He also agreed to abstain from drinking during the medical detox to avoid medication and alcohol related issues.  Sean was able to eliminate his opiate use over the next seven days. He is now opiate free and he is following a plan to "control" his drinking. Sean is is daily touch with a clinician from EHD.

Risk reduction is a treatment concept that recognizes the decrease or elimination of one substance will enhance the overall health of a client. The continued use of an abusable substance is a risk accepted by the client. In this case, Sean agrees to monitor his alcohol intake and share this information with a clinician. He is aware he may need to address his alcohol intake if it gets out of control.

Executive Home Detox prefers to address all drug dependencies at the same time, but is willing to work with a client who wants to reduce their overall risk by addressing one substance at a time.

EHD is a private pay treatment alternative for clients who prefer privacy and/ or convenience. A certified addictions registered nurse travels to the client and lives with the client 24/7 for the duration of a medical detox.