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Drug Treatment At Home Can Be More Effective And Cost Less Than Residential Rehab : Shots - Health News : NPR

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. Hannah's mother, Lois Berkowitz, says the program is intense at first. But as Hannah built coping skills the supports faded into the background. "It's not like they're doing the work for the addict," says Lois Berkowitz, "they're just basically taking them by the hand and saying, 'Here are the places you need to go that will help you. And I'm going to go with you to start, so it doesn't feel that uncomfortable. And then we're going to let you fly.' " Before they "fly," Aware clients have a pretty long runway. The treatment lasts for a full year. Benefits worth the initial cost, insurer says 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's only available to private-pay clients and people insured through Anthem health insurance in New Hampshire and Connecticut. Anthem became the first insurer to pay Aware, because the treatment is based on hard science that's yielding solid results for clients, says Dr. Steven Korn , Anthem's behavioral health medical director. Science and results are rare in addiction treatment, he says. "There are old, old notions that have hung pretty tough," says Korn. "When I was young — when I was in training — as soon as substance abuse was mentioned, the response of physicians was, 'Well, go to AA. That's not our problem. We don't treat that.' " For a year of treatment, Anthem says it'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.

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