53 28TH ANNUAL CRIME PREVENTION GUIDE ADDICTION TREATMENT continued continued Residential: Care provided in a live-in treatment centre, 24 hours a day, 7 days a week, involving intensive, structured treatment activities. Most often used by people whose alcohol or other drug problems are long-standing and complex. Withdrawal management centres: Sometimes called detox centres, these are places where people who are physically dependent on alcohol or other drugs are helped to withdraw safely from them. They can be in different settings, including hospitals, residential centres and non-residential centres. Continuing care: Care provided post-treatment to support recovery and help maintain healthy changes. Can include different activities such as peer support groups, continued use of addiction medications and specialized supportive housing. Addiction therapy and counselling Therapy and counselling is the most common form of treatment for alcohol and other drug use problems. It can be delivered in many formats including to individuals, couples, families and groups. The most common formats are individual therapy, which involves meeting with a therapist or counsellor one-on-one; and group therapy, which involves meeting with a therapist or counsellor and other clients who share similar problems in a group setting. Structured treatment programs These intensive programs have a structured daily schedule of addiction treatment and activities. Treatment can include group and individual therapy, education about symptoms, social skills training and treatment planning. Addiction medication There are several addiction medications that can help people who are addicted to alcohol or to other drugs.The most commonly used are medications to treat alcohol addiction and opioid addiction (e.g., prescription painkillers, heroin). If using addiction medication, the best results are seen when they are combined with counselling and other supports. Your family doctor can assess if an addiction medication might be helpful for you. All the medications described below require a prescription and continued use should be supervised by your doctor or by a trained and licensed/registered healthcare provider (this can vary by province and territory). Medications used to treat opioid addiction Buprenorphine/naloxoneis a pill that combines both buprenorphine and naloxone, and is an opioid medication that has a lower risk of overdose. Buprenorphine replaces the physical effects of the opioid to which the person is addicted, while the naloxone is added to prevent misuse. Methadone is a medication that lessens the symptoms of opioid withdrawal, reduces cravings, and blocks the high feeling of other opioids. It can be used for medication-assisted therapy. Methadone maintenance therapy is generally used for people with a long history of opioid use who have been unsuccessful with other forms of treatment. Methadone is a powerful medication that, if misused, can lead to overdose — it should only be taken while supervised by a doctor or other licensed/registered healthcare provider who is trained and licensed to prescribe it (this can vary by province and territory).