COUNSELING & TREATMENT SERVICES
specializing in addiction recovery
1820 Water Place SE #250 Atlanta, GA 30339
Success Tangu has experienced significant success in its treatment programs. We
Tangu, Inc. is CARF accredited, DBHDD Certified multi counseling service and a Georgia State Licensed Outpatient Substance Abuse Program that has been providing quality affordable substance abuse service in Atlanta, Georgia since 1994. The Outpatient Programs are staffed by two ASAM Certified Physicians as well as Licensed Nurses, Licensed Psychotherapists, Licensed Counselors & Social Workers, Certified Addiction Counselors and Therapists. Tangu offers Intensive Outpatient, Relapse Prevention, Transitional Housing services and an Outpatient Ambulatory Detoxification program and specializes in opiate addiction detoxification and treatment. Tangu also provides drug prevention awareness education services to persons involved in the Municipal and State Court systems whom have DUIs or other minor substance abuse related offenses. In addition, Tangu provides treatment for co-occurring disorder (substance use disorder and psychiatric disorder), and mental health treatment services. Services Tangu provides substance abuse services to abusers who use multiple drugs i.e. alcohol, crack cocaine, marijuana, prescription drugs, amphetamines, heroin, designer drugs and domestic violence prevention. Tangu’s Program Services are culturally sensitive and appropriate for all cultural groups regardless of race, religion, color or gender. The innovative programs and services offer many adults, youths and families opportunities to begin drug and violence free lives. Tangu also offers a unique and specialized program to provide substance abuse treatment services to geriatric senior citizens. Tangu’s newest programs offer treatment services for co-occurring disorders and mental health treatment services.
provide a very detailed level of care to those in need of substance abuse, mental health, domestic violence/anger management and a variety of other types of counseling. Tangu Day/Evening & Saturday Outpatient Program average an 80% completion annually. The overall rate of completion shows Tangu’s ability to successfully assist clients to better themselves and become productive members of society. The growth Tangu has engaged in demonstrates the ability to increase the previous rate of referrals and expand. This expansion will without a doubt open doors to freedom and a new beginning for those who complete the designed treatment plan and/or other programs offered at Tangu.
The name TANGU is Swahili, which means New Beginning. We provide and engage affected individuals and families in the healing and recovery process.
BREAKING THE CHAINS OF ADDICTION 1820 Water Place SE #250
Atlanta, Georga 30339 678-213-1620 tangu.org
Family groups and workshops provide a great opportunity for clients and families to engage into the healing process from addiction and mental health illnesses.
Tangu, Inc. provides counseling and treatment services for youth, adults, and families. Tangu was founded in Atlanta and has been serving the metro Atlanta russian order communities since June 1994. The company initially operated on a part time basis and has evolved into a full time multi-service program. Treatment for the entire family is an essential component for all of Tangu services. Tangu offers family therapy sessions, education groups and Tangu weekly multi-family groups offer support and education for clients and their families. Tangu family services are offered during and after treatment. Family groups and workshops provide a great opportunity for clients and families to engage into the healing process from addiction and mental health illnesses. Tangu encourages recommends that family members make every effort to participate in family therapy, multi-family groups and other services available to families and custom essay uk clients. Research supports that family involvement in client treatment produces family healing and an improved treatment outcome for the client.
EVERY DAY IN EVERY WAY, I AM GETTING BETTER, BETTER, AND BETTER.
Call Us 678.213.1620 1820 Water Place SE #250 Atlanta, Georgia 30339
Why Don’t They Just Quit?
Hope for families struggling with addiction. tangu.org
SAMHSA PUBLISHES BEST PRACTICES ON MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER Best Practices
Treatment Improvement Protocol 63, “Medications for Opioid Use Disorder,”
reviews the use of methadone, naltrexone, and
buprenorphine, the three FDA-approved medications to treat opioid use disorders.
Data indicate that OUD-treating medications are both cost effective and cost beneficial
The Substance Abuse and Mental Health Services Administration has published new guidance to help health care professionals better understand medications that can be used to treat Americans with opioid use disorder (OUD). Treatment Improvement Protocol (TIP) 63, “Medications for Opioid Use Disorder,” reviews the use of methadone, naltrexone, and buprenorphine, the three FDA-approved medications to treat opioid use disorders. TIP 63 provides guidance for health care professionals and addiction treatment providers on how to appropriately prescribe these medications and effectively support patients using these medications for OUD treatment. “We know that people can and do recover from opioid use disorders when they receive appropriate treatment, and medication-assisted treatment’s success in treating opioid use disorders is well documented,” said Dr. Elinore F. McCance-Katz, assistant secretary for Mental Health and Substance Use. “TIP 63 emphasizes that increasing access to medications to treat opioid use disorder will help more people recover, enabling them to improve their health, living full and productive lives.” TIP 63 is part of SAMHSA’s larger response to the opioid crisis. More access to treatment with OUD medications is critical to closing the gap between treatment need and treatment availability and an important public health strategy. Data indicate that OUD-treating medications are both cost effective and cost beneficial.
We get scared when dad takes drugs. I don’t think he loves us anymore.
Patients who wind up in emergency rooms because of drug use have far more types of drugs in their systems than the standard screening test used by hospitals is catching, a new study has found.
While the drug epidemic has focused on opioid use, two-thirds of patients who ended up at two University of Maryland Medical System emergency rooms in 2016 had multiple drugs in their systems — up to six were found in some urine samples. Emergency rooms tend to use a basic urine test that, like a pregnancy test, turns colors when it detects certain chemicals in drugs. The test is quick and inexpensive, but detects fewer than a dozen drugs, including opioids. The tests don’t detect drugs such as fentanyl and oxycodone, both of which have contributed to record overdoses across the country. Knowing what drugs a patients has taken can help doctors better decide a course of immediate treatment, as well as follow- up treatment such as rehabilitation, said doctors from the two emergency rooms and researchers from the Center for Substance Abuse Research at the University of Maryland, College Park. “We need to know the drug trends to know how to help people,” said Dr. Zachary D.W. Dezman, an attending physician in the emergency room at Midtown. Urine samples were tested from 106 patients at Prince George’s and 69 from the Midtown campus. Patients in Baltimore tested positive mostly for marijuana and fentanyl, a highly potent synthetic often added to heroin without users knowing.
The results highlight the complexities that exist in the current epidemic, said principal investigator Eric Wish, director of the Center for Substance Abuse Research. In some cases, dealers are mixing drugs without the knowledge of users. Many of the patients whose urine was tested misinformed doctors about what they had taken. “It used to be [drug users] didn’t want to admit what they were taking,” Wish said. “In this age they don’t know what they are taking.” Maryland’s drug-related deaths increase for seventh straight year, reach all-time high in 2017. “People are like walking drug stores now, there are so many drugs in their system,” Wish said. “A lot of the treatment now is focused on opioids. The important thing for the medical and treatment community to know is they are using far more than opioids.” Lawmakers and public health officials need to know the extent of fentanyl use to help reduce it, he said. “The emergency room is a place from which you can launch those public health efforts,” he said.
AFTER THE RAIN COMES THE RAINBOW
TANGU COUNSELING & TREATMENT SERVICES We’re here for you when you need us! Call (678)213-1620 to schedule an appointment.
1820 Water Place SE #250 • Atlanta, Georgia 30339 | tangu.org
THE FAMILY NEEDS TO
IN ONE’S RECOVERY FROM ADDICTION
Addiction is not simply a weakness. People from all backgrounds, rich or poor, can develop an addiction. Addiction can happen at any age.
Addiction is a brain disease. • Drugs change how the brain works. • These brain changes can last for a long time. • They can cause problems like mood swings, memory loss, even trouble thinking and making decisions. • Addiction is a disease, just as diabetes and cancer are diseases. There is hope... and we’re here to help. We can help you manage your addiction... through medication based treatment and counseling.
What is addiction and why do scientists believe it is a treatable disease? According to the National Institute on Drug Abuse, when a person can’t stop taking a drug or drinking alcohol even if he/she wants to, it’s called addiction. The urge is too strong to control, even if he/she know the drug is causing harm. When people start using drugs or drinking alcohol, they don’t plan to get addicted. They like how the drug/alcohol makes them feel. They believe they can control how much and how often they take the drug or drink. However, drugs/alcohol change the brain. People start to need the drug/alcohol just to feel normal. That is addiction, and it can quickly take over a person’s life. Drugs/alcohol can become more important than the need to eat or sleep. The urge to get and use the drug or to drink can fill every moment of a person’s life. The addiction may replace all the things the person used to enjoy. A person who is addicted might do almost anything—even lying, stealing, or hurting people—to keep taking the drug or drinking alcohol.
Tangu strives to provide excellent counseling and treatment services to all impacted by alcoholism and/or other drug addictions, mental health, marital & pre-marital counseling, individual, relationship, family and couples issues.
1820 WATER PLACE SE #250 • ATLANTA, GEORGIA 30339 | TANGU.ORG 678.213.1620
The harsh reality is that opioids are killing thousands of people in this country, many of them young people
State legislators focused on opioid addiction treatment and prevention in schools and prisons Thursday while reviewing bills that would both use medications to thwart overdoses and assist in recovery. A bill making its way through the Legislature would require all schools with grades 9 to 12 to have policies for training nurses on how to administer naloxone. The schools would also have to keep a supply of the medication ready. “The harsh reality is that opioids are killing thousands of people in this country, many of them young people,” Assemblyman Vincent Mazzeo, D-Atlantic, bill sponsor, said in a statement. “Narcan has been proven to save lives. Having it readily available in schools can help ensure that our schools are ready to respond in every emergency situation.” Several South Jersey schools, including Millville, Mainland Regional High School, the Egg Harbor Township School District and the Ocean City School District, already have such policies in place. As of 2017, New Jersey ranked eighth in the nation for drug overdose deaths among people ages 12 to 25, according to the national nonprofit Trust for America’s Health. There have been an estimated 654 overdose deaths in New Jersey since Jan. 1, according to the Department of the Attorney General.
The bill would require that nurses be taught how to use the anti-opioid drug and have a prescription standing order for naloxone to keep it in supply. There were more than 14,300 uses of naloxone in the state last year, state data shows. If passed, the law would also provide immunity from liability for school nurses and other employees when an opioid reversal is performed. Nearby, members of the Assembly Health and Human Services Committee reviewed a bill sponsored by Assemblyman Herb Conaway, D-Burlington, that would require state correctional facilities to offer inmates naltrexone and naloxone just before their release. Naltrexone, known by its brand name Vivitrol, is a type of nonopioid medication- assisted treatment (MAT) for a substance-use disorder. Studies have shown medication-assisted treatments like naltrexone, methadone and buprenorphine have successfully been used to reduce relapse rates and help people maintain recovery from opioid addiction. Vivitrol completely blocks the euphoric and sedative effects of opioids. Recipients often need a monthly shot of the medication administered by a medical professional.
At John Brooks Recovery Centers in Atlantic City and Pleasantville, Vivitrol is just one medication-assisted treatment offered to inpatient and outpatient patients, but it is coupled with counseling and other treatment education. Alan Oberman, CEO of John Brooks Recovery Center, said that while the bill looks well intentioned, giving one shot of Vivitrol, which costs about $1,000, to an outgoing inmate without follow-up or counseling only buys that person about three or four weeks of sobriety before they may use again. “It’s more than just giving an injection, which at least requires a nurse to do it, and many outpatient programs in the community don’t have medical staff there to do it regularly,” he said. While methadone and buprenorphine are MATs that have been on the market for some time, Vivitrol is relatively new. John Brooks and the Atlantic County jail teamed up last summer to create the state’s first mobile methadone program for inmates. Oberman said they now offer inmates Vivitrol, but they haven’t yet had any takers.
THERE IS LIFE AFTER ADDICTION
TANGU COUNSELING & TREATMENT SERVICES (678) 213-1620 1820 Water Place SE #250 Atlanta, GA 30339
One of the most significant, relatively new tools to help people recover from drug and alcohol addiction is peer support specialists, an idea that originated in the mental health field but has been adopted by the addiction recovery community.
The role peer support specialists play is somewhat similar to that of 12-step group sponsors, with some differences. The Substance Abuse and Mental Health Services Administration (SAMSHA) defines PSS as specialized assistance that is delivered by a person in recovery from a serious mental illnesses, substance use, or co-occurring mental and substance use condition, before, during, and after treatment, to facilitate a recipient’s long-term recovery in the community Adults receiving addiction treatment who also participated in peer support groups reported that the peer support helped them develop behaviors that increased the likelihood of long-term recovery. These behaviors included reductions in substance use, improved treatment engagement, reduced craving, and increased self-efficacy. Further, those who received peer support also reported reduced HIV/HCV risk behaviors. Medicaid is the main payer for peer support services, although many state departments of behavioral health offer grant funding for these services. Currently, 39 state Medicaid programs cover peer support services for either individuals with mental illness, individuals with addiction disorders, or both groups, according to the website OpenMinds.com. But few states are using their Medicaid programs to fund peer services for addiction recovery, at least not through Medicaid. Back in 2007, the Centers for Medicare & Medicaid services encouraged states to start funding peer support as a part of both mental health services and substance abuse treatment. While more than 30 states have started paying for mental health peers, only a handful pay for peers to help with addiction recovery.
If a state Medicaid program covers peer support under the fee-for-service benefit, the health plans providing coverage in that state are also required to cover those services. Some states have special provisions that allow them to only cover peer supports for limited groups of individuals, such as those enrolled in managed care. Some states also allow peer support specialists to act as qualified health care professionals for certain types of behavioral health services, but do not allow for the specific reimbursement of peer support services. According to Open Minds.com, a comparison of Medicaid fee-for-service reimbursement rates for selected states found a wide variation in reimbursement. Group rates for a 15-minute period ranged from less than $2.00, to over $5.00 and individual rates ranged from $6.50 to $24.36 per 15 minutes. Comparatively, average peer specialist compensation was $15.42 in 2015 (see National Survey of Compensation Among Peer Support Specialists). According to the International Association of Peer Supporters, the peer support specialist workforce has been growing and expanding since Medicaid established funding for these services in 2007. A majority of states have developed training and certification standards, and research has continued to expand and support the evidence base for these services. One of the traits that makes peer support specialists different from sponsors is that
they are trained, certified and paid professionals.
HELPING TO PUT THE PIECES TOGETHER
678-213-1620 It’s Never Too Late...Call For Help NOW!
Bring your self to life.
It’s time to discover a new form of yourself a new
path for yourself one that reaches well past the
impulse of the moment. It’s time to wake up in a
world of self-made character of self-determination.
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