Los Angeles Radio Show Hosts Segment On Addiction

Answers for the Family, a Los Angeles-based radio program helping to guide parents and adolescent services industry professionals to important resources as they face critical moments with their children and/or clients, hosted two segments on addiction treatment with Inland Detox COO Kenneth Corioso. During the nearly hour-long program, host Allen Cardoza discussed many aspects of treatment with his guest, including gaining access to treatment, the importance of each level of care, and cutting-edge treatment methods. Some of this time was also spent discussing the best way to help those who are in need of treatment for drug or alcohol addiction.

To listen to the segment: http://www.latalkradio.com/sites/default/files/audio/Answers-010217.mp3

For more on Answers for the Family: http://answersforthefamily.com/

A transcript of the segment follows.

ALLEN CARDOZA, ANSWERS FOR THE FAMILY: Welcome to another edition of Answers for the Family. I’m your host Allen Cardoza and my co-host Dr. Matt Polacheck is still on vacation but he will be back next week which is something I’m really looking forward to. Now for those of you that have been listening, sending in questions and comments, I want to take this time to really thank you. It is such a great part of the show and is much appreciated so keep it up and please continue to spread the word that every Monday from 11:00 a.m. to noon Pacific Time. This show will bring you special guests that can inspire educate and in some cases entertain while bringing answers and options to making your life happier, healthier and more successful. Now this show will address a lot of subjects. It will address issues such as locating a runaway teen, family crisis intervention, building self-esteem, dealing with addictions and so much more. We will introduce you to talented authors and innovations in the areas of health, security and fun for you and your family. Now with our experience at working with families in crisis we’ve been fortunate to meet and work with some of the top professionals in many of the Helping fields who are all working to make this world a better place for all of us. Now our topic today and it’s an area that it’s all over the news. I mean it’s something that we really all need to be paying attention to and that has to do with addiction. And we’re going to be focusing on kicking alcohol and drug addiction. Now according to the National Institute on Drug Abuse, from 2001 to 2014 deaths involving heroin increased by six fold. Think about that for a minute. Also deaths involving benzodiazepines. Well there we go. Benzodiazepines increased fivefold, deaths involving prescription opiate pain relievers show a three point four fold increase, and cocaine deaths increased by 42 percent over the same period. And that’s the same National Institute estimates put the cost for this. The costs to our nation that are related to either crime last work and the health care costs are staggering. Now this particular statistic also takes in tobacco. But the abuse of tobacco, alcohol and illicit drugs is costing our nation more than $700 billion annually. And you know this is broken down but I mean really alcohol from health care costs it’s estimated at 25 billion. And overall when you take in productivity crime and such as 224 billion dollars for illicit drugs it is estimated that the overall cost is one hundred and ninety three billion dollars. Now what do we do about it. Well according to Psychology Today, naltrexone is an opiate antagonist but has been approved by the FDA for the treatment of narcotic drug and alcohol dependency since the mid 90s. Now it’s a drug that blocks the opiate receptors in the brain and prevents opiate drugs like heroin from binding to the receptors. The result of which is the patient does not experience a high when using these substances. Now our guest today to discuss this is Kenneth Corioso who is the owner and chief operating officer of Inland Detox, Inc. It’s a residential subacute non-medical drug and alcohol detox facility serving those in need of executive level alcohol and drug detoxification. They’re located on eight acres in the Temecula Valley and the detox program is a starting point towards lifelong sobriety. Kenneth, welcome to Answers for the Family.

KENNETH CORIOSO, COO, INLAND DETOX: Thank you for having me.

CARDOZA: Well it is it is great to have you on. It’s certainly a topic that we are all seeing. Because of the fact that we’re starting off a new year we’ve seen a lot of things out there in the news some of which is going back and showing which celebrities have died and many of which unfortunately have been due to drug overdose so it’s something that is fresh in our mind and something that unfortunately we’re all seeing everyday. So tell us a little bit about how you see the opiate epidemic and how it’s manifesting itself in the lives of Americans today.

CORIOSO: I see them in a much different way than many people might see it. I’m not sure how people might perceive it. From what I understand a lot of people think it’s just a substance of abuse. Now people will do whatever they can to get their hands on it. But I see it differently. I see young people who have sports injuries. I see people that are middle age getting into a car accident and instead of just getting through their work they just continue to get prescribed opiate medication and then they eventually get hooked on it. And when they’re cut off they go to the streets for illicit drugs such as heroin or anything else. See it’s not just affecting people that are stereotypical drug abusers, youth or people that are poor, it’s hitting every layer of society, people from every economic bracket and the use of it is pervasive – it’s being sold in schools in pill form, it’s being sold on the street. And unfortunately the prescription variety of opiates are far more expensive than the street version of heroin. So if you cannot get it from a doctor, if you cannot get it prescribed, then many of the people who have the actions will just go to the street and get it.

CARDOZA: And when they go to the street obviously they’re not getting something that is measured correctly, it’s not something that a physician or a psychiatrist has felt that he has the adequate amount for that particular person. Share a little bit about that, why is it that this is happening and what can we be doing about it. It’s happening this way.

CORIOSO: There’s no other way to deal with this. I don’t think the country has come to grips with how to really tackle this problem. People can prescribe pain medication in large doses. They can buy it in pill form but it’s far too expensive. So oftentimes they’ll resort to taking heroin like you said, if not pure. You don’t know what’s in it, could be laced with other drugs to increase the potency of a weaker form of heroin, something like fentanyl which on a very small dose is lethal. So the problem that you have is a lot of people or middle age people that are addicted to prescription pill medication, they go to the street. They don’t know what to do with it. And they’re entering a different world creating different problems for themselves on trying to solve. So the behavior just more criminal, leads to even more problems. This exacerbates drug use. It’s really just an unfortunate never ending cycle.

CARDOZA: So a lot of people I was discussing this topic as I was reading up on it, I was at the gym and a woman that I speak to from time to time there told me a story that was heartbreaking and especially as I was over the holidays and we’ve been talking about some very positive things and she asked about the show. And she shared with me something I didn’t know and she said that that that her son – her adult son – had passed away from a drug overdose. And it’s very close to what it is you’re describing and what she described was the fact that he had been in a car accident. He had a good job. I mean he was working in corporate America but he was in a car accident and he was taking pain medication and that after he was supposedly healed, insurance company said OK we’re not going to be paying for this any longer. And he said that or she says that the pain came back. And as you’re saying he went out and he found inexpensive drugs on the street to continue to deal with the pain and we don’t know exactly why or she said she doesn’t know exactly why but he ended up overdosing and again we don’t know if it’s because it was laced with something else or if he took too much of it. But he is. Is this the example that you’re referring to?

CORIOSO: Yeah it’s absolutely one of them. I mean it’s terrible. It’s like I said in the beginning it’s not just about the common conception that people have – drug addict, drug addiction – it’s not that the opiate epidemic is real. It’s no longer just affecting people that are poor or living in inner cities. It’s something that’s affecting people of every walk of life. And you have to ask yourself why and the only conclusion I come to potentially that it’s overprescribed potentially that when people are addicted to it one of the problems that they run into like you’re describing is that insurance companies will stop paying for it after a period of time, perhaps the people are being monitored was increasing when they voluntarily increased their own dosages. No one really knows. So it’s something that just not very closely monitored.

CARDOZA: Maybe that is one of the ways that these can change is if…

CORIOSO: When opiate medications are prescribed the patient is more closely monitored. What does that really mean? It means higher costs. And unfortunately that’s another problem with the drug and alcohol treatment industry. The problem is access. Honestly if you don’t have good insurance many people are turned away from it.

CARDOZA: Well let’s talk a little bit about some of the cutting edge things that you’re doing or that the industry is doing to try to fight this. And one of the things is the Naltrexone. Tell us a little bit about Naltrexone.

CORIOSO: Naltrexone is an opiate blocker. It’s been around for a very long time. FDA approved in a form since the 90s. It goes under the brand name Vivitrol when it’s injected. And lately we’ve seen people – multiple parties, multiple providers – offer something called a naltrexone pellet which is – they take naltrexone and they send it to a compounding pharmacy which puts it into a pellet form that’s slowly released over the span of three months to 12 months and it can block the effects of alcohol. So what does that really mean, does it mean it’s a cure? Absolutely not. It really doesn’t address craving all that well frankly. If you take it, it just makes the feelings of opiates or alcohol that feel dulled. So you may feel fatigued, tired, but you’re not going to get the same pleasurable sense that you would if it was in your system. It is one can do in conjunction with many others. So it’s not a magic bullet but it’s something that’s effective. Some of the problems that people are having is that the pellet which is long lasting may not be covered by insurance. Also, injectable is very expensive. And lastly the problem with the Naltrexone pill is that it only lasts for a day.

CARDOZA: So well that’s exactly what I was going to ask when you said long lasting, define long lasting.

CORIOSO: If somebody has had it implanted it will be effective for three months to a year depending on the instructions that a physician gives to a compounding pharmacy. So it can last a very long time. But one of the problems that people have had in the past with Naltrexone is the voluntary consumption of it on the part of the patient. So if you’re dealing with addiction which is not just a physical problem – it’s also a social and emotional, psychological, spiritual problem. Just dealing with the physical aspect of it is going to stop you from wanting to take drugs and alcohol.

A half life of 12 hours or 24 hours, it’s not good enough to help people solve their problems. So looking for things are going to last longer like the injection or the pellet – injection lasts for 30 days. Those are things that can help people and if you can get people to be sober for a year, let’s just say if you can help someone get to that year mark, they’ve got a really good shot at putting the problem behind them. So if you go back and see a doctor once every 30 days in conjunction with psychotherapy, you’ve got a much better shot at remaining sober long term than if you were to try and do it on your own or take a pill that lasts for 24 hours.

Naltrexone is something that’s under utilized. It is something that can help people but I do want to stress that it’s not a magic bullet. It’s not a cure it’s just one thing that can help people get over that hump that may be under utilized.

CARDOZA: Now I’ve heard from some that it is used in some jail or prison systems. That seems like it makes perfect sense to me so share with our listeners. I mean if it is being used, how it’s being used that way and I mean it seems like a no brainer when you are in a position where you have that kind of leverage. You know if you have the kind of leverage of essentially you’re not getting out of here you know until you or it’s a choice, OK, you can do five years for the crime that you committed or you can take this and be out of here in a year or in six months and take it before you leave. So there’s another six months or a year that you will be that this drug will be operating in your system. Is this being done? And if not why?

CORIOSO: I’ve heard that this is actually happening. I read an article a little while ago. I believe the title was a thousand dollar shot that can end addiction being used in America’s prison system. And they were talking about Vivitrol. They’re using it from what I understand in some locations, not everywhere. They’re using Vivitrol as a means to curb heroin addiction in jails and prisons. It’s something that they’re using as a carrot and stick – take this and we’ll let you out earlier.

I really don’t know. All I can say is that I think it’s promising that America’s prisons and jails are looking for ways to help end addiction. But I also think it’s sad. And the reason why is jail shouldn’t be places where we try and heal people from addiction. We should try and do that before they get there. And if this was more open to the public, regular access was better, perhaps not as many people would have to detox in jail or prison.

CARDOZA: And unfortunately we have a government that doesn’t seem to work really well in regards to preventative. They seem to focus more after the fact rather than before. But again I completely agree with you. But at the same time it seems like it would really make a lot of sense to at least start doing it in those settings. But I think there’s another component that that would make a lot of sense also and that is for them to have to check in with programs like yours so that if we have a situation where rather than then checking in with a probation officer. OK that’s great you checking with the probation officer but why not have them to where they have to check in with a program like yours so that there is the follow up, not just taking the pill but all of the other things that are done from a psychological standpoint to make sure that they don’t fall off the wagon so to speak.

CORIOSO: I totally get it. I think one of the historically has been that funding for programs like that. So we’ll talk about the difference between Medicare or Medi-Cal rates and private insurance rates. One pays out more, it pays out bigger. Well the unfortunate reality of treatment today is that it’s difficult to run a high-quality program when you’re being paid their bottom Medicare, Medi-Cal rates and unfortunately a lot of people that are coming out of America’s prisons and jails just do not have the right kind of coverage.

So again it’s an access issue. I think that’s great to do that. I think that would be a wonderful thing to do but I think one of the things that will solve this problem, more than everything else, will be providing everyone access to quality health care no matter who they are. Because if you’ve got a very small percentage of the population that can afford these cutting edge treatments and a large percentage of them that can’t, I don’t see the problem changing.

CARDOZA: Well. Unfortunately you bring up a great point. You know are there any statistics out there. In other words I went on line, I pulled up some statistics in regards to some of the costs of what it’s really costing us and has anybody really sat down and looked at the difference between the two?

So in other words if somebody sat down and said, look, we’re going to need another $700 billion to be able to to provide what we need to to help these people. To provide whatever the combination of drugs and treatment is necessary and then be able to come up and say, look, there’s where the money can come from because it’s costing us that anyway but it’s doing it in a very negative way whereas if we can become proactive the reality would be that we would be able to reduce that number because the fewer that there are the numbers are going to continue to reduce. So I think that we have a problem with focus and looking at things longer term even when they say that we can’t afford it. Would you agree with that?

CORIOSO: I do. I think that people right now, most people, they make decisions about what is important right here right now. What can I do about the right here right now is that the cost of treating that is staggering. I think you touched on this a lot of different ways. This is just a problem of overprescription or fraud or overconsumption of them really. And it’s a problem of education, prevention. The problem of acceptance and access to health care. So maybe the reason why some of these studies may not be conducted is because people fear that the price would be staggering. Now if you compare that relative to how much it costs us every year to deal with these problems. A comparative study might be something that’s good but what is really going on with that change study or action. I agree, but I’m saying that you probably need to have the statistics necessary to get the action. I just I don’t know that anyone has done it yet. I think that would be a very ambitious study and it would take a lot of people and a lot of time. Not to say that it wouldn’t be worth it, of course, it would be especially to give action based solutions and academic teeth to it.

CARDOZA: You know that will be a wonderful thing but I haven’t I haven’t seen it yet.

CORIOSO: Well I hope it comes by you and me both.

CARDOZA: We just got a couple of minutes before we’re going to take a break. Go ahead. Can you walk us through a little bit let’s – and I know there’s no such thing as quote a typical patient or typical client but it take us through sort of how someone if they’re being admitted into Inland Detox, take us to a little bit of an idea so that somebody that’s out there listening that may go, you know what, that’s me or that’s my spouse or that’s my adult child or whatever. Walk us through something that is somewhat typical of course.

CORIOSO: Typically we get a call from one or two parties either suffering from addiction. In both cases oftentimes people don’t know exactly what’s the first step to take and they may call a residential rehab that treats people 30, 60, 90 days. If that’s the case, then they’ll do an assessment with someone on the phone and that person who performs that assessment will decide – I think you need to go to a detox first or you don’t.

Oftentimes if your drug of abuse is alcohol or benzodiazepine anti-anxiety medication or heroin they’ll prescribe that you go to a detox first. Because with severe alcohol withdrawal and severe benzodiazepine withdrawal you can actually die with opiate withdrawal.

But you’re going to feel like you want to. And one of the discharge criteria that we have for a person going from detox to a residential treatment or rehab that you see on or you think about on TV that that person can sit and have a discussion for 30 minutes without being agitated and upset, feeling like they want to crawl out of their own skin. You know because they’re withdrawing from substance abuse. So I think the typical person that comes to us is one that literally can’t be using drugs because they’re afraid of the withdrawals, the pain of the withdrawal is so great that they just continue to use. So that is the typical person that comes to us and our job when we get them to help them get through that difficult period. And they stay with us typically seven to 10 days. Once they’re done with us, we help them get into that 30, 60, 90 day program.

CARDOZA: OK well you know what we’re going to take a break. And for everybody out there please stay with us and when we come back let’s talk a little bit about how long that takes I know that the time frame has changed over the years. So again for everybody out there Stay with us. We’ll be right back. You are listening to Answers for the Family.

And we’re back. You’re listening to Answers for the Family. Our guest today is Kenneth Corioso and the subject is kicking alcohol and drug addiction. And we’re talking a little bit about detox now. Kenneth, you were giving a little bit of an explanation about detox. Share with us a little bit about how long that takes these days as opposed to what it used to maybe 15, 20 years ago.

CORIOSO: It takes about seven to 10 days. It may have taken longer in the past. I think the reason why it may take more tools that both psychologists and psychiatrists and medical doctors use. So it could very well be that a combination of drugs can help people get through that period of time without having the significant side effects. So prior to administering benzodiazepines in a taper form for alcohol withdrawal, someone may have had to go through just cold turkey with the pangs of it. And that is very, very scary. It’s very, very painful and it’s life threatening.

I think the difference between today and the past is that there’s a lot more medical professionals that are knowledgeable about how to taper someone off safely of illicit drugs and alcohol.

CARDOZA: And the reason I bring that up is again if there’s somebody out there and they’re listening they may be believing some old myths. They may be believing the myth of many years ago where it is, the term you use is cold turkey. So to be able to share. Number one that it is not, that it doesn’t take as long as they may have been told by somebody else years ago and that it is not as painful because of the fact that there are now better ways to do it. There’s better ways to medicate, there are better professionals working with them to be able to keep it from being something that they may have been told years ago that that now scares them.

CORIOSO: Sure. Cold turkey is a terrible way to go for almost any drug but I think one way to help people to detox successfully and get into treatment is for those treatment providers themselves like detox facilities and medical practitioners and long term treatment providers who have the same type of degree of velocity to collaborate with each other. So for example the philosophy of the detox is that we really don’t want people leaving our facility a long term maintenance program. We’re actually trying to get people to stop using and not switch one drug for another, heroin for methadone for example. I’ve talked to people from methadone and I’ve talked to many people that have been on their own and had to do a detox from it. And the universal story that I hear is that detoxing from methadone is worse than detoxing from heroin. So there’s a lot to be said for trying to get people clean and sober before they enter rehab. And that’s what our goal is, our goal is to make sure that whoever comes into us no matter what they’re taking – unless medically advisable they continue – they leave our program clean and sober with the least amount of medication in their system so that they can go on to their next level of care and that care provider understands how we’ve treated them, what our philosophy is, and that philosophy message meshes with ours. So I think the story of success a successful story a lot of people out to collaborate with each other and that’s not an easy thing to do.

CARDOZA: Yeah and I agree that you want to stay within the same structure, if you’ve worked with someone you have them set up in that structure. I know it’s the same thing with dealing with with youth. They go into a structure, they learn that structur,e staying consistent with that is is very important for their overall success. And we have a question coming in. And again this one’s coming in via e-mail. And again I want to thank everybody that takes the time to do this. I’ve had many people many of which that are teachers that have said that they they work in the middle of the day so they can’t listen live so they’ll send in a question on a particular subject. This one comes in saying my god son who has an alcohol addiction problem was recently placed on naltrexone and he told his parents that it gave him headaches and he always feels sluggish with little energy. The doctors haven’t been very helpful as they want him to stay on the drug unless the conditions worsen. What is your experience and if it doesn’t improve, are there any alternatives that you would suggest there?

CORIOSO: Yeah it can make you feel sluggish. I’ve read that it can give you stomach problems including diarrhea. If that’s an issue for him he can talk to his medical provider.

There are other medications you can take. There’s also Antabuse for alcohol which makes you very ill if you try and ingest it. So there are things you can do. I think the reason why a drug like Antabuse aren’t taken anymore, many people realize that relapse is part of the process of ultimately becoming sober long term. And no one wants to get sick. So Naltrexone doesn’t have as many side effects. If you were to drink you’re not going to get violently ill per se. There’s another potential medication. I would talk to your medical provider about alternatives and ask him if that is one of them.

CARDOZA: How do these other ones have the implant capability? That seems to make the most sense to me something that you don’t have to rely on them taking it.

CORIOSO: Every day or every week we’re in that one as far as in terms of a person saying, I don’t know what the FDA approved injection that lasts for 30 days is positive because it requires that you go back to see your provider of care; the pill, you have to be very diligent. You have to voluntarily take it every single day and that may not be as effective. So I don’t know if I can say something that can be compounded into a pellet that would be released over time. That’s another question for a doctor or a county pharmacist.

CARDOZA: Gotcha. And so again for this person that sent this question in, one of the things that they may want to find out is for their god son, is hegetting a monthly injection. And if so maybe a implant pellet may work better or vice versa. So but again I agree with you. Go back to their  physician and have them take a look at it and see what works best.

So let’s talk about aftercare. That was a huge thing that I was concerned with for many many years because it appeared as though as an industry there was not a really good after care system set up and which now goes back over 30 years. I’ve seen as time has come we’ve gotten much much better in regards to that. So what do you feel is the best way to help people after they have completed their detox?

CORIOSO: Sure. It’s a really good question and I think a lot of the answers are going to vary that you’ll hear from a lot of professionals. But I think most professionals would agree that length of care, length of stay in a program to higher and better successful outcomes. So if someone goes to detox like I said previously they may be instructed to do up to 30, 60, 90 day rehab level because that rehab upon assessment of that particular client knows that this is an individual that is presenting with all kinds of psychological and or physical problems that render them inappropriate for admission. So they would come to us for seven to 10 days. Then they would go to rehab residential 30 to 90 days after that. Typically speaking in the best of worlds they’d find an outpatient program. They live at home or they live in a new town or city where they found a job and they go to that outpatient program one to three times a week are not residential anymore. They’re living at home they’re living their life when they’re done with that outpatient program. Maybe they see a therapist for a year, two years, maybe the rest of their life. Whatever it takes and every time you step down in a level of treatment from detox, rehab, intensive outpatient, outpatient therapy with a one on one counselor that you see. I think it’s fine but long term it’s not something that goes away overnight. It’s not something that goes away because you take naltrexone and it’s not something that goes away because you go to treatment for 30, 60, 90 days. That behavior pattern, your ideology that drives you towards addiction. That’s a long term solution.

CARDOZA: Yeah and I think you bring up a great point when you talk about you know continuing on in possibly for the rest of your life which doesn’t necessarily have to be a bad thing. I know that times have changed so much I know today there are there are apps out there. There are groups that are AA or in related groups or similar types of groups to where they are setting up functions as far as drug and alcohol free functions where people are going out and it becomes an entire community. And now because of of apps and and world wide communication there are people that if they are moving from one area to the other they can go and the app will introduce them to a group wherever they’re going so that they can have those people that they feel comfortable with, those people that are going to be there and maybe see the signs of them starting to slide a little bit and provide the support necessary. So yes I think you’re absolutely right when you bring up the point of  make it a lifestyle, make it something that you’re going to take with the rest of your life and there’s not the stigma that there once was, there isn’t this I have hide under a rock and I can’t share this with anybody. So I think all of those things have helped and it’s provided out there we just need people like yourself and others out there that are helping to spread the word that it is out there. Help is out there at whatever stage you need there is somebody there to help.

CORIOSO: Absolutely. And by involving yourself in an outpatient program once you’re done with, let’s just say residential rehab where you may travel to for example our facility treats people from all over the country. They fly to us from every state you can imagine. Even out of our country. So the important thing is to take away from that is there are different things that you can access online to find continuing care. But a lot of these outpatient programs that are local, the health providers, the care providers there, they’re going to know that network of places for people to go to get to socialize to network to do things that are regular normal fun. Involve yourself and community. So I think that’s one of the reasons why going from detox rehab to outpatient long term is good because you’re going to reintegrate with people that know these networks very very well. So if you stop at the level of the talks which is very very specialized you’re not going to get what you’re what you’re talking about you’re not going to get it reintegrate with a group of people that understand that have been through what you’ve been through. You just won’t. So that’s why getting people through this continuum of care is very important.

CARDOZA: I agree. We have an instant message coming across. This one reads: Our father is a functional alcoholic. We have been asking him to get treatment for a year or more. He is finally open to the discussion after his doctor said that he has now compromised his liver. We will be listening to the replay of the show this weekend. And I was hoping you might explain how this treatment and the naltrexone works for those who are in their late 50s. And is it safe for individuals his age who have other physical conditions like his liver?

CORIOSO: I think that’s a really really really good question. And frankly in my opinion age doesn’t matter. And the reason why is because you see people from all spectra of age who have done significant damage to their organs. So one of the most important aspects of a quality detox or quality rehab problem program is that they go to a medical doctor, they get a full liver and kidney panel, a full blood work up so that the medical doctor who’s overseeing that program understands exactly what’s going on with this individual so that they do not prescribe if it could interact with it. So for example, say it is something that is metabolized in the kidneys. So if you’ve got significant kidney problems one local doctor wouldn’t want to give that to someone.

And I think the important thing to note is that at any age (you can) have significant problems, you’re dealing with someone who is in their 50s with liver damage. I think going to a detox or making sure that whatever rehab program this person is going to they’re going to see a doctor who’s going to do a full liver and kidney panel and host of other labs to make sure that the medications that they’re prescribed won’t interact negatively. So that’s really the takeaway. Make sure wherever they send him, quality labs are done, good lab work and everybody knows what’s going on and who probably won’t have these problems.

CARDOZA: Well you know that question actually reminded me of a situation where we were working with a family and and the father got extremely upset when it was suggested that he go into treatment by his entire family. Now that’s in those situations share a little bit in regards to confidentiality. I know that the father was upset with me and until I explained to him that you know the company that he works for has a program set up. And there is complete confidentiality and share a little bit about that so that the person that’s out there listening is thinking well if I do that I’m going to lose my job or if I do that everybody’s going to know. Share a little bit about that so that they understand that that that isn’t necessarily the case.

CORIOSO: Well first of all I’d want to say that I sympathize. I really do. No one who’s dealing with these issues wants the public to know, wants their family to know, wants their employer to know.

Often for men their employment is one of their greatest senses of pride and accomplishment sure and being outed like that of course it’s going to you’re in frustration because you’re a devout man you know.

So I think it’s important for people to take seriously an intervention and take seriously the confidentiality of that person because if you drink socially, to a lot of different people what’s going on with someone who was teetering on going to treatment or not going to treatment, it’s most likely going to backfire. So working with a quality intervention is something that can help but there are labor laws that protect workers from being fired for seeking treatment.

CARDOZA: And I think if you call around and you talk to different interventionists or rehabs, they can help the family get what steps to take to make sure that this person doesn’t get fired for doing what they’re supposed to do, namely seeking out help when they have a medical problem.

CORIOSO: Well and that is the key right there is seeking out help.

CARDOZA: Now if anybody needs to get in touch with you if somebody is out there they’re seeking out help. What is the best way for them to get in touch with you or to get in touch with your company?

CORIOSO: They can call us at our toll free number 888-739-8296. Or just go to inlanddetox.com.

CARDOZA: OK you got it. Thank you so much Kenneth I appreciate you coming on. It’s a huge subject for anybody out there if you’re driving if you need to get more information. All of this information will be on our Web site Answersforthefamily.com. Again Kenneth. Thank you so much for sharing.

CORIOSO: You’re welcome. Thank you very much for having me.

CARDOZA: All right. And for everybody out there please be sure to tune in next Monday when we will be joined by Allen Hamilton M.D. author of lead with the heart lessons from a life with horses. And if you missed or want to share our show with your friends please visit our archives of past interviews at Answersforthefamily.com. You may also subscribe or resubmit your name to download a free copy of the attitude of gratitude journal your 21 day guide to achieving the quality of thankfulness through self-discovery. And I highly suggest for anybody if you are starting off the new year if you’re starting off the new month if you’re starting anything in your life this is a great way to do this and it’s something you can do with your entire family and the next time you’re on Facebook or Twitter. Please remember to stop by our page and check out some of our latest posts if you like them please like us and continue to spread the word. Thank you for everybody be good human beings and be with us again next week on answers for the family.

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