Question by Paris: Can someone explain the inpatient rehab “level” system?
My boyfriend is in an inpatient rehab facility because of his drug use and threatened suicide. His mom told me he’s a “level 2” and I can’t communicate with him at all until hes a “level 3.” Can someone please explain what this means and what he has to do to be a “level 3” so I can talk to him again? I really miss him 🙁

Best answer:

Answer by Mattshark
It is a fairly common practice in institutional care to create a level system, although each facility puts its own spin on how it works for that unit. Generally, patients come in at a low level, like a 0 or a 1, and can increase levels depending on several factors. Generally, behavior is an important part of moving up levels, so the patient that attends treatment, stays safe and generally stays out of trouble earns points toward moving up. The other factor is often time. For example, a unit may require you to behave as they want for 24 hours before moving to the next level. Each higher level generally comes with more privileges, so by moving up levels the patient may earn phone calls, unsupervised time, time on the video game, etc. Finally, it is generally practiced in drug treatments in particular that time away from the environment the patient came from is a good idea, so they generally start the lower levels without family or friend contact and then allow it with good behavior and time.

The thing I would want to say to you is that this is probably a good thing, and that although I know it is hard on you, I also know you care about him, and so following the units rules is a good thing all around. Find some way to meet your emotional needs while he is out of contact, such as spending time with your family or friends, take walks, read books, knit, etc. The time will pass quickly enough, and hopefully you will get a boyfriend back who is sober and safe and working on his life in a positive way.

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Question by Sarah: How does Crack Cocaine use affect Diabetes, specifically?
Hi – I’m a Type 1 – insulin dependant – diabetic (have had it for 23 years, since I was 5 yrs old), and I am / have been in drug treatment / “rehabilitation” for crack cocaine and heroin addiction for the past 10 years. Every 3 months, when it is mandatory to see an actual Doctor, rather than just a key-worker, for a so-called “medical review”, when I tell the ‘Doctor-Of-The-Day’, (dubbed so because my treatment centre is SOOO good and consistent that I get to see a new and totally unfamiliar Doctor each and every time!), that I am diabetic, I am ALWAYS, without fail, met with the cliche, car-mechanic style sharp intake of breath, followed by, “Oooo! Well then you REALLY need to be careful of what you’re doing then, in that case!”…. But NEVER an explanation as to WHY, EXACTLY, I, especially, i.e., more than other, NON-diabetic clients need to be SO careful! I have asked, more than once, why diabetics in particular need to be so much more especially careful when using drugs, as a result of the condition, but the Doctors (don’t know why I insist on using a capital D for Doctor, like they’re all God-like or something?!?! but that’s besides the point here isn’t it?, SO…), The ALL the doctors I’ve so far put this question to just fob me off with, “Well, you’re key-worker can/will answer that for you if you ask them another time; I’m simply here to review your prescription and unfortunately don’t have the time to discuss other, non-drug-related matters, at this time.” I.e., I don’t really know, so I’ll use my apparent/imagined importance to avoid the question altogether.”!!!!!!! I think it’s obviously needless for me to say here that my key-workers are just as baffled / ignorant on the subject as I and all the so-called ‘professional’ doctors are, so I still don’t have an answer! I understand diabetes, and I studied Biomedical Science at degree level for one year, so I’m not STUPID and I DO understand how the human body works better than most, so I tried to find the answer for myself using information that is available online – However – Trying to find info’ that explains or describes how crack and/or heroin use / addiction affects a diabetic user, specifically, with regard to their diabetes only, I’ve found is near enough impossible! Everywhere you go, for info’ on “effects of crack cocaine and heroin on diabetes/diabetics” supplies only generic info’ on the drugs’ common (side) effects with NOTHING specific pertaining to how exactly diabetes does, or potentially could, affect or complicate the drugs’/body’s usual interaction / metabolism of the drugs in question. Can someone with REAL knowledge on this subject please tell me why a diabetic addict/user is so much more at risk than a non-diabetic addict/user?!?! I would really appreciate REAL, solid, scientific info’ on this subject rather than simple conjecture, theory and suggestion/personal opinion! Many thanks, Sairra x X x

Best answer:

Answer by Mr. Peachy®
You’ll never catch me capitalizing doctor unless it’s a salutation like “Dr.”, for example. There are a few doctors worthy of respect, but I suspect they won’t be found in a treatment center. At any rate, I have learned (the hard way) that drugs… all drugs, tend to interfere with the metabolism in one way or another. Many of them can either increase insulin resistance or cause excess release of cortisol which causes the liver to release stored glycogen as glucose into the blood. As a type one, the last thing you want is insulin resistance (my particular situation as a type two). It would, in effect, make you “double diabetic” meaning you would have to increase your insulin dose for the same amount of carb intake. Trust me, you don’t want to go there. As to specifically which drugs cause what, I don’t really know as I have investigated myself (a former meth and alcohol user) and found very little specific information on the subject. What I can tell you is this. Since getting off of all drugs (that includes the diabetes drug, Metformin), and learning a lot on nutrition, my life has improved significantly. I would never consider going back. Sorry I couldn’t have been more help, but there just isn’t a lot of stuff available out there. Perhaps this might be an opportunity for you to continue your Biomedical Science education and become an educator on the subject. The more I learn about what drugs do to me, the less I want them in my body. And that includes legal, and especially prescription, drugs

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