dynamic. Unlike purely therapy-based mechanisms, it does not need extensive individual supervision. Therapy-based methods are only viable in resource-rich environments. That is not possible in rural neighborhoods, due to sparse populations and even more spread out addict populations. The logistical difficulty of implementing labor and capital intensive therapy-based systems is the reason why there is the more preferred MAT approach. Disadvantages of Adopting and MAT ApproachWhile there are manifest advantages after using the MAT approach, there are also disadvantages to this mechanism. The discussion in this section will juxtapose the three drug-based approaches previously discussed. The two treatment approaches available are currently in use by the National Institute of Drug Abuse (NIDA) are short-term residential treatment (STRT), and long-term residential treatment (LTRT). The approach that this policy paper adopts is unique because it is novel and situationally adapted to far-flung rural communities. Comparing LTRT and MATLong-term residential care is particularly effective because the patient is under monitoring twenty-four hours a day. One of the most well-known mechanisms is the therapeutic community model (TC). The institutions that offer this remedy create communities that are residential for an average of six to twelve months. The communes ‘resocialize’ the addicts back to conforming to society while using intensive medical interventions, something that is different from the psycho-social realignment (Jewell, Weaver, Sgroi, Anderson & Sayeed, 2013). They are better than this suggested approach because there is quantifiable data to show a reduced rate of recidivism. Unlike purely MAT methods, the LTRT approach treats the damaging beliefs, behavior loops, and social circumstances that enabled the addiction in the firstplace. Technology-assisted MAT approaches place all trust in the individuals’ social support structures as
8 Running head: ADDRESSING OPIOID ABUSE IN RURAL CALIFORNIA supported by the basic social security amenities available in those areas. Thus, it is harder to quantify the outcomes from this method. Comparing STRT and MATSTRT is less intensive compared to LTRT methods. It is often employed when dealing with early-stage opioid addiction. It is a more adaptable way of dealing with opioid dependency because it is alreadyin use in reforming individuals already interacting with the criminal justice system. Gordon, Kinlock , andMiler point out the success of the approach the Southern states of the nation, especially in urban areas (2011). Therefore, one can see that this approach triumphs over the remotely-monitored MAT approach inquestion. The only difference in recommending a purely Mat approach is that it takes advantage of the stronger socio-cultural ties present in small-town rural America that are identical to homogeneous communities in urban settlemnts (Mao, 2017).
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