Half Is Not Enough

Recently, a poll held in Cincinnati asked the question, “Is addiction a disease?” The responses totaled to just a little less than half of them describing the condition as a disease. The group carrying out the poll was happily surprised; just ten to fifteen years ago, the respondents understanding it as a disease would be somewhere in 5-10%. Much of the public discourse around the subject has been largely formed of myths, biases and miseducation combined with public policy that reinforced those things.

Take for instance the ‘War On Drugs’, an American policy that originated in 1971. The policy treated drug use as a crime, no different than someone robbing a bank or assaulting another citizen because it was believed, even in the psychiatric community as recently as the 60’s, that addictions were the result of a person that was simply ‘psychotic’. Even the term psychotic today carries with it the implication of dangerous. Therefore, it was of a concern for public safety that drug addicts be arrested for purchasing, using or possessing illegal drugs like cocaine and heroin.

The program also included a lot of media proliferation which hammered home the legality of drugs and emphasized that only terrible people would ever think of doing drugs, buying drugs or selling drugs. Programs like D.A.R.E. and the cartoon detective Ruff McGruff were among many messages aimed at children during the 1980’s and 1990’s that were built around this idea of morality and criminal activity associated with drug use and addiction. Those children are now adults and in supervisory and decision making areas of society now, but since then, much has been discovered about the nature of addiction. Effectively, it’s had an effect where not only does it condition people to look down on others who find themselves with a substance use disorder, it makes people suffering from it reluctant through social pressures to seek help.

Even as early as the start of the 1980’s, researchers were not satisfied with the answers science had concluded as to what addiction really is. Those in the areas of medical science which focused on studying the brain experimented with newly available brain-imaging technology which mapped out brain activity began a new search into answers of what addiction is by mapping brain activity of addicts simply being shown images of their favored substance. What they found was that the images were identical as if they had actually used that substance.

Since then, studies by medical researchers, neurologists, addiction experts and other related fields have found piles of evidence that addiction behaves much like a transformative disease such as cancer or HIV, that it is chronic illness that fundamentally changes the body’s performance and behavior. More advanced modern research has uncovered epigenetic changes that occur in addicts, a condition in which the very genetic activity that controls how behavior is carried out in the brain becomes altered in a way that’s measurable.

While the research has still a long way to go in understanding fully the nature of addiction, some early medication-based treatments have been developed with many more likely to be synthesized in the future with greater effectiveness. But this process will be inhibited the longer that the public continues to hold outdated beliefs about addiction.

Addiction is nothing to be ashamed of. Whether you are searching for south Florida alcohol treatment to control drinking, or you’re in need of south Florida detox facilities to help with a severe heroin addiction, First Step Behavioral Health’s south Florida rehab centers can help. Call (866) 319-6126 today.

False Memories And Their Role In Addiction

For decades, if not centuries, addiction has generally been viewed as some type of moral failure or a general lack of personal discipline. In truth, addiction is a form of pain management. The problem is that while medical science can generally determine the cause of most types of physical pain or discomfort, that is not the only type of pain that humans endure. Psychological and emotional damage can create a pain that is every bit a real as a broken arm or a bullet wound, but there are few, if any, tests to discover that type of damage. This often leads people to believe their wounds simply aren’t real, when in fact they are. 

Memories are the internal record we keep of things that have happened to us. The tricky part about memories, however, is that they are not always an accurate representation of what actually happened. Two people can experience the exact same thing and yet later have a completely different memory of it. Memories are actually a compilation of not only events that occurred but also how we interpreted those events. When we misinterpret events it creates something psychologists often refer to as false memories. False memories are often one of the many root causes of drug abuse. Having a false memory doesn’t necessarily mean the event the individual is remembering didn’t happen, it simply means they may have misinterpreted the event as being something it wasn’t. 

Sometimes, creating false memories is a coping mechanism to deal with trauma. For instance, if a child was sexually abused, they may create a memory of always having a lovely time fishing with their father, while conveniently forgetting the part where their father abused them in the fishing cabin. Other false memory examples can include things an individual may have been told that never actually happened. They may “remember” them as memories because they have been told them so many times, but they don’t actually have a legitimate memory of something happening. For instance, if a child is told often that they are bad, they may have memories of themselves being bad, when in fact they never were. They may blow small instances up in their head to be much larger than they were to fit in with the narrative they were told about themselves. It was a narrative which they believed, which became a false memory. 

What causes false memories is generally some type of trauma. In some cases, false memories are the result of negative messages we were given about ourselves and in other cases creating false memories is an attempt to protect ourselves from painful truths. One way or the other, however, the only way to heal is to dig down deep to unearth these false memories and correct them with truth. This is one of the many aims and goals of most addiction treatments. 

If you or someone you love is struggling with addiction in or around Pompano Beach, we can help. Give us a call today and let us help you get started on a path to freedom. 

Studies into Relapse

Arguably the most difficult period of substance use disorder treatment isn’t the process of rehab in a treatment facility, but trying to not relapse after leaving the center. In fact, one of the most common thing patients treated for addictions don’t realize until they’re in treatment is that it is considered a chronic illness specifically for this very reason. The sometimes daily struggle against cravings can be challenging if not outright terribly difficult and claims thousands of recovering addicts a year, sometimes costing them their life. While relapse does not mean that treatment has failed, it is still a responsibility that often goes understated.

The University of Pennsylvania Epigenetics Institute’s Elizabeth Heller, Ph.D. has taken an interest in this part of addiction and why relapse is so common even when all traces and access to the drug is minimized or eliminated. Heller’s hypothesis is that understanding the persistent nature of the symptoms of drug abuse even during abstinence requires consideration of epigenetic changes caused by the drugs themselves.  

Dr. Heller explains, “Without changing the actual sequence of DNA, we have mechanisms in our body to control how and when cells express certain genes. These mechanisms are influenced by changes in our environment, and the process of influencing gene expression without altering the basic genetic code is called epigenetics.” To put it another way, without changing the actual sequence of DNA, there are mechanisms in the body to control how and when to express certain genes which are often influenced by things like the environment.

Heller’s most recent research went into the effects of cocaine addiction in relation to epigenetics. Of note, the FosB gene, an already suspected as responsible in addiction behaviors. The findings of the study showed that cocaine depletes the protein that helps regulate and attenuate response to use of the drug, contributing to it’s addictive properties. In addiction to FosB, Nr4a1 is hijacked by drug use, which is important in dopamine release.

Where this crosses over with cancer research, mice were administered a drug used in cancer treatments that suppresses Nr4a1. The tests revealed that mice who had taken the drug were far more likely to resist the normal environmental cues that normally trigger them to seek and use the provided cocaine. What was noticed more, though, was that the changes in gene expression of both were stronger when the mice were not using the drug, suggesting how and why relapse is so common in chronic cocaine abuse after initial detox and treatment.

As research continues, the specific changes that occur with drug use can possibly be prevented, where one might imagine a ‘cocaine vaccine’ or similar drug resulting from these studies to reverse what cocaine does to your brain.

Before someone can worry about relapse, they require treatment first at centers like First Step in Pompano Beach. Give us a call today to speak with our staff about treatment options.

4 Reasons Employers Drug Test

Many employees and prospective applicants often find the idea of work-related drug testing to be intrusive and uncomfortable. While they understand the concept behind the testing, they often have a negative reaction to it. However, drug testing isn’t just for the benefit of the employer–it serves to create a better working atmosphere for employees as well. 

Drug Testing in the Workplace

Companies often drug test to protect themselves from the legal issues that are associated with illegal drug use in the workplace. However, there are a variety of other reasons that an employer might be conducting drug tests. The following are some of the main reasons employers drug test employees: 

1. Help Improve the Community

In communities with a high rate of drug use, businesses want to do their part and ensure that they are not contributing to the problem. While their employees may show no signs of drug abuse, these companies want to work retroactively to ensure that their staff members are drug free. While some employers might be concerned about what shows up in a urine test, most are just trying to promote a drug free company culture. 

2. Create a Safe Working Environment

Drug use in the workplace by employees creates a dangerous working environment. These individuals may harm themselves, another coworker, their employer, or customers. This drug abuse can lead to on-the-job accidents or even death. When abusing drugs, these employees lack the cognitive abilities to complete their jobs properly. 

While an employer can punish an employee for drug-related actions, if they wait until after the fact, it may be too late. For this reason, it is imperative for employers to be preemptive about drug use in the workplace and actively test for substance abuse among employees. 

3. Build a Strong Reputation

Employers that fail to drug test in an area that has a reputation for substance abuse are essentially enabling their employees to do drugs. A company that doesn’t drug test on a regular basis or at all will become known to the community as a business where anyone with a substance abuse addiction can work. Instead of encouraging these employees to seek treatment, a company that doesn’t drug test is inadvertently supporting drug users. 

This sort of reputation is not conducive to running a successful business, as the productivity and morale of employees will undoubtedly suffer as well. Alternatively, Businesses that make regular drug testing a routine are clearly taking a stance against drug use. This will help to ensure that their workforce is completely drug free and that the company’s reputation remains in tact. 

4. Avoid Legal Issues

When employees abuse drugs, it isn’t just the company’s reputation that will suffer. Oftentimes, a business will be sued if it is found that an on-the-job injury was caused by drug abuse. While an individual employee may be to blame for a particular injury, if the company is sued, the employee won’t legally be at fault. 

In the event of a lawsuit, there will be an ongoing investigation. If the urine drug screen results are positive, the company as a whole will face the consequences. The employer will have to pay the legal fees, damages as reimbursement for the injury, and additional expenses due to the fact that illegal substances were involved. 

Drug abuse in the workplace has serious consequences for everyone involved. Want to learn more about how to deal with employee substance abuse or know someone that is dealing with a drug addiction in South Florida? Be sure to contact us today; we have professionals that are available to answer any questions you may have. 

How Not To Treat Addiction

It’s often an instinct to take what we see at face value with no further informational input. If we see a something that looks like a duck and quacks like a duck, many of us will call it a duck without further thought. The more observant of us will have noticed it’s a man in a duck suit saying ‘quack’ and therefore not a duck. The same goes with addiction. For many people, they simply observe a person’s life seemingly spin out of control all due to decisions they know they shouldn’t be making. It appears as if that person has a moral failing or lack of self control, or simply gets off on stressing themselves out and this is just one more thing they’ve chosen to do in order to get their kicks.

The science, medical and psychological communities will tell you this is not the case and never has been. Unfortunately, there are some institutions which didn’t get the memo. An Ireland addiction treatment facility claiming they use a therapy plan which closely models the Alcoholics Anonymous 12-step program was instituting outright insults as a part of their therapy. The goal was to get someone to retain sobriety by shaming them into it. Unfortunately for them, a study into their history of successful treatments and interviews with current and former patients had a differing idea.

According to an evaluation of their methods and records made by a secondary critical source, it noted many studies which provide there’s no evidence to their efficacy and that ‘furthermore, there are numerous studies citing the harmful effects [of tough love style therapy], particularly in vulnerable individuals.’

Several patients interviewed mention a particularly aggressive session called the ‘Hot Seat’, where counselors would berate, humiliate, agitate and instigate patients, similar to how one sees things like military boot camp depicted, with an overbearing, cursing person in uniform that lets you know that you’re beyond worthless. Some of the sessions would go on for three hours or more, leaving at least one patient ‘hysterical’.

Staff members at the clinic themselves admitted to ‘difficulties with the confrontational approach’, noting that it causes clients to drop out early, and usually the ones that do leave earlier are ones they believe need help the most. Often times, mental illness accompanies addiction, most commonly depression, so it’s little wonder to most people in the field of addiction why the effect would be the opposite of the state goal the facility had.

This does go to show that while much is being learned about addiction, it’s causes, prevention and how to treat people afflicted with it, there are still some treatment centers that will be behind the curve, simply use outdated information or worse, and make problems worse for their patients, even if they don’t mean to. Their particular brand of applying moral failings to a patient thankfully was put to rest. Hopefully the rest of society will understand this doesn’t work on any addicts and that morality often times does not play a role in an addict’s actions because of the their mental illness stemming from dopamine disorders.

Addiction is a serious chronic illness so finding the right drug rehab in Ft. Lauderdale is important. Whether seeking residential detox options or need alcohol treatment in south Florida, calling 1st Step Behavioral Health ((866) 319-6126) can help get the treatment you need.

Overcoming Opioid Addiction

Everyday, substance abuse disorders such as opioid use disorder continue to chew away at individual’s lives and threatens to kill them as it did to nearly 10,000 people in 2018. That’s more than three people per day. Whether the numbers of people finding themselves with addiction either from temporary poor judgment, environmental factors or simply being prescribed the addictive substance, the rate of increase shows no signs of slowing down in the near future.
For many who are suddenly figuring out for themselves that they may have a problem in the form of an opioid addiction, it may be daunting to think about what happens next, but hopefully this short list of actions can help get on the path to sobriety.
First, try to educate yourself as best as you can about addiction, opioids, the current state of treatment, and related information from trusted sources. One resource that can help is the Substance Abuse and Mental Health Services Administration website at samhsa.gov. Understanding your condition and how it’s typically handled by the medical field will alleviate any surprises, while understanding the treatment allows you to ask more informed questions of professionals you might seek treatment from. While it’s safe to assume all treatment facilities want to help, sometimes that help could be operating in a manner that doesn’t include up to date information, or possibly has omitted a kind of therapy or treatment that seems worth looking into.
When seeking heroin drug treatment in Broward, especially for opioids, finding medication assisted treatment (MAT) should be considered a priority. Knowledge of how opioids affect the body have advanced to the point where there are now drugs that have been proven to have positive effects on patients looking to shed their drug addiction.
It is also important to understand that detox, rehab, therapy and treatment are all different things. South Florida detox, for instance, is simply the act of safely removing the substance out of the body. For heavy addictions, dependence develops in the user actually becomes physically threatening to that person when attempting to get clean. Detox manages the physical nature of withdrawal for the safety of the patient, but doesn’t constitute complete treatment. Rehab refers to learning how to live more healthy in the absence of drugs, therapy focuses on behavioral and emotional health and treatment tends to refer to either medication assisted treatment or the totality of seeking help for addiction.
Finally, realize that recovery is not an unattainable unicorn flying through the 5th dimension, completely out of your reach. People overcome addictions every day, including severe opioid addictions that involve heavy use of heroin. As much as addiction can damage your life and hinder your ability to exert control over your actions, it’s never impossible to overcome if you are willing to maintain a positive attitude while getting treatment. Studies show that having a positive outlook on more traditional illnesses and even recovery from surgery can help in recovery because the human mind is, indeed, a powerful force.

If you or someone you know is possibly suffering from opioid addiction or other substance use disorders, call 1st Step Behavioral Health, a south Florida drug rehab center, to speak to a specialist about treatment options.

Shutdown Continues to Threaten Addiction Treatment

It’s impossible to remove politics from subjects like drug and alcohol addiction and their treatment. Government policies often dictate how society handles the problems associated with the illness and often times is also part of funding for those solutions. Government actions have a direct influence on healthcare which is partly why the current shutdown may impact some states like Florida and their ability to fund treatment centers and now may possibly affect specific opioid addiction treatments.

Whatever your politics are, the facts are that this is the longest shutdown in US Government history, now inching close to a month of frozen budgets for a variety of government functions, mostly to do with secondary government operations like parks preservation. Some of that budget funds the Drug Enforcement Agency (DEA) which has been closed for the better part of a month and is responsible for approving the administration of drugs like naloxone by qualified doctors.

Medication Assisted Treatments (MAT) are becoming more and more common for treating opioid addicts as well as for preventing fatalities during an overdose in emergency rooms and treatment clinics alike. Drugs like naloxone can help patients dealing with withdrawal symptoms have relief from the cravings and physical side effects that often come from detox.

For professional physicians who prescribe the drug, they go through the Drug Enforcement Agency for approval to prescribe these medications. For the first year, they are allowed, when approved, to prescribe these drugs to thirty patients for use in MAT. The following year after a follow up review, they may expand to on hundred. With the government shutdown having effectively closed the offices which handle these approvals for the better part of a month, doctors seeking initial approval and those wishing to get the greenlight to treat more patients are both in a holding pattern.

Analyst fear this may have a two fold rippling effect down the line. The first would be that with the increase of opioid usage, fatal overdoses could possibly see a rise as well as patients without the assistance of the MAT with the possibility of rising relapses as well. The second is that once open, the speed with which the doctors will get approved will be slowed down to catch up with the backlog of however long the shutdown ends up being, further delaying the delivery of treatment to those who need it.

As mentioned earlier, the shut down also affects the funding of some clinics and addiction treatment facilities. Annually, federal grants get distributed to subsidize organizations responsible for maintaining public health, with addiction treatment centers being one of them. Depending on how much specific centers depend on that yearly influx of cash to continue running, some facilities could see drastically reduced staffing and housing during the shutdown, should it continue for much longer.

For those who might be affected by this shutdown on the patient side of things, it’s important to stick with your treatment plan as close as possible even if your substance abuse treatment in Florida temporarily closes.. Make sure to have plenty contact information for counselors and sponsors and try to find a place to stay you feel most comfortable and relatively safe from triggering situations and away from easy access to your addictive substance. South Florida drug rehab centers are not expecting to completely shut down, but taking precautions might not be the worst thing in the world.

In the meantime, seeking Pompano drug rehab is as easy as calling 1st Step Behavioral Health at (866) 319-6126.

Battles With Businesses

Employers often times put unreal expectations on potential employees. The questionnaires often have what would be under most normal circumstances questions that sometimes even your parents don’t know the answer to because it’s that personal. One of the largest roadblocks for someone recovering from addiction can face is employment and being honest when answering questions related to drug use and drug related criminal records. But even people who are able to find time off to seek treatment can face a battle with the company they work for simply for going into rehab.

Recently, cases have been taken to court against businesses that enact retaliatory actions toward their employees that have attended or trying to attend addiction rehab treatment centers. A case in Michigan’s federal courts is now being sent to a jury trial after a business lost a summary judgment motion aimed at dismissing a former employee’s Family and Medical Leave Act (FMLA) retaliation and interference, claiming disability and discrimination under federal and state laws. The case may determine for all subsequent interactions that being diagnosed with substance use disorder would constitute a disability covered by the FMLA for the state. Other businesses would also be influenced by the outcome, as well

The case involved an account manager at an HVAC installation repair company who had a history of drug addiction and was terminated days after returning to work while on FMLA leave. She had already faced friction during a company restructure when her new supervisor was given an old email between her and her old supervisor regarding obtaining Suboxone, a medication assisted treatment drug for opioid addicts. In the email, the supervisor questioned  the employee about the worth and cost of the prescription being filled to which the plaintiff disclosed their opioid addiction and the need for the oxycodone treatment. The leave she took which in which she was terminated for was to take care of her sick mother, nothing to do with withdrawal from oxycodone, and was given the reason that her ‘job was being eliminated’.

She’s in the process of suing the employer for discrimination under the Americans with Disabilities Act (ADA) and state law that falls under the FMLA interference and retaliation.

People with substance abuse disorder face a multitude of challenges keeping their condition in check, like all chronic illnesses. Battling employers to even be considered worthy enough to keep a job even after successful treatment can become a stress trigger, creating extremely tough times to deal as not only might someone be dealing with effects of the stress itself on their ability to keep on top of their behaviors, but having to deal with an employer’s treatment of your situation can seem like too much.

Not all addictions are built the same and not all people will be retaliatory supervisors nor will all people find the stress of dealing with one a risk to relapsing. This case, when it is has run its course, may dictate to more businesses how, at least, to handle someone on their staff learning to live with their condition and become supportive of those who have recovered rather than arbitrarily treating them like a sure liability as this HVAC company has apparently done.

If you or someone you know is suffering from addiction, finding a south Florida drug rehab is as easy as calling First Step Behavioral Health at (866) 319-6126.

The REACH Program

Addiction is a mental illness that results in irrational and often self destructive behavior and often is related to substance use. Substance use disorders affect more than twenty million Americans. When seeking treatments, though, representation that can address the needs of patients isn’t as reflective of the population.

Minority groups such as African Americans, Hispanic Americans and Native Americans represent nearly thirty percent of the population in the United States yet within the medical field treating addiction, they have just ten percent representation professionally. The gap in representation has the risk of providing culturally uniformed care or result in discrimination which may not be addressed and can have a negative effect on the effectiveness of treatment and discourage people in need from seeking treatment as well.

In light of the deficiency having been identified, the Substance Abuse and Mental Health Services Administration (SAMHSA) has awarded a grant for $1 million each year for five years to the American Academy of Addiction Psychiatry (AAAP) in collaboration with the American College of Academic Addiction Medicine (ACAAM) in support of a Yale-based training program, Recognizing and Eliminating disparities in Addiction through Culturally-informed Healthcare (REACH). It’s goal, according to Ayana Jordan, MD, PhD and assistant professor of psychiatry at the Yale School of Medicine says, “REACH is an innovative program that will increase the number of addiction providers from underrepresented backgrounds, while also teaching the existing workforce about structural competence and ways to improve outcomes for people with substance use disorders.”

REACH’s methods will involve cross pollination of the medicine community and the psychiatry community in collaboration to provide education and training in addiction treatment areas of of their field. According to Jordan, The grant will provide funding for the recruitment and training among early career trainees, including medical students, residents, and fellows in Addiction Psychiatry and Addiction Medicine.

The REACH program identified the effects of the deficiency in care services offered to minorities and seeks to remedy them starting with the next five years:

  • Social and cultural stigma associated with accessing use treatment
  • Mistrust of the medical system due to historic maltreatment of minority clients
  • lack of healthcare coverage
  • circuitous and difficult pathways to care
  • lower socioeconomic status
  • absence of culturally informed treatment options
  • minority populations seeking treatment from minority professionals

Of the program, Jordan praised the project’s aims, saying, “As a medical director on this project, I am elated that SAMHSA has provided the necessary resources to address the shortage of physicians in the addiction workforce, while also providing a platform for these providers to receive deliberate training in culturally-informed care.”

REACH will also have training for non-minorities about underrepresented backgrounds.

“REACH is an innovative program that will increase the number of addiction providers from underrepresented backgrounds, while also teaching the existing workforce about structural competence and ways to improve outcomes for people with substance use disorders.”

Addiction doesn’t discriminate, though. If you or someone you know is suffering from addiction, or substance use disorder, contact a south Florida drug rehab center like 1st Step Behavioral Health ((866) 319-6126). South Florida detox and residential detox programs can be tailored to the individual.

Tackling The Whole Problem In Florida

With the entirety of the United States experiencing an upswing in drug overdoses across the spectrum of all drugs including alcohol, prescription and illegal substances, Florida’s drug use is also on the rise. A recent CDC report placed Florida at 17th out of the fifty states in ranking for overdose-related deaths which is 17 percent higher than the previous year. For every 100,000 people, 21.5 died in 2017 due to drug overdose specifically, discounting drug related deaths such as heart disease for alcohol or heart failure for cocaine. If the trend continues, by 2019, this number could increase to 59 per 100,000 Floridians.

Chief Strategy Officer Benjamin Miller of Well Being Trust, a mental health and drug abuse advocacy group, analyzed the CDC’s findings along with Trust for America’s Health. According to their findings, the recently implemented prescription tracking of certain drugs like oxycodone and other opioids has had very little effect on the problem. Miller suggests that even though this helps prevent some illicit usage like ‘doctor shopping’, where a patient will obtain prescriptions from multiple doctors for a specific drug, and can help physicians identify potential addicts before their problems escalate into stronger drugs, he believes that other factors should be looked at for a positive change.

“It’s not just about the number of opioids being prescribed…it’s really about social and community factors that are much harder to address,”, Miller said. He further suggested that focusing on mental health care access could have very strong impact on the rate of overdoses through expanding health insurance coverage along with integrating substance abuse care into primary care. Miller then criticized the country’s approach as a whole to the drug epidemic which seems to show no signs of slowing down.

“It’s no simply enough to know people who are dying prematurely to drugs and alcohol, we have to be able to do something so our call to action is pretty basic; that we know there are public policies and interventions that could be done in our communities tomorrow to help with some of these problems.”

Miller outlined some suggestions related to his suggested plan of action:

  • Identifying risks to addiction such as trauma and extreme stress early
  • Implementing awareness programs that educate people on the ties between mental illness and drug dependencies in schools and workplaces
  • Encouraging responsible drug prescription practices
  • Ensuring that doctors inform patients of possible addictive qualities of drugs they prescribe to their patients before prescription and offering alternatives if requested
  • Improving non-drug pain management interventions
  • Expanding the availability of ‘rescue drugs’ such as naloxone
  • Enhancing and enforcing mental health parity laws
  • Opening drug disposal programs for unused portions of medications
  • Implementing ‘whole person’ healthcare within traditional primary care which includes mental health screenings and closer ties with addiction treatment facilities for at-risk and already addicted patients

1st Step Behavioral Health, a substance abuse treatment center in Florida, offers holistic treatment including residential detox. Call (866) 319-6126 to find a south Florida drug rehab near you.