
Question by Danyel: What type of education would I need to become an RN at a substance abuse detox facility?
I am currently going to school for pre-health with a nursing concentration, until I have the requirements to apply for nursing. I would like to be able to work as an RN in a substance abuse facility. I was wondering if anyone could give me any advise as to how to go about doing this? I do not know if I will need to specialize in a certain area in order to do so or not? If anyone could help me out in regards to what to do education wise I would really appreciate it! Thanks!
Best answer:
Answer by MeMeMe
Hi,
First off, good for you for wanting to work in addiction treatment! I’m an addictions counselor and have been working in mental health (mostly suicide prevention) for 7 years and we certainly need more qualified RNs in the field. So I think you will have an easy time finding work once you’re finished with school.
As for your question… To become an RN, you need to go to nursing school. Although I’m sure you already know this. As for specializing in addiction treatment, I don’t believe there are any additional requirements, but it would be good if you have experience working with addicts or at least a greater knowledge of treating clients with addiction. So I would suggest trying to get an internship of some sort with a treatment center in your area. They may not let you do much while you’re in school, but you will be able to put it on your resume. You can learn a lot from observing how things work in treatment. The other suggestion I have would be to take some extra classes that focus on substance abuse. Drug addicts and alcoholics face a variety of special issues separate from the “normal” population you would be working with in a hospital. Most community colleges and some universities now offer programs where you can learn more about these issues. I don’t know where you live, but you may want to start looking for college programs titled “Addictions Counseling” or “Addictions Studies.” Classes you may want to take would be any type of pharmacology, a bloodborne pathogens/infectious disease class, and even alternative treatments to addiction classes. It could also help to take a few classes for addictions counselors like group therapy, individual therapy, or something similar. These will definitely help you in the future in terms of communicating with your clients.
The most important thing I would think an RN working in addiction should have to be educated about is prescription drugs of abuse. Normally when I do an intake on a client coming into treatment, they have been medically prescribed multiple addictive drugs that only contribute to and exacerbate their disease (addiction). Usually these include opiate painkillers, benzodiazepines, and other sedatives and tranquilizers. I had a client once who was on NINE different benzos which she had been on for years, all prescribed by doctors for things like insomnia, anxiety, and even hypothyroidism. This is so egregious and disgusting to me! They were killing her. She obviously had to be medically detoxed for risk of seizures and death from her meds. And needless to say, after being evaluated by our MD, she didn’t NEED any of the pills.
Anyway, I’m rambling. Just excited to see someone wanting to help in the field of addiction treatment. It is rare these days, it seems. But what a satisfying and rewarding job. Good luck to you!!!
Add your own answer in the comments!
The Cairo

Image by dbking
Thomas Franklin Schneider, architect of some 2,000 DC buildings, built the Cairo in 1894 near the edge of Washington City (Boundary Street — Florida Avenue). The 1893 Transportation Building at the Chicago World’s Fair inspired him. Originally the hotel had a ballroom, bowling alley, billiard room, coffee shop, and rooftop garden. It received water from an underground spring. Visitors to the rooftop frequently dropped pebbles to the street below, causing horses to give carriage riders the scare of their lives. This led to the closing of food on the roof after just three years.
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Source: Wikipedia
The Cairo apartment building, located at 1615 Q Street NW in Washington, D.C., is a landmark in the Dupont Circle neighborhood and the District’s tallest residential building.
The 164-feet-tall brick building was designed by architect Thomas Franklin Schneider and completed in 1894 as the city’s first "residential skyscraper". Today, the Cairo is a condominium building, home to renters and owners.
The Egyptian theme of the building is stamped across its Moorish and Romanesque Revival features. Gargoyles perch high above the front entrance; some are winged griffins staring down from cornices, and others are more lighthearted. Along the first floor are elephant heads, which look left and right from the stone window sills of the front windows and interlock trunks at the corners of the entrance arch. On the fourth floor are both dragon and dwarf crosses. The stone facade is carved with an inlaid design that hints at more exotic Middle Eastern origins. The opposing design elements produce a harmony described as follows in the AIA Guide to the Architecture of Washington, D.C.: "for all its quirks, the awkward tower reigns as one of Washington’s guilty pleasures
The building set off the firestorm over building height, and led to the law that has kept most of D.C.’s skyline low. Neighbors demanded a "wind test" be conducted to prove it wouldn’t fall, complained that it blocked their light, and were terrified of fire — no ladder could reach the top. The hotel was known for ballroom and mambo dancing on Saturdays. The room rates in 1953-54 were .00 per day for a single room with a private bath, breakfast was 45 cents, lunch 85 cents, and dinner .15. One resident reported that the last Queen of Hawaii lived in the Cairo while lobbying the U.S. to reclaim her throne.
By the 1960s, the hotel was a rundown brothel, with a telephone operator who listened in on calls for entertainment (the old plug-in switchboard).
A survey of in 1997 showed most residents were American (84%), from 21 different states, D.C., and Puerto Rico; 16% reported being from 11 countries and Palestine, and 42% reported being fluent in at least one other language besides English; 58% speak English only. Altogether, residents reported speaking a total of 15 languages. 65% of owners reported living in D.C. ten years or more.
Today, the Cairo is a condo building and has once again reclaimed its rightful place among the beautifully restored buildings in Washington DC
At 12 floors, the Cairo towers above nearby buildings. At its opening in 1894, the building’s height caused a tremendous uproar among local residents, who dubbed it "Schneider’s Folly" and lobbied Congress to limit the height of residential buildings in the District of Columbia to prevent more "skyscrapers" from being built. The resulting 1899 Heights of Buildings Act has kept the city’s skyline unusually low for an American city.
Around 1900, the building was renamed the Cairo Hotel and became a center of D.C. society, with its ballroom frequently the center of social and political gatherings. Its guests and tenants have included F. Scott Fitzgerald, Thomas Edison, and other powerful political figures.
On March 15, 1897, the deposed queen of Hawaii, Queen Liliuokalani, stayed in the Cairo while she lobbied President Grover Cleveland for compensation for the U.S. overthrow of the Hawaiian Kingdom in January 1893. On February 15, 1905, the Cairo swirled with intrigue when, during a labor union strike, painter J. Frank Hanby fell to his death when the ropes supporting him broke. The ropes were found to have been cut by acid, leading to a grand jury investigation into the cause of death and many high profile articles in The Washington Post. The high society of Washington often held meetings at the Cairo Hotel, such as that between the Woman’s National Democratic League and a Congressman from New Mexico in 1913.
The December 2, 1923 Washington Post contained an advertisement for the Cairo Hotel that read:
The CAIRO HOTEL. Absolutely Fireproof. A hotel which has demonstrated its value in years of service to a discriminating clientele. Retains with bath, per day Rooms with detached bath, per day Two-room suites, per day Three-room suites, per day & parties visiting the National Capitol and families desiring to make Washington their temporary or permanent home, the Cairo Hotel offers exceptional advantages of location and environment, construction and arrangement, equipment and management. – James T. Howard, Manager
In June 1940, a newspaper headline reported "Two Bandits Rob Cairo Hotel, Escape in Chase".
A party held on the night of November 30, 1940, featured 500 canaries singing beneath the chandeliers in the grand ballroom. The building also had a bowling alley and a coffee shop.
In 1954, the Cairo Hotel hosted Sunday mambo parties, played by Buddy Rowell and promoted by Maurice Gervitsch, known as "Groggy". The dances were featured a 12-piece band, and (in segregated 1950s D.C.) had mainly white and Jewish attendance. These glamorous and sensational days lasted into the late 1950s.
The building was sold in 1957 as a 267-room hotel, and on October 12 the new owners announced plans to spend 0,000 refurbishing the structure. In 1958, a fire caused by an electrical short-circuit on the sixth floor led to ,000 worth of damage, but no structural problems.
The Cairo began to decline during the 1960s, when it was inhabited by squatters, prostitutes, drug addicts, student protesters, criminals, and even feral dogs. In June 1964, the FBI tracked a 24-year-old escaped convict to the building.
In 1966, the D.C. Department of Health considered leasing the run-down building for use as a rehabilitation center for alcoholics. After a series of failed attempts at renovation, including a closure on August 7, 1972, the building was restored in 1974 under the leadership of architect Arthur Cotton Moore. It was converted into condominiums in 1979.
At the building’s centennial celebration in October 1994, Ross Elementary school students sang "Happy Birthday" to the building in thanks for a ,000 donation made by the Cairo Condominium Unit Owners Association. Ward 2 Council member Jack Evans read a proclamation declaring it "Cairo Day" in DC. Of the building, he said, "It is a real monument in the area."
The U-shaped building surrounds a Zen stone garden courtyard. The stone front steps lead up through a glass foyer into a marble-floored lobby with Egyptian columns and a lounge. A large mirror and photographs of the building’s construction and other contemporary scenes adorn the lobby’s eastern wall. Two square columns of red-orange marble anchor the space in front of two elevators, which serve the tenants of the 12 floors above. Between the elevators is a stairway that leads down through double glass doors into the central courtyard.
At the two interior southern corners are wide staircases of marble and wrought iron that span the height of the building. Some sections of hallways are marble-floored, and each apartment’s outside door handle is a marble orb. Apartments have exposed red brick walls, and range in size from small studios to multi-level two- and three-bedroom units.
The Cairo is in the center of the Dupont Circle neighborhood, and its rooftop deck provides one of the most expansive views of the District’s northwest skyline. Visible locations include the Washington National Cathedral, Georgetown, the Washington Monument, the Capitol, and The Catholic University of America. It sits three blocks east of the Dupont Circle Metro station, near restaurants, bars, and shops along 17th Street.
On September 2, 2007, the Board of Directors of the Cairo Condominium voted to approve a .1 million brick repointing project. Atlantic Company, a construction and restoration engineering firm, began the brick repair work in November 2007, and it is expected to conclude by April 2009. The company will replace deteriorated, defective, and mismatched brick masonry, remove and repoint mortar joints of all exterior walls, install control joints in certain locations to address wall expansion, and patch and repair exterior stonework. To pay for the construction, the owners of the condominiums were each assessed a special fee – ranging from ,980 to over ,000 per owner – proportional to the size of their units.
On May 29, 2007, a fire emptied the Cairo of its roughly 400 residents. At least nine emergency vehicles responded to the blaze. The fire heavily damaged one of the central units of the tenth floor, and some nearby units were left with water damage. Because each unit is isolated from the others by firewalls, the fire was entirely contained to a single unit.
Brazil Launches Crack Cocaine Rehabilitation Program
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What is Video Game Addiction?
Video game addicts are living with a psychological addiction to playing. This form of addiction is not currently included in the Diagnostic and Statistical Manual of Mental Disorders (DSM) due to a lack of research and evidence indicating that it is a disorder. If it is officially recognized as a psychological disorder, it will likely be placed in the same category as gambling addiction – a disorder involving a lack of impulse control.
When they play, their brains produce endorphins, giving them a high similar to that experienced by gamblers or drug addicts. Gamers responses to questions even mirror those of alcoholics and gamblers when asked about use
Causes of Addiction
The video game addict may start off playing for fun, but get “hooked” on the fact that video games are designed to give players a series of rewards for reaching certain levels while playing. The person keeps playing in order to keep getting this payoff. The video games also allow players to develop relationships with other players, and the video game addict may find these virtual relationships more rewarding than those that take place outside of the game.
Signs that a person has become a video game addict include:
1. Do you neglect relationships with your friends and family to spend more time playing video games?
2. Do you struggle to keep up with your schoolwork and/or professional responsibilities?
3. Have you ever taken a “sick day” to play your favorite game?
4. Do you lie to others about your video game use? Have you ever been criticized by someone close to you for spending too much time playing video games?
5. When you’re not playing video games, do you feel angry or depressed? Do you spend your time wishing you could be playing your favorite game?
6. Do you get so engrossed in video games that you neglect to eat, sleep or shower?
7. Do you suffer from backaches, dry eyes or headaches after playing video games? Have you been diagnosed with carpal tunnel syndrome?
Treatment for Video Game Addiction
1. A therapist or treatment program that specializes in adolescents would be a first place to start. For example, a summer camp or wilderness program will get your child out of his normal environment and into a situation where he is forced to experience reality.
2. Sending a socially challenged child to a rough-and-tumble military or boot camp with highly competitive activities could do more harm than good.
3. Sharing experiences and interacting with other video game addicts could also be an essential part of the recovery process.
4. Video Game Detox, treatment for video game addiction is similar to detox for other addictions, with one important difference. Computers have become an important part of everyday life, as well as many jobs, so compulsive gamers cant just look the other way when they see a PC.
5. With appropriate help and support, a video game addict can learn to stop playing games.
However, therapy involving a young child will usually focus on the parents developing strategies and setting appropriate limits for their child.
Read more Rehabilitation Information http://rehabmethod.com/
Question by Anonymous Anonymous: Why is it illogical to argue that marijuana should be legal because alcohol is more harmful, yet legal?
Is it not reasonable to expect the legal substances to be safer than the illegal ones? Preventing potential harm to oneself/others is the basis for outlawing substances in the first place, right?
Please only answer my question, no ramblings on the topic in general.
Best answer:
Answer by tomusiaka
You should not assume that a substance is less harmful just because it’s legal. There are many legal drugs in pharmacy that are much more harmful to you than marijuana and some other drugs that are illegal. Also, glues and other chemicals that can make you high are legal but they are very harmful to your body.
People who want to make marijuana legal have other reasons, too. For example, there are couple countries where legalizing drugs made people use them less and safer, or that if someone wants to hurt himself, he will do it any other way using any other substance that is legal or just will buy an illegal drug from a drug dealer that potentially could be even more harmful because it is not regulated by the law.
People who don’t want to make marijuana legal believe that making it legal would make a lot of people use it and hurt themselves and others. Hurting others would include families (father got addicted and is not supporting his own family), other drivers (driving when “on high” can be life threatening), other poeple (accidental) and government’s budget (more accidents would mean more filled up hospitals and drug addicts usually can’t afford to pay their medical bills because they spend all their money on drugs).
There are other valid arguments on both sides though but the one you gave is actually not a valid one.
Know better? Leave your own answer in the comments!
recovering pelican feeding theodore al rehab

Image by USFWS/Southeast
Recovering pelican feeding Theodore Oiled Bird Rehab Center
Photo by Tom MacKenzie, U.S. Fish and WIldlife Service June 2, 2010 IMG_4283
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