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Crosstown Clinic Reflective Essay

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Over the last few days at Providence Crosstown Clinic, I have gained a tremendous amount of insight into the field of addiction and substance use disorder. Crosstown Clinic is an addictions treatment clinic with an interdisciplinary team that cares for over seventy clients with substance-use disorder. Clients come into the clinic three times a day and are given either DEM (diacetylmorphine) or HME (hydromorphine). DEM is an addictive drug derived from opium that produces an intense euphoria, also known as “high”; whereas, hydromorphone is a synthetic narcotic analgesic, similar to morphine and heroin. During the first few days, I have learned Crosstown clinic began as a study to assess long-term opioid medications effectiveness, also known as the SALOME trail, to test whether hydromorphone, a licensed medication, is as good as diacetylmorphine, the active ingredient of heroin, at assisting people who suffer from chronic opioid addiction and who are not benefiting sufficiently from other treatments. I was told by the clinic nurse that the test found that hydromorphone is almost the same as DEM; however, clients prefer DEM better since it gives them a longer “high”. I have yet to work with clients with substance use disorder, and I am excited to learn more about alcohol and substance use like alcohol, marijuana, cocaine, and amphetamines. This is my first time being exposed to addictions and substance use. My knowledge is limited to only textbook material. For the last

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