About this program – Manage Addiction

Introducing Manage Addiction Lifeline

The Remote Patient Treatment Platform for Managing Recovery from Opioid Addiction

The Manage Addiction Lifeline program is an integrative healthcare program for treating opioid addiction based on the bio-psycho-socio-spiritual model. It combines Medication- Assisted Treatment (MAT), Individual Therapy (IT), Group Therapy (GT), and a Digital Curriculum (DC) to address the complex, multifactorial epidemic of opioid addiction in a comprehensive and evidence-based manner delivered through a technology platform. This 52-week telemedicine treatment program is covered by Optum and Oxford (both under United Healthcare Group) and Aetna insurance plans.

Opioid addiction is among the most frightening health crises our country has faced. It’s a problem that crosses all classes and affects all types of people from all walks of life. The category of opiate drugs includes prescription painkillers and heroin – and the first all too often leads to the latter. In one study, researchers found that more than half of prescription drug addicts started with a legal prescription for a painkiller they legitimately needed. More than half of opiate addicts are women. Most are affluent, educated professionals.

We are committed to helping patients and the medical community achieve better outcomes with greater cost efficiencies in the treatment of opioid addiction which has reached pandemic proportions in the United States. With staggering annual statistics — over 2.1 million addicted, more than 70,000 deaths by overdose last year, over 400 emergency room visits per day, and between 40-60% relapse rates within 90 days of treatment – there is an immediate need to develop more advanced, evidence-based treatment tools.

Depending on patient needs and preferences, we try to accommodate both traditional methods such as in-person patient treatments in a brick-and-mortar office facility as well as modern mediums of delivery such as telemedicine treatments provided through a digital platform (iOS/Android). The Lifeline program connects patients to locally available MAT providers for the first face-to-face visit, a federal requirement. After medical stabilization and initial visit for a medical-and-psychological evaluation, follow-up treatment and care are provided by medical doctors and counselors/therapists, via tele and/or face-to-face format.

Once patients are fully enrolled into the Manage Addiction Lifeline program, they are connected daily, tracked daily, and participate in the comprehensive, medication– assisted treatment protocol. Initially, patients participate in an intensive three– month bio-psycho- social-spiritual protocol, followed by a nine-month recovery/maintenance program that is administered via their Lifeline app, supported by in-office visits for both patients and caregivers.

Patients can engage in weekly video therapy sessions with their physician and therapist, weekly group fellowship video conferences, daily health tracking monitored by clinicians, and interactive journaling shared with their therapist. Weekly curriculum, study guides, quizzes, and empowerment tools specifically developed to treat addiction are also delivered for interaction on the patient’s app. The Manage Addiction Lifeline’s clinical team utilizes a proprietary HIPAA-compliant back-end EMR platform to analyze and assess patient input and provide guidance and directives to the patient on a daily basis.

Manage Addiction Lifeline’s content, methodologies, and protocols were created by Tony Rajiv Juneja, M.D., M.S. Dr. Juneja is triple board-certified in adult psychiatry, integrative medicine, and addiction medicine and has specialized in treating opioid addiction for over 15 years. He developed this program to meet the need for delivery of evidence-based treatment in combating the opioid pandemic and the program is now at the forefront of changing the paradigm and giving all stakeholders a “lifeline” back to an opioid-free life.

The HIPPA-Compliant Patient Treatment Platform Features

The 52-week program of tried and tested “Digital Curriculum” and “Empowerment Tools” specifically designed and developed to treat addiction includes:

  • An interactive “Life Map” Journal, for daily patient entries.
  • Health Trackers for patients to enter daily with customized progress charts.
  • Study Guides and Quizzes for each weekly Unit to assure programmed learning.
  • A Multimedia Library with over 100 articles and videos to educate and inspire.
  • On-demand scheduling of weekly remote Doctor/Patient Video Conferences and In-Office Visits, with alerts and reminders.
  • On-demand scheduling of weekly remote Fellowship Video Conferences, with alerts and reminders.
  • An interactive backend EMR for the Doctor to assess, advice, and provide guidance and directives to patient on a routine basis.

This proprietary, interactive platform is uniquely designed to bring together counseling and technology services to connect patients and their families with high-level addiction professionals. It’s a solution to addiction treatment that is private, HIPPA/HITECH compliant, and supported by state-of-the-art technology, including an interactive EMR.

How The Manage Addiction Lifeline Works

Manage Addiction Lifeline engages the patient and their support system by providing live, private interventions that emulate the power of in-person therapy and counseling. The platform supports these interventions with appointment-based program delivery, alerts and reminders, and on-demand scheduling. In addition, there is a full 52-week program of tried and tested curriculum, empowerment tools, such as interactive life map journaling trackers, and live group fellowship meetings.

Group fellowship sessions, run by trained counselors, will be especially effective at reducing the social stigma attached to having lost control of life due to substance abuse. The presence of other group members, who acknowledge having similar problems, can be therapeutic and provide peer support, which is helpful in developing alternative methods of maintaining abstinence.

Research suggests that online counseling has an advantage over in-person therapy, because the client is more at ease and less intimidated than in traditional settings. Honesty and openness come more easily to patients able to have treatment in the privacy of their own homes. Our technology provides multiple levels of protection, so patients feel secure enough to reveal their innermost thoughts and feelings and able to more comfortably discuss difficult emotions and experiences. In addition, online counseling has shown to be effective for clients who have difficulty traveling to the clinic for their appointments.

The Manage Addiction Lifeline also provides the monitoring of individual data, including all EMR, required to support ongoing modifications to the product offerings and protocols to further improve the outcomes of this population. In addition, data accessibility and system performance have been optimized to power a mobile experience devoid of geographic limitations.

Tony Rajiv Juneja, M.D., M.S. – The Doctor Who Created Manage Addiction Lifeline

Manage Addiction Lifeline’s content, methodologies, and protocols were created by Dr. Tony Rajiv Juneja, M.D., M.S., who is triple board certified in Adult Psychiatry, Addiction Medicine, and Integrative Medicine. Prior to entering medical school, he underwent graduate training in Neurosciences at Northwestern University. He completed his psychiatric training in New York City at St. Luke’s–Roosevelt Hospital Center, a Columbia University Hospital, where he was Chief Resident in his final year. He has also completed a training in psychoanalysis at New York University/Institute for Contemporary Psychotherapy, and a two-year program at William Alanson White Institute of Psychiatry, Psychoanalysis, & Psychology in New York in the area of organizational and system dynamics. He was a graduate fellow of Dr. Andrew Weil’s Arizona Center for Integrative Medicine at the University of Arizona.

Dr. Raj practices adult psychiatry, addiction psychiatry, and integrative medicine in New York, New Jersey, and Connecticut. He is on the Council on Education for the NJ Psychiatric Association. Dr. Raj was also part of the Ocean County, NJ Opiate Task Force, dedicated to reducing the impact of addiction in youth in an area where opioid addiction is at an all-time high. Dr. Raj is the author of You Are More Than That: A Guide to Embracing the Spiritual Being Within and Becoming Fully Human, published by Hay House, Inc. (2013).

At the age of six, Dr. Raj moved to the United States from India with his family and began what he later recognized to be a journey of transition and transformation. His initial desire to become a doctor mainly stemmed from cultural and familial pressures to “do the right thing.” Only much later when he completed his medical degree did he begin looking for real understanding of self. He says, “I realized that self-worth is something we’re born with, and a sense of self-worth can never come from the outside; it must be found within.”

Dr. Raj believes that medication-assisted treatment (MAT) along with dynamic psychotherapy is at the core of a successful outcome. The major goals of his treatment are to 1) prevent overdose deaths and 2) help lead the patient back to a purpose-driven life free from drugs and alcohol. MAT allows the patient with opioid use disorder to successfully deal with the intense cravings and withdrawals that last for weeks, even months, after the initial step of abstinence is taken. Therapy helps patients become aware of psychological conflicts and supports the development of more adaptive coping mechanisms and healthier methods of maintaining abstinence. His treatment plan is tailored to a person’s addiction and their individual needs.

Dr. Raj understands that there have been major advances in online counseling, which has been around for the past 40 years. The US Federal government and the mental health industry have been slow to further the use of online counseling, however. Recently though, the use of online counseling has been validated by the government and most states. Reimbursement of online therapy has grown dramatically in the last few years, as third- party payers find that providing outpatient video treatment services is not only less expensive than hospitalization (even brief hospitalization) but also more effective. In addition, over 20 states now mandate reimbursement for video telemental health services at the same rate as face-to-face therapy and many more states have legislation moving toward a vote.

In Summary

The Manage Addiction Lifeline program offers a high performing, richly featured, and tightly secured telehealth application powered by high quality care in a 52-week integrative telemedicine program.


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