The reward system is a big component of our health care solution. Our practice embrace the position of our founder who stated in one of his books “The Lost Legacy”, “Changes in reward availability in the environment produce changes in patterns of neuronal firing in the nucleus accumbens that alter the excitability of these neuronal circuits. This modulation of neuronal excitability has important implications for habitual behavioral responding. In summary, we suggest that modulation of general behavioral reactivity to known reinforcers is an adaptational process that may play an important role in addiction recovery. Exposure to available rewards decreases behavioral reactivity via changes in dopamine signaling and CREB expression in the nucleus accumbens.
Behavioral reactivity may be clinically modified by altering the prevalence or value of available rewards perceived in the environment or by manipulating dopamine signaling. Additionally, individual variability in signaling in response to available rewards determines the rate at which behavioral reactivity adapts in response to changing environments.
Insufficient adaptation may increase risk of diseases of overconsumption or overavoidance.”90 CREB is a response element-binding protein and transcription factor able to bind to specific DNA by increasing or decreasing the downstream genes.  The significance of behavioral genetics, neurology and neuropsychiatry as disciplines among the clinical neurosciences that focus on the clinical and pathological aspects of neural processes associated with cognition, emotion, and behavior is very emphatic in terms of curriculum development as a training manual.”
Ebelechukwu Elochukwu (2012)
The Medical Director shall ensure that appropriate staff are trained and updated on use, effects, interactions, and potential side effects of medication used by individuals served by the program.
Licensed mental health professionals credentialed by the program shall, as appropriate, provide the following services:
Education regarding medication; benefits and possible side effects and document it.
Evaluate the individual face-to-face initially and at a minimum of every 90 days
Assess for any contraindication to specific medications and document it
Document the rational for prescribing the medication in the individual’s medical record.
With proper consent notify anyone responsible to administer or monitor the medication regimen including the primary care physician.
Alter medications and adjust dosage as clinically indicated; documenting rational for such changes or current prescription.
Order and monitor tests at medically recommended intervals and document results.
Crisis response plan at home, school, work or other settings when clinically appropriate.