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Alcohol Program

Destiny avatar
Written by Destiny
Updated this week

Congratulations on taking this journey to a healthier, happier you. Whether your goals are to cut back, manage, or eliminate alcohol — you're in the right place.

This guide is meant to help you understand everything that is available to you throughout your journey — who your care team will be, what the program entails, how to use the app and everything you will need to know about medication, if you choose to explore medication options.


What are my next steps?

  1. If you haven’t already, download the Pelago app from your app store. The app will be used for your entire journey.

  2. Enable Notifications from the Pelago App in your phone settings (instructions below in App Guide)

  3. Become familiar with the App:

    1. Locate where and how to chat with your Counselor

    2. Begin tracking by checking-into the app everyday and adding to your personal insights

    3. Read through the content in the Library and utilize our tools as needed


Sometimes, it can feel like you’re on an island — we get that. But you’re not alone.


Program Overview

Convenient and personalized

Let us work around your schedule. Our program is fully virtual, delivered via a convenient app, meaning you can achieve goals at a pace that works for you.

100% confidential

Get peace-of-mind with a completely anonymous and confidential program. Only you and your personalized care team will know you’re in the program — not your employer.

Cut back or get treatment

Achieve your individual goals with a personalized treatment program (and industry-leading success rates to boot).

Kind to your wallet

Save money by getting the best treatment for your substance use. Whether you’re looking to cut back or stop entirely, our program is free to you and covered by your benefit provider.


General Overview

  • Individual Counseling

  • Text Chat Support within the Pelago App

  • Flexible + personalized behavioral therapy program based on the principles of Cognitive Behavioral Therapy (CBT)

  • Evaluation by a licensed health care provider for medication, if needed. And ongoing medication management visits

Important Safety Information

Do not attempt to abruptly stop drinking alcohol prior to speaking with your Pelago Provider. Alcohol withdrawal can be dangerous and potentially life-threatening. Alcohol detox should only be attempted under close medical supervision. You will work with your Pelago Provider to determine a safe course of treatment that will be tailored to your individual situation and needs.


Your Personal Care Team

Counselor

Our Counselors provide highly trained guidance and support via in-app video/audio and chat messaging throughout your journey. Your counselor is someone you will meet with regularly or as often as you need. They will provide support when you need it, facilitate your conversations, help you set goals, and create a plan to stick with.

Member Support Team

Our dedicated member support team is available to resolve your needs as they arise. This team can assist in any app issues, prescription questions, and scheduling needs. They are committed to ensuring you receive the best support possible. Our team is available by email or phone. Hours: 8am - 8pm EST | members@pelagohealth.com |‪ 1-877-349-7755

24/7 Care + Support Hotline: 1-855-699-6741

To ensure that you will have access to care at all times, we also offer a complimentary Live Care Hotline, available 24 hours a day, 7 days a week, to all members.

If you find yourself in need of support after hours (8am-8pm EST) please call our Hotline at 1-855-699-6741

Healthcare Provider

Your Healthcare Provider is a qualified Physician or Nurse Practitioner who will help to facilitate the medication portion of the program, if you choose to include this option in your journey. You will meet with them regularly over video to receive ongoing medication support.


Cognitive Behavioral Therapy

What is Cognitive Behavioral Therapy (CBT)?

Cognitive behavioral therapy (CBT) is one of the most common and best studied forms of therapy. Pelago content is designed with CBT in mind.

The basic principle is always the same: what we think, how we feel and how we behave are all closely connected – and all of these factors have a decisive influence on our well-being.

What can I accomplish from CBT?

  • Changes in thinking patterns

    • Learning to recognize one’s distortions in thinking that are creating problems

    • Using problem-solving skills to cope with difficult situations

    • Learning to develop a greater sense of confidence in one’s own abilities

  • Changes in behavioral patterns

    • Facing one’s fears instead of avoiding them

    • Learning to calm one’s mind and relax one’s body

  • Through conversations during sessions as well as “homework” exercises outside of sessions, members are helped to develop coping skills and learn to change their own thinking, problematic emotions, and behavior.

Not all CBT will use all of these strategies. Pelago members will work with their Counselors to develop an understanding of the problem and to develop strategies and goals to success.


Breathalyzer

As part of the Pelago program, members are provided with the option to receive a free breathalyzer, mailed directly to your door!

The breathalyzer is a tool used to track insights and set goals along your journey. It also a safe gadget to keep on hand to keep yourself and others safe.

How to use the Breathalyzer

  1. Press and hold the power button to turn the device on

  2. As it counts down from 5, take a deep breath in

  3. Blow steadily for 6 seconds

  4. Stop blowing when the beeping sound stops

If you choose to track your results, we suggest completing a breathalyzer test every 30 days and see if you notice any changes or differences over the course of a few months.

You can either track data in the breathalyzer's corresponding app called BACtrack (links below) or share your insights directly with your Counselor and they will track it in your Member Profile.

For further instructions and details on the Breathalyzer, you can access the information online below:

FAQ's + Troubleshooting

Why was my blow not detected?

This can be because you are blowing too hard, too soft or not for long enough. Make sure to blow steadily into the breath sensor for 6 seconds. Press the power button to restart the countdown cycle and retest.

Why do my results seem unexpected/inaccurate?

Make sure to wait at least 20 minutes after drinking, eating or smoking before testing. Not observing this waiting period can cause inaccurate readings and damage the sensor.

Why are my results not showing up on the screen?

You are not in Standalone mode. Hold the power button for 7 seconds to switch modes.


Medication - Assisted Treatment (MAT)

Medication-Assisted Treatment is the use of prescribed medications, in combination with counseling and behavioral therapy, to aid in an addiction recovery process.

Please note: this option is not applicable to everyone's journey and all members have the choice to opt-in or out.

How does it work?

  • The medication prescribed for MAT works by blocking certain pleasure receptors in the body that are stimulated by drinking alcohol.

  • MAT is proven to be effective in reducing the risk for binge drinking and, when used in conjunction with counseling and behavioral therapy, can help sustain long-term recovery and support in maintaining sobriety.

  • MAT may also include additional medications to help manage side effects and the symptoms of alcohol withdrawal as needed.

How do I get started?

In order to be prescribed medication, members must virtually meet with a medical provider to be evaluated accordingly.

During the first appointment, if a Pelago Provider finds it necessary to prescribe you medication, you will receive your first prescription. During this appointment, you will work together to develop a treatment plan that is right for you and will have regular check-in’s to evaluate how everything is going.

Your initial order of medication may be sent to your local pharmacy. Moving forward, your prescriptions can be shipped directly to your door in a 1-3 month supply, please let your Provider know what you prefer.


Naltrexone®

Naltrexone is the medication we use to treat members. In short, the medication binds to the endorphin receptors in the body and blocks the pleasurable effects and feelings of alcohol.

By blocking the pleasure response to alcohol, naltrexone reduces alcohol cravings and the amount of alcohol consumed.

Once you stop drinking, taking naltrexone may help you have a better relationship with alcohol, or help you stop drinking altogether, if that is your goal.

Please contact Member Support or your counselor to schedule an initial appointment with a Provider if you’d like to learn more.

How do I take naltrexone?

  • The typical dosage for naltrexone is 50mg (1 tablet) by mouth every day.

  • Depending on your individual needs, your medical provider may prescribe something different. Always adhere to their instructions.

  • If you take other medications or start a new medication, please check with your medical provider first before taking your naltrexone.

Potential Side Effects

You may encounter side effects such as nausea, sleepiness, headache, dizziness, vomiting, decreased appetite, difficulty sleeping or other complaints while taking this medication.

Typically, medication side effects are temporary and will resolve within a couple of weeks as your body adjusts to taking the medication.

If you are experiencing side effects that are difficult to manage, your provider may suggest reducing the amount of medication to half a tablet daily, or even ¼ tablet daily until you are able to tolerate a higher dosage.

Please discuss any medication changes with your medical provider first.

Before Starting Naltrexone

Let your medical provider know immediately if you have any of the following:

  • Current liver problems, use illegal drugs, have hemophilia or other bleeding problems, have kidney problems, or have any other new or worsening medical conditions

  • Are pregnant, plan to become pregnant, or are breast-feeding

  • Are currently taking any opioid-containing medicines for pain, cough, colds, or diarrhea

  • Currently being treated for an opioid use disorder

  • Are allergic to naltrexone or any of its ingredients


Important Information

Assessing Emergency Care

If you are experiencing any thoughts of self-harm we encourage you to contact the National Suicide Prevention Hotline at 1-800-273-8255, where you will have access to a trained professional to receive immediate support.

If you find yourself in an emergency or urgent care need, we encourage and recommend that you contact your local emergency or crisis department (911).

Additional Member Resources

Your overall health and wellbeing is top priority. If you find yourself in need of additional resources outside of Pelago, our Member Support Team is dedicated in helping you find those resources, either virtually or in-person in your local area.

Some examples of these resources can include things such as mental health support, financial + career support or basic needs (housing, food, etc). Please let your counselor know or email us directly at members@pelagohealth.com.

Providing Feedback

Your experience and feedback is very important to us. If issues or concerns arrive, you can speak directly to your counselor or contact support.


Account Information

Your Member Account

Your Member Account is your medical record while you are receiving care. Please ensure that your contact information is always current and up to date to ensure your prescriptions and/or program supplies are sent to the correct address.

If your information and mailing address changes, please let your Counselor know or send an email to members@pelagohealth.com

How to Request Medical Records

To request any medical or appointment records, please email our Member Support Team directly at members@pelagohealth.com

In order to release any records, members are will be required to electronically sign a Release of Information form documenting a consented release.

How to Delete Your Account

To formally remove your record and end access, please send a data deletion request to our Privacy team at privacy@pelagohealth.com. This ensures your information is deleted securely and in accordance with our privacy protocols.


Navigating the App

Home

Your Home Screen will contain your key actions, depending where you are in your journey. Here you can do your check-ins and track your progress, or access the most relevant CBT content.

Counselor

Access the chat function to reach out to your counselor.

Insights

The Insights Tab is a goal setting tool and visual reminder of your journey overtime.

Library

Find CBT content and craving exercises here. Packs are short sessions focused on CBT. Go through this content at your own pace and revisit it whenever needed.

Troubleshooting Tips + Tricks

  • Ensure the app is always updated to the latest version available. If your smartphone is not set up to perform updates automatically, you will need to manually update the app by going into your app store, search for "Pelago" and there will be a button labeled "UPDATE." Tap the button to update the app.

  • Always try closing and relaunching the app.

  • For video calls: ensure that your internet connection is stable (4G or WiFi)

For any additional assistance, email members@pelagohealth.com

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