Increased Precautions We're Taking in Response to the Coronavirus
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Sierra by the Sea to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at Sierra by the Sea.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

DXM Drug Treatment

A substance being used by an alarming number of teenagers to get high is completely legal and does not even require a prescription.

In fact, it’s within easy reach in the medicine cabinets of most homes.  This highly addictive substance is Dextromethorphan, or DXM, an active ingredient found in dozens of brands of cough suppressant medicine.  Parents may warn their children about the dangers of alcohol and illegal drugs, but despite warning labels on cough medicines most are unaware of the dangers of the recreational use of DXM.

Ben from A&E’s Intervention (search for season 4 episode 55) provided many of us with a disturbing first hand look at DXM abuse.

What is Robotripping?

Being under the influence of this highly addictive substance is called “robotripping” (the term is derived from the Robitussin cough medicine brand).  It is also referred to as “Tussin” and “Triple C” (based on the “CCC” label printed on gel caps of the Coricidin brand).  While DMX has no side effects when taken at recommended dosage levels, it is a powerful psychedelic drug when taken in doses of more than 900 milligrams.  While robotripping, teens experience euphoria, dissociation and both visual and auditory hallucinations.

Drug abuse experts estimate that more than 3 million teenagers have use DXM to get high.  Studies show that more than half the young people in rehabilitation therapy have used DXM at some point in their life.  Because cough medicine is legal and is cheaper and easier to obtain than illegal drugs, many teens assume that’s not as dangerous.  They couldn’t be more wrong.

Risks of DXM Abuse

DXM abuse poses these risks:

•    Sweating and fever
•    Increased and irregular heart rate and blood pressure
•    Impaired mental functions and memory loss
•    Nausea, vomiting, and diarrhea
•    Slurred speech and impaired vision
•    Rapid eye movements
•    Hallucinations and dissociative effects
•    Seizures, coma and death

Role of the Internet in Spreading Abuse

Teens who want to know more about robotripping will find a wealth of information available online.  Unfortunately, not all of it warns about the dangers of DXM.  YouTube videos show kids under the influence of DXM, with the sound of their friends laughing at their disorientation and confusion in the background.   There are also websites with information about the best dosage levels for hallucination, as well as websites with recipes for mixing DXM cocktails.

One Teen’s Story

CBS News recently interviewed an 18-year-old named Amanda who became addicted to DXM at the age of 15.  Her life slid out of control when she began to use DXM on a daily basis. Like many other teens who abuse DXM, she soon moved on to stronger drugs to satisfy her cravings to be high.  In Amanda’s case, the stronger drug of choice was heroin.  Only when she had dropped out of high school and become estranged from family and friends did she seek help.  After checking herself into a drug rehabilitation facility, she was able finish high school and is now drug free.  Other teens are not so lucky.

Recovery is fueled by hope and courage and an exploration of the underlying factors such as trauma. Our treatment driven by compassionate and trauma-informed care provides the foundation of recovery and healing.

– Valerie M. Kading, DNP, MBA, MSN, PMHNP-BC, Chief Executive Officer
Marks of Quality Care
These accreditations are an official recognition of our dedication to providing treatment that exceeds the standards and best practices of quality care.
  • American Society of Addiction Medicine (ASAM)
  • California Consortium of Addiction Programs and Professionals (CCAPP)
  • Commission on Accreditation of Rehabilitation Facilities (CARF)