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 https://www.cdc.gov/coronavirus/2019-ncov/index.html

Modafinil Stimulant

The interesting thing about Modafinil (brand name Provigil) is not that it can be abused like Adderall and Ritalin, but that it may help treat cocaine addiction.

Modafinil is a stimulant medication that is used to improve wakefulness in adults with excessive sleepiness associated with narcolepsy, shift work disorder and obstructive sleep apnea.  Marketed under the brand name Provigil and taken as an oral medication, Modafinil has an amphetamine-like effect on the brain.  Modfinil has also been

Here is More Detail on The Disorders Modafinil is Intended to Treat

  • Narcolepsy is a chronic disease of the brain that is characterized by an uncontrollable need to sleep.
  • Shift work disorder is a condition cause by disruption of normal nighttime sleep patterns, often due to work schedule.
  • Obstructive sleep apnea is also a condition marked by sleep disruption, caused in this case by pauses in breathing due to airway obstruction.  Each of these conditions results in life disruptions due to serious difficulty in staying awake.

Modafinil is thought to affect chemicals in the brain that control the sleep and wake cycle.  However, the exact mechanism of action is not understood.  It is currently only approved for use by people who have been diagnosed with a sleep disorder.  It is not recommended as a treatment for tiredness and should not be used to make up for lack of sleep.

Although modafinil has been shown to be effective for treatment of attention deficit hyperactivity disorder (ADHD), it was judged by the FDA to be unsafe for children with this condition in 2006. This decision was based on side effects that include serious skin rashes.  The drug is being investigated as a treatment option for a wide range of disorders including depression, Parkinson’s disease, multiple sclerosis, cerebral palsy and chronic fatigue.

The Potential for Modafinil Abuse

According to a study published in the Journal of the American Medical Association, modafinil has many characteristics that can trigger abuse and dependence among people who classify it as a “smart drug” and take it to improve cognitive performance.  The study suggests that modafinil may have unexpected side effects and tragic consequences for those who use the drug as a brain boost.

Dr. Nora D. Volkow, author of the AMA study and director of the National Institute on Drug Abuse, warns about the dangers of using modafinil without medical supervision.  As with any stimulant, there is a potential for addiction.  Diversion of modafinil for nonmedical use is especially risky because little is known about the drug’s long-term effects.

There is a trend among healthy college students to use drugs such as Adderall and Ritalin as study aids.  Although it was earlier thought that modafinil was not being abused as a cognitive-enhancing drug because it’s less frequently prescribed and at $10 per pill is more expensive, there is anecdotal evidence that modafinil is being obtained online or from physicians for nonmedical use.

Dr. Volkow points out that the patent for modafinil is scheduled to expire in 2012, which could substantially reduce the drug’s price.  This could increase the frequency of modafinil diversion and abuse.

Side Effects of Modafinil

In addition to increased wakefulness, these are some of the possible side effects of modafinil:
•    Headache
•    Nausea
•    Dizziness
•    Nervousness and anxiety
•    Insomnia
•    Upper respiratory tract infections
•    Serious skin reactions
•    High blood pressure
•    Abnormal heart beat
•    Fainting
•    Psychosis
•    Suicidal thoughts

In rare cases, modafinil can cause serious mental changes including depression, confusion, agitation, hallucinations and abnormal thoughts.

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)