3 Easy Facts About For A New Start Alcohol Detox Escondido Explained

Rumored Buzz on For A New Start Alcohol Rehab Escondido


Kima Happiness Taylor, director of the CATG Campaign. "Our culture and also our healthcare system have been slow-moving to identify and also reply to dependency as a chronic, but treatable, problem," claimed Dr (For a New Start Alcohol Detox Escondido). Taylor. "While modification does not happen overnight, if healthcare reform is executed properly, millions of Americans will ultimately have insurance coverage for addiction therapy.


6 million) gets the therapy they require. The outcome: a therapy space of more than 20 million Americans.




For A New Start Meth Rehab EscondidoFor A New Start Cocaine Rehab Escondido
This may be the single greatest possibility in our lifetime to make a distinction. The expenses of unattended addiction are undue to not obtain this right." At the national degree, Closing the Addiction Therapy Gap is concentrated on four crucial elements that are necessary to make best use of the chance provided by healthcare reform: Developing a purposeful addiction treatment benefit that covers a full continuum of dependency services for both the patient and the individual's family, as ideal; Improving sychronisation as well as combination of offered services, consisting of wellness and also avoidance services, screening, intervention, therapy as well as various other supports; Checking application to stop brand-new barriers to therapy, ensure complete insurance coverage for and also accessibility to appropriate treatment, including the usage of approaches as well as interventions with demonstrated efficiency; and Maintaining government as well as state safeguard to make certain treatment is still readily available to individuals not covered by healthcare reform, not able to afford insurance coverage despite aids, or with insufficient insurance coverage.


Concerned regarding your very own dependency behaviors or those of somebody you love? Discover the treatment you require and the want to recuperate at one of multiple Avera behavioral health and wellness locations across the area. Discover functional solutions and also personalized treatment for addictionsranging from alcohol and drug misuse to compulsive gaming and various other habits.




The Basic Principles Of For A New Start Meth Detox Escondido


 


As a leading-edge therapy program, River Park as well as its specialists played essential roles in the lives and also survival of plenty of individuals encountering addiction, consisting of numerous celebrities. This compelling compilation of those tales record the program's creator, Glenn Jorgenson, as he developed his technique and also concerned the aid of those looking for recovery.


There are typically 3 kinds of outpatient care: Our Florida addiction as well as healing center offers all of these as well as more. The initial advantage to day drug rehab near me outpatient therapy is it functions with inpatient treatment.


This is since it is intended to be made use of after an inpatient program. You do not need to choose one or the various other. IOP treatment is usually adhered to by Outpatient Therapy, which usually consists of only one or 2 days a week of care at the majority of, which can fit right into a lot of timetables.




An Unbiased View of For A New Start Adderall Rehab Escondido




If you relapse, you have the ability to choose something extra complete. When you come to be more steady as well as confident in your sobriety, you can decrease the quantity of outpatient therapy you get. Remaining sober throughout inpatient treatment is rather very easy. It's intended to be. Nonetheless, when you return out into the globe, you're encountered with real life issues - For a New Start Fentanyl Detox Escondido.


Outpatient treatment helps move you into a life of soberness. Inpatient care can be expensive without health and wellness insurance coverage. This suggests it will not assist you as much.


We customize every one of our outpatient treatment to fit you as an individual. This means you'll have complete control over just how much treatment you obtain. There's a program that's right for you. All you need to do is call us today as well as we can get going building a path to your new sober life!.


501.9865 to experience a much better strategy to dependency therapy. Getting assistance from alcohol rehab can be life-altering in means you might not yet be able to picture. Also if things seem hopeless presently, that can all transform when you get to out to a quality alcohol rehab program for aid.




Little Known Questions About For A New Start Fentanyl Detox Escondido.


For A New Start Fentanyl Rehab EscondidoFor A New Start Fentanyl Rehab Escondido
You are experiencing health issue connected to alcohol use. Extreme alcohol consumption can be destructive to your health and wellness and lead to liver and kidney issues along with try this site numerous other medical conditions. If you observe the above check in your life, it may be time to think of obtaining assistance from alcohol rehab in Kentucky.


Like many web sites, we make use of cookies as well as various other comparable modern technologies for a number of factors, such as in patient facility keeping our website trustworthy as well as safe, customizing content, giving social networks functions and to much better recognize exactly how our site is used. For a New Start Cocaine Detox Escondido. By using our website, you are concurring to our use of these devices.


A novice rehabilitation experience can be daunting. Below are some of the most typical features of rehabilitation programs so you can be as prepared as possible for the experience.

 

Indicators on For A New Start Cocaine Detox San Francisco You Should Know

Examine This Report about For A New Start Meth Rehab San Francisco

 

Obtaining into a treatment program will take away the problem of having to count entirely on yourself. Doctors, registered nurses, therapists, as well as other specialists will be component of your recovery group. Some people need a detoxification program, which can help them to stay drug-free while their body adapts to working without the substances it has actually used for as long.




If you have actually attempted to quit and also slipped back, or you have actually found it just as well hard to stop, treatment can provide you the links and resources you require to bolster your long-term soberness. You'll meet others that are undertaking comparable struggles and also that can be component of your support team after therapy ends.


August 2, 2022Alcohol is just one of one of the most commonly used materials on the planet and also among the most addictive. Alcohol rehab in Massachusetts is a vital social service for residents of the Bay State that are all set to damage the cycle of compound use problems. At Bright, View, we take serving our community seriously.

 

 

 

The Ultimate Guide To For A New Start Fentanyl Rehab San Francisco

 

 


Alcohol addiction is a complex disease with a wide origin system of underlying reasons as well as related issues. For this factor, alcohol dependency treatment must be comprehensive, multidisciplinary, as well as involve the roots of the disease.


In a recovery program, the facility origin system of dependency is taken a look at as well as dealt with via multidisciplinary methods. Recuperating from an addiction is about even more than the compound itself. It's about healing and also discovering your healthiest self. Human beings are animals of practices. However, it's feasible to reprogram deep-rooted practices, such as the practice of alcohol consumption.


Making a decision to enter a household medication rehabilitation or alcohol treatment center can be as scary and also stressful as the dependency itself. Even if it is not your struggle, yet rather you are locating information for a liked one with a drug abuse problem, it can be a very psychological time.

 

 

 

For A New Start Cocaine Detox San Francisco Can Be Fun For Everyone


As a member of the family or friend, you can rest in the evening knowing that your enjoyed one is getting the most effective treatment possible and also has somebody keeping an eye out for them. For a New Start Fentanyl Detox San Francisco. As the person in recuperation, you understand you now have actually a neighborhood devoted to assisting you attain and keep sobriety. There are several various therapy options offered, like outpatient or group therapy, yet property inpatient therapy has a tendency to have the best success.


Estimated analysis time: 5 mins Are you curious about a career where you can assist people get over challenges? Ending up being a medication and also alcohol therapist can be the job for you. It is estimated that over 23 million Americans have a drug or alcohol abuse condition. Those that go into treatment discover a great deal regarding themselves.


There are numerous methods to assist others, no matter your profession path. But what is vital is to discover your job significant, enjoy it, and find value in what you are doing. Studies have actually located that significance in one's work increases inspiration, individual satisfaction, interaction, and a variety of various other benefits.

 

 

 

For A New Start Meth Detox San Francisco Things To Know Before You Buy


You are assisting people on a daily basis, offering the support they need to recover. This makes a substantial distinction in individuals's lives, as well as you could be the only resource of assistance when they begin treatment. If you intend to aid others as well as make a distinction, operating in medicine and also alcohol therapy is a wonderful job selection (For a New Start Alcohol rehab centers nearby Rehab San drug rehab for women Francisco).


They function in institutions, prisons, mental health and wellness facilities, rehabilitation centers, as well as various other areas. Drug as well as alcohol counseling is not constantly a basic 9-5 work.


The profession course provides numerous chances for you to take into consideration. Undoubtedly, the function will certainly always offer challenges and also demand your interest, which suggests there will constantly be room for discovering and also improvement. The majority of graduates report there is no monotony in this area. If you are interested in becoming a medication and also alcohol counselor, what is the next step? You require to study alcohol and drug therapy programs to find one that suits your requirements.

 

 

 

A Biased View of For A New Start Meth Rehab San Francisco


Data from Massachusetts General Hospital's Recuperation Research study Institute (RRI) shows that the typical variety of attempts before success in recovery is 5, though the average number is more detailed to two, which indicates that there are a few choose instances of severe and also chronic addiction that are making the numbers fad higher.


While there is no one-size-fits-all method to dependency therapy and also recovery, the process does take independent work, security, regular as well as assistance useful content on the medical and way of life fronts: Dependency is a persistent mind condition that requires ongoing care to deal with the neurobiological aspects of the problem. This is done via therapy (detoxing and also behavior rehab) as well as ongoing therapy as well as medical administration of linked health issues.

 

 

 

For A New Start Cocaine Rehab San FranciscoFor A New Start Alcohol Rehab San Francisco

For A New Start Meth Rehab San FranciscoFor A New Start Alcohol Detox San Francisco

Do not take your recuperation for granted, no matter how long it has been because you have actually obtained tidy. Maintain going to meetings, keep going to therapy and also keep working all aspects of your program, whether it's AA, NA, SMART Recuperation or anything else.

 

The Facts About For A New Start Adderall Detox San Francisco Revealed

 

For A New Start Fentanyl Rehab San FranciscoFor A New Start Alcohol Rehab San Francisco
A feeling of purpose, whether it's daily or long-term, offers a reason to maintain taking treatment of yourselfpeople are depending on you! Recovery is more than around just staying off medications and also alcohol.
 

For A New Start Adderall Rehab Austin Can Be Fun For Anyone

Getting The For A New Start Adderall Rehab Austin To Work

 

Listening to the tales of others, picking up from their blunders and their successes, and also having a person to speak to when times get harsh are all advantages of specialist rehabilitation therapy. Throughout your time in rehab you will belong to support system. Support system enable you to develop strong bonds with the area and also individuals that you share your time with.


Addicts in healing are at risk to illness soon after quiting use the material that they were addicted to. Throughout this time around, you may experience undesirable symptoms as your body copes without the alcohol consumption it was made use of to. Even after the preliminary withdrawal signs and symptoms have actually passed, the tension on the mind and body can intensify various other physical and also mental diseases.

 

 

 

About For A New Start Adderall Meth Detox Austin


The failure to rest throughout healing can by itself be a trigger to regression. Dependency is truly a household disease. A good rehabilitation centre encourages all members to take part in the therapy process, helping them handle the illness. Seeking treatment as a system will reveal you that you have support and love from your family members.


They can provide clarity and advice on how they can assist you as soon as you have actually successfully completed rehabilitation. Once you have completed alcohol recovery therapy, family support and also limits can be the actual point that maintains you going. It is through household therapy, therapies and by going to Al-anon where your loved ones discover exactly how to aid.

 

 

 

Some Ideas on For A New Start Adderall Meth Detox Austin You Should Know

 

For A New Start Meth Detox AustinFor A New Start Cocaine Rehab Austin
This process is specifically crucial for any type of relative who have actually allowed the dependency. Alcohol rehab can profit your way of life by boosting your relationships with those around you. Involvement of your family will show you exactly how dedicated your household is to aiding you obtain tidy as well as remain tidy. Shunning your family members might just raise the opportunity of a regression once you have actually finished therapy.




Dependency is greatly connected with destitution, not since substances are costly, however because dependency is frequently a method of getaway. Many people residing in destitution abuse materials to stay clear of the serious problems they may be encountering in their lives. When you're living hand to mouth and struggling to make ends fulfill, useful content alcohol can supply an instantaneous satisfaction and getaway.

 

 

 

For A New Start Meth Detox Austin Fundamentals Explained


You might begin to contact sick to work more usually as well as when you do make an appearance, the quality of your work is not great - For a New Start Adderall Meth Detox Austin. Poor job efficiency can indicate you miss out on out on promotions or bonuses, a cut back on changes, or you might also shed your task.


Inpatient rehabilitation, additionally called property therapy, is proper for severe addictions as well as uses treatment 24 hrs a day.


The typical domestic treatment remain is 30 days; however, some therapy programs use even more prolonged lengths of keep (typically between 60-90 days). Relying on the intensity of an individual's dependency, they might participate in long-lasting property therapy or short-term property treatment. While it is not appropriate for everybody, there are numerous benefits of inpatient rehab.

 

 

 

The Best Guide To For A New Start Adderall Meth Rehab Austin

 

For A New Start Meth Rehab AustinFor A New Start Meth Detox Austin

For A New Start Cocaine Rehab AustinFor A New Start Adderall Detox Austin

From the moment an addict makes a decision to seek therapy, they are preparing to experience a drastic adjustment in their life. While this modification is right, it includes its own set of difficulties to deal with, beginning with detoxification. For a person who has been abusing medicines or alcohol, the procedure of experiencing withdrawal and detoxing can be extremely undesirable, as well as many attempt to prevent it for as lengthy as feasible.

 

 



Depending upon the material and also extent of the addiction, withdrawal symptoms generally begin a few hours after the last dose of the medication. Alcohol detox is comparable, with withdrawal symptoms generally beginning within 6 hrs and also are one of the most severe at around 72 hours. Alcohol withdrawal decreases considerably in intensity after 72 hours to one week, which is known as the acute withdrawal stage.

 

 

 

For A New Start Adderall Meth Detox Austin Things To Know Before You Get This


One of the benefits of inpatient rehabilitation is click for source that people do not have access to alcohol or other materials, and also while they have the freedom to leave at any moment, they will likely not come back if they leave rehabilitation and relapse. Research studies have actually shown that more inpatients full detoxification contrasted to individuals in outpatient treatment.


Those that get rid of a material use problem discover the devices to stop regression and might be at a reduced risk for developing one more substance use condition, according to a research published in JAMA, which stated, "As click now contrasted with those that do not recoup from an SUD, people that recuperate have much less than half the risk of establishing a new SUD. For a New Start Adderall Detox Austin.

 

 

 

The 3-Minute Rule for For A New Start Cocaine Rehab Austin


That is among the factors 12-step programs like Alcoholics Anonymous have success. Having a support system of people that comprehend the battles of addiction and can be a shoulder to lean on is very beneficial, as well as it may be impossible for some to ever recoup without it. The Material Misuse and also Mental Wellness Providers Administration specifies that having social media networks and connections that offer love, hope, relationship, as well as assistance are a crucial part of healing.


Some might believe that alcoholism therapy is not worth the rate, but actually, an addiction sets you back far more than therapy. Material abuse expenses America over $600 billion yearly, but therapy has actually been revealed to reduce expenses. If you or a loved one is fighting with an alcoholism, recognize that there are treatment choices readily available.
 

The Best Strategy To Use For For A New Start Alcohol Detox Atlanta

Our For A New Start Fentanyl Rehab Atlanta Ideas

 

Those who get over a material use problem discover the devices to avoid relapse as well as may be at a lowered threat for establishing one more material use disorder, according to a research study published in JAMA, which claimed, "As compared with those that do not recoup from an SUD, individuals that recover have less than half the threat of developing a new SUD (For a New Start Fentanyl Rehab Atlanta).


That is one of the reasons 12-step programs like Alcoholics Anonymous have success. Having a support system of individuals who comprehend the struggles of dependency and can be a shoulder to lean on is very helpful, and also it may be difficult for some to ever before recoup without it. The Drug Abuse as well as Mental Health and wellness Services Administration mentions that having socials media as well as connections that offer love, hope, relationship, as well as support are a vital part of healing.

 

 

 

 


Some might believe that alcoholism treatment is not worth the price, yet in truth, an addiction costs much more than therapy. Substance misuse costs America over $600 billion annually, yet therapy has been shown to reduce expenses. If you or an enjoyed one is fighting with an alcohol addiction, recognize that there are therapy choices offered.

 

 

 

For A New Start Meth Rehab Atlanta Things To Know Before You Get This

 

For A New Start Fentanyl Detox AtlantaFor A New Start Meth Rehab Atlanta
Medicine rehab centers have aided countless individuals in the united state recuperate from medicine and alcohol make use of problems. Attempting to combat dependency on your very own can be tough, scary, and high-risk without the clinical treatment and also assistance readily available at a medication rehab. Statistics on the medicine rehab success price in the united state


Drug rehabilitation facilities utilize a variety of evidence-based therapies that can be customized in manner ins which aid all patients recuperate safely from addiction. Right here's an extensive look at medicine rehabilitation stats and success rates, as well as the steps you can take to obtain gotten in touch with outpatient addiction therapy today. The Butler Facility for Research Study at Hazelden Betty Ford Foundation reports that roughly 89 percent of people who full alcohol rehabilitation are still sober one month after discharge.

 

 

 

Not known Facts About For A New Start Meth Rehab Atlanta


An approximated 43 percent of all people that go to medicine rehabilitation successfully finish their therapy programs, while one more 16 percent are moved to various other rehab centers for added treatment. Rehab success rates for those who complete alcohol and drug cleansing are a consolidated 68 percent. An estimated 41 percent of individuals who get medication-assisted treatment (MAT) for opioid detox efficiently total treatment as well as achieve abstaining.


Around 67 percent of individuals who efficiently full outpatient medicine rehabilitation programs have their treatment costs covered by Medicaid, Medicare, and other government resources. Individuals who effectively complete outpatient floor covering for opioid dependancy keep at a medicine rehabilitation for approximately 113 days. People who effectively total outpatient treatment for any kind of compound use problem remain at a medication rehab for an average of 81 days.


Programs can last anywhere in between 3 months to over one year as well as allow description you to maintain your regular day-to-day routine in the community. Outpatient programs are most ideal for those that have already learned abilities for handling triggers, that are trained to resist urges to utilize medicines and also alcohol, as well as who are highly motivated to remain sober and abstinent - For a New Start Fentanyl Detox Atlanta.

 

 

 

Facts About For A New Start Adderall Detox Atlanta Uncovered

 

For A New Start Alcohol Detox AtlantaFor A New Start Cocaine Detox Atlanta
Individuals in healing from alcohol abuse can generally get to out to their support system at any type of time to stay on track with sobriety.


MAT for opioid use condition is typically incorporated with behavior modification and therapy at medication rehabilitation. Presently, there are no medicines readily available to treat dependency to stimulants like drug as well as methamphetamine. Individuals recuperating from these medication use disorders might receive pharmacotherapy and also drugs to treat psychological health symptoms that stick around after discontinuing these medications.




Substance Usage Disorders (SUD) influence the lives of numerous Americans in the general population, consisting of people that are enlisted in the Medicaid program. Virtually 12 percent of Medicaid recipients over 18 have a SUD, and CMCS is devoted to assisting States properly serve individuals with SUDs. On average, 105 individuals pass away daily as result of a medication overdose.

 

 

 

The Best Strategy To Use For For A New Start Adderall Detox Atlanta


The evidence is solid that treatment in managing SUDs provides substantial price savings. : Persons with unattended alcohol use problems utilize two times as much health and wellness care as well as price twice as much as those with cured alcohol use problems; and drugs treating compound usage disorder in expecting women resulted in substantially shorter hospital remains than drug-addicted expectant women not obtaining Floor covering (10.


Early treatment in the cycle of dependency for more youthful people with substance usage disorders can bring expenses down as they have reduced pre-treatment costs than older grownups with material use conditions. CMS is motivated with the why not check here enhanced rate of interest by states to develop efficient strategies for developing benefit layouts for this populace.

 

 

 

For A New Start Fentanyl Detox AtlantaFor A New Start Fentanyl Detox Atlanta
And while all of these are amazing and remarkable there are more benefits that you have actually most likely never even considered. Below are: The Leading 8 Advantages To Stopping Drugs And Alcohol Americans spend $276 billion annually drinking, smoking cigarettes, and taking drugs. The lawful ones, alcohol as well as pure nicotine, make up for fifty percent look at more info of that massive amount, and a little over 20% of that fifty percent is the ever before boosting price for prescription medicines.

 

 

 

Little Known Questions About For A New Start Fentanyl Detox Atlanta.


Your financial demands will be met. You will certainly have the ways to foot the bill as well as all those things that you utilized to go without will certainly currently be available. Reduced self-worth and medication dependency are commonly connected together and also is considered a major factor that addict starts to use in the initial place.
 

7 Simple Techniques For For A New Start Alcohol Detox Atlanta

The Definitive Guide for For A New Start Cocaine Detox Atlanta


The division's HIV Early Intervention programs are provided by 37 funded organizations at multiple websites throughout the state. Numerous of those offered are infusing medication customers (IDU's) as well as their partners.




 


Understanding and education are important to understanding methods to prevent as well as effectively deal with compound use disorders. The Compound Use Resource Facility encourages visitors to take benefit of informational and also educational sources such as those provided below.


The pamphlet likewise attends to problems of youngsters of parents living with compound usage disorders. Therapy alternatives can vary depending on the seriousness of addiction and specific demands of the individual.




Some Of For A New Start Fentanyl Rehab Atlanta


A medical assessment is usually made use of to figure out the advisable therapy alternative, but also for basic details, the adhering to are some instances of prospective choices that might be thought about. Includes a process with 3 vital parts, which include evaluation, stablizing and promoting readiness for and also access right into a substance use treatment and healing program.


Involves therapy as well as counseling for individuals that attend appointments at a therapy center, yet remain to live at their own house. Entails 24/7 therapy in a healthcare facility or clinic where the individual is confessed and also may stay for several days or multiple weeks. Includes a private living at a center as well as getting therapy that runs over a much longer course of time such as a month or a full year. For a New Start Alcohol Detox Atlanta.


Involves treatment and counseling services delivered remotely (over phone or the web) to a specific, particularly when local treatment sources are not readily offered. Involves the use of FDA-approved medicines, in mix with therapy and also behavioral treatments, to offer a "whole-patient" strategy to the treatment of material use problems. Click below for more information regarding medicines used to deal with Opioid Usage Condition.




The 3-Minute Rule for For A New Start Meth Rehab Atlanta


For A New Start Alcohol Rehab AtlantaFor A New Start Adderall Rehab Atlanta
Numerous individuals discover that they are shyer in sobriety than when they were consuming. Typically, dependency begins in adolescence. Throughout this moment, the brain is expanding as well as establishing at a rapid rate. Alcohol can disrupt this process, causing lasting changes in the brain. When people end up being sober, they might find that their character has actually changed as well.


Being comfy with that you are in your own skin is a key to joy and also satisfaction. For those living in active addiction, the truth is that several days start with the stress and anxiety and fear of wondering what was stated and done the evening prior to. No find alcohol suggests no hangovers, which is an apparent benefit, yet it additionally means much less psychological trauma from regret as well as less stress regarding power outages or failed to remember sectors of time.


When alcohol is a motoring consider decision-making, the results are often uncertain and often dreadful. Among the most significant advantages of residing in sobriety is that you'll have the ability to enhance relationships with loved ones participants. Furthermore, it will certainly be easier to develop as well as preserve brand-new relationships.




Indicators on For A New Start Meth Rehab Atlanta You Should Know


Distancing yourself from unfavorable influences is vital in accomplishing soberness. If there are friends that you just see when there is alcohol around, it's time for a brand-new social life. By changing time you would have spent with them with high quality time invested with your close friends or household, the bonds with positive individuals will strengthen.


Anthony Kiedis of the Red Hot Chili Peppers is another. There are thousands of public numbers and also tens of thousands of exclusive ones that you can seek to for encouragement. Please recognize that you remain in great company, bordered by many others that desire you to experience every one of the benefits of soberness.


Her initial article featured in the Huffington Blog post can be read right here: Completely Unanticipated Benefits of Being Sober.




The Best Guide To For A New Start Adderall Rehab Atlanta


Nevertheless, there's numerous various sorts of outpatient treatment. Some operate by letting you live where you want. There are typically 3 kinds of outpatient treatment: Our Florida addiction and also recuperation facility supplies every visit here one of these and a lot more. The initial advantage to outpatient treatment is it works with inpatient care.


You don't need to choose one or the other. Making use of both provides you the best chance of success. IOP treatment is commonly followed by Outpatient Treatment, which normally consists of just one or two days a week of treatment at most, which can fit into a lot of timetables.




Not known Details About For A New Start Cocaine Rehab Atlanta


If you regression, you're able to choose something a lot more complete. When you become a lot more secure and also confident in your sobriety, you can decrease the amount of outpatient therapy you obtain. Remaining sober throughout inpatient therapy is relatively very easy (For a New Start Fentanyl Detox Atlanta). It's intended to be. Nonetheless, when you come back out right into the globe, you're confronted with real life issues.


You're given a whole lot of check out here aid and assistance to cope with that stress and anxiety. This can aid stop you from being overwhelmed.


Outpatient therapy assists slide you right into a life of sobriety. Rather than tossing you in the deep end of the pool. Inpatient treatment can be pricey without wellness insurance policy. Even the most affordable ones often tend to be pricey. Worse, cheap treatment is typically inferior. This implies it won't assist you as a lot.

 

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15