Tag Archives: addicts

Fentanyl and Heroin: A Deadly Mixture

fentanyl

The game has changed dramatically regarding illicit opioids in America. What was once a relatively unnoticeable trickle of fentanyl making its way onto the streets has become a whitewater torrent. This fact should be cause for concern for anyone currently abusing heroin or prescription painkillers purchased on the black market. Given that fentanyl has been linked with thousands of overdose deaths, in recent years. As the prevalence of the deadly analgesic increases, people with opioid use disorders would do themselves a great service to consider addiction treatment. Sooner, rather than later.

One not even need to do heroin mixed with fentanyl to experience an overdose; heroin on its own can be more than potent enough. People die from heroin overdoses every day in the United States. However, fentanyl makes something that is already deadly exponentially more fatal. It is worth remembering that fentanyl (depending on quality) is 50 to 100 times more potent than morphine. Opioids, like heroin or morphine, cause respiratory depression. Fentanyl, on the other hand, causes more prolonged respiratory depression. Taken on its own or as an admixture, the risk of overdose is great.

To make matters worse, the opioid overdose reversal drug naloxone is often ineffective with fentanyl. That is not to say it never works in cases involving the powerful narcotic. But, users should be aware that if they play with fire, water may not put it out. The fentanyl situation in America is made even more precarious by the fact most heroin users are not aware of the drug's presence. Making it next to impossible to dose “safely.”

To Fentanyl and Beyond

If you are actively abusing heroin today, it is not just fentanyl that you need to be worried about. Other analogues of the drug are being mixed with heroin or stamped into pills to resemble painkillers, such as OxyContin. Carfentanil is one analogue that has led to deaths, being approximately 10,000 times more potent than morphine and 100 times more potent than fentanyl, according to the National Institutes of Health (NIH). U-47700, otherwise known as “Pink,” is an opioid analgesic that is around 7.5 times the potency of morphine. The drug has been mixed with heroin or stamped into pills, as well.

The U.S. Drug Enforcement Administration (DEA) has been quick to reign in fentanyl analogs of late. Aside from adding the deadly narcotics to the list of controlled substances, they have been pressuring China to ban their production and distribution. Just recently, China placed bans on U-47700 and 3 other compounds, Stat News reports. Hopefully, the bans, which take effect at the beginning of July, will translate to lives saved down the road. Only time will tell. In the meantime, it is important that people with opioid use disorder fully understand the risks. And, the likelihood of buying heroin or fake OxyContin that actually contains something more dangerous.

Fentanyl In Southern California

This month, the DEA busted three traffickers in San Diego who were in possession of 44.14 kilograms of fentanyl, according to a United States Department of Justice news release. It was the culmination of a long-term investigation, and was one the biggest opiate synthetic fentanyl seizures ever in the United States. With the federal indictments, the three individuals could face a maximum penalty of life in prison and up to $10,000,000 in fines.

Considering that just 3 milligrams is enough to kill an adult male, the 44.14 kilogram seizure represents over 14 million lethal doses.”

Fentanyl is a topic that is of the utmost importance to us at PACE Recovery Center. We specialize in the treatment of young adult males, a demographic whose heroin use and overdose rates has been on the rise. While the San Diego fentanyl bust is welcome news, it is probably only the tip of the iceberg. More and more of the drug will find its way into the country. Which is why it paramount that young adults abusing heroin strongly consider addiction treatment. Recovery is possible.

The longer one waits, the greater the risk. Please contact us today to discuss your options and to begin the lifesaving journey of addiction recovery.

Voluntary Addiction Treatment for Cannabis

addiction treatment

We find ourselves in a brave new world with marijuana. A good thing in several ways, especially regarding the impact the drug has on people’s lives. Specifically, fewer people are being sent to jail due to cannabis possession. This is a good thing, considering that our jails and prisons have long been filled with nonviolent drug offenders. needlessly serving unjust lengths of time because of draconian drug policy. To be certain, nobody who’s caught with relatively small amounts of marijuana should have to spend time in a cell. And in recent years, those charged with possession have been offered addiction treatment as an alternative.

Although, as more and more states embrace decriminalization and full, adult legalization—the need for such referrals is diminishing. Adults can now smoke “weed” legally in Alaska, California, Colorado, the District of Columbia, Maine, Massachusetts, Nevada, Oregon, and Washington. Undoubtedly, more states will hop on board the marijuana legalization train in the coming years. Medical marijuana started as a trickle with California becoming the first state to launch a program. Now, a mere twenty years later, 29 states and D.C. have medical cannabis programs.

As you can probably imagine, those working in the field of addiction treatment have some concerns about marijuana in America. Our stance is certainly in favor of decriminalization, because no one should have to serve time for drug use. But, we must be leery about marijuana addiction, and elevated rates resulting from legalization. If you are like many Americans, there is a good chance that you believe marijuana is benign. Meaning, that it has a small likelihood of causing serious bodily harm. And for the most part you are right, at least when compared to other mind-altering substances. However, and we must be clear on this, marijuana can be habit-forming and cannabis addiction is a real thing.

Marijuana Addiction Treatment

Pop culture has helped create certain stereotypes about “pot” use. You have probably seen movies that paint a harmless-looking picture of marijuana addicts. Perhaps you have seen the movie Half Baked (1998)? If so, then you saw actor Bob Saget berate Dave Chappelle for being addicted to weed. For those who haven’t seen the movie, it doesn’t matter. The point is that in the realm of addiction, marijuana dependency is often viewed as being less legitimate. Believe it or not, there exists a kind of reverse hierarchy among addicts and alcoholics. Somebody with an opioid use disorder may look down upon a person seeking help for marijuana.

That being said, how others view your addiction is irrelevant. What matters is how it affects your life. No one should delude themselves into thinking that because marijuana is now legal—it’s harmless—because the exact opposite is true. Thousands of Americans seek addiction treatment for marijuana every year. Chronic cannabis use can have a negative impact on your cognitive abilities and there is a risk of dependence. People who find themselves dependent on marijuana do experience withdrawal symptoms during cessation.

Regarding cognitive deficits arising from cannabis use, teenagers and young adults are at particular risk. As an addiction treatment facility specializing in helping young adult males, we should join the narrative about marijuana. Young people need to have all the facts about pot. Thinking the drug does not carry risks just because it is now legal in your state is erroneous. Please remember, alcohol is legal and there is no shortage of suffering alcoholics in America.

Voluntary Treatment for Cannabis

Over the past few years, the number of people court ordered to addiction treatment for cannabis possession has declined. The byproduct of legalization. It must be noted that people court-ordered to treatment are not necessarily addicts. Being caught by the law doesn’t dictate having a substance use disorder. On the other hand, those who choose to go to treatment voluntarily probably have an issue worth considering. Evidence suggests that the number of people seeking addiction treatment voluntarily for cannabis use disorder is on the rise, The Washington Post reports. Evident by the overall number of people being treated for marijuana remaining stable, despite a 40 percent drop in court mandated treatment since 2011.

More people are using marijuana than ever in this country. It stands to reason that more young people will try and use the drug due to misconceptions about danger. The likelihood of greater numbers of people voluntarily seeking help is good. In Europe, the Netherlands has long had a light stance on the drug. Is it a coincidence that the Dutch also have the highest rate of seeking marijuana treatment in Europe?

If America is to blaze a different path than the Dutch, we need to be conscientious of the message being spread. Deterring young people from trying the drug will go a long way. Not by fear of punishment, but by giving them the facts. Marijuana is not benign, it can harm you. Dependence happens fairly often, and with it—addiction. If the drug is negatively impacting your life, please contact PACE Recovery Center today.

Addiction Treatment Begins With Surrender

addiction

There are many young men and women whose addiction has reached untenable heights. Perhaps “lows” would be more apt. Either way, when one begins down the perilous path of substance use, abuse and addiction in their teens, then by their early or mid-twenties life has already become unmanageable. If you are one such person who can identify with that path, trust and believe that it is far more common than you might think.

Societal tropes and stereotypes of addicts and alcoholics in recovery often resemble middle-aged and older people. While it is true that many do not decide to work a program of recovery until later in life, most such people would probably tell that they were definitely eligible for the need of assistance for years—if not decades earlier. Every case is different, but a significant number of people have fought and will continue to fight tooth and nail to remain in a state of denial about the severity of their condition. Even though alcohol and substance use disorders are an accepted form of mental illness.

Nobody, addict or not, wants to admit defeat. In some ways, we are programmed at an early age to continue fighting even if we know that a fight is unwinnable. While perseverance may be a sign of strength in a clearly unwinnable high school sports game given that there is no certainty that it will end the way everyone thinks, when it comes to active addiction perseverance can and often does mean premature death. Often after years of heartache and despair.

The Comparison Problem With Addiction

It cannot be stressed enough. The longer an alcoholic or addict waits to seek help, the worse it gets. Always! The problems that accompany substance abuse may be solely superficial at first, but over time the persistent fueling of the fire of addiction leads to systemic health problems—many of which cannot be reversed (e.g. cirrhosis, cancer, cognitive dysfunction and co-occurring mental health disorders).

There is a common delusion among chemically dependent people that their problem is not as bad as ‘that person's’. That It won’t get as bad, because you are somehow unique. You may be special in many ways, but when it comes to addiction, comparisons will only pave the road to becoming as worse off as the very people you compared to yourself to keep you from surrendering. The “comparison problem,” if we may, is especially pervasive among young people. It is a barrier to hope and serenity, two feelings that people living with active addiction are in short supply.

Has your use of drugs or alcohol brought about a series of negative consequences before, or in early adulthood? If your answer is yes, then we implore you to stop comparing yourself to your peers and seek assistance. It may be that your friends and family have a problem too, but you are in no position to help them until you help yourself.

Strength in Surrender

Dependence and addiction touch the lives of young people quite often. The good news is that many young men and women can, and do recover. What’s more, they can go on to live productive and fulfilling lives with a clear head on their shoulders, developing a meaningful relationship in both their program of recovery and society at large. And they have the power to be there for their peers when life throws curveballs. All such people, started with the courageous act of surrender.

Every man has inside himself a parasitic being who is acting not at all to his advantage,” wrote William S. Burroughs.

Accepting that your own will is not acting in your best interest, allows you to start the process of first seeking treatment followed by continued growth in recovery. It gives one the ability to accept help from others who have been down into the dark cave of addiction, and returned to the light via a program of recovery. It is hard to admit to oneself, “I don’t have all the answers.” But it is of the utmost importance.

At PACE Recovery Center, we work with young adult men who have been touch by the hand of addiction. The PACE Recovery Center team is made up of addiction treatment professionals, many of which have first-hand experience with addiction. We know the courage it takes to ask for help and break the cycle of this pernicious disease, and embrace the principles of a wholly new way of thinking and living. Please contact us today.

Anonymity, Depression and Instagram

anonymity

When it comes to addiction recovery, one of the more appealing aspects of the 12-Step program is the focus by members on anonymity: the condition of (of a person) not being identified by name. Those who turn to Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) for support and guidance, are encouraged to introduce themselves by their first name only. If there are more than one person with the same first name, sometimes the first letter of one’s last name will be attached to the end (i.e. John T. or Amanda S.) to avoid confusion when referring to people.

Some of you may be wondering, ‘what’s with all the secrecy?’ A question that can be answered in multiple ways, all of which are good reasons for not disclosing one’s full identity. But, perhaps, the most important reason for avoiding self-disclosure among members is the newcomer. People who suffer from any form for mental illness, whether it be addiction or depression, have long been given pejorative labels and looked down upon by society. While we have come a long way in the United States regarding ending the stigma of mental health disorders, there are still those who would use another's issues as ammunition.

Those who make the brave decision to seek help for alcoholism and/or drug abuse, need to be and feel like they are they are in an environment that will not cast judgement. That the things that they share will not be used against them at a later day by another. Even if you have zero-experience with substance abuse, you could probably imagine that a big part of the healing and the recovery process rests on honestly sharing aspects of one’s past that are extremely difficult to talk about (e.g. where they have been, what they have seen and the unsavory things they did while out there in active addiction). When it comes to the latter, there is hardly an addict or alcoholic who has not broken one or multiple laws.

As was mentioned earlier, honesty is vital to the recovery process. If a newcomer does not feel like he or she can share their life candidly without repercussions, it is unlikely that they will share at all. Or stick around long enough to experience the miracles of recovery. In a world where social stigma can destroy lives, confidentiality is of the utmost importance. While individuals are free to share their story and full name with whomever they please, they are expressly prohibited from sharing that of others. To ensure that people do not disclose information about others, the safeguard of not using one's full name is staunchly encouraged. Under the model of 12-Step recovery, there are in fact 12 steps that need to be worked, but there are also 12 traditions that members are asked to respect, the twelfth tradition reads as follows:

Anonymity is the spiritual foundation of all our traditions, ever reminding us to place principles before personalities.”

Anonymity In The Information Age

When the founders of the 12-Step modality wrestled with anonymity, it was at a time when the average person did not have the ability to reach millions of people. Your typical American could not share their story or the stories of others by way of press, radio, and films. Those that did were strongly encouraged to exercise extreme caution, lest they break another person's anonymity.

In the 21st Century, the outlets for expressing oneself in seemingly cathartic ways has reached new heights, i.e. blogs, Facebook and Instagram. There is hardly a young person in America who does not have a social media account. What’s more, most young people in recovery spend a good amount of time on the internet.

Our laptops and smartphones allow us to reach total strangers, who cannot easily figure out who is the one doing the sharing. This can be both a good thing and a bad thing. Sharing one’s struggles on social media platforms can result in one receiving support for their issues, but given that we are talking about the internet, a hotbed for vitriolic unmasking—such platforms can tempt people to disclose things that they wouldn’t likely disclose with others in person. Thus, inadvertently revealing the identity of others.

If you rely on social media sites for therapeutic reasons, sharing your struggles with the hope of feedback, be sure to keep what is said be about you. You are responsible for your own anonymity, be sure that what you share will not have the unintended effect of coming back to hurt you later. For more information on sharing with others while remaining anonymous, please click here.

Support from Social Media

A significant number of young men and women battling with mental illness have turned to Instagram for support. Unlike Facebook, Instagram allows its users to maintain a greater level of secrecy. This has a twofold effect: 1) People can share what they are going through anonymously (e.g. a relapse or a depressive episode) and get feedback that might help. 2) Masked user activity allows people to negatively comment on what people share, what is known as “trolling,” a behavior that has led suffering people to suffer more.

The general public often hears of horror stories involving trolls, mental illness and suicide. We hear less about people with specific disorders finding support and help by way of social media. A new study sought to shed light on the power of anonymous social media posting, and the feedback users received. The researchers found that the majority of responses on Instagram to posts about mental illness using the hashtag “#depression,” were actually positive and supportive, Vocativ reports. The findings will be presented at the Association For Computing Machinery conference.

There’s this kind of double-edged sword about being anonymous and not having to use your real name,” said Nazanin Andalibi, one of the study’s lead doctoral researchers. “The popular narrative around anonymity has been that people will troll each other and everything will just be really abusive…but opportunities for anonymity are really central to disclosing things that are sensitive for some people and to give and provide support. It just so happens that in this particular platform people are finding each other and being supportive of each other.”

The researchers point out that further study is needed to see what users do with the positive feedback they received. Does it lead to positive change?

Depression: Let’s Talk

Last Friday, was World Health Day. The focus of discussion was depression, a mental health disorder affecting more than 300 million people around the world. The World Health Organization(WHO) launched a yearlong campaign. “Depression: Let’s Talk” aims to empower people to talk about their condition with people they trust, so they can get the help they require. With respect to the aforementioned study, not only do people with depression get positive feedback, but Instagram allows posts that appear to be cries for help to be flagged. When that happens the users, who may be at risk will be sent messages that include resources for help with mental illness. Talking about despair, can lead to hope treatment and recovery.

At PACE Recovery Center, we work with young adult men, targeting the underlying issues that contribute to addictive behaviors and behavioral health diagnoses. The PACE Recovery Center team provides multidisciplinary treatment for co-occurring disorders, including depression. Contact us for more information, “Let’s Talk!”.

Stigma of Addiction: Stop the Shame

stigma

How we treat people who have diseases which can be fatal says a lot about who we are both as a nation and a society. Our ability to express empathy to those who are suffering from conditions that are, in many cases, outside of one’s control is of vital importance—especially in this day and age living in a country that has been racked by addiction.

Throughout out the second half of the 20th Century and into the 21st, the United States has made and gone through significant changes with how we look at those afflicted by a substance use disorder and how to best effectively treat addiction. Not too long ago, the majority of Americans would have said of addiction, if asked, that it was likely a moral failing; such people lack constitution or willpower and are an example of extreme narcissism.

To be fair, a superficial look at addiction could present a picture of the aforementioned pejorative statements. It could be easy for anyone without all the facts to view the disease in such a light, and such viewpoints are then perpetuated and disseminated to others who also lack the ability to grasp what is actually going on inside the mind of an addict. As a result, thunderous clouds of stigma float permanently above the millions of Americans who have been touched by this pernicious mental illness.

Yet, a closer look through the lens of science reveals the nature of addiction as being something altogether different. Which is why, for quite some time the disease of addiction has been classified as a serious mental health disorder, a condition that has little to do with a moral compass. Scientists have overwhelmingly concluded, that while no one chooses to be an addict and there is not a cure for the disorder, with assistance those living in active addiction can make changes to break away from drugs and alcohol and recover. Going on to live a meaningful and productive life, existing as part of society rather than being the subject of ostracization.

From Stigma to Empathy

If addiction is a disorder which has no cure, but can be maintained allowing for individuals to live relatively normal lives, then do you wonder why addicts are viewed so differently than those who suffer from other incurable conditions? The response to that question is far from easy to answer, being the subject of many an investigation. But simply put, much of the stigma of addiction rests on the fact that the complex disease is not well understood. Such a reality has opened the door for people without any qualifications to draw conclusion about substance use, and nonchalantly disseminate their “2+2=5” summations.

We would like you to imagine for a moment and entreat you to look honestly inside your selves, that somebody close to you contracted a serious illness. Perhaps a condition that science currently offers no cure, but does provide treatments that can prove effective at slowing down the progression of such disorders (e.g. diabetes, HIV, cancer and Parkinson’s). Could you picture yourself acting towards that individual in such a way as to elicit guilt or shame inside your loved one? Can you see yourself saying to someone dying from cancer or AIDS that they are ‘not trying hard enough?’ That they could get better, but are choosing to do otherwise. While rhetorical questions like this may seem like “no brainers,” they illustrate the absurdity of casting stones at somebody with a terminal illness.

Now, please close your eyes, picture your mother, daughter or neighbor is not suffering from cancer, but rather addiction. Would you act the same way in respect to them, as you would if they had cancer?

PSAs About Stigma

Breaking the stigma of addiction is a process that requires a multifaceted approach involving several agencies. Last week, the American College of Physicians (ACP) published a position paper arguing that addiction should be viewed as a “chronic disease” requiring treatment. Substance use problems are not a "moral disorder or character defect."

At the same time, a new campaign was launched called “Stop the Shame,” which released two public service announcements aimed at breaking the stigma of addiction. We must warn you ahead of time, the PSAs are hard to watch due to the videos accuracy with regard to how people living with addiction can be, and often are treated.

PSA 1: Addicts Hear Comments Cancer Patients Never Would

If you are having trouble watching, please click here.

PSA 2: Addicts Hear Comments Parkinson’s Patients Never Would

If you are having trouble watching, please click here.

Far Reaching Effects

The tough comments that people with addiction endure on regular basis have a serious impact, affecting American society. Those made to feel shame and guilt about addiction are less inclined to seek help for their condition. As a result, their illness progresses, sending ripples throughout the country. For starters, without treatment, more and more families find themselves burying loved ones before their time. There is also a huge economic toll that is associated with untreated addiction. Lawmakers have tried arresting addiction away, unsuccessfully. The time for compassion, is now.

Addiction Linked to Weak Working Memory

addiction

Addiction and poor impulse control. Well, it is fair to say that the two go hand in hand. Addicts and alcoholics can easily be typified by making rash decisions, that are rarely in one’s best interest. A major component of addiction recovery is reining in such destructive impulses that, in recovery, can surely lead to relapse. It isn't an easy task. True addiction develops over the course of years. During which time, people’s brains become wired to act and react to various things in certain ways. Breaking such patterns is hard work, requiring continued maintenance.

Those living in active addiction have a “go to” response for most things that come up. If they are stressed, they use. If they are happy, they use. Ad infinitum. But in most cases, the continued reliance on a substance for coping with all things Life, comes down to how your brain functions with regard to memory. Addicts and alcoholics often have short attention spans, and minds that easily forget where drugs take them. Sure, one may find relief in using a substance for a time. But such relief is always outweighed by the bad that comes with the use of a substance. Despite that fact, people continue to use regardless.

Naturally, we are all wired a little bit differently, sometimes a lot differently. Beginning at a young age, individuals process things in a subjective manner. Some young people excel at staying focused and on-task, while others struggle to keep their heading. There is compelling research indicating that those who struggle with impulse control and working memory, the capacity to focus on a task without being easily distracted, are at greater risk of substance use disorder later in life, according to a study conducted by researchers at three institutions. The findings of which, were published in the journal Addiction.

Risk of Addiction

More times than not, teenage substance use is a risk factor for a substance use disorder in adulthood. Early drug and alcohol initiation, while the brain is still developing, can wreak havoc on the course of one’s life. However, that is not always the case. The majority of teens who experiment with alcohol, tobacco and marijuana in high school, don’t progress to addiction later in life. For a significant minority, the future holds something altogether different.

It goes without saying there isn’t a test that will identify who will be touched by addiction. Sure, there are several factors that often play a part in the development of the disease (i.e. family history and upbringing), but they do not necessarily mean that the child will follow the same road as an addicted parent. While doctors cannot look at any one thing and say emphatically, ‘this teen will have problems later in life,’ identifying which adolescents have certain risk factors can help guide prevention methods that may mitigate the likelihood of addiction developing in the future.

Researchers looked 387 study participants (ages 18-20) who were recruited as 10- to 12-year-olds in 2004 for a long-term study, a University of Oregon news release reports. Baselines for the participants working memory and impulsive tendencies were defined at the beginning of the study. Teens with weak working memories and poor impulse control were at a greater risk of experimenting with substances at a young age, and having a substance use disorder later in life.

We found that there is some effect that was carried through the early progression in drug use. It is a risk factor," said Khurana, who also is a research scientist in the UO's Prevention Science Institute. "But we also found that the underlying weakness in working memory and impulse control continues to pose a risk for later substance-use disorders."

Predicting Addiction Later In Life

In middle schools and high schools across the country, substance use prevention efforts employ a total abstinence methodology. The idea being that if teens don’t ever use drugs and alcohol, they will be less likely to have a problem later in life. While that may be true in some cases, it is an idea that isn’t based in reality for the simple fact that young people will often do that which they are told not to do. As was mentioned earlier, most of the young people who experiment will not have a problem later in life. With that in mind, it would seem that prevention and intervention methods that work to improve certain behavioral deficits, could help many young people in the future.

Drug prevention strategy in the schools typically focuses on middle school when early drug use tends to take place and assumes that any drug use at all is a problem,” said Co-author Dan Romer, research director of the Annenberg Public Policy Center. “This study suggests that prevention needs to be more nuanced. The risk depends on whether drug use is likely to progress.”

If impulse control and one’s ability to stay focused is strengthened, teenagers and young adults would benefit greatly with regard to the relationship they develop with mind-altering substances.

Working with Young Adult Males

Through intensive, one-on-one addiction psychotherapy, under the care of licensed Master Level Therapists, PACE Recovery Center clients learn about and become aware of their experiences with addiction and behavioral health issues. They begin to identify personal core beliefs associated with negative sense of self, which exacerbates self defeating behaviors such as depression, anxiety and drug and alcohol use. Clients begin to challenge these self-destructive beliefs and ultimately restructure them into a healthier and more adaptive way of living free from mood altering substances. Each client's treatment plan is closely monitored, modified when necessary and evaluated by their therapist and the clinical treatment team.

Addiction Recovery Requires Assistance

addictionThose of you who have ever spent time in 12-Step meeting, such as Alcoholics Anonymous (AA) and/or Narcotics Anonymous (NA), are probably aware that a number of people found their way to addiction recovery via the legal system. Over the last several decades people convicted of driving under the influence of alcohol or possessing an illegal narcotic are commonly required to attend 12-Step meetings.

From Incarceration to Recovery

While many of the people who are mandated to go to recovery meetings are only doing so to fulfill an obligation, a significant number of people hear something said that resonates and they decide to give recovery a shot. Another group of people with substance abuse disorder find their way on the road of recovery while they are behind bars—serving time for a felony drug conviction. Despite the fact that the recidivism rates for felony drug offenders is nothing short of staggering, there are some who are tired of living in the insidious cycle of addiction and manage to work a program of recovery while incarcerated. It becomes a new way of life which they plan to embrace and continue to work at after their release. Unfortunately, the odds of success outside prison walls are low, partially due to the fact that the options for felony drug offenders are limited. If you are working a program of recovery, it is likely that you are no stranger to the feeling of hopelessness—and you are probably aware that such feelings can lead to relapse. In fact, in many states across the country, those who are released from a penal institution after serving time for a felony drug offense, find that there they are not eligible to state assistance programs. Such benefits do not apply to people with the aforementioned past, yet those same people often require such services more than anyone when you consider the fact that it can be hard for a felon to find work. Without work, being able to afford sustenance is difficult to say the least.

A Second Chance

In recent years, lawmakers have begun to sing a different tune regarding addiction in light of the American opioid epidemic. It seems like that with each day that passes, Americans become more accepting of the idea that addiction is mental health disorder rather than a moral failing. The paradigm shift in thinking has led to changes in mandatory minimum sentencing laws for nonviolent drug offenders; therefore, giving addicts the option of treatment over jail time. Moving away from draconian drug sentencing laws has lead the current White House administration to commute 562 sentences since 2008. The vast majority of those incarcerated were serving time for nonviolent drug offenses, some of which were serving life. But what about those who have already served their time and the felony on their record makes it next to impossible to survive in an above the board manner. Recognizing that drug felons need help upon release if the chance of recidivism is to be mitigated, a number of states have begun let up on restrictions that prohibit such people from receiving state assistance, such as food stamps, PBS NewsHour reports. Thus another move in the fight to change archaic laws that only serve to disenfranchise those whose only crime was that of addiction.
One of the best ways that someone can move on after they’ve been released from prison is their ability to eat and take care of themselves,” said Marissa McCall Dodson of the Southern Center for Human Rights.
In 1996, a federal ban went into effect that prohibited those convicted of felony drug crimes from receiving food stamps and cash assistance, according to the article. You may find it interesting to learn that the ban did not apply to all felons, just drug felons. Fortunately, states have the option of loosening up on such restrictions. And now, there are only seven states that still enforce the full ban on drug felons receiving food stamps. Those states include
  • Arizona
  • Florida
  • Indiana
  • Mississippi
  • Nebraska
  • South Carolina
  • West Virginia

Intensive Outpatient Treatment Is An Option

PACE Recovery’s men only rehab and intensive outpatient (IOP) treatment is ideal for men that require additional support with their addiction and/or behavioral health issues. The curriculum is flexible to allow clients to continue their everyday activities, such as work, school, volunteer or family commitments. We understand the importance of helping our clients learn to manage both recovery and life’s obligations.

Opioid Withdrawal and Loperamide is Dangerous

opioid withdrawalAnyone who has abused and/or been addicted to opioid narcotics has experienced withdrawal symptoms at one time or another. They can tell you first hand, with the utmost clarity, the hell that is opioid withdrawal and that they would have done just about anything to ease their pain. For those who detoxification was not intentional, their withdrawal is usually the result of running out of drugs or money to purchase more of their drug of choice. People undergoing opioid withdrawal are most commonly outside of a medical setting, which means that they lack access to the drug typically prescribed to mitigate their symptoms, such as Suboxone (buprenorphine) or Ativan (lorazepam). The U.S. National Library of Medicine reports that early symptoms of opioid withdrawal include: agitation, anxiety, muscle aches, increased tearing, insomnia, runny nose, sweating and yawning. Late symptoms of withdrawal include: abdominal cramping, diarrhea, dilated pupils, goose bumps, nausea and vomiting. Clearly, the majority of the symptoms listed above make for an unpleasant time, especially when you consider that some of the symptoms can continue for several weeks. While the behavior is not new, in the wake of the American opioid epidemic a number of opioid addicts have turned to the over the counter (OTC) antidiarrheal drug loperamide (Imodium) to ease their withdrawal symptoms, NPR reports. While it may seem like a harmless practice, in very high doses loperamide fatally disrupts the heart's rhythm. At 10 times the box recommended dose the drug can ease withdrawal discomfort, but in larger doses loperamide can actually create euphoric effects similar to opioid narcotics. At this point you may be wondering how a commonly used OTC medication can cause an opioid-like high and still be purchased without a prescription. Keeping the conversation as “clean’ as possible, a common side effect of opioid narcotics is constipation, a side effect that people experiencing diarrhea would appreciate. It just so happens that loperamide is a opioid-receptor agonist and acts on μ-opioid receptors, but unlike other opioid drugs, loperamide is mostly prevented from entering the blood stream and crossing the blood brain barrier essentially preventing euphoria from occurring, according to a study titled “Poor Man's Methadone: A Case Report of Loperamide Toxicity” published in the American Journal of Forensic Medicine & Pathology. The research showed that in very high doses, loperamide is able to cross the blood-brain barrier gaining access to the central opioid receptors in the brain, causing euphoria and respiratory depression. Until recently, it was fairly uncommon for people to abuse the drug, but with more people than ever abusing opioids in our country, there has been a spike in hospital cases involving loperamide, which at one time was classified as Schedule II of the Controlled Substances Act 1970, transferred to Schedule V in 1977 and then decontrolled in 1982.
Because of its low cost, ease of accessibility and legal status, it's a drug that is very, very ripe for abuse," says William Eggleston, a doctor of pharmacy and fellow in clinical toxicology at the Upstate New York Poison Center, which is affiliated with SUNY Upstate Medical University. "At the Upstate New York Poison Center, we have had a sevenfold increase in calls related to loperamide use and misuse over the last four years."
Eggleston and his co-authors, whose new study was published the Annals of Emergency Medicine, believe that loperamide should be restricted; much like pseudoephedrine was in the wake of the American methamphetamine crisis. If taken in recommended doses, such drugs are relatively harmless, but they carry a high potential for abuse. If you, or a loved one, struggles with opioid addiction, stay clear of OTC medications that people claim will help with withdrawal symptoms. The safest course one can take is contacting a licensed addiction rehabilitation center, such as PACE Recovery Center. We can get you the help you need, and aid you in getting on the road to recovery.

Major Media Covers the Opioid Epidemic

opioid epidemicA number of major media outlets have taken it upon themselves, and for good reason, to shine a light on prescription opioid and heroin abuse. For over a decade now, our nation has been severely affected by the opioid epidemic, a crisis that takes over 70 lives a day, according to the Centers for Disease Control and Prevention (CDC). While health agencies and lawmakers are working hard to increase access to both the life saving overdose reversal drug naloxone and addiction treatment, there is still a lot more that needs to be done to combat the calamity. This week, the United States Senate voted overwhelmingly in favor of the Comprehensive Addiction and Recovery Act (CARA). If the bill passes in the House, the legislation will give the Attorneys General the power to award grants to address the national epidemics of prescription opioid abuse and heroin use. The funding will be used for strengthening a number of programs and initiatives, including: addiction education and prevention, prescription drug monitoring and treatment. CARA is just one effort among a multifaceted interagency approach to addressing the opiate epidemic. The White House, the Substance Abuse and Mental Health Services Administration, the Food and Drug Administration, et al., are all committed to saving lives and providing access to substance use disorder treatment. What’s more, there is still a lot that the American public does not understand about the drug crisis and the true scope of the disease of addiction. Last month, the Federal Bureau of Investigation (FBI) along with the Drug Enforcement Administration (DEA) released a film: “Chasing the Dragon: The Life of an Opiate Addict”. The film was created mainly for young Americans, and was essentially a call to action for the public to take part in ending the opioid epidemic. Towards the end of February, PBS aired a new "Frontline" documentary "Chasing Heroin." The film is nearly 2 hours long, and took a year to film. The documentary covers a number of elements of the epidemic, but perhaps the most interesting aspect was the coverage of how law enforcement is addressing the problem. Police officers are acting as social workers and not jail taxis, instead of slapping on the handcuffs they are referring addicts to addiction treatment services. You can watch a short clip below or watch the full documentary by clicking here. Tonight, ABC News will air a special edition of "20/20" at 10 p.m. ET. "Breaking Point: Heroin in America." The report covers the ongoing heroin epidemic in New Hampshire. “When you realize that nearly everyone you meet has been touched by the drug in some way, that’s really eye-opening,” said David Muir. “It helps begin a conversation out there, and the more we can be part of the conversation, the better.” We hope that everyone, whether the opioid epidemic has touched you or not, will take time to watch the important documentaries. We can all have a hand in the solution to this insidious problem.

Addiction Recovery: No Mind Altering Substance is Safe

addiction recoveryEarly addiction recovery is arguably the most difficult, addicts and alcoholics are still developing the skills necessary to maintain a program of abstinence. On top of being newly sober, and a bit shaky, people in early recovery are often bombarded with a lot of information which can become a bit overwhelming for some. What’s more, it is common to hear conflicting opinions from those with significant time regarding the “do’s and the don’ts.” While it is important to listen to what those in recovery have to say, if you find yourself unsure about something regarding the program it is always best to run one’s uncertainties by your sponsor or therapist. Such people could be compared to a ship’s anchor, keeping you from drifting into unsafe waters. People in early recovery using the 12-steps should look to their sponsor as a model for how to work a program and maintain their sobriety. A common misconception that many alcoholics and addicts have when starting an addiction recovery program is that they still can use certain mind altering substances, and that they only need to stay away from the drug or drink with which they struggled. Sadly, that line of thinking is in error, many alcoholics who are new to recovery will smoke marijuana, and a number of drug addicts will continue to consume alcohol. More often than not, such actions will lead people back to their substance of choice. It may not happen overnight, but in time the idea will creep back in one’s mind that they can moderately use the drug that brought them to the point of needing recovery in the first place. The aforementioned misunderstanding may be in part the result of recovery nomenclature, and the multitude of 12-step modeled programs. The idea that somehow an alcoholic is different than an addict, and vice versa; alcoholics attend Alcoholics Anonymous meetings and drug addicts will often choose to attend Narcotics Anonymous. The reality is that Addiction is Addiction, if a person has ever used a mind altering substance to the point of despair, the likelihood that that same person could develop an unhealthy relationship with another potentially addictive substance or behavior is exponentially increased. If you are new to recovery, working a program to break the cycle of addiction, regardless of which 12-step program you attend please remember that no mind altering substance is safe. Hopefully, it is a warning you hear early on upon entering the rooms of recovery, and one that is heeded with vigilance.