Tag Archives: opioid use disorder

Opioid Addiction Epidemic Solutions

opioid

More than 72,000 people in the United States died from accidental drug overdoses last year, according to the Centers for Disease Control and Prevention (CDC). While it is difficult to quickly pinpoint the exact cause of a fatal drug overdose – prescription drugs, heroin, or synthetic opioids – opioid painkillers are one of the leading reasons. Drugs like oxycodone, hydromorphone, and hydrocodone are responsible for many deaths each year, despite efforts to rein in overprescribing and doctor shopping.

Even if a prescription opioid isn’t linked to an overdose death, there is a good chance that a victim was introduced to opiates by a physician. Deadly introductions to opioids are extremely common, the National Institute on Drug Abuse (NIDA) reports that 80 percent of heroin users first misused prescription painkillers. The reasons for changing from FDA-approved drugs to street-grade heroin vary; but, it often stems from a patient no longer being able to acquire their prescriptions easily.

Anyone living with opioid use disorder – whether they’re still active or in the first 5-years of recovery – knows that in most states it’s more difficult than before to meet the demands of their disease. Why is more challenging? Because practically every state in the country has some form of prescription drug monitoring program (PDMP); many doctors have a better understanding of the disease; and, most physicians are unable to write refill after refill for opioid narcotics. Patients are now receiving smaller, less potent drugs than before and more doctors are determined to taper patients off in a timely manner.

In many cases, not all, patients will turn to the black market to acquire the drugs they desire—narcotics that will prevent painful withdrawal symptoms. However, many Americans still find ways to obtain their prescription meds and use them in dangerous ways.

Prescription Drug Monitoring Program Mandate

PDMPs exist, but few doctors rely on the life-saving tools! Each doctor gives their reasons for resistance, and such reasons vary from state-to-state. Here in California, and despite being the first state to implement a PDMP, the track record of use is nothing short of dismal.

The Controlled Substance Utilization Review and Evaluation System, or CURES, debuted in 1997; but, by 2012 less than 10 percent of providers and pharmacists had signed up for access to the database, according to a Los Angeles Times investigation. In 2012, the opioid addiction epidemic was well underway, and Californians were succumbing to overdoses at a staggering rate. Moreover, few doctors were turning to CURES to learn about their patient’s prescriptions, who prescribed the drugs, and which pharmacies filled them.

Given that doctors are in a wholly unique position to identify patients at risk of abuse, or those already showing signs of addiction, utilizing CURES is no longer up for debate. Whether a physician likes the database or not (some have complained that it is hard to use), starting next month use is mandatory, The Los Angeles Times reports. State Sen. Ricardo Lara’s SB 482 goes into effect requiring, among other things, that:

A health care practitioner authorized to prescribe, order, administer, or furnish a controlled substance to consult the CURES database to review a patient’s controlled substance history no earlier than 24 hours, or the previous business day, before prescribing a Schedule II, Schedule III, or Schedule IV controlled substance to the patient for the first time and at least once every 4 months thereafter if the substance remains part of the treatment of the patient.

Stemming the Tide of Addiction With Due Diligence

Despite being around for more than 20 years, the program has had a number of problems that have been addressed over the years. Originally described as “clunky and far from user-friendly,” the system was revamped in 2009 and CURES 2.0 was released in 2016 with a better interface, according to the article. The newer database is far from perfect and can use some improvements; even still, compulsory use of CURES will undoubtedly save lives.

California joins New York, Kentucky, and Tennessee in requiring doctors to consult a prescription drug database before prescribing. According to the article, a 2017 study showed that mandatory use of New York’s I-STOP database in 2013 led to a leveling off of prescription opioid deaths in the state.

California created the first system to track prescriptions of the strongest painkillers, but our state fell behind as the opioid crisis grew,” said state Sen. Ricardo Lara (D-Bell Gardens), who drafted the legislation in 2015. “I wrote SB 482 to require that doctors and others consult the CURES system before prescribing these powerful and addictive drugs. This tool will help limit doctor shopping, break the cycle of addiction and prevent prescriptions from ever again fueling an epidemic that claims thousands of lives.”

Opioid Use Disorder Treatment for Men

Please reach out to PACE Recovery Center if you are struggling with prescription opioids or heroin, or your loved one is about to complete inpatient treatment and can benefit from extended care. Relying on a combination of traditional and alternative therapeutic methods, we can help you or a family member enter into a life of recovery from opiate addiction.

If you are in crisis, please call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or contact the Crisis Text Line by texting TALK to 741741.

Addiction to Opioids and Finding Recovery

addiction

At times, the American addiction opioid epidemic appears to be an unwinnable battle. Lawmakers and public health experts continue to do everything in their power – ostensibly – to impede the trend of ever-increasing overdose death rates. Police officers and other first responders have the overdose reversal drug naloxone (Narcan) on hand. Many opioid use disorders (OUDs) and their families can acquire Narcan kits without a prescription in many parts of the country. More doctors are now exercising additional significant caution when prescribing drugs like OxyContin and Percocet. And, perhaps most vital, the states hardest hit by the epidemic are expanding access to addiction treatment. However, to everyone’s dismay, the overdose death rate continues to climb with each passing year.

The U.S. Centers for Disease Control and Prevention (CDC) issued preliminary estimates for the overdose death toll in 2017, and the findings are disconcerting. In 2016, the national overdose deaths were right around 64,000 Americans, but in 2017 the number jumped 10.2 percent with overdoses killing about 72,000. The startling number is not a final count which means there is an excellent chance that the toll is even more concerning.

In spite of all the hard work of thousands of Americans, more people than ever are caught in the vicious cycle of opioid addiction. The primary driving force behind the record-setting overdose death rates is – without any doubt – synthetic opioids like fentanyl. It is worth pointing out that there are good signs that almost get lost in the noise of data, some areas are doing better. In parts of the country hardest hit by the epidemic, there are promising indicators thanks to public health campaigns and expanding access to addiction treatment, The New York Times reports. So far in 2018, it looks like the Commonwealth of Massachusetts will see a decrease in overdose fatalities.

Tackling Widespread Opioid Use

The two driving forces behind the increase over 2016 are synthetic opioid analogs, and more people are using opioids, according to the article. Brandon Marshall, an associate professor of epidemiology at the Brown University School of Public Health, would agree with the latter, he says the number of opioid users is increasing but not exponentially.

The C.D.C reports that synthetic opioid-related overdoses rose dramatically last year, whereas heroin, prescription opioid-related deaths fell. The agency says there is some evidence that fatal overdoses may have plateaued toward the end of last year, especially in the East. But, there is a reason to suspect things could get worse on the West Coast.

Chris Jones, the director of the national mental health and substance use policy laboratory, tells the NYT that drug distributors are discovering how to mix fentanyl with black tar heroin. Unlike the East Coast, the majority of heroin used in states like California is a black tarry-ish resin iteration of the drug. Black tar – experts say – doesn’t admix as well with fentanyl like the white powder heroin does found in states east of the Mississippi.

Persisting Stigma of Addiction

In 2016, a phone survey revealed that more than 2 million Americans were struggling with opioid use disorder. However, Dan Ciccarone, a professor of family and community medicine at the University of California, San Francisco, says the actual number might be closer to 4 million Americans. Why the 2-million-person discrepancy? Stigma! Many people are reluctant to share that they have a problem, even during an anonymous phone survey. Dr. Ciccarone, who researches heroin markets, adds:

Because of the forces of stigma, the population is reluctant to seek care. I wouldn’t expect a rapid downturn; I would expect a slow, smooth downturn.”

Naturally, anyone struggling with any form of addiction can do him or herself an excellent service by seeking addiction treatment immediately. While opioids are more likely to cause an overdose death than most other drugs, harmful synthetic opiates are showing up in substances other than heroin. Mixing fentanyl with cocaine, methamphetamine, and benzodiazepines is becoming more common. Unsuspecting addicts are at high risk, and the only sure way of avoiding contact with fentanyl is abstinence and working a program of recovery.

Addiction Treatment

We understand that the decision to seek treatment isn’t made lightly, and the stigma of addiction is daunting. However, those who can find the courage to seek assistance can and do recover from the impact of drug and alcohol abuse. At PACE Recovery Center, we offer clients struggling with addiction and co-occurring mental health disorders a safe and supportive environment. Our team of highly-skilled addiction professionals helps adult males overcome the challenges they have experienced due to alcohol and substance use disorders. Please contact us today to learn more about our specialized clinical treatment for men.

Recovery Boys: Young Men Living With Opioid Use Disorder

Recovery Boys

Beyond drugs and alcohol, there is a meaningful life to be had for anyone provided however they are willing to make significant changes. We know this, we have seen it first hand at PACE Recovery Center; each year we help young men pull themselves out of the depths of despair and embrace a wholly new way of living. Males whose prospects for the future were exceedingly dim just a short time ago are today committed to doing whatever it takes to keep their disease at bay. Those same men are living examples of the power of recovery, and they serve as an inspiration to all who are interested in following a similar path.

When scrolling through news feeds of addiction-related topics, it can be easy to adopt the opinion that recovery is nearly impossible. Such is especially for some people when they see headlines about the almost two-decade-long opioid addiction epidemic, a crisis that has shattered families and stolen the lives of both young and old alike. With over 100 Americans perishing from opioid-related causes every day, and another 2.1 million people whose next use could be their last, it can be easy to become discouraged.

It is vital we balance the scales and dispel myths about addiction and recovery. And, the general public should know that for every tragic story, there is one of hope; with the help of detox facilities, treatment centers, and a daily program, men and women can persevere. This most deadly illness has a weakness, that of community, compassion, and empathy; working together with those who came before, people can overcome use disorders and find peace and serenity.

Recovery Boys

Encouraging people to take the leap from substance use to recovery isn’t simple, addiction has a way of persuading people to act in ways counter to their best interest. With that in mind, it helps if addicts first believe that recovery is possible and one way to accomplish the task of encouraging individuals to seek treatment is to show them stories of success. Documentary filmmaker and director, Elaine McMillion Sheldon, has made it her mission to light the way toward healing for many young men still “out there.” In her latest film, “Recovery Boys,” Sheldon follows four young men living with opioid use disorder as they chart a path out of the dark cave of addiction.

If you are familiar with her prior work about the opioid epidemic, “Heroin(e),” then you would likely agree that Sheldon aims to erode the stigma of addiction. “Heroin(e)” follows three women in Huntington, West Virginia, working on the frontlines of the epidemic. Some call Huntington the “overdose capital of the United States!" If you have not seen the Oscar-nominated film, you can stream it on Netflix.

While the spotlight focuses on empathetic people trying to save the lives of addicts in “Heroin(e),” Sheldon turns the lens on young men who do not want opioid addiction to be the end of their story in “Recovery Boys.” Like most people in early recovery, the four human subjects in Sheldon’s new film have many obstacles ahead, but watching them go through the process may inspire others to embark on similar journeys.

I make this film not to victimize, pity or make excuses for individuals, but to uplift the stories of people who are actively trying to make change, no matter how big or small,” Sheldon said in a statement.

Please take a moment to watch the trailer:


If you are having trouble watching, please click here.

Opioid Use Disorder Treatment for Men

Many young men across the country believe that recovery is not an option. Some of those same people give recovery a go for a time only to relapse; when that happens, it’s easy to resign oneself to negative lines of thought about the prospect of change. Becoming discouraged is understandable, but it shouldn’t be an excuse to give up on recovery altogether. The fact is that there are thousands of compassionate people working in the field of addiction medicine, many of whom are healing from addiction too, who are committed to helping others adopt a program of recovery. Mental illness is treatable; we can break the bonds of the disease, and long-term recovery is achievable. Although to achieve the above ends, individuals must work together!

Due to the complexities of opioid dependence, long-term treatment is the most effective way of bringing about lasting recovery. If you are a young adult male who is battling an opioid use disorder, our team of highly skilled addiction professionals can show you how life in recovery is possible. Please contact us at your earliest convenience to learn more about the PACE Recovery model.

Opioid Summit Involves Google and Facebook

opioid

The U.S. Food and Drug Administration (FDA) is hosting an Opioid Summit today, June 27, 2018, in Washington D.C. Government entities, academic researchers, and advocacy groups are attending the event, as you’d probably expect. Unexpectedly, internet stakeholders, as well as senior executives from major search engines like Google and social media platforms such as Facebook and Instagram are also participating. Why would the FDA, led by Commissioner Scott Gottlieb, M.D., invite the movers and shakers of Silicon Valley to such an event? The answer, to combat illicit opioid sales over the internet.

Most people have heard or know a little bit about the “dark web;” home to multiple online marketplaces that allow people to exchange illicit goods. Users can peddle and procure just about anything in the far corners of the world wide web; and, those engaging in such activities are, theoretically, protected by proxy servers and virtual private networks (VPNs). Disguising one’s internet protocol (IP) address allows people to buy and sell things like heroin and counterfeit passports, evading the watchful eye of authorities, most of the time. You have probably heard about the dark web marketplace known as The Silk Road; if so, you know that the FBI shut it down and arrested its founder Ross Ulbricht in 2013. Ulbricht is now serving a life sentence without the possibility of parole, which you’d be right to think should deter others from having similar aspirations. It didn’t!

Today, the internet is home to even more black marketplaces than before. The number of sales and profit generated on the most popular sites people now rely on for illicit goods dwarfs that of the preceding Silk Road, according to findings by RAND Europe and researchers at Carnegie Mellon University.

Hiding In Plain Sight

Not everyone looking to sell opioids online has the know-how to set up shop on the darknet. An even more significant number of people on the hunt for prescription painkillers or heroin do not understand how or have the tools to access dark marketplaces. Many people take a more cavalier approach to purvey and procure opioids over the internet; advertisements for online pharmacies abound on the plain old internet on search engines and social media sites. While some good many websites are scams to harvest private information from the naive, plenty of these sites make good on their promise.

Earlier this month, the FDA reached out to some 53 online pharmacies instructing them to cease and desist, or face severe legal consequences, Wired reports. A study conducted by Carnegie Mellon University shows that online illicit drug sale revenue increased from between $15 and $17 million in 2012 to between $150 and $180 million in 2015. Whether more people are acquiring their drugs from internet pharmacy sites or on the dark web is somewhat irrelevant, what is salient is how to stop the practice.

Addressing the problem of drug dealing on the web is more urgent than ever considering the rise of synthetic opioids like fentanyl, carfentanil, and U-47700 or Pinky. Dealers disguise the substances mentioned above as more popular and less dangerous opioids like OxyContin, and they carry an enormous risk of fatal overdose. On average, 115 Americans succumb to opioid misuse every day in the U.S.

Opioid Summit May Devolve Into A Blame Game

At this point, it is hard to tell what, if anything, will come out of the meeting in Washington today. Reports show that in the days leading up to the summit, tech representatives and lobbyist began tossing blame around. The Center for Safe Internet Prescribing (CSIP) released a report showing that majority of drug sales happen on the dark web, and that open web offers for opioids were more likely to be scams. Libby Baney, an advisor to the Alliance for Safe Online Pharmacies, argues otherwise to Wired:

If all drug sales happening on the internet were on the dark web, I'd throw a party. Then the vast majority of Americans would be safe."

Tim Mackey, an associate adjunct professor at the University of California, San Diego, and fellow researchers found that online links on Twitter and Facebook offering up for sale illegal items originate on the darknet. Professor Mackey, who will speak at the summit, says:

What’s happening on the dark web is a lot of business-to-business sales. The digital drug dealers are sourcing from the dark web and using social media to sell directly to consumers.”

It’s worth noting that Facebook will direct users attempting to purchase opioids to addiction treatment resources, instead. Google played a significant role in the most recent National Prescription Drug Take-Back Day. And, according to CSIP—which is backed by tech giants—117 million ads attempting to sell illicit goods were blocked last year.

Proactive Approaches to Opioid Use Disorder

Dark web, open web, prescribed by doctors or not; lives hang in the balance if significant corporations in the tech sector cannot work together with government agencies to stem the tide of opioid addiction in America. There is an opportunity here to put a stop to illicit online opioid sales. The problem is here, and we cannot afford to ignore it, the United States Senate Permanent Subcommittee on Investigations released a report presenting incontrovertible evidence that average Americans can purchase illicit opioids online. Another report from the National Association of Boards of Pharmacy shows that when searching online for prescription opioids, nearly 91 percent of the first search results led users to an illegal online drug seller offering prescription opioids—regardless of the search engine.

Social media companies, search engines, and domain registrars are in a unique position to nip, at least some of these kinds of practices, in the bud; not only redirecting people to addiction treatment services but having a hand in saving countless lives.

Opioid Use Disorder Treatment

If you or a loved is struggling with opioid use disorder, please contact PACE Recovery Center. We offer clients gender-specific, extended care treatment for males in the grips of progressive mental health disorders.

If you have suicidal ideations, please contact the National Suicide Prevention Lifeline: 1-800-273-8255

Opioid Addiction in America Accountability

opioid

The effort to rein in the prescription opioid problem here in America continues even though there hasn’t been an announcement from the Office of National Drug Control Policy (ONDCP) on how it plans to tackle the issue. While state and Federal lawmakers tirelessly work to bring about change and hold those responsible for their actions, the pharmaceutical industry has been less than cooperative. It probably shouldn't come as a surprise, after all the prescription painkillers are a multibillion-dollar industry in the U.S. Taking even a modicum of responsibility for misleading doctors and patients about the dangers of opioids would be to acknowledge profiting off suffering and death.

All roads lead to the pharmaceutical industry no matter from what angle you examine the American opioid addiction epidemic. There is a plethora of evidence showing the tactics of companies, like Purdue Pharma, beginning in the late 1990s. Methods including promotional videos assuring doctors that the number of patients who might develop an opioid use disorder was statistically irrelevant. Before long, and with the bonus of incentives to prescribe, primary care physicians began doling out drugs like OxyContin for all things pain.

Naturally, the opioid scourge in America wasn’t the doing of just one entity; we need to consider that there are many stops along the way from the poppy fields to the medicine cabinet. The onus of the problem affecting millions of people falls on many private companies, health organizations, and government agencies like the FDA. In fact, some of the companies which profited the most from addiction in America were pharmaceutical distributors, those in the business of getting drugs from manufacturers to the pharmacy. Even a cursory look reveals that wholesalers turned a blind eye to filling suspicious orders.

Opioid Addiction Accountability

Yesterday, the leaders of five pharmaceutical distributors sat before a House panel hearing fielding questions regarding their practices in the state of West Virginia. The population of the “Mountain State” is roughly 1.80 million, according to today’s estimates and yet, 780 million hydrocodone and oxycodone tablets went into the state between 2007 and 2012, CNN reports. The town of Kermit, WV, for instance has a total population of 400 people and yet, over the course of just two years almost 9 million painkillers were sent to one local pharmacy.

At one point during the hearing, House Energy and Commerce Oversight and Investigation Subcommittee chairman, Gregg Harper (R-MS) asked McKesson Corp., Cardinal Health, AmerisourceBergen, Miami-Luken and Smith Wholesale if their companies had a role in the opioid epidemic? All the distributor heads but Dr. Joseph Mastandrea, chairman of the board of Miami-Luken, answered Harper unequivocally, “NO!”

Despite the fact that Rep. David McKinley, (R-WV) was not a member of the subcommittee he was able to sit in and allowed to share some thoughts with the distributors, according to the article. He points to the companies' "lack of attention on your algorithm and your core operation. And deflecting responsibility, saying, 'I just had to fill the order' -- no, you had a role. You had a role." Adding, "And for several of you to say you had no role whatsoever in this I find particularly offensive."

I just want you to feel shame in your roles, respectively, in all this," said McKinley. "I am so frustrated for the people of West Virginia and this country that you all have not stepped up and took more responsibility for this.

Paying for Opioid Use Disorder Treatment

Lawmakers’ ire is fervent toward manufacturers as well, with many reasoning that since the companies had a role in creating the problem, the least they can do is help cover the cost of treatment. Currently, some 15 states have legislation in the works that would tax prescription opioids; the revenue would then fund addiction treatment services, The Chicago Tribune reports. Of course, bringing such laws to fruition is, unfortunately, a David and Goliath scenario given the powerful ‘big pharma’ lobbies. To date, only the state of New York has been able to pass an opioid tax measure.

The industry is up-to-its-eyeballs in lawsuits and protracted litigation, owing mainly to the staggering death toll in the last twenty years. The general public and lawmakers (some of whom have lost loved ones to overdose) want the industry to do what’s right, take responsibility, and be a part of the solution. Such companies can afford to help, especially when you consider the amount of money opioid developers spend in efforts to defeat common sense legislation. The big opioid producers spent $880 million on politics and lobbying from 2006 through 2015, according to AP and the Center for Public Integrity.

So, what is the manufacturers and distributors argument, you ask? The companies contend that an opioid tax is wrong and would lead to patients or taxpayers eating the cost in the long run. As you can probably imagine some lawmakers are at their wit's end with the lack of accountability, state Sen. Julie Rosen (R-MN) walked out of a meeting with big pharma reps, the article reports. She said:

They know that they're spending way too much money on defending their position instead of being part of the solution.

Opioid Use Disorder Treatment

If you are a young man struggling with opioid addiction, PACE Recovery Center can help. Our team of experts can teach you the skills and provide you the necessary tools for leading a productive life in recovery. Please contact us today to learn more about our program.

Addiction: The Unforeseen Consequences of Stigma

addiction

What we say to one another matters, perhaps more than some are willing to admit; few people can grasp this as much as the addict. It isn’t just what we say to each person that is worth discussion, how we talk about groups of people can a lasting impact and unforeseen consequences. As the U.S. nears the end of the second decade of unprecedented opioid use and overdose rates, some hard questions are worth asking. If addiction is a mental health disorder, and the NIDA considers the condition a long-term, treatable brain disease; why does much of society continue to view the illness with scorn, ridicule, and judgment?

Searching the internet reveals that treatment works and recovery is possible. If you ask your friends and family members if they know someone in recovery, they will likely say ‘yes.’ Reading books or watching television can illuminate the lives of others who have gone to battle against the seemingly indomitable foe that is an addiction. While such people do not slay the dragon, they do find a way to tame (manage) it with the help of specific programs.

If a person is sick why would anyone want to discourage them from seeking assistance? If that same person gets better, why would people still look at them differently or expect that at a certain point they will fail? It is difficult to explain why some people will always view those whose addiction is at bay through working a program different from one whose cancer is in remission thanks to chemo.

It’s unlikely the answers to most of these questions will reveal themselves by the end of this article, and that is alright. Hopefully, by making inquiries into the nature of addiction, we might encourage people to rethink their views.

Defining Addiction

Better to sleep with a sober cannibal than a drunk Christian. ―Herman Melville, Moby-Dick or, The Whale

Could a drunkard "actually" be more dangerous to the fabric of society than a person who "literally" consumes their fellow man? Of course not, but it depends on who you ask. As health experts and lawmakers continue to seek out novel ways of addressing addiction in America, the word “stigma” comes up in the discussion more often than not. If the addict were a horse, stigma is the wagon it pulls. With that in mind, it might be helpful to contemplate the origins of the words inextricably bound to mental illness.

The word ‘addiction’ results from the Latin ‘addictus,’ from the verb ‘addicere’ [ah-dee-keh-reh]. There are several translations for addicere, but a few stand out; enslavement, extreme religious devotion, and sacrifice. Other definitions can apply, but those above will suit for this article. Nobody can deny that people living in the grips of mental illness find themselves in a form of bondage. Each day, enormous sacrifices are made (against wellbeing) in devotion to the disease. What’s more, it may be worth mentioning that the verb addicere can also mean to judge, sentence, or condemn. It isn't hard to see that the way we talk about mental illness results in stigmatization.

Defining Stigma

stigma

Now, let’s talk about stigma or a mark of disgrace. Half a millennium ago, the word from the Latin Stigmata, meant a "mark made on skin by burning with a hot iron;" from the Greek stigma (genitive stigmatos) "mark of a pointed instrument, puncture, tattoo-mark, brand." Anyone with a Christian upbringing can probably deduce the association with Christ and stigmata. Stigmas "marks resembling the wounds on the body of Christ, appearing supernaturally on the bodies of the devout." The last bit there, and perhaps worth extended focus, is devout; if you remember from above the addict devotes him or herself to the point of slavery, and here we see that stigmas are brands upon such people.

You can easily see the link between addicts and stigmas in America; if we are honest, everyone living with mental illness has come face to face with judgment at some point. The question we should be asking is, ‘to what end?’ There is research with ample support to back it showing that stigma prevents people from accessing treatment, and by default—recovery. Given that addiction is an epidemic, and the symptoms of which are treatable; it begs the question, why does society continue to act and speak in a way that prevents mothers, fathers, sisters, and brothers from getting help?

The perspective of addiction that many people adhere to is somewhat schizophrenic (in the non-psychological sense of the word); to give you an idea, please consider the data below. More than half of Americans believe addiction is a medical problem; however, less than 1 in 5 Americans say they would closely associate with people (i.e., friend, co-worker, or neighbor) struggling with addiction.

The Associated Press-NORC Center for Public Affairs Research Survey

A survey involving 1,054 adults fielding questions online or by phone reveals the kind of troubling findings above. The Associated Press-NORC Center for Public Affairs Research survey shows that forty-four percent believe opioid use disorder is a sign of lacking willpower or discipline; one-third of those participating see opiate addiction as a character flaw, The Washington Post reports. Equally as troubling is the fifty-five percent of respondents favoring a “crackdown” on people misusing drugs.

While two-thirds said policy-makers should expand access to treatment, it appears that respondents fail to grasp how their views of addiction bar people from accessing rehab. Federal research confirms what those working in the field of addiction acutely understand; stigma prevents people from seeking treatment. Over 2 million Americans are struggling with an opioid use disorder; but, only 1 in 5 receive “specialized treatment.”

“When something is stigmatized nobody wants to bring it up, so therefore people who need the help are less willing to come forward,” Dr. Corey Waller, an addiction specialist in New Jersey, told the AP.

Opioid Use Disorder Treatment

In my judgment such of us who have never fallen victims have been spared more by the absence of appetite than from any mental or moral superiority over those who have. Indeed, I believe if we take habitual drunkards as a class, their heads and their hearts will bear an advantageous comparison with those of any other class. —Abraham Lincoln [addressing the Washingtonian Temperance Society, February 22, 1842]

Addicts are people living with a form of mental illness that they can manage and recover from provided, however, they feel compassion from their friends, family, and community. For too long stigma has had a hand in preventing individuals from finding support; we can no longer allow people’s “personal” views about any life-threatening conditions shape our policy. Millions of people are living with an opioid use disorder, and many millions more are battling alcohol use disorder; no family or community is exempt from mental illness. Compassion is far more valuable than judgment; branding our fellows as weak or flawed impacts society in myriad ways.

If prescription opioids or heroin is impacting your life negatively, PACE Recovery Center can help. We specialize in the treatment of young men caught in the vicious cycle of addiction and coöccurring disorders. Please contact PACE to learn more about how we can assist you to begin the process of healing and learn how to lead a productive life in recovery.

Opioid Addiction Epidemic Observations

opioid addiction

Media news outlets are instrumental in presenting a picture of addiction in America. The tireless work of journalists serves to educate all of us on the nature of the disease and informs us about efforts to rectify the problem. While the media doesn’t always get it right, the simple fact that discourse exists is a step in the right direction. Headlines put human faces to the numbers, which is vital to ending the stigma of alcohol and substance use disorders.

Curbing the American opioid addiction epidemic is challenging, due to a myriad of reasons—it's difficult to list them all. There is a fundamental problem in this country in how most people refer to the scourge of opioid use. It's called an "opioid epidemic;" however, the crisis we face is exponentially more massive than the 2 million plus (low estimate) individuals abusing OxyContin or injecting heroin, and the 64,000 people who perished in 2016. In reality, we are up against an addiction epidemic; something many experts and the media have lost sight of in recent years.

While we have all focused on opioids, a family of drugs devastating a large number of White Americans, the use, and abuse of other substances receives little attention. Lawmakers and health experts sincerely desire to help those in the grips of opioid addiction, yet few can agree on the means and ways of accomplishing the task. Congress pledges to help Americans overcome opioid dependence while simultaneously vowing to dismantle legislation intended to protect Americans.

Symptoms of Addiction

Ensuring that insurance companies cover mental health costs is of the utmost importance; the Mental Health Parity and Addiction Equity Act and the Affordable Care Act both include provisions mandating insurance to cover all health costs commensurately. A person with opioid use disorder should have the same level of coverage as someone with diabetes. Despite such legislation, providers still find a way to skirt the mandates; a person need only try to get 90-days of treatment covered to determine the depth of their policy regarding parity.

Overprescribing opioid painkillers had a hand in creating the problem we face today, but we must be careful when playing the blame game. Addiction takes root in a person when the conditions are just right, i.e., family history, quality of life, and co-occurring mental illnesses. Doctors were prescribing opioids willy-nilly in the mid to late 2000's, a time when economic hardship was people's reality. Simply put, people were unhappy, opiates made them feel better, and people had access to a bottomless reservoir of painkillers. A large percentage of those same people are still in an unfortunate way.

Doctors could stop prescribing opioids altogether, and the use of drugs like heroin or fentanyl would continue. Unless help is accessible, the suffering and premature deaths will continue. Not just from opioids, any mind-altering substance that results in physical dependence is likely to play a detrimental role in a person's health and their prospect of living a long life. It's vital for us to remember that more Americans die from alcohol each year than from overdoses. Only by looking at the big picture, can we make headway in addressing the scourge of opioid abuse.

How to Solve an Epidemic?

The New York Times is asking its readers to help the publication shape their coverage of opioid use in America. As a society, all of us have been affected by addiction both personally and in our families; with that in mind, everyone’s opinion is valuable to the goal of reducing addiction rates. A NYT survey opens with:

The devastating effects of opioid abuse are rippling through families and neighborhoods across the United States. To improve our coverage we are seeking to learn more about what our readers are looking for. Tell us what kinds of stories you’d like to see us cover. Your answers will be confidential and only shared internally. We won’t use your name or attribute any of your responses to you.”

One of the more critical questions the newspaper asks is: “In general, are you hopeful that the opioid epidemic in America will eventually be solved? Why or why not?”

Opioid Use Disorder Treatment

Addiction is a treatable mental illness provided however you have the right help. At PACE Recovery Center, we can help you get out from under this insidious disease and begin a journey of lasting recovery. Please contact us today if you are in the grips of this progressive mental illness.

Opioid Use Disorder Tackled On A&E INTERVENTION℠

opioid use disorder

Last year, we had the opportunity at PACE Recovery Center to help a young man break the cycle of addiction and begin the life-saving journey of recovery. Many of our regular readers probably remember the excellent work we did with A&E’s program INTERVENTION? The show directed their spotlight on then 23-year old Sturgill who, like so many young Americans, developed an opioid use disorder. His story was not too dissimilar from a significant portion of the more than 2 million opiate addicts in the U.S., Sturgill’s opioid use disorder stemmed from painkillers prescribed for an injury.

Opioid addiction and the eponymous epidemic is the result of liberal prescribing practices. The trend of overprescribing arose out the pharmaceutical industry’s effort to spread false or misleading information about the dangers of drugs likes OxyContin. Once patients became addicted to their painkillers, the majority found little recourse for dealing with their condition, due to limited access to addiction treatment services.

The situation in America today is not any different from when Sturgill came to PACE for assistance, the problem in America is dire. The number is not in yet for 2017, but overdose deaths are expected to surpass the previous year, which boasted the highest death toll on record. Efforts to curb the epidemic have shown some promise, to be sure, although the outbreak is far from coming to an end. Doctors still prescribe opioids with little prejudice, patients don't receive info about opioid-alternatives for pain, and treatment centers in most of America are challenging to access.

What’s more, prescription opioids are only one facet of the epidemic; heroin, fentanyl-laced heroin, and fentanyl pills disguised as popular painkillers continue to steal American lives.

A&E INTERVENTION℠ Tackles Heroin

Last week, A&E kicked off its new season of INTERVENTION℠; this year the show's producers decided to focus on the opioid addiction epidemic. The first episode directed viewer’s attention to what is dubbed the heroin triangle north of Atlanta, according to Daily Report. The triangle includes affluent Cobb, Fulton, and Gwinnett counties, is struggling with opioids; Cobb County District Attorney Vic Reynolds hopes the show will draw people's attention to the heroin crisis throughout the country. He’d also like people to see some of the novel approaches utilized in North Atlanta; in an interview, DA Reynolds echoed what many experts have said about addiction for decades:

We cannot arrest our way out of this heroin epidemic,” Reynolds said. “It cannot be done.”

The series premiere last Tuesday included two one-hour episodes; if you missed them hopefully, you can catch a rerun. For the next seven weeks (Tuesday at 9 PM) INTERVENTION℠ will cover aspects of the epidemic in the areas affected greatest.

As a testament to the severity of the country’s current opioid crises, this season focuses on the victims of this epidemic and exposes the widespread impact of addiction on a community-wide scale,” Elaine Frontain Bryant, head of programming for A&E Network, said in a news release. “We are extremely proud of the tremendous work of our interventionists and we hope the stories told this season serve as a beacon of hope to those suffering directly and indirectly from opioid addiction.”

Opioid Use Disorder Recovery

When mainstream media sheds light on public health epidemics like the opioid addiction crisis, it can lead to progress. Putting human faces to something that people mostly understood via statistics opens people’s minds to the true nature of addiction. The problem we face is a disease, a mental health disorder that has no known cure but is treatable, effectively. It should go without saying that addiction treatment is the most effective tool used in addressing the epidemic. Recovery is possible if people have access to the necessary resources.

If you are one of the millions of Americans touched by opioid use disorder, please contact PACE Recovery Center.

Addiction Treatment for Opioid Use Disorder

addiction

Opioid use disorder has the potential to impact any one’s life, as is evident by overwhelming addiction rates and an ever-increasing death toll. Prescription opioids, heroin, and synthetic opioid use is a complicated problem to address; on the one hand, pain must be treated adequately, while on the other hand, such drugs wield deadly power. If the nation is to find a solution to this public health crisis, it will be in the realm of responsible prescribing practices and addiction treatment services expansion.

If you have been following the epidemic, and efforts to address opioid use disorder, then you are probably aware that in the grand scheme of things there has been limited progress. Prescription drug monitoring programs designed to curb doctor shopping and help physicians identify opioid-dependent patients are underutilized. A large number of doctors are resistant to prescribing guidelines from government health agencies. Legislation passed to address various aspects of the scourge, while sensible and likely to reap progress, lacks the appropriate funding to fulfill such goals.

Addiction treatment exists, and it’s a useful means for turning one’s life around completely. Those who seek help from addiction treatment centers get introduced to a way of living that they once thought impossible. Sadly, many addicts and alcoholics don’t believe recovery is possible; it’s hard to see the light of change when in a perpetual cycle of darkness. People in the throes of addiction often resign themselves to thinking they will succumb to their disease. It’s for those reasons that everyone in recovery and the field of addiction medicine needs to do what they can to disabuse people of such notions.

Encouraging Addiction Treatment

If you are dependent on opioid narcotics, we understand what you are going through, and we’d like to say that there is hope. There are thousands of people around the country who have made helping others break the cycle of addiction their life’s purpose. Many of those very same people were once in the position you find yourself in today; they have first-hand knowledge of your struggle.

Getting out from under one’s disease and leading a life in recovery is only possible with the help of others, going it alone is not an option. Due to this reality, it’s common for people in recovery to dedicate themselves to helping others realize their dreams of a different life. When you decide to seek treatment, you will find out relatively quickly that many of the people employed by the center are in recovery, too. In effect, people who work at treatment centers are living proof that the program works, forcing one to think that maybe recovery will work for me as well.

Who knows maybe one day, having learned how to live a life in recovery in addiction treatment, you will pass the message along to others. You will be in a position to guide others out of the depths of despair into the light of recovery; and in doing so, strengthen your program. Naturally, there is much to do in between now and spreading the message that recovery works, starting with addressing your disease and the self-defeating behaviors that accompany the condition.

Making A Decision

No one can force another into treatment. Even if you could, the result wouldn’t likely be positive. Meaningful progress only comes about when a person decides to take specific steps for change. It’s not a choice that comes easily; people can talk themselves out of seeking help even when one is looking up from the bottom. Mental illness does not loosen its grip without putting up a fight, and it excels at sowing the seeds of doubt in the minds of the afflicted. We could say that choosing to go into treatment is a leap of faith in a sense. However, there is living proof that walking blindly into a center of recovery will be fruitful in the long run.

Those of you with loved ones battling opioid use disorder should know that encouraging them to seek treatment will save their life and grant them a future. Over 2 million Americans are struggling with prescription opioid and heroin addiction, and over 50,000 people die of an overdose each year. The above numbers are expected to go in only one direction in the coming years, so the need for promoting recovery is more vital than ever.

If you are unsure about how to efficiently discuss recovery with your loved one, we can help. We work closely with addiction interventionists across the country who can guide you in how to talk about treatment with a loved one. Having a mediator in the room mitigates the risk of an intervention going south. Please contact us today to learn how PACE Recovery Center can help you or a loved one break the cycle of addiction and help one learn how to lead a productive life in recovery.

Addiction-Free Pain Management

addiction

The search for cures to the world’s most deadly diseases (i.e., cancer and addiction) is one that tends to result in more questions than answers. History indicates, time and time again, that solutions to medical ailments are hard-fought, often taking decades to make progress. Some 37 years have passed since the Centers for Disease Control and Prevention (CDC) began its quest for a cure to the human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS). While there are medications that can keep HIV/AIDS at bay, a cure still eludes researchers.

We could say the same for many life-threatening health conditions leading to premature death, i.e., cancer, diabetes, and hepatitis C. The disease of addiction could also be added to the list of fatal conditions with no known cure. Like AIDS, recovery from addiction can be managed and maintained, but not cured.

It’s safe to assume that researchers are not on the brink of discovery regarding a cure for addiction. However, if a problem can’t be solved, then a temporary solution is to lessen the number of new cases. Finding ways to prevent individuals from going down the road of addiction is complicated by the method doctors use to treat pain.

Treating Pain Without The Risk of Addiction

Pain is a fact of life. At some point, all of us experience acute or chronic pain. The current means of treating either type of pain is prescription opioids. We don’t need to tell you the result of handling all-things-pain with opioids. Even when something non-addictive, like Tylenol, will work, doctors, more times than not (it seems) still fall back on drugs like OxyContin or Vicodin. The result? We now have more than 2 million opioid addicts in the United States.

At the Society for Neuroscience meeting this week in Washington, D.C., opioids was a significant topic of discussion. Pharmacologist Edward Bilsky, provost and chief academic officer at Pacific Northwest University of Health Sciences, is moderated a panel on pain, addiction, and opioid abuse, NPR reports. One of the topics of discussion: alternatives to opioids in the treatment of pain.

We know a lot more about pain and addiction than we used to," said Bilsky, "But it's been hard to get a practical drug."

Bilsky highlights several areas of pain management that carry fewer risks to patient safety than opioids, such as:

  • Scientists discovered cone snail venom contains substances that act as powerful painkillers affecting non-opioid receptors in the brain. However, the one drug on the market is only administered by spinal column injection.
  • Drugs targeting specific brain circuits which increase or diminish perception of pain; some antidepressants have shown promise.
  • Researchers are also working on ways to erase memories of pain.

Addiction Via Chronic Pain

The definition of chronic pain is experiencing daily discomfort for more than three months. The National Institutes of Health (NIH) reports that at least 25 million people suffer from chronic pain. Given that most of the individuals mentioned above receive prescription opioids, the risk of new opioid addiction cases is high. The need for opiate alternatives is tremendous, and hopefully, progress in the field is on the horizon.

The road to opioid use disorder often begins with chronic pain. When anyone uses a drug like OxyContin for months on end, dependence is inevitable. The hooks of opiate narcotics sink deep, even if one’s pain subsides the need for the drugs lingers on. Patients looking to break free from their painkillers struggle to do so on their own; fortunately, there is help available.

At PACE Recovery Center, an exclusive, gender-specific, extended care, alcohol and drug rehab for men, we’ve seen the devastating effect of reckless overprescribing. We know that people with opioid use disorder are prone to relapse if they do not seek assistance when seeking recovery. Our team of highly-skilled addiction professionals can help you (or a loved one) break the cycle of opioid addiction, and show you how life in recovery is possible. Please contact us today, regardless of which type of drug you are addicted (OxyContin or heroin). We can help.