Tag Archives: opioids

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.

The Science of Addiction

addiction

One of the most read and loved monthly magazines is National Geographic. Most of us have fond memories growing up scanning the magazine for awe-inspiring images of animals and landscapes. With the first issue published in 1888, National Geographic now reaches more than 730 million globally in 172 countries and 43 languages every month. In the United States, there is a circulation of 3.5 million per month. Many readers subscribe for articles about pan troglodytes (common chimpanzee) or loxodonta africana (African bush elephant). But, Nat Geo focuses on human interests as well. In this month’s edition, the publication set its sights on addiction, and the conditions’ many complexities.

We often think of addiction as being an American problem. We know it affects people around the globe, but in the United States we are using the market share of drugs. Especially opioid use, as you must be acutely aware by now has reached epidemic proportions. Opioid use, prescription or illicit, is a serious concern that deserves overwhelming attention. Yet, it is worth pointing out that opioids, like alcohol or any other mind-altering drug, can cut life short. This doesn’t just happen in America, it is happening almost everywhere. Finding ways to mitigate the risks of premature death is no easy task, to be sure. Although, taking the focus off the substances, and placing it on the underlying condition is perhaps the most salient. The disease of addiction.

After all, addiction is addiction is addiction. What one struggles with pales in importance to what is to be done about it. History shows us that billions of dollars can be spent to make it more difficult to get “high.” Yet, people will still get high.

Addiction by The Numbers

In the U.S. we have tried “locking up” every addict, and most people still use again upon release. All we’ve accomplished is creating an overburdened prison system housing mostly nonviolent drug offenders. Exhausting billions in taxpayers’ money every year. To make a long story short, treating addiction as a crime hasn’t paid off—doing absolutely nothing good. Rather than delve into to Our track record of draconian policies on addiction in America, let's pivot our focus. As was pointed out earlier, Nat Geo published a lengthy spotlight on addiction and the scientific effort for clarity. But first, some figures:

  • 1.1 Billion Smokers Worldwide
  • Over 100 Opioid Overdose in America Every Day
  • 3.3 Million Worldwide Die Each Year from Alcohol
  • 21 million Americans Living With Drug or Alcohol Addiction

In 2015, 33,091 Americans died of an overdose, enough to make anyone wince, but again addiction is not just Our problem. Over 200,000 people worldwide die of overdose or drug-related Illness every year, The United Nations Office of Drugs and Crime reports. Such figures you might find hard to believe. You may find it even harder to believe that more people are living with the disease of addiction than cancer in America. Both are deadly, but only one of them carries social stigma. Veritably, we don’t need to point out which. If addiction in America is an epidemic, addiction worldwide is nothing short of a pandemic. And if solutions are to be found it requires the attention of some of the world's brightest scientists.

The Science of Addiction

In a sense, addiction is a pathological form of learning,” said Antonello Bonci to National Geographic, a neurologist at the National Institute on Drug Abuse.

Which begs the question, can it be unlearned? Many experts would argue, no, it can’t. And for good reason. Few people, if any, have ever thought their way out of an illness. However, science continues to shed light on the complexities of addiction. In turn, new avenues have been opened to help treat the disease and give a greater number of people hope for breaking the self-defeating cycle.

The Nat Geo article has many facets and layers of minutiae. We obviously can’t cover all of it, except for the main takeaways. One area covered had to do with advancements in transcranial magnetic stimulation (TMS). The researchers working with TMS point out that medications can only go so far. They [medications] can help people quit using, but they do little to prevent relapse. The idea that putting down drugs and alcohol is easy, how to not pick them back up is the crux of addiction science. Dr. Luigi Gallimberti, a psychologist and toxicologist who has been treating addiction for 30 years has hope for TMS, according to the article. Which could essentially reboot the human computer (brain) by activating drug-damaged neural pathways. Gallimberti worked with Bonci, and preliminary research showed promise with cocaine addicts. Future research is planned.

It’s so promising,” Bonci says. “Patients tell me, ‘Cocaine used to be part of who I am. Now it’s a distant thing that no longer controls me.’ ”

Keeping Cravings At Bay

The article transverses several areas involving addiction, from sex to overeating. It talks about the merits of spiritual programs based on the 12 Step model, and beyond. But the overarching theme, or target for that matter, is “craving.” How to stop the brain from craving substances or behaviors that are self-defeating? If the brain's trait of remarkable plasticity can easily lead to addiction, could it be used to foster recovery?

As it stands now, the ways and means of recovery utilized today seem to be anyone's best shot at recovery. A combination of medical detox, residential addiction treatment, medications and continued spiritual maintenance has borne the most fruit. A modality that will surely be fine-tuned as science uncovers the mechanisms of addiction more fully. Particularly regarding craving and keeping dopamine in check. Interestingly, the article writes: “In Buddhist philosophy, craving is viewed as the root of all suffering.”

Perhaps one day soon every addict will have a magnetic wand waved over one’s head. Putting an end to the cravings that lead to relapse. Programs of recovery today, are in no way full proof. But they can lead to long term recovery for anyone who is willing to give the program their all. Those who are committed to being vigilantly honest with them self and others can succeed. It is not easy, testament to the rates of relapse in recovery. But, those who lay a solid foundation to build their recovery upon can, and do recover. At PACE Recovery Center, we specialize in the treatment of young adult males touched by addiction. Are you ready to break the cycle of addiction and learn how to mitigate cravings to avoid relapse? If so, please contact us today. Recovery is possible.

Addiction Treatment: The Endless Possibilities of Recovery

addiction

Few other places in the country have been as ravaged by the opioid addiction epidemic as West Virginia. Prescription opioids and heroin have stolen the lives of young and old alike. Lawmakers and health experts continue to develop methods for turning the tide. While addiction treatment centers work tirelessly to spread the message of recovery to as many afflicted as possible. Addiction recovery being the most effective means of saving people from the insidious grip of opioid dependence.

America has been trying to get a wrap on the epidemic for nearly two decades. As as result, many are doubtful that it is even possible. Opioids are so addictive and incredibly deadly, yet the drugs are prescribed at alarming rates, still. Those who lose access to prescription opioids regularly turn to heroin. Thus, putting themselves at risk of fentanyl exposure, a synthetic opioid commonly mixed with heroin to boost potency. Fentanyl can be up to a hundred times stronger than morphine.

Without access to addiction treatment, those addicted to opioids are at incredible risk of experiencing an overdose. And a potentially fatal overdose, at that. Those who seek help often relapse shortly thereafter, testament to just how addictive this family of drugs is. A relapse after a short stent of abstinence increases the chances of an overdose exponentially. Because one’s tolerance has diminished. This is why it so important that people who seek help do so by way of long-term residential treatment. Therefore, further mitigating the risk of relapse and subsequent overdose. The longer an addict or alcoholic stays in treatment, the greater the chance for long-term recovery.

There are around 142 fatal overdoses every day in the U.S. Given the high morbidity rate, some might think that recovery impossible. But, it is, just ask Sturgill.

INTERVENTION℠ Endless Possibilities, Continued

So, who is Sturgill? A&E INTERVENTION℠, interventionist Sylvia Parsons and PACE Recovery Center gave a young West Virginian a life-saving opportunity. Sturgill (then 23) was in the grips of addiction, a problem that began the same way as so many Americans. With an injury that called for prescription opioids. A broken arm sent Sturgill into an addictive death spiral, involving the abuse of alcohol, benzodiazepines, methadone, and heroin. A potentially deadly admixture, to be sure.

Sturgill was a promising young golden gloves boxer and wrestler who dreamed of the Olympics. He was also an academically gifted pre-med student. But a broken arm and multiple surgeries led to a pain pill addiction, which soon turned to heroin.” —reads the A&E INTERVENTION℠ website

With the help of Parsons, Sturgill’s family implored him to choose life and take the opportunity to get treatment. He accepted the gift of recovery and last year came to PACE Recovery Center. While there are never guarantees in recovery, Sturgill's story went from one of despair to the light of the spirit. During the season premiere of A&E INTERVENTION℠ (Season 17) an update on our former client was provided to viewers. Now, with over a year clean and sober, Sturgill remains plugged into the local recovery community. His future plans include getting certified to be an alcohol and drug counselor (CADC).

The update shows that, in fact, with recovery there can be endless possibilities if one is willing to do the work. Please take a moment to watch the short clip below:

If you are having trouble watching, please click here.

Addiction Treatment Is The Answer

I can't put it into words how blessed I am… I do something for recovery every day." —Sturgill

Not too long ago, Sturgill was in the same frightful position as millions of other Americans. Today, with the help of his family and his family in recovery he is living a life in recovery. It all started with a willingness to surrender and make the courageous decision to go to treatment. It is often the hardest decision that one will make in a lifetime. The grip of one’s disease is extremely powerful. It will do whatever it can to keep you from saving your own life. But, it is possible to break the cycle and lead a fulfilling life in recovery.

If your story is similar to Sturgill’s, PACE Recovery Center can help you find the miracles of addiction recovery—too. Please contact us today to begin the lifesaving journey.

This is Your Brain On Drugs – 20 Years Later

This is Your Brain On Drugs

Some of you are likely to remember a series of public service announcements (PSA) made by the Partnership for a Drug-Free America ® for a nationwide anti-drug campaign called This is Your Brain On Drugs. The large-scale campaign was launched in 1987, in a different era, at least with respect to how the nation viewed drug addiction and what to do about what we now know to be a form of mental health disorder. The first PSA titled “Frying Pan,” has actor John Roselius frying ups some eggs in order to show viewers what drugs do to your brain.

The second iteration of the campaign was released in 1997 and was titled again, "Frying Pan." The PSA starred actress Rachael Leigh Cook essentially using a frying pan and an egg to demonstrate to viewers the inherent dangers that accompany using heroin, and presumably other drugs as well, but heroin was singled out. The 30 second clip highlighted the fact that one’s drug use didn’t only affect the individual, but rather one’s family and one could even argue society.

If you were not born yet, too young to remember or would like to refresh your memory, please take a moment to watch the short PSA:

If you are having trouble viewing the clip, please click here.

You can probably gather that the PSA’s toed the line of the American “war on drugs.” While the PSA’s attempted to scare people away from drugs, pointing out that they would take everything from you, even your life; the makers of the ads seemed to forget to mention that before drugs took your life, they could be a cause for losing your freedom. Both the aforementioned PSAs ending with the rhetorical statement, “Any Questions?” As if frying an egg or smashing up an apartment would say everything that needed to be said about the reasons for abstaining from drugs.

Any Questions About Addiction

While Entertainment Weekly named “Frying Pan” 8th best commercial of all time, the American Egg Board, naturally, had some concerns about eggs getting an unfair reputation. At the end of the day; however, This is Your Brain On Drugs was a scare tactic, as were all public service announcements about drug use going back to Reefer Madness. They were all created under the premise that drug use was a choice; you could choose to, or not, but the power was in your hands. If you chose wrongly, you risked everything.

Even though addiction is a disease, a symptom of which include the use of drugs, drugs are still for the most part illegal under both state and Federal law. For decades, as we have written about in the past, the 40+ year war on drugs has done little to prevent and treat substance abuse. What it has done is disenfranchise millions of Americans, mostly people who were low on the socio-economic spectrum and minorities. Getting caught up in the legal system for the crime of addiction has proven to be relatively easy, getting out of it has proven to be much more difficult.

Today, in the 21st Century and still in the grips of an opioid addiction epidemic, many people's views about the war on drugs have changed. Thanks both to science and the fact that the epidemic has predominantly affected white America (both rich and poor), our society has been rethinking the true cost of the war on drugs. And, as a result, more Americans than ever are advocating for addiction treatment over prison for those caught possessing illegal drugs.

We are not out of the woods yet. There are still swaths of lawmakers who cling to draconian drug policies as the solution to addiction. Which is why the fight to end the stigma of this most serious mental illness must continue. Which has not been lost on the Drug Policy Alliance, the nation's leading organization promoting drug policies that are grounded in science, compassion, health and human rights. The organization, with the help of a 20-years older Rachael Leigh Cook, decided to make a postscript to the 1997 PSA. In the new version of the “Frying Pan,” Cook says:

The war on drugs is ruining peoples' lives. It fuels mass incarceration, it targets people of color in greater numbers than their white counter parts. It cripples communities, it costs billions, and it doesn't work. Any questions?

Please take a moment to watch:

If you are having trouble watching, please click here.

Addiction Treatment Is The Answer

Effective measures of treating addiction were helping a significant number of Americans in 1987 at the start of This is Your Brain On Drugs. It wasn’t talked about, because it did not line up with the stigma-driven narrative of addiction employed at the time. It was being treated and people were living lives in recovery, just as they are today. Fortunately, people touched by the disease today have more of an ability to seek help, without fear of prosecution.

Now the science behind addiction, and other forms of mental illness is far better understood. With each year that passes, the stigma of addiction seems to soften. Slowly, but surely, more Americans see the value of ending the war on drugs and advocating for treatment. If you or a loved one has been touched by the deadly disease of addiction, please contact PACE Recovery Center.

Addressing Alcohol Use Disorder In America

alcohol use disorder

The American opioid addiction epidemic has long been a top priority among lawmakers and health experts. The scourge of opioid abuse across the country has resulted in thousands of premature deaths, the result of overdoses. If you have been keeping yourself apprised of efforts to curb opioid use and abuse rates, it is likely that you have heard or read statements indicating that the opioid epidemic is unprecedented.

A claim that is spot on when it comes to the abuse of drugs. What makes opioid abuse so pernicious is the fact that technically, someone can overdose at any time. People often say that addiction is a slow death, dying spiritually at first and then expiring physically down the road—often decades later. Not so with opioid use disorder. But, if we were to step back and look at addiction in America as a whole, one could easily argue that the most severe addiction epidemic that the U.S. has ever faced and continues to struggle with is tied to a substance that is legal for adult consumption. Alcohol is a drug that is responsible for far more deaths every year than opioid narcotics, such as OxyContin or heroin. However, opioid addiction receives far more attention than AUD.

Alcohol, like prescription drugs, is a multibillion dollar enterprise. Despite the deadly nature of heavy alcohol use, the substance is both legal and is considered to be a socially acceptable for both relaxation and celebration. The substance can be acquired with little effort, there are no rules about how much can be purchased or used at one time. Suffice it to say, one can drink themselves to death without out any checks and balances. Unlike a doctor who may stop prescribing a drug because of concerns of abuse, liquor stores will sell booze to anyone with a pulse.

Alcohol Abuse Figures of Interest

A few years ago a National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) revealed that over 20 million Americans consumed alcohol at potentially dangerous levels. The data was analyzed by author Philip J. Cook, and used for a book titled, “Paying the Tab: The Costs and Benefits of Alcohol Control.” NESARC data revealed that 24 million adults (18 +) - drink an average 74 alcoholic beverages every week—about 10 drinks a day. A lot of alcohol to be sure.

In the following year, the National Survey on Drug Use and Health (NSDUH) showed that 26.9 percent of people ages 18 or older reported that they engaged in binge drinking in the past month. What’s more, the survey indicated that 15.1 million adults had an alcohol use disorder (AUD), a figure made up of 9.8 million men and 5.3 million women. While those figures are staggering, perhaps the most concerning finding was that about 1.3 million adults received treatment for AUD at a substance use disorder center in the same year.

Alcohol and Opioids—A Common Tie

If one were to try and find a silver lining regarding the American opioid addiction epidemic, you may think that it would be a difficult task considering the death toll. However, the crisis has brought to light the fact that there is a real lack of addiction treatment services in this country. A reality that brought about the passing of legislation that would, among other things, expand access to addiction treatment.

Substance use disorder treatment centers utilize effective science-based therapies to help people save their own lives. In conjunction with medication and introducing patients to recovery support groups (i.e. 12-Step programs and SMART Recovery), people with the disease of addiction can have a real chance at sustained abstinence for decades. Many facilities have started to take advantage of certain medications that can help clients after being discharged avoid relapse. One such drug is naltrexone, commonly sold under the brand name Vivitrol ® has been used for years on opioid addicts.

Naltrexone has been found to have an impact on opioid cravings, it can deter relapse by blocking the euphoric feelings produced by opioid use. One can take an OxyContin, but not get high. Interestingly, science shows that both opioids and alcohol impact some of the same receptors in the brain. So, it stands to reason that naltrexone may help alcoholics curb their drinking. Studies indicate that Vivitrol can decrease the pleasure that comes with drinking alcohol, NPR reports. If you reconsider the survey that showed only a small fraction of alcoholics go to treatment, it is vital that primary care physicians utilize the drug which research shows has been historically underused.

Alcohol Use Disorder Treatment

If you are one of the millions of Americans who has an unhealthy relationship with alcohol, we implore you to seek help immediately. The problem, as with any addiction, it will only get worse. Alcohol use disorder is a progressive disease, without treatment it can be fatal. Please contact PACE Recovery Center to begin the journey of recovery. We specialize in treating young adult males, and have helped many people start the journey of recovery. Here’s to life!

Heroin Overdoses Among Young Adults

heroin

Researchers from the University of Michigan conduct the Monitoring the Future (MTF) survey every year. The answers that high school students give, provide experts a window into the severity of teen substance use and abuse. The findings can help direct preventive measures in the coming years. The 2016 MTF presented some promising findings, especially regarding prescription opioid use among young people. In fact, past year prescription opioid use among 12th graders dropped 45 percent, compared to five years ago.

The findings are a good sign that we may see reductions in opioid use among 20 something-year-olds in the coming years, an age group that as of late has been using both heroin prescription opioids at alarming rates. The dangers of using opioids of any kind need to be reinforced in young people early on and repeatedly. If preventative measures fall short, more and more young people will succumb to hooks and snares of opioid narcotics. Unfortunately, identifying the groups of people at greatest risk of opioid use initiation isn’t an easy task, partly due to stereotyping.

Heroin Outside City Limits

Heroin, like “crack cocaine,” is often considered to be a drug that primarily wreaks havoc in the inner city. A drug that is used by downtrodden and impoverished Americans. While there is a lot opioid abuse in urban areas, the situation has changed. In recent years, the opioid addiction epidemic has predominantly affected suburban and rural parts of the country. Additionally, many of the young people abusing heroin today, come from white middle class or affluent families. These are young people who have access to financial resources that make it easier to maintain an addiction.

But, even with more resources than the average person of the same age, what often starts as a prescription opioid problem can quickly morph into a heroin problem. The reasons are simple. The price of drugs like OxyContin has only gone in one direction—up! Heroin on the other hand is cheaper, and in many cases, stronger than prescription opioids. Easier to acquire, as well.

One of the unintended consequences of this prescription opioid epidemic has been the increase in heroin addiction and overdoses, in part due to the transition from prescription opioids to less expensive heroin street drugs,” California state health officials report. “Heroin deaths have continued to increase steadily by 67 percent since 2006 and account for a growing share of the total opioid-related deaths.”

In the first quarter of 2016, 412 adults age 20 to 29 went to emergency departments in California due to heroin, according to Los Angeles Daily News. Los Angeles and Orange counties have seen a continued increase in ER cases involving heroin among people in their twenties.

Spotting the Signs

If you have a child in their twenties, frequently they are still living at home, as many Millennials do. But if you have never used an opioid, there is a good chance you would not be able to spot the signs of use. And it isn’t like your child is just going to use right in front of you. So how can you identify signs of a problem? In some cases, you may see track marks from IV heroin use. However, many young heroin addicts do not use needles, opting to smoke or snort the drug. In which case, track marks will not be a signpost you can rely on.

Common signs of opioid use, include:

  • Tiny Pupils
  • Nodding Off
  • Slurred Speech
  • Incessant Itching
  • Complaints of Constipation
  • Diminished Appetite

There are other signs, but those listed are synonymous with opioid use. If you see any of those appearances or behaviors, there is a good chance there is a problem. Such discoveries should prompt further investigation. You can always confront your child about the signs you are seeing, but getting an honest answer is easier said than done. Addiction will lead people to do or say just about anything to continue fueling the fire.

You can also ask if they would be willing to take a drug test. If they refuse, that’s a pretty good sign that you are on the right track. The best results for getting your child into treatment often come by way of interventionists. They are skilled professionals who can help walk you through the process of saving your child’s life.

PACE Recovery Center Can Help

If you know, or suspect that your young adult son is using heroin or prescription opioids, please contact us as soon as possible. With so many young people succumbing to heroin addiction, time is of the essence.

Addiction Epidemic, Not Opioid Epidemic

addiction epidemicThe American opioid epidemic may be misleading to some people. While prescription painkillers and heroin are both addictive and carry the potential for overdose death, the U.S. is not actually in the midst of an opioid drug epidemic. We are, in fact, in the grips of an addiction epidemic. Case in point: Efforts to limit access to prescription opioids have had the effect of making it harder to acquire certain drugs, but people are still dying at unprecedented rates. Why? The answer being that the epidemic we face is not the disease of drugs, but rather the disease of addiction—a debilitating mental illness.

Remove every drug from the equation, and the mental health disorder known as addiction will live on. We could take it even further, arguing that the crisis we actually face is the epidemic of untreated addiction. And if that is the case, it is hard to compare the problem we see to epidemics of the past, such as the AIDS epidemic.

A Waxing or Waning Epidemic

The field of epidemiology, much like addiction, is not an exact science. Experts have a good understanding of both, but there are no guarantees which way things will go. Will the epidemic wax or wane, will the recovering addict continue to improve or will they relapse? Questions that are hard to answer. Attempts to curb the opioid use disorder epidemic stealing lives across the country are extensive, and multifaceted.

  • The adoption of prescription drug monitoring programs for combatting “doctor shopping.”
  • Revising provider opioid prescribing practice guidelines.
  • Expanding access to the opioid overdose reversal drug naloxone.
  • The most important effort of all, increasing access and funding for addiction treatment services across the nation.
The last effort is the most significant. It is the only tactic that addresses the root problem, rather than just the symptoms of addiction, i.e. dependence and overdose. Making painkillers harder to acquire or abuse will only serve to force opioid addicts to find their drugs elsewhere. Naloxone can save lives, but it cannot cure addiction. Treatment is the most effective measure for ending the opioid use disorder epidemic.

Hope On the Horizon

The severity of the American opioid epidemic can be most easily gauged by the death toll associated with abuse, as opposed to opioid addiction rates. If the death toll increases, efforts are not having the desired effect. On the other hand, if fewer people die in any given year, one could argue that the measures implemented have been effective. With opioid overdoses surpassing traffic fatalities, you might think that the crisis is as bad as ever. However, the big picture may tell another story altogether.

Using epidemiological models, researchers believe that there may be an end in sight. At least regarding opioid overdose death rates. A couple of years back, a group of researchers from Columbia University used what is known as Farr’s Law to develop projections regarding the epidemic. Looking at overdose death rate data from 1980 to 2011, it showed that 2016-17 would be the height of the opioid epidemic. According to the models developed using Farr’s Law, the death rate should line up with that of the 1980’s by the year 2034. However, the authors warn:
Although the method we applied originated from studies of infectious diseases, it is unknown whether Farr’s Law applies to epidemics of a non-infectious origin. It is plausible that a non-communicable disease, such as drug overdose, can follow infectious patterns...Mortality data over the next two decades will ultimately test the accuracy of our projections. If the drug overdose epidemic is indeed waning, it may imply that the intensified efforts in recent years, such as enhanced prescription drug monitoring, are working and should be continued.”


Can We See the Forest for the Trees?

It would be nice if their projections hold true. Every life saved is a step in the right direction, even if efforts fail to address the underlying cause of the epidemic—addiction. But if we accept that addiction, while in fact a disease, is something quite different than other health conditions, there is really no way of knowing how things will go. What we can bet on is that expanding access to addiction treatment is a sure way of seeing results. All other efforts are likely to only produce superficial results, merely scratching the surface of the greater problem that is an addiction epidemic.

The greatest life-saving potential can be found in treatment centers and the rooms of recovery for continued maintenance. If you or loved one is in the grips of opioid addiction, please contact PACE Recovery Center.

Total Cost of The American Opioid Epidemic

opioid epidemicIs it possible to quantify the true impact of the American opioid epidemic? The unprecedented health crisis has left people in the public and private sector scrambling to find desperately needed solutions. With each day that passes—more Americans become dependent on opioids—more people lose their lives to overdose. And while efforts to curb the scourge of opioid addiction in the U.S. have had some effect, without a paradigm shift in thinking regarding prescription opioids—the problem will only continue to disrupt the country. While it is easy for us to look at the staggering death toll to stress the seriousness of the issue, it is important that we all take stock of the societal costs of opioid addiction. With over 2 million Americans living with an opioid use disorder and over 70 people paying the ultimate price for their addiction every day, there is an exponentially greater number of family members who have been affected by the epidemic. It may be impossible to compute the amount of heartache and pain that family members will endure for years, especially if they lost someone to an overdose.

The Cost Of An Epidemic

As you might imagine, there is a heavy price tag attached to the opioid epidemic. The bulk of the cost, naturally, is tied to the burden put on the health care system—whether it be to cover insurance claims for hospitalizations or treatments, or keeping babies born with neonatal abstinence syndrome (NAS) stable—the overall cost of the opioid scourge is daunting to think about. In fact, new research estimates that the epidemic cost is $78.5 billion annually, Newswise reports. Of that estimate, health care accounts for about one-third (over $28 billion) of the total cost. The findings will be published in next month's issue of Medical Journal. Even when opioid use disorder does not result in hospitalization or loss of life from overdose ($21.5 billion), there are other costs to consider as well. Those who are addicted to opioids are often too sick to get to work or hold down a job. The researchers found that loss of productivity accounts for about $20 billion, according to the article. Almost two-thirds of the total economic cost could be attributed to:
  • Health Care
  • Addiction Treatment
  • Lost Productivity
"The costs that we can identify, however, do help increase our understanding of the impact of the epidemic," the researchers conclude. "These estimates can assist decision makers in understanding the magnitude of adverse health outcomes associated with prescription opioid use such as overdose, abuse, and dependence."

Worth The Cost Of Treatment

It is worth pointing out that of the more than $28 billion spent on health care, $26 billion was covered by insurance companies, the article reports. It was not that long ago that it was extremely difficult to get insurance companies to cover mental health disorder treatment, i.e. extended stays at addiction treatment facilities. While there is still a lot more that insurance companies can do to help people with addiction issues, it is good to see that insurance companies are finally insuring people with a history of addiction and paying for some of the bill to help them find recovery. Research overwhelmingly supports addiction recovery services as being the best weapon against the opioid epidemic. Prescription opioids and heroin are extremely difficult to withdraw from and the chance of relapse is especially high among opioid addicts; while those who go to a substance use disorder treatment center have the best chance of achieving sustained recovery in the long run. If you or a loved one is battling opioid addiction, please contact PACE Recovery Center to begin the journey of recovery.

Generation Found: ‘Just Say No’ Was a Slogan

generation foundIf you were an adult or a child in elementary school in the 1980’s, it is likely that you remember the saying: “Just Say No to Drugs.” It was an advertising campaign, part of the “War on Drugs” in America, designed to teach kids a way they could turn down offers from their peers to try illegal drugs. It is likely that you also remember Drug Abuse Resistance Education, or D.A.R.E., a program that was offered to students of various ages in the United States beginning in 1983. The organization, yet another tool used in this country's War On Drugs, educated adolescents on the dangers of illegal drug use and asked the students to sign a pledge that they would abstain from drugs or gangs. Both of the aforementioned efforts to prevent adolescent drug use were met with serious criticism, and were considered to be widely ineffective. While efforts to curb the use of addictive drugs by teens and young adults is crucial, the picture that has long been painted about drug use and addiction has been wholly inaccurate. In a number of ways, “Just Say No”…, D.A.R.E. and even This Is Your Brain on Drugs only served to further stigmatize addiction as being a moral failing. Today, while programs like D.A.R.E. still exist, the picture we have of addiction is quite different. As is evident by the American opioid epidemic, no matter who you are or where you came from—the risk of addiction is real. Everyone carries some level of eligibility.

Bringing Addiction Into The Light

The opioid epidemic in the United States has forced lawmakers, health professionals and the common citizen to reevaluate addiction. With thousands of people dying every year from opioid overdoses, it is clear that the nation can no longer hold onto War On Drugs rhetoric. Effective science-based, compassionate efforts are vital if we are ever going to stem the tide of addiction. The War On Drugs cannot be won, and addiction is not going anywhere. It is paramount that every tool of addiction recovery be made available to all who require them, only by helping people recover from substance use disorder will the demand for such drugs decrease. Despite all the options available for people suffering from addiction, many Americans hesitate to seek help—especially teenagers and young adults. Asking for assistance is at times viewed as accepting that you have a weakness that cannot be controlled. Those who do manage to surrender and seek treatment, often find that staying sober when they are back in the real world is an insurmountable task. They often feel that they are find their way out of the frying pan, only to land in the fire. One American community has taken a novel approach to ensuring that young people with addiction disorders, have a shot at sustained recovery.

Generation Found

‘Just say no’ was a slogan. This is a revolution. A sentiment shared by the creators of a new documentary called Generation Found. The film tells the story of a community in Houston, Texas, that developed the world’s largest peer-driven youth and family recovery community. Generation Found is the story of how a “system of treatment centers, sober high schools, alternative peer groups, and collegiate recovery programs can exist in concert to intervene early and provide a real and tested long-term alternative to the War On Drugs.” Please take a moment to watch the trailer: If you are having trouble watching, please click here. If you are in the Orange County, CA, area on August 30, 2016, there will be a showing of Generation Found at Island Cinema, at 7:30PM. You can learn more about the film here, reserve tickets, find a showing in your area or plan a showing in your area.