While the entire country has been impacted by this ongoing issue, more options for prevention and treatment have become paramount to changing the tides. Just this week Rick Scott, the governor of the state of Florida, proposed a strategy for fighting the opioid epidemic that has gained a lot of attention. Scott has decided to ask local lawmakers to impose a three-day limit on opioid prescriptions during the upcoming legislative session. This latest development is one new piece of recent initiatives to combat the opioid crisis.
Florida Governor Opioid Initiatives
During two press conferences on Tuesday, the Florida Governor announced a pushback on an abundance of opioid prescriptions, while also introducing other ideas for fighting addiction.
One of the initiatives Rick Scott is pushing is to require all health-care professionals who prescribe controlled substances to participate in the Florida Prescription Drug Monitoring Program, also known as the PDMP. This database involves health-care professionals to report important information on patients receiving powerful narcotic medications, including:
- Name of the doctor
- Patient name
- Prescription information after the prescription is filled
But this is not the last of Florida Governor Scott’s opioid initiatives. His office also plans to seek additional reforms such as:
- Fight unlicensed pain management clinics
- Requiring education on responsible opioid prescribing
- Creating more opportunities for federal grants
Scott apparently plans to put some more investments toward helping those already struggling. He is also pushing for more than $50 million for services including:
Part of this initiative is also boosting up the budget of the Florida Violent Crime and Drug Control Council.
At the moment the finer details of the Florida Governor’s proposals are not yet available. However, what it does tell us is that Scott is not ignoring the contribution Big Pharma makes in this current crisis. What we can tell from this outline is that Rick Scott says he is aiming to address prescription opioid pain medication, recognizing it as a key source of the growing problem.
Why 3 Days?
It has been reported time and time again that we should be paying attention to how powerful opioid medications impact rising addiction rates. Now the Centers for Disease Control and Prevention (CDC) has released a recent study showing how quickly someone could get hooked on these kinds of drugs. In this study it is shown:
- After three days of use, about 6% of patients were still using opioids a year later.
- Five days into use, about 10% of patients were still using opioids a year later.
- After 11 days of use, it jumps to 25% of patients still taking opioids a year later.
So it would seem that between 3-5 days, the chances of continued use almost doubled. Then between 5-11 days the chances of use more than doubled. This development may have helped inspire the idea to limit prescriptions to 3 days.
Back in March, Bradley Martin of the CDC, one of the study authors, told Vox magazine:
“There’s nothing magical about five days versus six days, but with each day your risk of dependency increases fairly dramatically,”
So while day 5 and day 6 may not be a dramatic leap over the edge, some may see this proposed limit as an attempt to at least slow a process down.
The Opposing Argument
The Florida Governor will probably face strong criticism, or at least skepticism, from crowds such as:
The opposition is still very real. This isn’t even the first time Florida lawmakers have seen something like this brought to the table. Just last year Florida legislatures quietly rejected an effort last year to impose a five-day cap on opioid prescriptions for acute pain.
Legislatures and doctors are the only concerns Florida Governor may have to tangle with in order to push this idea through. Other potential obstacles standing against this proposal include:
- Additional out-of-pocket co-pays that patients will incur
- The ability of patients with chronic pain and terminal illnesses to refill prescriptions
The Florida Society of Interventional Pain Physicians will discuss caps on prescriptions during a board meeting today. Dr. Sanford Silverman is a past president of the Florida Society of Interventional Pain Physicians. In regards to the 3 day limit he stated:
“We don’t think the cap is reasonable since it is a completely arbitrary number,”
“A better idea would be to mandate usage of the PDMP prior to writing an opioid for acute pain.”
Other states have created caps on prescriptions, although some may not seem as strict as the 3 day rule.
- Massachusetts limits the supply to seven days.
- New Jersey set it so that first-time prescriptions for acute pain cannot exceed a five-day supply. Also, patients being treated for cancer or under hospice care are exempt.
- Ohio caps distinguish between patients with chronic pain and those with acute pain.
At the end of the day, similar strategies may not be left up to the lawmakers. If pharmacies decide to impose their own limits on certain prescription drugs the Florida Governor might not have to push very hard to get the limits he is looking for.
CVS announced Friday that the company plans to:
- Limit the daily dosage of pain pills based on their strength
- Require the use of quick-release painkillers before extended-release opioids are dispensed
- Limit opioid prescriptions to seven days for certain conditions
This restriction will specifically apply to patients who are new to pain therapy.
Only time will tell how far Florida Governor Rick Scott’s new pitch will go, but it seems one thing people can agree on is that the opioid crisis does require some new approaches to prevention.
With more prevention we may be able to slow down the rising rates of opioid addiction. Meanwhile, the need for safe and effective treatment still means a lot for helping those already suffering. Real treatment resources matter. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Big Pharma has been called out several times in the past couple years for pricing, aggressive marketing and misrepresenting their products. Big Pharma companies have also been called to court a few times for the contribution prescription opioid drugs have made on the opioid epidemic that has damaged the country. The financial and emotional toll of the opioid epidemic has hit hard in several states. South Florida is no exception. Delray Beach has experienced their fair share of strain from the opioid problem, especially when it had been an epicenter of the huge illegal pill mill problem.
Now community leaders in Delray Beach are seeking restitution from the Big Pharma empires, making it the first city in Florida to take this shot at holding Big Pharma accountable.
The Big Suit
That’s why the Delray Beach commission Tuesday decided to sue drug makers for the part they played in the heroin crisis. The city has enlisted the national law firm of Robbins Geller Rudman & Dowd from their office based in Boca Raton. So far the suit has set its sights on at least 8 major drug makers and distributors. Two of these have already seen similar cases; Purdue Pharma and McKesson Corp.
Mayor of Delray Beach, Cary Clickstein, has stated:
“With virtually no help from our federal government and little from our state … cities like ours are now frantically searching for answers for our own population,”
“We’re right for turning our eyes to those who are known conspirators in this ongoing atrocity.”
According to the law firm representing Delray Beach, the Big Pharma companies being pursued are responsible for:
- Downplaying the addictive nature of opioids
- Forcing the burden of dealing with the resultant overdoses on state, county and city governments
One of the more impressive features of this case is that the lawsuit won’t cost the city of Delray Beach. The expenses will be covered by Robbins Geller. However, the case supposedly has the potential to garner millions in damages for the parties pressing the matter.
According to a partner of the law firm, who compared the Big Pharma tactics to the now infamous tactics of Big Tobacco,
“They went out and said that opioids are less than 1 percent addictive. That is obviously not true.”
The Mayor and the law firm seem hopeful, while other states have been laying the groundwork for these powerful fights.
States VS Big Pharma
Back in 2015, two counties in California sought damages against 5 Big Pharma companies for the same reasons, and in no time at all the case had been dismissed. However, recently one of these drug company agreed to pay 1.6 million for substance abuse treatment to settle the lawsuit. 4 others remain as defendants in this ongoing battle.
In 2014, Chicago’s Mayor Rahm Emanuel took a similar stance, but in 2015 the case was also dismissed. However, the court did state in one of these cases:
“The Purdue entities made misstatements about opioids on their own websites with the intention that Chicago doctors and consumers rely on those misrepresentations are sufficient to state claims against the Purdue entities for violations…”
And while U.S. District Judge Jorge L. Alonso dismissed many of the complaints, the battle over whether these companies deliberately misrepresented the drug benefits and risks continues.
Even recently Ohio Attorney General Mike DeWine announced the state is suing 5 pharmaceutical companies, including:
- Purdue Pharma
- Endo Health Solutions
- Teva Pharmaceutical Industries and subsidiary Cephalon
- Johnson & Johnson and subsidiary Janssen Pharmaceuticals
- Allergan, formerly known as Actavis
There are numerous other suits that have been filed against Big Pharma companies.
- Four counties in New York
- The Cherokee Nationfiled a lawsuit against distributors and pharmacies in tribal court over the opioid epidemic.
- The city of Everett, Washington
While some of these suits may go over better than others, the fact is Big Pharma is under some serious scrutiny.
Delray Beach Making a Case
The Delray Beach lawsuit will seek damages based on the claims that drug makers and distributors violated laws of:
- State consumer protection
- Public nuisance
- Unjust enrichment
According to city officials, every overdose in Delray Beach costs the city about $2,000 in manpower and lifesaving materials. With 690 overdoses last year, that puts the bill around $1,380,000. The only problem is finding a way to prove that pharmaceutical companies can be linked to these overdoses. While many, if not all, of those overdoses were heroin-related, the city may still have grounds to go after opioid drug makers in Big Pharma because these dangerous drugs are considered an underlying problem in the opioid epidemic.
Between 72 and 82 opioid prescriptions are written for every 100 people in Florida, the law firm reports.
While the law firm anticipates other governing bodies will join as plaintiffs, Delray Beach leaders insist they will not wait for other plaintiffs to join the lawsuit. At this point there is not telling how long the lawsuit will last.
There should definitely be accountability for the damage that has been done thanks to the misrepresentation of drug risks and benefits. The misguided and underestimated use of powerful opioids has destroyed countless lives over the years. But beyond holding Big Pharma accountable, there should also be some effort put forth by the state and community officials to promote safe and effective addiction treatment. Innovative and holistic recovery programs can make a huge impact. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Author: Justin Mckibben
Probably one of the biggest misconceptions of recovery for people on the outside looking in, whether they are spectators or potential members, is that sobriety is boring. Many people believe that in recovery there is no room for excitement and adventure in the night life. Some people think it is hiding in meetings and holding onto a “Big Book” like a life preserver. So when we talk about the sober club life, people are frequently confused, sometimes even terrified for us.
But the truth is sobriety is about freedom. Some of us experience our recovery in different ways, and not everyone is the same. There is freedom in the fact you can practice your recovery in ways only you may have that intrinsic connection to. So the sober club life is not an theoretical concept, it is a gift some find in sobriety.
Now, as more young people are becoming active in the recovery community, the search for the night life in recovery is taking new form. New sober clubs are making waves and gaining fans all over the world. Now, one of the hottest Miami clubs is starting its own sober club life.
Sober Club Life: Daybreaker in Miami
In a city known for its nightlife, the sober club life finding such an exclusive spot something entirely new. Daybreaker, the early morning dance party, debuted at LIV nightclub this past Wednesday morning with a great deal of success. While it isn’t exactly a “nightlife” event, since it’s going down while the sun is coming up, it is a unique clubbing experience.
After over 4,000 people emailed Daybreaker about coming to Miami to bring its brand of sober club life to South Florida, co-founder Radha Agrawal told the Miami New Times,
“LIV then approached us to partner, and we are excited to help tell a different story and define a new way to connect and self-express.”
Instead of dark and brooding music, the soundtrack is fun and uplifting. Soul house, funk house, disco house. The goal is to start the day off right, with high energy and inspiration. The environment emphasizes joy, mindfulness, and intention. Last year Brimer went into detail about this, stating:
“We want to take out all the bad stuff associated with clubbing: the drinking and self-destructive behavior and mean bouncers, and just bring people together,”
The sober club life event begins at 6am. Tickets for the Daybreaker morning run around $20-$35. With growing popularity, some events have reached a crowd of around 400-500 attendees.
Sober Club Life: Daybreaker Lineup
The lineup for the Miami launch is currently a short list, but seems pretty legit. It’s not just for shaking respective groove things, but for a high energy start to the day. The big lineup included:
- 6am to 7am- Yoga with “rockstar yogi” Pablo Lucero
- 7am to 9am- Signature dance party with beats from DJ Alyx Ander
The idea is to wrap it all up in time for plenty of people to head to work. Since it is a morning affair, the menu makes sense.
- Instead of a liquor bar, there is coffee and fresh juice (of the orange or fruit variety)
- Instead of drugs, the club offers breakfast
The idea is to get the morning kicked off with dancing and movement, because these activities releases endorphins and other happy chemicals in the body. The Eventbrite for the Daybreaker states:
“Our goal is to bring Miami together with more mindfulness, wellness, mischief, self-expression and camaraderie.”
“With everything going on in the world these days, we need it more than ever.”
So, for those who want to start the day with sober clubbing, the Daybreaker give you yoga, dancing and good food for your good vibes.
Sober Club Life: My Experience
While I have not had the opportunity to check out the sober club life via Daybreakers, I was very fortunate to begin my journey in sobriety with a similar concept. A few years ago I was lucky enough to receive treatment at Palm Partners Recovery Center in Delray Beach, Florida. Every day starts off in pretty much the same way. After breakfast I was given a chance to dance with the community, with a colorful light show and live DJ. It was pretty counter-intuitive at first, but quickly became a highlight of the day. Over three years later, I am the DJ.
There is absolutely something to be said about getting up and active in the morning and what it does to set the tone for your day. I can only imagine Daybreakers is getting plenty of people looking for a sober club off to a great start.
Since my initial experience at Palm Partners, I can say I have continued the habit of being expressed, energetic and active in sobriety. I have been to raves with hundreds upon hundreds of people in Miami. I’ve had the chance to see a lot of awesome performers live in various venues across South Florida, and I have taken many opportunities to experience the fun that comes from the freedom of sobriety. All this makes me want to focus on one important concept.
Sober Club Life: The Freedom of Sobriety
There is a passage in the primary text of the 12 Step Fellowship that speaks on the freedom sobriety provides to those who seek it with honesty and thoroughness. It is possibly one of my favorite passages, and it states:
“He [the alcoholic] can go anywhere on this earth where other free men may go without disaster, provided he remains willing to maintain a certain simple attitude.”
There are those who would debate the interpretation of these words. In the context, the quote is referring to an individual who was once considered an utterly hopeless alcoholic by a great physician. This expert opinion tells him he will never regain his position in society. However, the paragraphs following the pages further express the incredible phenomena of “spiritual experiences” that create exceptions to the most hopeless cases.
Some may take this story as one of warning. I, however, have a different perspective. These few sentences give me great hope, because they assure me I am a free man in sobriety.
The important piece for me is the “simple attitude” I keep. I believe that for me to keep this amazing gift of freedom, I have to maintain my understanding of who I am, what my experience has taught me, and how I impact others. The design for living to me means being introspective in personal inventory, faithfully accountable to those I can help, and willing to seek more extraordinary experiences that will inspire a new perspective. That same 12 Step literature tells me:
“We are not fighting it, neither are we avoiding temptation. We feel as though we had been placed in a position of neutrality – safe and protected. We have not even sworn off. Instead, the problem has been removed. It does not exist for us.”
In this position of neutrality, I feel safe. The problems of the past, the obsession, have been removed. So I go where any other free man can go; clubs, concerts, anywhere that this new and amazing life has given me the opportunity to be, because I am a free man. A sober club life is nothing abstract at all; it is simply what some of us chose to do with the freedom recovery blesses us with.
Not drinking or using drugs is only the beginning. Life is so much more. I, as a man in recovery, must be willing to do more if I am to fulfill my life. That, in turn, has given me freedom. Taking the first steps can be the hardest part, but we want to help. You are not alone. If you or someone you love is struggling with substance use disorder or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Author: Shernide Delva
You wake up at 8 a.m. sharp, jump in the shower, eat breakfast, watch the morning news and go to work. You come home from work, spend time with family, kiss your spouse and go to bed at 9 p.m. On the outside; you look like a person who has it all together. However, on the inside, you are battling an addiction and are too afraid to admit you have a problem. Besides, everything seems to be going fine, right?
If the above sounds like you, you are a functioning addict. The functioning addict looks like the average person. They are not homeless, nor are they unemployed. Most people are unaware they even have a problem. They might be excelling at work, and paying their bills on time. However, on the inside, they are constantly thinking about where their next high will come from. This is the addict that lives next door.
Unfortunately, the stigma of drug addiction leaves most with imagery of a homeless, dirty beggar. Many assume a drug addict has to be homeless, incarcerated or in poor physical health. However, as most of us know by now, this is far from the case. The prescription painkiller epidemic has shifted the image of the average drug addict from a person on the streets to the everyday member of society. An addict comes in many faces. It could be your next door neighbor, the stay-at-home mom, or even the doctor or well-regarded priest. Addiction crosses all areas of society.
About the High-Functioning Addict
If you are a functioning addict, you are less likely to get help for your addiction because you believe you have your addiction under control. On top of that, most will not believe your addiction is real. However, the reality is your addiction is very real and very dangerous. While you might be able to keep your addiction secret, in the beginning, things will eventually get worse. Eventually, your addiction will become unmanageable.
The truth is, it can happen to anyone. In 2011, Whoopi Goldberg of the television show, The View, confessed:
“I was a functioning drug addict; I showed up for work because I knew a lot of people would be out of work and I wouldn’t get a check that I needed to buy my drugs.”
A statement like this is all too common for the functioning addict. They know they need to keep working to keep their addiction alive. If the paychecks dwindle, the “functioning” part of their addiction will soon fall apart.
Addiction: The Real Definition
Addiction has little to do with your ability to keep your life together. Addiction is addiction whether your families or friends believe you have a problem. Addiction does not depend on your work status or your relationship with your family. While the fall of these things typically results on an addict finally getting treatment, addiction does not depend on these factors falling apart.
Addiction is a chronic brain disease caused by substance use and abuse. This substance use results in changes in the brain that make it very difficult for a person to control their desire to use, and therefore control their substance use.
Just like any addict, a high functioning addict has a compulsive need to use and abuse their d.o.c (drug of choice). Even though you might be able to maintain your relationship, friendship, and occupation, you still have a serious problem. If left unaddressed, you can suffer serious health consequences and your addiction will eventually become too consuming to hide any longer.
Could It Be Me?
If you think you might be a functioning drug addiction, look at the following questions and answer them honestly. If you find you are having more “yes” answers than no’s, the time is now to talk to a professional about your addiction.
- When you start drinking or using, do you find it hard to stop?
- Do you often think about using drugs or drinking?
- Do you schedule your time around drinking or using drugs?
- Have you tried to stop before, but found that you were unable to?
- Do you drink or use drugs at work?
- Do you drink or use drugs first thing in the morning?
- Do you hide your abuse from others?
- Have you done something risky, like driven drunk?
- Are you worried about your abuse?
If you are a high-functioning addict, chances are you worry about seeking treatment because you fear it might cost you your job, family, or both. However, there are various options that can be discussed with your treatment center and job to negotiate a plan that works best for you.
Remember, there is no cookie-cutter type for an addict. Addicts come from all walks of life and income brackets. They vary in race, religion and sexuality. Every addict deserves to live a life free from addiction. Hiding from addiction will never help you beat addiction. Stand up and face your addiction today. The time is now. If you or someone you love is struggling with substance abuse or addiction, please call toll-free 1-800-951-6135.
By: Justin Mckibben
Every once in a while we have an opportunity to share some of the amazing and emotional testimonies of transformation from our Palm Partners alumni. So many of these men and women have experience such an awesome change in their life and a change in perspective that they cannot wait to share with us their gratitude and share how they learned through us to overcome the many aspects of their adversity.
This week a wonderful woman Doris recently became a Palm Partners Alumni, and wanted to share a letter that she wrote to the Palm Partners staff, and asked that we type it up and publish it for her. She talks about how not knowing what she was walking into ended up helping her recognize the turmoil in herself, and the desire to get better that brought her on this journey. One of the most rewarding parts of this for us is to acknowledge the amazing people that make an impact every day on the lives of people who desperately need hope, helping them find it when all seems lost.
So below is the letter Doris wrote.
When I walked in Detox for the very first time, I wasn’t sure what to expect.
I was scared, beyond broken and completely miserable with life the way I’d been living it. The next 5 days were hard, I kept pushing through it. I never knew just how difficult it would be. A lot of pain, soul-searching and coming to terms with my disease. After 5 days I was placed at Palm Partners. I was taught by Doug and Heidi how to begin to forgive myself through the “Dickens Process,” which was completely awesome! It was so surreal, I never realized just how many people I hurt while on that path. I’m taking with me all of the things that were taught here.
I would like to thank God for leading me in the right direction.
I’d like to thank Todd from admissions, who answered that 3 AM phone call and gave me HOPE, which put me on that airplane 3 days later.
Thanks to all the clients, men and women, that were there every step of the way, lending an ear or a shoulder to cry on.
Thanks to ALL employees that helped me get to this point of my recovery, especially Tristen- he always makes me want to smile- and Paula, my therapist. I appreciate all of your help. And Sandy.
A BIG thanks goes to all the techs. You all deserve a raise because you all put up with 10 kinds of hell every day and night!
Much love goes out to each and every person that was involved in my treatment. I am forever grateful.
Keep Sharing the Message
We are always happy to share the powerful breakthroughs that our clients get to have while attending treatment, just like we love hearing about the personal connections they make with their therapists. As more men and women like Doris complete the program and move on to change and inspire in their life, we celebrate their success and thank them for the part of the journey we get to be present for.
We know there are so many more Palm Partners alumni out there with talents, stories and experiences to share, and we encourage you to contact us and be part of the message that may help countless others. You never know how many lives you can touch, and how many people could make the choice that saves their life because of something that you choose to share. If you or someone you love is struggling with substance abuse or addiction, please call toll-free 1-800-951-6135. We want to help. You are not alone.