Author: Shernide Delva
Drug overdoses have skyrocketed across the United States, and as a result, the popularity and accessibility of naloxone have risen as well. Most pharmacies now carry naloxone and even schools are carrying it in the event of an overdose emergency. Nationwide, naloxone is available to emergency departments and paramedics who find they are using the overdose antidote more than ever before.
While the use of naloxone is saving countless lives, one of the major battles first responders are facing is that they often administer naloxone to the same people over and over again. The repeated overdoses have many pondering; Where do we go from here? What is the next step after naloxone?
After the Overdose Reversal
First responders have acknowledged the pattern of repeated overdoses throughout the country. While an overdose often is a turning point for many, for others it is not enough to stop the active addiction. Therefore, in many areas of the country, first responders and community members have launched programs to reach out to those who recently overdosed. These programs aim to offer resources on overdose prevention, mental health counseling and substance use disorder treatment.
In July 2015, the Township of Colerain, Ohio, started a post-naloxone outreach program led by their Director of Public Safety, Daniel Meloy. Ohio has some of the highest rates of drug overdoses in the country. Under the program, representatives from the Colerain Police Department, the Colerain Fire Department, and Addiction Services Council all meet to review overdose reports from the previous week. Then, the representatives, known collectively as the Rapid Response Team, go into their community to visit the homes where the overdoses occurred.
“We knock on doors and ask to speak with either the person who overdosed or any friends or family,” says Shana Merrick, a social worker with Addiction Services Council. “We explain that we are not there to make an arrest, but to offer resources to keep the person healthy, safe and well. Most people open their doors and we talk about their situation and needs.”
In cases where a person lacks medical insurance, these programs help them find insurance. For those who are not eligible for insurance or Medicaid or simply can’t afford insurance, there are dedicated funds to help pay for treatment costs.
“About 80% of the people we see eventually seek some form of treatment,” says Shana. “It’s not always right away, but if we build a relationship over time then they may contact us later on asking for help.”
One of the biggest challenges is treatment capacity. When all beds are full, Shana enrolls people in intensive outpatient programs until a slot opens up at a traditional inpatient program. Some will enroll in medication-assistant treatment programs. Another challenge is staying in touch with people who are transient and may have changed address or phone numbers.
Shana and The Rapid Response Team are fortunate to have a variety of resources available to them to help guide people. Other places are not so fortunate. The Santa Fe Prevention Alliance in New Mexico have similar post-overdose outreach program but have fewer resources to utilize.
“There aren’t a lot of substance use or mental health treatment services in our area where we can refer people,” says Bernie, who visits people who have recently overdosed each week, along with a paramedic from the Santa Fe Fire Department.
“We do offer to help people find treatment facilities if they want, but during most of our visits we work with families to come up with an overdose response plan, offer naloxone and training on how to use it, and brainstorm about how to reduce the risk of another overdose. People are excited and respond well to us. No one has ever refused to let us visit.”
Do These Programs Work?
The purpose of these programs is helping those who have recently overdosed from overdosing again. The vast majority of people are receptive to receiving help. In some cases, they may not want help right away but often reach out in the future.
There is a critical overdose epidemic nationwide, and communities are exploring ways to help past the initial overdose reversal. Post-naloxone programs do offer hope, however they are just one solution to a very complex issue. There is not a quick-fix one-step solution–—not naloxone, not post-overdose outreach programs, not more inpatient treatment, not injected medications that block cravings for opioids—is a magic cure.
A combination of efforts that explore a diverse range of treatment options is key. While saving lives using naloxone is extremely important, the post-naloxone addict needs just as much assistance. What are your thoughts? If you or someone you know is struggling with addiction, please call now. Do not wait.
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(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Author: Shernide Delva
The narrative of the orphan child has never been a positive one. We’ve all seen movies about it. Abandoned children struggle with mental illness, emotional distress and sadly, many fall into addiction. The nation’s drug-addiction epidemic is excelling the number of children enter foster care. Many states must take urgent steps to care for neglected children. Unfortunately, there are too many and the numbers only continue to rise.
The problem is addicts often neglect, abandon or mistreat their children. Several states such as New Hampshire and Vermont made laws to make it possible to pull children out of homes with addicted parents, or states increased budgets to hire more social workers to deal with the emerging crisis.
Other states like Alaska, Kansas and Ohio have issued emergency pleas for more people to foster neglected children, many of them infants, into their homes.
“We’re definitely in a crisis, and we don’t see an end in sight any time soon,” said Angela Sausser, executive director of the Public Children Services Association of Ohio, a coalition of public child safety agencies in the state.
Life as a Child in Foster Care
Sadly, these children grow up and have a high risk of having a drug addiction. According to a 2016 study funded by the National Institute of Mental Health (NIMH), 35% of older youth in foster care have a substance use disorder.
While there is no universally accepted cause of drug addiction, one theory commonly accepted is a relief from physical, mental, and emotional pain. There are emotions foster youth feel on a regular basis. Foster youth are ripped from their families and put into state care due to neglect or abuse. Those two words—neglect, abuse—result in an array of emotional and physical realities. These realities must be addressed.
Lisa Marie Basile was a foster youth from age 14 to 19. She is a successful edited and writer in New York who wrote the poetry book Apocryphal. She discussed her thoughts in an interview in The Fix:
“The narrative of the foster youth has been hijacked by this idea that foster youth are just losers. Like it’s inherent, expected. The thing is, something has been done to them. I wish more people understood the loneliness,” she explained.
The Numbers Are Now Increasing
For a while, the number of children in foster care was decreasing. The enormous increase in parental drug abuse is driving the number of foster care youth up at an incredible pace. As of 2014, the number was at 3.5%. In San Diego, more and more babies are in need of foster care placement, and many infants are born addicted to drug. Not only are these babies born experiencing withdrawals, they also have a long-term risk for medical, developmental, emotional and behavioral hardship. Furthermore, they are an extremely high risk for addiction.
There are programs out there to help these children, but they have to reach out for it. The first step is admitting the addiction. This is the exact reason why many addicts are stuck. Lisa Basile says she made her way through foster care without using, however once she reached college, she began to overindulge in drinking.
“I drank a lot more than most college students. And that behavior—day drunk, wine for lunch—stayed with me for a while after college. It became less about partying and way more about numbing everything out so I could get through college without facing my tragedies.”
The Emotional Aftermath
The issue lies in the emotional toll the foster care process can have on these children. The National Institute of Mental Health states that that foster youth have a high risk conduct disorder and post-traumatic stress disorder (PTSD). Youth with PTSD or conduct disorder are found to have the “the “highest risk for substance use and disorder.”
What is PTSD? PTSD is defined by the National Alliance on Mental Illness (NAMI) as “requir[ing] that children have experienced, witnessed, or learned of a traumatic event, defined as one that is terrifying, shocking, and potentially threatening to life, safety, or physical integrity of self or others.”
It is clear by this definition why foster children are likely PTSD sufferers and why they are more at risk for addiction rather than just drug experimentation. Foster children are often born in situations where their basis needs are ignored and where their emotional wounds remained unhealed.
There is Hope
With the right resources, children in these situations can be granted the opportunity to change their future. Everyone involved plays a role. From teachers, therapists, volunteers and neighbor, the right person providing the right connection can turn things around.
Foster children and addiction may go hand in hand, but that does not mean anyone’s situation is hopeless. There is not an excuse for changing your future. If you were brought up in an unfortunate situation, there is still time to shift the direction of your life. If you or anyone you know is struggling with substance abuse or addiction, please call now.
CALL NOW 1-800-951-6135
Author: Shernide Delva
Over the holiday season, I acquired a part time job working as a virtual reality demo associate. It was amazing to see the impact gaming software could have on a person’s life. I saw people in wheelchairs enjoy the feeling of entering a different reality. I saw senior citizens enjoy the immersion of climbing a virtual mountain or sculpting a cat. Technology like this helps take our imaginations to a new realm.
Therefore, when I read about a company using a joystick to help with alcoholism, it fascinated me. An ongoing study in Berlin is using joysticks and alcohol-related images to help prevent alcoholic relapse. Some of the participants have said that the image-related therapy helped keep them sober.
Miriam Sebold is the study’s lead psychologist. In the study, participants viewed images on a computer screen and were told to use a joystick to push alcohol-related images away. They were also instructed to engage the joystick and pull images of water and other non-alcoholic beverages closer to them,
Researcher Hanna Lesch visited Charité University in Berlin, Germany where the ongoing study took place. She described the parameters of the study:
“Every click of a joystick results in a new pair of images,” said Lesch. “Pushing the joystick forward makes an image grow smaller. Pull in toward you, and the image grows. Sebold’s patients react strongly to images of alcohol and that is the basis of her training.”
Images of alcohol can sometimes make an alcoholic vulnerable. In the same way that Pavlov’s dogs reacted to stimuli related to food, alcoholics can react to stimuli related to alcoholic beverages. Non-alcoholics do not respond any differently to a glass of orange soda or a shot of vodka.
Lesch spoke with a study participant named Freddy while she at the facility. Freddy discussed how after his divorce, he began drinking daily—consuming at least two liters of beer and a few shots of hard liquor per day.
“I’ve tried to take a break from it more than a few times,” said Freddy, “but it was two, three days at the most. Then, I did some rehab, and then I did some more rehab. I was even in long-term rehab.”
Time after time, Freddy kept relapsing. Lesch understand that this is one of the “greatest hurdles” in the alcohol treatment world. The attempt to rehabilitate an alcoholic is difficult, and nearly 85% cannot stay away from alcohol.
“What it really comes down to is that this addiction is such a powerful illness, that again and again, you have these cases where the patients say, ‘I was dry for 10 years, and then I treated myself to a beer because I figured I could treat myself to something.’ Then, they relapse right back into this very strong addiction, where they’re drinking a bottle of vodka every day. These are very strong mechanisms inside their head that they have very little control over.”
To control these thoughts in the brain, they must learn how to rewire their thinking. In the experiment using the joystick, the purpose was to rewire the way the brain reacted to alcohol stimuli. In the case of Freddy, he found that over time, it was effective in reducing the temptation to drink.
Lesch described Freddy’s experience:
“During the training, Freddy noticed no changes in his own behavior, but then, he did. Whenever he saw a bottle of alcohol inside a store, he was reminded of the images he’d seen during the training.”
Freddy found that the test helped him stay away from the dark days of active alcoholism. He was able to avoid temptation easier, and best of all stay sober.
“Freddy has remained sober and the 64-year-old was proud to say he was even able to land a normal job,” Lesch said.
Now that the joystick experiment has shown positive results, the future for more studies like this is endless. The hope is to use this same procedure for other addictions and compulsions.
“As soon as they find out exactly where and how this therapy affects the human brain,” said Lesch, “the discovery could help lead to the development of new medicinal-based therapies. For Freddy, participating in the study has been worth it. Today, he’s doing his best to avoid even talking about alcohol.”
While this is not the first joystick study ever done, it is a positive contribution to the pursuit of finding proven methods to keep alcoholics from relapsing. What other ways could gaming be utilized to treat addiction?
Alcoholism is a serious disorder and there is temptation everywhere. Alcohol is difficult to avoid in a society that glorifies it as a social tool. However, a person who has alcoholism should avoid alcohol at all costs. Addiction is a serious disease that ruins lives and destroys families. Do not feel defeated. There is a way out. Call now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
Around the country there is a wave a new and progressive initiatives changing the relationship between law enforcement and drug users. Government officials now lobby in support of such programs, and millions of dollars are being allocated to similar responses to a nationwide addiction epidemic. Probably one of the most famous of these revolutionary programs is one of the first; the PAARI program.
The Police Assisted Addiction and Recovery Initiative (PAARI) encourages police departments to abandon the old model of arresting and prosecuting people struggling with substance use disorder. Instead, the program encourages police to help people struggling with addiction seek help.
Now we have the first annual report from the PAARI program, and the numbers are pretty impressive.
Taking Pride in PAARI Program Progress
In the PAARI program first year report the numbers include detailed financial inventory. The 501(c)3 non-profit believes in the transparency of their progress, and is proud of the success to far. Of course, with such a groundbreaking and inspirational initiative, who wouldn’t want to show off?
To update anyone who doesn’t know- the PAARI began in Gloucester, Massachusetts, after the local police department announced on June 1, 2015 that anyone who walked into the police department and turned in either drugs or paraphernalia would not be arrested. The announcement told the citizens that instead any individual willing to seek help would be sent to treatment. This is the response from law enforcement in the wake of a spike in overdose rates in the area.
The report now boasts an amazing impact on the community. In the first year of the PAARI program, just Gloucester Police Department alone helped more than 400 people enter treatment!
Spreading the Message
That 400+ count doesn’t even scratch the thousands more being helped across the country due to the establishment of similar programs. The initial response from the Gloucester community was incredibly enthusiastic. This helped spread the concept of the PAARI program, as they moved to help other police departments implement similar programs. According to the report, the PAARI program helped train 143 police departments in 27 states.
- Augusta, Maine began training volunteers last November before implementing their own program.
- This summer Newark, Ohio, began its program. Officials said they felt driven to try something new once they were receiving at least one overdose call per day.
- According to the report, the PAARI program has partnered with 300 treatment centers in 20 states
- The PAARI program also secured hundreds of thousands of dollars in scholarship funds to help people access the treatment they need.
- Distributed more than 5,000 doses of nasal Naloxone, the opiate overdose antidote.
Unfortunately, not everyone agrees with this progressive approach. Some still believe that criminal justice is an appropriate response to drug use. Cape Cod, Massachusetts police department chose not to implement their own program because they didn’t agree with diverting the focus away from criminalizing active users. Some still think that shifting this perspective is somehow promoting drug use or giving permission.
Reinventing Police Intervention
Last April the Obama administration praised the Angel Program and PAARI program, siting that they reduced “crime and costs associated with substance use disorders in Gloucester” and rebuilding “trust between the police and the community.”
The first annual report makes a very exciting statement, saying:
“Communities that have joined PAARI have observed as much as a 25% reduction in crimes associated with addiction, cost savings by diverting people into treatment rather than triggering the criminal justice system, as well as an enormous increase in trust from their communities.”
Participants in the program speak in heavy praise of its methods and compassion for those it exists to assist. Even insurance companies contribute to the progress in the direction of compassionate and effective change.
Without question, these numbers are a new hope to so many. Over 400 lives in just one area over a year may have been saved thanks to PAARI. And at the end of the day, isn’t that the point; to protect and to serve all lives? The hope is that more programs like this can shatter the stigma of addiction, while simultaneously bridging the gap between the disenfranchised and the established authority to create a community that is better and brighter for both sides.
Drugs and alcohol have torn apart too many communities. Now the time has come for better treatment options and more compassionate health care. If you or someone you love is struggling with substance abuse or addiction, do not wait. Please call toll-free now. We want to help. You are not alone.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
In America, estimates say nearly a thousand people died from drug overdose per week in 2015. This year, we see how this problem continues to grow and strike some cities with terrible intensity. Drug overdose was the leading cause of death in Philadelphia, claiming 700 people that year. One place in particular has earned a name for itself: “The Badlands.”
The Badlands of Philadelphia is an area encompassing the Kensington neighborhood and parts of North Philadelphia. Residents gave this part of town the infamous “The Badlands” title because of its high rate of crime including homicide, drug trafficking and gang activity. Just this past week nearly 50 residents in the Badlands of Philadelphia suffered overdoses from what narcotics officers believe was tainted heroin.
Luckily, according to an NBC Philadelphia report, there were no fatalities during the outbreak of overdoses on November 17. However, several individuals had to be revived using Naloxone. That is the opioid overdose antagonist that has seen expanded access all over the country in an effort to stop the ever increasing body count.
Record numbers of overdoses like this are popping up in various parts of the country, and it is an exclamation point to the story of the opioid epidemic in America. This was one very bad day in the Badlands of Philadelphia, but will it get worse before it gets better?
Badlands of Philadelphia: Following the Pattern
Philadelphia Police is working on laboratory tests to determine if these drugs are part of a growing problem with tainted narcotics. Many overdoses in several states have been linked to tainted heroin that has been mixed with Fentanyl or other synthetic analogues far more powerful than the illicit drug itself. This is not be the first time a bad batch of heroin has hit the Badlands of Philadelphia. Gary Tennis, Secretary of the Pennsylvania Department of Drug and Alcohol Programs, had some powerful words concerning the way the epidemic has been handled until now.
“If we had ISIS terrorists roaming the streets, killing a thousand Americans a week, [or] ebola or some exotic disease, we wouldn’t tolerate it for a minute… But because of the stigma around this disease, we continue with policies federally, state and local, that are fundamentally inhumane.”
The Badlands of Philadelphia also made headlines in May of 2016 when the experimental painkiller W-18 was allegedly found within its territory. The dangerous W-18 is causing considerable hysteria in Canada and the United States.
Badlands of Philadelphia: W-18 and Fentanyl
As a recap from previous stories back in May of 2016, W-18 is a synthetic opiate and psychoactive substance similar to heroin. However, it is horrifically more deadly. W-18 is one of the most powerful opioid of a series of about 30 compounds. Experts go as far as to describe W-18 as being:
- 100 times more potent than fentanyl
- 10,000 times stronger than morphine
Though fentanyl or W-18 are yet to confirmed as the cause of the outbreak of overdoses in the Badlands of Philadelphia, fentanyl is considered to be responsible for a upsurge of overdoses that health officials say has risen 636% since last year.
- In 2013, 25 people died as a result of Fentanyl overdose in Philadelphia
- In 2015, 184 people died as a result of Fentanyl overdose
- The 2016 99 people died from Fentanyl overdose in Philadelphia in just the first four months
Between 2013 and 2015 is a seven fold increase in death. One can only imagine where the number will be by the end of this year. According to NBC news, Philadelphia also has some of the cheapest and most potent heroin in the nation. Reports claim that purity levels of heroin reach an estimate between 80% and 90% purity. That alone is incredibly deadly. The addition of unpredictable and synthetic drugs only magnifies the threat to life.
Badlands of Philadelphia: Not the Only “Badlands”
Philadelphia is not the only state with a section of “Badlands.” In reality, the “Badlands” are basically everywhere. In every major city, in every state, there are people suffering. A recent report stated that one American dies every 19 minutes from a heroin or opiate overdose. Not doesn’t include alcohol or any other drugs that contribute to the destruction caused by addiction all over the nation.
The new report from the U.S. Surgeon General highlights the distressing truth in the statistics. To understand the depth of the addiction crisis in America, one needs only to look around. The report says 1 in 7 Americans will face a substance use disorder. Sadly, only 10% of those will get the necessary treatment to save their life.
In the presence of great suffering there is still hope. People are finally working together to try and shed the stigma of addiction in many communities. The progress that is possible in holistic treatment is life changing, and taking the first steps can make all the difference. If you or someone you love is struggling, call now.
CALL NOW 1-800-951-6135