Author: Justin Mckibben
Ohio has been a major epicenter of the overdose outbreak. In 2014, Ohio was #2 of states with the most overdose deaths. Since then, Ohio has topped the list for heroin overdose deaths in the country, and remains in the top 3 states with the highest overdose death rates, both overall AND per capita. In fact, the overdose capitol of America is actually Montgomery County, Ohio, with over 365 opioid-related deaths in the first 5 months of 2017.
So with Ohio being one of the states hit the hardest by the ravishes of the opioid epidemic and the overdose crisis, you would think that Ohio officials would be more apt to adopting progressive and preventative measures for saving lives. In some areas, yes. However, in others… not so much.
Butler County Sheriff Richard K. Jones says his deputies won’t carry Narcan, despite its effectiveness reversing the effects opioid and heroin overdoses.
Butler County Overdose Deaths
Making this a much more controversial issue, drug overdose is killing more people than any other cause in Butler County. According to a statement by Dr. Lisa Mannix’s office, in the first 4 months of 2017 the coroner investigated 175 deaths, and 96 of them were lethal drug overdoses.
The month of April was especially deadly for drug users in the area. According to Mannix, her office-
“- has never seen that many deaths of any kind in a single month.”
In just those 30 days, 30 people died from drug overdose. According to the coroner’s office, 83% of the overdose deaths involved illegal opiate substances. This includes the now infamous synthetic opioids such as:
If this deadly trend continues, the coroners office expects those rates will see a 50% increase from the total overdose deaths in 2016.
The Sheriff Says “I Don’t Do Narcan”
He’s Jones just happens to be the only sheriff in Southwest Ohio whose department does not use the opioid overdose antidote Narcan, or the generic Naloxone. And apparently, he has no intention of starting anytime soon.
Jones was asked about the lack of Narcan use by his police department shortly after the now controversial comments made by a Middletown city councilman suggesting a policy to refuse giving a response to overdose calls. According to the sheriff, local residents and even social workers often ask him why law enforcement continue to revive people who overdose multiple times. His response was simple; his deputies don’t. When interviewed and asked about it, Jones stated:
“I don’t do Narcan.”
Yes… let that just sink in for a second.
This is a man who has the job description of ‘protect and serve’ but when it comes to addicts, he would prefer to do neither.
So what was his justification?
Jones went on to rationalize his opinion by, according to the original report, ‘talking about babies he has seen born addicted to heroin in his jail and mothers who teach their teenage children how to use heroin so they can shoot the mom up.’ When the reporter pressed on about the lack of Narcan in his department, Jones stated:
“They never carried it. Nor will they. That’s my stance.”
The sheriff went on trying to validate his rationale by claiming safety was the primary priority. He argued that people revived from an overdose are often violent and are almost never happy to see the police.
So in short, it sounds like this sheriff would let sick and suffering men and women, even teens, die from overdose rather than save their lives… because they might be upset or aggressive?
What Do You Do?
As expanded access programs to provide Narcan to first responders have become more popular it seems some have gone on to debate how long should tax payer money do to saving lives, and how many times should someone be revived.
This is a tough conversation to have. For some there is no easy answer. Those who are more focus on being monetarily minded and conservative will typically argue that resources should not go to repeatedly paying to save addicts from death. But is it fair for anyone to decide whether someone should die or not simply because they are addicted to drugs? Are we really willing to let people die to boost the government’s budget?
However, for some of us the answer is easy- you cannot put a price on a life. Struggling with substance use disorder does not diminish the value of a person. It should go without saying that if the resources exist to prevent death from overdose, than we should use it. Narcan may not be the cure to addiction, but it might keep just enough people alive long enough to find help and make a difference in the world.
Thankfully, this isn’t how all of Ohio is handling the opioid overdose outbreak in their state. Sheriff’s deputies in surrounding counties carry the opioid overdose antidote, including:
- Warren County
- Clermont County
- Hamilton County
Other expanded access programs in Ohio are going strong and saving a lot of people, but of course the next step to solving the issue is helping to establish sources of effective treatment.
Drug addiction treatment can be the decisive variable that allows for these overdose victims and others suffering with substance use disorder to get a new chance at life. Holistic healing with innovative and personalized recovery programs has the potential not to just save a life, but transform lives. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
For some time now government officials in different states across America have been pushing for the implementation of safe injection sites in their neighborhoods to combat the perpetual rise of opioid addiction and overdose death. This time last year there were proposals in New York, California and Washington D.C. to open such facilities. With the rising rates of overdose and death more officials have asked for the opportunity to at least examine the potential impact of safe injection sites. Now, officials are pushing for safe injection sites in Boston.
This request didn’t come lightly, either. The Massachusetts Medical Society is actually imploring state officials to open a safe injection site within the City of Boston, with desperate hope of curbing the numbers of casualties.
Safe Injection Presented to City Council
The Boston city council members heard arguments both for and against safe injection sites in Boston, and the debate is on as to what to do with the information.
Advocates for safe injection sites in Boston believe such facilities save lives by making emergency medical treatment immediately available. Dr. Henry Dorkin with the Massachusetts Medical Society supports the idea, stating:
“In fact, if you don’t have them in a facility with Narcan readily available, they’ll die very quickly,”
Just to clarify, safe injection sites are secure locations with medical staff available where addicts can use heroin under medical supervision. It provides what could be considered neutral ground where the drug user will not have to worry about being charged with criminal possession, while also having a first line of defense against overdose. Safe injection sites do not provide drugs, they simply provide the space and with some clean needles are also available.
Probably one of the most popular examples used by advocates of safe injection sites has been the famous facility in Vancouver, Canada that helped save dozens of lives. City Councilors Anissa Essaibi-George and Frank Baker, who requested the hearing, point out that the safe injection sites in Vancouver reduced fatal opioid overdoses by 35%.
This kind of decrease in overdose fatalities would make a huge difference in Massachusetts. The state Department of Public Health says the state’s top cause of accidental death so far this year is opioid overdose. The department says an average of 6 people a day in Massachusetts die from opioid overdoses in 2017, making. A 35% decrease would make a tremendous improvement on the community.
Anti-Injection Sites Argument
Opponents of safe injection sites in Boston say that these facilities do nothing to address the true problem, which is addiction. Sue Sullivan of the Newmarket Business Association states:
“It’s an existence. We need to figure out how we’re going to save these people and it’s not safe injection sites,”
Looking at the Vancouver statistics was apparently not enough to convince the entire city council. One feature of safe injection sites is that they often have a team of treatment professionals who encourage addicts who visit the facility to get treatment. They provide information about safe medical detox and other levels of care to those who are interested in getting help. However, one city council member, Frank Baker, states:
“263,000 visits a year by 6,500 individuals. And it has only 404 referrals to onsite detox,”
Some officials believe that this measure of harm reduction isn’t enough to really solve the issue without getting more people into drug addiction treatment and off the streets.
Possible Benefits of Safe Injection Sites in Boston
The primary function of safe injection sites is to preserve life. The idea is that while it may not be a lasting solution, it is a way to save lives. Safe injection sites allow people struggling to have the opportunity to survive their addiction long enough to get treatment. Beyond slowing down drug related deaths, safe injection sites in Boston could offer a number of other positive outcomes.
In May of last year we also covered a report titled Alternatives to Public Injection in which experts with experience operating supervised injection facilities (SIFs) shared data that shows:
- People who use SIFs take better care of themselves
- SIFs reduce or eliminate addicts needle sharing
- Ultimately, participants reduce their drug use all together
- SIF participants gain access to other medical and social services
- Participants have resources to seek addiction treatment
- SIFs do not increase drug use in the surrounding area
- Crime and public disturbances decrease in the areas around these programs
- There has not been a SINGLE overdose death in any of these programs over many years of operation
Rates of people visiting safe injection sites attending treatment may not be as good as they could be. However, the fact that they have no experienced a single overdose death at these facilities is an incredible improvement.
Are we going to see safe injection sites in Boston? Are more American cities going to consider this option? Is having a safe injection site a good idea?
While getting the right kind of safe and effective addiction treatment can create lasting change, preventing the ongoing deaths from drugs is also a worthy cause. Holistic healing programs are designed to address every aspect of addiction. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
With the opioid epidemic in America there have been a lot of advances in the field of addiction treatment, as well as innovations in prevention and intervention. One of the most useful elements of preserving the lives of thousands of people across the country has been the development and implementation of the opioid overdose antidote Narcan. So many people are impacted by opioid abuse, and so many families and friends to addicts want to help in any way they can to give their loved ones an opportunity at surviving their struggles. A lot of people are still unsure how to obtain some of these life-saving resources, especially when it comes to the overdose antidote.
The truth is, basically anyone can get access to Naloxone or Narcan, with various expansion programs existing for the purpose of providing vital support to the communities afflicted. Also, anyone can be trained on how to use it. There are a few ways to obtain Narcan.
How Do You Get Narcan: What is Narcan/Naloxone
Just to verify, Narcan is the brand name of this life-saving medication. Naloxone is the generic name. Narcan (Naloxone) is used to counteract and reverse the deadly effects of an overdose of opiate drugs such as heroin, Oxycodone,Hydrocodone and others as well.
Naloxone hydrochloride, the scientific name, is a white to slightly off-white powder and is soluble in water. Naloxone Hydrochloride injection is available as a non-preserved sterile solution for intravenous, intramuscular or subcutaneous administration in 1 mg/mL concentration.
Narcan is also supplied as a nasal spray, which provides for a decreased risk factor and makes it easier to administer for many by eliminating needles. In these forms, Naloxone and Narcan expansion has become a very big part of combatting the opioid epidemic, and through many groups advocating for its use, Narcan has become available in many ways.
How Do You Get Narcan: CVS and Walgreens
One way is through pharmacy companies like CVS and Walgreens.
Back in late 2015, the pharmacy company CVS announced it would be selling the opioid overdose antidote naloxone without a prescription in 14 states. Then in early 2016 CVS announced they would be expanding the program to 20 states by the end of the year. Of course, pharmacy boards in each state can make the decisions about offering Naloxone or Narcan without a prescription, but CVS has worked to further grant access to people all over the nation. You can look online to see if it is available in your area.
Also in early 2016 the pharmacy organization Walgreens announced two programs to address key issues in the opioid crisis.
- Safe medical disposal kiosks for unused prescription drugs
- Narcan expansion
By the end of 2016 Walgreens had expanded naloxone access without the requirement of a prescription to 33 states and the District of Columbia. Walgreens also continues to express the intention to further expand these programs. A quick online search you let you know if it is currently available without a prescription at a Walgreens near you.
How Do You Get Narcan: Other Options
In truth there are a lot of different ways to get Narcan, depending on where you are. To name a few:
You can contact a family physician in order to gain access to a Naloxone or Narcan kit, and should even be able to get training on how to utilize it.
State or Local Health Department
Your state or local health department should be able to provide you with all the information about any Opioid Overdose Prevention Programs in your area that provide the resources and training for the overdose antidote.
Harm Reduction Organizations
There are clinics, community centers and other harm reduction organizations all over the country that work to provide extensive support, resources and information. The Harm Reduction Coalition is America’s national harm reduction network operating overdose prevention programs for years.
The Overdose Prevention Alliance (OPA)
The OPA is a home for information and debate on drug overdose worldwide. It operates with the goal of cutting overdose and mortality rates. The OPA aims to collect and document major issues in overdose worldwide, encourage overdose prevention initiatives. Finding this resource could also be a huge help.
How Do You Get Narcan: Making a Difference
In the end, there are so many avenues someone can take to obtain this crucial tool in the fight against opioid overdose. Some community leaders even organize local workshops where they invite the public to come and get training on how to use Naloxone or Narcan. Some colleges even provide Naloxone kits to students, and many of both kinds of programs are free of charge.
The goal with any program is to try and save lives. At the end of the day that is what it comes down to; saving lives. Every bit of these resources makes a difference.
Still, beyond being revived from an overdose; beyond having access to the opioid overdose antidote is the need for safe and effective treatment. Having a second chance means using it. Keeping someone alive after a nearly fatal overdose is a huge feat, but there has to be more to helping someone, and that is where holistic drug and alcohol treatment programs make the biggest difference.
If you or someone you love have survived an opioid overdose and don’t know what to do next, do not hesitate to get help. If you or someone you love is struggling, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
Dug and Heidi McGuirk Answer “How do I know I’m Enabling?”
Enabling is a highly dangerous behavior that often discourages addicts from seeking treatment. Yet many loved ones of addicts struggle with enabling because they do not understand the consequences of their actions.
In a recent video, Dug and Heidi McGuirk, who run the Revolutionary Family program for Palm Healthcare, addressed the crucial topic of enabling. Often loved ones are in denial of their enabling behaviors or are unaware of how damaging enabling is.
Two of the most common questions they receive from loved ones of addicts are:
- How do I know if I’m enabling?
- What exactly IS enabling?
Dug and Heidi explain there are two barometers to determine whether or not you are enabling. First, you must decide the motivation behind your actions. This will help you understand why you are doing what you are doing. Next, you must determine whether your actions are a product of wanting control over the situation.
“You can’t control anybody,” Dug McGuirk says. “You can only control yourself.”
Furthermore, if you are doing the following things, you are enabling:
- Manipulating an outcome
- Trying to “keep the peace”
- Attempting to change someone
- Trying to prevent a consequence
- Trying to rescue or bail out
You must commit to stopping your enabling behaviors because ultimately, enabling causes more harm than healing when it comes to helping your addicted loved one.
“The lie we tell ourselves is that if we don’t do what we are doing, our loved ones will die,” Heidi McGuirk says. “Of course, that’s the biggest lie of all. More people die from enabling behaviors than other stuff.”
In the discussion, Dug and Heidi explain the greatest roadblock enablers tackle is determining whether or not their actions comes from a place of love or a place of wanting control.
Most enablers believe their behaviors stem from a place of love. But this could not be further from the truth.
“Enabling is the most unloving thing you can do,” Heidi McGuirk reiterates.
“Without pissing anybody off here, enabling is selfishly motivated, and it’s not about the other person,” Dug McGuirk says.
Instead of love, enabling is more about:
So how does one stop enabling?
First, you must make the decision to stop, Dug McGuirk affirms.
Next, frame your decisions around two barometers. Before taking any action, acquire an awareness of your behaviors by reflecting on the following questions.
- Are you doing what you believe in?
- What is your motivation?
“You don’t have any control over how someone operates or who they are, but you have control over how you experience them,” Heidi McGuirk says.
After you are aware of your current behaviors, the next step is to make decisions based on what is best for you, not your loved one:
“Once you have that awareness, now you can start making a better decision so step two would be to figure out what you want for you, not for your loved one, [but] for you,” Dug McGuirk states. “What is it that you want to experience? […] Because if someone in your family is struggling with addiction, they’re always going to have that malady, so the question is how are you going to go through it?”
When it comes to helping a loved one struggling with addiction, set boundaries by asking:
- How do you want to participate in their addiction?
- What are you willing to be around for?
- What are you not willing to be around for?
- How are you going to experience their addiction?
If you want to read more download our free E-book “What is the Difference Between Helping and Hurting?”
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In the next discussion, Dug and Heidi McGuirk delve deeper into the steps loved ones should take to create clear boundaries. Stay tuned for next week’s post where we will explore the topic of creating boundaries further. You can also download our checklist to determine whether you are helping or hurting a loved one with an addiction problem.
What questions do you want us to answer next?
If you are currently struggling with any part of the recovery process, please reach out to us for help. Our highly qualified specialists strive to make a recovery possible for everyone. If your or someone you love is struggling with substance abuse or addiction, please call toll-free.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
That’s right, you read the headline correctly. Law enforcement could soon be giving heroin to addicts, for free, in an attempt to fight addiction. While harm reduction is an admirable concept to preserve the lives of those suffering from addiction, this is a hard bit to chew.
Various countries are working to drastically reform drug policies. Some states in America have even started to pursue expanding access to naloxone, needle exchange programs and even safe injection sites. Other countries around the world have gone to new lengths in decriminalization, while others go to new extremes in the War on Drugs. Yet, despite all this variations of progress, giving away heroin seems like the most abstract idea yet.
Police in Durham, a city in northeast England, are planning to offer free heroin to drug users. Why? They say the objective is actually to reduce both crime and addiction.
The Free Heroin Plan?
Durham Police and Crime Victims Commissioner Ron Hogg spoke recently on his logic for providing heroin to addicts. In his statement he said,
“The aim would be to enable people who have become addicted to heroin to follow a program that would stabilize their addiction in a controlled environment, and reduce their dependency on heroin until they stop taking it,”
The idea isn’t just to give addicts free heroin and let them loose, but to create a very distinctive atmosphere of support in hopes of inspiring recovery. The proposed free heroin program would work in combination with a traditional substance abuse support program, and the users would be monitored on use and tapered off. According to the Independent newspaper, the free heroin clinics could be established in the Durham area before the end of this year.
What do Police Think of Free Heroin?
It seems the police department is hoping that if drug users have access to free heroin then they won’t have to resort to crime to support their addiction. While they are aware of how this idea might seem strange, the idea is that they may be able to further decrease all other devastating results of addiction on the community. Crime, spread of disease, overdose death and more.
According to the Independent newspaper, Durham Chief Constable Mike Barton also says the initiative would take away from drug dealers’ profits. With drug users having access to free heroin they hope it will cripple the trade on the illicit drug market. Barton states:
“We need to get over our moral panic about giving people heroin as part of a treatment plan,”
“Our primary concern is to prevent crime. If we’ve got people who are addicted to Class A drugs committing crime, it makes good sense to get that person off drugs.”
Commissioner Hogg also goes on to say,
“The aim of the initiative is to save the lives of addicts, shut down drug dealers and reduce acquisitive crime,”
“It would also reduce demand on police time, and the courts, and I believe it should also help lower the prison population.”
The impact of heroin on the U.K. should of course be noted as a cause for desperate measures.
- 2015-2016 statistics show there were 149,807 people receiving treatment for opioid use disorder in England
- Between 2012 and 2015, heroin-related deaths doubled from 579 to 1,201 deaths in England and Wales
So of course, as the opiate epidemic rattles countries all over the world, a few have decided to react in very different ways. Apparently, some parts of the U.K. are moving toward a very, very liberal stance.
Fix Rooms and Safe Injection Sites
England is not alone on this. Let us also note that Switzerland has actually offered a free heroin maintenance program since 1994. Other governments in the U.K. have approval for similar safe injection initiatives, including:
- The Netherlands
Last October, Glasgow, Scotland became the first city in the U.K. to approve plans for “fix rooms”. These are sites where people will be provided medical-grade heroin and clean syringes with the intent to contain the heroin epidemic.
The free heroin program in Switzerland began in Zurich. It is now credited with decreasing crime in the area. Information indicates this program has expanded to 23 clinics. But it isn’t just free heroin in these locations. These “fix rooms” also provide counseling and support.
Harm Reduction… or Reorganizing?
Now, we have to ask, is this as crazy as it sounds? While the police in these areas seem to be openly admitting that giving away free heroin is indeed enabling, they seem very convinced that things have gotten so bad this is the best they can hope for at the moment. Again, they are hoping to contain the fallout of heroin abuse in their communities and provide information and treatment resources. The idea sounds pretty intense, but some would say desperate times call for desperate measures.
So is this harm reduction, or just reorganizing? Is this tactic set to prevent even more suffering and destruction, or is it a feeble attempt to make some semblance of order out of the chaos of the opiate crisis?
From a personal opinion, as an addict in recovery, I can say I honestly don’t know. It sounds incredibly dangerous and almost irresponsible to say that law enforcement will provide free heroin. Yet, I have to try and understand their logic; that it might be able to prevent some crime. It might take a nice piece of money out of drug dealer pockets, and it might preserve lives long enough to convince them to get treatment. Then again, an addict like me might just take advantage of the free heroin program and get more off the street while also getting free, government funded drugs too.
Past data might show some support to this innovation. I guess we will just have to wait and see what becomes of this. Until then, there should always be an emphasis on the possibility of effective and comprehensive treatment. Even with the free heroin program, the idea is to get people the treatment they need.
We want to know what YOU think.
Addiction and drug abuse have become relevant in every aspect of American life. Police, politicians, educators and community leaders are trying to create radical changes in perspective. Not every perspective is easy to understand, but the common goal is inspiring lasting recovery. If you or someone you love is struggling with substance abuse or addiction, please call toll-free.
CALL NOW 1-800-951-6135