Author: Justin Mckibben
The Global Commission on Drug Policy (GCDP) is an international institution of global leaders and intellectuals working to help study and inform initiatives on addressing drug use all around the world. This think tank offers recommendations concerning drug use and its consequences for societies across the globe.
The GCDP consists of members from various nations, including but not limited to:
- The United States of America
- The United Kingdom
Former U.S. President Jimmy Carter wrote an op-ed in The New York Times explicitly endorsing the recommendations of the Global Commission on Drug Policy, and the group has released various reports over the years focusing on the efforts to curb the spread of drug abuse.
Recently the GCDP released a position report on the North American opioid epidemic. In this report, the commission issues recommendations that appear to endorse the expansion of harm reduction techniques to battle the ongoing crisis.
The Turning Point for America
According to the GCDP’s new report, North America is at a turning point in the way that drug addiction is viewed. This is not too much of a surprise, considering now more than ever there has been a push for a more compassionate perspective on drug use and addiction. America now finds itself in a unique position where the stigma that has so long been attached to addiction is starting to be abandoned, and more progressive action is being taken.
Now the Global Commission on Drug Policy believes national policymakers should take advantage of this unique opportunity to reduce opioid-related deaths through harm reduction. In the report the authors state:
“While in recent years media and politicians have been more open to viewing addiction as a public health problem, leadership is needed to turn this into an urgent and commensurate response to the crisis,”
One way that the Global Commission on Drug Policy ideals clashes with that of the Trump administration, currently steering drug policy in America is that the GCDP does not endorse the old policies of the War on Drugs.
GCDP vs War on Drugs
Back in June of 2011, the GCDP stated:
“The global war on drugs has failed, with devastating consequences for individuals and societies around the world.”
Again, this recent report echoes that sentiment, saying that attempting to cut off the opioid supply is not the answer. The new report notes how this approach has been tried before, as the first reactions to the opioid epidemic were to limit prescriptions and to introduce pills that were harder to manipulate.
The report goes on to note that this response drove people to use cheaper and often much more potent street drugs instead of prescription pills. Fentanyl is one of the worst synthetic opioids to contribute to the outbreak of overdoses and deaths across the country.
The Global Commission on Drug Policy says cutting off the supply of opioids into the country cannot be effectively executed until after supportive measures are put in place. This means supporting not only both people battling addiction but also people with chronic pain. The report insists:
“The aim is to achieve the right balance in regulation to provide effective and adequate pain care, while minimizing opportunities for misuse of these medications.”
To reduce the harmful impacts of opioids, the commission calling for the acceptance and implementation of harm reduction strategies.
The Global Commission on Drug Policy Suggests Harm Reduction
So if they are saying that the War on Drugs did not work, and neither will bulking up borders, then what will?
Well, according to the GCDP, harm reduction is the right move. The new report calls on American lawmakers to promote programs like:
Naloxone Distribution and Training
As the opioid overdose antidote, Naloxone is an invaluable tool to have in the fight against the opioid epidemic in America, but the price for the drug continued to skyrocket as the epidemic got worse. Making it more available could give access to and train people with life-saving medication to thousands or even millions more.
Safe locations where IV drug users can trade old, contaminated needles for new, sterile needles to help prevent the spread of blood-borne illness like HIV.
Facilities where drug users can go to use their drugs with sterile equipment safely, reducing the number of overdose deaths by providing a place free of punishment for them to use with medical emergency resources on site.
These kinds of programs would allow for users to check their drugs for the presence of any unknown substances it may have been diluted with. For example, most fentanyl users do not know they are using fentanyl.
Decriminalizing Drugs in America
In another aspect of the report, GCDP also makes a much more revolutionary and more radical suggestion that many may consider qualifying as harm reduction: decriminalization.
The report states:
“The Global Commission on Drug Policy also calls for the elimination of illicit drug markets by carefully regulating different drugs according to their potential harms. The most effective way to reduce the extensive harms of the global drug prohibition regime and advance the goals of public health and safety is to get drugs under control through responsible legal regulation.”
With this philosophy in mind, the GCDP made two more drastic recommendations:
- End the criminalization and incarceration of people who use drugs nation-wide in Canada and the United States.
- Allow and promote pilot projects for the responsible legal regulation of currently illicit drugs including opioids.
The idea is that by decriminalizing drugs, they can bypass criminal organizations and ultimately replace the current black market.
“Do not pursue such offenses so that people in need of health and social services can access them freely, easily, and without fear of legal coercion,”
We have begun to see a watered-down variation of this kind of strategy with many Police Assisted Addiction and Recovery Initiative (PAARI) programs, where law enforcement is helping addicts get into treatment instead of arresting them when they ask for help.
Better Treatment Research
The report insists that more research is necessary in a few critical areas in order the effectively address the opioid crisis and the overall drug problem in America.
One of the key points of research the GCDP proposes is for finding the most effective treatments for addiction, specifically to prescription opioids. In addition, the report shows support for medication-assisted treatment (MAT) and opioid substitution therapy (OST) as a means to preserve life to assist in the recovery process. While these programs are met with some of the same contentions as safe injection sites or decriminalization, the commission seems adamant about using harm reduction to keep people alive long enough to get better.
Michel Kazatchkine, a doctor and commission member, said in a recent interview:
“Repression is harmful. Wherever repressive policies are in place, people will not be in the best condition to access services.”
While he and other commission members are in no way naïve to the fact there is no way decriminalization will happen at the federal level soon in the U.S., they remain hopeful that states or cities will make decisions which don’t require federal approval, or for which they are willing to enter to fight with the federal process.
Overall, the hope of the GCDP is that these suggestions, coming from a group of world leaders fully invested in understanding the issue, will convince American and Canadian lawmakers to take a progressive approach to the crisis.
What could some of these changes mean for those trying to recover from opioid abuse? How could some of these ideas change the way addiction treatment operates within America?
One thing is for certain, in fighting opioid addiction, whether as a society, as a family or as an individual, there needs to be compassion and action. It takes courage and it takes a degree of uncertainty. But with the right resources, there is hope for a greater future. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
This Monday Christ Forester, the offensive line coach from the Miami Dolphins, resigned from his position after 25 years in the NFL. Forester was one of the highest paid assistants in the league, even though he only became a Dolphins coach a year ago. His recent departure from the coaching staff comes only 12 hours after a video of him snorting a white powdery substance off an office desk went viral.
So what does this recent scandal tell us about drug abuse?
A Social Media Scandal
The 56-second video shows Forester himself appears to be filming while speaking into the camera. During the course of the video Forester states:
“Hey baby, miss you, thinking about you,” he says to the camera. He says he is about to go into a meeting and is “doing this before I go.”
Kijuana Nige, a Las Vegas model, first posted the video on Sunday to Facebook. It has since been deleted. At one point on the post to the social media site, Nige had stated people were upset with her actions “like I forced blown down this man’s nose” with the term “blow” being commonly known as slang for the illegal drug cocaine.
Screen-captured images of a post on Twitter with pictures from the video also show Nige stating:
“Those are his habits and he recorded himself and sent it to me professing his love.”
Kijuana Nige also claims that she used to date the Dolphins coach, and sources indicate the video was recorded sometime this year.
The Football Fall-Out
Other parts of the caption in the comments take on a more political tone, as Nige talks about posting the video and exposing the Dolphins coach as a way to respond to the backlash against black NFL players who are participating in protests of police brutality on the sidelines of football games.
The video was posted the same day that it was reported the Dolphins head coach Adam Gase has made it a team rule that players are required to stand for the Anthem. Apparently, players who do not wish to stand for the National Anthem on the Dolphins team must stay in the tunnel during the ceremony.
In her social media crusade, Nige has also implied that she has other videos she could make public. She states:
“They better leave ppl (people) like Colin Kaepernick alone before I pick off more of’ em”
Of course, this refers to the 49ers former quarterback who was the first player to take a knee and vocalize his reasons for protesting.
Following the growing controversy of the viral video, the Dolphins coach made a statement saying,
“I am resigning from my position with the Miami Dolphins and accept full responsibility for my actions,”…”I want to apologize to the organization and my sole focus is on getting the help that I need with the support of my family and medical professionals.”
The Dolphins also made a public statement that included:
“We were made aware of the video late last night and have no tolerance for this behavior.”
“Although Chris is no longer with the organization, we will work with him to get the help he needs during this time.”
While the Dolphins made it clear that they had accepted Foresters resignation immediately, they still say are going to support Forester in getting help, which may mean some addiction treatment or other recovery resources.
Exposing Drug Abuse
Of course, this isn’t the first time some form of public figure in the sports world has been exposed for drug use. Even coaches in high school, college or professional sports have been caught from time to time in some kind of drug scandal. In some cases, it is performance enhancing. Other times it is the recreational use of illicit drugs.
However, this is the only time (at least that I have ever heard of) that a viral video has shown an NFL coach in the act of consuming drugs. So it is a unique case.
Yet, when drug abuse is exposed in the media it actually reveals the best and the worst of our reactions to issues concerning drug abuse and addiction. Some people will immediately begin to demonize the individual. But the better side we get to see is that at least the Dolphins franchise has said they will support his efforts to get help. In a way, a story like this points again to the very real fact that anyone can struggle with drug abuse. Celebrities, decorated athletes, and even extremely successful professionals can struggle with substance use.
If we can accept an NFL coach has made a mistake but is willing to step down and get help, maybe we can show more compassion to those around us who need help; maybe we need to have more compassion for ourselves. Either way, instead of stirring up more contention and controversy let us support those who need a way out.
In recovery from drug abuse and addiction, we are all on the same team. It’s easy to see how substance abuse affects more than the average individual. Even celebrities and professionals can get caught in the grips. If you or someone you love is struggling, please call toll-free now.
CALL NOW 1-800-951-6135
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
Californians expecting to get their marijuana delivered via drone should not hold their breath. A new set of regulations will make it harder for California businesses who try to deliver pot in unique ways.
The legalization of marijuana has raised a host of controversy. For one, the question of who has the right to distribute pot is already a complex issue. However, now there is the question of how these products get delivered.
Pot Drones? Should they be allowed?
California legislators are hoping to get these questions answered before issuing dispensary licenses next year. They came together this month to lay down the rules. Ultimately, it was decided that marijuana could NOT be delivered by drones.
The decision was part of the Commercial Cannabis Business Licensing Program Regulations released by the state.
“Transportation may not be done by aircraft, watercraft, rail, drones, human-powered vehicles, or unmanned vehicles,” the regulations read, according to Ars Technica.
While deliveries will be allowed, they must adhere to the following guidelines:
“Deliveries may be made only in person by enclosed motor vehicle. Cannabis goods may not be visible to the public during deliveries. Cannabis goods may not be left in an unattended motor vehicle unless the vehicle has an active alarm system. Vehicles used for delivery must have a dedicated, active GPS device that enables the dispensary to identify the geographic location of the vehicle during delivery.”
The news will be a major disappointment to the handful of businesses in California who already promised future pot deliveries by drone. One company, MDelivers, said the opportunity to deliver marijuana via drone was “unmistakable.”
Nevertheless, the company CEO did not count on lawmakers forbidding drone deliveries:
“After navigating the complexities of medical marijuana permitting, the state and FAA licensing process was actually pretty simple. Nobody can jump in at the 11th hour and rewrite the laws of aerodynamics,” Chris Boudreau, CEO and founder of MDelivers said in a blog post before the regulations were announced.
With the new policies in place, there is no telling how entrepreneurs will get marijuana to their customers. Even if drones are off the table, there are a variety of other new, interesting methods being considered.
“We may see a vending machine attached to a self-driving car before we see a drone,” Marshall Hayner, CEO of Trees Delivery, told Mashable.
As California prepares to expand its cannabis market, there continues to be challenges among those against marijuana legalization, especially when it comes to the products crossing state lines illegally. This has already been a major concern for states where port had been legal for recreational use such as Colorado and Oregon.
Surrounding states are trying to address the marijuana diversion issue by requiring pot businesses to track their product from “seed to store.” Time will tell how these sorts of issues will be regulated.
Furthermore, there remains to be conflicting ideologies on whether or not marijuana use is beneficials. While there has been proven benefits of marijuana use, there are also negative effects of marijuana use. Like any drug, marijuana has the potential to be abused.
As more and more states legalize marijuana, logistical challenges remain such as how the products can be delivered. Marijuana remains illegal under federal law, where it’s still classified as a controlled substance. This results in a variety of challenges in states like Colorado where recreational marijuana is legal.
The federal government requires that Colorado and any state that legalizes marijuana work together to prevent:
- Distribution of marijuana to minors.
- Transporting marijuana from states where it’s legal to other states.
- Growing marijuana on public lands.
- Marijuana possession or use on federal property.
- Other criminal activity or violence associated with the sale of marijuana.
It is important to remember that like any drug, marijuana has the potential to be abused. Do not feel shame for feeling out of control of your marijuana use. Stigma should not prevent you from seeking treatment. If you or someone you know is struggling with substance abuse, please reach out today. Do not wait. Call toll-free now.
CALL NOW 1-800-951-6135
Author: Justin Mckibben
The past week the country watched as yet another powerful natural disaster loomed overhead. Hurricane Irma had been measured as an intensely powerful Category 5 storm. By the time it reached Florida the storm was spanning at 400 miles wide. Winds topped over 130 miles per hour on Sunday. All this came only about a week after the devastation of Hurricane Harvey struck the state of Texas. Landing as a Category 4 on the west coast of South Florida, the dangerous winds of Hurricane Irma reached out to Miami and even West Palm Beach on the eastern coastline.
Areas have begun experiencing flooding, and there were even earlier reports of tornadoes picking up as more than 4.7 million homes and businesses across Florida lost power.
Shelters across the state had been utilized to help thousands and thousands of residents, while well over 30,000 evacuated from the Florida Keys ahead of the storm. As of Monday, Hurricane Irma had downgraded to a tropical storm with dwindled intensity as it nears Georgia. Resources are currently working diligently in Florida to assure the residents’ safety and restore power and clear roadways.
As the incident unfolds and recovery efforts begin, the recovery community of Florida stands strong as well.
Of course in a situation like this staying connected is crucial for everyone. Whether people choose to evacuate and travel outside the projected path, or if they stock up on supplies and fortify their homes, communication is key.
By staying connected people can get updates on the possible dangers that may still be present after the initial storm. They can also stay informed on relief efforts in their area if needed. Some may feel they are safely out of harms way after the perilous gusts and overwhelming rains have ceased. However, there are still residual risks that come after these storms.
Staying connected can be made even more difficult with power outages.
For the recovery community in South Florida staying connected has helped so many people keep track of their peers in the recovery community to provide support. Not only are accredited addiction treatment providers coordinating with local officials to ensure the safety of their clients and staff, they are also connecting with families and loved ones to help clients update their contacts about current conditions.
Meanwhile, people within the recovery community continue to check in with their peers. Many of us are dedicated to ensuring our friends in sobriety are safe and protected. In situations like this sometimes those in recovery also need someone to reach out to. These stressful times can be all it takes to push some individuals toward risk behaviors. In this case, relapse prevention maybe mean as much as staying connected through Hurricane Irma.
Service and Support
Supporting each other within the community is a vital piece of the recovery process, both in the aftermath of a natural disaster and in the addiction recovery community. When something tragic impacts so many lives people always band together to restore stability to family, friends and neighbors. First responders and volunteers try to help people clear out wreckage, provide food and other important amenities, and rescue those in need. Public officials coordinate with other organizations and community efforts to help repair what needs repaired and ensure citizens’ health and safety.
In short, great numbers of people commit to doing service to aid in the recovery.
In the world of drug and alcohol addiction, service to others and giving back can be a pivatol aspect of the recovery process. Men and women in recovery from addiction band together to provide each other with the means to be safe and supported. Recovering addicts and alcoholics volunteer themselves to working with those most in need, and they take on positions of service in order to ensure everyone has an opportunity to stay healthy and safe.
All this can be seen in South Florida after Hurricane Irma, when both aspects of the community (recovery and non-recovery) have worked independently and collaboratively to protect the people in need and support each other. Addiction treatment and mental health services have actively coordinated with first responders. Meanwhile, individuals offer assistance to their peers through meetings and service work. Sometimes something as simple as a ride to work a place to stay with power makes a huge difference.
Rebuilding after Hurricane Irma
Most of the eastern coastline was spared the brunt of the storms destructive power. Still, Hurricane Irma still managed to impact those farthest from the landfall. Palm Beach County alone experienced an estimated 375,350 power outages, while areas like Miami-Dade reached up to 623,820 outages.
So far there has been a great deal of effective restoration efforts after Hurricane Irma. All Florida highways are now open. Gas supplies are still struggling, but the state is coordinating with the Coast Guard and the Army Corps of Engineers to open ports for tankers carrying fuel. Now shipments to the tune of millions or gallons are flowing toward Port Everglades. Airports have reopened and curfews have either been lifted or shortened. Electrical companies are working diligently to restore services to the state, but that effort could be ongoing for some time.
The Florida Keys suffered a great deal of damage, and efforts to help revive the area are ongoing, thought this too seems like it will be an uphill battle for now. The fight today has become a mission for the return to normalcy for most Florida residents. Officials are hoping to get people back to work and get businesses back to serving their communities as well.
A Community in Recovery
For the addiction recovery community, getting back to helping those in need is also a priority. Getting people into safe environments that help their sobriety; pursuing further outreach efforts to those in active addiction who may be suffering now more than ever; support groups re-opening to be there for their members.
There is a strong presence in this area of those who are already experienced in bouncing back from devastation and desperation; the recovering alcoholics and addicts of South Florida. Some of us are used to going without amenities. In sobriety many of us are used to giving all we can to others. Now is definitely the time to put those unique experiences to good use.
Today, all of Florida recovers from the effects of Hurricane Irma. Those of us in addiction recovery should always be willing to give back to the community that has given us so much. We can find a way to volunteer some time, or make donations to support those with less than us. Now more than ever we should offer assistance to the addicts and alcoholics who still struggle. But don’t stop there. All of Florida is now a community in recovery. We are all in this together, so lets all be part of something to make it better. We will recover.
Our thoughts and prayers are with all those effected.
In the aftermath of Hurricane Irma the South Florida area is still home to one of the strongest recovery communities in the world. This is a community with a strong commitment to safe and effective treatment options. South Florida is full of amazing individual’s working hard to hold each other up. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135