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Author: Justin Mckibben
As a recovered alcoholic and drug addict it is a truly gratifying experience to work in the field of addiction treatment, and even more so to work for the company that helped save my life. Palm Healthcare Company is a truly unique organization that is committed to compassionate and effective treatment, and there is no telling how many lives have been positively and permanently impacted because of what they (or should I say WE) do. It is an amazing thing to be a part of, and a worthy cause to work for.
That is a crucial part of addiction treatment and recovery; work. The real work is for those trying to recover.
One thing I notice about some clients these days in addiction treatment is less of a willingness to do that work. When I was getting treatment everyone seemed desperate to do anything that would make a difference in their lives. Yet these days I see some people who act as if the program is supposed to do the work for you.
Is our current addiction treatment culture somehow convincing people they don’t have to do the work for real change? How can we work together to change it?
On to the Next One
The culture surrounding addiction treatment and recovery has changed. Breaking the stigma surrounding addiction is a critical step in helping more people get the help they need. Expanding availability is amazing and we should all work toward making even more treatment options available. It could help save thousands of the people who die every year from overdose and drug-related issues.
However, it also seems some have the idea that they will always be able to find some treatment program, legitimate or not, willing to take them. This shift toward people thinking they can just keep hitting restart has almost watered down the opportunity or having a fresh start in the first place.
This might be comforting to some people; the idea that if they don’t like one program they have options. But ultimately what people have to understand is that a treatment program can only be effective if you participate in it. You can go to a dozen different programs and still get very little value if you do not show up and try to engage in the recovery process.
We can complain about the “revolving door” metaphor all we want, but if people aren’t going to take steps toward something better, they are volunteering for more of the same.
Sadly, some people still think there is always the next place. This is part of the reason programs that put an emphasis on relapse prevention and aftercare are so important. Continued accountability can help people maintain their progress without having a nonchalant attitude about the process.
What if you never make it to the next place? Regardless, why wouldn’t you want to make this place the last place?
Of course, both sides of the culture have to take steps. Public officials, treatment providers, and advocacy groups should continue working together to better enforce regulations for treatment, eliminating criminal operators and protecting client rights.
Taking it Serious
This point actually goes hand in hand with the first. As more people are exposed to more resources they might take the availability of new opportunities for granted.
In an industry obstructed by shady operators, people can also become jaded. If you have sought treatment with programs that provide little to no real resources or solutions you might stop taking addiction treatment seriously, even if you get a great opportunity with a reputable and innovative program.
If you don’t take the treatment seriously you probably won’t take your recovery seriously, either.
Of course no one is naïve enough to say the opioid epidemic and overdose rates aren’t serious. But if we know how bad it is; if we see the devastation caused in our own lives or those we love, why don’t we appreciate that gift of desperation and commit to doing the work? Has the addiction treatment client culture taught people that it doesn’t really matter? Do clients think recovery isn’t that serious once you get past the withdrawals or the troubles you get caught up in while using or drinking?
These are valid and sometimes difficult hurdles, but many still say that is the easy part. The rest of the work comes with committing to a treatment plan and following through.
Getting Back to Gratitude
I think this may be the core concept. The culture change within the recovery community is in many ways constructive, but it also has taken some of the raw truth out of the situation for some people.
I think we should try to get true gratitude back into the culture of addiction treatment. We should be grateful that we have more resources than ever, with more professionals working to revolutionize recovery. Let us be grateful that on a national level the world is starting to have greater respect and understanding for those suffering from addiction. We should be grateful for the opportunity to get help when we finally get it because a lot of people never do.
But to the client that contributes to the recovery culture- always remember that true gratitude takes action.
If you say you are grateful to be in treatment, take your treatment seriously and participate. If you are grateful for an opportunity, don’t waste it because you think you can bank on another one right around the corner. So if you want something different, do something different instead of thinking you need to go somewhere different.
And let us all be grateful that there are more opportunities for people to find a solution that could save their life.
Cultivate Better Culture
As holistic treatment providers, Palm Partners Recovery Center will continue working to support recovery professionals within the Palm Healthcare Company organization and within our industry; to strive for better services and to unite against illegitimate operators.
But we as alcoholic or addicted individuals in recovery also need to be willing to put in some work. For anyone like me, who spent years abusing substances to the point it felt like my life depended on it, it is going to take some real work to get better.
If we as individuals want to advocate for recovery, let us advocate that people do the work. Let us appreciate the value of mental health care. Let us appreciate the value of addiction education and cognitive behavioral therapy. We can cultivate a better culture for ourselves; as clients and as providers.
WE means all of us. It means the healthcare providers, the individuals in recovery who have been lucky enough to get this far and the addicts and alcoholics out there still suffering. Addiction treatment works; recovery works… if WE do.
I punch that clock every day. I’m grateful for this work, so I do it. But WE can do more.
As a culture, we have the power to transformed and elevate the lives of millions of people everywhere through recovery from drugs and alcohol. It takes work. If you are ready to take that step and work for a better future, Palm Partners wants to help. Please 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
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Author: Shernide Delva
The early stages of recovery can be a tumultuous time. After all, you are entering a new way of living. One challenge those in recovery face is making new friends. Sometimes the only friends a person has are the friends they used drugs with. Those friends are certainly not ideal.
The first advice most people offer is to find friends in 12-step meetings. While fellowships like A.A. and N.A are great places to meet people, one should not be limited to meetings to make new friends.
There are hosts of places where sober people can socialize and meet well-rounded people. Making friends as an adult is challenging, and sobriety intensifies that challenge. However, there is hope.
Other than 12-step meetings, there are a plethora of resources available to make new friends. You do not have to go bar hopping to meet friends like you used to.
Here are five ways to make new friends in sobriety other than meetings:
Check Out Local Meetups.
Meetup.com is a great way to track people who are interested in similar things as you. You can find people to play ultimate Frisbee on a weekly basis, or you can find an art group. There are so many sober activities on Meetup. Nowadays, there is an increasing trend of individuals trying to find activities to do that do not include drinking. Take advantage of this.
Meetups are run by independent organizers, and they range tremendously. Everyone can find something they are interested in on Meetup. If you do not find something that interests you, then create your own Meetup! You’ll be surprised by who could possibly show up, and it’s a great way to develop your leadership skills.
Go to the Gym.
It can be difficult to work out, especially in early recovery, but going to the gym is a great way to make new friends. Fitness classes and exercise groups are great ways to make friends with people who care about their health. Even if they are not sober, people who workout are usually more conscious of what they put in their bodies. Plus, working out is good for you, so it is a win-win.
Reconnect with existing friends.
Another way to make friends is to connect to people you already know. For example, if you are in a new area, ask around and see if there are friends-of-friends around that you can connect with. Contact your existing friends and see if they know anyone that they can introduce you to. Maybe one of your friends knows someone in your area who loves art or writing as much as you do. Network and build your circle using these types of strategies.
Tap into your Facebook Network.
Facebook has nearly 2 billion active users, and it has the tools to help you connect with tons of potential friends. There are a variety of groups you can join on Facebook to meet people with similar interests. For example, there are travel groups with hundreds of thousands of members in them. People connect through groups like this all of the time. Join Facebook groups based on your interests and track people in your area to connect with. Like any scenario, be safe and always meet in a public place.
If you are an introvert, it can be difficult to open yourself up while doing day to day activities. However, this is an excellent way to meet new people. Whether you are running errands or going to work, everyday ventures are an opportunity to connect with people. The more you talk to people, the more people you will meet. I hate small talk as much as the next guy, but I have to admit, those who do more of it reap the benefits of having more connections with people.
You can meet people while shopping for a new blouse or getting your hair washed. Put yourself out there and open yourself to new friendships. You’ll be surprised at the results!
Overall, recovery is a great time of reinvention and with the reinvention comes the opportunity to build your social network. Creating a solid group of friends is an excellent way to maintain your sobriety. You will begin to learn a variety of ways to have fun without the use of drugs and alcohol. You do not have to meet friends only in meetings. The world is your oyster. If you are currently struggling with substance abuse, call now. Do not wait.
CALL NOW 1-800-951-6135
Author: Shernide Delva
In the past, we’ve talked about the potential of opioid vaccines. These vaccines could have a major impact on lowering a number of opioid overdose deaths. They could completely shift the direction of how we treat opioid addiction. However, is the future of opioids imminent or far, far away?
Sadly, it will be a long time before we see opioid vaccines available for widespread use. Experts all agree that although the future of opioid vaccines looks bright, the process of getting a drug into the market is a lengthy one and we should not hold our breath just yet.
Recently, Health and Human Services Secretary Tom Price mentioned opioid vaccines as an exciting new development in the war against opioid abuse.
“One of the exciting things that they’re actually working on is a vaccine for addiction, which is incredibly exciting,” Price said during a briefing about the drug epidemic.
However, experts say it won’t be made public for years… if ever.
The process of a drug going from the research phase to the production phase is a long, tedious process. Opioid addiction vaccines have not even begun human trials yet. Researchers would have to put drugs through phase one, two and three trials before submitting them for approval by the Food and Drug Administration (FDA), given that the trials are successful.
“He may be a physician, but he’s not terribly well-informed about addictions,” said Dr. Thomas R. Kosten, a psychiatry professor at the Baylor College of Medicine with a concentration in addiction vaccines. “I can’t imagine the vaccine would be on the market before the Trump administration is over.”
Dr. Kosten knows all about vaccines. He worked on cocaine vaccines for 16 years before deciding that it “just didn’t work well enough” to continue. Today, he is working on a vaccine for fentanyl, an opioid painkiller up to 100 times stronger than morphine. Fentanyl has been a major culprit for overdose deaths in the current opioid epidemic.
Those who previously used painkillers turn to heroin due to the lower price and easier access. Unfortunately, often heroin is not just heroin and instead is laced with powerful painkillers like fentanyl which make a user much more susceptible to an overdose.
Dr. Kosten hopes his work on the vaccine will pan out, but he wants to ensure people are not holding their breath. These things take time.
“There are no opiate vaccines that have been in people at this point,” said Dr. Kosten.
Even if the vaccine passes trials and goes into full-scale production, it would only be used therapeutically, not as a preventative measure.
“The purpose is not to “mass-immunize a whole bunch of kids,” Dr. Kosten said. “That’s not at all what they’re designed for.”
For now, the vaccine is proving to be effective in animal testing. However, this is not necessarily good news.
“Sometimes, the translation from animals is not necessarily the same in humans. So we have to do the human studies,” said Dr. Ivan Montoya of NIDA’s Division of Therapeutics and Medical Consequences.
The goal of the vaccine is to allow the body’s own immune system to combat opioids before they can reach the brain and take effect.
“We don’t have to modify the brain to produce the effect,” said Dr. Montoya. “You take advantage of your own immune system and prevent access of the drug to the brain.”
In the future, Dr. Montoya hopes to come up with a vaccine that can block the effects of a wide range of opioids including fentanyl, heroin, and OxyContin.
While the prospect of opioid vaccines sounds promising, we are still far away from this becoming a reality. Therefore, stating vaccines as an exciting solution to the opioid epidemic is a bit of a stretch for now. Instead, the focus should be placed on increasing access to treatment. With the right program, recovery is possible. If you are struggling with substance abuse, call now. Do not wait.
CALL NOW 1-800-951-6135
Author: Shernide Delva
These are just a few of the incentives doctors have received from prescription opioid companies. Did these goodies get you your last opioid prescription?
Could incentives be responsible for our current opioid epidemic?
That’s exactly what researchers set out to understand.
A recent report confirmed what many have suspected: doctors are receiving incentives from major opioid makers. In fact, one out of every 12 U.S doctors gets money, lunch or something else of value from companies that make opioid drugs, the study concluded.
Furthermore, companies are spending more time and effort marketing opioids to doctors than they are other less addictive painkillers. These finding will help understand why doctors have played such a major role in the opioid addiction crisis.
“A large proportion of physicians received payments — one in 12 physicians overall,” said Dr. Scott Hadland of the Boston Medical Center. “Tens of millions of dollars were transferred for marketing purposes for opioids.”
Dr. Hadland and colleagues went through databases from the Centers for Medicare and Medicaid Services, the federal government office that oversees public health insurance.
The 2010 Affordable Care Act includes the Physicians Payments Sunshine Act. This act required medical product makers to report any offerings or goodies made to doctors or to teaching hospitals. However, incentives are often disguised as something else.
“In some cases, they are money provided directly to physicians — for example, the speaking fees, the consultant fees and the honoraria. In other cases it is reimbursement for things like travel,” Hadland said.
On average, doctors get a single “payment,” usually a mean worth of $15 about once a year. Still, there are a select few doctors that are reaping the most benefits.
“The top 1 percent of physicians (681 of them) received 82.5 percent of total payments in dollars,” the team wrote in their report, published in the American Journal of Public Health.
These incentives could influence doctors to prescribe opioids to their patients:
“One of the main drivers of the epidemic has been the vast overprescribing of prescription pain medications,” the study notes.
Between 2013 and 2015, the team found 375,266 payments totaling 26 million distributed to more than 68,000 doctors.
While larger fees mostly accounted for speaker fees, more leisurely incentives like food and drink accounted for 94 percent of the payments.
“I do think the practice is exceedingly common. Increasingly, medical schools are restricting the ability of pharma companies to come to speak to medical students and even faculty,” Hadland said.
With all this said, do small incentives really make a difference? After all, can a doctor really be bought for the price of a boxed lunch?
The research indicates that, yes, these little goodies do influence prescribing. Last year, a study revealed that physicians who accepted even one meal by a drug company were more likely to prescribe a name-brand drug to patients later.
This is not the first time investigations were conducted on possible incentives. After earlier controversies and studies, the Pharmaceutical Research and Manufacturers of America issued a voluntary code of conduct to curb the once widespread practice of handing out free mugs, prescription pads, and other swag covered in drug brand names.
Some cities and states especially hit by the opioid abuse epidemic have even sued drug makers saying their practices have helped fuel the problem. The CDC states doctors have contributed to the addiction crisis by prescribing opioids to too many patients. These prescriptions are often prescribed at high doses for too long which only increases the vulnerability to addiction.
The result is deadly.
There were more than 30,000 fatalities in the United States in 2015, the federal government said.
“I think that first and foremost we have known that one of the main drivers of the epidemic has been the vast overprescribing of prescription pain medications,” said Michael Botticelli, former director of the White House Office of National Drug Control Policy, and now executive director of the Grayken Center for Addiction Medicine at the Boston Medical Center.
According to Botticelli, the answer is independent education, free of the need to promote a specific product.
“At the federal and state level (we may need to) move toward mandatory prescriber education to counteract industry’s influence over prescribing behavior,” he said. “Clearly, guidelines are not enough.”
For a long time, prescribing opioids was one of the first responses to pain management. Now other alternatives are being promoted such as pain management devices and holistic alternatives.
Botticelli agrees that while pain is a major problem, the answer is not more opioids.
“Yes, we want to make sure people’s pain is appropriately treated, but we know that longer and higher doses have significantly added to the addiction problem that we have in the United States,” he continued.
What are your thoughts? Did you know about these incentives? More studies are coming out revealing the back story to what led to the prescription opioid epidemic.
Opioid addiction has become a public health crisis. Now, more than ever is the time to seek treatment. Recovery is possible. You do not have to feel out of control. There is a solution. If you are struggling with substance abuse, call now. Do not wait.
CALL NOW 1-800-951-6135