Every day, thousands of men and women all over America lose their lives to heroin addiction. In every state, there are families and communities suffering from the loss of friends, neighbors and loved ones. Heroin addiction is more prevalent than ever before in our country.
At the same time, there are people every day trying to give up using heroin and other opioid drugs. Some people try to do it on their own, and very few of them succeed. Many end up relapsing due to the pain of withdrawal and the intense dependence on this life-threatening drug.
But there is hope. With professional help and safe, medically assisted heroin detox many people have the opportunity to build a strong foundation for recovering from their addiction.
Let us look at what you need to know about heroin detox when you reach out to get help.
Heroin Detox: Understanding Drug Dependence
Like most drugs, excessive and prolonged abuse of heroin leads to a medical condition called Substance Use Disorder (SUD). But a crucial part of the development of a SUD is drug dependence, and there are two particular kinds of dependence that people should understand.
This is about how your body adapts to substances. When the cells of your body can’t function without a substance, that is a clear indication of physical dependence. The body gets used to the presence of a chemical over time, so when the chemical is no longer present the body is forced to regulate itself.
The body also stops producing certain chemicals in the brain naturally because it gets them artificially through drugs. However, once you stop using the drugs the body is no longer producing what it needs.
Physical dependency becomes pretty apparent when you try to stop using heroin without any medical help. When you try to stop using abruptly you experience extremely uncomfortable physical withdrawal symptoms because of the imbalance in the body.
Psychological or emotional dependence is a result of the changes a drug creates in the mind. It is defined as a compulsion or perceived obsession for the substance. So while the individual may not be experiencing intense physical withdrawal, they may be psychologically impaired by the abrupt absence of a substance they have adapted to.
Instead of developing healthy coping skills, most heroin users tend to rely on the drug for dealing with emotional or behavioral issues. If they suddenly remove the drug, they are left defenseless against their issues.
If someone relies heavily on drugs for feelings of pleasure and stimulation, removing the drug may cause them to feel they cannot be happy without it. This is impacted by the drugs chemical interaction with the brain.
And at the end of the day, physical addiction can have psychological side effects, and vice versa. That is why heroin detox should not only offer medical assistance, but also therapeutic resources.
Heroin Detox: Withdrawal Symptoms
Suddenly stopping heroin without any medical assistance is called going “cold turkey” and it throws you almost immediately into withdrawal. “Cold turkey” is not just uncomfortable, it is dangerous. These heroin withdrawals manifest both physically and psychologically, and the symptoms can range in severity and frequency. Some examples of heroin withdrawal symptoms including:
- Extreme anxiety
- Excessive yawning and sneezing
- Runny nose
- Cold sweats
- Cramp-like pains
- Involuntary spasms in the limbs
- Severe muscle and bone aches
Trying to go through withdrawal from heroin without help is extremely difficult. Some people find it impossible due to the severity of their symptoms. Many people find themselves trapped in a cycle or relapse and attempts to recovery because withdrawal symptoms can be so hard to overcome.
This is why heroin detox is so important. This level of care can help ease you off of heroin and other opiates gradually with the use of medications specifically designed to assist with heroin withdrawal symptoms. Having a safe and experienced medical staff makes this process much more manageable. With a physically and emotionally healthy environment, you can start to establish a comprehensive recovery plan.
Heroin Detox: Safe, Medical Care
Heroin detox should always consist of two phases: evaluation and stabilization.
During this first stage of heroin detox, the individual will be given an assessment in order to determine the best course of treatment. It will include obtaining information about:
- What drugs they have been using
- The presence of drugs in their system
- What quantities of drugs have they been using
- How long have they have been using these drugs
- Other medications
- Co-occurring conditions
This is done through a drug screen, along with any further information you provide during the assessment. Because programs for heroin detox are in a medical setting, the results of your drug screen and information disclosed during your assessment are strictly confidential just like any other medical information is.
During a heroin detox program, the stabilization stage will utilize all the information you provide during your initial assessment to design an effective detox plan. Taper medications are often used in order to wean you off of heroin in both a safe and comfortable way. Detoxing from heroin and other narcotic opiates like prescription painkillers should always be done in a professional and effective manner.
There are many kinds of medication designed to help combat opioid addiction. Carefully consider your options with the medical addiction specialist to ensure you are getting the best possible care. Be sure to provide them with accurate health information for the best results.
Quality care during stabilization should also include providing therapeutic resources for the emotional and psychological side effects. Having support for your mental and emotional well-being is also extremely important for relapse prevention. It lays the groundwork for developing healthy and sustainable coping skills. With the right care, you can take this time to design a personalized recovery plan that is right for you and addresses all of your specific needs to help you be more successful in recovery.
Are you struggling with a dependence on heroin? Are you trying to quit but have failed on your own? Consider reaching out to the caring and compassionate professionals of Palm Partners Recovery Center. If you or a loved one is struggling with heroin abuse or addiction, please call toll-free now. We want to help.
CALL NOW 1-800-951-6135
(This content is for illustrative purposes only; any person depicted in the content is a model)
New legislation being pushed to empower EMTs may soon change the way first responders in California help patient get care while trying to ease the overcrowding of emergency rooms. A bill as proposed will allow paramedics to bring a patient to sobering centers and mental health clinics, instead of taking them to the ER. So should EMTs take patients to these alternative facilities to receive more specific forms of care?
Giving EMTs Options
When dealing with a situation, law enforcement personnel are permitted to transport individuals who are intoxicated or experiencing a mental health crisis to sobering centers or mental health clinics if deemed appropriate. Sometimes this is the best place for a patient, depending on the specific circumstances. However, under current state law in California, Emergency Medical Technicians (or EMTs) and paramedics must bring patients to the emergency room.
Some argue that requiring EMTs and paramedics to transport these patients to the ER is not only contributing to overcrowding in emergency rooms but also it is often not the best place for them. Los Angeles County Supervisor Janice Hahn is one of many who believes this is a “common sense” option for EMTs. Hahn states,
“The bottom line is that if people like you and I can take an individual to a sobering center or a mental health urgent care center, why can’t a highly trained medical professional do the same?”
Supervisor Janice Hahn has sponsored the new bill, hoping to give EMTs more options that better serve the individual. Hahn states,
“Our mental health urgent care centers and the sobering center at Skid Row were designed to provide humane, compassionate care, tailored to meet the needs of their patients,”
In cases involving law enforcement, this option allows police to choose specialized facilities instead of booking people in jail. This allows for people who may be dealing with alcohol, drugs or mental health issues to sober up and receive on-the-spot treatment without facing charges. According to Hahn, California paramedics and EMTs have their hands tied, and it is impacting hospitals and individuals.
Assembly Bill 1795
The new legislation is Assembly Bill 1795. This proposal would allow local emergency medical services agencies to lay out plans for transporting patients to:
- Designated behavioral health facilities
- Sobering centers that meet specific standards
Keep in mind, these patients will have to meet specific criteria in order to qualify. The bills recently amended language also states:
The bill would authorize a city, county, or city and county to designate, and contract with, a sobering center to receive patients, and would establish sobering center standards.
However, the bills current language also states that patients can instruct EMTs to take them to the emergency room and that it does not authorize them to initiate an involuntary detention of the patient.
This legislation also has support from Assemblyman Mike Gipson. He wrote an op-ed in February for the Compton Herald to support the measure. Gipson states,
“No one will deny that our emergency rooms are drastically over-crowded. Although they may be well-equipped to handle trauma, disasters or emergency physical health conditions—they are not as well-equipped to serve patients who have mental health care needs or substance abuse problems.”
Recently, Hahn herself planned a trip to Sacramento to advocate for the bill. And she isn’t the only one getting behind it. The bill is also co-sponsored by:
- Los Angeles County
- California Hospital Association
- California Ambulance Association
Another supporter of the proposal is Mitch Katz, the director of the county’s Department of Health Services. Katz points out that not only could this give EMTs the power to take patients to a more suitable facility, but that these options can also be much less expensive than taking patients to an emergency room.
While hospitals, EMTs and paramedics are a crucial part of saving lives in cases of overdose and other emergencies, when it comes to getting people a means to effective treatment unique to their needs, there are better options. Giving EMTs a resource to offer substance abuse and mental health treatment options could make a huge difference in the fight against addiction. Anything that connects people with effective treatment is an important step in the right direction.
We want to hear what you think- should EMTs take patients to sobering centers and/or mental health clinics?
Communities in many other parts of the country have begun to work on better ways to connect people struggling with substance abuse or mental health conditions with specialized treatment. 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
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
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
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: Shernide Delva
A few weeks ago, my sister told me about an upcoming concert that would celebrate popular acts such as DMX and several others. The event was called the “Ruff Ryders and Friends – Reunion Tour – Past, Present and Future” and would be in Miami on September 7th.
Tickets were cheap so I figured why not. I opened my computer and prepared to purchase the tickets for the show until I read the letters in red: “Canceled.” This was certainly not what I had hoped for.
Why did the show get canceled?
In fact, why did the entire tour get canceled? I could not believe my eyes as I glanced over the list of cancellations. Cancelling an entire tour is practically unheard of. What happened? Sadly, the answer involves drug addiction.
After some careful searching, I discovered a TMZ article which reported back in April that DMX had to cancel his shows due to an “unspecified medical issue.” Sources at a Los Angeles show state the rapper had been drinking heavily.
His history with substance abuse is not anything surprising. In the past, the rapper was open about his journey to addiction recovery. Therefore, when news of his drinking spread, relapse concerns heightened.
It turns out DMX has reportedly sought treatment for drug addiction. Addiction treatment reports surfaced a couple weeks after the rapper was put on house arrest for violating bail conditions.
According to speculations, the 46-year old is undergoing treatment in the Nashua, New Hampshire area or is living in a sober home. The Nashua Telegraph reported that DMX, whose real name is Earl Simmons, was spotted at a local Buffalo Wild Wings, a Shaw’s supermarket, and a Walmart.
Along with addiction troubles, Simmons is facing charges that he allegedly owes $1.7 million in back taxes dating back to 2000. He has pleaded not guilty to these charges and was freed on $500,000 bail, according to Billboard. Still, while he was on bail, the rapper failed drug test four times. These test found cocaine, opiates, and pot in his system. Because of these results, Manhattan Federal Judge Jed Rakoff put him under house confinement on August 11.
During the hearing, the judge stated that Simmons had violated bail “probably more times than I can remember,” according to Court House News. He chose not to send the rapper to jail, although he described Simmons’s drug addiction as “gross.” He said that his past run-ins with the law exemplified that he’s had “more than a passing acquaintance with illegal drugs.”
After that hearing, DMX told a reporter, “When God is for you, who can be against you?”
The judge reportedly lifted Simmons’s house arrest on the condition that he enter a sober program and travel with a sober coach around the clock. According to court documents reviewed by TMZ, the rapper would need permission to leave New York State.
According to his lawyer Murray Richman, the rapper has decided to go to rehab on his own.
“This is a voluntary move on his part,” Richman said.
It is clear that DMX has struggled on and off with drug addiction. We wish him the best as he seeks a life free from the grips of substance abuse. Recovery is possible, and it is the answer out of this cycle. If you are struggling with drugs or alcohol dependency, please call now. We are here to help. Do not wait.
CALL NOW 1-800-951-6135