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Does Cannabis Use Really Cause Opioid Use Disorder?

 Does Cannabis Use Really Cause Opioid Use Disorder?

This may seem like a big leap, but some people still manage to make it. So we thought maybe we should take a look at both sides of this argument to understand the issue.

The Attorney General for the Trump Administration, Jeff Sessions, consistently comes into conflict with advocates for cannabis in America. His stance has been about the same for as far back as his career in politics, and recent actions by Jeff Sessions have caused a stir with those in support of legalization, whether medical or recreational.

Now, it seems Sessions believes that cannabis use is actually why we have an opioid crisis.

Looking at Opioid Stats

Recently, Jeff Sessions was speaking at the Heritage Foundation to the Reagan Alumni Association this week. As part of the conversation, Sessions did put a lot of focus on cutting prescriptions for opioid painkillers as a critical element to fighting the crisis. So many people who use illicit opioids like heroin or fentanyl start with prescription drug abuse. This much has been shown in several studies, such as one from 2017 published in Addictive Behaviors which found:

  • 9% of people getting opioid use disorder treatment in 2015 started with prescription drugs
  • This is an improvement from 84.7% in 2005

Some would argue that better regulations put into practice over the last several years have helped to curb that trend.

However, Sessions went on to say,

“The DEA said that a huge percentage of the heroin addiction starts with prescriptions. That may be an exaggerated number; they had it as high as 80 percent. We think a lot of this is starting with marijuana and other drugs too.”

It was that last comment that caught a lot of attention. It wasn’t all that shocking, considering Sessions never been a supporter of cannabis use. Still, some people found this commitment to the gateway drug mentality to be a little out of touch.

So, we should look into the argument from both sides.

Can You Connect Cannabis and Opioids?

A recent paper in the American Journal of Psychiatry shows Mark Olfson and a research team delves into data concerning the gateway drug concept.

The team uses data from the National Epidemiological Survey on Alcohol and Related Conditions (NESARC) to examine the association between:

  • Cannabis use reported in the 2001-2002 survey
  • Non-medical use of prescription opioids 3 years later

In relation to the survey the term ‘non-medical use of a prescription opioid’ is defined as using the drug “without a prescription, in greater amounts, more often, or longer than prescribed, or for a reason other than a doctor said you should use them” during the previous 12 months.

Olfson and his group claim that according to the data:

  1. Cannabis users more often ended up using opioids

People who used cannabis in the 12-month period prior to the initial interview were at increased risk of non-medical use of prescription opiates 3 years later.

They even checked the variables, and found this was true even when the data were adjusted to control for:

  • Age
  • Sex
  • Race/ethnicity
  • Family history variables
  • Antisocial personality disorder
  • Other substance use disorders
  • Mood or anxiety disorders

Those studied who used marijuana were still at higher risk of opioid use.

  1. Increased cannabis use correlated with increased opioid use disorder

According to the researchers, the percentage of people with Incident Prescription Opioid Use Disorder at the second interview increased as the level of cannabis use reported at the first interview increased.

To clarify, Incident Prescription Opioid Use Disorder was defined as use that occurred after the first interview that qualified to be considered opioid use disorder, restricted to people who had no prior lifetime history of opioid use disorder.

So essentially, the people who reported to using more cannabis at the beginning of the study were more likely to show signs of opioid use disorder 3 years later.

But Does Connection Equal Causality?

One thing the authors do acknowledge outright is that the majority of adults who use cannabis do NOT start using or increase use of prescription opioids.

Another thing the researchers acknowledge is that their study isn’t proof that cannabis use causes opioid use. The association of marijuana use with non-medical prescription opioids after 3 years in no way means that marijuana use is proven to actually cause opioid use.

The researchers do have a few ideas though.

  1. Brain Changes

Some animal studies seem to have shown that it is possible for cannabis to lead to changes in the brain that make individuals more susceptible to opioid misuse.

  1. Environment

Another argument is that there are several non-biological factors that can elevate the risk of opioid use. Those who regularly use marijuana may be more likely to interact with people who have access to opioids.

Correlating Drug Use

Many researchers have actually cautioned that there’s no solid evidence that marijuana use causes harder drug use.

In fact, a lot of experts and advocates argue that while marijuana use can easily correlate with harder drug use, so can alcohol and tobacco.

The first drugs many people ever use are alcohol or tobacco, which are both legal for adults and fairly easy to get. Yet, no one automatically assumes drinking or smoking cigarettes will lead to heroin use. However, if the same data and logic used by Olfson and his group were applied to alcohol and tobacco, we would probably see a huge correlation. So many advocates argue why should cannabis use be treated any different?

A 2002 report by RAND’s Drug Policy Research Center (DPRC) suggests that it is not marijuana use, but individuals’ opportunities and unique propensities to use drugs that determine their risk of initiating hard drugs. The Institute of Medicine came to a similar conclusion to the ‘gateway drug’ concept back in 1999.

So, no evidence thus far has been conclusive, only correlational.

The Anti-Gateway Affect?

There are also those out there that believe marijuana legalization would actually have the anti-gateway affect, meaning studies have suggested there is evidence that access to marijuana actually reduces some opioid use.

This growing body of investigation indicates that medical marijuana legalization, in particular, can lower the number of people misusing opioids. Some insist it is because cannabis can help to treat chronic pain instead of opioids. Others even think access to marijuana would cause people to substitute their alcohol use. However, research in this area is still finite. Now it’s far too early to tell if this would actually be an effective strategy.

There is even a new study from David Powell and Rosalie Pacula of the RAND Corporation and Mireille Jacobson of the University of California Irvine that examines how medical marijuana legalization- particularly in states with the most access- impacts opioid-related deaths. These researchers concluded,

“These findings suggest that broader access to medical marijuana facilitates substitution of marijuana for powerful and addictive opioids.”

So while there are those who would put the data behind marijuana being a big part of the problem, there are those who avidly believe it is actually a huge part of a different strategy to overcome the opioid crisis.

What Can We Do?

Whichever side of this argument you’re on, there needs to be more time and energy put into exploring both perspectives. If the correlation between cannabis and opioids were ever proven to be more than meets the eye, then more needs to be done to make sure that legalization or decriminalization efforts co-exist with addiction treatment and support options.

If medical cannabis is found to be useful to help treat some who otherwise would be at elevated risk of chronic pain issues, opioid use disorder or even opioid-related death, then more should be done to make sure this method of treatment is safely studied and developed.

Either way, we must continue to work toward helping every individual suffering from substance use disorder of any kind. Whether it is marijuana use disorder or opioid use disorder, there should be safe and effective treatment options available.

There should always be resources available to help people who suffer from abuse. Supporting addiction recovery means breaking the stigma and offering holistic and effective solutions. Palm Healthcare Company is here to help. If you or someone you love is struggling, please call toll-free now.

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Should Marijuana Get Same State-to-State Treatment as Guns?

Should Marijuana Get Same State-to-State Treatment as Guns?

You may remember last week we talked about how some states are pushing to take gun rights away from people prescribed medical marijuana. Of course, this topic has sparked a lot of conversation on how medical marijuana should be addressed. But a lot of the discussion has been on how 2nd amendment rights should be protected. The debate ranges from push-back for individual states, to argue that federal law still considers marijuana a schedule 1 drug, meaning people who use the drug are not allowed to own or possess firearms.

Well, since we have already jumped into the discussion comparing gun rights and medical marijuana, we might as well talk about another interesting story brought about by a Democratic congressman from California.

Concealed Carry Reciprocity

The whole conversation starts with the introduction of the Concealed Carry Reciprocity Act, which is currently being pushed by Republican lawmakers this week. This new piece of legislation would mandate that if someone is able to receive a concealed carry permit for a firearm in one state, that all other states would be required to honor that concealed carry permit. This means even if your state has much more strict requirements for concealing a gun, someone from a state with much more relaxed requirements is still allowed to travel into your state with a concealed weapon.

Now to be clear, there are many states that already honor concealed carry reciprocity. For example, if I were to get my concealed carry permit in my home state of Ohio, the vast majority of states would allow me to carry a concealed weapon.

Also, in the Buckeye State, they actually recognized the concealed carry permits of every other state already.

But Democratic Congressman Ro Khanna argues that it goes against the very idea of state’s rights and federalism. He argues that the Republican Party, which is often the champion for state’s rights, is forgetting that each state should be able to determine what laws are best for their own citizens and that this legislation will essentially federalize concealed carry permits.

The reason we wanted to talk about this is due to the argument used by Congressman Ro Khanna using marijuana to try and make his point.

Marijuana Reciprocity

Congressman Ro Khanna, who represents Silicon Valley area, made a video that argues that if the GOP wants to move forward with making concealed carry permits a national movement, then the same protections should be required by all states to honor marijuana laws.

In the clip posted to Twitter on Wednesday, Khanna states:

“If one state allows the legalization of marijuana, does that mean every state needs to allow the legalization of marijuana?”

Going off of Khanna’s comparison, applying the logic of the H.R. 38 Concealed Carry Reciprocity policy to marijuana would mean someone in California who received a doctor’s recommendation for medical marijuana for anxiety should be able to legally use marijuana in Pennsylvania.

Pennsylvania has more strict restrictions on their medical marijuana laws, with anxiety not being included as a qualifying medical condition.

While Khanna’s comparison is more tongue-in-cheek as part of his opposition to the H.R. 38 bill, it does present an interesting question; should medical marijuana be recognized with reciprocity? One should remember that gun ownership is an actual constitutional right, versus cannabis decriminalization being a recent movement.

Then again, does it make sense to argue “what’s good for the goose is good for the gander” in a context like this? This brings us back to the argument of whether or not the federal government should be putting more effort into federal law against marijuana, or if the states have more a right to decide if they will allow cannabis for medical or recreational purposes.

It is still an interesting argument to make. Should states compare these two concepts in the debate on policy?

Marijuana Abuse

Marijuana reform remains a controversial topic. However, the legal status of any medication does not take away from the dangers of substance abuse. Plenty of prescription medications have a high risk of abuse and addiction, and marijuana abuse can be harmful to an individual’s life.

People often mistake marijuana for having no addictive properties. This misconception is because most people consider cannabis a ‘soft drug’ when compared to other ‘hard drugs’ such as crack-cocaine or heroin. While the chemical hooks may not be as drastic or apparent, the truth is that habitual use of any chemical can result in developing tolerance, which can also lead to withdrawal. Symptoms most commonly associated with marijuana withdrawal include:

  • Insomnia, nightmares, vivid dreams, using dreams
  • Drug craving
  • Mood swings
  • Nervousness
  • Restlessness
  • Loss of concentration
  • Headaches
  • Weight loss and weight gain
  • Digestion problems
  • Nausea
  • Night sweats
  • Decreased sex drive
  • Shakiness and dizziness

If you are struggling with cannabis abuse, do not hesitate to get help today. Often time’s people who use one substance develop a habit of abuse with many others.

Be careful not to underestimate the substances you are using. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.

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MMJ or Molon Labe: Medical Marijuana Users Losing Gun Rights in States

MMJ or Molon Labe: Medical Marijuana Users Losing Gun Rights in States

Author: Justin Mckibben

It seems politicians are telling people- take your pick; guns or marijuana… you can’t have both.

Back in 2016, you may recall that we did an article covering the story of S. Rowan Wilson, a Nevada resident who in 2011 was denied when attempting to purchase a handgun when the gun store owner recognized her as a medical marijuana cardholder. In court, Wilson maintained that she does not herself use marijuana, but in August of 2016, the 9th U.S. Circuit Court of Appeals decided in a 3-0 vote that if you have a medical marijuana card, you can’t buy a gun.

Recently the ideas behind this case have sparked renewed outrage and discussion over whether or not medical marijuana users should be permitted to own a firearm. The gun control debate is one that is already being consistently argued in the shadow of recent mass shootings and pushing from politicians to address the issue. But drug policy impacting gun policy adds a new perspective to the conversation.

Now there are several states cracking down on marijuana users, and it has some people up in arms about how even though states are legalizing medical marijuana use, federal law and many state governments are cutting them off from their right to gun ownership.

Under Federal Influence

According to federal law, gun purchases are already prohibited to people who are described as:

“-unlawful user and/or addict of any controlled substance.”

Back in 2011, the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) insisted that the law applies to marijuana users-

“regardless of whether [their] State has passed legislation authorizing marijuana use for medicinal purposes.”

So it seems the ATF and the federal government are pulling out all the stops when it comes to making sure marijuana users aren’t allowed to own guns.

The decision in the care of Wilson and the 9th U.S. Circuit Court of Appeals includes the areas:

  • District of Alaska
  • District of Arizona
  • Central District of California
  • Eastern District of California
  • Northern District of California
  • Southern District of California
  • District of Hawaii

The Supreme Court ruled that it is NOT a violation of 2nd Amendment Rights to deny guns to marijuana patients. The impact of that ruling has now begun to spread. It would seem the federal government thus far is standing by this. Special Agent Joshua E. Jackson of the U.S. Bureau of Alcohol, Tobacco, Firearms and Explosives in Washington D.C. states:

“There are no exceptions in federal law for marijuana used for medicinal or recreational purposes.”

And as far as things look now, there will be no change anytime soon to the federal government’s stance on marijuana. Especially with the current administration emphasizing so heavily a law and order approach to drug policy.

More States Against Marijuana and Guns

Even though there are 29 states and Washington D.C. that have voted to allow patients to have access to medical marijuana, several of these states are choosing to trade that opportunity for a shot at gun ownership. In fact, just this week a few state officials announced their own stance against allowing gun owners to be medical marijuana patients.

Hawaii

In a move that spurred a backlash of viral videos and other reports, Hawaii took a bold step in this effort. Last week the Honolulu Police Department sent letters to medical marijuana users saying that they will need to turn in their weapons within 30 days of receipt. According to Leafly, a copy of one of these letters states:

“Your medical marijuana use disqualifies you from ownership of firearms and ammunition.”

However, the letter also apparently says that the medical marijuana patients can get their firearms back. The stipulation being they would need a doctor’s clearance to do so.

Pennsylvania

A similar situation happened in Pennsylvania. The state police director of the Bureau of Records and Identification, Major Scott C. Price, made an announcement on Tuesday stating:

“So, in fact, an individual who is issued a medical marijuana card in Pennsylvania who is a user of medical marijuana, that individual would be prohibited from purchasing or technically possession of a firearm under federal law.”

So Pennsylvania won’t allow people to even be in possession of a firearm at any time with a medical marijuana card.

Ohio

Ohio’s medical marijuana program becomes operation in September of 2018. Information from industry analysts estimate that 24% of the state’s population have qualifying conditions; that’s 2.8 million Ohioans. But just this week it was announced that people in the Buckeye State who register to legally use marijuana for medicinal purposes will also be prohibited from possessing firearms.

According to the ATF letter from back in 2011, marijuana users are also prohibited from:

  • Shipping
  • Transporting
  • Receiving
  • Possessing firearms or ammunition

So anyone in Ohio who is applying to purchase a gun from a licensed dealer must sign a form attesting her or she is not “an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance.”

Under federal law, lying on the form is a felony punishable by up to 10 years in prison. Even Joe Eaton, southwest spokesman for the Buckeye Firearms Association says they are confused at this point,

““There is definitely a conflict between the state laws and the federal laws,”

Some Ohio law enforcement officials are also unsure at this point how to enforce these situations as of the moment, and are depending on their prosecutors to provide more clarification through the conflict with state and federal law.

Will Marijuana Users Go Molon Labe?

For those unfamiliar with the term, molon labe is Greek for “come and take [them]”. This declaration has been repeated by many generals and politicians to express an army’s or nation’s determination not to surrender. The motto ΜΟΛΩΝ ΛΑΒΕ is on the emblem of the I Army Corps of Greece and the Second Infantry Division of Cyprus, and is also the motto of United States Special Operations Command Central (SOCCENT). The expression “Come and take it” was a slogan in the Texas Revolution.

It is also a popular choice of words for many 2nd Amendment advocates.

The question becomes, how will the hardcore 2nd Amendment supporters react to this ruling against medical marijuana and guns? Some actually believe this may actually inspire the National Rifle Association (NRA) to become pro-medical marijuana at the federal level. Will this kind of shift in support turn the tide?

Will avid gun owners come out in strong opposition to taking away guns from medical marijuana patients, or will they agree that drug use should disqualify them from owning or possessing weapons and ammunition?

How should authorities proceed? Is this a safe political sit rep or another war of opinions waiting to happen?

Treating Marijuana Abuse

Whether or not you support gun ownership of medical marijuana patients, we should all be able to get behind having treatment resources for anyone who struggles with substance abuse.

Marijuana, much like any other substance, can be abused and have an adverse impact on the overall quality of life for many people. No matter what the legal status of any drug, it can still have a negative impact on people who grapple with substance use disorder. We know this all too well, as plenty of prescription medications helped create the opioid crisis in America.

There still needs to be resources available to help people who suffer from abuse. Supporting addiction recovery means breaking the stigma and offering holistic and effective solutions. Palm Healthcare Company is here to help. If you or someone you love is struggling, please call toll-free now.

CALL NOW 1-800-951-6135

Legal Marijuana Coming to New Jersey and Virginia?

Legal Marijuana Coming to New Jersey and Virginia?

Author: Justin Mckibben

The elections held this past Tuesday may not have directly addressed the status of marijuana, but voters in multiple states did elect officials who are adamant about making legal marijuana more available.

Next Year in New Jersey

One of those states is New Jersey, who’s outgoing governor is Chris Christie, chairman of the White House commission on opioids.

Last week Democrat Phil Murphy, who made legal marijuana one of the cornerstones of his campaign, won the state over. This creates a radical change for the state. For years Chris Christie has blocked attempts to legalize cannabis, and even maintains his opposition to it while fighting to help the country get a grip on the opioid epidemic.

Phil Murphy has been pretty open about his support for marijuana legalization. According to Forbes, Murphy even talked about it during his primary night victory speech saying,

“The criminalization of marijuana has only served to clog our courts and cloud people’s futures, so we will legalize marijuana,”

“And while there are financial benefits, this is overwhelmingly about doing what is right and just.”

Apparently, it isn’t just Murphy in the state that is looking forward to pushing this legislation along. The Democratically-controlled state Senate is expecting to bring up legal marijuana as early as next year. In regards to the topic, earlier this year Senate President Stephen Sweeney said,

“We are going to have a new governor in January 2018. As soon as the governor gets situated we are all here and we intend to move quickly on it.”

Voters in Virginia

Voters in the Commonwealth of Virginia also elected an official who advocates for loosening restrictions on marijuana. Current lieutenant governor Ralph Northam is in favor of decriminalizing marijuana possession. While it may not be as liberal a stance as Murphy, it is still a big step in a lot of people’s minds. Northam writes,

“We need to change sentencing laws that disproportionately hurt people of color. One of the best ways to do this is to decriminalize marijuana. African Americans are 2.8 times more likely to be arrested for marijuana possession in Virginia.”

But it isn’t just about the individuals. Northam also points out the resources going to this issue. He has written to the Virginia State Crime Commission as part of its review of the effects of marijuana decriminalization.

“Virginia spends $67 million on marijuana enforcement—enough to open up another 13,000 pre-K spots for children,”

Again, not that he is pushing for complete legalization, but to stop stiff penalties for those with small amounts of marijuana. Northam also advocates for research into the medicinal uses of marijuana. According to Richmond Times-Dispatch, he has stated,

“As a doctor, I like to make the point to people, over 100 of the medicines that we use on a daily basis come from plants,” he said in an interview Monday. “So I think we need to be open-minded about using marijuana for medical purposes.”

He isn’t alone in Virginia either. Even the Republican state Senate leader Thomas K. Norment Jr. questioned whether or not small amounts of marijuana should remain a crime.

Marijuana in More Areas

But it isn’t just these two offices that indicate there may be more change coming for marijuana policy. In other areas around the country, there are other notable shifts that may dramatically impact marijuana policy.

  • Athens, Ohio

77% of voters in the college town eliminated fines and court costs for possessing or growing up to 200 grams of marijuana.

  • Wayne County, Michigan

In an area that includes Detroit, voters now allow cannabis businesses to operate in more areas and to stay open longer. Michigan is expected to have a marijuana legalization bill on the 2018 ballot.

  • Philadelphia

Lawrence Krasner won the election for District Attorney. Krasner has been outspoken about the benefits of marijuana reform. According to Krasner,

“One of the things we see in other jurisdictions is that, where marijuana is readily available, there’s a 25% reduction in opiate/opioid overdose deaths.”

“So if Philadelphia is looking at 500 opiate/opioid overdose deaths a year, a district attorney, by choosing not to enforce against marijuana usage, can potentially save 125 lives. That’s what a district attorney should exercise his or her discretion to do.”

It seems between lightening the punishments for possession, expanding programs for legal marijuana, and electing officials that will advocate for its use, marijuana may have already seen some real change this November.

What to Remember about Legal Marijuana

It is important to note for anyone who has a history of substance use disorder that the legal status of a substance does not make it safer. You could argue that marijuana is much safer than opioids like prescription drugs or heroin. While marijuana is not as lethal concerning overdose deaths, it still should not ignore the risks.

Marijuana reform has the potential for some positive and negative outcomes. Ultimately voters will have to consider weighing the pros and cons of reform. Either way, it is important to remember that any substance, legal or not, can be addictive. While marijuana may become more accepted on a legal level, it is still unhealthy to abuse this drug. If you find yourself abusing this or any drug it is very important that you seek safe and effective treatment resources.

Because drug abuse is always destructive, marijuana abuse is no exception. If you or someone you love are struggling with substance abuse or addiction, please seek help. Regardless of whether a drug is legalized or not, losing control of your use can lead to something much worse. We want to help. You are not alone. Call toll-free now. 

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Global Commission on Drug Policy Suggests Harm Reduction and Decriminalization

Global Commission on Drug Policy Suggests Harm Reduction and Decriminalization

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
  • India
  • France
  • Greece
  • Spain
  • Mexico
  • Nigeria
  • Canada

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.

  • Drug Checking

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

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