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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
When we talk about national addiction recovery, what we mean is acknowledging how we as a country and a culture are recovering in our communities. How are we supporting those in addiction treatment? What services are we making available? How is our economy recovering? What are we doing to prevent the spread of addiction?
So if we are taking away resources that not only treat those already struggling, but also prevent more people from suffering, how do we expect to ever escape the devastation caused by the opioid epidemic and rise of overdose deaths?
One of the most divisive issues facing America today is access to healthcare and the extent to which health coverage should or should not be provided. The debate has gone on for a long time, and in the shuffle of each proposal, it seems mental health and addiction services are constantly threatened. Recently there have been more attacks on addiction treatment access. So how is the possibility of more decreases in health coverage going to hurt national addiction recovery?
The Parity Protections
Once upon a time in 2008, the Mental Health Parity and Addiction Equity Act (MHPAEA) created guidelines that required health insurers to treat mental health and addiction coverage exactly the same as they would with medical and surgical care options. So this means that prior to the MHPAEA those who were lucky enough to have health insurance still could not be guaranteed to receive equitable benefits for mental health or substance abuse care.
These protections were even further expanded by the Affordable Care Act (ACA) and legislation put forth by Congress in 2016 with the 21st Century Cures Act, which includes tougher enforcement of parity requirements.
Since the Trump administration stepped in adamantly proclaiming the goal or repealing and replacing the ACA there has been a lot of concern about whether or not any new proposals will decrease health coverage for mental health and addiction services. Many addiction and mental health advocates worry that parity protections and enforcement will also lose their power.
As of yet, politicians are still hoping for a compromise that will keep the protections and resources for treating addiction and mental health intact.
BCBS Cuts Mental Health Coverage
One instance of concerning changes in policy has come out of Minnesota. Just this September the largest insurance carrier in the area, Blue Cross Blue Shield, is making drastic decreases to payments to mental health providers.
We are talking about cuts in addiction and mental health coverage to the tune of that’s 33%!
This decision came after a recent survey showed that the individual therapy costs of Minnesota had exceeded the national average for the last two years. But mental health professionals immediately spoke out against this move. Protests actually took place on Thursday the 14th outside the headquarters of Blue Cross Blue Shield in Eagan, MN. Many advocates and protesters are saying these kinds of cuts will put mental health clinics out of business.
The insurance provider is now under fire as caregivers insist this change will discourage necessary, extended psychotherapy services. People in Minnesota see decisions like that of BCBS as being a violation of the protections offered by parity.
If this kind of policy shift within insurance providers becomes a trend, we could see a dramatic decrease in the people getting substance abuse and mental health treatment. These changes can hurt our national addiction recovery by slowly cutting off the people who need every chance they can get, especially during a devastating opioid epidemic.
Threats within Medicaid
Believe it or not, Medicaid is currently the single largest payer for behavioral health services in America. Threats to the Medicaid health coverage of services like this could do critical damage.
At one point the Trump administration and congressional leaders seemed partial to the idea of turning Medicaid into a block grant program. This strategy would give states a fixed amount of money to provide healthcare for low-income residents. However, policy experts say that means states would have to:
- Reduce eligibility
- Narrow the scope of benefits
- Impose cost-sharing requirements
All of which would also impact the number of people seeking substance abuse and mental health treatment.
Recently GOP representatives and the Trump administration began the work of fundamentally altering state Medicaid programs. Some of these new requirements include governors pushing for:
So again, there is the very real possibility of more hurdles being put in-between those who need help and the already limited resources available to them.
Stigma Influencing Policy
The bigger part of this issue is that these shifts are happening in a way that shows how stigma is influencing policy. We are only further hurting our national addiction recovery by letting this idea that addiction is a moral failing or class issue limit what we are willing to provide to those who need help.
The reason behavioral and mental health services are so crucial is because the cause of addiction is not just the drugs themselves. The vast majority of recovery advocates endorse the concept that addiction develops from multiple factors, such as:
- Lack of access to resources
- Poor social networks
So in fact, by limiting coverage to mental health services, the problem could be magnified.
Mental health services like behavioral therapy being lost with a decrease in coverage means that more children and young adults could go without the support systems. What this does is puts more people in the exact circumstances where we see substance abuse and addiction grow.
So in essence, not only could these constant threats to addiction and mental health coverage be taking away treatment for those already addicted, but it also takes away from prevention programs in communities that fight to keep addiction rates down.
National Addiction Recovery Effects Everyone
If we have any hope of having sustainable national addiction recovery then it is vital that our country continues to push for mental health parity in every discussion about healthcare. If we ever hope to overcome the demoralization of communities we have to fight for mental health and addiction services.
This isn’t about treating the individual’s symptoms with just medications either. Access to other crucial elements like housing, medical care, and basic preventative measures all contribute to the overall mental health of any individual.
When people have better access to the specific levels of care they need, we empower them to contribute to the better communities we need for healthy nation-wide recovery.
People struggling with substance abuse and mental health disorders deserve comprehensive and compassionate treatment, and we should all fight to protect coverage that makes treatment more available. If you or someone you love is struggling, 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
Celebrity Rehab Host Dr. Drew Blames Opioid Epidemic on Doctors
Dr. Drew Pinsky, a board-certified addictions specialist, famous as the host of Celebrity Rehab With Dr. Drew, recently responded to a New York Times analysis. The analysis revealed that drug-related deaths have spiked to 19% across the country in 2016. According to the report, drug overdoses are now the leading cause of death for Americans under 50.
In response, Dr. Drew says this epidemic was brought on by the doctors. He blames doctors who continued prescribing opioids to patients despite their awareness of the high risk of addiction.
“The reason we have all these heroin addicts is because physicians over-prescribed opiates and then cut these patients off as opposed to getting them treatment,” he said recently on KABC radio. “And when you cut an opiate addict off, the state they’re in requires they find an alternative source of opiates. The cheapest best route now—fentanyl.”
Although his words are quite direct, they hold true.
Last week, an article published in The New England Journal of Medicine argued that the medical community wrongly cited a small 1980s editorial to repeatedly claim that opioids did not have highly addictive qualities.
“The crisis arose in part because physicians were told that the risk of addiction was low when opioids were prescribed for chronic pain. A one-paragraph letter that was published in the Journal in 1980 was widely invoked in support of this claim, even though no evidence was provided by the correspondents,” the editorial reads.
Essentially, doctors were using a letter rather than a clinical evidence to validate the claim that opioids were not addictive. This led many patients into believing that the medications they were using would not cause any form of dependence.
Addiction Stigma Further Wreaks Havoc
Furthermore, Dr. Drew states stigma surrounding addiction prevents doctors from addressing any concerns they may feel regarding their patients.
“They are afraid of the term addiction. They feel as though diagnosing someone with addiction is somehow judging them,” he continued.
Doctors who regularly prescribe opioids are at the root of the problem, Dr. Drew states, because the chances of dependence are high, and patients are often unaware of how real the risk really is.
“70 to 80% of people develop disabling consequences from their relationship with opiates,” Dr. Drew said,
The problem is when doctors continue to prescribe opioids despite the high risk of addiction, or worse, cut off a patient’s supply to opioids without providing some sort of addiction treatment option.
Patient Satisfaction is King
There is also a mindset in medicine that must abide by the patient when it comes to pain management.
“The discipline holds that ‘pain is what the patient says it is. Who are we to say when we have pain control? Pain control is achieved when the patient says it’s achieved.’ And that group will only admit to the fact that perhaps 30% of the patients get a little bit of a problem,” he said.
Stigma around addiction keeps physicians from talking to their patients about the risks of dependence. This leads to long-term dependence. While there have been regulations in place to prevent abuse, this often backfires.
Many people who were once dependent on opioid prescriptions turn to heroin due to the increased availability and decreased price cost. Heroin varies significantly in strength and many strands contain powerful substances like fentanyl which lead to overdose fatalities.
The opioid epidemic is a complex problem with a myriad of potential solutions. However, it is uncertain what solution will boast the best results. 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
Working in the blogging and social media sector of the world-wide web you get to see a lot of differences of opinion on a lot of topics; from the most mainstream to the most infamously controversial. In fact, pretty much anyone with a Facebook or Twitter account has exposure on a regular basis to a variety of intense debates and collective views. Of course another thing the internet does is provide us with perspective and statistics, and some of those data inventories actually make a strong impact on our own opinions. However, some figures may miss the mark when it comes to truly all-inclusive data. This is especially true when it comes to the measure of success in recovery from addiction.
Some people claim that the majority of support groups and programs don’t have very impressive or even adequate rates of success in recovery. Others will go as far as to claim that these support groups and recovery programs hurt more than they help. If you dig deep enough, there are plenty of people claiming that nothing out there works for helping addicts and alcoholics who need help.
But is that accurate? Truthfully, I have more than enough reason to doubt these claims for a very simple reason…
Who is truly capable of quantifying someone else’s “success”?
Instead of asking if drug treatment is successful, maybe we should be asking the real question… what is the real measure of success in recovery?
Talking about Treatment
Back in 2013 TIME magazine wrote that because there is no standard definition or what “rehab” is, there is no standard metric for measuring their success. The therapeutic community at one point said they could only claim a 30% success rate. However, the source also indicated that they only count ‘success’ by those who complete the entire program, and between 70% and 80% of people drop out of aftercare around 3-6 months after treatment. To sum that up, some people just stop reporting on their progress, so their ‘success’ could not be confirmed.
Other treatment providers will measure their success rates on how many patients report being completely abstinent for an extended time after leaving treatment. However, as we discuss later in the article, abstinence is not the requirement in the definition of success.
The fact is, because there are various addiction treatment models, to measure the success of recovery based on the numbers even treatment providers themselves gather is actually inappropriate and ineffective.
Focusing on the Fallen
When was the last time you saw a story on the news about an overdose victim? These days if we go 24 hours without seeing one it is surprising, right?
Well… when was the last time you saw a story on the news about a recovered addict who owns their own business, or is working a 9-5 and volunteering in their community? When was the last time you saw a breaking report about the alcoholic who went home to be an amazing parent to their newborn child or started a foundation to help the less fortunate?
I thought so. But allow me to blow your mind… because these people do exist!
This is probably one of the greatest injustices dealt to the recovery community. I’ve written about this before, and about how changing the communities views means overcoming stigma. Media outlets are always itching to give a dramatic account of every drug overdose or crime committed by an addict. Thus, that is all the rest of the world sees. It should be no surprise that people claim the recovery programs and support groups are failing, because no one pats you on the back for being a decent person. The only time people seem to applaud recovering addicts in the media is when they’re a celebrity.
It is easy to claim that drug addiction treatment doesn’t work when someone only focuses on the overdose rates in their community. It is easy to point to the individuals who have fallen, who need another chance at getting healthy, and say they are proof that the institutions are broken. Raising awareness on all those who still need help is important, but it is counterproductive to use them as indication that no progress is being made.
One conflict with measuring success is with 12 Step programs, mainly because they are anonymous programs. As a member of a 12 Step program I am definitely not trying to discredit these methods. The reality is true success rates of 12 Step programs are such a matter of contention because the standard of anonymity. Many people will simply not wish to be involved in studies based on their desire to remain anonymous.
When trying to debate the success rates of 12 Step programs we have to take any statistics with a heaping serving of salt. Out of the pieces of data available, those numbers are not an all-encompassing assessment.
Also, the only data for success in recovery from 12 Step groups is ongoing sobriety percentages, measured by years. And just about any member will tell you time does not equate sobriety. And limited data means the programs may help people to find a meaningful life, but if they do not remain members then they are not included in those success rates.
Some will only measure their success in recovery on a 24 hour basis, because they take life a day at a time.
Even 12 Step literature will point out that they have no monopoly on spirituality or recovery. 12 Step literature acknowledges that some people reach a point where their drug abuse or drinking caused great physical, personal and professional damage, but after intervention and treatment some can turn their lives around without a 12 Step program. Of course abstinence is often suggested as the best course of action for most recovering addicts and alcoholics. Once drugs or drinking create enough devastation, turmoil and helplessness many people find it is far too late to ever go back. Yet, abstinence is not necessarily the requirement for “success in recovery”.
Success in Recovery is Subjective: Speak Up
What truly transcends the debate over effective drug treatment is how we measure success in recovery in the first place. How do we decide someone is successful in life? Because isn’t that what recovery is; building a life that is happy and whole? So how do we calculate the extent of someone else’s transformation?
In essence, that is what we are talking about; discovering a fulfilled and meaningful shift that allows freedom to pursue happiness and connection. Given this description, success in recovery is definitively subjective. The meaning of recovery is more conjectural.
The measure of successful recovery should be a more fulfilled life.
Not just with material wealth, prestige or surface value but with connection, contribution and genuine gratitude. In the end, men and women who struggle with drug abuse or alcoholism recover in innumerable ways. Some turn to religious bodies, while others thrive on support groups. Some focus on physical fitness and mindfulness. There is no way to measure every success story, because they are life-long journeys through self-awareness. Each puzzle piece makes a different picture.
In order to show that there is hope, I hope more of us speak up about our experiences in recovery from alcoholism and addiction. There is so much emphasis on the bad, there is more of a need than ever to show the world something good. This means shattering the stigma that stands against us. People will never know we can succeed if we don’t try to show them how we already have. Recovery from addiction should be outspoken more often. Not because I think anonymity isn’t important; I have great respect for the traditions of 12 Step fellowships.
But… I do believe that if we don’t speak up for ourselves, stigma is going to keep speaking for us.
Every community, including yours, is filled with people who have empowering and inspiring success stories after overcoming drugs and alcohol. It all begins with a foundation. It is up to you to measure your success, but it’s also up to you to take action and make your success story possible. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-800-951-6135