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
If there’s anyone who understands the shock of losing a bandmate to suicide, it’s Dave Grohl. Back in 1994, Nirvana’s lead singer Kurt Cobain took his own life in his Seattle home. At the time Grohl was the drummer in the band.
Now, Grohl, lead singer and founder of the band Foo Fighters, is opening up about the untimely death of his musical peers Chester Bennington (Linkin Park) and Chris Cornell (Soundgarden). Grohl says there is a real need for mental health awareness.
Grohl is not the first to speak out. After the tragic death of Bennington and Cornell, fellow musicians from bands like Slipknot, Creed and Limp Bizkit expressed the importance of addressing mental health and the need to reduce the stigma.
Grohl’s explained in a recent interview the difficulty of losing a friend through mental illness.
“When it comes to someone like Chris Cornell or Chester, depression is a disease, and everybody kind of goes through it their own way,” Grohl stated in an interview with New Zealand’s RockFM. “I can’t speak for anybody else’s condition, but the hardest part is when you lose a friend. And I just always immediately think of their families, their bandmates, ’cause going through something like suicide, it’s a long road. And Chris was such a beautiful guy, man—he was the sweetest person, he was so talented, he had so much to offer—that it was a real shock to hear that he had gone.”
“I think that mental health and depression is something that people should really take seriously,” Grohl continued. “And there’s a stigma attached to it, which is unfortunate, because just as you take care of yourselves in every other way, I think it’s important that people really try to take care of themselves in that way too. And it ain’t easy. You know, life’s hard.”
Foo Fighters drummer Taylor Hawkins weighed in on the discussion:
“Like [Dave] said, people [think], ‘You’ve got it so together.’ It just goes to show you, it doesn’t matter what’s in your bank account, or how many hits are on your YouTube page, or all that kind of crap—it all goes out the window if, like Dave said, you’re not feeling right.”
“[Soundgarden] were a big inspiration for us as musicians, and Chris Cornell was just the master. So the loss, it’s a bummer, but, like Dave said, that’s a real thing. Look after yourselves, and if it looks like someone’s down, way down, check on ’em.”
Mental Health and Suicide Awareness:
Despite the recent deaths of Bennington and Cornell, there still remains a stigma behind mental illness. The reasons behind suicides remain misunderstood. The stigma of mental illness was evident after these recent deaths. Many people used words like “selfish” to describe these acts.
The reality is depression is a complex disease. Depression is a mental illness that requires treatment. Without treatment, the condition only worsens.
Signs of Depression Include:
- Loss of interest or pleasure in previously enjoyed activities
- Decreased energy
- Difficulty concentrating
- Changes in Eating Patterns
- Weight changes
- Thoughts of death
September is National Recovery Month. Recovery includes both substance use disorder and mental illness. It is important that public figures like Dave Grohl are speaking out about this. Recovery IS possible. 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
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Author: Shernide Delva
Over the weekend, I watched the movie To the Bone starring Keanu Reeves and Lily Collins. The film took us inside the life of Ellen, a 20-year-old woman who has consistently struggled with an eating disorder. She enters a residential treatment program with several other women struggling with eating disorders.
The film received a plethora of controversy as many thought it was triggering. However, after watching the movie, I felt it did an excellent job of allowing the viewer to understand the urgent and severe nature of an eating disorder. Often, films only focus on how little the patient is eating or how much weight they have lost. Yet, this is only a small component of having an eating disorder. Eating disorders go much deeper psychologically, and weight is simply part of the problem.
While the movie does an excellent job explaining what it is like to have an eating disorder, it does not explain what causes eating disorders in the first place. Eating disorders are complex with a broad range of variables.
Treatments for eating disorders vary in efficacy. There is no one size fit all treatment. This is elaborated in the movie as we watch Ellen transfer from one treatment center to another. Finally, she ends up at a treatment center she connects to and has a great therapist played by Keanu Reeves.
Often patients deny the severity of their condition at first. The lack of seriousness only progresses the disorder further. For example, in To the Bone, the women struggle to understand why their eating behaviors are considered abnormal. In fact, they believe that their compulsive eating behaviors are necessary to their survival. The idea of eating any other way is difficult to grasp.
Furthermore, patients lie about the severity of their condition which hampers their treatment options.
Most clinicians agree eating disorders stem from a variety of factors:
These factors range from:
It is possible there is a genetic link that causes eating disorder. Significant studies on depression and anxiety allow reason to be hopeful. Many people had anxiety and depression prior to the development of their eating disorder. Eating disorders can be a reaction to mental illnesses, in an attempt to manage symptoms of depression and anxiety.
Anxiety can be controlled through food restriction and purging. Symptoms of an eating disorder can elevate the mood as sufferers rely on their weight to fit in with society. Since depression and anxiety have a genetic component, there could also be a clear genetic connection to eating disorders.
Neurobiology is a branch of biology concerned with anatomy and physiology of the nervous system. When it comes to eating disorder, individual ones like anorexia nervosa over activate the inhibition control networks and under activate the reward systems. When looking at bulimia nervosa, there seems to be a dysregulation of both the inhibition control networks and reward pathways. These abnormalities are common among eating disorder patients. However, it is uncertain whether these abnormalities are the result of eating disorder behaviors, or if these abnormalities were present prior to the development of an eating disorder.
The Psychology of Eating Disorders
Needless to say, there is a strong psychological component to eating disorders. Most of what we read regarding eating disorders discusses the psychological component. Psychological elements of an eating disorder range from familial, relational, cultural and social. Most researchers agree that eating disorders and psychological disorders are co-occurring.
Some treatment processes focus on behavior and cognitive changes. These treatments include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT,) Family Based Treatment (FBT,) and others. However, there is more research needed on how to treat the behaviors rather than solely focusing on the cause. In addition, families need to understand the root of eating disorders in order to understand how to best respond to them.
Overall, the reality is there is so much to be learned when it comes to eating disorders. Eating disorders are a result of a variety of factors. Furthermore, just like addiction, eating disorders are not a choice. People with eating disorders need treatment. If you are struggling with an eating disorder, mental illness or addiction, please call now. You do not have to do this alone.
CALL NOW 1-800-951-6135
Author: Shernide Delva
In the past, we’ve talked about the potential of opioid vaccines. These vaccines could have a major impact on lowering a number of opioid overdose deaths. They could completely shift the direction of how we treat opioid addiction. However, is the future of opioids imminent or far, far away?
Sadly, it will be a long time before we see opioid vaccines available for widespread use. Experts all agree that although the future of opioid vaccines looks bright, the process of getting a drug into the market is a lengthy one and we should not hold our breath just yet.
Recently, Health and Human Services Secretary Tom Price mentioned opioid vaccines as an exciting new development in the war against opioid abuse.
“One of the exciting things that they’re actually working on is a vaccine for addiction, which is incredibly exciting,” Price said during a briefing about the drug epidemic.
However, experts say it won’t be made public for years… if ever.
The process of a drug going from the research phase to the production phase is a long, tedious process. Opioid addiction vaccines have not even begun human trials yet. Researchers would have to put drugs through phase one, two and three trials before submitting them for approval by the Food and Drug Administration (FDA), given that the trials are successful.
“He may be a physician, but he’s not terribly well-informed about addictions,” said Dr. Thomas R. Kosten, a psychiatry professor at the Baylor College of Medicine with a concentration in addiction vaccines. “I can’t imagine the vaccine would be on the market before the Trump administration is over.”
Dr. Kosten knows all about vaccines. He worked on cocaine vaccines for 16 years before deciding that it “just didn’t work well enough” to continue. Today, he is working on a vaccine for fentanyl, an opioid painkiller up to 100 times stronger than morphine. Fentanyl has been a major culprit for overdose deaths in the current opioid epidemic.
Those who previously used painkillers turn to heroin due to the lower price and easier access. Unfortunately, often heroin is not just heroin and instead is laced with powerful painkillers like fentanyl which make a user much more susceptible to an overdose.
Dr. Kosten hopes his work on the vaccine will pan out, but he wants to ensure people are not holding their breath. These things take time.
“There are no opiate vaccines that have been in people at this point,” said Dr. Kosten.
Even if the vaccine passes trials and goes into full-scale production, it would only be used therapeutically, not as a preventative measure.
“The purpose is not to “mass-immunize a whole bunch of kids,” Dr. Kosten said. “That’s not at all what they’re designed for.”
For now, the vaccine is proving to be effective in animal testing. However, this is not necessarily good news.
“Sometimes, the translation from animals is not necessarily the same in humans. So we have to do the human studies,” said Dr. Ivan Montoya of NIDA’s Division of Therapeutics and Medical Consequences.
The goal of the vaccine is to allow the body’s own immune system to combat opioids before they can reach the brain and take effect.
“We don’t have to modify the brain to produce the effect,” said Dr. Montoya. “You take advantage of your own immune system and prevent access of the drug to the brain.”
In the future, Dr. Montoya hopes to come up with a vaccine that can block the effects of a wide range of opioids including fentanyl, heroin, and OxyContin.
While the prospect of opioid vaccines sounds promising, we are still far away from this becoming a reality. Therefore, stating vaccines as an exciting solution to the opioid epidemic is a bit of a stretch for now. Instead, the focus should be placed on increasing access to treatment. With the right program, recovery is possible. If you are struggling with substance abuse, call now. Do not wait.
CALL NOW 1-800-951-6135