Posts Tagged ‘opioid crisis’
Treatment On Demand For Drug Addiction Is The Solution
Treatment on demand for drug addiction is not a reality in most places of the USA, yet cities like Baltimore could save over $46 million if everyone who wanted treatment received treatment. Unlike other illnesses, those suffering from drug addiction are turned away from treatment centers or forced to travel hundreds of miles to acquire treatment. There is no better solution to this opioid crisis than that of treatment on demand.
On July 11, 2019, I was interviewed on DC’s WUSA9 to talk about the opioid crisis and my opinion for its solution treatment on demand. The video is posted below. Most of us are well aware of the opioid crisis in the USA. According to the Centers for Disease Control (CDC), opioids were involved in 47,600 overdose deaths in 2017 (67.8% of all drug overdose deaths). As an addiction counselor of over 20 years, I’ve written from the perspective of what society, as well as families, can do about this crisis.
Now it’s time to write about a solution to this crisis, which I know will work, namely, treatment on demand.
I don’t write this out of a naive ignorance to the societal factors and big business practices which led to the epidemic and opioid overdose deaths we are encountering today. What we need right now are solutions and actions to ensure that this epidemic does not become a generational epidemic.
According to the Substance Abuse and Mental Health Services Administration (2014) from 2009 to 2013, less than 12 percent of people with substance use disorders in Maryland received any treatment. Meaning that a whopping 88 percent of people with substance use disorders in Maryland received no treatment.
Treatment on demand for everyone sounds costly. But not so when you examine the financial savings from other sectors of society. In 2015 the Baltimore City health department estimated it would cost $6.7 million to implement treatment on demand.
An Institute of Medicine study estimated that the cost per person per year of outpatient treatment for heroin was about $3,100. Untreated addictions, however, were estimated to cost $43,200 per year per person, mostly due to the cost of incarceration.
One study conducted in California (Ettner et al., 2006) calculated that $7 is saved for every $1 spent on drug abuse treatment; the main benefits are from reductions in drug-use-associated criminal activity and increases in employment earnings. Using Baltimore’s estimated cost of $6.7 million, a $7 savings on each $1 provides the City with a savings of $46.9 million!
Bonus: Download Chris Shea’s booklet on Life Coaching & is it for me? Click here to get it
I suggest that the first change which needs to be made is a philosophical shift in how we, as individuals and society, think of addiction. Many in society still do not believe that addiction is a disease, unlike any other mental health or medical illness.
For example, a person who is discharged from addiction treatment yet later relapses is typically judged for their lack of willpower and character. In many instances, they are not allowed back into treatment, or they are told to find a different treatment facility. Yet a person who is discharged from the hospital after a heart attack, who is told what changes to make in their physical activity, as well as diet, are not judged for their lack of willpower if they fail to make life changes resulting in a relapse evidenced by another heart attack. Where’s the difference?
The one person did not follow the recommendations of their treatment provider and returned to drug use while the other person did not follow the recommendations of their treatment provider and had another heart attack. Yet the person who experiences another heart attack will be readmitted to the hospital without question nor judgment.
This example illustrates what I mean by the phrase, treatment on demand. Anyone at any time which is experiencing a medical or mental illness who reaches out for help should immediately receive assistance. Currently, for those with medical issues treatment on demand is a reality, while those with a mental illness or substance use issue have to wait for their treatment due to a lack of treatment beds and funding.
As a society, we need to respect the dignity of every person and find it in our hearts, our political will, and our medical system to treat those with an addiction no differently than we treat anyone else with a medical condition.
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How To Stop Blaming Others For The Opioid Epidemic
The blame game is alive and well, but we need to stop blaming others. The opioid epidemic grows while we as a society are blaming others and judging those who are addicted to the opioid drugs. We must work together for a viable resolution to this epidemic, and here are my suggestions.
It appears to be human nature for us to want to find a reason, cause, or another person to blame for something that has happened to us or to a loved one. Think of how easy it is for us to throw blame around when we are caught practically red-handed in an act. How did we learn this?
The blame game has been with us since our earliest days of childhood. As a child, we tried the excuse that someone else made me do it to see if that excuse would work. Depending on your childhood it had varying success, yet any time that it worked we learned that blaming was a viable excuse. As we’ve grown into adulthood many of us continue to use this excuse.
Many of my clients want to find who is to blame for the way they are today. They are convinced that if they find out which parent or sibling created the current negative thoughts or behaviors all would somehow magically be well. Yet this isn’t the case, so I don’t allow my clients to go down that path.
Bonus: Download Chris Shea’s booklet on Life Coaching & is it for me? Click here to get it
When my clients, or even ourselves, wish to find someone in the past to blame for our current situation all that we are doing is avoiding our responsibility and our actions for making a change today. Even if there were someone from our past legitimately responsible and whom we could blame, how would that change who I am today? All that does is to serve as knowledge but doesn’t give me anything to do that will change how I feel or act today. Therefore, I stay away from the blame game in all situations as it serves no purpose in the present but only to educate us about the past. So even if a client’s parents were to blame for their current situation it is still up to the client themselves to make the necessary changes which will make their lives better. The same goes for the blame game when it comes to addiction and the opioid epidemic.
Over the past couple of decades, I’ve worked with thousands of people who are addicted to drugs and alcohol, guiding them into lives of recovery. Each of them needed to work on their present lives and make changes so that their recovery would be a daily way of life. Blaming their families, communities, doctors, or Pharmaceuticals only serves to focus our anger away from what needs to be dealt with at the present moment. At this moment we need to take action and make changes as a society or else this opioid epidemic will not end.
I don’t write this out of a naive ignorance to the societal factors and big business practices which led to the epidemic and opioid overdose deaths we are encountering today. I can make a very long list of who I would blame for this opioid epidemic, but as I’ve stated, what’s the point? What we need right now are solutions and actions to ensure that this epidemic does not become a generational epidemic.
I suggest that the first change which needs to be made is a philosophical shift in how we as individuals and society think of addiction. Many in society do not believe that addiction is a disease unlike any other mental health or medical disease. Their blaming the person with the addiction only serves as a moral judgment on a person’s character. Yet if that same person were to suffer from any other chronic medical disease they would receive the proper care without question and without judgment.
For example, a person who is discharged from addiction treatment and later relapses is judged for their lack of willpower and character. In many instances, they are not allowed back into treatment or they are told to find a different treatment facility. Yet a person who is discharged from the hospital recovering from a heart attack who is told what changes they need to make in their physical activity, as well as diet, are not judged or criticized if they fail to make those changes and end up with another heart attack. What’s the difference? The one person did not follow the recommendations of their treatment provider and returned to drug use while the other person did not follow the recommendations of their treatment provider and had another heart attack. Yet the person who suffers the second heart attack will be readmitted to the hospital without question nor judgment. This societal attitude must change!
What can we do to make a difference in solving this opioid epidemic? Here are my suggestions:
- Educate ourselves on the current state of the opioid epidemic and learn about your local resources available to help those suffering from addiction and struggling in recovery.
- Gather as a neighborhood or community pooling together your resources to work on viable solutions unique for your community. As a society, we need to stop saying that we want this epidemic to stop while at the same time deny the building of treatment centers or recovery housing near or in our neighborhoods.
- Doctors and Mental Health Counselors need to be educated about the addiction field and best practices for treating those who are in active recovery. As a counselor and an educator myself, I find it disheartening that the addiction courses I teach to those in the counseling profession are only electives and not mandatory courses. Medical professionals such as doctors are in the same educational situation where they may only have to take one addiction studies class in their entire career. This is not to blame either of these professions but to provide them the necessary knowledge and tools since they are in the front line of this epidemic.
- Be compassionate to those you know who are in recovery or still suffering from their active addiction, and don’t forget about their families who also need compassion and support.
If we tackle this opioid epidemic in light of its medical and mental health status we will turn this around and as a society, we will reap the rewards of a healthy populace.
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How To Cope When A Family Member Is Addicted
We’ve seen the opioid crisis get worse with more people addicted and more overdose deaths reported. Addiction is a family disease as the effects of the addiction impact the family unit. Here’s how families can cope when one of their own is addicted.
As the opioid crisis continues to get worse, more and more families are affected by addiction and are seeking ways to cope with a situation that places any family in a crisis mode. Even the healthiest of families find their world turned upside down when needing to deal with a family member suffering from addiction. I have worked in the addiction field for a couple decades and have seen the positive outcomes of recovery and have witnessed how families have gone from their lowest points to becoming healthy and whole. I am not saying this is easy, but I am saying it is possible.
Addiction is a chronic disease characterized by drug and alcohol seeking and use that is compulsive and difficult to control, despite harmful consequences. Even though addiction is classified as a disease not unlike any other medical disease, many in our society continue to view addiction as a moral failing and a choice rather than the chronic disease that it is. The American Medical Association, back in 1957, declared alcoholism (and subsequently chemical addiction) a medical disease. Not unlike chronic heart disease or diabetes, chronic addiction is treatable yet not curable. A person diagnosed with having an addiction does not have to suffer daily from that addiction but must daily treat their addiction.
Addiction is a “family disease” since the family unit is greatly impacted by a member’s active illness. As the disease of addiction progresses and the person with the disease begins to change their behavior, attitudes, and how they deal with the family, the family unit changes their behaviors and thoughts in order to cope with the changes of the person suffering from the addiction. When the person with the addiction enters recovery, meaning they are no longer actively using, their behaviors and thoughts will return to a more healthy view of life. But, if the family has not made any changes then the family unit remains unhealthy as they continue to view the person in recovery as if they were still using.
What can a family do to cope with the addiction crisis and upheaval in their lives? Let me first start with a few “don’ts” for a family to consider:
- Don’t blame yourself! Although this is a natural response to the crisis, blaming oneself does not offer a solution but only spirals you into a depression. The reality is that you did not cause your family member to use regardless of what they may tell you while in the midst of their active addiction. It’s important to remind yourself that this is not your fault and you are not to blame!
- As difficult as this may be, don’t live your life solely for the person with the addiction. Instead, continue, as much as possible, to live your life as you have been.
- Don’t enable. This is very difficult but essential to helping the person with the addiction to move toward recovery. Enabling takes many forms but generally speaking, anything you do which ultimately helps the person continue with their addictive behaviors is enabling. In most cases, family members don’t enable out of a desire to continue the addiction, but rather they make choices, out of love, but which end up enabling instead of helping.
Let’s now look at a few tips that a family can do to cope when addiction runs in the family:
- The first thing I always recommend families do is to care for themselves. Coping with a family member who is suffering from addiction is quite taxing and drains family resources. It’s important to do things which have nothing to do with the coping of the person with the addiction. If the family member is outside of the house then the rest of the family needs to take time to do things on their own to maintain their family bonds. If the person suffering from the addiction lives in the household it is important to have family time without that person and not talking about the addiction. Don’t allow the disease of addiction suffered by one person to bring down the entire family.
- Educate yourself about addiction. The more you know the more you will understand what your loved one is going through and how best you can help them. Understanding that it is not your job to change them, but as a family, it is your responsibility to guide and support them to the best of your ability. As I mentioned above, you are not to blame for the situation and so it is not your responsibility to “fix” the situation.
- One way to help with family self-care and education is to seek family or individual counseling or to find support groups. Groups such as Al-Anon are made up of members who are also doing their best to cope with the active addiction of a loved one. I know it’s difficult to seek help, but if the family falls apart how will the family ever be able to help the person with the addiction? Seeking outside help will, in the end, teach healthy coping methods which will bring the family closer together.
- Managing expectations will keep you grounded and remove some of your stress and anxiety. Many of us feel anxious or stressed when outcomes don’t match up with our expectations. Keeping our expectations based on reality will help us feel some inner peace. For example, a reasonable expectation is that the person suffering from the addiction seeks help, whereas an unreasonable expectation is that the person will become cured just because you told them to stop using. If recovery were as simple as being told to stop doing what they’re doing they would have done that earlier.
- Continually remind yourself and the rest of the family that addiction is a disease and not a moral failing to be judged. The longer you feel that it is a moral failing the more frustrated you will become when your loved one continues their use. Reminding yourself that they are suffering from a disease will reduce some of your frustration as you realize that your family member is not necessarily being obstinate but that they need proper medical care to treat the illness from which they suffer.
Bonus: Download Chris Shea’s booklet on Life Coaching & is it for me? Click here to get it
Not only does the person with the active addiction suffer from the consequences of their disease but so do their loved ones and family members. The disease of addiction is a family disease, so treating it as such will help all members of the family cope in a healthy way with the crisis placed upon them. Never give up hope! I have witnessed many families come out the other end of addiction closer and healthier than they were prior to the crisis. Seek help for your loved one, but just as importantly seek help for the family.
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