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Archive for Drug Facts – Page 2

Glee Star Dies of Heroin and Alcohol Overdose

“Glee” star Cory Monteith, 31, died as a result of “a mixed drug toxicity, involving heroin and alcohol,” the British Columbia Coroners Service said Tuesday.

It frustrates me that people are already taking his inventory, blaming him for his Disease, his death and out right being mean.

Its disgusting 80% of Patients relapse in the first 12 months, the majority in the first 6 and it cannot be their entire fault. If Treatment Centers sold tires with those figures they would be out of business in a heart beat. In fact here are the numbers

Fact: In 2002, 22 million Americans had substance dependence or abuse (SAMHSA, 2002).

Fact: Approximately 3,500,000 of them received some kind of treatment (SAMHSA, 2002).

Fact: At least 2,800 relapsed.Most will keep relapsing !! (SAMHSA,2002).

Fact: Of those admitted to addiction treatment, 60% already have one or more prior treatment admissions; 24% have three or more prior admissions. (SAMHSA, 2001).

Fact: The majority of people completing addiction treatment will relapse in the year following treatment (Wilbourne & Miller, 2003), 80% of whom relapse within 90 days of discharge (Hubbard, Flynn, Craddock, & Fletcher, 2001).

Fact: Between 25% and 30% of clients who complete addiction treatment will be re-admitted to treatment within one year, 50% within 2 – 5 years (Hubbard,Marsden, Rachal, Harwood, Flynn,Craddock, & Fletcher, 2001).

Yet More and more expensive Center promising views, Chefs, 1200 thread count sheets – like that ever got anyone sober, are opening everyday taking advantage of the sick. This has got to stop and the Industry needs to take a good hard honest look at itself. Unfortunately the only organization they have is NAATP and its lacks any power, not even one Lobbyist in Washington to help get better Insurance coverage for Patients – where do all the dues go – they throw a pretty expensive and fancy shindig every year. Huh !

I’m not saying the Industry as a whole is flawed, but a good chunk is and it is time someone stands up and speaks their mind and holds the Industry accountable. We say we are out to help people, but the all mighty dollar comes first most of the time.

It’s a shame because we really could be helping people without having to change much or many people. But it seems like no one cares – just look at the awful comments that have been said already about this poor (not in the sense of the actual word) you man that openly spoke about his Disease. Yes his Brain Disease – this is not a pull your socks up thing and I am sorry AA, and I am an active member, is so watered down that it is not enough on it’s own for Treatment Centers to rely on after they have taken all your money. There are good Treatment Programs out there and Places like 1st Step Interventions can help you find them. Be careful where you send your love one.

Addiction is a Chronic Disease and we need to overhaul The Treatment Industry to Finally Address it

**Like other chronic medical illnesses, substance use disorders have biological, social and behavioral components; and effective management of the disease requires attention to each of these pieces (similar to Type-II Diabetes).

**A recent call from a family member of a patient illustrates just how bad the situation is. This call was from a very senior level executive at a prestigious medical school, asking for advice on how to help his 26 year old son who has a serious heroin addiction. The son had been through five residential treatment programs over the past several years, at a cost to the family of over $150,000. In this case, he was literally too ashamed to contact one of his own organization’s physicians.  This extraordinary degree of stigma and sense of isolation that families still experience is unjustified and incapacitating. The second thing that troubles me about this interaction is that although his son had been to five residential treatment programs, he was unaware that there were any FDA-approved medications for the treatment of opioid dependence. No treatment program had informed him or his son about these treatments, even in the face of repeated, potentially deadly relapses. This is not simply inappropriate – it is unethical.

**It is time and it is possible for individuals with emerging substance use disorders to have all available medical facts associated with the progression of addictive disease; to receive full disclosure and information about all evidence-based treatment options for their condition; and to have full access to all evidence-based therapies, medications and services. I am hopeful that the Affordable Care Act and the Parity Legislation together will create basic fairness for individuals and families affected by the disease of addiction. But if those landmark pieces of legislation are not enough, it will be time to stand together to demand the already available health benefits for the prevention and treatment of substance use.

Treatment has boxed itself into a corner. Centers have created a myth that if you send your loved one to us they will be fixed. Therefore, they charge astronomical fees essentially zapping a Families resources and then give us recovery rates as bad as only 15% getting well (number vary, but the “real” norm amongst honest Industry Therapists and Executives is between 10% & 20% don’t relapse after Treatment). If we made tires and 8 out of 10 failed new we would be out of business. It is also time to stop blaming the diseased individual and say “they were not ready” or “They didn’t do the work”. Programs need to step up to the plate and start realizing that what Treatment does is 4 things.

  • Detox
  • Stabilization
  • Hopefully open the Patient to the notion and ability to speak about themselves in an honest fashion without wearing a mask.
  • Provide a long-term Continuing Care Plan that includes Addiction Care Management.

Treatment Centers needs to lower their costs so that Families have the funds to afford other resources that are necessary for long-term recovery. Things like a Addiction Care Specialist that can assist in keeping all the pieces moving forward, provide accountability that the Addict is following through, bring in other resources such as Therapists, financial planners, Marriage Counselors etc.. as needed over the long haul.

Addiction is a Chronic Illness and like other Chronic Illnesses, like my 11 year old niece – diagnosed with Type I Diabetes since 4, there are multiple interactions with Professionals over time (it has been 7 years for her) to make sure she is accountable, the course of Treatment is working, her Parents are getting support and as she gets older she is educated more and more on what she needs to know. This is no different than the Model that needs to be developed for the Treatment of Addiction. It is already there for Diabetes and other Chronic Illnesses, all we have to do is take what works and leave the rest.

Addiction Care Management   www.addictioncaremanagement.comis a step in the right direction but more needs to be done by Centers who need to take their heads out of the sand and see what is traditionally the way of doing things is not working. A Continuing Care Plan where you hands a Patient an AA Schedule, tell them to do 90 meetings in 90 days, get a Sponsor, work the steps, Help others, Trust god and maybe get a Therapist with no other help is archaic and a broken model.

**Treating addiction as a chronic disease – how do we get from here to there? July 2, 2013 by A. Thomas McLellan – Addiction Professional Magazine