Addiction Treatment Funding Cuts

woman taking post-surgery pain medication

In the wake of an opioid addiction epidemic more Americans than ever see the value of use disorder treatment. It doesn’t matter where you come from, the color of your skin, or your socio-economic standing — survival is contingent upon getting help. When people can’t access addiction treatment they remain in a vicious cycle; substance use disorder has the power to cut one’s life short. This is why we need to make sure our los angeles addiction treatment centres are properly funded!

When taking addiction into consideration, it’s easy to think that the problems in the U.S. are unique. It’s an opioid addiction epidemic, after all, not a pandemic. However, alcohol and substance use disorder is a severe problem in other parts of the western world. Many countries face obstacles similar to our own regarding getting people the help they need.

Addiction is deadly. Treating such conditions usually comes at a steep price; a bill that in many cases falls on the Federal and state governments to foot. Logically: Investing money into addiction treatment service saves lives. The data overwhelmingly supports the above conclusion; something that the United Kingdom had to learn the hard way.

Cutting Addiction Treatment Funding

In recent history, countries in the western world have been forced to address opioid use disorder. Again, the U.S. may have the most severe problem with such drugs, but others have been affected as well. While it’s hard to compare our staggering overdose deaths rates to other countries, any number of deaths is not right, and precautions should be taken to mitigate.

The U.K. has witnessed a trend from which we can all learn something — funding addiction treatment is a must. Wherever funding for addiction treatment gets cut, more people die from an overdose in England, The Guardian reports. Areas with heightened mortality rates directly correlate with treatment spending reductions.

In 2016, there were 3,744 overdose deaths compared with 2,640 a decade ago. That may not seem like much when compared to the 64,000 overdose deaths in America U.S. last year. Those were 3,744 mothers and fathers, and they were somebody’s children. Directing the necessary funds toward addiction treatment might have prevented some of those deaths.

“Funding cuts are reducing the ability of drug treatment services to reduce the risk of death among people using heroin,” said Alex Stevens, criminal justice professor at the University of Kent. “The government is fully aware that drug-related deaths are highest in the places with the highest levels of deprivation and that they are cutting budgets the deepest in areas with deepest deprivation.”

Treatment Is Worth the Investment

When it comes to addressing addiction, treatment is the most effective way to prevent future overdose events. Life in recovery is possible, but without help, it is challenging to break the cycle of addiction. The United Kingdom is not alone, here at home public addiction treatment services require much more significant investment than currently exists.

If you or a loved one is in need of addiction treatment, please contact 10 Acre Ranch. Our affordable program is for men who are ready to take specific steps for a better life. We can help make your recovery a reality.

Addiction Treatment Recovery Vaccine

heroin vaccine spoon and syringe

At the beginning of the summer we discussed a topic of the utmost importance regarding addiction. A vaccine for heroin and other opioids. A drug that could influence one’s immune system to keep opioids from passing the blood-brain barrier. Effectively removing one’s ability to get high or overdose on an opioid. If you are thinking that this all sounds like science fiction, you would only be half wrong.

In fact, using animal models scientists have been able to accomplish the aforementioned task. But, given that, there are several other phases of research needed before such a drug could go to market. Specifically, human trials are needed to bear fruit before the U.S. Food and Drug Administration (FDA) will give its approval. A requirement that could be a long way from fulfillment. So, how close are way to seeing a vaccine for deadly drugs like heroin and fentanyl? The answer to that depends on who you ask.

Health and Human Services (HHS) vs Reality

With 142 Americans succumbing to opioid overdose every day, there has never been a greater need for a vaccine. While such a drug would not cure addiction, it could have a salient effect on overdose rates. Earlier this week, HHS Secretary Tom Price talked at a press briefing about the potential for an opioid vaccine, stating:

“The numbers are absolutely daunting — 52,000 overdose deaths in 2015; 33,000 of those approximately related to opioids. The numbers in 2016 are no better, and the numbers in 2017 are even worse than 2016,” Price said. “One of the exciting things that they’re [The National Institutes of Health -NIH] actually working on is a vaccine for addiction, which is an incredibly exciting prospect.”

Please take a moment to watch a short video of the press briefing:

If you are having trouble watching, please click here.

Unfortunately, Dr. Price’s optimism may be premature. There are three more phases of trials needed before an opioid vaccine could hit the market, CNN reports. A requirement that could go on for several years. If the opioid addiction epidemic has showed us anything, it’s that time is not on our side. Many more Americans with untreated opioid use disorder will perish before such a drug is available. Assuming it makes it through human trials.

“It’s a long process, and it takes years,” said Dr. Ivan Montoya, acting director of the Division of Therapeutics and Medical Consequences at the National Institute on Drug Abuse. “Sometimes, the translation from animals is not necessarily the same in humans.”

Addiction Treatment Recovery Vaccine

Addiction recovery is not a cure for this most serious illness. However, those who utilize the various programs of recovery protect themselves from relapse. It is not a guarantee, to be sure. Although, in a way, going to treatment and working a program of recovery is an antibody for preventing recidivism. Working a program can be considered a vaccine, but its effectiveness depends on the individual. Their ability to stay honest, willing and able to practice the principles of recovery in all their affairs. Day in, day out.

It is hard to say if the opioid vaccine will ever become a reality. In the meantime, those looking to save their life must turn to recovery. It is their best shot of breaking the cycle of addiction and avoiding fatal overdoses. If you are in the grips of opioid use disorder, please contact 10 Acre Ranch today.

Prescription Opioids: Reducing Pain Patient Use

Bottles of prescription medicine opioids

As long as doctors continue to prescribe opioids, certain patients will be in need of addiction treatment. That is a fact. Prescription opioids, or opioids of any kind for that matter, are addictive. While not everyone who takes opioids will fall into the cycle of addiction, the odds are extremely high. Millions of Americans have found that out the hard way, just by going to a doctor and complaining of pain.

Scientists and researchers continue to work hard to find opioid alternatives. Or find ways to make opioids less addictive. But, in the meantime opioids will continue to be prescribed to most people experiencing moderate to severe pain. Which is why it is so important that physicians and medical practices do everything in their power to mitigate the risks of patient addiction. Such as:

  • Only prescribing opioids when it is absolutely necessary.
  • Screening patients for a history of addiction and utilizing prescription drug monitoring programs.
  • Prescribing in low doses and mild strengths.
  • Limiting the number of refills.
  • Drug testing patients to ensure the drugs are actually being taken, and not diverted.

Everything listed above may seem like common sense. But, as a matter fact, many doctors have been resistant to being told how to prescribe. Or being instructed on how to care for their patients. This is the case, even though most physicians lack training in addiction, or spotting the signs of it. Hubris, perhaps. With so many patients succumbing to overdose, the aforementioned suggestions can’t be ignored. And fortunately, some doctors have been receptive to prescribing guidelines that could save lives. Managing to reduce the amount of opioids their patients are taking, potentially saving lives.

TOPCARE Model for Opioids

A study conducted by researchers at Boston Medical Center’s Grayken Center for Addiction Medicine showed that reducing prescription opioid use among patients significantly was possible. Using the Transforming Opioid Prescribing in Primary Care model, doctors were able to reduce patient opioid use by 40 percent, according to the research published in JAMA Internal Medicine.

The TOPCARE model involves a nurse care manager who oversees chronic pain patients’ treatment plans. Ensuring that patient monitoring occurs, assisting prescribers and coordinating opioid educational sessions for doctors.

“The TOPCARE model was so effective in lowering opioid use that two of the study sites hired nurse care managers to continue the intervention and expand services to their primary care providers. Future research should look at data from state prescription drug monitoring programs and data on other substance use to get a more comprehensive view of how patients are using opioids,” said Karen E Lasser, MD, MPH, co-principal investigator of the study.

Opioid Addiction Treatment

While TOPCARE monitoring may help to limit the number of new opioid addicts, it does little to reverse patient addiction. Primary care physicians and nurse care managers must do everything in their power to spot signs of addiction in their patients. By doing so, they can intervene and refer patients to addiction treatment services in their area.

Getting addicted to opioids is easy, breaking the cycle of addiction usually requires help. If you have become addicted to your pain medication, please contact 10 Acre Ranch. We specialize in the treatment of opioid use disorders. The longer one puts off treatment, the worse the condition will get. Along with an increased risk of overdose.

Opioid Addiction Epidemic Apologia

10-Acre-Ranch-treatment-photo-of-bottle-of-oxycodone

We have written about opioid use in the past, and for good reason. We are in the grips of a serious epidemic linked to reckless overprescribing of opioid painkillers, like OxyContin (oxycodone) and Vicodin (hydrocodone). Just two painkillers of several that have had a hand in cutting short the lives of Americans from every demographic.

Our reliance on opioid painkillers is a complex story, and like most interesting stories worth reading about, this one is filled with some unsavory characters, both individuals and entire companies, as well as deceit. With well over 2 million prescription opioid addicts and upwards of a half-a-million heroin users, there is definitely cause for concern and a demand for accountability in this narrative. But first, let’s go back to where America’s reliance on opioids began.

The Roots of Our Addiction Epidemic

If you are like most Americans, including many who work in the field of addiction medicine, then you are probably wondering how this epidemic began. You are likely aware that drugs like morphine and heroin have been around for a long time. What’s more, you know that people have been abusing drugs in the opioid family for a very long time, but you may be saying to yourself that what we are seeing today is a far cry from abuse seen in the past.

American doctors were directly responsible for prescribing opioid painkillers for all things pain. But that was not always the case. Two scores ago, American doctors were hesitant to prescribe opioids to patients, except in cases of trauma, surgery or cancer. Then one day, seemingly, caution was thrown out the window by most doctors. Leading to Americans consuming the clear majority of all prescription opioids on the planet. When tracing the path to where the change originated, look no further than the New England Journal of Medicine (NEJM). Often considered the most prestigious peer-reviewed medical journal.

In 1980, when the nation was in the grips of a cocaine epidemic, few people were thinking about opioid use disorder. So, when Dr. Hershel Jick, a drug specialist at Boston University Medical Center—at that time a graduate student—sent a letter to the NEJM about prescription opioids most people did not think much of it. The Journal chose to publish the letter, a paragraph worth of words that would result (over time) in a staggering death toll and troubling opioid addiction rates. The drug specialist said this week:

“I’m essentially mortified that that letter to the editor was used as an excuse to do what these drug companies did,” Jick told The Associated Press. “They used this letter to spread the word that these drugs were not very addictive.”

Publishing Deadly Words Leads to Clarification

Dr. Jick wrote that out of almost 40,000 patients given prescription opioids at a hospital in Boston, only four cases of addiction were documented, CBS News reports. The letter said that it was rare for people who had no history of addiction to become dependent on opioids. Doctors, for whatever reason, took those words as absolute fact. And pharmaceutical companies with bottom lines in mind, helped disseminate the letter. Now, four decades later, here we find ourselves.

A team of researchers in Canada conducted an analysis, and found that the letter has been cited more than 600 times, according to the article. In many cases, people citing the letter failed to mention that the patients referred to in the letter were hospital patients, not outpatient or people being treated for chronic pain taking prescriptions home.

“It’s difficult to overstate the role of this letter,” said Dr. David Juurlink of the University of Toronto, who led the study. “It was the key bit of literature that helped the opiate manufacturers convince front-line doctors that addiction is not a concern.”

Finally, 40 years later, and realizing the damage that publishing Jick’s letter had on the American public and generations to come, the NEJM published an editor’s note this week, the article reports. The note states:

“For reasons of public health, readers should be aware that this letter has been ‘heavily and uncritically cited’ as evidence that addiction is rare with opioid therapy,” writes Dr. Jeffrey Drazen, the Journal’s top-editor. “People have used the letter to suggest that you’re not going to get addicted to opioids if you get them in a hospital setting. We know that not to be true.”

Treating Opioid Addiction

If you are abusing prescription opioids and/or heroin, please contact 10 Acre Ranch, today. Time is of the essence, we do not need to tell the risks of prolonging treatment any longer. Roughly a hundred people die of an overdose every day.