The 2018 Opioid Bill

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The United States Congress reconciled both House and Senate opioid bills aimed at reducing the deadly toll of the nation’s top health care crisis: the opioid epidemic.

In the SUPPORT For Patients and Communities Act, Republican and Democrat lawmakers came to a rare agreement between both parties. The drug overdose epidemic claimed 72,000 lives in 2017 alone and roughly two thirds of those deaths were from prescription and non-prescription opioids. The bill will now head to the Senate as the House of Representatives almost unanimously passed the bill in a rare, 393-8 vote. President Trump is expected to sign this legislation into law before the midterm elections.  This is a fairly large bill, that will cost the US billions of dollars but many argue that the bill doesn’t do enough to address the nation’s greatest public health issue. Senator Elizabeth Warren has proposed a bill that would cost the US tax payer $100 billion over the next 10 years, as she argues this is what is really necessary to fully address the opioid crisis.

The SUPPORT for Patients and Communities Act takes a wide approach to the opioid epidemic from law enforcement, treatment and public health care measures.

We will talk about some of the major policy changes in the bill and the full-text of the bill is available here.

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The 2018 SUPPORT for Patients and Communities Act was passed by United States Congress and signed into law by President Trump.

One of the greatest achievements of the new bill is a provision to allow Medicaid recipients to seek care at addiction treatment centers. The restrictions on Medicaid funding for substance abuse treatment had been long outdated and congress finally addressed this problem. Allowing Medicaid to help fund up to 30 days of inpatient rehab stays, including medication-assisted treatment (MAT) is going to help a lot of people get the help they desperately need. The bill authorizes a grant program through the Substance Abuse and Mental Health Services Administration (SAMHSA) to help communities develop opioid recovery centers. While the bill does address the lack of funding for increased access to treatment programs, many addiction specialists argue the bill does not do enough in this regard. While noting that the bill is not itself bad as it does a lot to address a multitude of issues, it is severely lacking on access to treatment, which many believe is the most important technique that could help solve the opioid crisis.

Another provision in the bill lifts restrictions on medications used to treat opioid use disorder and other types of addiction. This measure simply allows more medical practitioners to prescribe medications such as buprenorphine, used to help ease withdrawal symptoms in addiction recovery. As it stands today only 5 percent of doctors are licensed to prescribe this life-saving drug. Another medication, naloxone was addressed in this bill. One provision allows first responders greater access to the life-saving opioid antagonist which can reverse the effects of an opioid overdose.

The major law enforcement provision of the SUPPORT Act is aimed at the trafficking of drugs through the postal system. Fentanyl that is illegally imported from Mexico and China has been blamed for many of the opioid-related deaths in recent years. One package seized in Philadelphia last June contained 110 pounds of fentanyl, valued at $1.7 billion dollars. This was estimated to be enough of the dangerous substance to kill the entire population of the state of Pennsylvania two times over. Fentanyl is 50 times more potent than heroin, so it is easy to smuggle large amounts of the substance through the mail system. This bill makes it harder for people to sneak illicit substances into the US from abroad. The bill will require packages coming in from foreign countries to reveal their contents and where and who they’re coming from. While the bill is broadly aimed at targeting illicit drug suppliers, it includes protection for individuals looking to import cheaper prescriptions from overseas. This was in direct opposition to pharmaceutical companies’ requests to include enforcement against importing cheaper prescriptions from other countries.

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The opioid epidemic kills nearly 200 Americans every single day.

While the SUPPORT for Patients and Communities Act does a lot to fight the opioid epidemic, there is still a lot of work to be done in the near future. The bill even authorizes research into opioid alternatives to pain management and penalizes drug manufacturers and distributors for overprescribing. A lot more could have been done to address the root causes of addiction and it should have offered greater access to outpatient treatment programs. However, while a lot of divisive partisan issues like funding were ignored in the bill, the Democrats and Republicans agreed on a lot of ‘second-tier’ issues that will definitely help save lives. Given the extreme divisiveness in American politics in the Trump era, this is a small political victory.  Thankfully, everyone finally seems to want to work together in fighting this urgent national health crisis.

Alcohol Use Disorder Treatment, Not Jail

Young man with beard, lost in the vices of alcoholism, smoking and drug addiction

If you are an alcoholic or are in recovery from alcohol use disorder, you are probably familiar with the “drunk tank.” For those of you who are not familiar with a cold cell at 3 AM, we’ll take a moment to explain. Drinking alcohol is not illegal in any amount; however, drinking too much alcohol in public and behind the wheel is a threat to personal and public safety. When a person who has over-imbibed comes face-to-face with the Law, the net result is usually a stay in the drunk tank. Drunk people go into holding cells at police stations until they sober up, the definition of sober varies by state and country.

In the field of addiction medicine, naturally we are averse to imprisonment for substance use of any kind. If you drive drunk, it makes sense that you do some time in jail to stress the point that you put your life and the lives of others at risk. Heavy fines usually help in cementing the point in one’s skull, but more times than not drunk drivers are repeat offenders—especially alcoholics. Hopefully, one’s DUI ends up being the catalyst that brings about change and lasting recovery; for that to occur, treatment is the best course.

Setting aside DUIs, those who drink too much and find themselves behind bars have the opportunity to sober up and reflect on making better decisions in the future. However, the drunk tank isn’t necessarily the safest place to promote circumspection.

Drunk Tanks Put People At Risk

Alcohol poisoning is a frequent recurrence among heavy drinkers, a condition that can be lethal. Whenever somebody crosses a threshold based on each person’s unique factors (i.e., tolerance and body weight), they are at risk of severe health consequences. Those who do not receive medical supervision can quickly lose their lives. What’s more, the symptoms of alcohol poisoning vary from case-to-case, meaning a police officer is probably ill-equipped to spot the signs. Merely throwing someone in the drunk tank for a brief lesson in civility is a slippery slope.

Last year, Corey Rogers (41) died in a Halifax, Canada, drunk tank, CBC News reports. Rodgers’ mother decided to make it her mission to end the practice of drunk tanks, examining various policies and procedures. Jeannette Rogers’ (Corey Rogers’s mother) cause has the support of addiction recovery and street health workers.

“People who are highly intoxicated don’t belong in jail,” said Rogers, a retired psychiatric nurse.

In other parts of Canada, police bring intoxicated people to “sobering centers,” according to the article. Once there, people high on drugs can get assessments, shelter, food, and access to other services. Law enforcement should opt to release a drunk person to a sober adult or a treatment center, before resorting to drunk tanks, said Archie Kaiser, a law professor at Dalhousie University.

Alcohol Use Disorder Treatment

If alcohol use has led to legal difficulties, it’s possible that you have an alcohol use disorder. Treatment is the most efficient way of breaking the cycle of addiction and learning how to work a program of recovery. Please contact 10 Acre Ranch for a free consultation.

Alcohol Use Linked to Cancer

At 10 Acre Ranch, we treat alcohol and substance use disorder 365-days a year. We see the havoc that substance use and abuse wreaks on people’s lives and do everything in our power to give clients the tools to work a program of lasting recovery. Our team of addiction professionals must consider the unique needs of each client to ensure successful outcomes. We know that while opioids remain in the limelight, alcohol use continues to affect more people negatively.

Alcohol misuse, such as binge drinking and long-term heavy consumption, often leads to use disorders. Mental health conditions of this type have no known cure, but we can treat use disorders, and individuals can maintain a program of recovery. Our mission is to show people who have already been touched by the disease that recovery is possible. However, we would be remiss if we failed to do our part in steering young people away from behaviors that lead to lifelong health problems or cause premature death.

Addiction is not the only byproduct of an unhealthy relationship with alcohol. Research continues to reveal how alcohol can negatively impact one’s health, short of alcohol poisoning and fatal car crashes. In fact, alcohol use (even when consumed moderately) can cause a host of health problems that can easily result in premature death. Young people must be made aware of the scope and scale of dangers associated with even casual alcohol use.

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Alcohol Use Linked Cancer

The Journal of Clinical Oncology recently published a statement from the American Society of Clinical Oncology (ASCO) warning that even light alcohol use can result in cancer, The New York Times reports. The group says that women are at an increased risk of breast cancer and heavy drinkers are more likely to develop mouth, throat, voice box, liver, and colorectal cancers. This is the first time the group of cancer doctors has cited the risks of cancer associated with drinking alcohol.

The Centers for Disease Control (CDC) defines moderate drinking as having one daily drink for women and two for men, according to the article. That may not seem like much, but such people are at twice the risk of developing certain types of cancer, compared to individuals who abstain.

“The more you drink, the higher the risk,” said Dr. Clifford A. Hudis, the chief executive of ASCO. “It’s a pretty linear dose-response.”

The findings above are essential for several reasons, especially when you consider that young people don’t associate much risk with drinking from time to time. Alcohol is legal; which means teenagers and young adults believe the substance to be relatively safe. The ASCO statement could have a hand in leading to policy change one day in the future.

Alcohol Use Disorder Recovery

It’s crucial that everyone who drinks or will drink one day know the risks associated with drinking. Alcohol is a caustic substance that results in more health problems than any other drug. If you or a loved one is struggling with alcohol use disorder, the sooner a person receives treatment, the better for all concerned. The more prolonged unchecked addiction, the higher the risks to one’s health. Please contact 10 Acre Ranch, today.

Addiction Treatment After Overdose

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It’s difficult for some people to grasp the driving forces of addiction. Upon hearing of someone’s overdose, one might think that an event like that would wake someone up to reality. Ideally, an overdose would be a catalyst for seeking help, assistance in the form of addiction treatment. There are instances when an overdose is the straw that breaks the camel’s back, prompting someone to seek treatment. Sadly, some individuals experience several overdoses before coming to terms with their situation. The realization: Seek recovery or perish from the disease.

In the wake of the opioid addiction epidemic, overdose is on most people’s mind. One doesn’t need to have a history of addiction to understand the gravity of the situation. Efforts to make the lifesaving overdose reversal drug naloxone more available have spared thousands of lives. However, a cure for overdose is not an antidote for addiction.

man lying in bed hospitalized because of drug overdose

When overdose victims are not encouraged and steered toward treatment, history is bound to repeat itself. A new study makes that reality abundantly clear, nearly 10% of revived patients dying within one year of the overdose. Half of them died within one month of being treated with naloxone, Morningstar reports. The findings were presented at the annual meeting of the American College of Emergency Physicians (ACEP). The findings highlight the need for treatment after an overdose revival.

Addiction Treatment Is A Must

Some 140 Americans perish from overdose each day in the United States. Even more people are revived, and such individuals are at the pinnacle of despair. In such a state, one is more likely to see the value of recovery. The problem is that many OD survivors are not connected with addiction treatment professionals at the time. When faced with experiencing days of withdrawal sickness or using again, the latter is almost always the choice.

“Patients who survive opioid overdoses are by no means ‘out of the woods,’” says lead study author Dr. Scott Weiner. “These patients continue to be at high-risk for overdose and should be connected with additional resources such as counseling, treatment and buprenorphine.”

While addiction treatment services exist all around the country, in certain areas accessing help isn’t easy. If people can’t find a bed at a facility or have to wait, they are apt to return to using. More treatment centers are needed in rural America, where high rates of overdose per capita are occurring. The researchers shared a survey at the ACEP meeting, the findings of which were troubling:

“Virtually every emergency physician has seen firsthand the tragedy of opioid addiction,” said Paul Kivela, MD, FACEP, president of ACEP. “The consequences of this epidemic are playing out in the nation’s emergency departments. Almost all the emergency physicians responding to an ACEP poll (87 percent) reported that the number of patients seeking opioids has increased or remained the same. More than half (57 percent) said that detox and rehabilitation facilities were rare or never accessible.”

Breaking the Cycle of Addiction

Without help, the odds of overcoming opioid use disorder on one’s own are slim to none. Addiction treatment works and services should be available to people at the time of an overdose. If you or a loved one experienced an overdose recently, please contact 10 Acre Ranch immediately. We can help break the cycle of addiction and show you how a life in recovery is possible. Picking up the phone or contacting us online is the first step.

Addiction Treatment Funding Cuts

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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.

Recovery: Newcomers Learn About Fun

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When people contemplate the decision to seek addiction treatment and recovery, there are several false perceptions. Individuals have ideas in their mind about what they think recovery is, and perhaps more importantly—what it is not. Misconceptions keep people from beneficial pursuits; unfamiliarity is often a roadblock to recovery.

If much of a person’s life has been about substance use, it’s hard to imagine having a good time without drugs or alcohol. Thinking that fun is contingent upon substance use means that without drugs or alcohol there will be no enjoyment, logically. However, that is a faulty line of reasoning for the simple fact that fun can be experienced clean and sober. You only need to ask people working a program to find out that they’re not sticks-in-the-mud.

Walking into a meeting for the first time is usually an eye-opening experience. Newcomers witness the unexpected, people smiling without chemical encouragement. In the rooms, laughter is heard before, during, and after the meeting. People are happy to see one another, and plans are made to extend the socialization outside of the meeting hall. If you are new to the program, quickly you’ll come to understand that fun in recovery is more than possible. Fun in recovery is a requirement!

Enjoying the Fruits of Your Labor In Recovery

Working a program of recovery is hard work; one must engage in significant reflection, processing, and spiritual maintenance. While working the Steps with a sponsor one has to confront aspects of one’s life that is troubling. Recovery lifts the curtain on your life revealing “your” part in the misfortunes that your disease brought you. An enormous effort to be sure, emotionally draining to the point of some newcomers leaving before the miracle happens. To put it another way, people were not ready, to be honest with themselves and others. Hopefully, such individuals find their way back to the rooms, sooner rather than later.

Newcomers who are willing to do whatever it takes to recover will learn the joy that comes with self-discovery. The process takes time, but it will be worth it, and that will become clear in short order. Along the way, you will develop lasting friendships with people who will be there when the going gets tough. Such people will be there during the rough times and, equally valuable, during the good times. When we get our house in order, we can enjoy ourselves; both inside the rooms and out. On page 132 of “The Big Book” of Alcoholics Anonymous, it states:

“But we aren’t a glum lot. If newcomers could see no joy or fun in our existence, they wouldn’t want it. We absolutely insist on enjoying life… We think cheerfulness and laughter make for usefulness. Outsiders are sometimes shocked when we burst into merriment over a seemingly tragic experience out of the past. But why shouldn’t we laugh? We have recovered, and have been given the power to help others.”

The Promise of Recovery

Every day, people around the world committed to working a program find ways to enjoy themselves in recovery. Many of those people would probably tell you that they couldn’t ever imagine having sober-fun before recovery.

Life in the Program is not without difficulty, but it’s a balanced life. Rough weather always passes, and the sunshine always returns; because we manage our problems spiritually not chemically, today. If you are ready to experience the joys that accompany a program of recovery, please contact 10 Acre Ranch. We place great emphasis on showing you that fun in recovery is possible.