Drug Abuse And Opioid Epidemic Essay

The United States of America has had a war against drugs since the 37th president, Richard Nixon, declared more crimination on drug abuse in June 1971. From mid-1990s to today, a crisis challenges the health department and government on opioid regulation, as millions of Americans die due overdoses of painkillers. Opioids are substances used as painkillers, and they range from prescription medications to the illegal drug, heroin. Abusing these substances can cause a dependency or addiction, which can lead to overdoses, physical damages, emotional trauma, and death. To ease the crisis, physicians are asked to depend on alternatives to pain management. Law enforcement cracks down on profiting drug-dealers and heroin abusers. People are warned against misusing opioids. The controversy begins for those who suffer from chronic pain, because they depend on opioids. There’s so a correlation to the 1980s cocaine epidemic, and people are upset over racial discrimination. Nonetheless, the best way to avoid this crisis is to recover the people at risk, reduce inappropriate opioid description, and have a proper response.

Thesis Statement: Opioid abuse is an ongoing issue with regards to pain management in physical therapy for patients, finding balance when prescribing narcotic medications is a role of both the patient and physician. APA Format Beattie, Paul F., Silfies, Sheri P., & Jordon, Max. (2016). The evolving role of physical therapists in the long-term management of chronic low back pain: longitudinal care using assisted self-management strategies. Brazilian Journal of Physical Therapy, 20(6), 580-591. Epub June 30, 2016.https://dx.doi.org/10.1590/bjpt-rbf.2014.0180

The source describes the opioid overdose epidemic across the U.S. as a significant issue possibly deriving from economic stress, social isolation, and over-prescribing pain relievers. Action must be taken to help and prevent dependency on opioids in order to stop this rapid rate of overdose throughout America. Proper education is vital for younger and elder generations to know how to prevent opioid dependency.

America is in the midst of yet another drug-related epidemic only this time it is the worst opioid overdose epidemic the world has seen since the late 1990’s. According to the Center for Disease Control and Prevention (CDC 2016), “since 1999, the number of overdose deaths involving opioids has quadrupled.” Opioids (including prescription opioids and heroin) killed more than 33,000 people in 2015, more than any year on record. (Rudd, Seth, David, School, 2015). With overdoses from heroin, prescription drugs, and opioid pain relievers surpassing car accidents as the leading cause of injury-related death in America, it became clear that swift and comprehensive legislation was needed for treatment, recovery support and prevention education in communities

Depending on the source, some would term the heroin and opioid problem in the United States a crisis, while others would use the word epidemic. Regardless of which expression is more accurate, the situation regarding heroin and opioid use, abuse and dependence has ignited national, if not global concern. History shows us that pervasive dilemmas have a tendency to cultivate a variety of intervention and the heroin and opioid crisis is no different.

Tennessee is one of the states hit hardest by the nation’s opioid epidemic which began about 20 years ago and had a stark increase since 2009, now reaching unprecedented levels across the county with a 200% increase in the rate of deaths involving opioids (Rudd, Aleshire, Zibbell, & Gladden, 2016; Fletcher, 2016). In Tennessee specifically, it is estimated that about 1 in 6 abuse opioids; the CDC estimates that for every one person who dies from an opioid overdose in Tennessee there are 851 others in the state who are in various stages of their abuse, misuse, and treatment; and the most recent statistics show that opioid overdoses alone make up about 7.7% of deaths in Tennessee, making them responsible for more deaths than car accidents in the state (Botticelli, 2016; Rudd, Aleshire, Zibbell, & Gladden, 2016; Fletcher, 2016; ONDCP, 2016; Thompson, 2016).

Opioid use in the US has increased over the years, and this has led to an increase in substance abuse. Substance abuse is not only associated with use of illicit drugs but also prescription drugs. In 2015, of the 20.5 million reported cases of substance abuse, 2 million had an abuse disorder related to prescription pain relievers and 591,000 associated with heroin.1 The increase in substance abuse disorder has led to an increase in opioid related death. In 2015 drug overdose was the leading cause of accidental death in the US with 52, 404 lethal drug overdoses.2

The United States currently faces an unprecedented epidemic of opioid addiction. This includes painkillers, heroin, and other drugs made from the same base chemical. In the couple of years, approximately one out of twenty Americans reported misuse or abuse of prescriptions painkillers. Heroin abuse and overdoses are on the rise and are the leading cause of injury deaths, surpassing car accidents and gun shots. The current problem differs from the opioid addiction outbreaks of the past in that it is also predominant in the middle and affluent classes. Ultimately, anyone can be fighting a battle with addiction and it is important for family members and loved ones to know the signs. The cause for this epidemic is that the current spike of opioid abuse can be traced to two decades of increased prescription rates for painkillers by well-meaning physicians.

An estimated 22 million Americans are dependent on or abusing drugs or alcohol, at huge costs to society. Deaths from overdoses due to heroin and other opioids, including the prescription painkillers. U.S. Attorney General Eric Holder has called a “public health crisis.” (par #1) But some scientist and clinics are calling it a genetic problem or an addiction.

In the current health trends, complimentary alternative medicine has been used to control musculoskeletal pain such as back and neck pain, joint pain and arthritis. The Department of Veteran Affairs has been exploring different alternatives for the veterans with controlling noncancerous chronic pain versus the frequent use of opioids drugs. Complimentary alternative medicine practices have become more apparent and useful within the healthcare system. First, this paper will discuss the significance of complimentary alternative medicines among the veterans with chronic pain. Secondly, there will be a discussion of the three themes identified in the literature review. Thirdly, there will be a discussion with the synthesis on two

Various levels of governments in different communities across North America have initiated programs to deal with the opioid epidemic and its effect. Some of these initiatives will be examined in more details below.

Opioid drugs are some of the most widespread pain medications that we have in this country; indeed, the fact is that opioid analgesic prescriptions have increased by over 300% from 1999 to 2010 (Mitch 989). Consequently, the number of deaths from overdose increased from 4000 to 16,600 a year in the same time frame (Mitch 989). This fact becomes even more frightening when you think about today; the annual number of fatal drug overdoses in the Unites States now surpasses that of motor vehicle deaths (Alexander 1865). Even worse, overdose deaths caused by opioids specifically exceed those attributed to both cocaine and heroin combined (Alexander 1865).

In America, the use of opioids is at an all time high, it has became such an issue nationwide, that it has became an epidemic. Because of the opioid epidemic, America is tearing apart, children all across the country are dying everyday, these children are dying from overdoses due to poisoning. The opioid problem is not just because of a person's decision to pick up a needle or a pill bottle, but it is because in the 1990’s doctors gave up on trying to treat patients for their overwhelming pain and discomfort, causing opioids to become over prescribed. Due to the carelessness of America, opioids are being distributed more and more everyday, causing the skyrocketing number of deaths.

In the last two decades, opioid addiction started affecting more and more Americans. But who is at fault for this epidemic? The pharmaceutical companies. They make and distribute their drugs to doctors and pharmacies and are making billions off the American worker’s dollar. All while, lying to doctors about these miracle drugs effectiveness and advocating against protective measures for the drugs.

The United States is not immune to the worldwide drug addiction epidemic. Drugs pour in from Mexico daily, then distributed to throughout the country. The economic crisis in America is creating an excuse for drug use (e.g., depression, hopelessness). This chemical fix not only creates problems for the addict, but the family and community as well. Every addict has an enabler, a person who makes the addiction possible through various venues of support (e.g., financial, denial). Addicts are only concerned with their next fix and will resort to any means to obtain it (e.g., theft, prostitution, pan-handling). Some have even resorted to extremely desperate measures; for example, murder for inheritance or life insurance proceeds.