Macro Problem
The criminal justice system and government have too harsh of penalties related to drug possession and drug related crime. We have made substance abuse a crime instead of treating it as a disease, thus creating overcrowding in prisons, unemployment rate increases, increase in welfare recipients, and many other social issues. We do not spend enough money on treatment programs so many of addicts are housed in jail and prison. This issue impacts my client, Amber, because she was in much greater need of substance abuse treatment than jail time. If she had an opportunity to address her mental health issues when she first entered the criminal justice system, she may have stopped illegal activity, sought treatment for her addiction and changed her trajectory.
Intervention
Implementing a program that offers comprehensive mental health assessments in jail that include: case management by a social worker, treatment plans and goals, Long-term substance abuse rehabilitation, and aftercare. This intervention will occur on a state level.
Context
Substance use and misuse has been a societal problem for centuries. Kentucky, specifically has struggled with prescription drug abuse over the last 20 years, and “Kentucky has the highest rates of illicit opioid use than the nation for all age groups” (REACH of Louisville, 2011, p. 4) not to mention the “highest drug overdose death rates in the country, at 17.9 per 100,000 people; ranking sixth highest in the nation” (Cordini,
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).
Many people may not realize this but multiple states, including Michigan, are facing an epidemic. It is not a disease, however, it is a heroin epidemic. In a country where addictive opioid pain-killer prescriptions are handed out like candy, it not surprising heroin, also known as smack or thunder, has become a serious problem. The current heroin epidemic Michigan is facing, as are dozens of other states, has spiraled out of control in recent years. In Michigan, some of the areas hit hardest by this drug are in the southern portion of the state, like Wayne, Oakland, and Monroe Counties. The connection between painkillers and heroin may not be clear, but this is because both are classified as opioid drugs, and therefore cause many of the same positive and negative side effects. As a country, we are currently the largest consumer of opioids in the world; almost the entire world supply of hydrocodone (the opioid in Vicodin) and 81% of the world’s oxycodone (in Percocet and OxyContin) is used by the United States (Volkow). Along with consuming most of the world’s most common opioids, we have gone from 76 million of these prescriptions in 1991 to 207 million in 2013 – constantly increasing except for a small decrease starting in 2012 (Volkow). This widespread use has caused numerous consequences from increasing emergency room visits – for both painkillers and heroin – to sky-rocking overdose cases all over the country (Volkow). Michigan, unfortunately, currently has one of the
The rate of death due to prescription drug abuse in the U.S. has escalated 313 percent over the past decade. According to the Congressional Quarterly Transcription’s article "Rep. Joe Pitt Holds a Hearing on Prescription Drug Abuse," opioid prescription drugs were involved in 16,650 overdose-caused deaths in 2010, accounting for more deaths than from overdoses of heroin and cocaine. Prescribed drugs or painkillers sometimes "condemn a patient to lifelong addiction," according to Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention. This problem not only affects the lives of those who overdose but it affects the communities as well due to the convenience of being able to find these items in drug stores and such.
If you watch the news it should come as no surprise that drug abuse and overdoses have increased dramatically in the United States. According to the National Institute on Drug Abuse, as many as 36 million people abuse opioids throughout the world with 2.1 million in the U.S. who currently suffer from opioid abuse disorders (National Institute on Drug Abuse, 2014). These astonishing numbers are only marginalized when comparing them to opioid related deaths in the United States. With an increase of 137 percent since 2000, deaths from drug overdoses now occur 1.5 times more often than deaths from motor vehicle accidents (Rudd Aleshire, Zibbell & Gladden, 2016). The opioid epidemic in the
Schuckit, M. A. (1992). Advances in understanding the vulnerability to alcoholism. In C.P. O’Brien & J. H. Jaffe (Eds.). Addiction states (pp.93-108). New York: Raven Press
Nonmedical Prescription-Opioid abuse in the United States and Michigan has continued to rise, and with it, the devastating results that accompany it. Research has shown that increased opioid abuse leads to an increase in overdose and death, increases in crime and increased incidences of costly blood borne diseases like HIV, AIDS and Hepatitis. It also leads to increased societal costs, such as an increasing number of children in foster care and increased healthcare, workplace and criminal justice costs that can decimate communities and local budgets. Many communities were caught with their heads in the sand, as they were overwhelmed by the influx of prescription opioids into their communities. When policies were finally implemented to curb the amount of prescription opioids in their communities, rates of heroin use (also an opioid) began to skyrocket and people began realizing they had an opioid epidemic on their hands. How to combat this heroin epidemic has been the topic of many debates. This article will attempt to examine the relationship of nonmedical prescription-opioid abuse and its effects on heroin use.
There is a debate in the American government system on how to handle the use of drug and alcohol. In the 1960s drugs were uprising along with youth rebellion and in 1971 Nixon declared a “War on Drugs” (Citation a brief). This name is not to be confused with the band War on Drugs, but the term is still popularly used to describe the policies that Government officials are making regarding drugs and alcohol. This debate got reheated when Colorado legalized weed for medical and recreational use, followed by several other states. There has slowly been a shift in mindset from, “alcoholics are drug addicts are all criminals and we (the law) should throw them in jail” to “addiction is a disease.” Even the way that addicts/alcoholics are treated has changed to treatment centers with specialist versus throwing them in the hospital to detox and hoping for a change. Policies that are shifting the penalty from incarceration to treatment reflect these changes and help the individual suffering from the disease to get back on their feet. The war on drugs rings on, but changes are being made.
Those incarcerated today are not given the chance to change their behavior patterns, especially when it is in regard to drug addiction. The criminal justice system in general does not consider drug abuse as anything but a crime and does not think about treating the disease of addiction in order to reduce or eliminate the crimes that come as a
Scientific research shows that treatment can help many drug using offenders change their attitudes, beliefs, and behaviors; avoid relapse; and successfully remove themselves from a life of substance use and crime. Treatment can cut drug use in half, decrease criminal activity, and reduce arrests. It is true that legal pressure might be needed to get a person into treatment and help them stay there. Once in a treatment program, however, even those who are not initially motivated to change can become engaged in a continuing treatment process. In fact, research suggests that mandated treatment can be just as effective as voluntary admission to rehab centers.
One of the most profound problems that plagues our society is drug addiction. With drug addiction comes those who offend and have run-ins with the law. Our country deals with these drug-addicted offenders by placing them in jails for a year or longer, only to have them come back out to society when their sentence is over. They are still drug-addicts and so they return to the street only to commit yet another crime. From here the cycle of crime, arrest, jail, and return to society continues, solving absolutely nothing. Therefore, placing drug-addicted offenders in jails fails to confront the major problem at hand which is that of the drug abuse. If drug-addicted offenders were placed in drug treatment centers instead of being incarcerated,
Substance abuse and addiction have become a social problem that afflicts millions of individuals and disrupts the lives of their families and friends. Just one example reveals the extent of the problem: in the United States each year, more women and men die of smoking related lung cancer than of colon, breast and prostate cancers combined (Kola & Kruszynski, 2010). In addition to the personal impact of so much illness and early death, there are dire social costs: huge expenses for medical and social services; millions of hours lost in the workplace; elevated rates of crime associated with illicit drugs; and scores of children who are damaged by their parents’ substance abuse behavior (Lee, 2010). This paper will look at
Drug use in America is one of the major issues we face and the problem has skyrocketed over the past three decades. Heroin and painkiller addictions exceed all other countries. It is important that we address some of the causes that lead to the abuse, how to treat the abuse, and how to prevent the distribution of illegal prescription drugs.
Drugs are a huge problem in the US there are hundreds of people currently addicted to drugs in some states alone and we are trying to solve this problem and whenever a drug addict is caught they are usually sent to prison, tons of people sent to prison when it's not even the best option. Currently, people are completely unaware that rehab is a much better option than prison for drug offenders because it is both economically superior and helps addicts reintegrate into society.
Since 2000, the drug use rate in America has risen to the highest it’s ever been. In a survey done in 2009, 8.7 percent of people age 12 and up said that they used illegal substances within a month of taking the survey, a 9 percent increase since 2008 (Abuse, National Institute on Drug, 2010). This statistic alone is very concerning due to
It’s easy to lose track of the chaos that happens in the world on a day to day basis when your main priority is deciding what to eat for lunch tomorrow, or even dreading your next shift; yet we can turn on the news and hear about the most recent overdose and not even blink an eye. The blatant disregard for drug addicts today is at an ultimate high. In the past two years alone, more people have died from opiate addiction than they have in the entire Vietnam War. The fact that drug users are seen as lower class members of society as only aided in the increase of addiction and death, killing more Americans than HIV/AIDS did at its peak. Though the epidemic did not occur overnight, it has recently become one of America’s biggest health confrontations. Although there is no absolute solution, in order to decelerate the prevailing wave of usage and overdose/death, decriminalization in correlation to government funded programs could give ease to the definition of the word “epidemic”.