Elemira Case Study

Almost half of all Americans know someone addicted to the pain pills they are prescribed to. Heather VanderSloot knows the thoughts an addict has because four years ago she was an addict.

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

Not only is the number of deaths attributed to opioid abuse staggering, the stigmas associated with opioid addiction are also concerning. Opioid addiction does not discriminate. White, black, young, old, male, female, or social-economic class – the opioid crisis is affecting our neighbors, friends, and family in large numbers.

There is no question that the alarming rate of deaths related to opioid overdose needs to be addressed in this county, but the way to solve the problem seems to remain a trial and error approach at this point. A patient is injured, undergoes surgery, experiences normal wear and tear on a hip, knee or back and has to live with that pain for the rest of their life or take a narcotic pain medication in order to improve their quality of life and at least be able to move. The above patients are what narcotic pain medications were created for, a population of people that use narcotic pain medications for fun is what is creating a problem. Narcotics are addictive to both populations, however taking the narcotic for euphoric reasons is not the intention of the prescription that the physician is writing. The healthcare system needs to find a way to continue to provide patients that experience chronic pain with the narcotics that work for them while attempting to ensure the Drug Enforcement Agency (DEA) doesn’t have to worry about a flood of pain pills hitting the streets by granting access to the population with a substance abuse problem.

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.

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

America has a major problem with opioid addicts, and many facilities are helping the addicts by providing safer options to taking the drugs their bodies crave. Methadone clinics are places where people addicted to opioids can receive medicine-based therapy. Opioid use, drugs such as heroin, morphine, and prescribed painkillers, has increased in the US with all age groups and incomes. People become addicted to these drugs when they are prescribed, recreationally used with other addicts, or they are born addicted. Many health institutions are addressing this issue with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted

People in Florida are experiencing a rapid increase in opioid use. Thousands of families will and have been affected by the epidemic including children. Opioids are prescribed medications that is used in treating pain. If not taken properly, opioids can lead to an addiction that will forever change your life. The main prescribers of opioids are medical professionals, who choose to run ‘pill mills’. While running these ‘pill mills’, professionals are getting rich and ruining the lives of many.

The opioid epidemic originally started in West Virginia and Kentucky. This epidemic quickly spread into Elkhart and St Joe counties in Indiana. Oaklawn is working to help people in these counties by providing education

In fact, there was thought to be more of a need for them. Before the last two decades, opioids were used for cancer related or acute pain. However, in the 1990s chronic non cancer patients got attention because people nationally felt there was a shortage in patients receiving opioids, thus making them deprived of adequate pain management. Because of this, clinicians were encouraged to treat chronic non-cancer pain and patients in hospice care more often than they were used to. It was also encouraged to use high doses of opioids for long periods of time (Cheatle). The idea that providers seemed overly cautious about these medications caused a large increase in opioid prescriptions from health care providers. Threat of tort and litigation for some doctors that were deemed for not prescribing enough to alleviate pain of patients was also a concern for doctors This quickly turned a shortage of prescription opioids into a national prescription opioid abuse epidemic in under twenty years. From 1999 to 2010, the amount of prescription opioids sold to hospitals, pharmacies, and doctors offices quadrupled, and three times the number of people overdosed on painkillers in this time (Garcia). While some patients have benefitted from the increased sales and loose guidelines of prescription opioid analgesics, the increasing in opioid misuse, abuse, and overdose is truly daunting. As a nation, we need to back track, and

Just this past month there was a 60 Minutes special called “Heroin in the Heartland” on the skyrocketing amounts of heroin overdoses in the area. In the past year almost half of the 2,482 drug-related deaths in Ohio have resulted from heroin overdoses (Ohio Department of Health). Heroin is the new prescription painkillers of Ohio as it’s mass quantities and cheap price have beat out the other hard-hitting drugs. Attorney General of Ohio Mike DeWine says heroin can be found in any county of Ohio currently. The northern counties of the state are where the most overdoses, dealings, and devastations of this drug are occurring. “Today heroin overdoses take the lives of at least 23 people in Ohio every week. We were told many other heroin deaths go unreported,” (Bill Whitaker, Heroin in the Heartland clip). The statistics are staggering. Ohio has taken notice and has formulated the Heroin and Opioid Epidemic Northeast Ohio Community Action Plan.

The Opioid Crisis has grown tremendously throughout the years, the number of opioid prescriptions dispensed by doctors steadily increased from 112 million prescriptions in 1992 to a peak of 282 million in 2012, according to the market research firm IMS Health. The number of prescriptions dispensed has since declined, falling to 236 million in 2016.(CNN, Opioid Crisis Fun Facts, 2018, P6.). In 2016 there was 63,600 overdoses and 42,249 came from opioids, these drugs are getting easier to buy off the streets, so more people buy them because they are cheaper than some but get you the same high that they want from the other drugs. People get prescription drugs from either stealing them, or other people sell them to them, or they can even get them from their family, but they end up selling

As a public health detailer, I have detailed providers and medical staff on the danger of prescribing opioids in Staten Island, Bronx and Brooklyn for the New York City Department of Health & Mental Hygiene. This opportunity has been very rewarding. The ability to educate the medical community which in returns helps have a hand in controlling and possibility ending the opioid epidemic in New York

Elonic had gone on to Facebook and posted rap lyrics with violent language and imagery concerning his wife, co-workers, an elementary class, and a female FBI officer, interspersed with disclaimers that the lyrics were “fictitious” and that he was only exercising his First Amendment rights. It got to a point where his wife had to place a protection order against Elonic. Then after his boss had viewed what he was posting on Facebook he quickly fired Elonic from the amusement park. After Elonis was fired his former employer contacted the FBI about his online activity. From there the FBI had kept a close eye on Elonis’s Facebook activity. From there he was charged under 18 U.S.C. 875(c), which makes it a crime to transmit in interstate commerce

ELMIRA (WENY) - A proposed senior housing complex on the Southside of Elmira has been put on hold.