Substance Abuse Policy Report

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

Many participants engaged the group with stories of overcoming addiction or being sexually molested by family members as reasons behind their addiction. However all of their stories were compelling and empowering to the group of individuals who have seemed to endure some of the same sentiments as their fellow group mate. It appeared as if the individuals in the group even though that were court ordered appeared to be extremely engaged and very involved during the meetings. It seemed as though most who attended found peace and solice from the group during the NA meetings. As it stated by Krentzman, Robinson, Moore, et.al (2010), client’s state that their top two reasons for attending NA meetings were to promote recovery/ sobriety and to find support acceptance and friendships. One thing that I learned from the NA group that just as in AA, family support deems to be an important function on the perseverance of an addict and that the participation and involvement of family is detrimental in the treatment process for the addicts. In several of our readings many of the passages discussed the effects of family systems support as it pertains to substance abusers chemical addiction. The passages described the family system as being a detrimental part of the treatment process as well as for the treatment of the family as well. According to past studies, family involvement has aided clients in

In discussing the implications of a recovery model on service users/survivors and mental health services, it is essential to define recovery. In illustrating the controversial nature of this concept it is pragmatic to discuss service users and workers in mental health because implications of the recovery model affect both, but in different ways. It is important to realize there is a division in the focus of each group; service users generally want independence from services while health care providers focus on methods and models (Bonney & Stickley, 2008). In working together both groups can improve the provision of recovery services.

The purpose of this research paper was to attend two support group meetings and share my experiences. The meetings that were to be attended were an Alcoholics Anonymous

The overdose count has been increasing over the years at an alarming rate. Statistics show that overdose is now more fatal than it was anticipated. In a news conference during September, Secretary Tom Price, brings up the topic of opioid abuse and he mentions that not only were there more than 50,000 deaths due to opioids, but it also made it by far the highest numbered gathered between 2002 and 2013(Price). It is a major deal that many people have lost their lives, and many more will continue losing their lives if the government doesn’t find a way to control this outbreak. Now there is starting to be a noticeable difference in overdoses since as stated in the LA Times “Death from opioid

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

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.

First, the recovery model prioritizes individual life goals, which are developed by the person seeking treatment, not the provider. On the other hand, the medical model is focused narrowly on treatment goals which are developed by the provider or treatment team. The recovery model encourages high goal-setting. They facilitate hope through providing resources and education, and help to develop steps to achieve personal goals, whereas the medical model has low expectations of the client and does not facilitate positive outcomes that will increase one’s quality of life. While the recovery model is holistic and sensitive to the issues that encompass stigma, the medical model is reductionistic and identifies individuals by their illness. The recovery model is strengths based, which is focused on improving self-efficacy, whereas the medical model is focused on symptom management; the overall goal is to reduce symptoms and stabilize the client. The recovery model recognizes that relapse does exist, whereas the client would be considered non-compliant if treated under the medical model. The medical model is focused on systematic processes, undervalues the therapeutic relationship, and is less focused on the individual. With the recovery model, providers understand the importance of a strong therapeutic relationship and encourage clients’ self-direction and right to make decisions regarding treatment. Recovery based therapy values the impact that hope and empowerment can have on individual treatment. The provider maintains a facilitator role with the client, which helps to encourage and foster positive change. With the medical model, providers control all aspects of treatment and client involvement is not as stable as it may be in recovery based treatment. (National Association for Social Workers West Virginia,

Substance abuse recovery programs fundamentally apply a twelve-step program to help clients attain sobriety. Novins et al., discovered “the development of the substance abuse service system in

In Florida alone, thousands of Americans die every year due to the struggles of opioid addiction. According to Becker’s Hospital Review 1,399 (Rappleye) Floridians die each year from prescription or heroin overdose. Many families are affected by opioid

Department of Health and Human Services (HHS) are focusing on five different things to change this: improving access to treatment and recovery services, promoting use of overdose-reversing drugs, strengthening our understanding of the epidemic through better public health surveillance, providing support for cutting-edge research on pain and addiction, and lastly, advancing better practices for pain management.(National Institute on Drug Abuse, 2018, Opioid Overdose Crisis, P5.). There is no way to completely stop the opioid crisis but if we can make the numbers of people who overdose a year, then we can slowly make a huge change in the world of opioids. If these prescription drugs become more limited to people then they won't have access to buy off the streets or steal

Arizona Law Enforcement Agencies and first responders are now able to obtain and use Naloxone on people with suspected opioid overdoses (Arizona Department of Health Services, 2017). There is also a new standing order that lets pharmacist dispenses Naloxone to any person the requests it. Naloxone is used to reverse the effects of opioid drugs (Arizona Department of Health Services, 2017). The state of Arizona is also offering free training on suspected opioid overdoses, suspected opioid deaths, naloxone doses administered, naloxone doses dispensed and neonatal abstinence syndrome to healthcare professionals licensed, administrators of a healthcare institution, correctional facility, emergency medical services/ first response agencies, law enforcement officers, medical examiners, and pharmacists (Arizona Department of Health Services, 2017).

In any case, the healthy support system can consist of family, friends, peers, sponsors, or counselor /professional going through a transition of sustaining sobriety, recovery, or the support of the aftercare plan.