The United States is currently under an opioid epidemic where the abuse of opioids has increased significantly within the last 20 years. It is important to understand that relapse for opioid users is common. This problem has been around for a while; studies have shown that “higher recidivism proportions were found for shorter tenure clients” (Joe, Lloyd, Simpson, & Singh, 1982). Specifically, from 2002-2007 “nonmedical use of prescription pain relievers grew from 11.0 million to 12.5 million people in the United States” (Meyer, Patel, Rattana, Quock, & Mody, 2014). This trend shows that opioid abuse is a growing issue and it requires direct action. Research has disclosed that in 2011, 2.2 million Americans were in jail/prison, and “[o]f those …show more content…
A sick patient wants to be seen as a ‘human,’ and not for their illness; accordingly, I think an addict should be treated with the same belief. Singer & Page (2014) stated, “[w]hen human behavior involves the illicit ingestion of mind-altering drugs, the discourse about that behavior tends to accrue layers of social judgment, prejudice, stereotyping, and fear;” this is an issue that will not go away until we modify our societal beliefs. There are disparities in the treatment of someone who is poor versus someone who has money when they have been caught with illicit drugs as shown by their criminal sentences: “the wealthy, which includes kid-glove investigations, lackluster prosecutions, drug treatment, light sentences and easy, if any, prison time. The other, for the poor, is one of paramilitary policing, aggressive prosecution, harsh mandatory sentences and hard time” (Singer & Page, 2014). After such verdicts, the opioid user still has a hard time reconnecting with society. We need to focus our efforts on prevention of repeated overdoses after the initial discovery of an addict that a compliant patient wants to make the effort to change their
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.
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
Until recently, there was a dramatic disconnect between this research and drug court operations. The consequences of this disconnect included relapse, overdose, and death. While drug courts were designed to accommodate those in need of medical care, most operated under the misguided and dangerous practice of requiring defendants, as part of their successful program completion, to stop taking life-saving addiction medication prescribed by their physicians. This practice, which is at odds with decades of scientific and medical research, put individuals with opioid addictions in the precarious position of either having to stop taking their effective medication and risk relapse or use their medication and face incarceration. To compound matters
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
The opioid epidemic that has taken over the United States is likely the largest public health crisis that our country has faced in the 21st century. It has torn countless families and small rural communities apart in its wake, and does not currently show signs of slowing down anytime in the near future. In the last couple decades, the United States’ government has addressed the epidemic as a criminal problem. Treating those affected by the opioid crisis like criminals has not yielded positive results overall. For some time, the public opinion has predominantly been that this epidemic should not be blamed on anyone other than those who take these opioids, and that it is their own personal downfalls and bad judgement that is responsible for their specific situation. While opioid abusers certainly deserve some accountability for their actions, there is abundant evidence of greater forces at work that have a lot of influence on their decisions.
Opioid abuse is a crisis that is plaguing America, in 2015 there we an estimated 15,000 deaths due to prescription opioids*. People are dying, and families are being ripped apart, a radical change needs to occur in order to save lives. Although there are many ways to attempt to solve this problem, here are three solutions that could potentially save lives; decriminalize all drugs, limit prescribed painkillers, and provide access to Narcan (naloxone).
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
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.
While reading the article I considered what would be some good questions to ask for this sections of the papers. My first question, what is the difference between the non-opioids and the strong opioids. After further reading I discovered that non-opioids are available in your drug store, such as ibuprofen. Opioids you can’t find at your drug store, these consist of the hard painkillers like Morphine and oxycodone. My second question, how do patients go off opioids without suffering from withdrawals? Opioids have to be slowly discontinued. “Decreasing the daily does by up to 10 to 20 per cent per day over several weeks to minimize withdrawal symptoms” My third and final question, is there a way to minimalize pain in a breast cancer patient without
Opioids are making a resurgence in the black market, evident by the rapidly increasing opioid overdose rates in an increasing fatality count for Maryland every year. The state and local governments have been working to alleviate the issue with increased access to counteractive medications and required rehabilitation. This, however, is draining government funds only to stall, if not worsen, the problem. The best approach to stopping the opioid epidemic of Maryland is to take a similar approach to smoking in treating the situation as a matter of addiction instead of one of drug abuse.
Doctors and clinical prescribers have discovered their role in curtailing the increased opioid prescriptions in America. It is without a doubt that they play a role in facilitating the opioid misuse endemic in the past by being enablers of the situations. When patients ask for pain medications, they do not take time to analyze the pain complaints or suggest alternative medications other than opioids. Even in instances when one doctor declines to offer a patient an opioid prescription for their pain needs, the patient is likely to find another who will give the prescription. However, there has been wide recognition of the opioid misuse endemic such that clinical prescribers are practicing more vigilant prescribing and are advocating opioid-free
The negative stigma surrounding opioid addiction is not only dangerous and harmful but promotes marginalization to the individuals who are carrying the burden of these negative labels. It can cause them to be misdiagnosed as well as be given improper treatment. (National Pain Report, 2015). In addition, it may discourage those individuals from seeking help. Narcan has been proven to be effective at reversing the effects of an overdose and has been credited in reversing 10,000 overdoses from 1996 to 2010. In Boston, Massachusetts police officers started carrying Narcan and were able to respond to 591 overdoses and reverse 491of them. (The Marshall Project, 2015) Narcan is slowly becoming available to be purchased over the counter. Rhode Island is one of those states, and it is imperative to disseminate this information to the people of Rhode Island. Lastly, a multidisciplinary approach addressing the further training of those at the clinical level and the criminal justice level. Physicians along with law enforcement will be required to complete education on overdose prevention, drug addiction, and the effects of the opioid antagonist Narcan. This action plan will arm the public with insight and further the knowledge of just how damaging the opioid addiction is, not only on a state level but a national and global level. Further, data and evidence will convince
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.
Since the 19th century the United States has struggled with the control of opioids and how to properly treat the people who become dependent on them. By the 1980s studied revealed that the potential of drug dependence, also known as iatrogenic addiction, was relatively low for patients who were prescribed opiates for treatment (Beauchamp, 2014, p. 2023) - In the mid 1990s, Perdue Pharma introduced OxyContin, a Schedule II prescription opioid analgesic, to the pharmaceutical market (Boerner, 2016, p. 20). Since the release of OxyContin, a substantial number of Americans have been prescribed opiates for medical treatment. Society’s view on prescription opiate use has slowly shifted from being a normative treatment method recommended by healthcare professionals, to being viewed as deviant. Prescription opioids have played a large role in increased rates of incarceration, fatal and non-fatal opiate overdose, transitions to illicit drugs and HIV infection in the United States (Boerner, 2016, p. 21). Prescription opiate use is seen as deviant when the drug is misused for non-medical purposes.
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.