The Drug Addiction Treatment Act Of 2000

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

Opioid addiction is so prevalent in the healthcare system because of the countless number of hospital patients being treated for chronic pain. While opioid analgesics have beneficial painkilling properties, they also yield detrimental dependence and addiction. There is a legitimate need for the health care system to provide powerful medications because prolonged pain limits activities of daily living, work productivity, quality of life, etc. (Taylor, 2015). Patients need to receive appropriate pain treatment, however, opioids need to be prescribed after careful consideration of the benefits and risks.

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.

Analysis: Opioids are a class of drug that are medically used as very effective painkillers, like fentanyl and morphine, however, they are highly addictive and produce a feeling of euphoria (“Opioids”). This combination leads do a lot of abuse and dependency, where people take more than prescribed in order to feel better. People start off taking the opioid painkillers in order to not feel pain as prescribed by their doctors. Then, they end up getting addicted to them. There are also illicit opioids, such as heroin, that are also highly addictive and also lead to dependency and death (“Opioids”). These illicit versions are taken for recreational reasons, and are also often mixed with other drugs. The combination of taking an unregulated drug in conjunction with other drugs leads to a lot of overdoses.

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.

Addiction is has been around for a long time. The fear of people becoming addicted to certain substances has lead to policies changes. However, there has not been a major federal law passed that dealt with addiction in over forty years. In 2016, President Obama signed a law that covered all the major points of addiction and recovery. This topic this important to me because some of my loved ones are addicts. I may also have clients that are addicts.This paper will take a look at that law. First, we have to define a few key terms.

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.

On June 17th 1971, President Richard Nixon stood in front of congress and announced his widely criticized War on Drugs. The President claimed that drugs were the “Public Enemy Number One” among Americans. Fast-forward to 1986, Congress passed the Anti-Drug Abuse Act of 1986. This act placed mandatory minimum sentences on minor drug infractions. The war on drugs not only incarcerated a very high number of Blacks, but also tore families apart in an effort to clean up neighborhoods which still affect many African American families almost a half-century later.

So how do opioids work and what makes them so addictive? We all have millions of pain receptors throughout our body called nociceptors that send information about pain to our brains. These pain receptors are on our skin, within our organs, and our spinal cord. Opioids are given for pain because they block the signals from the nociceptors to our brain. In addition to this, opioids cause a sense of euphoria which is the “high” that accompanies the medication (Healthcare Triage, 2016). Our bodies actually produce their own opioid chemicals that many people know of as endorphins. However, long-term use of opioids can make the body stop producing endorphins which can lead to dependence on medications (National Institute on Drug Abuse, 2014). The way people take or abuse these drugs varies as well. Opioid pills such as hydrocodone or oxycodone are taken by mouth while heroin is typically injected. However, people that abuse the drugs are now crushing the pills to snort or inject which increases the intensity of the “high.” This method is also more dangerous because the risk of respiratory

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

The opioid epidemic in America continues to grow at an alarming rate with no end in sight. All narcotics are derived from the opium poppy plant and then manufactured into different forms of drugs such as morphine, heroin, and other pharmaceutical and synthetic opioid drugs sold on the market for pain. Opium derived drugs block and suppress pain by binding to and stimulating the natural receptor sites for endorphins found in the central nervous system of a user’s brain. Patients who are prescribed narcotic drugs can quickly become addicted to the drugs because their body’s will stop producing endorphins and instead

There are three predominate forms of Medication Assisted Treatment (MAT) that have proven effective in combating opioid use disorder. Methadone, buprenorphine, and naltrexone have all shown to be effective in the treatment of substance use. When prescribed and monitored properly, MAT has been shown to reduce illicit drug use and reduce the rate of accidental overdose. However, while as many as 2.5 million people are suffering from substance use disorder, less than 40% have access to MAT

While these effects can be helpful for patients who are struggling with serious pain, they can also inspire people to use opioid drugs who don’t need them.

Opioids are pain relievers that bind to opioid receptors on nerve cells throughout the body. They produce feelings of euphoria, tranquility and sedation. However, opioids are “considered the most harmful of all illicit drugs” (Amato et al., 2005, p.321).

Opioids are important for pleasurable experience . If we observe a hedonic spectrum, we sould see, that opioids shift it in positive direction : while sweat tastes seem sweater , bitter tastes and pain seem less aversive. Blocking of opioid-mediated signalling results in decreased pleasantness of rewards. Recent studies have shown, that there is a dissotiation between the way how µ-opioid and κ-opioid – receptor related signalls modulate the perception of pain.( µ and κ come from the name of the first discoverd ligand that attach to this receptors: µ stands for morphine and κ for ketocyclazocine ). The activation of µ-opioid receptors induces