What Are Detoxification Programs Effective?

Attention Getter: Imagine 60,000 people in one city, all dealing with the same problem, addiction. According to an article written by Carter M. Yang for ABC news on March 14th of this year, there are 60, 000 people in Baltimore alone that are addicted to illicit drugs. These numbers are disheartening and unfortunate. I can relate to every one of these people struggling with substance abuse, because I am an addict. A program called Narcotics Anonymous has

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

This literature review will focus mainly on the drug use of heroin, the scary numbers behind the drug and the sudden rise of overdosing on the drug across the United States. Issues that will be discussed are what is Heroin, what’s in Heroin that makes it addicting, how it can increase the users risk of contracting other life threatening diseases and where it’s use and abuse are most popular across the United states and we will take a look at multiple studies that show examples of our new drug problem in the United States. While we looked at how homicide rates have dropped while in class, the flip side to that is that the amount of drug usage has risen.

Post World War II New York City was faced with a major heroin epidemic with over 151,000 names listed in the Narcotics Register (Herman). As a medical response, methadone was developed to treat heroin addiction (Herman). Today methadone maintenance treatment has grown to become a popular therapy for drug addiction as well as pain management. Methadone has helped many people to create new lives for themselves, yet there is still debate over the success of this program. Methadone assisted treatment should be seen as an effective program in combating opioid addiction due to its health and social benefits for both users and the community.

Dr. Perry Kendall’s stated in a report that the mortality rate for people in opioid substitution treatment is about half of what it is for those using street heroin. (“globeandmail”) Another doctor, who has been administering the program as part of his family practice for several years states the rate of success is poor, the nature of the work often frustrating and the paperwork required under new rules is daunting. But the reward is the amazing transformation of those who are helped by methadone, says Dr. Jeff White. (“thetelegram”) Equally, a confident experience is expressed from a recovering addict himself, Jared stated to a Newfoundland based newspaper, The Compass that the methadone program had a super positive impact on his life. Going on to say in a separate interview with The Advertiser, that the first year everything went as well as it could have with him not doing any drugs. (“Advertiser”) This is just a few examples on how the methadone program has continued to play a positive impact on lives when given the

69,000 patients in substance abuse treatment revealed that methadone was fourth for risk of abuse out of 11 opiate based prescription drugs. Worse, after adjustment for prescriptions, methadone advanced to the number one position for abused compounds. Even more startling was a simple random population sample, surveyed by telephone, which reported methadone as the second most used drug. However, Butler et al. cite a major limitation in that the data examined came from subjects who had entered treatment for substance use disorders. Like Plater et al. (2012) aside from the telephone survey, they were unable to examine data for abusers not in treatment (2011).

Methadone has been used since the late 1960s to treat heroin addictions. Methadone is a synthetic opioid that is highly addictive and is harder to withdraw from than heroin. Despite 50 years of experience and widespread acceptance by addiction specialists and health agencies, Methadone Maintenance Treatment (MMT) has sometimes been publicly controversial in the U.S. and other countries. MMT is a program in which addicted individuals receive daily doses of methadone as part of a broad, multicomponent treatment plan (Methadone Maintence Treatment, 2002). Critics argue that methadone doesn’t actually help heroin addicts, but just replaces heroin with an equally addictive methadone (Mason, 2013). From my perspective, methadone should not be given to heroin addicts because it does not

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

ESSENCE OF THE STORY: In the past few years, opioid addiction has become an epidemic in the United States leading to around 64,000 people dying from drug overdose in 2016 alone. As a result the health and human services secretary, Mr. Azar, and the F.D.A. chief, Dr. Scott Gottlieb, has made battling opioid addiction a top priority. The main way the F.D.A. is attempting to battle the epidemic is by allowing pharmaceutical companies to sell new types of medications that aren’t meant to stop addiction but to help suppress the cravings of addiction. The new medication that the F.D.A is approving is supposed to be a part of the program MAT, or medication-assisted-treatment. Mr. Azar as well as Dr. Scott have been pushing for more MAT in hope to help people with addiction live productive lives. Though like most big changes in society, the F.D.A’s decision has drawn criticism. Addiction experts are saying that new medication isn’t the solution but more access to the medication is.

In 1964 Dr Vincent Dole and Dr Marie Nyswander of Rockefeller University in New York City engaged in pioneering research into the treatment of opiate addiction. The doctors conducted a study on 22 hospitalized heroin addicts in which they provided increasing doses of methadone until they became stable i.e. neither suffering from withdrawal effects nor craving more heroin. Upon discharge from hospital, the participants returned as outpatients to receive doses of methadone on a daily basis. In 1965 Dole and Nyswander published the results of their research and the following year they repeated their trial on a larger scale. They found that there were other benefits to methadone treatment including a reduction in offending behaviour by the addicts as well as an increase in entry into employment (Abadinsky 2008: 229)

There are a variety of stakeholders that have influence over the abuse and exploitation of controlled prescription medication, some are supporters and some are opponents. All levels of government are aware of this epidemic and have a role to play in supporting the reduction of controlled substance abuse. According to the latest numbers from the U.S. Centers for Disease Control and Prevention from 1999 to 2009 the number of deaths from narcotic pills almost quadrupled to 15,597, more than the combined number of deaths of heroin and cocaine abuse. “A renewed focus on drug prevention is a major component of the Obama Administration's effort to implement a public health approach to reducing drug abuse and its consequences. Research shows that preventing drug use before it begins is a cost-effective, common-sense approach to promoting safe and healthy communities.” (Community-based prevention, 2012) The government can play a critical role

According to Michigan Department of Health and Human services deaths caused by Opioid/heroin abuse now exceeds the gun and traffic fatalities. More than 300 deaths in Michigan each year are caused by this issue (Domino, Andrew). Prescription for individual dosage units of schedule II drugs increased from 180 million in 2007 to 745 million in 2014. Interestingly, a report from the Michigan state’s Health

Historically, those of a drug or substance abuse are thought of as criminals and given prison terms for their addiction. With the current Heroin epidemic, our prisons are filling-up, costing taxpayers approximately $30,000 a year, per prisoner (msnbc). In particular, Licking County has seen a 47% increase from 2014, in the number of drug overdoses (Bruner, 2016). With such statistics, I find that instead of incarceration, these individuals should be sentenced a court ordered rehabilitation. By doing so, we would be shifting from a criminal issue to a public health issue. Instead of the large amount of taxpayers’ money used for incarceration, we could use such funds to support drug treatment programs, which show stronger record of success. MSNBC states that every dollar invested in drug treatment saves taxpayers more than $18 in crime-related societal costs. My one concern regarding this policy is the safety of the public. However, I find that such sentence should only be granted to those who are nonviolent, or have no previous criminal history. In addition, I find that drug trafficking or the selling of drugs should result in a more serious/harsh sentence. With the help of important stakeholders, I hope to implement this policy with positive outcomes including survivors living a healthy and fulfilling life, through a

Heroin use and overdose related deaths have increased considerably in the United States in recent years (Jones, Logan, Gladden, & Bohm, 2015). The results of the National Survey on Drug Use and Health [NSDUH] (2014), showed in the year 2013, approximately 517,000 Americans abused heroin, which was almost a 150 percent increase since 2007 (Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). According to the National Institute on Drug Abuse [NIDA] (2014), in the year 2011, 4.2 million people who were twelve years of age or older said they used heroin at least once in their lifetime. Furthermore, data from NSDUH showed approximately 460 people, twelve years of age or older, used heroin each day in 2013 (Lipari and Hughes, 2015). An even more frightening statistic is death rates doubled for people who were twelve years of age or older as a result of heroin overdose in the years 2010 through 2012 (Hedegaard, Chen, and Warner, 2015).

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”.