Why Are You So Picky About Buprenorphine?

The use of opioids and other drugs continues to gradually increase in the United State. According to Centers for Disease Control and Prevention (CDC), the number of overdose deaths involving opioids has quadrupled since 1999” (CDC website). Individuals are abusing prescription opioids such as oxycodone, hydrocodone, and methadone. Prescriptions opioids that are supposed to be used as pain relievers, cough suppressants and for withdrawal symptoms are being use by individuals in order to feel relaxed or for the overwhelming effect of euphoria. These types of drugs are to be taken orally, but people are snorting, smoking, and injecting them in order to get a better high. I have personal encounters with opioid drugs and opioid abuser on a regular

Further development is on the way to increase effectiveness to the level that the organism can fend off any quantity of this dangerous drug as well as targeting other opioid drugs such as heroin and morphine. The vaccine can be the miracle that addicts and their family members are hoping for as current therapy does not provide relapse-free solutions; not to mention preventive vaccination.

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.

There are a variety of treatment modalities, both conservative and emerging, that clinicians, therapists, and doctors use to treat heroin and opioid dependence. Cognitive behavioral therapy (CBT), motivational interviewing (MI), 12 step programs, and acceptance and commitment therapy (ACT) are just a few that have been used in the past, and even today, in the treatment of substance dependence. Medication-assisted treatment (MAT) is yet another form of therapy; particularly for opioid and heroin dependence, that has been around for decades. However, it has recently begun to spark interest and controversy in light of the growing epidemic.

Clinton, T., & Scalise, E. (2013). Addiction and reovery counseling. Grand Rapids, MI: Baker Books.

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

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

¨ More than a quarter of a million Americans are enrolled in methadone clinics, where they participate in “methadone replacement” or “methadone maintenance” to treat narcotic addictions to heroin or morphine, or prescription painkillers like oxycodone, hydrocodone, OxyContin or Vicodin.¨ (Novus Detox, 2016) Clinics that treat opioid addiction use several combinations other than methadone to be effective. In addition to daily methadone treatments, there are also random drug test to make sure the individual is complying with the program. There is also individual and group counseling that provides education and support with each being customized with goals set forth by the patient. Some addiction require patients struggling to seek professional help with a psychiatrist and/or speciality

In the United States, there has been upward swing of opioid abuse over the past decade. Overdose deaths involving opioids – both prescription pain relievers and heroin – almost quadrupled between 1999 and 2014. Well-intentioned efforts to curb prescription opioid abuse have yielded new policies with unfortunate, unforeseen consequences for the 15% of the US population that suffer from chronic pain – nearly 45 million people.

The National Center on Addiction and Substance Abuse provides guidelines and recommendations to healthcare providers in terms of how to screen for an addiction. Opioid addiction is screened primarily through patient interviews involving both specific and open ended questions about their lifestyle, mood, and drug use. A psychiatric exam may also be administered to look for psychological factors indicating an addiction such as depression, anxiety, and other psychological symptoms related to addiction and withdrawal. Withdrawal is evaluated by gradually taking a patient off opioids and if symptoms of withdrawal are found the severity of the withdrawal itself is then evaluated.2 If a patient is diagnosed with an addiction to opioids then the transition to tertiary prevention, or treatment will occur. However, treatment will only occur if early detection and screening techniques are utilized fully by healthcare provider otherwise it is likely an overdose will kill the opioid

David Sheff’s purpose is to illustrate what it is like to live the life of a parent who is not only taking care of is addicted son but who has to learn to take care of himself and the rest of his

The opioid war can be resolved through the combination of counseling and extended addiction services for individual treatment plans. The program at Center for Behavioral Health Elizabethtown provides counseling and intensive therapy both during the addiction process and for up to a year for all patients after leaving the program (Zsigray 4). The treatment of the addict, and the mental illness and emotional disorders attached to addiction, can fix the epidemic. Patients who treat the addiction by use of corrective therapy are more likely to stay clean than patients who do not (Zsigray 3). Therapy and counseling are a vital part of the recovery process.

The purpose of this interview was to assess the patient 's need for addiction treatment by reviewing patient 's present and previous usage history, emotional and behavioral stability, and potential for relapse, environment, pertinent medical conditions, and willingness or desire for treatment. An interview and medical records gathered this data.

Along with illegal behavior often a substance abuser will find themselves as homeless, spending their paychecks on their habits of using substances (Tracy, 2005). Children of abusers are affected by both possessing negative role models that set the example that drug use is not wrong and sometimes the children are placed into the care of the community because of neglect and abuse by the substance user (National Center for Chronic Disease Prevention and Health Promotion, Division of Adolescent and School Health [CDC], 2009). Other medical, social, and economic issues also are being experienced from substance abuse and use.

The cost of alcohol and substance abuse in the United States reaches heights of four hundred eighty four billion dollars per year (“Magnitude”). That’s about seven hundred eighty times the amount it cost to diagnose and treat sexually transmitted diseases in the year 2000 (Chesson). The sole purpose of this is not to persuade you one way or the other on this topic. Nor is the purpose to apologize for this social issue. The purpose of this writing is to employ data showing the societal effects parental addictions have on children, to show how this data has remained relevant in society, and to show how it is affecting our future members of society.