Private Equity Firm Hopes for Profits From Substance Treatment Facilities

By Join Together Staff | April 16, 2014 | Leave a comment | Filed in Addiction,Community Related, Insurance & Treatment

The private equity firm Bain Capital recently took over the largest chain of substance treatment facilities in Massachusetts, The Boston Globe reports. Bain, which usually makes investments in brand-name companies such as Dunkin’ Donuts, sees treating addiction as big business.

Bain paid $58 million for Habit OPCO Inc., which has 13 locations in Massachusetts. It made the purchase through another company it owns, CRC Health, the largest provider of substance abuse treatment and behavioral health services in the nation.

Substance abuse treatment is a $7.7 billion industry, and is growing at a rate of about 2 percent annually, the article notes. A growing number of people addicted to opioids are middle- and upper-middle class, according to Deni Carise, Deputy Chief Clinical Officer for CRC Health.

At Habit OPCO facilities, patients are charged $135 a week for methadone treatment, including daily doses of liquid methadone, access to healthcare professionals, and other services. While some patients have private insurance, others are covered through Medicaid or pay cash.

Dr. Kevin P. Hill, director of the Substance Abuse Consultation Service at McLean Hospital in Belmont, Massachusetts, says he is concerned about the care that some for-profit methadone clinics provide. “The problem I find with some of the for-profit clinics is the absolute minimum required by law becomes the absolute maximum they’re willing to do for their patients,” Hill said.

Habit OPCO and CRC staff say profits are not their main goal. “Frankly, the way to make a lot of money in this particular business is to do it badly,” CRC’s Carise said. “We’re just not going to do that.” She noted the Affordable Care Act, and a law that requires equal insurance coverage for mental health conditions, will give clinics more access to private health insurance. The new laws will help make treatment more affordable for people who previously had no insurance, she said.

Massachusetts Cannot Ban Zohydro, Federal Judge Says

By Join Together Staff | April 16, 2014 | Leave a comment | Filed in Community Related, Legal & Prescription Drugs

Massachusetts cannot ban the new pure hydrocodone drug Zohydro ER (extended release), a federal judge said Monday. The company that makes the drug, Zogenix, argued in a lawsuit that the ban is unconstitutional, according to The Wall Street Journal.

Last Month, Massachusetts Governor Deval Patrick announcedZohydro would be banned in the state. He cited a public health emergency stemming from opioid abuse.

The drug is a pure form of the painkiller hydrocodone. The Food and Drug Administration (FDA) approved Zohydro ER in October for patients with pain that requires daily, around-the-clock, long-term treatment that cannot be treated with other drugs. Drugs such as Vicodin contain a combination of hydrocodone and other painkillers such as acetaminophen. Zohydro is designed to be released over time, and can be crushed and snorted by people seeking a strong, quick high.

This week, U.S. District Judge Rya Zobel issued a preliminary injunction on the ban. The judge said the state appears to have overstepped its authority in banning Zohydro. She noted Zogenix was likely to be successful in pursuing a court order to permanently lift the ban. In her ruling, Judge Zobel said the ban would “undermine the FDA’s ability to make drugs available to promote and protect the public health.”

“Today’s legal ruling was a positive step forward for Massachusetts patients,” Roger Hawley, Chief Executive Officer of Zogenix, said in a news release. “We invite concerned officials to engage with us to discuss fair and appropriate safeguards for pain medications like Zohydro ER rather than seeking to ban or restrict one specific treatment.”

Governor Patrick said he was disappointed in the ruling, the newspaper notes. “Addiction is a serious enough problem already in Massachusetts without having to deal with another addictive narcotic painkiller sold in a form that isn’t tamper proof,” he said in a statement. “We will turn our attention now to other means to address this public-health crisis.”

Surge in Heroin and Prescription Opioid Use Has Deadly Consequences, Police Say

By Join Together Staff | April 17, 2014 | 1 Comment | Filed in Community Related, Drugs & Prevention

The surge in the use of heroin and prescription opioids is resulting in more deaths than violent crimes and car crashes in many communities, law enforcement officials said this week. They met in Washington, D.C. to discuss the problem and possible solutions.

Many overdose deaths are due to heroin, which is easily available and potent, USA Today reports. Heroin costs between $4 and $20 per bag, depending on the location—much less expensive than prescription opioids.

In 2012, there were 730 drug overdose deaths in New York City—nearly double the number of homicides, the article notes. A government report called the National Drug Threat Assessment found between 2009 and 2013, heroin seizures increased 87 percent. The average size of the seizures increased 81 percent during that period.

U.S. Attorney General Eric Holder told law enforcement officials, “The consciousness of the nation has not really focused on the problem. People saw this more as a state and local problem. …This is truly a national problem. Standing by itself, the heroin problem is worthy of our national attention.”

Other meeting participants included FBI Director James Comey, Drug Enforcement Administration Chief Michele Leonhart and Michael Botticelli, Acting Director of the White House’s Office of National Drug Control Policy, as well as small-town police officials.

Many police officials said they are hindered in their efforts to fight overdoses by the lack of current data, according to NBC News. Some local police are trying creative solutions. In Washington, D.C., police have started mapping locations where the drug overdose antidote naloxone is used by firefighters and emergency medical technicians, in order to pinpoint areas of high-drug use. New York City is trying to create similar data.

Introverts With Few Positive Feelings at Higher Risk of Drug Abuse: Study

By Join Together Staff | April 17, 2014 | 2 Comments | Filed in Addiction, Drugs& Research

Introverts who tend to have fewer positive feelings, or to not be attracted to rewards in life, are more likely to abuse drugs than more extroverted people with positive emotions, a new study suggests.

Studying personality may help scientists better understand and treat substance use problems, according to the researchers from the National Institute on Drug Abuse. Researcher Dr. Sergi Ferré said people who are extroverted and have more positive emotions may be more open to rewards other than good feelings that come from using a drug. For instance, they may feel rewarded by certain social situations such as winning a game or receiving a promotion.

In contrast, people who are introverted and have fewer positive feelings may have less interest in these rewards, and instead be more influenced by pleasant sensations that come from using drugs.

The researchers found having a tendency to experience negative emotions, such as anxiety or depressed mood, is associated with substance use disorder. Having a difficult time stopping a behavior or action once it is started is also linked with an increased risk of substance abuse, The Huffington Post reports.

The researchers noted the likelihood a person will abuse drugs involves many factors, including genes, personality, environment and past drug use. The findings appear in the journal Trends in Cognitive Sciences.

Commission Asks For Shorter Drug Trafficking Sentences

By Join Together Staff | April 17, 2014 | Leave a comment | Filed in Drugs &Legal

The U.S. Sentencing Commission, which advises federal judges, is recommending shorter prison sentences for most federal drug trafficking offenders, according to Reuters. Up to 70 percent of these offenders would receive shorter prison sentences if the commission’s recommendations are not opposed by Congress.

“This modest reduction in drug penalties is an important step toward reducing the problem of prison overcrowding at the federal level in a proportionate and fair manner,” Commission Chair Judge Patti B. Saris said in a news release. “Reducing the federal prison population has become urgent, with that population almost three times where it was in 1991.”

Last month, U.S. Attorney General Eric Holder testified in favor of changing federal guidelines to reduce the average sentence for drug dealers. He told the Sentencing Commission the Obama Administration supports changing guidelines to reduce the average drug sentence by about one year, from 62 months to 51 months. The proposed changes would reduce the federal prison population by about 6,550 inmates over the next five years, the article notes. Currently, half of the 215,000 inmates in the federal prison system are serving time for drug crimes.

The new rules will go into effect on November 1, unless Congress votes to stop the sentencing guidelines, the article notes. Drug traffickers with the greatest quantities of drugs would not receive reduced sentences.

Reducing sentences could result in less leverage for prosecutors, warned Scott Burns, Executive Director of the National District Attorneys Association. He said district attorneys often use the threat of long sentences to convince drug offenders who have witnessed larger crimes to cooperate. “They can use the leverage of the threat of harsher punishment in order to solve murder cases and prosecute drug kingpins,” he said.

APRIL 16 v 33 TWELVE STEPPING WITH POWER IN THE PROVERB 

We may throw the dice,
    but the Lord determines how they fall.

STEP 3 - Made a decision to turn our will and our lives over to the care of God.

  What are you waiting for ! HE HAS A PURPOSE ! HE HAS A PLAN ! You can roll the dice all you want but you will never control the outcome . Haven ' t you made enough of a mess ! All you need to do is step three pray ,   relax , live , laugh , love , forgive , forget , and breathe ! 

Romans 12 : 2 - And be not conformed to this world: but be ye transformed by the renewing of your mind, that ye may prove what [is] that good, and acceptable, and perfect, will of God.

By Joseph Dickerson