Sunday, January 20, 2013

    

COA Needs You!

City of Angels NJ, Inc. is a non-profit corporation that runs entirely on volunteers. All COA Board members, Directors and helpers volunteer their time to a cause they believe in....do you have a few extra hours you could spare?
  
At 6:30 pm on the 4th Thursday of every month at the Dwier Center (392 Church Street, Groveville, NJ), COA holds volunteer meetings to discuss volunteer opportunities and match people with those opportunities. Volunteers are particularly needed to help with Rockfest in June 2013 and a major new event in September. This informal get-together is also a great way to meet new people, learn more about COA and enjoy a pleasant pizza dinner with friends. 

The next volunteer meeting will be held on Thursday, January 24, 2013. Pizza will be provided by Family Nest Italian Restaurant. For directions to the Dwier Center, click here.
  
If you are interested in volunteering with COA but can't attend the dinner, please contact Volunteer Director Lynn Cranstoun at lcwolflady@optonline.net.
Recovery Coach Training - There's Still Room!
As of today, 25 people are registered for the Recovery Coach Training Academy at City of Angels. This training was developed by the Connecticut Community for Addiction Recovery (CCAR) and has been provided to more than 2,000 people worldwide. There are still a few spots open but we are filling up quickly...
If you would like to register for this groundbreaking program - or just learn more about it - click here.

This training is invaluable for anyone who lives or works with people in recovery from drug addiction - including counselors, healthcare professionals, group leaders, teachers, parents, spouses and other family members.
Speakers at Tonight's Spirituality Meeting

Tonight's Spirituality Meeting will include speakers from U-Turn for Christ in Tennessee. U-Turn for Christ is a faith-based facility for the treatment of drug and alcohol addiction. It offers a highly structured, no-frills program that is incredibly affordable and effective. Over the past 18 months, COA has sent more than three dozen young men and women to U-Turn - don't miss this opportunity to learn more about how and why it works so well.
 
The Spirituality Meeting begins at 7:00 pm at the Dwier Center (392 Church Street, Groveville, NJ).

 Tidbits 
 COA hosts support group meetings for both addiction sufferers and their families every day of the week at the Dwier Center (392 Church Street, Groveville, NJ). This includes 12-step meetings, a Sunday night Spirituality Meeting and the popular Sunday morning family support group, The Breakfast Club. To check out our online calendar, click here.
 
 
For directions to the Dwier Center, click here. 
 
 
The COA website now offers an Addiction News Feed with the latest studies, reports, new and other info on addiction. It's updated in real time with top 30 articles. To read the feed, click here. 
New videos are up on the COA YouTube channel. To watch, click here.
    


Join COA's Pinterest community! To visit the boards, click here.
 
   
  
Keep current on COA activites - join the COA group on Facebook!  COA news is posted first on Facebook, and this page often has photos not available elsewhere. Click here to visit.
 

City of Angels NJ, Inc. is a non-profit organization that provides many services to addicts and their families including interventions, recovery support, Family Program, counseling services and more. All of our services are provided at no charge.

  

Recovery Connections: We Will Recover Photos By: Katie Satorius

Recovery Connections: We Will Recover Photos By: Katie Satorius

Recovery Now Episode 4

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Researchers Say MRI Could Help Predict Success of Drug Addiction Treatment

Scientists at the University of Pennsylvania say MRI scans may be able to predict which patients will succeed with certain addiction treatments, and which ones will relapse, according to the Philadelphia Daily News.
Researchers at the university’s Center for Studies of Addiction are watching how regions of the brain react to drug-related photos, such as pictures of a heroin needle or a crushed pill. They hope to use this research to develop more effective treatments. One day, they hope that treatment could be tailored to a person’s mental strengths and vulnerabilities. These factors are influenced by genetics, life experiences and drug use, they say.
“We’re interested in seeing if, among the people that do better, their brains are different now,” Teresa Franklin, who directs nicotine and marijuana MRI studies at the university, told the newspaper. “This is not something that gets better in 12 weeks of treatment. This is a lifelong process where the brain has to be retrained. Just as if you have diabetes or high blood pressure or a heart condition, you have to change your lifestyle and you may need medication.”
She said her group thinks if a person’s “stop” regions of the brain, which deal with consequences, are not working well, and are not communicating well with regions that say “go” and drive the motivation for rewards, then it is likely that person is going to do poorly in treatment.
The group’s research show that in a person who is addicted to drugs, the brain’s reward region will light up in an MRI scan, even in response to subliminal cues, such as an image of crack rocks that flash on-screen for a few milliseconds while the person looks at a photo of a neutral object, such as a stapler.
“If we can manipulate that response with medication or behavioral therapy, that’s our goal,” Franklin said.
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Saturday, January 19, 2013

Recovery Connections w/ Joseph D. 01/15 by halfmeasuresroom | Blog Talk Radio

Recovery Connections w/ Joseph D. 01/15 by halfmeasuresroom | Blog Talk Radio

Access to Health Care Services for Addiction Will Improve Dramatically: Faces & Voices of Recovery

Once the Affordable Care Act (ACA) is fully implemented in 2014, access to effective health care services for addiction will improve dramatically, according to Faces & Voices of Recovery. In an issue brief, the advocacy group describes how the new legislation will make it possible for many in or seeking recovery to be included in the health care system for the first time.
Those who will benefit from the new law include people who were previously enrolled in Medicaid, and then were disenrolled; those who are coming out of the criminal justice system; and people who have not been able to afford insurance.
Under the ACA, a single enrollment application will determine if you are eligible for either Medicaid or the state insurance exchange, based on your reported annual income. People who do not qualify for Medicaid will be able to buy affordable health insurance through state health insurance exchanges. These are marketplaces that will be available to people who are not covered through their employer’s health plan, and those who work for small employers who provide employees with multiple health plan options.
The law guarantees that insurance companies will not be allowed to deny someone coverage or place a lifetime cap on what is deemed reimbursable because of a pre-existing condition. According to the brief, “The new policy regarding pre-existing conditions, already in place for children, has direct applications to the recovery community. Addiction to alcohol and other drugs (or a substance use disorder, as it is sometimes called) has been considered a pre-existing condition by many insurers, and used as a means to deny claims and a disqualifier for coverage. That will no longer be legal.”
Read the entire issue brief for more information on addiction treatment and the ACA.

Friday, January 18, 2013


Take Off Your Mask  JANUARY  18 2013     Today's Scripture
"You can't keep your true self hidden forever; before long you'll be exposed. You can't hide behind a religious mask forever; sooner or later the mask will slip and your true face will be known." - Luke 12:2 MSG
Thoughts for Today
Many of us wear a mask. We don't want other people to know the "real us." And yet, if we want to help someone we care about who is struggling with a problem, we need to take off the mask and be real. This quality of being genuine will enable us to be more effective in relationships with those we want to help—actually, in any relationship.
If people you are trying to help believe that you are a phony, they are not going to trust you with what you say and do. They need to see you living a consistent life from day to day, whether you are at church or on the job or having a good time with friends. They need to hear you be honest about your feelings—although you do need to find a balance. Don't be so transparent that you hurt or offend people with your honesty.
Consider this …
As a genuine person, you will not act superior or pretend to be someone you are not. You will honestly admit when you've been wrong.
Being openly genuine will open the door to a trusting relationship between you and those you want to help. It will encourage them to come to you and to respect what you say.
If you want to help others, be willing to be real.
Prayer
Father, teach me to set aside my pride and be willing to be real. Help me to be honest about my feelings and genuine in all I do. Help me to take off the mask. In Jesus' name …
These thoughts were drawn from …

Understanding the Times and Knowing What to Do
 by Dr. Jimmy Ray Lee. This book offers biblical strategies for ministry to our family and friends. Contemporary issues and needs faced by society are addressed with biblical principles that are timeless. Ideal for small group leaders and Sunday school teachers who want a better understanding of ministry in an addictive culture.
Would you like to have these devotions appear daily on your church or ministry website? Learn More

 
PO Box 22127 ~ Chattanooga, Tennessee 37421 ~ 423-899-4770
© Living Free 2007. Living Free is a registered trademark. Living Free Every Day devotionals may be reproduced for personal use. When reproduced to share with others, please acknowledge the source as Living Free, Chattanooga, TN. Must have written permission to use in any format to be sold. Permission may be requested by sending e-mail to
info@LivingFree.org.

Prescription Drug Overdoses Number One Reason for ER Visits in Los Angeles County

Prescription drug overdoses are the number one reason for emergency room visits in Los Angeles County, according to public health officials.
A new report finds the number of people who checked into publicly funded drug rehabilitation programs for prescription pain reliever abuse doubled from 2005 to 2010, NBC Los Angeles reports. More than 60 percent of drug-related deaths in 2011 were due to prescription drugs in Los Angeles County.
The report found 11 percent of 9th graders and 14 percent of 11th graders said they had misused prescription drugs at least once.
“Prescription drug abuse has become a growing public health concern in Los Angeles County. Many people are not aware that the misuse or abuse of prescription drugs can be as dangerous as illegal drugs, and can lead to unintended injury, addiction, and even death,” Jonathan E. Fielding, MD, MPH, Director of Public Health and Health Officer, said in a news release. “We need to ensure that we are addressing this growing concern by engaging and collaborating with our partners in the public and private sectors to reduce and prevent prescription drug abuse.”

Thursday, January 17, 2013

Earn continuing education credit with NAADAC Institute free educational opportunities.  Current topics, expert presenters, one hour at a time. View this email in your browser

NAADAC Institute Education Update


Don't miss these great opportunities to earn CEs, advance your professional life and enhance your practice through live seminars, independent study or online!
The Addiction Professional’s Mini Guide to Screening, Brief Intervention and Referral to Treatment (SBIRT)
 
Wednesday, January 30, 2013
12pm-3pm EST (9am-12pm PST) 
 
Become a member of NAADAC to earn free CE credit for all NAADAC webinars & online courses (over 85 CEs): www.naadac.org/join

NAADAC Launches Recovery To Practice (RTP) Initiative

As a part of NAADAC's efforts to promote recovery for all Americans affected by addiction, NAADAC is launching its Recovery To Practice (RTP) Initiative, which is an educational curriculum designed to hasten awareness, acceptance, and adoption of recovery-based practices in the delivery of addiction-related services.  What is "recovery"?

NAADAC will deliver this educational experience through a multi-level approach that includes 9 webinars, 3 articles in NAADAC's magazine, a large collection of electronic print resources, inclusion of recovery-oriented test questions into certification test banks, and informational sessions at the NAADAC annual conference and other state affiliate events.  Learn more

Upcoming Recovery-Oriented Webinars:

Defining Addiction Recovery
Wednesday, February 13, 2013
3 - 4pm EST (2 C/1 M/12 P)
More Information & Registration


What Does Science Say? Reviewing Recovery Research
Thursday, February 28, 2013
12 - 1:30pm EST (11 C/10 M/9 P)
More Information & Registration


Defining Recovery-Oriented Systems of Care (ROSC)
Wednesday, March 13, 2013

3 - 4pm EST (2 C/1 M/12 P)


The History of Recovery in the United States and the Addiction Profession
Tuesday, March 26, 2013
12 - 1:30pm EST (11 C/10 M/9 P)
More Information & Registration


The Role of Peer Recovery Support Specialists (PRSS) in the Addiction Profession
Tuesday, April 23, 2013 
12 - 1:30pm EST (11 C/10 M/9 P)


Generate New Revenue by Becoming a SAP through NAADAC!
 
A Substance Abuse Professional (SAP) evaluates workers who have violated a DOT drug and alcohol program regulation and makes recommendations concerning education, treatment, follow-up testing and aftercare. In order to be an SAP, you need to have certain credentials, possess specific knowledge, receive training and achieve a passing score on an examination. There is also a continuing education requirement.  All of this can be accomplished through NAADAC.

Learn More
Order the Independent Study Course
Renew Your SAP Credential
NAADAC Master Calendar

Find addiction-related conferences, public policy events, regional meetings, and workshops in your area.
 
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Copyright © 2013 All rights reserved.
NAADAC, The Association for Addiction Professionals
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New York Police Department to Use Decoy Pill Bottles to Track Painkiller Thieves

The New York Police Department has announced it will put decoy pill bottles with tracking devices on pharmacy shelves, in an effort to track stolen painkillers. The fake bottles will appear to contain oxycodone, The New York Times reports.
The bottles will not actually contain painkillers, but will have a GPS device. “We would anticipate the burglar and robber will take numerous bottles, and among them will be the bait bottle,” said the department’s chief spokesman, Paul J. Browne.
The fake bottles rattle when they are shaken, as if they contained pills. They sit on a special base. When the bottle is lifted from the base, it starts to send out a tracking signal.
The department hopes to have the program in place by March, and is asking all of the city’s 1,800 pharmacies to participate.
Purdue Pharma, which makes OxyContin, developed the bottles. They are already being used in some pharmacies around the country. Around the nation, pharmacies have been robbed by armed criminals looking for narcotics, anti-anxiety drugs and other controlled medications. Some are addicted to the drugs themselves, while others sell the pills.

Wednesday, January 16, 2013

Body Language
Today's Scripture
"Let us have real warm affection for one another as between brothers …" - Romans 12:10 
Thoughts for Today
Yesterday we looked at the importance of developing the quality of empathy in order to more effectively help a loved one struggling with a problem. Another essential quality is warmth.
Genuine warmth is communicated more by our actions than by what we actually say. Speaking the right words will most likely be totally ineffective if our body language reflects condemnation or impatience or if we seem distracted or unfocused.
A caring tone of voice, eye contact, non-possessive touch, pleasant facial expressions, friendly gestures and a relaxed stance impart a sense of warmth and caring. A warm voice and a caring touch can bring peace and calmness to a brokenhearted person. Warmth communicates openness and lessens defensiveness.
Consider this …
When planning to meet with a hurting friend, set aside time when you can focus and not feel rushed. Pray for him or her before you meet. Ask God to make you sensitive to the need. This preparation will help you show the warmth of caring. You won't just be saying words—your heart attitude will be reflected in body language that will help create an environment for encouragement and healing.
Prayer
Father, help me help my friend. May my heart be filled with your compassion and may my body language reflect the warmth of caring. In all ways, help me to demonstrate real warm affection. In Jesus' name …
These thoughts were drawn from …

Understanding the Times and Knowing What to Do
 by Dr. Jimmy Ray Lee. This book offers biblical strategies for ministry to our family and friends. Contemporary issues and needs faced by society are addressed with biblical principles that are timeless. Ideal for small group leaders and Sunday school teachers who want a better understanding of ministry in an addictive culture.
Would you like to have these devotions appear daily on your church or ministry website? Learn More
 
 
PO Box 22127 ~ Chattanooga, Tennessee 37421 ~ 423-899-4770
© Living Free 2007. Living Free is a registered trademark. Living Free Every Day devotionals may be reproduced for personal use. When reproduced to share with others, please acknowledge the source as Living Free, Chattanooga, TN. Must have written permission to use in any format to be sold. Permission may be requested by sending e-mail to
info@LivingFree.org.

Lance Armstrong Offers Apology for Using Performance-Enhancing Drugs

Champion cyclist Lance Armstrong has admitted to using performance-enhancing drugs during his career, and apologized for doing so during an interview with Oprah Winfrey, the Associated Press reports.
The interview is scheduled to be broadcast on Thursday on Winfrey’s network.
The winner of seven Tour de France victories, Armstrong strongly denied he used performance-enhancing drugs for many years. His admission came shortly after he apologized to the staff at Livestrong, the cancer charity he founded and was forced to surrender, the article notes. He created the charity after surviving testicular cancer that spread to his lungs and brain.
Armstrong was stripped of his Tour de France titles, and was forced to leave his charity in 2012 after the U.S. Anti-Doping Agency issued a report that accused him of a long-running doping scheme, according to the AP. He was also banned from competing in elite triathlon and running events. Currently, his lifetime ban cannot be reduced to less than eight years, according to World Anti-Doping Code rules.

Using Bath Salts: Playing Russian Roulette With Your Brain, Expert Says


Using the designer drugs known as “bath salts” is like playing Russian roulette with your brain, according to an expert at the National Institute on Drug Abuse (NIDA). Michael H. Baumann, PhD, Chief of the Designer Drug Research Unit at NIDA’s Intramural Research Program, recently published a study that explains how bath salts cause dangerous effects in the brain.
“People using bath salts can’t be sure about what psychoactive chemicals are present in them, and studies have shown that ingredients on the label often are not present in the products,” he says.
The active ingredients in bath salts that have been identified thus far are structurally similar to cathinone, which is a naturally occurring stimulant found in the khat plant, explains Dr. Baumann. In a rodent study recently published in the journal Neuropsychopharmacology, he and his colleagues reported that synthetic cathinones disrupt the transport of the brain chemical dopamine, thereby causing large spikes in the amount of dopamine outside of nerve cells. Dopamine is implicated in the pleasurable effects of drugs, as well as their potential for abuse. “When a drug causes increases in dopamine, people will want to take that drug repeatedly,” he says. The study found a bath salt ingredient, MDPV, is 10 to 50 times more potent than cocaine in its ability to increase dopamine in the brain.
Emergency rooms around the country have reported cases of people taking bath salts who become psychotic, violent and delirious. These patients also may have a very high body temperature. Some people have died from bath salts use.
Data from the American Association of Poison Control Centers indicate that calls due to bath salts dropped from January to November 2012, though Dr. Baumann notes the data for the year are not yet complete. “If it is indeed the case that bath salts calls are declining, perhaps it is because of all the publicity about these substances being quite dangerous,” he says.
Michael H. Baumann, PhD
Dr. Baumann also notes government action may be playing an important role in the decrease in bath salts calls. In the fall of 2011, the Drug Enforcement Administration announced a temporary ban on three synthetic stimulants sold as bath salts—mephedrone, methylone and MDPV. The ban made it illegal to possess and sell these chemicals or the products that contain them. In July 2012, President Obama signed legislation that permanently bans a number of synthetic drugs including mephedrone and MDPV.
A troubling trend is the availability of newer, similar compounds that chemists are devising to replace the banned substances, Dr. Baumann observes. “This cat-and-mouse game is likely to continue,” he says. It is possible some of these newer compounds may no longer be called bath salts, and are thus not showing up in the poison control data.
Much is still not known about bath salts, such as how they interact with alcohol and other illicit drugs. Scientists also don’t know what happens when several different cathinone products are mixed, or the long-term effect of bath salts use.
“Bath salts are dangerous,” Dr. Baumann says. “We don’t know a lot about how they affect the body, and there is no quality control in their manufacture or packaging. There’s just no way of knowing what byproducts or toxic impurities are in these products.”
For the latest information about bath salts, visit the NIDA website.

Tuesday, January 15, 2013

New Ice Cubes Change Color to Track Alcohol Use

A graduate student at the Massachusetts Institute of Technology has invented ice cubes that can warn drinkers when they’ve consumed too much alcohol, ABC News reports.
Dhairya Dand came up with the idea after he suffered an alcohol-induced blackout. The incident inspired him to invent ice cubes that change colors in response to the amount of alcohol a person consumes. An instrument called an accelerometer tracks how often the glass is raised to someone’s lips, while a timer helps estimate how intoxicated the person is, according to the news report.
A light encased in the waterproof ice cube will flash green to signal a first drink. When the ice cube flashes yellow, it indicates a person’s alcohol level is rising. A red flashing ice cube is a warning to stop drinking. The ice cube can send a text message to someone to let them know the person needs assistance.

Monday, January 14, 2013


Serve One Another
Today's Scripture
"God has given each of you a gift from his great variety of spiritual gifts. Use them well to serve one another." - 1 Peter 4:10 NLT
Thoughts for Today
God has given each of us gifts—and he wants us to use those gifts to serve one another. Galatians 5:13 admonishes us to "serve one another in love."
We each have a responsibility to develop our gifts and use them to serve others. We are to serve one another in the family of God in love … and reach out with that same loving service to those outside the church, demonstrating the love of Christ to them.
Consider this …
Sometimes we might not appreciate the gifts God has given us. We might look at someone else and think I wish I could do what they do … I wish I had that talent or organizational ability or their way with people. It is important that each of us recognizes and appreciates—and uses—the special gifts God has given us. Only then can we fully accomplish his purpose for our lives.
Some of us might just ignore a gift, letting it lie dormant. Or we may use it in other ways, but not to serve others. Let us ask him to help us develop a servant's heart.
Prayer
Father, thank you for the gifts you have given me. Help me not to neglect them or get sidetracked in the way I use them. Teach me to use them to serve others in your love. Give me a servant's heart. In Jesus' name …
These thoughts were drawn from …
Understanding Depression: Overcoming Despair through Christ by Donald G. Miles, Ed.D. This study deals with depression, a condition common throughout the world, and is suggested for use in support groups and Christian counseling.
  • Understanding what depression is and how it affects relationships
  • Understanding the relationship between depression and spiritual warfare
  • Ways to fight depression with scripture, prayer and mutual support
  • Understanding the special prayer needs of depressed persons
  • How to pray for healing and what to expect
  • Serves as a powerful evangelistic tool by providing a way to minister to people's felt needs and then lead them to Christ
Note: This curriculum was written especially for small groups, and we encourage people to use it that way. However, it can also be used effectively as a personal study for individuals or couples.
Would you like to have these devotions appear daily on your church or ministry website? Learn More
 
 
PO Box 22127 ~ Chattanooga, Tennessee 37421 ~ 423-899-4770
© Living Free 2007. Living Free is a registered trademark. Living Free Every Day devotionals may be reproduced for personal use. When reproduced to share with others, please acknowledge the source as Living Free, Chattanooga, TN. Must have written permission to use in any format to be sold. Permission may be requested by sending e-mail to
info@LivingFree.org.

New Tools Identify Substance Use Treatment Needs in Criminal Justice System

People in prisons and jails are four times more likely to have a substance use disorder than the general public, yet services for this population are sorely lacking, according to experts at George Mason University. They have developed several screening tools designed to improve substance use treatment in the criminal justice system.
Both treatment and justice agencies would benefit from screening for criminal justice risk, as well as substance use disorders, according to Faye Taxman, PhD, of the university’s Center for Advancing Correctional Excellence! (ACE!) program in Fairfax, Virginia. “More than 30 percent of offenders could benefit from residential treatment, but less than 5 percent in prison, jail or community corrections have access to such services,” she says.
Taxman spoke recently about substance abuse treatment and the criminal justice system at the American Academy of Addiction Psychiatry annual meeting.
The Risk-Needs-Responsibility (RNR)  Simulation Tools developed by the ACE! team focus on both individuals as well as systems as a whole. One tool developed by Taxman and her colleagues looks at a person’s history of involvement in the system—age of first arrest, number of times a person was arrested, incarcerated, on probation and rearrested—to assess how likely it is that the person will return to the system. Taxman notes this risk assessment is clinically relevant, since it signifies the intensity and structure of services needed.
“People who score moderate to high-risk also tend to have more behavioral health problems and patterns,” Taxman says. “They tend to have more risky behaviors and more entrenched substance abuse and mental health problems.” The tool allows practitioners to recommend appropriate substance use treatment programs for individual prisoners, based on their specific needs.
The ACE! team also has recently launched an online tool for clinicians working with the criminal justice system to assess whether their substance abuse treatment program meets the need of prisoners.
“The RNR tools help clinicians evaluate their own programs, and shows them how to strengthen them,” notes Taxman. Currently, the available services for offenders in the community are often not consistent with the risks and needs of offenders, she says. The tool takes into account the level of substance use disorders and mental health needs of the population. There is a minimal cost to store data in the RNR tool, depending on the size of the organization.
The RNR model asks how restrictive the setting is (such as prison or a halfway house), how often drug testing is done, what treatment consists of, whether other issues are addressed (such as anger management, domestic violence or employment services), what the rewards and punishments are for treatment successes and failures, the level of staff training and how closely the treatment manual is followed.


Faye Taxman, PhD


Taxman says when criminal justice agencies know what the risks and needs of their populations are, they are better able to identify available programs that are appropriate for their clients. The RNR Simulation Tool has a strategic planning capability to help systems identify gaps in services based on offender needs. The tool allows users to enter the characteristics of the offender population, and estimate how many would need each level of treatment. If the user enters information about what programs are available, the tool will identify where there is adequate programming available, and where gaps exist.
“Clinicians in the substance abuse field often don’t want to talk to patients about their criminal justice involvement, as though it’s not relevant to their medical problems,” Taxman observes. “But we’ve found it’s very relevant to providing the best care for them. If substance use agencies screened for criminal risk, they could better serve the population overall and reduce risk of recidivism and relapse.”

Saturday, January 12, 2013

Public Hospital ERs in New York City to Restrict Some Painkillers

New York City public hospitals will restrict prescriptions of some powerful painkillers in their emergency rooms, Mayor Michael Bloomberg announced Thursday. The new policy is designed to cut down on prescription drug abuse.
Most patients in public hospitals will no longer be able to obtain more than three days’ worth of narcotic painkillers such as Vicodin and Percocet, and will not be able to get OxyContin, Fentanyl or methadone at all. Patients will not be able to refill prescriptions that have been lost, stolen or destroyed, The New York Times reports.
The rate of opioid painkiller-related emergency department visits nearly tripled in New York City between 2004 and 2010, according to a news release from the Mayor’s office.
“Changing practice by front line providers is key to changing the course of this epidemic,” said Deputy Mayor Linda Gibbs. “While prosecutors and the law enforcement community rightly focus on those who illegally prescribe, dispense or procure painkillers, health leaders need to focus on encouraging well-meaning doctors and pharmacists to prescribe and dispense these medications safely and judiciously. Our work will proceed on all fronts to curtail the harms that come from painkiller misuse.”
Mayor Bloomberg said more than 250,000 New Yorkers over age 12 are abusing prescription painkillers.
Some critics of the new plan say it takes away the flexibility of doctors in the public health system to respond to the needs of poor and uninsured patients. “Here is my problem with legislative medicine,” Dr. Alex Rosenau, President-Elect of the American College of Emergency Physicians told the newspaper. “It prevents me from being a professional and using my judgment.” While some patients may fake pain to get a prescription, he said, others may have legitimate complaints of pain that require more than three days’ worth of painkillers.

Injected Opana Linked to Rare Blood-Clotting Disorder


Health officials in Tennessee are reporting cases of a rare blood-clotting disorder in people who injected the painkiller Opana ER (extended release), after crushing the pills. Fifteen cases of the disorder were linked to intravenous drug abuse, and 14 were linked specifically to Opana ER.
The disorder, thrombotic thrombocytopenic purpura (TTP), is usually seen in about one in 100,000 people, HealthDay reports. It causes blood clots to form in small blood vessels around the body. If untreated, the disorder can be fatal. None of the Tennessee patients died. Seven were treated for sepsis, which is potentially fatal.
Opana ER is meant to be taken orally. The Centers for Disease Control and Prevention (CDC) notes in its Morbidity and Mortality Weekly Report that some people seeking euphoria-inducing effects crush the tablets to snort them or dissolve them for injection. A new formulation of the drug, designed to make it more difficult to crush or dissolve the tablets, was released in February 2012.
Dr. Leonard Paulozzi, a medical epidemiologist at the CDC, told HealthDay that snorting or injecting Opana allows the drug to enter the bloodstream more quickly. “Apparently, the amount of euphoria associated with the drug is associated with how fast the drug level rises in your bloodstream,” he said.
It is not known why the Opana ER might lead to the blood-clotting disorder, said Dr. David Kirschke, Deputy State Epidemiologist for the Tennessee Department of Health. The CDC is advising doctors who prescribe Opana, and pharmacists who fill prescriptions for it, to tell patients about the risks of the drug when it is used other than as prescribed.
In October, the Food and Drug Administration warned about the risk of developing TTP from injecting Opana ER.

PRO-ACT Family Addiction Education Program helps families address drug and alcohol addiction







Next free sessions start week of Feb. 5 at various locations in five counties



Each month PRO-ACT (Pennsylvania Recovery Organization–Achieving Community Together) hosts a free Family Addiction Education Program to help individuals and families recognize and address an addiction problem in a spouse, parent, child or other loved one. Led by trained volunteers who have been in the same situation, these information and support programs begin the first week of each month and run one evening a week for three consecutive weeks. Each session lasts two hours.



Programs are offered at several locations throughout the five-county southeast Pennsylvania region:

· Tuesdays—From 7 p.m. to 9 p.m. in Media and Northeast Philadelphia.

· Wednesdays—From 6 p.m. to 8 p.m. in Pottstown; from 6:30 p.m. to 8:30 p.m. in North Philadelphia; and from 7 p.m.to 9 p.m. in West Chester.

· Thursdays—From 6:30 p.m. to 8:30 p.m. in Northern Liberties; 7 p.m. to 9 p.m. in Bristol and Colmar



Sessions are free and confidential—first names only. Pre-registration is required. To register, call 800-221-6333, weekdays 9 a.m. through 5 p.m., or visit www.proact.org and click the Family Addiction Education Program link.

Friday, January 11, 2013

Choosing Substance Abuse Treatment Over Prison Could Save Billions: Study



Sending substance-abusing state prisoners to community-based treatment programs instead of prisons could reduce crime and save billions of dollars, a new study concludes. The savings would result from immediate reductions in the cost of incarceration, and by subsequent reductions in the number of crimes committed by successfully treated offenders, which leads to fewer re-arrests and re-incarcerations, according to the researchers.
Almost half of all state prisoners abuse drugs or are drug-dependent, but only 10 percent received medically based drug treatment while they are incarcerated, according to Newswise. Inmates who are untreated or not adequately treated are more likely to start using drugs when they are released from prison, and commit crimes at a higher rate than those who do not abuse drugs, the article notes.
The researchers built a simulation model of 1.14 million state prisoners, representing the 2004 U.S. state prison population. The model estimated the benefits of substance abuse treatment over individuals’ lifetimes, and calculated the crime and criminal justice costs related to policing, trial and sentencing, and incarceration.
The model tracked individuals’ substance abuse, criminal activity, employment and health care use until death or until they reached age 60, whichever came first. They estimated the costs of sending 10 percent or 40 percent of drug-abusing inmates to community-based substance abuse treatment instead of prison.
In the journal Crime & Delinquency, the researchers found that if just 10 percent of eligible offenders were treated in community-based programs instead of going to prison, the criminal justice system would save $4.8 billion, compared with current practices. If 40 percent of eligible offenders received treatment, the savings would total $12.9 billion.