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Wednesday, September 24, 2014
Commentary: How To Choose The Best Treatment Center for Your Teen
/BY DOUG TIEMAN
September 24th, 2014/
One of the most difficult moments you can face as a parent is learning that your child suffers from addiction. You’ve already experienced the sleepless nights, the fear in the pit of your stomach that something isn’t right with your child. You’ve held on to the hope that their behavior was a “teenage phase” or an issue that could be easily and quickly remedied.
However, you’ve since learned that you’re dealing with addiction – a disease you never expected to encounter. You’re under enormous stress to make a decision about where to get treatment for your child, which could impact the rest of his or her life. We know that feeling, we understand the tremendous pressure, and we believe no parent should have to go through it alone.
For that reason, Caron Treatment Centers partnered with other leading adolescent treatment centers, Cumberland Heights, Hazelden, Rosecrance, and Visions Treatment Centers, to offer what we collectively believe are the essential criteria for adolescent treatment.
Our recommendations are designed to help in understanding critical success factors and empower families to make life-saving decisions for their teenager.
• Aftercare: Centers should offer long-term engagement including alumni and follow-up services. Caron, for instance, provides Recovery Care Services to adolescents and their parents. Specialists meet with teens during treatment and establish a relationship that continues through one year after treatment is completed. The goal is to assist in the transition of early recovery, continue a connection with Caron through alumni events, and provide parents with the opportunity to join a support group.
• Continuum of Care: Addiction is a chronic disease. A continuum of care supports long-term management of the illness. Services should include assessment, detoxification, treatment, primary care (first 30 days of residential treatment), extended care (residential treatment beyond 30 days), and follow-up sober living accommodations, strategic recommendations, and/or specialty and ongoing educational programming.
• Credentials: Centers should be accredited by CARF International. Organizations that are CARF accredited demonstrate their commitment to continuous improvement of their programs and services and must conform to the behavioral health standards established by CARF. Additionally, their treatment locations are audited by their local state departments of health services.
• Evidence-Based Practices (EBPs): Facilities should use EBPs that have been researched and validated to have positive outcomes on recovery. Motivational interviewing, for example, is a technique used by clinical staff to engage and motivate an adolescent to make positive changes. Another evidence-based practice, cognitive behavioral therapy (CBT), teaches people how their thoughts affect their feelings and how their feelings affect their behaviors. This allows individuals to make changes that can significantly improve quality of life.
• Family Program: Addiction affects the entire family. Therefore, families must be included in the treatment process, which starts during the pre-admission process and extends through recovery. Leading adolescent facilities offer family programs that educate, offer therapeutic support, and ultimately improve the wellness of the entire family.
• Gender Separation: Teens entering addiction treatment are in a vulnerable place. Centers that separate genders offer healthy and safe environments for their recovery.
• Highly Trained Clinical Team: Not all mental health professionals are alike. Top centers offer highly skilled mental health professionals trained for all aspects of treatment, including assessment, treatment, and co-occurring issues management.
• On-site Education: Facilities should offer on-site and individualized education. This gives patients the opportunity to achieve and maintain an acceptable academic status during treatment.
• Quality Medical Detox: The first stage of the treatment process involves detoxification. A safe withdrawal requires a quality medical setting with a highly trained team who are regularly monitoring patients, capable of managing complicated medical conditions, and can offer medicated interventions.
• Secure Environment: When choosing a center, it is critical for young patients to feel comfortable and safe in their residential treatment environment.
• Specialty groups: Myriad issues impact addiction. They’re often triggers for relapse if not addressed in the treatment process. When teens are able to work on issues like grief, body image, and anger, they develop important life skills that support them in long-term recovery.
• Spirituality: EBPs show that spirituality is a core component of successful recovery. It’s a deeply personal experience that doesn’t require a religious affiliation. Spirituality offers the previously isolated addict a connection to themselves, their loved ones, and society. Centers with a foundation in the 12-Steps empower patients to make a commitment to their recovery and provide a roadmap to nurture and practice that commitment daily.
• Wellness: Engaging in exercise and having a healthy diet are important habits to develop in treatment. They help heal the body and remain important behaviors at the heart of daily recovery. Facilities should offer programs for exercise – ideally both a gym and fun recreational activities. Likewise, facility cafeterias should offer healthy food and nutritionist guidance on creating a balanced diet.
Parents would take considerable measures to choose the right college for their child. We recommend applying the same level of analysis when choosing a treatment center. Stay tuned for additional insights in my next article. You can follow Caron on twitter @CaronTreatment.
Doug Tieman, President and Chief Executive Officer
Mr. Tieman has been the President and CEO of Caron Treatment Centers since 1995. Under Mr. Tieman’s direction, Caron has taken leadership roles in treating addiction in young adults and adolescents, sponsoring research, and participating in national conferences on addiction and recovery.
Activist Group: FDA Head Should Quit Because of Worsening Opioid Overdose Epidemic
September 24th, 2014/
A group of activists says the Food and Drug Administration (FDA) has worsened the opioid overdose epidemic. They are calling on the head of the agency, Commissioner Margaret A. Hamburg, to quit, The Washington Post reports.
The coalition, called FedUp!, is comprised of doctors, addiction specialists and family members who have lost loved ones to prescription drug overdoses, according to the newspaper. The group is planning a rally on Sunday in Washington, D.C. to draw attention to what it called “a slow and tragically ineffective federal response” to the “worst drug addiction epidemic in our nation’s history.”
“We have come to believe that without new leadership at FDA the opioid crisis will continue unabated,” the group wrote this week to Health and Human Services Secretary Sylvia Burwell. “We are especially frustrated by the [FDA’s] continued approval of new, dangerous, high-dose opioid analgesics that are fueling high rates of addiction and overdose deaths.”
The group criticized Hamburg’s defense of the FDA’s decision to approve Zohydro ER, a pure hydrocodone drug. Zohydro was approved for patients with pain that requires daily, around-the-clock, long-term treatment that cannot be treated with other drugs. In December 2012, a panel of experts assembled by the FDA voted against recommending approval of Zohydro ER. The panel cited concerns over the potential for addiction.
The FDA said in a statement that Hamburg has been a “tireless public health advocate” for more than two decades and “is committed to continuing to champion the rights of patients.” The agency added that preventing opioid abuse and ensuring pain sufferers have access to appropriate treatments are “both top public health priorities for the FDA.”
Alcohol a Factor in Several College Freshmen Deaths This Semester
September 24th, 2014/
At least eight U.S. college freshmen have died so far this semester, many of them in alcohol-related incidents, according to Times Higher Education. Colleges are encouraging freshmen and their parents to talk about alcohol and drugs even before they arrive on campus.
A freshman at Texas Tech University died of alcohol poisoning in late August. An international student at Michigan State University died after a night of drinking during the school’s move-in weekend. A Towson University student in Maryland died after falling into a glass door during a party, the article notes.
“It’s a huge transition and all the support systems are different,” said Pete Goldsmith, Dean of Students at Indiana University at Bloomington. “For students who have lived in very structured situations and environments, going to a college campus when very suddenly they have this new kind of freedom and new choices to make, it can be pretty overwhelming.”
Because in many cases only a few hours of orientation are devoted to drinking and drug use at most schools, they are trying to reach incoming students and their parents before they arrive. “We urge parents to have conversations with students about drug and alcohol use,” Goldsmith said. “We encourage parents to think through what their own expectations are for this first year. Parents and students are so focused on getting into college, there’s not always a lot of attention given to what’s going to happen once they’re actually there.”
Students who arrive at school may fall under the spell of “the college effect,” says Amy Murphy, Dean of Students at Texas Tech University. Even if they arrive at school with healthy attitudes and behaviors, they are exposed to unhealthy influences once on campus. These influences make them more likely to participate in drugs and drinking, she said.
People Tend to Consume More Alcohol on Days They Exercise: Study
September 24th, 2014/
People tend to drink more alcohol on days they exercise, suggests a new study. Beer is the most popular post-workout alcoholic beverage, Time reports.
The 150 adults who participated in the study used a smartphone app to record how much they exercised and how much alcohol they drank for 21 days at a time, at three times during one year. The study found both exercise and drinking increased Thursdays through Sundays.
The findings are published in Health Psychology. The researchers took into account the fact that people tend to have more alcohol-related social events on the weekend, and may prefer to drink primarily on the weekends.
“Monday through Wednesday people batten down the hatches and they cut back on alcohol consumption,” lead researcher David E. Conroy of Northwestern University Feinberg School of Medicine said in a news release. “But once that ‘social weekend’ kicks off on Thursdays, physical activity increases and so does alcohol consumption.”
He added, “Perhaps people reward themselves for working out by having more to drink or maybe being physically active leads them to encountering more social situations where alcohol is consumed — we don’t know. Once we understand the connection between the two variables we can design novel interventions that promote physical activity while curbing alcohol use.”
Previous studies have shown that too much alcohol can negate some of the positive effects of exercise. Drinking adds to a person’s daily calorie count, and could impair muscle recovery, the article notes.
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To our supporters,
Sunday, September 21, 2014
September 19 Chp 139 v 13 TWELVE STEPPING WITH STRENGTH FROM THE PSALMS
You made all the delicate ,inner parts of my body and knit me together in my mother's womb .
STEP 1 - We admitted we were powerless over our addiction - that our lives had become unmanageable.
A couple of years back my wife and I purchased a battery powered car for our three year old son .It was a gift from Grandma from up the mountains. Thanks Grandma ! When we opened the box we were confronted with a million parts and an instruction booklet . With out those instructions the little car would have been a mess and me and my wife would have eventually succumb to defeat and given up . Life is a lot like that car ,from Birth God provides instructions .Moms and Dads should read us the instructions or take us to a place where we can be given the instructions . Without God given instructions for our lives we will eventually succumb to defeat . No where in the instruction manual does it say everyday will be sunny and stress free. It does say that we will have troubles but God our Father is with us every second of every day to love, lead, guide, comfort,, listen ,and meet all of our needs. Addictions were my way of dealing with life without the instructions. Well anyone with half a brain knows that addiction wont repair your life it will only wreck it .Step one opened my eyes and helped me realize I had become powerless to overcome my addictions because I wasn't reading Gods instructions. Gods Big book is the only book in the universe that once you own one and read it everyday it will come alive and become a part of you .
Romans 15 : 4For everything that was written in the past was written to teach us, so that through the endurance taught in the Scriptures and the encouragement they provide we might have hope.
BY JOSEPH DICKERSON
Friday, September 19, 2014
"In the last analysis, the individual person is responsible for living his own life and for 'finding himself.' If he persists in shifting his responsibility to somebody else, he fails to find out the meaning of his own existence." - Thomas Merton
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Teens Who Feel Less Favored By Parents More Likely to Use Drugs, Alcohol: Study
September 18th, 2014/
Teens who feel their parents favor their siblings over them are more likely to use alcohol, drugs and tobacco, a new study finds.
“There’s this cultural perception that you need to treat your children the same, or at least fairly,” lead researcher Alex Jensen of Brigham Young University told NPR. “But if kids perceive that it’s not fair, that’s when issues start to arise.”
The researchers studied 282 teenage sibling pairs, ages 12 to 17. He asked each participant how their parents treated their children overall, whether any sibling was favored, and how the family functioned.
They found an association between feeling less favored and substance abuse. Teens were more likely to abuse substances if they felt less favored and were in a family that was not particularly close. The more they felt slighted, the more likely they were to use alcohol, drugs or tobacco.
Teens in these disengaged families who felt less favored were almost twice as likely to use alcohol, cigarettes or drugs. If the preferential treatment was perceived to be extreme, the less favored child was 3.5 times more likely to use any of these substances, the researchers found.
In families in which members were more engaged with one another, teens who felt less favored were less likely to abuse substances.
“It’s not just how you treat them differently, but how your kids perceive it,” Jensen said in anews release. “Even in the case where the parents treated them differently, those actual differences weren’t linked to substance use – it was the perception.”
The study appears in the Journal of Family Psychology.
Jensen advises parents to try to minimize any bad effects of perceived favoritism. “See them as individuals and love them for who they are. Show them how you love them. Hopefully you do, but try to communicate that love.”
Football Players Will be Tested for Human Growth Hormone Under New Plan
September 18th, 2014/
Football players will be tested for human growth hormone (HGH) under a new drug-testing plan agreed upon by the National Football League (NFL) and the players union. The plan has been in the works for several years, The New York Times reports.
The plan also includes a higher threshold for a positive marijuana test. Under the new plan, a positive marijuana test will require 35 nanograms of THC per milliliter in a player’s urine, compared with the previous limit of 15. Players who test positive for amphetamines for the first time in the off-season will be referred to the league’s substance abuse program, instead of being suspended. No agreement has been reached on new terms for the substance abuse program, the article notes.
Appeals for positive test violations will be heard by an independent arbitrator, not an appeals officer appointed by the league. Up to five arbitrators will be selected, approved and paid for jointly by the NFL and the union.The plan will require a player to be suspended for two games if they are convicted of, or plead guilty to, violating laws involving drinking and driving.
To address privacy concerns, the plan calls for fines of as much as $500,000 for any NFL, union or team employee who is found to have disclosed information about drug violations. Players, agents and drug policy administrators can also be fined.
HGH testing should begin by the end of the month, and will be fully implemented this season, according to the NFL.
| September is National Recovery Month. We need you more than ever. | September 18, 2014 | |
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Thursday, September 18, 2014
September 18 v 12 v 13 TWELVE STEPPING WITH STRENGTH FROM THE PSALMS
Restore to me the joy of your salvation ,and make me willing to obey you .
Then I will teach your ways to rebels ,and they will return to you .
STEP 11 - Sought through prayer and meditation to improve our conscious contact with God as we understood God, praying only for knowledge of God's will for us and the power to carry that out.
Six weeks clean time and I am ready to sponsor . I have seen many fall due to this misguided thinking .Six weeks clean time is a lot but enough too help others . If you have the slightest doubt about reaching out then you need to wait . Believe me and beware they are plenty of people in the rooms who are not there for sobriety .They are very much still in the game and looking for another victim .Give yourself one year with a good sponsor ! Pray everyday for what the Psalm states a willingness to obey God . Work the steps , I cant tell you enough how important the steps are. This is why I write what I write ,I am trying to stress the importance of the steps. I know you feel awesome and I am glad and I know you wanna give back and that's great but you gotta take it slow . Just because you can say the word recovery does not mean you have been recovered .
Galations 6:1 - Brethren, if a man be overtaken in a fault, ye which are spiritual, restore such an one in the spirit of meekness; considering thyself, lest thou also be tempted.
This week on the Addict's Mom Live Video Online Meetings on In the Rooms, W Have Extra Some Extra Special Guests!! Our very own Addict's Mom members reading letters, poems, songs, blog entries they wrote about addiction. Grab a box of tissues and jo...in us!!
All loved ones react to and deal with the addicts in their lives in different ways. Some of us express our thoughts and feelings in creative ways to help ourselves and sometimes to help others who are feeling the same way. During this week's online video meeting (Thursday night7Pm EST) on intherooms.com, some of the members on the Addict's Mom will share their letters, poems, songs, blog entries, with the Addict's Mom audience.
We hope you will participate in the discussion during the second half of the meeting and share with our group your feelings about these "creations", your reactions, and maybe about something you've created to help you with your situation.
Remember you can remain anonymous also while you on in the rooms join the Addict's Mom group here is the linkhttp://www.intherooms.com/group/view?gid=1806 See More
Remember when you sign into In the Rooms use Google Chrome of Firefox they are best to access the live online video meetings.
Visit The Addict's Mom at: http://addictsmom.com/?xg_source=msg_mes_network
Deaths Due to Prescription Painkiller Overdoses Slowing Down: Report
September 16th, 2014/
Deaths from prescription painkillers are rising at a slower pace than in years past, the Centers for Disease Control and Prevention (CDC) reports. Prescription painkiller overdose deaths rose by 3 percent from 2007 to 2011, compared with 18 percent each year from 1999 through 2006, according to USA Today.
The CDC, in a report released this week, said opioids including hydrocodone, morphine and oxycodone were involved in 11,693 drug-poisoning deaths in 2011, up from 2,749 deaths in 1999.
The report noted benzodiazepines are involved in a growing number of opioid-related deaths. Benzodiazepines were involved in 31 percent of opioid-related deaths in 2011, up from 13 percent in 1999. The number of drug-poisoning deaths involving methadone, used to treat opioid dependency and pain, increased from 784 deaths in 1999 to 5,518 deaths in 2007 and then declined to 4,418 deaths in 2011.
In 2006,the Food and Drug Administration urged doctors to use caution when prescribing methadone to patients who are not used to the drug, and that patients take the drug exactly as directed. Two years later, methadone manufacturers agreed to limit distribution of large volumes of the drug, the article notes.
In the past decade, adults ages 55 to 64 and non-Hispanic whites experienced the greatest increase in the rates of prescription painkiller poisoning deaths.
In an effort to reduce prescription drug abuse, the Drug Enforcement Administration recently announced it will reclassify hydrocodone combination products such as Vicodin. Under the new rules, patients will be able to receive the drugs for only up to 90 days without receiving a new prescription.
Hydrocodone combination products will be classified as Schedule II drugs. Currently these products are Schedule III drugs, meaning they can be refilled up to five times, and prescriptions can cover a 180-day period.
Accidental Ingestion of Buprenorphine a Danger to Young Children: Study
September 16th, 2014/
Buprenorphine, a medication used to treat opioid addiction, is the prescription drug most commonly implicated in emergency hospitalizations of young children, according to a new study. The drug poses a danger to children who find and accidentally swallow relatives’ prescriptions, the Associated Press reports.
The study, published in Pediatrics, found for every 100,000 patients prescribed buprenorphine, 200 children ages 6 and younger were hospitalized for ingesting it. That rate is four times higher than the rate for the next most commonly ingested drug, a blood pressure medication. In total, almost 800 young children are hospitalized annually after swallowing buprenorphine.
Lead researcher Dr. Daniel Budnitz of the Centers for Disease Control and Prevention told the AP that recent drug-packaging changes may help reduce the risks of accidental buprenorphine ingestion by children.
In 2013, the company that makes Suboxone (a combination of buprenorphine and naloxone), said the drug would no longer be available in tablet form because of the risk of children becoming poisoned after swallowing the drug. The company switched to making a film version of the medication, which is put under the tongue. According to the AP, generic Suboxone tablets are still available.
Buprenorphine can help reduce drug cravings and withdrawal symptoms without producing a narcotic “high,” the AP reports. In children, the drug can cause sedation, dangerously slowed breathing and vomiting.
New Portable Method to
Detect “Bath Salts” Being Developed
September 16th, 2014/
British researchers are developing a new method to detect synthetic drugs known as “bath salts,” PBS NewsHour reports. The researchers say the method is low-cost, disposable and quick. It could someday be used in a handheld sensor to detect bath salts, the researchers explain in the journal Analytical Chemistry.
Although bath salts have been banned in the United States, they are still sold in some retail shops and online disguised as household products including stain remover, toilet bowl cleaner or plant food, the article notes.
Bath salts can be taken by mouth, inhaled or injected. Adverse effects of bath salts include heart and blood vessel problems, depression, suicidal thoughts, psychosis and death.
The suggested technique to test for bath salts uses mercury, which is toxic, the article notes. The new method uses a mercury-free electrode. It could be the basis for the first portable, onsite testing device for bath salts. The researchers tested their method on bath salts bought online. They reported the accuracy of their results matched that of established methods for identifying bath salts.
Tens of thousands of emergency room visits and several deaths have been attributed to bath salts, the researchers noted in a press release.
Percentage of Positive Drug Tests in Workers Increased For First Time in a Decade
September 16th, 2014/
For the first time in more than 10 years, the percentage of positive drug tests among American workers has increased, according to a company that conducts the tests. The increase is fueled by a rise in use of marijuana and amphetamines, Quest Diagnosticsfound.
The findings come from an analysis of 8.5 million drug test results. The positive drug test result rate increased to 3.7 percent in 2013, compared with 3.5 percent in 2012. It is the first time the positive rate for national workplace urine drug tests has increased since 2003, the company reported.
In Colorado, marijuana was detected in 20 percent more employment-related drug tests performed by Quest during the first year recreational use of the drug was legal, The Coloradoan reports. “While it’s interesting, and it could be a harbinger for things to come, I think it’s a little too early to draw conclusions at this point,” Dr. Barry Sample, Director of Science and Technology at Quest Diagnostics Employer Solutions, told the newspaper. Sample said he did not see evidence that employers are changing their drug-screening patterns to reflect Colorado’s legalization law.
In Washington state, where recreational use of marijuana has also been legalized, Quest found a 23 percent increase in drug tests that were positive for marijuana. In contrast, the company found an increase of 6.2 percent nationally.
Employers in Colorado are getting mixed messages about how to deal with employees who use marijuana. While recreational use of marijuana is legal for adults in the state, it remains illegal under federal law. Under Colorado state law, employers can ban use of marijuana at work. Another state law prohibits employers from dismissing workers for engaging in lawful activities off the premises of the business during nonworking hours.
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| Hello , Because you’ve registered to receive PACT360 community education materials, I want to let you know about a new informative toolkit from the Partnership for Drug-Free Kids. The Partnership is teaming up with Major League Baseball Charities for a special “Play Healthy” program designed to help coaches, parents, teachers and all concerned adults help young people make healthy decisions and prevent them from abusing performance-enhancing substances and prescription drugs. The Play Healthy Toolkit contains a DVD, a discussion guide and handouts that anyone can use to educate themselves and others about the risks of abusing performance-enhancing substances and other drugs. The Toolkit is free of charge and available in English and Spanish. It also contains nomination forms for the Commissioner’s Play Healthy Award, which celebrates and recognizes one youth sports coach and one student athlete who embody the spirit of teamwork, dedication, leadership and a healthy, drug-free lifestyle.  To receive your free Play Healthy Toolkits, e-mail Kevin Collins at kevin_collins@drugfree.org. Please specify the number of English and Spanish kits you would like to receive and your contact information, including e-mail and phone number. I hope you and your community will make use of this important resource. Kevin Collins Deputy Director, Community Education The Partnership for Drug-Free Kids | ||||||||||||||||||||||||||
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