Author: The Fix

  • Alcohol Responsible For 5% Of Deaths Worldwide

    Alcohol Responsible For 5% Of Deaths Worldwide

    A new WHO report found that alcohol-related deaths continue to be a major issue, particularly among men.

    More than 5% of worldwide deaths can be attributed to alcohol, according to a new report

    The data was part of a report from the World Health Organization (WHO) that is released every four years, according to the Guardian.

    The report found that of the approximately 3 million alcohol-related deaths per year, about 2.3 million in 2016 were men. It also noted that nearly 29% of deaths caused by alcohol were the result of injuries, including driving incidents and suicides. 

    A standout finding of the report was the toll that alcohol takes on younger generations. For example, the report found that 13.5% of deaths in those in their 20s were linked to alcohol somehow, while alcohol was held responsible for 7.2% of premature deaths in all. 

    Despite the fact that worldwide alcohol-related deaths have decreased from 5.9% to 5.3% since 2012, Dr. Vladimir Poznyak, a WHO alcohol-control expert who was involved in the report, tells the Guardian that the results are not something to take lightly.

    “Unfortunately, the implementation of the most effective policy options is lagging behind the magnitude of the problems,” he said. “Governments need to do more to meet the global targets and to reduce the burden of alcohol on societies; this is clear, and this action is either absent or not sufficient in most of the countries of the world.” 

    Additionally, Poznyak added that the numbers in the report were likely an underestimate.

    “Alcohol use starts in many countries well before [age] 15, so that is why we can say that our estimates are quite conservative, because we don’t count at all the impact of alcohol consumption on kids below 15,” he told the Guardian.

    On a more positive note, the report also detailed the fact that in some regions, such as Europe and the Americas, the number of drinkers is decreasing.

    In Europe, consumption per person has decreased from 10.9 liters of pure alcohol in 2012 to 9.6 in 2016. Even so, Europe remains the region where the most alcohol is consumed overall.

    Rajiv Jalan, professor of hepatology at University College London, tells the Guardian that one of the main concerns in the UK is the age of consumption. The report found that 44% of 15 to 19-year-olds in the region are considered “active drinkers.”

    Jalan added that it is very concerning that alcohol accounts for 10% of deaths in Europe. 

    “The biggest problem that we have is that, certainly in Europe and if you focus more on the UK, there isn’t really a strategy which is all-encompassing in order to address this death rate. All the different elements that are known to work have not yet been implemented.”

    View the original article at thefix.com

  • Drugs That Look Like Children’s Candy Discovered By Georgia Police

    Drugs That Look Like Children’s Candy Discovered By Georgia Police

    The cartoon-shaped pills were molded in the likeness of Homer Simpson, the Minions and Hello Kitty.

    Popular cartoon characters in the form of brightly colored candy are actually hidden receptacles for drugs, says the Hapeville Police Department in Georgia.

    The cartoon-shaped pills were molded in the likeness of iconic cartoon characters like Homer Simpson, Hello Kitty, and the Minions.

    The Hapeville Police Department Cpl. Jason Dyer wrote a Facebook post updating the community on the “major bust,” as reported by The State.

    The bust—conducted by the Hapeville Criminal Investigation Division—included cash, firearms (including a stolen gun), suspected marijuana, pills, cannabis lollipops, and suspected powder cocaine.

    Both the cartoon-shaped, unspecified “pills” and the lollipops were designed to look like children’s candy, prompting the Hapeville police to ask community leaders such as teachers and parents to be on the lookout for suspicious goodies.

    The Facebook post by the Hapeville Police Department prompted a few commenters who felt the police department was wasting its time on what one called, “stripper money,” apparently referring to the piles of dollar bills in the photo. Other citizens were grateful to the police department for its hard work.

    This bust comes a month before Halloween, a time when parents might feel a little paranoid about the candy kids are getting a hold of. Old stories of tampering with Halloween candy might come to mind, but in general, candy tampering has not been a real danger for American children.

    In 2017, a major drug bust in Atlanta included meth lollipops shaped like flowers. While concerns were that drug dealers were targeting children, drug policy expert Bill Piper of the Drug Policy Alliance disagreed.

    “It’s easy for people to fall for this marketing to children because there’s this misconception that drug dealers are standing on the street corner handing out free drugs,” Piper told The Washington Post. “Adults don’t want nasty-tasting stuff either. We especially find in the flavored meth, a lot of that turned out to be flavoring for adults.”

    In addition, drugs that look like candy are easier to move throughout communities.

    That being said, the Channel Islands has a Halloween candy safety tip page on its website that is worth a visit for parents. One tip states that parents should tell their children not to open or consume any non-commercially packaged candies or foods on Halloween night.

    View the original article at thefix.com

  • Professors Accused Of Selling Drugs, Sexual Misconduct On College Campus

    Professors Accused Of Selling Drugs, Sexual Misconduct On College Campus

    Female students allege that the professors tried to get them to “sexually service professors at other colleges.”

    Several professors at John Jay College of Criminal Justice are under criminal investigation for sexual assault and drug dealing.

    Four of the accused professors are on administrative leave, while more are named in the accusers’ complaints. They are being investigated by the New York State inspector general and Manhattan district attorney.

    The complaints allege that the professors used and sold drugs on the New York City campus. As the New York Times reported, “Drug use and sex were said to be common in the offices of some professors and in an area known as ‘the Swamp’ in one of the school’s buildings.”

    Anthropology professor Ric Curtis, 64, was the ringleader of the alleged misconduct. The accusers and eyewitnesses claim Curtis frequently used and sold drugs in his office at John Jay. They recalled seeing drug paraphernalia in his office, including a pipe, a grinder and needles.

    Curtis, former chair of the sociology, anthropology, and law and police science departments, has been at the school for 30 years.

    One accuser, 24-year-old recent graduate Naomi Haber, told the New York Post that Curtis convinced her to go off her medications, including antidepressants, for bipolar disorder—and “introduced weed into my life, instead.”

    Haber also claimed that Curtis held on to his “devotees” by hooking them with drugs. “Ric supplied weed to his devotees, several times a day, which made it even harder for [‘swamp’ devotees] to leave once they had become dependent on the drugs and by extension, him.”

    The women also accused the men of sexual assault, and attempting to have them “sexually service professors at other colleges,” as well as rape, according to the Post.

    John Jay was apparently aware of the allegations since at least May, the Times reports, and found significant quantities of drugs and drug paraphernalia in an internal investigation.

    However, the school did not alert police until September—and when it did, John Jay did not disclose the “circumstances under which [the evidence was] recovered.”

    Another accuser, 39-year-old Claudia Cojocaru, a former student who is now an adjunct professor at John Jay, criticized the school’s handling of the allegations.

    “They were incredibly rude and victim-degrading. They made us perform like circus animals, distorted the facts, and distorted what we talked about,” she said. “They tried to brush the whole thing under the rug, so to speak. They re-traumatized us by making us relive all sorts of traumatic experiences.”

    View the original article at thefix.com

  • Heather Locklear Addresses Addiction On Instagram

    Heather Locklear Addresses Addiction On Instagram

    “Addiction is ferocious and will try to take you down. Recovery is the best revenge.”

    Heather Locklear, the TV star best known for role on Melrose Place has had a difficult year. She’s been making headlines for her struggles with addiction and mental health, including several trips to treatment. Locklear is also currently facing a hearing on September 27 on charges of battery on a police officer and an EMT who were called to her home.

    Recently, the actress took to Instagram to address addiction and recovery. Locklear had taken a step back from social media for several months before coming back in August, and several postings have touched on her recent troubles, with hopes for a better tomorrow.

    On September 19, she posted, “Addiction is ferocious and will try to take you down. Recovery is the best revenge. Be kind to everyone you meet, your light just might change their path.”

    She ended her post saying, “Rest in peace beautiful Josh. You touched my [heart emoji].” (It’s currently unclear who Josh is, but reports claim he was a friend of Locklear’s who lost his own battle with addiction.)

    In another, she left a message that read,  “Love yourself…enough to take the actions required for your happiness…enough to cut yourself loose from the drama-filled past…enough to set a high standard for relationships…enough to feed your mind and body in a healthy manner…enough to forgive yourself…enough to move on.”

    In another post, Locklear shared a photo of the Maria Shriver book, I’ve Been Thinking…Reflections, Prayers, and Meditations for a Meaningful Life.

    In June, Locklear was arrested on two counts of battery on emergency personnel who were called to her home, with Sgt. Eric Buschow of the Ventura County Sheriff’s Department telling CNN she was “extremely intoxicated and very uncooperative” at the time of her arrest.

    After her arrest, Locklear reportedly checked into rehab for the second time this year. 

    She has reportedly gone to rehab seven times, first checking into a facility in Arizona for anxiety and depression in 2008.

    She was later arrested the same year for suspicion of driving under the influence of prescription meds (the charges were later dismissed.) Locklear also reportedly did a one-month rehab stay in March 2017.

    View the original article at thefix.com

  • Kathleen Turner Talks Alcoholism, Recovery

    Kathleen Turner Talks Alcoholism, Recovery

    “I thought I could control the pain of my illness better with alcohol than I could with pain medication.”

    Kathleen Turner first became a star with the erotic thriller Body Heat, and throughout the ’80s the hits kept coming with Romancing the Stone, Who Framed Roger Rabbit (she voiced Jessica Rabbit), The War of the Roses and more.

    Now she has released her new book, Kathleen Turner on Acting, and she’s more outspoken than ever about her career and recovering from alcoholism.

    As ABC News reports, Turner turned to alcohol when she developed rheumatoid arthritis.

    “Oh, I abused alcohol,” she said. “Because it’s a great painkiller, let me tell you.”

    Turner had previously written about her struggles with alcohol in a previous memoir, Send Yourself Roses. She wrote that when she suffered from arthritis, having sex was difficult because of the extreme pain she was in, which put a “multilayered” strain on her marriage.

    “With my loss of confidence went a loss of sexuality,” she wrote. “When my pain from the illness was at its worst, I discovered that vodka killed it quite wonderfully. I didn’t want to take painkillers because I didn’t like the way they mucked up my mind, so I used alcohol instead. Stupidly, I didn’t consider that alcohol mucks up your mind, too.”

    As Turner recently told Vulture, “I thought I could control the pain of my illness better with alcohol than I could with pain medication. I didn’t want to take OxyContin and Percocet. I thought that would be an immediate path to addiction; I never thought alcohol would. Then I did, of course, abuse it [alcohol]. It never got in the way of the work but, oh, on my time off, just to kill the fucking pain, drinking was great.”

    Turner recalled hitting bottom at a rehearsal for a New York run of The Graduate. She drank heavily that day and passed out in a bathroom. The next day she apologized, telling the cast, “I’m having a drinking problem. I have these pills that will make me desperately ill if I drink. I’m going to give them to the stage manager and he’s going to give me one a day. I will not be a problem again.”

    Once the production ended, Turner went to rehab, and went to AA meetings for six months afterwards. Yet Turner also confessed that a drink of wine “at the end of a show or something” is still an “occasional pleasure.”

    View the original article at thefix.com

  • How Octopuses Feel On MDMA

    How Octopuses Feel On MDMA

    A new study revealed some interesting findings about the anti-social, eight-legged invertebrates.  

    While octopuses and humans are separated by more than 500 millions years of evolution, we may share one fascinating similarity—how we respond to MDMA.

    According to new research, published in the journal Current Biology last Thursday (Sept. 20), octopuses exposed to MDMA “tended to spend more time” with other octopuses.

    The results of the study are especially fascinating because these eight-legged animals are naturally asocial, except when mating. Those that were not exposed to MDMA avoided other octopuses.

    As NPR reported, “The researchers knew from previous tests that an octopus would normally stay far, far away from a second octopus that was confined to a small cage inside the first one’s tank. But an octopus on MDMA would get up-close and personal with the new neighbor.”

    Gül Dölen, assistant professor of neuroscience at Johns Hopkins University School of Medicine, conducted the experiment after finding a striking similarity in how serotonin binds to brain cells in octopuses and humans while analyzing the genetic code of the California two-spot octopus.

    MDMA was administered to the octopuses by placing the invertebrates in a beaker of seawater with the drug, that was absorbed through the gills.

    They started them off at a high dose, to see how they would react. “They really didn’t like it. They looked like they were freaked out,” said Dölen. “They were just taking these postures of super hypervigilance. They would sit in the corner of the tank and stare at everything.”

    The animals reacted much differently when given a lower dose.

    “After MDMA, they were essentially hugging. [They were] really just much more relaxed in posture, and using a lot more of their body to interact with the other octopus,” said Dölen.

    Dölen and her colleagues acknowledge that the animals’ lovey-dovey behavior has yet to be affirmed. Another neuroscientist who was not involved in the study asked, “Is it really affection? How would we know? It’s totally fascinating and super-suggestive, but I am not 100% convinced that this is doing the same thing in octopus and in human.”

    He added, “It just shows us how much we don’t know and how much there is out there to understand.”

    View the original article at thefix.com

  • When the Obsession Isn’t Lifted

    When the Obsession Isn’t Lifted

    Before, when someone with 20 years would say “it’s still a day at a time,” I couldn’t really hear them. I do now.

    I was a typical low-bottom case. I was drunk most days, and a car wreck, an arrest, and a liver enzyme problem couldn’t pry me from my favorite thing to do. What would be the point of a life without alcohol? Now over five years sober, though, one thing astounds me even more than my abstinence. I don’t miss drinking. I hardly think about it. How can this be? Drinking was at the center of my existence. Surely sobriety would be a lifetime of longing for what I couldn’t have anymore, of feeling terribly excluded from the magical things I associated with its effects: wildness, fun, escape, adventure. Now it’s like, drinking? Oh right, that…

    In AA-speak, I had an “obsession” with alcohol, and that obsession has been “lifted.” The totality of this transformation was enough to make me, an atheist before this, feel a bit mystical indeed.

    Over the years I have come to realize that unfortunately this freedom from obsession does not characterize everyone’s recovery experience. I first noticed this when I was out to dinner with a friend from the program. Both of us had over a year sober. Our server began listing drink specials, as servers do, and my friend cut him off and demanded that he remove the cocktail menu from our table immediately. I felt embarrassed and confused. These were not the vibes of someone “placed in a position of neutrality.” Instead she was coming across as anxious and aggressive and she seemed to be feeling unsafe. We talked, and she said, “Yeah, for me, the obsession has not been lifted.” I was stunned. I thought, really?

    Keeping her anonymous, I brought this interaction up to other friends who had been sober for decades. They knew. They reminded me that Dr. Bob’s obsession lasted well into his third year. Bob wrote in the Big Book, “Unlike most of our crowd, I did not get over my craving for liquor much during the first two and one-half years of abstinence. It was almost always with me.” He notes in this passage that it used to make him “terribly upset” to see his friends drink when he “could not.”

    I have become attuned to this. While there are as many experiences of recovery as there are people in recovery–it’s a deeply personal path after all–perhaps two broad types emerge, one in which the obsession all but disappears, and another in which it remains even while abstinence is achieved and maintained. How can these not be vastly different?

    This seems like a big deal, yet the issue gets scant air time in shares. I suspect we don’t hear about this more in meetings owing to our strong unity, per the triangle of recovery, unity, and service. We are at our best when we are united, identifying with each other rather than comparing. On this matter of the obsession, perhaps we are divided. (Of course there may be many people in the middle, whose obsession has weakened but has not “been lifted” or “removed,” or whose obsession comes and goes. I don’t know.) Out of the thousands of meetings I’ve attended, this issue has emerged just a few times as a share theme. In those shares, people whose obsessions have remained have expressed gratitude for others’ honesty who shared this ahead of them, and relief at the permission they felt it granted them to share similarly. They shared not wanting to drag anyone down, not wanting to be an unattractive example to newcomers, and not wanting to be seen as a “bad AA.” They wondered if they were doing the program wrong.

    I imagine that, on the contrary, it must take an especially strong program to maintain sobriety in the circumstance of an obsession that endures. When I share about its being lifted, including writing this now, I feel a sense of survivor’s guilt. I worked the same 12 steps as everyone else, and my active disease was plenty strong. Just for me, abstinence was a prerequisite for the freedom from obsession that followed, but after that, the freedom from obsession made ongoing abstinence feel easy. Life can be hard. Last spring, my sibling got a life-threatening illness, and that was very hard. But I don’t find not drinking to be hard anymore. When I use the slogan “getting sober is a lot harder than staying sober,” that is what I mean.

    Olivia Pennelle’s recent article in The Fix,Is there Life after AA?” caught my attention. She wrote about wanting to leave AA and being tired of the “fear-based conditioning” that if she left, she wouldn’t stay sober. I identified with her experience, not because I wanted to leave AA (I didn’t), but because I too faced dire predictions when I wanted to reduce my time commitment to the fellowship. In my first four years sober I had been attending meetings almost every other day; making daily calls to sponsors (something like 1,500 total to my two consecutive sponsors); hundreds more calls to friends, acquaintances, and newcomers; taking around half a dozen sponsees through some stepwork (not all at the same time!); and fulfilling service commitments ranging from greeter to meeting chair to speaking in prisons and psych wards and what seemed like half the groups in my large metro area. My recovery felt solid, and I’d learned the difference between the program, which I could apply in my daily life, and the fellowship.

    I’d returned to grad school to become a psychotherapist. (Incidentally, while there I discovered that mental health professionals have studies and theories about why the obsession leaves some people more easily than others, having to do with particular co-occurring mental health issues. In the future, I hope to write about this too.) With more focus and energy, I felt ready to pursue the new career and other life goals including getting non-alcoholic friends and dating outside the fellowship. I found myself needing more time. Trust me, I did ask myself and a higher power within: Am I “drifting?” Am I “resting on my laurels?” Then as now, I relied heavily on meditation. In my depths, I knew this was not the case.

    Pennelle quoted someone who wrote to her, “I know lots of people who have left 12-step recovery. They are all drunk or dead.” When I reduced my involvement, some people made it clear how extremely dangerous they thought this was, and how worried they were. When I told a friend I was down to 1 to 2 meetings per week, she looked at me like I was out of my mind. My sponsor was distraught to be working with me in my new approach, and she couldn’t seem to talk about anything other than how my disease must be “tricking” me. I had affectionate feelings and a lot of gratitude towards her, but we couldn’t seem to see eye to eye on this. Eventually I referenced my obsession’s being lifted as part of my rationale for feeling safe cutting down on the time commitment. She then used almost the same words my friend used years before and said that for her “the obsession has not been lifted.” She added, “for some people, it never does.”

    Many considerations likely play into people’s decisions regarding how much or how little time they spend in the fellowship, but it stands to reason that the persistence or disappearance of the obsession factors into it. I have no wish to take chances. Sobriety is the most precious, important thing in my life. It is my life. This disease has killed at least five members of my extended family, and it’s got one immediate family member in prison. I have never once questioned that if I take so much as a sip, I take my life into my own hands, and I don’t want to die. I try never to take my recovery for granted. AA is still a part of my life, but it is “a bridge back to life,” and life was pulling me in another direction. I couldn’t be true to myself and continue at the same level of time commitment I had in my first few years. I didn’t want to let anything get between me and my recovery, including my program.

    “A day at a time” has become a spiritual way of life for me, a reminder to live in the present. In early sobriety it was “a day-at-a-time” quite literally. I struggled hard not to drink through the first 90 days and then some, thinking about drinking almost nonstop. As I remember it, the obsession only began to falter for brief spans in months four and five, when I would have these amazing moments of realizing, hey wait! It’s been a whole afternoon and I haven’t been missing it. What freedom! Though I was desperate, exhausted from sleeplessness, grieving the loss of the only coping mechanism I’d ever known and coming to see the wreckage and trauma for the devastation that it was, these gaps in the obsession spurred me on. Even beyond my first anniversary I was still a little shaky (figuratively that is, my actual shakes were long gone). Now there are just moments when a liquor ad will catch my eye, or I’ll have a twinge of nostalgia for my old life. I’m still an alcoholic, but these come very rarely and never amount to a craving. Not even close.

    Before, when someone with 20 years would say “it’s still a day at a time,” I couldn’t really hear them. I do now. Taking sobriety “a day at a time” can remain literal, for life. For some cutting back on involvement in the AA fellowship may indeed be a death wish. We share a common problem and a common solution, but we are different people with different lives and recoveries. However well-intentioned, using fear or guilt to coerce people into a level of time commitment that for them is no longer authentic or wanted may only alienate them and take them away from a level of commitment that is working well, or inhibit them from re-engaging should a need arise in the future. Accepting this doesn’t require being dismissive or doubtful of other people’s need for continuous, intensive involvement. Compassion, as always, is best. We must do what is right for our own selves, and, unto our own selves, be true.

    View the original article at thefix.com

  • Underlying Social Issues May Be Fueling The Opioid Epidemic

    Underlying Social Issues May Be Fueling The Opioid Epidemic

    “If we solve the [opioid] sub-epidemic, will there be another sub-epidemic that comes on its heels?” asks one expert.

    A new study has affirmed that there are underlying social issues when it comes to the opioid epidemic.

    The study, published Thursday (Sept. 20) in the journal Science, determined that drug overdose deaths have been increasing since 1979, well before opioid abuse began climbing in the 1990s. 

    According to researchers from the University of Pittsburgh, this could mean that rising overdose deaths are actually connected to “larger societal problems like alienated communities and an increasingly disaffected population.”

    During the study, researchers examined data from about 600,000 deaths categorized as drug overdoses from the National Vital Statistics System. In doing so, they discovered that the overdose deaths “followed an almost perfectly exponential trajectory” from 1979 to 2016.

    Researchers found that the overdose deaths doubled about every nine years, and that by 2016 it had increased to one death every eight minutes.

    “This smooth, exponential growth pattern caught us by surprise,” Dr. Donald S. Burke, senior author and dean of the University of Pittsburgh Graduate School of Public Health, told ABC News. “It can be hard to grasp what exponential growth really means, but you can think of it as a nuclear explosion: you start with 2 [deaths due to drug overdose], then 4, then 8, then 16, and so on.”

    Though the increase in overdose deaths was consistent, researchers did not find that there was any similar predictability when determining deaths from a specific drug.

    By utilizing a method called heat-mapping, researchers were able to plot overdose patterns across the country and found that while certain drugs were more prominent in certain areas, nearly every region showed an overdose “hotspot” for at least one drug.

    In doing so, the researchers came to the conclusion that overdose deaths have continued to increase even though the use of individual drugs has fluctuated over time.

    “It implies that there are other forces at work, besides the specific drugs,” Burke told ABC News. “The forces are broader and deeper than we thought, including social determinants of health and technological determinants of health.”

    Burke further explains, “The drugs have become cheaper over the years and their delivery systems have become more efficient… These factors increase drug availability. People are losing a sense of purpose in their lives and there has been dissolution of communities, making people more susceptible to using drugs—increasing demand.”

    While Burke agrees that treatment programs and availability of the overdose antidote naloxone are helpful for individuals, he worries that not enough is being done to address the underlying issues. 

    “If we solve the [opioid] sub-epidemic, will there be another sub-epidemic that comes on its heels?” Burke said. “If we don’t address the social determinants of health that underlie drug use and addiction, there’s a good possibility that the drug overdoses will start to emerge again.”

    View the original article at thefix.com

  • Why Hospitals Offer Treatment Referrals In Lieu Of Addiction Services?

    Why Hospitals Offer Treatment Referrals In Lieu Of Addiction Services?

    Only 5% of ER doctors work in hospitals that offer buprenorphine or methadone.

    A recent Huffington Post feature highlights a conundrum within the medical community’s response to the opioid crisis: emergency room patients with opioid use disorder who receive a dose of buprenorphine are twice as likely to continue treatment within the next 30 days than those who were referred to outside treatment facilities.

    Despite those statistics, a survey by the American College of Emergency Physicians (ACEP) found that only 5% of ER doctors work in hospitals that offer buprenorphine or methadone, of which there are less than 100 in the United States.

    The ACEP study, which polled 1,261 emergency physicians in 2017, found that 9 in 10 respondents felt that the number of patients seeking opioids had increased or remained the same during that year. But at many hospitals, patients seeking medical assistance for addiction-related issues are given the phone number for local clinics.

    Dr. Andrew Kolodny, co-director of the Opioid Policy Research Collaborative at Brandeis University, cites a number of reasons why this approach might be favored over administering buprenorphine or other opioid treatment drugs.

    Emergency doctors and nurses may have antipathy towards drug users, who are often in their worst possible states when arriving at emergency services, said Kolodny. Hospital administrators, too, may perceive such patients as poor insurance risks, especially those in states that have not expanded Medicaid; offering services beyond treatment referral could take up staff and available beds.

    Prescribing buprenorphine also requires a license from the Drug Enforcement Administration (DEA), and many physicians are not willing to complete the eight hours of clinical training required to receive it.

    But as the Huffington Post feature notes, a number of hospitals across the U.S., including 10 in Maryland and multiple locations in California and South Carolina, do offer addiction services, which typically entail screening by caregivers and an interview with a peer recovery coach to determine if the patient is willing to accept treatment.

    ER doctors and nurses will treat the patient’s most urgent medical needs, and then administer a dose of buprenorphine

    A 2017 study by the Yale School of Medicine found that patients with opioid use disorder who receive such a dose in an ER were twice as likely to be involved in some form of treatment a month later, compared to those who were not. Dr. Eric Weintraub, an associate professor of psychiatry at the University of Maryland School of Medicine, is a proponent of addiction services in emergency rooms, and now works to help other hospitals adopt that approach.

    “We’ve learned that certain places are conducive to engaging patients in treatment,” Weintraub told HuffPost. “One of them is the ER. The other is the criminal justice system. We need to grab those opportunities and offer patients effective treatment when they’re ready.”

    Currently, addiction treatment specialists are watching addiction services programs in Maryland and other locations to see if the approach proved effective over long-term periods. “If this movement… is successful and starts to become normalized nationwide, it could change everything,” said Kolodny.

    “If you really want to see overdose deaths come down in the United States, getting treatment with buprenorphine has to be easier and cheaper for people with substance use disorders than getting heroin or other opioids off the street,” he said. “And what could be easier than walking into an ER and getting started on buprenorphine?”

    View the original article at thefix.com

  • Pennsylvania Prisons Ban Books Due To "Drug Smuggling," Twitter Erupts

    Pennsylvania Prisons Ban Books Due To "Drug Smuggling," Twitter Erupts

    Pennsylvania Department of Corrections took to Twitter to defend the banning policy and were promptly ripped a new one by Twitter users.

    The Pennsylvania prison system got hilariously dragged on Twitter after officials claimed they’d intercepted a letter about drug-smuggling—when in fact the neatly-penned missive mentioned nothing of the sort. 

    The tweet and its aftermath are just the latest bizarre fallout from the alleged drug exposure incidents and subsequent book-banning policy that the Pennsylvania Department of Corrections defended in the first place. The letter, they said, was proof of the need for stricter book-sending policies to tamp down on drug trafficking into the facility.

    “Do you have any old books you read already? If so I want you to send them to me,” reads the inmate letter posted to Twitter on Sept. 14. Over the course of the next few lines, the missive-mailer explains how to game the system to send in used books as if they’re new, thus making it possible to get in a wider array of reading material for a lower cost.

    Nowhere in the 14 lines of writing does the letter mention drugs, or include instructions about how to conceal any type of material in the mailed-in books.

    “P.S. A dictionary would be lovely,” the prisoner scrawled in the margin with a smiley face.

    Nonetheless, prison officials spotted the literary subterfuge and saw something more sinister. In their tweet, the department described the note as “a letter from an inmate to family members describing how to smuggle drugs through a popular book donation program.”

    Twitter was not having it. 

    “That’s weird,” tweeted the Rhode Island chapter of the National Lawyers Guild. “Is ‘dictionary’ code for drugs? Many of my clients have asked for dictionaries over the years, and when I had actual dictionaries mailed to them, they did not ask me why I sent books instead of drugs. Please advise.”

    Another Twitter user wrote, “Ah yes, classic drug dealer lingo like ‘A dictionary would be lovely.’”

    Others joined in.

    “Do you know what a book is?” another user tweeted. More and more smart-alecky commenters piled on, ensuring the prison system’s tweet got soundly ratioed into Twitter infamy. 

    “Sir, I was promised a letter describing how to smuggle drugs & all I got was this lousy letter describing how to donate books,” tweeted another Twitter snarker. 

    The chain of unfortunate events that led to the Twitter dragging began a number of weeks ago after 57 prison staffers were sickened in a series of 28 alleged drug exposure incidents.

    In response, prison officials instituted a statewide lockdown in late August and shut down all mail. Afterward, prison brass linked it all to synthetic cannabinoid exposure—but experts told the Philadelphia Inquirer that it was more likely a “mass psychogenic illness.”

    “We see it all the time with law enforcement,” said Jeanmarie Perrone, director of medical toxicology at the University of Pennsylvania’s Perelman School of Medicine. “Police pull someone over and find an unknown substance. Suddenly their heart’s racing, they’re nauseated and sweaty. They say, ‘I’m sick. I’m gonna pass out.’ That is your normal physiological response to potential danger.”

    Another physician called the possibility of cannabinoid exposure through the skin “implausible.” But whatever caused the officers’ sickness, there’s been little doubt that the system—like prison systems in other states—has seen an uptick in K2 smuggling. 

    Accordingly, the Keystone State’s prisons announced plans to spend $15 million to up security with body scanners for visitation, digital mail delivery, drone-detecting equipment—and a shift to e-books.

    View the original article at thefix.com