Author: The Fix

  • "Just Between Us" Podcast Earns Praise for Honest Talk About Mental Health

    "Just Between Us" Podcast Earns Praise for Honest Talk About Mental Health

    Hosts Gaby Dunn and Allison Raskin dive deep into many of the associated anxieties and concerns that are linked with depression and bipolar disorder on the podcast.

    A recent episode of the podcast Just Between Us has received widespread praise from listeners for its honest and sympathetic discussion of mental health.

    Hosts Gaby Dunn and Allison Raskin, who are also best friends, talked at length about Dunn’s bipolar disorder—and in particular, feelings around a recent and seemingly insurmountable depressive episode.

    The pair, who are also best friends, delved deeply into many of the associated anxieties and genuine concerns that are linked with depression, from feeling like a burden to others to Dunn’s worry that the tone and subject of their talk would upset listeners. But as they discovered, the “response has been overwhelming,” says Dunn. “[The listeners] were like, ‘This is how I feel, and it’s good to hear it vocalized.’”

    In a conversation with The Fix, Dunn and Raskin—comedians, writers and podcasters whose joint credits include the best-selling novel I Hate Everyone But You and the hugely popular “Just Between Us” YouTube comedy channel—said that the conversation about Dunn’s depression was born partly out of Raskin’s mention of #JustCheckingIn, a hashtag she launched to encourage conversations about mental health.

    From there, as Raskin says, “It became more about personal experience.”

    “I’d been having a bad day, and Allison and I had been talking endless about this sort of thing because we’re best friends,” says Dunn. “I’d casually mentioned in the last few episodes that I’d been depressed, and so it was like, ‘Let’s just fill in the whole thing.’”

    “It felt a lot like impending doom,” says Dunn about the depression. “And because it’s cyclic—it’s cycling moods—it felt like this is what it’s going to be like for the rest of my life.”

    Once she began talking with Raskin, a host of emotions arose for Dunn during the course of the podcast conversation. “I was very annoyed at first,” she laughs. “You don’t ever want to hear about what you need to do, even if [someone is] gentle about it.” The enervating aspect of the depression also took hold: “I deeply believed that this had never happened before, that I would never get better, and it was over for me. So it’s hard to do something actionable when someone truly believes that.”

    And for Dunn, one of the biggest roadblocks was her fear of how the listeners would perceive the conversation. “There’s a lot of mental health talk about ‘how I overcame,’ or ‘here’s what’s happening since I got better,’” she recalls. Guilt over being in “the middle” of her episode, and how it might negatively impact listeners, was pervasive. “There’s a lot of people who care about us, and I was nervous. I was like, ‘Are they going to flip out?’”

    As it turns out, the listeners didn’t. “We have a wonderfully accepting fanbase, which I don’t think is always the case for creators,” says Dunn. “They were like, ‘Don’t worry—we’re not mad. This is how I feel, and it’s good to hear it vocalized.’”

    Many responded to Raskin’s gentle encouragement of rest and recovery. “If you’re having a flare-up, it’s extra important to give your body the rest it needs,” says Raskin. “Have mini-breaks or mini-vacations, and if you have nothing to do, watch a TV show rather than panic about it.”

    Above all, the act of checking in—both by the person struggling with depression or other issues, and from their friend or family member—can be crucial in helping work through many of the feelings that Dunn experienced. For those who may be reluctant to bring up their status with others, Raskin advises reversing the situation.

    “If my friend wasn’t feeling well and needed help, I would want them to let me know,” she says. “You’d want to deal with it with compassion. And that can give you a little perspective, that maybe it would be beneficial to reach out, that people want to hear from you.”

    Alleviating feelings of anger, self-reproach and anxiety can help those in the midst of difficult feelings to open up.

    “Allison always says that there’s ‘the thing’ and ‘how you feel about the thing,’” says Dunn. “You can deal with the actual thing, but you have to get rid of how you feel about the thing, because that’s just adding more stress. You don’t need to add more shame and worry on top of the actual thing. And I thought that was good advice.”

    View the original article at thefix.com

  • Medical Schools Rethink Training Amid Opioid Epidemic

    Medical Schools Rethink Training Amid Opioid Epidemic

    Some medical schools around the country have begun to change the conversation around pain management.

    Medical schools are rethinking how they train doctors in pain management and addiction treatment, in hopes of graduating a generation of medical professionals that are better able to serve the needs of patients living amid the opioid epidemic. 

    In a recent role-play exercise at the Warren Alpert Medical School of Brown University, students talked to a patient about her back pain, and learned to ask an important question: “Have you ever taken any medications that weren’t prescribed to you?” 

    “To be perfectly honest I stopped buying the Percs because they were too expensive, and I started buying heroin, because it was cheaper. I’ve been doing the heroin for the past 5 months,” the woman playing the patient replied. 

    Dr. Paul George, associate dean of medical education at Brown, told WBUR that the exercise is a realistic representation of what pain doctors may face. “The point of that workshop is for the students to work together to show it really does take a team to care for folks who are using substances inappropriately,” he said. 

    Recently, Brown and the University of Massachusetts (UMass) were both recognized by the Association of American Medical Colleges for their proactive approaches to teaching medical students about pain management and addiction. 

    At UMass, Jill Terrien teaches graduate-level nursing students to talk to their patients about pain. Rather than treating pain as the fifth vital sign and aiming to mitigate it, Terrien encourages nurses to tell patients that they should expect some pain after undergoing major procedures like surgery. 

    “In our curriculum now, we’re more deliberate about [telling patients] ‘you’re going to have pain,’” she said. “That way patients don’t expect that a) they’re going to get opioids because that’s what they’ve always gotten, and b) that might not be the best treatment for them.”

    In addition to changing the conversation around pain management, UMass and Brown both provide all medical students the training they will need to prescribe buprenorphine, a medication commonly used for medication-assisted treatment.

    Currently, under 7% of doctors hold the waiver needed to prescribe buprenorphine, and the medical schools feel that needs to change. 

    “They can prescribe Oxycontin, they can prescribe morphine. It seems almost unfair they can’t prescribe a medication that is used to treat some of the consequences of prescribing opioids,” said Sarita Warrier, associate dean of medical education at Brown.

    Paul Wallace, who recently graduated from medical school at Brown, agreed. 

    He said, “It helps dispel the notion that treating opioid use disorder is purely the domain of addiction specialists or primary care doctors, when truly all different types of physicians are going to encounter patients with opioid use disorder, whether it’s an emergency physician seeing a patient after an overdose or an obstetrician working with a patient with opioid use disorder.”

    View the original article at thefix.com

  • Support Groups Offer Food Industry Workers A Way To Help Each Other Through Addiction

    Support Groups Offer Food Industry Workers A Way To Help Each Other Through Addiction

    The passing of Anthony Bourdain is one reason why the restaurant industry is paying more attention to mental health.

    Workers in the restaurant and hospitality industry have among the highest rates of substance abuse, according to SAMHSA. Twelve-step programs like AA have helped, some say, but restaurant industry-specific support communities have emerged out of a need for a more targeted response.

    The growing awareness of these issues in the community was recently featured in the Los Angeles Times.

    With high rates of drug and alcohol abuse come depression, anxiety and disordered eating. Those in the industry say that a “confluence” of factors culminated in more chefs, servers, bartenders and sommeliers, among others, speaking up about their personal struggles with mental health and substance use disorder.

    “Tony’s passing away was a watershed moment,” said TV personality and chef Andrew Zimmern. Chef, documentarian and author Anthony Bourdain died by suicide last June, shocking both the industry and fans.

    “There’s a confluence of events,” said Steve Palmer, who co-founded a restaurant support group called Ben’s Friends. “High-profile chefs getting sober, Bourdain, the opiate crisis, with people dying at a much younger age. That accelerated the conversation.”

    Palmer and Mickey Bakst, both restaurant veterans, established Ben’s Friends in 2016 in Charleston, South Carolina. They named the support community after their friend, chef Ben Murray, who struggled with depression and substance abuse before he died by suicide.

    Ben’s Friends has chapters in North Carolina (Raleigh and Charlotte); Richmond, Virginia; Atlanta, Georgia and Portland, Oregon.

    I Got Your Back is another resource for those in the hospitality industry. The organization was established in Sacramento by chef Patrick Mulvaney, sparked by a recent and “sudden rash of suicides and overdoses in the restaurant industry” in Sacramento.

    Playing off terms familiar to industry workers—like “In the weeds? There’s help.”—IGYB caters to the shared experience of working long hours, often under high pressure.

    Steve Palmer emphasized the importance of having a space where everyone speaks the same language. “We believe that because of the hours and the subculture, we really needed something that spoke to our business. We felt that we needed to come out from the shadows and be a loud voice so that people know that we’re here.”

    “The more conversation, the more transparency, the better—anything that supports folks in this industry, which has always been a great place to hide out,” said Zimmern, who has nearly 30 years of recovery.

    View the original article at thefix.com

  • Fentanyl Spray Maker Files For Chapter 11 After Massive Opioid Settlement

    Fentanyl Spray Maker Files For Chapter 11 After Massive Opioid Settlement

    The bankruptcy filing comes just days after Insys Therapeutics agreed to pay a $225 million settlement for the unlawful marketing of its fentanyl spray.

    Insys Therapeutics admitted to unlawfully promoting its fentanyl spray, Subsys, but it is now seeking bankruptcy protection, which could lessen the blow that the federal government was hoping to inflict on the company for its unsavory deeds.

    Insys filed for Chapter 11 bankruptcy protection, asking the court to allow the sale of company assets to cover more than $250 million in debts, just five days after agreeing to pay a multi-million dollar settlement with the federal government. This is the first time a drug company has sought bankruptcy protection for a legal case stemming from the national opioid crisis.

    Chapter 11 is normally filed by businesses seeking the help of the court to restructure debts and obligations, as explained by Investopedia: “In cases involving fraud, dishonesty or gross incompetence, a court-appointed trustee steps in to run the company throughout the entire bankruptcy proceedings. The business is not able to make some decisions without the permission of the courts.” These include the sale of assets.

    “After conducting a thorough review of available strategic alternatives, we determined that a court-supervised sale process is the best course of action to maximize the value of our assets and address our legacy legal challenges in a fair and transparent manner,” said Insys CEO Andrew G. Long in a statement.

    Companies like United Airlines, General Motors and K-mart have managed to stay in business after filing for Chapter 11.

    If Insys is granted Chapter 11 bankruptcy protection, it may continue to operate as it figures out a plan to pay for legal expenses—including more than $11 million to defend the company’s founder John Kapoor, who was one of five former Insys executives who were convicted in May of widespread racketeering conspiracy relating to the marketing of Subsys.

    Kapoor is among the highest ranking pharmaceutical executives to be convicted as a result of the opioid crisis, NPR noted. He is expected to receive sentencing in September.

    Bankruptcy protection could mean that the federal government will not receive the full amount owed by Insys in the civil settlement: $195 million.

    In total, the sum of the money owed in both the criminal and civil resolutions amounts to $225 million.

    The company has admitted to orchestrating a scheme to unlawfully promote Subsys—a drug 100 times stronger than morphine—that involved bribing doctors.

    “For years, Insys engaged in prolonged, illegal conduct that prioritized its profits over the health of the thousands of patients who relied on it,” said U.S. Attorney Andrew Lelling in a June 5 statement.

    View the original article at thefix.com

  • Lee Daniels Does Not Sugarcoat His Feelings About Sobriety

    Lee Daniels Does Not Sugarcoat His Feelings About Sobriety

    Daniels got candid about how much he hates being sober in a recent interview. 

    There’s apparently nothing magical about being sober for Lee Daniels. He said as much in a recent conversation with Vulture.

    “I’m angsty and I’m sober, so that is really weird to be going to the Met Ball and to other social activities not intoxicated,” said Daniels, co-creator, executive producer and director of the television series Empire. “I hate fucking being sober. It’s a bore. It’s a fucking snooze.”

    Daniels is nearing the end of Empire, which will end after its upcoming sixth season, and Star, a spinoff of Empire. But the Academy Award nominated, director, producer, and film and TV writer isn’t bothered. His most notable projects include Monster’s Ball (as producer), Precious and The Butler, which he directed—working with hit makers like Oprah Winfrey, Jane Fonda, Forest Whitaker, Halle Berry and more.

    When asked if he gave up drinking as well as hard drugs, he replied, “I don’t do anything. It’s really hard, but believe me, I’ve done enough for everybody.”

    Daniels recalled seeking comfort in alcohol as a young gay man in the 1970s. “I never really even liked to drink, but I drank because my father told me if he ever saw me with a man he would kill me,” he continued. “And until I was 22, I had to get drunk to actually go through with the process. And then the drug scene came. And then all your friends start dying of AIDS. Not one, not two, not three, I’m talking intimate friends that you’ve had sex with, you’ve had dreams with, hopes with, people that are better souls than you, gone. And you can’t figure out, Why the fuck am I still here? So then it was like me on drugs and drinking, not even knowing I was an addict but just erasing all the pain.”

    In a 2015 article by IndieWire, he said, “I don’t get it, I really don’t get it. So much so that I went out and did drugs to figure out why I didn’t get it. And then had a heart attack and kept going because I didn’t understand.”

    He breezed over a phone call he’d had with singer Patti LaBelle—“not a little high, a lot high”—and she asked, “Do you know Jesus?” Daniels said, “I said a prayer and I think that was the end of my drugs.”

    View the original article at thefix.com

  • You Are Not My Father

    You Are Not My Father

    I had spent my whole life seeking certainty and security and this break exposed the foolhardiness of that quest. Here was the raw slate of rock bottom once again.

    Last year, a few days before Father’s Day, we were driving home after a week in South Carolina with my parents, the kids asleep in the back. My husband and I had basically just spent a whole week as strangers, sleeping in different bedrooms, not connecting. He had to work late every night — his reason for sleeping in a separate room. I felt our bodies repelling each other from the moment we arrived at their house. I had sensed that force around him often but something about the new setting made it more palpable.

    For months I had been unable to wear my wedding bands because a rash flared up each time I kept them on for more than a few hours. Denial protected me from these not-so-subtle warning signs.

    On one of the first nights of the trip my son woke up screaming with ear pain. It could have been from the pool water or from the mounting pressure of his parents’ silent stalemate. His dad very kindly ran out to get him medicine; he was always very loving about things like that. Our little boy’s seeming agony mysteriously vanished as quickly as it came on and we retreated to our separate rooms.

    I made some really terrible meals that trip. I had brought my Insta-pot, which I was not yet savvy with. I made big pots of mushy things amidst a lot of steam. I worried he was quiet because the food sucked; he wasn’t super on board with my change to a plant-based diet. It was both sweet and heartbreaking how hard I was trying. As if I could make it all okay by making a good enough meal; so the family could be good enough, so I can be good enough. Food wasn’t going to fix it.

    The hardest moment was on the third day of the trip. We were in the living room and it was late morning. He and I had been coming and going in opposite directions. He’d take our son to a golf lesson early, then I’d take the kids to the beach while he stayed at the house to work. That third morning I decided to speak up.

    “Do you have to work so much? Usually when people go on vacation they send an auto-response email that they will be unavailable until such and such time. Do you think you could do that?”

    To be fair, I don’t even know if I asked him. It’s very possible that I was indirect, and just insinuated that he was being a big old disappointment for working.

    He erupted. He was clearly under stress and I had poked the bear. His explosive anger was nothing new. On that day I didn’t know the full extent of what was really going on with him, but I would find out soon enough.

    I decided to make the most of the trip with the kids and my parents’ company. I made sure I got to some recovery meetings. I called my sponsor. I’m sure she and I laughed at some things. Which brings me back to the beginning of this story about the end of my 12-year marriage.

    I was sitting on the passenger’s side, well into the 13-hour drive back to New Jersey, when he turned to me.

    “What are you going to get me for Father’s Day?”

    Cool as a cucumber, out glided: “Why would I get you a Father’s Day gift, you’re not my father.” Suffice to say I got the intended reaction, both from him and for myself. He raged and banged the steering wheel saying I was so heartless and cruel, while I was able to seal myself off inside, emotionally protected and walled off. The next day I tried to make it right with a card and apology. My comment that day in the car is not the reason for what happened next, but it has taken me a long time to truly accept that.

    By the end of that week he told me he was leaving, that our relationship had been “too turbulent” and that he “needed to stop living his life trying to please other people.”

    I didn’t see my husband as a man, but as a burden, an overgrown child. At times I hated him for that and other times I took advantage of it. That is not a partnership and this was no longer a union. I suspect it may never have been. A part of me understood his announced departure. The loudest parts of me did not.

    For the first month I chewed on his abandonment (I mean break-up) speech in my mind and was reminded of what my first sponsor said to me when I disingenuously bemoaned my people pleasing defect. She looked me in the eye and said “Jane, there is no such thing as people pleasing, the only person you are interested in pleasing is yourself.” That resonated. I had considered myself a virtuous victim and was seeking attention for how taken for granted I felt. But I wasn’t able to use that card anymore. And yet here I was, years later, applying my sponsor’s observation to my husband’s behavior so I could justify my resentment, superiority, and self-pity. Ugh, I had become a smug sober person.

    He had to rehearse his break up speech to me several times, as I tried coaxing him to go see a therapist together or be open to any more conversation about it. He was resolute, and he moved out the next day. He had been in therapy for six months and knew this is what he wanted. The last night with him in the house, I lay alone in the giant king-size bed, a terrified child. I had spent my whole life seeking certainty and security and this break exposed the foolhardiness of that quest. Here was the raw slate of rock bottom once again.

    From the beginning my wrongs and disappointment haunted me: I see-sawed between guilt/shame and blame/anger. I had been sober long enough at this point to remember men and women who had walked through the death of children, unexpected illness, and other horrific circumstances, and they continued to show up and not drink. So I knew I could do that too, one day at a time.

    The following weeks and months after were brutal. I rapidly dropped 20 pounds, found a lump in my breast, got into twisted relations with an older man in a 12-step meeting and did my best to care for two confused and upset children as an angry-hungry-tired-lonely-just-not-drinking mommy. I got an excellent therapist right away. I upped my meditation game by taking the TM training and sticking with it. I wrote a fourth step, did the fifth, immediately tried to make amends and get him back (yes I’m embarrassed to write that).

    After about six months I started coming out of it. I learned that my willingness to talk and express and work things out with people can go to an extreme, placing me in a position to be harmed. I made my circle smaller. Slowly I’ve experienced a loosening of all the places inside me that had wrapped and toiled and contorted to survive in what I had perceived as a very unfriendly place to live, because it had been, because of how I had been living.

    We got married before I got sober. We spent 15 years together, during which I discovered 12-step recovery. My husband never objected to my meetings and I was able to make recovery the center of my life from the beginning. While together, I gave birth to two healthy, loving, fearless children. I’m grateful for all that my marriage gave.

    I’ve grieved the loss of what I thought we could have had. There are days when I am hurt and take his choices and continued actions personally but I do not miss his presence in my life. I’ve experienced a year full of character defect withdrawal. I notice how the spaces where the unhealthy behaviors used to be sometimes fill up with stories about how terrible I am, how unworthy I must be of love and belonging, how I’m too much, and don’t really matter. These stories are loud and call for my attention. I tell them I hear them and continue taking positive action in my life anyway.

    Now, a year out from that car ride and the ensuing events, I am changed. I speak up where I once would have avoided a conversation, I am no longer interested in being all things to all people, I don’t feel the need to be busy all the time, and I’m really good at enjoying my own company. My relationship with my family of origin also dramatically changed this past year and sometimes I feel that as an unexpected additional loss. And yet, having grown up within a family with the disease of alcoholism, it’s a loss I have been suffering my entire life and not grieving.

    My husband’s leaving revealed a lot of my dependencies. I had used his presence as a source of security after getting sober. His absence is no longer a source of insecurity.

    On Father’s Day this year I know my God as an unconditionally loving parent. Like it says in the Big Book of Alcoholics Anonymous “He is the father, we are his children.” I didn’t have to drink to hit bottom and find a new relationship to a Power that allows me to thrive. If I had continued living like I was, I would be missing out on the experience of my own sobriety.

    View the original article at thefix.com

  • Dark Web Drug Sales Continue To Thrive

    Dark Web Drug Sales Continue To Thrive

    One expert says the ever-changing legal status of various drugs is allowing Darknet drug sales to thrive. 

    An increasing number of illicit drug deals are taking place via the dark web, according to Nikita Malik, Director of the Centre on Radicalisation and Terrorism (CRT) at the Henry Jackson Society.

    While researching for a report on how terrorist organizations such as the Islamic State use the dark web (or Darknet) for their illegal activities, Malik noticed just how many sales of controlled substances were taking place on marketplaces like the now-defunct Silk Road and AlphaBay. This activity, she says, has been boosted by the changing of the legal classification of said substances.

    “A common form of criminal activity on the Darknet is the sale and distribution of illicit drugs, which has been bolstered by a change in the legal statuses of products or substances from ‘legal’ or ‘unregulated’ to ‘illegal,’ ‘controlled,’ or ‘banned’ substances,” Malik wrote for Forbes. “These changing legal statuses, combined with stricter regulation and the implementation of new laws by law enforcement, has meant that sales of the highest category of banned drugs and substances has increasingly migrated to marketplaces on the Darknet.”

    Malik points to the role of the dark web in the sale of fentanyl, the synthetic opioid up to 100 times more potent than heroin, in the UK. The Guardian reported in 2017 that 1,000 “trades” had been made on the dark web involving fentanyl within the space of a few months, citing experts with the Oxford Internet Institute. The same team found that the U.S. “accounts for almost 40% of global darknet trade,” with the UK sitting at 9%.

    After the Silk Road marketplace was shut down in 2013, numerous other dark web sites have popped up that allow users to anonymously purchase goods and services with blocked IPs and using the untraceable cryptocurrency Bitcoin. Though agencies such as the FBI and the National Crime Agency (NCA) work to infiltrate and shut down these operations, fentanyl continues to enter the U.S. at alarming rates. 

    Fentanyl has been named as the driving force in a “third wave” of the opioid epidemic in the U.S. as sales of drugs containing fentanyl increase in number, as do overdose deaths. According to a report by the Centers for Disease Control and Prevention (CDC), overdose deaths involving fentanyl went from 1,615 in 2012 to 18,335 in 2016—an 11-fold increase in the space of four years.

    “These figures, as well as multiple case studies and convictions, clearly reveal that the Darknet provides access to illegal drugs and banned substances,” Malik concludes. “Moreover, sales are expected to increase as the platform remains largely unregulated.”

    View the original article at thefix.com

  • These 13 States Have The Highest Smoking Rates In The Nation

    These 13 States Have The Highest Smoking Rates In The Nation

    The Truth Initiative refers to a cluster of about a dozen U.S. states with higher-than-average smoking rates as “Tobacco Nation.”

    A new report reveals a block of 13 states in the U.S. whose residents have higher rates of smoking and smoking-related diseases than the rest of the country.

    Using data between the years of 2011 and 2018, Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, South Carolina, Tennessee and West Virginia were found by The Truth Initiative to have a 6% higher rate of smokers.

    As reported by US News, The Truth Initiative (whose tagline is “inspiring tobacco free lives”) dubbed these 13 states—whose smoking rates rival even the highest smoking populations in the world—”Tobacco Nation.”

    Characteristics of these states as outlined by The Truth Initiative are: 21% of the residents smoke (versus 15% in all other U.S. states); the residents are notably poorer and spend more money on tobacco; residents report more than 20% more bad physical and mental health days; and local governments in these states have significantly less anti-tobacco programs and laws in place.

    In addition, the life expectancy of these residents is three years fewer than the rest of the country, at 76 years of age.

    “This part of the country, which is significant in size—22% of the U.S.—has been suffering from these disparities for many years,” Robin Koval, Truth Initiative’s CEO, told US News. “At the same time, so many advances have been made elsewhere in the United States. I think that makes it particularly egregious.”

    Truth Initiative reported that in these 13 states, there are fewer laws aimed at preventing smoking (such as indoor or public smoking bans) and fewer taxes on tobacco products. While the rest of the country has made significant progress in lowering smoking and smoking-related disease rates, Truth Initiative found no notable progress in Tobacco Nation since 2017, the year of its first report.

    People residing in the Tobacco Nation are just as likely to attempt quitting a tobacco addiction, but are much less likely to succeed, according to the CDC. It is most likely the lack of resources and state-sponsored programs that contribute significantly to this problem, as well as the higher rate of mental and physical distress reported by the residents of these states.

    Koval noted of the residents of Tobacco Nation, “The reality isn’t that these people have the tobacco gene. The problem is that they are living in a part of the country where the system is basically rigged to keep them smoking.”

    View the original article at thefix.com

  • Legal Cannabis Doesn’t Reduce Opioid Deaths

    Legal Cannabis Doesn’t Reduce Opioid Deaths

    States with medical cannabis programs actually have 23% more opioid overdose deaths than states without medical cannabis, a new study found.

    Since the 2014 release of a study that suggested that states with medical marijuana programs had fewer opioid overdose deaths, proponents of legalized cannabis have argued that it can help save lives amid the opioid crisis. 

    A new, broader study released this week, however, has found that states with medical cannabis programs actually have 23% more opioid overdose deaths than states without medical cannabis. The new results called into concern efforts to paint marijuana legalization as a solution to opioid abuse. 

    “It’s become such a pervasive idea. It would be amazing if it was this simple, but the evidence is telling us now that it’s not,” lead author Chelsea Shover told STAT News

    The original study looked at the years 1999 through 2010. During that time, 13 states had medical marijuana programs, and the study found that those states had opioid overdose rates that were 25% lower than states without medical cannabis. 

    When Shover’s team replicated that study, they found the same results in that time period. However, they then expanded the study, looking at years through 2017. During that time, many more states implemented medical cannabis programs, and a handful introduced legalized recreational cannabis.

    During that time period, the researchers found that states with legal medical cannabis actually had higher overdose rates. 

    “Not only did findings from the original analysis not hold over the longer period, but the association between state medical cannabis laws and opioid overdose mortality reversed direction from−21% to +23% and remained positive after accounting for recreational cannabis laws,” study authors wrote

    The authors of the new study concluded that the apparent connection between legalized cannabis and opioid overdose deaths was “spurious,” or false.  

    “We find it unlikely that medical cannabis—used by about 2.5% of the U.S. population—has exerted large conflicting effects on opioid overdose mortality,” study authors wrote. 

    Shover emphasized this point. “This isn’t to say that cannabis was saving lives 10 years ago and it’s killing people today,” she said. “We’re saying these two things are probably not causally related.”

    Because opioids and medical marijuana are both commonly used to treat pain, the theory went that people with access to cannabis for pain relief were less likely to get hooked on addictive opioids. Today, states including Illinois allow people to substitute medical marijuana for conditions that they otherwise would be given opioids for. This is based on the assumption that cannabis is safer—and less addictive—than opioids. 

    Neuroscientist Yasmin Hurd, who directs the Addiction Institute at Mount Sinai in New York, said that further large-scale research is needed to examine the link—if any—between access to cannabis and opioid overdoses. 

    “In a time of an epidemic, we have to think differently,” she said. “We have to be more bold in pushing forward clinical trials on a much faster timeline than we have in the past.”

    Although she agreed that cannabis is less dangerous than opioids, she said that marijuana policy should not be pushed forward as a harm reduction strategy for opioids. 

    She said, “Is cannabis less of a mortality risk than opioids? Absolutely. Hands down. But there’s really no research that says cannabis use per se decreases opioid overdose. You can’t make your medical cannabis laws based on that [hypothesis].”

    View the original article at thefix.com

  • Casa Palmera

    Casa Palmera

    The facility offers a bio-psycho-social-spiritual curriculum of care that not only treats symptoms, but also heals the root, underlying causes of conditions.

    Introduction and Basic Services

    Located in the beautiful coastal city of Del Mar, California, Casa Palmera is a luxury residential treatment facility that specializes in the care of clients with alcohol and substance use disorders as well as a range of eating disorders like anorexia, bulimia and compulsive eating. Founded in 1987, this Joint Commission accredited facility provides a continuum of care that includes medical detox, residential care, PHP, IOP and standard outpatient services. Casa Palmera offers a bio-psycho-social-spiritual curriculum that integrates holistic therapies, 12-step, evidence-based practices, recreation, nutrition, psychoeducation and relapse prevention. The facility specializes in dual diagnosis support for clients suffering from co-occurring mental and physical disorders such as depression, anxiety and trauma.

    Facility and Meals

    Casa Palmera is situated in a 37,000 square foot resort 20 miles north of San Diego in picturesque Del Mar, California. Designed in the style of feng shui, the facility and the surrounding five-acre campus offer a calm and soothing atmosphere ideal for anyone beginning their recovery journey. Residents have the option of staying in either a semi-private or deluxe private room. Bedrooms include an ensuite bathroom and either a queen-sized bed or two full-sized beds with nice linen, pillows and a comforter. Calma Palmera offers plenty of amenities including gardens, outdoor meditation areas, landscaped courtyards and patios.

    Residents enjoy an amazing culinary experience at Casa Palmera. An on-site chef provides delicious and healthy meals with fresh, local ingredients. Individuals with dietary restrictions, preferences or allergies are easily accommodated with a plethora of tasty options. In addition, clients struggling with eating disorders work with expert dietitians to learn about meal planning and preparation. Clients participate in supervised trips to the grocery store.

    Treatment Protocol and Team

    Rather than simply treating symptoms, Casa Palmera seeks to heal the “whole person.” As such, clients benefit from individualized treatment plans. Before beginning treatment, individuals undergo a comprehensive intake assessment that includes a complete account of substance use, as well as a personal and family medical history. From there, the Casa Palmera team designs the most effective personalized care strategy tailored to address the unique needs, expectations and circumstances of the individual client. When necessary, clients transition immediately into the detox program before beginning the residential phase. The facility provides a medical detox with around-the-clock supervision and medications to mitigate uncomfortable withdrawal symptoms. Upon completion, individuals typically move straight into the residential program.

    Casa Palmera offers a multifaceted approach to care that includes a host of therapeutic and medical services. Clients engage in individual and group sessions rooted in CBT, DBT, ACT and the emotional freedom technique. Psychoeducation courses focus on a range of topics including communication, anger and stress management, codependency, body issues, nutrition as well as relapse prevention.

    Residents participate fully in the 12-step program during their time at Casa Palmera. PHP and IOP participants are encouraged to attend at least two 12-step meetings a week. In addition, the facility offers brain mapping and neurofeedback to teach clients how to regulate their own brain function. Casa Palmera understands the importance of family involvement to the success of a long-term recovery. As such, the facility incorporates a three-day family program in the middle of treatment. Families learn about the disease of addiction as well as effective techniques to help the client prevent relapse.

    Casa Palmera offers comprehensive PHP and IOP programs on a step-down basis. The PHP program runs all-day Monday through Friday. The IOP meets three times a week for three hours a session. With flexible morning and evening options, the IOP is an ideal option for clients that require a consistent therapeutic structure but cannot make the commitment to an inpatient or PHP plan. Individuals are able to receive comprehensive care without taking time off of work or school. While the length of treatment varies from client to client, the typical stay at Casa Palmera lasts between 25 and 30 days. For clients that continue into the IOP phase, treatment can stretch to 40 days. Towards the end of their stay, individuals work with a case manager to establish a continued support system that includes finding a 12-step sponsor.

    The Casa Palmera team is made up of psychiatrists, physicians, psychologists, therapists, addiction specialists, dietitians, an acupuncturist and a nursing team. Certifications includes MD, DO, PhD, PsyD, LMFT, LPCC and RN. Medication management and medical services are available for individuals with co-occurring mental and physical disorders such as chronic pain, anxiety and bipolar disorder.

    Bonus Amenities

    The facility has a world-class fitness center a complete ropes course and a climbing wall. Many residents work with a personal trainer during their stay. There are visiting hours for friends and family every day.

    The facility provides an array of holistic practices including art and music therapy, massage, mindfulness meditation, yoga and Reiki.

    Casa Palmera believes that residents must re-learn how to have sober fun. As such, the facility takes full advantage of the beautiful locale that is Del Mar. Residents enjoy walks to the beach, swimming and boogie boarding.

    Summary

    Casa Palmera is a luxury treatment facility in Del Mar, California, right up the coast from San Diego. The facility specializes in the care of adults struggling with substance use and eating disorders as well as co-occurring mental and physical health conditions. The facility offers a bio-psycho-social-spiritual curriculum of care that not only treats symptoms, but also heals the root, underlying causes of conditions. As such, the facility tailors comprehensive care plans to address the specific needs of the person. A myriad of therapies are offered including evidence-based modalities, holistic measures, nutrition, experiential, recreation and 12-step. There is also an active alumni program. For anyone seeking a full continuum of care and completely integrative programming, Casa Palmera offers the best. The facility’s team of compassionate experts and the luxury accommodations make for a world-class treatment experience.

    Casa Palmera Location

    14750 El Camino Real
    Del Mar, California

    (858) 481-4411

    Casa Palmera Cost

    Call for details. Most major insurances accepted.

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