Category: Suboxone

  • The Never-Ending Drug Hustle Behind Bars

    The Never-Ending Drug Hustle Behind Bars

    “While I went to high school with casual weed smokers and worked at various jobs with weekend coke snorters, I was entirely unprepared for what I’ve seen in state prison.”

    This article was originally published by The Marshall Project, a nonprofit news organization covering the U.S. criminal justice system. Sign up for their newsletter, or follow The Marshall Project on Facebook or Twitter.

    I was on the phone with my wife as usual on a Saturday evening a few months ago when my prison’s P.A. system crackled and a stressed-out voice announced: “All rec yards are closed; offenders will report back to their dorms immediately.”

    Something big was clearly afoot, and everyone rushed to the front windows to get a better view. People spoke in hushed voices, not the usual clowning, speculating about what might have happened.

    It turns out that eight people had overdosed at once, most likely on “spice.” They passed out on the recreation yard, laid out side-by-side on the concrete while nurses and guards ran around with stretchers and wheelchairs trying to keep control and render medical assistance, in that order.

    As far as I know, one of them is now dead, while seven have since recovered and were transferred to other compounds. I think the one who died only had about 30 days left on his sentence.

    You can bet on two things following from that sort of trainwreck. One, the addicts in here will continue snorting and smoking anything they can find. And two, the rest of us will pay for the mess they’re making.

    I guess I was a little naive when I was first locked up, thinking it must be hard to obtain drugs and get high while incarcerated. But to my shock, it was as common or more so than on the outside. (I’m probably in the minority in here because I don’t use, it’s that pervasive.) Spice, weed, Suboxone, Neurontin, Seroquel, orange peels—people try to get high on whatever they can find, everywhere I’ve been locked up, and no matter what security measures are in place to prevent it.

    When I was first in the jail in Washington, D.C., inmates openly smoked “K2” while gathered in cell doorways. You smelled that synthetic stuff more often than weed or cigarettes, though those were common too. Some bothered to try and conceal it by blowing the smoke down the toilet, but most didn’t.

    I would see correctional officers walk by and pretend not to notice; they aren’t paid enough to care. People knew which C.O.’s would write them up, and that was an awfully short list.

    And while I went to high school with casual weed smokers and worked at various jobs with weekend coke snorters, I was entirely unprepared for what I’ve seen in state prison. These are mostly desperate addicts with little else to organize their days around besides the next fix. Getting high is their whole bid. The money they hustle up or that their family sends them, every hard-earned dime of it, is spent on drugs. All they get is small amounts of low-quality stuff, but they’ll take it. Because even at the ridiculously high prices this stuff sells for behind bars, that crummy, overpriced little piece will keep the shakes away for another day.

    To give you some idea, a 16th of a strip of Suboxone (a “piece” in our parlance) can sell for $15 here, when supply is scarce. Go Google what a Suboxone strip looks like, imagine that cut in fourths, and then fourths again. It’s miniscule. And then remember that those $15 could have bought that addict 50 ramen soups from the commissary.

    Even at the normal price of $5 for a piece, it’s a terrible waste. Five dollars is a lot of money in lockup.

    They hustle to get it—they steal from the kitchen and sell the food, they gamble on sports or cards, they iron shirts or wash dishes, whatever it takes. Sometimes they even use sex as currency for the price of a high, or are coerced into it to cover their drug debt.

    Or their families, or girlfriends, or buddies back home, are sending money, thinking it’s going toward keeping them well-fed and well-clothed. It’s likely money that was hard to come by, because most people in here are decidedly not wealthy. Rich drug abusers go to treatment, not prison.

    Plenty of inmates have prison jobs, but those pay on average about a couple bucks a day—and you can’t get high too often on just that.

    Most drugs only come in here in one of three ways: mail, visits, and corrupt C.O.’s.

    Prison officials can take steps to block the first two kinds of smuggling, of course. Blocking the mail route is easy: Prisons are moving to give inmates photocopies of letters instead of the originals. And at visitation, they can strip-search us and make us wear embarrassing jumpsuits that zip up the back (the officers have to do that part). They also harass our visitors about what they’re wearing and their feminine hygiene products, to make sure that nothing gets in.

    And then when people overdose, they lock us all down, and shake down our lockers, and take away our recreation time. They do random drug tests, and run drug-sniffing dogs through the dorms now and then.

    But it doesn’t change anything. Until they pay correctional officers a decent wage, or strip-search them every day, there’ll always be a few guards who will take the risk of bringing in small quantities of drugs to sell, given the enormous paydays at stake. Again: Have you ever seen a Suboxone strip? It’s so small and nondescript, it’s like it was made to be smuggled.

    The news media has reported statistics that highlight the scale of the problem: Virginia has just under 30,000 inmates spread across more than 40 facilities; they received almost two million pieces of mail in 2018 and 225,000 visits. That year, there were 562 seizures of drugs inside those penitentiaries; 57 emergency-transport runs to hospitals carrying overdose patients; six interceptions of substances coming in through the mail; four prison employees prosecuted and 13 who resigned or were fired for smuggling. The numbers say that the state is barely scratching the surface of the problem.

    Meanwhile, treatment programs just don’t work in here. Prison is dismal and there isn’t much that’s positive to focus on, to keep an addict’s mind more productively occupied. The incarcerated person who is secure and self-aware enough to admit he has a problem and needs help is a rare breed.

    “It’s wide open over there,” you’ll hear addicts say with glee in their voice, when they’re called to pack their belongings because they’re being shipped off to the two-year residential treatment facility that Virginia runs.

    The big picture—that we incarcerate people for their addictions and then don’t give them adequate treatment—is a silent national disgrace. But it’s the little picture that I have to live with every day, that angers me and breaks my heart. It’s the individual human beings who have been failed by the system, and the often-already-poor families who are devastated even further by loved ones caught up in the cruelties of a vast enterprise.

    One of my last bunkies was pitiful: a lying, scheming, thieving addict who ended up having two fistfights within hours over his drug debts and the stealing that he was doing to support his habit. He was about the worst I ever saw, snorting stuff about six times a day. “I have sinus issues,” he’d often claim with a straight face, as he fit the toothpaste cap to his nostril and threw back his head once again. One day I came back from work to find him frantically rummaging through his mostly empty locker, and crawling around on the floor.

    “What’s up?” I asked, somewhat reluctant to involve myself.

    “Someone stole a piece out of my locker,” he said, panicky.

    This was certainly possible, since the addicts always seemed to be taking anything they could get their hands on, especially from each other. But instead I told him, “You probably just lost it,” hoping for less drama. I also pointlessly reminded him that a piece looks a lot like a paint chip, and those are everywhere.

    Around that time I’d started composing a country song titled, “My Bunkie Is a Junkie,” but I found that not much rhymes with Suboxone. Now he’s in another housing unit, pulling the same stunts. Still, I can’t hate him for any of that, or for stealing some food from me to support his habit; it’s just too depressing.

    In my time in the jails and prisons in D.C. and Virginia, I’ve been astonished by just how many people are locked up for drug crimes or, it’s important to note, drug-related ones. Black, white, Hispanic, it doesn’t matter: In state prisons and local jails, 15 percent and 25 percent of inmates are there for drug offenses, respectively. In federal prison, it’s even worse: More than 45 percent of inmates are there on drug-related charges.

    That’s a mind-boggling number of human beings locked up because of their addictions, either directly or indirectly. Our response to this problem is to put them in prison, where they’ll get little to no help and have all the time in the world to sit around scheming about getting high.

    I don’t have some smart solution for all of this. Just like on the street, little works for people who don’t want to quit using. But I know that most of these addicts don’t belong in here. Trying to incarcerate our way out of the problem is not helping them, and it’s not making society any safer either.

    Because these people will all be out on the street again in a few years—and all they learned in prison was how to cheat and steal and hustle more creatively to get high.

    Daniel Rosen, 49, currently resides at the Greensville Correctional Center in southern Virginia, where he is serving a five-year sentence for computer solicitation of a minor. He spent 15 years working for the departments of State and Defense on national security issues.

    The District of Columbia Department of Corrections did not respond to requests for comment about allegations of drug use in its facilities. A spokesperson for the Virginia Department of Corrections declined to answer questions about the incident in which eight inmates overdosed.

    View the original article at thefix.com

  • In Recovery, on Suboxone, and in the Weed Business

    In Recovery, on Suboxone, and in the Weed Business

    In print and online, I preached cannabis. In life, I practiced therapy and Suboxone.

    I had a few days left on my Suboxone script when I interviewed Justin “Bong King.” He was a professional bong-racer and self-described champion of the competitive smoking circuit. An affable guy, nonetheless his was an image of American cannabis long past, pushed aside by marketing grads and stay-at-home moms who sold branded CBD and touted the benefits of micro-dosing. 

    But Justin drew a crowd, and an entourage to boot. And his natural talent for hitting the fastest gram of weed would corner me into compromising my recovery.

    Throughout my career as a cannabis journalist, I’ve kept silent about my sobriety. Finding freelance gigs is hard enough without the added burden of having to be that guy. Besides, if I learned anything from active addiction, it was how to lie at my job.

    Covering Cannabis Events and Lying About My Sobriety

    But as time passed, I felt withdrawn and disconnected. My recovery had no place in the cannabis industry. Moreover, medication-assisted treatment (MAT) seemed anathema to its goals, according to experts and the news. Rep. Matt Gaetz openly questioned whether buprenorphine and methadone are “a more effective offramp [to opioid use disorder] than medical cannabis.” CNN announced that CBD cures heroin addiction. And the editors of Leafly figured out how to combat the opioid crisis with medical cannabis two years prior.

    After 20 years, recovery had finally become routine. As a cannabis journalist; as an editor in chief — so had my lies.

    Some lies were easy. Weekly therapy appointments usually coincided with editorial meetings or deadlines. I worked from home, my boss was lax, and anyway, I kept hours around the clock. Monthly visits to my psych and 30-day Suboxone refills upped the number of undisclosed appointments I logged, but still, no one seemed to care.

    On assignment was a different story. I covered cannabis expos or dispensary openings — events where the drug laws were lax and the supply was liberal. At a hotel in Hell’s Kitchen, I spent three nights alone avoiding networking galas and after-parties hosted by music moguls turned industry entrepreneurs. In the world’s largest dispensary off the Las Vegas strip, I dodged more questions than I asked when leaving empty-handed. With hand waves and head shakes and less-than-assertive no’s, I passed over pot by lying about my sobriety.

    But face to face with Justin “Bong King,” there was nowhere to hide — no hotel room to run to, no door from which to make a quick exit. There was a crowd around us, boxing us in as he finished his gram smoking demonstration. I shook his hand and stumbled over my words as I signed off the segment on camera.

    It was either a contact high or placebo effect, or maybe just panic anticipating the piss test I would take in the next few days.

    Intensive Outpatient: 12 Steps and Scoring Drugs

    When I had about two months left in my treatment program, I walked out of group for good. It was an intensive outpatient program; a six-month IOP run by Philly’s NHS that championed the Big Book and 90 days. For a minute it worked, but it’s drug rehab mired in a puritan past. The 12 steps are great, but they shouldn’t be a front-line defense.

    Besides, all I did there was make friends and score drugs. Thirty addicts in a room is an excellent opportunity to network and learn.

    By Easter Sunday that year, I felt broken. I was in a dirty motel on Route 1, hopped up on Benzedrex cottons and a $60 baggie of hex-en I purchased online from China. After 20 years of addiction, I had no drug of choice, save for anything that made me high.

    My wife and kids back home slept together in one bed, a little less worried than the last time I disappeared. I was out of work and estranged from everyone. My best friend joined AA and realized I was one of his people, places, and things.

    All I had was my family, and I was losing them too.

    One lie allowed my addictions to grow without the worry of what would happen tomorrow. It’s the lie I told myself when I stole my ex-wife’s Dilaudid two days after her shoulder surgery. It’s the lie that made me laugh when I snorted enough Adderall to make my nose blue. And it’s the same lie that made me indignant when my ex-girlfriend’s brother became angry that I was a sloppy drunk in front of his small children.

    On the Monday after Easter, I drove home before sunrise. It was dark and muggy and difficult to see through my tears and dilated pupils. When I got home, I faced my wife and children and ended the lie that had followed me through two decades of addiction.

    “I can’t stop,” I whispered. That week, I discussed MAT options with my doctor. I’ve been in recovery since that day.

    Cannabis as the Magic Bullet for the Opioid Crisis?

    Tyler Sash won the Super Bowl in his rookie year with the New York Giants. At the time, he didn’t know he only had a few years left to live. A sixth-round draft pick out of Iowa, he overdosed on a combination of methadone and hydrocodone at the age of 27.

    “[He] asked if he could smoke marijuana for his pain like the other players,” recalled his one-time girlfriend, former Miss Iowa and reality-show contestant Jessica VerSteeg. I interviewed VerSteeg when she was promoting a new blockchain-bitcoin something-or-other product in the cannabis space. She recounted Sash’s tragic tale during our interview, explaining how it became the backbone of her business.

    “I wanted to change the way that other people saw cannabis,” she said.

    VerSteeg’s article drew in readers, as did most CEO and celebrity interviews. Her story reminded me of how lonely my secrecy about my recovery had become. I often wished I could reach out and say that I understood. There are millions of people with substance use disorders, and we’re all so alone.

    But like most of the executive class in the cannabis industry, her hot take on opioids ended up being bullshit. Conventional wisdom in the cannabis industry had run somewhat amok on this topic, and it forced me, I felt, into compromising everything.

    There was the DEA agent who was so disgusted with opioids that he became a cannabis executive. Without irony, he told me that more research would prove the plant’s medicinal value. The head of an “innovation accelerator” in my city held a conference on the role of medical cannabis in the opioid crisis. He quoted research showing that states with medical cannabis laws have lower rates of opioid overdose deaths. Cannabis, they were convinced, would solve the opioid epidemic.

    But Where’s the Evidence?

    “Morphine, when it was introduced, was promised to cure what they called alcoholism at the time,” Dr. Keith Humphreys told me. A professor of psychiatry and behavioral sciences at Stanford University, he’s also worked at the White House Office of National Drug Control Policy under Presidents Bush and Obama. “Then, people got addicted to morphine, and cocaine was introduced.”

    He continued: “In general, there’s been this enthusiasm of if we just add a different class of addictive drug on top then that will drive the other addictions out. Generally, what happens is we get more addiction to that drug, and we still have the original problem.”

    I spoke with Dr. Humphreys after reading his research on cannabis laws and opioid overdose mortality rates. Contrary to conventional wisdom, he found the correlation to be spurious at best. It’s alarming — though not unsurprising — to see the industry ignore his findings. Several states, including Pennsylvania, where I live, approved opioid use disorder as a qualifying condition for medical cannabis.

    “I couldn’t recommend something medically without clinical trials, well-controlled by credible groups [and] checked for safety,” Dr. Humphreys said. He explained that in the case of cannabis, there was little more than these state-level correlational studies. “None of that has been done.”

    “I’m amazed and disappointed that we don’t care more about people who are addicted to heroin [and other] opioids, that we would wave through something like [medical cannabis] without making sure that it will help people, not hurt them,” he continued, noting that cannabis has shown no efficacy as either a replacement for or an adjunct to any MAT therapy.

    Listening to Dr. Humphreys made me realize how little I stand up for what I believe. Sometimes, when you’re an addict and you lie so much, you lose any sense of truth.

    Tyler Sash’s family asked Jessica VerSteeg to stop using his name to promote her business. According to a report in the Des Moines Register, they didn’t want his name associated with drugs anymore, neither opioids nor marijuana. VerSteeg refused, repeating the story she told me to several news outlets.

    For two years, I wrote about and reported on the emerging cannabis industry while hiding my ongoing recovery. In print and online, I preached cannabis while practicing therapy and Suboxone.

    Even in recovery, you can still have regrets.

    View the original article at thefix.com