Tag: homelessness and addiction

  • LA’s Homeless Population Is Being Devastated By Meth

    LA’s Homeless Population Is Being Devastated By Meth

    “Meth puts you in one of the deepest holes to climb out of,” said Los Angeles Police Chief Michel Moore.

    Mark Casanova estimates that 70% of the clients that he works with at Homeless Health Care Los Angeles are addicted to meth, a drug that wrecks their physical and mental health and makes it more difficult to connect them with services. 

    “It’s way cheaper, it lasts longer, you can smoke it or inject it, it’s easy to get,” Casanova told The Los Angeles Times, speaking about why homeless Californians are turning to meth much more than opioids. 

    In LA’s infamous Skid Row, meth addiction is a plague that contributes to crime and disruption, and pulls people further away from the social fabric that could help them get housing. 

    The LAPD Weighs In

    “Meth puts you in one of the deepest holes to climb out of,” said Los Angeles Police Chief Michel Moore. “It rots people from the inside out and absolutely owns their lives, and they will do anything in order to exist on it and pursue it.”

    Moore is fighting meth addiction through attacking the supply chain while others, including Dr. Susan Partovi, are taking a harm-reduction approach, working with needle exchanges and other public health programs. 

    Meth’s Dark Toll

    “Crystal meth is the plague of our society,” said Partovi, who once worked at county jails and now works at a needle exchange. “I was seeing 20- and 30-year-olds who had heart attacks and heart failure, and people with pulmonary hypertension who will need lung transplants. There were people who’d had strokes in their 30s.”

    Brian Hurley, head of addiction medicine for LA County’s Department of Health Services, said that meth use causes similar symptoms to mental illness, so it can be difficult to tell whether someone needs mental health treatment or addiction treatment. 

    “Meth is a huge driver of mental health issues because when you use meth, you can become psychotic and anxious and feel depressed,” he explained. 

    Despite the immense challenges, some people in LA’s homeless population do manage to get sober. Sean Romin works as an addiction specialist and has been sober for 15 years. Given his personal experience, he feels empathy for the people still using. 

    “No matter how down or how vulnerable or depressed you feel, meth has the tendency to just get rid of all that in a way that drinking or crack can’t do,” he said. “For eight, 10, 12 hours, you can feel like a normal human being. You can feel like there’s hope.”

    Some people, like Tommy Lee, 53, are able to tap into that hope long term. Lee, who is in recovery, is no longer using and was able to get into temporary housing. 

    “I got to where I was tired, my body was hurting, I couldn’t sleep and my heart was getting weak,” he said. “I’m still young and I want to get my life back. I’m trying my best.”

    View the original article at thefix.com

  • Outreach Vans Increase Sobriety, Survival For People With Addiction

    Outreach Vans Increase Sobriety, Survival For People With Addiction

    The mobile outreach program provides Suboxone prescriptions, syringe exchange, health screenings, disease management and other free services for individuals who are homeless and struggling with addiction.

    The CareZONE van in Massachusetts is providing treatment and hope to those with addiction who are experiencing homelessness. Funded by The Kraft Center for Community Health at Massachusetts General Hospital and the GE Foundation, the goal of the program and the van is to bring preventative health care, addiction treatment, and harm reduction services to any person with addiction who wants it.

    There are only six or so of these mobile treatment programs around the country, testing the effect of their services on the rate of overdose and recovery in the community.

    The CareZONE van provides an impressive range of free services, including in-patient detox, medications for addiction treatment (such as Suboxone), Naloxone (Narcan), syringe exchange, health screenings, disease management and more. 

    WYBR reported that the CareZONE team consists of experienced outreach workers, doctors and case managers. Dr. Jessie Gaeta, chief medical officer with the Boston Health Care for the Homeless Program, works with compassion and patience as she earns the trust of her patients.

    “We’re trying to let people know we’re not there to arrest them. We’re not there to clean up their encampment and kick them out,” Gaeta told WYBR. “All we want to know is, do we have something you need and want, and if we do, great, here it is. And so we gradually build a relationship that way.”

    If the patient is willing, Gaeta treats infected injection sites, checks for heart and lung infections (common with certain drug addictions), and offers vaccinations as well as buprenorphine (the active ingredient in Suboxone), a drug that reduces opioid cravings. If Gaeta believes the patient may have a more serious condition, she requests that they come back to the van for a more extensive check-up.

    According to those involved, the CareZONE van has been successful. WYBR reported that in its 18-month lifespan, 316 prescriptions for Suboxone have been supplied from the Care Zone van, and 90% of them are filled, with 78% of those being refills.

    Dr. Andrew Kolodny, co-director of opioid policy research at Brandeis University, told WYBR that he believes this could be a solution. 

    “Once [they’re] in every county in the United States, there’s a place somebody can go and get started on treatment for free, that same day,” Kolodny affirmed, “that’s when we’ll really start to see overdose deaths come down, significantly.”

    View the original article at thefix.com