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Ending Discrimination Against Addiction

People with drug or alcohol addiction problems often face severe discrimination (both publicly and privately) that restricts their access to necessary health care, employment, benefits, and discourages them from seeking treatment (which is both detrimental to the addict as well as costing society millions of dollars). Because of this, Join Together, a project of Boston University’s School of Public Health, formed a national panel to address this situation. As a result the panel outlined two guiding principals and ten recommendations if an effort to end this discrimination.

The first principle included the notion that addiction to drugs or alcohol is a treatable, chronic disease that needs to be seen and addressed as a public health issue. This means that those suffering from addiction need to be allowed to receive necessary treatment and recovery support to the extent of other chronic illnesses. The second principle established is that people seeking treatment or recovery from the disease of addiction should not be at risk of legally imposed bands or other barriers based solely on their addiction. Such as someone being repeatedly punished for the same offense.

In light of these two principles, the following recommendations were made.

  • Insurance coverage for addiction treatment needs to be available at the extent it is for other illnesses.
  • Insurance companies should not be able to deny claims to injury that occurs while someone suffering from addiction is under the influence.
  • Treatment for addiction needs to be personalized to each patient and based on the best scientific protocols and standards of care and including services that significantly enhance the likelihood of success. This may include a variety of treatment options including Neurotransmitter Restoration, behavioral therapies, and more. There are many different type of treatments for addiction, and no single treatment is right for every individual. The “one size fits all” treatment model is outdated and ineffective.
  • Employees who voluntarily seek treatment for substance abuse should not be at risk for discriminatory actions or dismissal from employment. It was estimated in 2000 that 70 percent of people who needed treatment were employed.
  • It’s estimated that 75 percent of people who admit to a prospective employer that he or she is in recovery, will not get the job. This admission should not be a consideration unless relevant to the job.
  • People in recovery with prior drug convictions should not face obstacles in getting student loans, grants, scholarships, or access to government training programs.
  • People in recovery with non-violent drug convictions should not be subject to bans on food stamps and cash assistance.
  • Public Housing agencies should use the discretion afforded them by law to help people find treatment instead of barring them and their families from housing.
  • People who are disabled as a result of their addiction disease should be eligible for Social Security Disability Income and Supplemental Security Income.
  • Decision regarding custodial cases should be made in the best interest of the child based on what is happening at home, and not solely on the presumption that a positive drug test automatically means neglect or abuse.

This report sheds some interesting light on a difficult matter at hand and offers hope for change in the future.

4th of July Weekend and Underage Drinking

According to a recent study released by the Substance Abuse and Mental Health Services Administration (SAMHSA), hospital emergency visits dealing with underage drinking nearly double during the 4th of July Holiday weekend. The number of underage drinking-related visits to the emergency room are 87 percent higher this weekend than any other day in July.

In light of this information, SAMHSA reiterates the importance of reminding youth that underage drinking is not a harmless right of passage. It can have serious consequences with the potential of harming oneself, another, or even death. Because parents are the frontline force in preventing underage drinking, they are a key element in the prevention of underage alcohol use. It’s important to also remember that the earlier a teen begins drinking, the more they are at risk for developing substance abuse problems later in life. In fact, more than 4 out of ten people who begin drinking before the age of 15, develop substance abuse problems.

According to reports, 40 percent of kids have tried alcohol by the time they reach the eighth grade. It’s important for parents to remember three rules of frontline prevention (SAMHSA): talk early, talk often, and get others involved.

Talk Early: 70 percent of kids say their parents are the reason they don’t drink. Talk to your kids about the health and safety risk of drinking when young. It’s also important to get your kids talking to you. Find out what your kids social influences are, so you can help them build defenses.

Talk Often: One conversation isn’t enough to fully explain the dangers of alcohol at such a young age, or to help your child build the tools to be able to say no. By making it a regular topic of discussion, a child will feel more comfortable about talking with a parent about underage drinking.

Get Others Involved: More than 70 percent of eight graders said that alcohol was easy to get from family or friends. And though parents are the frontline, it’s important that they recruit others to be active and positive role models in their child’s life. Talk to other family members, the school, other parents, peers, and community members. Make sure to let them know where you stand on underage drinking. Share the facts with them!
Have a safe and sunny 4th of July!

The Role of Exercise in Treating Alcohol Dependence

A recent study, which will be published in Alcoholism: Clinical & Experimental Research, found exercise to be a beneficial tool in reducing alcohol consumption and alcohol dependence. The results of the study highlighted exercise as being an effective and non-pharmacologic option to include in a treatment program for alcoholism

Alcohol dependence (characterized by routine cravings for and consumption of alcohol, as well as the inability to function normally without alcohol) disrupts the body’s daily circadian rhythms (i.e., the essentials for survival: sleeping, eating, and mating) that are driven by the brain’s circadian clock. Circadian timing in mammals is regulated by light and influenced by food, exercise, and social interaction.

Continual use of alcohol will determine whether one goes to bed too early or too late, not sleep soundly through the night, and create unhealthy eating schedules like eating too late, not eating enough, or overeating. Overtime, it can become a vicious and dangerous cycle. For just as alcohol abuse disrupts the body’s natural circadian rhythms, circadian disruptions can lead to serious health problems and increase susceptibility to chronic alcohol abuse as well as relapse for those in recovery.

By using hamsters and their running wheels, scientists where able to determine that voluntary forms of exercise were a powerful environmental factor that influences brain health, circadian rhythms, and emotional well-being. In other words, exercise played an important role in the non-photic (or non-light) related regulation of circadian timing. And blocking access to exercise had a noted stimulatory effect on alcohol consumption. (Medical News Today)

Simply stated, the more the hamsters ran, the less alcohol they consumed. The less they ran, the more they craved and consumed alcohol. This insight makes exercise an important tool to include in any substance abuse preventative program or comprehensive rehabilitation regime.

Older Americans and The Changing Scope of Substance Abuse

A recent study by the Substance Abuse and Mental Health Services Administration (SAMHSA) revealed that since 1992 the number of older Americans being admitted into substance abuse treatment has nearly doubled. And even though alcohol remains the top reason for admission among this age group, the study showed a sharp rise since 1992 in the illicit drug abuse involving admissions and this older age group (ages 50 and older).

Among this age group, admissions since 1992 due to heroin abuse more than doubled, cocaine abuse quadrupled, and prescription drug abuse rose from 0.7 percent to 3.5 percent. The study also found that admissions involving abuse of multiple substances nearly tripled from 13.7 percent to 39.7 percent since 1992. (Medical News Today)

While over three quarters of these admissions involved a primary use of a substance beginning by age 25, there was a significant increase in the proportion of admissions that involved a substance introduced within five years prior to admission. In 2008, cocaine abuse is an example of a leading cause of admission that older Americans reported having begin use within five years prior to admission. Prescription drug abuse was second.

Researchers for the study explained the findings as indication of “the changing scope of substance abuse problems in America.” It also raises new wellness concerns for the health and social services already providing assistance to seniors.

The study is also an example of the indiscriminate nature of substance abuse, and the need to de-stigmatize addiction in order to best treat those suffering and at-risk.

Icing: A Disturbing Trend

On June 8, 2010, The New York Times ran an article about a new drinking game trend that encourages binge drinking, icing, that’s spread from college campuses across the U.S. to social networking sites, such as Twitter and Facebook, to blogs. It has become the first viral drinking game.

two glasses clinking“Icing” involves the malt beverage Smirnoff Ice. The premise of the game is that at any social gathering a friend might hand another friend a Smirnoff Ice (typically a warm one), and the receiver has to drink all of it at once while kneeling on one knee. However, if the receiver is carrying a bottle of Smirnoff Ice himself (the game is more popular among men than women), then the initial giver must drink both of the bottles, all at once, while kneeling on one knee. Most of the participants describe Smirnoff Ice as an unpleasant drink, which heightens the aspect of losing and reinforces the carrying of defense Ice. It’s no surprise that the sales of Smirnoff Ice has skyrocketed.

Many have questioned Smirnoff Ice’s involvement in the viral ad campaign, but Smirnoff has denied all accusations. Some young adults who documented the spread of the game said that many would stop Icing “if it turns out that they’re being used to market a drink they don’t really like.”

Smirnoff Ice and its parent company released a statement that read: “Icing is consumer-generated, and some people think it is fun. We never want under-age ‘icing’ and we always want responsible drinking.” However, the very nature of the game, through it’s encouragement of the dangerous act of binge drinking, is irresponsible. Whether involved or not, it seems the responsible thing for Smirnoff Ice to do at this point would be discourage such games as “Icing” and to remind its consumers about the dangers of binge drinking. They should not be reiterating the game as something that people think is ‘fun’.

No matter under-age or of-age, making a game of binge drinking is always dangerous.
Here are some health problems associated with binge drinking:

  • Alcohol poisoning.
  • Liver disease.
  • High blood pressure, stroke, and other forms of cardiovascular disease.
  • Neurological damage.
  • Sexually transmitted diseases.
  • Unintentional pregnancy.
  • Fetal Alcohol Syndrome (if pregnant women binge drink).
  • Unintentional injuries (such as car accidents, falls, etc.).
  • Intentional injuries (such as injuries from firearms, domestic violence, etc.).

In addition, studies have shown that the younger one begins drinking, the more likely they are to develop alcohol dependence.

Substance Abuse: The American Adolescent’s Average Day

A recent report released by the Substance Abuse and Mental Health Services (SAMHSA) provided a startling look at the drug and alcohol activities of American adolescents on an average day. The report found that on an average day: 508,000 adolescents, ages 12-17, drink alcohol; 641,000 use illicit drugs; and more than 1 million smoked cigarettes. This substance abuse trend is alarming. (Medical News Today)

SAMHSA conducted and analyzed a national survey for the study, “A Day in the Life of American Adolescents: Substance Use Facts Update,” which presented a bleak look at the daily toll that substance abuse has on America’s youth. The efforts are a part of a larger initiative, “designed to create an integrated data strategy that provides key public health information on a wide range of behavioral health issues.”

The report found that on any given day, 563,000 adolescents used marijuana, nearly 37,000 used inhalants, 24,000 used hallucinogens, 16,000 used cocaine, and 2, 800 used heroin.

Many addiction specialists see the report as a wake up call to the extreme extent that America’s youth is engaging in risky and illegal behavior. The young age of exposure to drugs and alcohol leave these adolescents more vulnerable and at-risk of developing severe addictions.

Some of facts of the study included first-time drug and alcohol use for adolescents on an average day, and found: approximately 7,500 adolescents drank alcohol for the first time; approximately 4,360 adolescents used an illicit drug for the first time; around 3,900 adolescents smoked cigarettes for the first time; nearly 3,700 adolescents used marijuana for the first time; and approximately 2,500 adolescents abused pain relievers for the first time.

The study also looked at substance abuse treatment and treatment admission patterns among those under the age of 18, and found: more than 76,000 in outpatient treatment; more than 9,000 in non-hospital residential treatment; and more than 700 in hospital inpatient treatment. There were about a quarter of a million drug-related emergency hospital visits among this age group, of which 170,000 visits involved the use of illicit drugs, alcohol or abuse of prescription drugs.

The researches hope that the report will lead to better preventative strategies and more effective ways of promoting emotional health among American adolescents.

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