Monday, July 14, 2008

France to crack down on under-age binge drinking


France will ban the sale of alcohol to minors and drinking in public near schools as part of a broad crackdown on binge drinking among youths, the health minister said in an interview published on Sunday.

Roselyne Bachelot said that a recent study showed an over all decline in alcohol consumption among youths but the frequency of drunkenness was increasing.

"Almost half of youths said they had had five glasses of alcohol on a single night on at least one occasion in the previous 30 days, which is the definition of binge drinking," she said in an interview with Journal du Dimanche newspaper.

She said she was working on a new bill that would also ban promotions known as "open bar" which allow customers to drink as much as they want to for a fixed price.

"We are also going to ban open bars ... which are a classic at student parties and which encourage binge drinking," Bachelot said.

She said the number of under-25s hospitalised because of excessive drunkenness had doubled between 2004 and 2007.

"Drinking alcohol in public places close to schools will also be forbidden," she said.

She told the newspaper that at present there was a grey area surrounding sales of alcoholic drinks to teenagers aged 16 to 18, with different rules depending on the kind of alcohol and whether the sales point was a bar, a club or a supermarket.

She said her bill would unambiguously ban any sale of alcohol to under-18s anywhere in France.

Another measure will be to ban sales of alcohol in filling stations. Bachelot said that at present, such a ban exists only from 10 p.m. to 6 a.m. and the new rule should help curb drunk driving.

Bachelot said the measures, which she expected will come into force in 2009, would be accompanied by an advertising campaign featuring youths in a heavenly environment that turns hellish after they have been drinking.

In May, a government body in charge of fighting drug and alcohol addiction said it was considering banning "happy hours" during which bars offer cheaper drinks early in the evening to attract customers. Bachelot's interview made no mention of this.
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source: International Herald Tribune

Tuesday, July 8, 2008

Weighing in on the alcohol issue


The toughest question about alcohol today isn't whether to shake or stir that martini. It's whether it's going to hurt or help your health. If you've been following the news about alcohol, it's enough to give you whiplash: One study says it's good; the next says it's bad. It depends on the study's perspective. For instance, alcohol is bad for your liver and increases your risk of diseases like breast cancer. But it's good for your arteries. So there's always a tradeoff.

Still, if you're female, you might wonder if it's ever safe, thanks to recent studies that found that two daily drinks raise your risk for the most common types of breast cancer by a scary 32 percent. Three drinks a day raise these odds by 50 percent.

But then there's the healthy side of alcohol: Moderate drinking can cut your risk of cardiovascular disease by 25 percent to 40 percent. That's because the ethanol in a 1990 Bordeaux, a Bud or any other alcoholic drink increases good cholesterol and discourages blood clots. It also may have an anti-inflammatory effect on plaque. True, red wine has special antioxidants (quercetin, catechins and resveratrol) that combat the inflammation and free radicals that make a mess of blood vessel walls. But mouse studies suggest it would take about 180 bottles of red wine a day to do your vessels any good. So it's probably the alcohol that benefits your arteries. And healthier arteries mean fewer heart attacks, strokes, wrinkles, senior moments - plus better sexual function for men. What about the new study linking a glass of wine a day (wine only; not beer or liquor) to lower risks of non-alcoholic fatty liver disease, the No. 1 liver ailment in the U.S.? It's much too early to toast to that. More studies need to be done to see if the link holds up.

So should you sample that pinot noir or not? Someday, a genetic test may help you decide that. For now, here are the five best ways to get alcohol's health benefits without the risks:

1. Set your limits and stick to them. That means one-half to one drink per day for typical women and one to two for men. Men can safely drink a little more because they have an enzyme that metabolizes alcohol in their stomach lining - when most men have two drinks, only one is absorbed.

2. If you're a woman, weigh and balance. Some docs believe that women who are premenopausal, have a family history of breast cancer or are cancer survivors or are thinking about becoming pregnant simply shouldn't drink. (Definitely don't drink if you're already expecting.) On the other hand, heart disease - not breast cancer - is the No. 1 killer of women. Balance, ah, that's the key. If you're at average risk for breast cancer but high risk for ticker trouble, a drink a day might be a helpful addition to the other heart-healthy steps we know you're taking.

3. If you don't drink already, don't start. Especially if you have a family history of drug or alcohol abuse. Alcohol's risks range from addiction to overindulging enough to cause high blood pressure, strokes, heart failure, liver problems and car accidents. There are plenty of other ways to get its protective benefits against heart disease, wrinkles, memory gaps and erectile dysfunction.

The three biggies: Stay active, maintain a healthy weight and eat smart - avoid saturated and trans fats; simple sugars and syrups; and any grain that isn't 100 percent whole.

4. Think small. French fries and clothing sizes aren't the only things that have been supersized. Drinks have gotten huge, too, thanks in part to extra-large barware. Stick to official amounts: 1 glass of wine is 5 ounces (that's little); one beer is 12 ounces; 1 cocktail is 1.5 ounces of 80-proof spirits, such as vodka.

5. One a day doesn't mean seven on Saturday. Forget "saving up" your daily drinks for a weekend binge. The benefits vanish and alcohol turns toxic, aging your immune system and stressing your heart. Not to mention scrambling your ability to avoid waking up with someone you don't recognize or on a bus to Vegas.
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source: Athens Banner-Herald

Monday, July 7, 2008

Opiate-substitution therapy quadruples treatment success in Malaysian heroin users: authors urge adoption in non-western countries

A study from Malaysia published in the June 28th edition of The Lancet has found that substitution therapy with the opiate drug, buprenorphine, tripled the length of time heroin users were able to stay “clean” compared with individuals on a placebo, and nearly quadrupled the proportion of participants who completed the trial without relapse.

An accompanying editorial states that, given these results, “the preferred oral pharmacological treatment for opioid dependence should be agonist maintenance with either methadone or buprenorphine,” and says that concerns that dispensing these drugs could swell black-market use should not outweigh “the major public-health effects of untreated opioid dependence”. Buprenorphine, like methadone, is currently illegal in Malaysia and many other countries with serious injecting drug use problems, such as Russia.

Four times as many individuals given buprenorphine completed the six-month treatment trial without relapse as individuals given naltrexone or placebo; individuals on buprenorphine took on average nearly three times as long to resume heroin use as those on placebo, and twice as long as those on naltrexone. Furthermore individuals provided with buprenorphine were able to stay completely abstinent from heroin for twice as long as those on either naltrexone or placebo.

Substitution therapy using the oral drugs methadone or buprenorphine has been standard practice as a way of trying to wean heroin users off injecting and off street drugs for years in most developed countries. However, in other parts of the world the idea of substituting one opioid for another is still seen as just substituting one addiction for another and adding more drugs into the black market. More recently the opioid antagonist naltrexone – a drug that blocks opioid receptors and so enforces a state of physiological withdrawal from heroin – has been permitted, but although some naltrexone trials report positive results, others have been neutral or negative.

This study was the first ever study in Malaysia to use an opiate agonist – a direct substitute – rather than an antagonist. In the event, the superiority of that agonist, buprenorphine, over both naltrexone and placebo was so marked that the study was terminated before time, when 70% of participants had completed their six month course.

The study involved dependent heroin users. A total of 44 were provided with buprenorphine plus a naltrexone placebo, 43 with naltrexone plus a buprenorphine placebo, and 39 with two placebos. The patients were initially given a fast six-day detox and then provided with substitution therapy or placebo. Urine tests were performed three times weekly to see if they had taken heroin.

Three primary outcome measures were used: time without any heroin use; time to relapse (being defined as three or more consecutive positive heroin tests or a positive test followed by withdrawal from the study); and time remaining on the treatment regime. One other outcome was a global score of HIV risk behaviours, which was split into drug-use and sex-related behaviours.

Patients had a mean age of 37 and were consistent heroin users, with an average of 27 days’ use in the last 30. Only a minority (approximately 41%) were current injectors, though 80% had injected at some point. Twenty-four per cent had shared needles in the last month. Twenty-two per cent were HIV-positive (with fewer in the placebo group, 13%), and the vast majority (95%) had hepatitis C. Only 7% reported consistently using condoms and a third reported having had multiple concurrent sex partners at some point.

At the time the study was terminated, individuals taking the placebo had stayed in treatment for an average of 70 days (out of a maximum possible 168); those on naltrexone for 84 days; and those on buprenorphine for 117 days. Retention was 2.15 times higher amongst buprenorphine users than those taking the placebo and some 1.55 times higher for those randomised to buprenorphine compared to naltrexone; it was 32% higher on naltrexone than placebo, but this was not statistically significant.

Patients on buprenorphine took 2.17 times longer on average to relapse than patients in the placebo arm and 1.56 times longer than patients taking naltrexone. By the end of the study, eleven out of 44 buprenorphine users were still in the study and still abstinent compared with four of those taking naltrexone and three in the placebo arm.

As indicated above, occasional one-off heroin use did not count as ‘relapse’; the mean time subjects manages to remain completely heroin free was 24 days on placebo, 42 days on naltrexone and 59 days on buprenorphine.

Sexual risk behaviours did not change at all during the study; drug-related risk behaviours (i.e. needle sharing) declined throughout the study but did not differ between treatment arms.

The authors report that their results “lend support to dissemination of maintenance treatment with buprenorphine or methadone…as an important component of an effective public-health approach for reduction of problems associated with heroin dependence.”
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References

Schottenfeld R. et al. Maintenance treatment with buprenorphine and naltrexone for heroin dependence in Malaysia: a randomised, double-blind, placebo-controlled trial. The Lancet 371: 2192-2200, 2008.

Hall W. et al. Oral substitution treatments for opioid dependence. The Lancet 371: 2150-2151, 2008.

Sunday, June 22, 2008

New Asheville clinic offers safer treatment of opioid addiction

A new clinic is making a safer alternative treatment for opioid addiction more widely available in Western North Carolina.

Crossroads Treatment Center opened in April and specializes in treating people with suboxone, a drug approved by the Food and Drug Administration in 2002.

The biggest advantage of the drug over methadone, which has traditionally been used to treat opioid addiction, may be its safety. A person cannot overdose on suboxone, and because it does not provide the same high as methadone, it is less likely to be abused.

“There are some people who do very well with methadone,” said Dr. Karl Schroeder, a psychiatrist at the VA Medical Center in Asheville. “But because it is a full-on narcotic, if you want to abuse methadone, you can take extra high doses to get blitzed on it. Methadone is one of the more dangerous things for death by overdose. With suboxone, the advantage is in safety. By itself you can’t overdose and kill yourself.”

The increased availability of the drug, a pill that can be prescribed by a doctor, may mean more people in WNC who are addicted to opioids seek treatment. The region is home to a high number of people addicted to the drugs.

Schroeder said he has prescribed suboxone to about two dozen patients at the VA. While it may be too costly for some patients, for others, suboxone helps them break their addiction.

“For many people it’s wonderful,” he said. “They talk about it as being a small miracle in their lives. … They get on suboxone, and they feel normal, and they don’t think about drugs all the time.”

Need for treatment

Dr. Elizabeth Stanton and Vicki Ittel, the former director of the Buncombe County Health Center, opened the new center to offer more treatment options for people addicted to opioids.

“There are just not enough of us,” Stanton said. “I think there’s a huge need in this community.”

WNC is home to many people addicted to prescription painkillers, and the number of people abusing these drugs nationwide increases every year.

Opioids are drugs derived from opium, like morphine, codeine and heroin, and some prescription drugs that have similar chemical properties, including oxycodone, hydrocodone and fentanyl.

“In WNC, we clearly have an increased incidence of narcotic addiction over the general population,” said Dr. Paul Martin, head of the Asheville Buncombe Drug Commission and a specialist in addiction medication.

Martin said he and others who study addiction don’t really know why more people in WNC are addicted to drugs, but what is clear is that there is a need for treatment.

Nick Reuter, a senior public health analyst at the Substance Abuse and Mental Health Administration, said less than half of people who need treatment are getting it.

Treatment for addiction to opioids typically involved methadone. Both methadone clinics in Asheville are operating at capacity and have waiting lists, Martin said.

“We know clearly that the capacity of the methadone programs around the country are not nearly sufficient to meet the need for narcotic addiction,” he said.

Advantages of suboxone

Methadone was the prescribed treatment for opioid addiction until the Food and Drug Administration in 2002 approved two products, suboxone and subutex, which contain buprenorphine, a long-acting opioid.

In 2007, the number of patients being treated for opioid addiction with buprenorphine surpassed the number of patients being treated with methadone, Reuter said.

Methadone patients must visit a clinic daily for treatment, and some stay on methadone for the rest of their lives.

But buprenorphine-containing drugs can be prescribed by a family doctor, are taken in pill form at home and have fewer side effects. Some patients can stop taking the drugs after a few months. This makes these drugs not only more accessible for some people seeking treatment, but also a more appealing choice for some patients.

Reuter said the increased availability of suboxone and subutex has gotten more people into treatment for their addiction. He said 60 percent of patients using the drugs for treatment report never having accessed drug treatment before.

Woodlands Treatment Center in Greenville, S.C., has seen a 92 percent success rate in keeping people off of opioids over its four years of operation, Stanton said.

While some physicians in WNC are licensed to prescribe the drug, not many treat patients in large numbers, Ittel said. The required counseling that goes along with prescribing the drug can be time-consuming and hard to work into a regular medical practice, she said.

For that reason, she said Crossroads is filling a niche market in the region. The clinic is seeing about 50 patients. That number is expected to increase as more people learn about the treatment.

Potential for abuse

Although there have been reports of abuse of buprenorphine, they are fewer than abuse of other drugs in the same class, Reuter said.

Buprenorphine-containing drugs are less appealing to addicts than heroin and methadone because they don’t produce the same kind of euphoria, and when injected at high doses, the drugs can precipitate withdrawal symptoms.

“Two recent studies seem to suggest that (suboxone abuse) has leveled off and started to decrease, but the amount of suboxone dispensed every year continues to increase,” Reuter said.

Methadone still around

While buprenorphine-containing drugs have expanded treatment options, Reuter said there is a need for methadone to stay around. He said methadone is useful for people who are more highly dependent on opioids.

Suboxone also comes at a price. Reuter said suboxone treatment costs around $300 a month, compared with about $30 a month for methadone.

The Crossroads clinic charges around $275 a month, which does not cover the cost of the drug, and they do not take insurance, Stanton said.

The pill, which costs around $5 a day, is covered by insurance and government programs like Medicare and Medicaid.

Ittel said the treatment costs far less than what some people are paying to get their drugs on the street.

“It will be a nice option for a niche population, but as it is prescribed now, it won’t replace methadone programs,” he said.
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source: http://www.citizen-times.com

Thursday, June 19, 2008

SouthCoast Recovery Debuts Gay and Lesbian Track Program


SouthCoast Recovery, a premier California alcohol and drug rehab center, announces the addition of a Gay, Lesbian, Bi-sexual, and Trans-gender (LGBT) Track to its 30, 60, 90-day and six month residential treatment programs.

SouthCoast Recovery recognizes the need for specialized drug rehab and alcohol treatment programs that address and provide support to the gay and lesbian community. Regardless of age, race or sexuality, people from all walks of life seek help for alcohol and drug addiction. Men and women in the LGBT community may struggle with issues pertinent to their sexuality that could contribute to alcohol or drug abuse. SouthCoast Recovery recognizes the need for specialized programs in drug and alcohol treatment tailored to the individual. SouthCoast Recovery provides the leading gay rehab treatment program in California, with a safe and supportive environment for those in the LGBT community, offering an assigned LGBT counselor for one-on-one sessions, individual therapy treatment targeting LGBT issues. Drug and alcohol dependency is often a symptom of underlying issues that need to be addressed on an individual basis. At our state-of-the-art facility, the finest clinical and medical physicians work together with skilled practitioners in advanced Eastern holistic therapies for the most comprehensive physical, emotional and spiritual renewal of each person.

We offer seven residential facilities, a clinical therapist, marriage & family therapist, certified drug & alcohol counselors, a medical physician, a licensed acupuncturist with a Masters in Oriental Medicine, a licensed massage therapist, sessions in primordial sound meditation, as well as, group support in the local 12-step community as a part of our gay addiction treatment program.

At SouthCoast Recovery, we believe that recovery from addiction is a transformation in all areas of life. Our Gay, Lesbian, Bi-sexual, and Trans-gender Track Program is now available during 30, 60 and 90-day residential treatment. For more information, please call Tom Petersen at (866) 847-4506 or visit www.southcoastrecovery.com.

Like many noteworthy companies, SouthCoast Recovery started out of a garage in 1994 and today is one of the leading recovery centers in the nation offering advanced clinical, medical and holistic therapies in the individual treatment of drug and alcohol addiction.
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source: http://www.free-press-release-center.info

Wednesday, June 18, 2008

Savings in alcohol, drug addiction treatment an Illusion


Nearly $18 million in state funds earmarked for alcohol and drug treatment was diverted to other uses in 2006, according to a watchdog agency report released last week.

If that sounds like a cost savings, think again.

In the same year, 1,185 men and women were sent back to prison because of probation violations. Fifty-seven percent are drug users, according to the Virginia Department of Corrections. The department expects these "technical violators" to increase to 3,000 inmates over the next five years.

This trend is one factor contributing to growth in the state's prison population, which will require Virginia to build one new prison a year for six years. Each new 1,000-bed prison will cost about $100 million to build and $25 million annually to operate.

Suddenly, an extra $18 million to help drug addicts kick the habit sounds like a good deal.

Analysts with the Joint Legislative Audit and Review Commission said the state is doing a poor job in evaluating which treatment and prevention programs are most effective, but it did find evidence that recidivism is lower among inmates who complete drug programs.

But drug treatment is not just for criminals behind bars. JLARC said few services are available for school dropouts and children of substance abusers. Adults indicated in a survey that they have trouble finding transportation and someone to watch their children so they can obtain drug treatment. Providers are unwilling to treat low-income people because the government-funded Medicaid program reimburses only a fraction of the true costs.

Drug treatment programs shouldn't be just about saving money. They should be motivated by the desire to save men, women and children from the misery of addiction. However, the financial benefits are clear. Eighteen million dollars won't solve all of the problems, but that money does nothing if it is left unused. A penny saved will cost Virginia far more in dollars and lives.
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source: The Virginian Pilot

Tuesday, June 17, 2008

Rehab center tries new therapies


Alice holds two collages that she's just pulled down from a wall in the hallway.

The collages are covered with magazine cutouts, drawings and handwritten poems representing two sides of her life.

One shows her childhood experiences with sexual abuse and her drug-ridden adulthood. The other depicts the future she's working toward during her stay at the new Guilford County Substance Abuse Treatment Center.

Alice's collages are part of the larger, creative aim of the drug and alcohol rehabilitation facility on West Wendover Avenue in High Point.

The center doesn't allow clients to identify themselves to reporters, so the News and Record could not provide their real names.

"It's amazing what you can do with a crayon," said Courtnaye Adams, who leads the treatment center's creative-therapy programs. She teaches art classes, yoga, leads meditation, facilitates group hikes and even brings in her dog for what she calls pet therapy.

"Sometimes the simplest things can help us more than we realize."

The 56-bed facility, funded by Guilford County, began opening in stages in March and will be fully operational when the last wing opens at the end of this month.

A nontraditional center run by Missouri-based Bridgeway Behavioral Health, the center only accepts addicts with no insurance and can keep clients much longer than the standard 28 days.

"One of our goals is to reduce the revolving door practice of alcoholics and addicts who seem to frequent emergency facilities," site director Mary Jane McGill said.

"If we can do that and we can help give them the long-term treatment, then our goal is to get them out there working and being taxpayers ... instead of draining the tax base."

One of the benefits of the longer rehabilitation time is that — in addition to offering traditional therapy — the center can experiment with solutions such as Adams' classes.

Adams, who has worked at the substance abuse center since April, knows from experience the value of such activities for rehabilitation. A recovered alcoholic, she said she discovered that she felt herself heal when she gardened.

"When I got in the dirt, I was OK," she said. "I would have these moments of serenity. My choices were drink, die or heal, and I chose to heal."

She said she provides a variety of creative activities for patients because each person responds to different activities.

Some of the center's other classes focus on more concrete topics. One client said classes about the brain and what drugs and alcohol do to the human body helped her understand the effects of her addiction and depression.

"I've learned how to clean out the garbage and put in the healthy stuff," she said. "They help you in every area to get you out there and back on your feet."

To prepare clients to contribute to society upon their release, the center offers classes in GED preparation, computer skills and other areas.

Staff also help patients find places to live and work after they leave.

McGill said a highly qualified and diverse staff help prepare patients to go on with their lives. One patient said he wants to go to college and become a substance-abuse counselor after he finishes treatment.

Another client said the message of the center is that patients can learn to take charge of their own futures.

"We don't have to go back to the past," she said. "We don't have to begin our lives in the past."

Monday, June 16, 2008

Freedom From Drug Addiction


He went from a cocaine and alcohol addiction, to a successful drywall businessman in Sioux Falls and Rapid City.

Greg Sands overcame his demons with a little help and a lot of determination. Now he's being honored with his name on a brand new treatment center for meth-addicted women.

His business is drywall, the company he built from the ground-up. But his passion is helping those with addiction.
"Addiction's a very subtle thing,” said Greg Sands, owner of Sands Drywall of Sioux Falls and Rapid City. “It's a process, not an event. Eventually, the addict ends up with problems in his life because of the addiction. For me, it was incarceration."

In 1989, at 31 years old, Sands was arrested for conspiring to deal cocaine, and spent two years in prison. Afterward, he moved into the Glory House in Sioux Falls.

"Have a warm spot in my heart because they helped me change my life," said Sands.

The facility is a halfway house that helps drug users shift back into the community. Sands says there's always a need for such facilities; in fact, the Glory House is now celebrating 40 years in business.

"The transition is extremely important,” he said. “If they leave incarceration and go straight to the streets, or go to a halfway house, it lowers their chance of violating by like 50%. It's a huge number."

And now, the Glory House is about to open the Sands Freedom Center, in September. It will specifically treat women addicted to meth, a fast-growing problem across the country.

"I believe the statistic is they go to prison at a rate of two to one over men."

Sands says the Freedom Center will be a top-notch facility, with both inpatient treatment for women and outpatient treatment for anyone battling meth. Between 300 and 400 people will walk through the doors every year.

"If we can teach people how to live a new way of life, it's better for society, better for our state as a whole because they're out becoming responsible, productive members of society," said Sands.

The facility is just another way Sands can reach out to people who are in the same place he was nearly 30 years ago.

His story has inspired many, and even earned him a presidential pardon from the Clinton administration back in 2001.

Since his record has been wiped clean, Sands can enter almost any institution and speak to prisoners about his experience.

"The best thing about that was that it carried a message of hope that you can change your life and you can do this too, if you're willing to do the work," Sands said.

Sands still works every day to keep his life on track, but doesn't have any regrets about the past.

"Everyone makes mistakes in their life and no one likes to experience that pain,” said Sands, “but it's those things I went through that got me to where I'm at today."

Sands says the project is close to his heart, but wouldn't have been possible without some outside help. He says Governor Mike Rounds, Senator Tim Johnson, the Glory House board of directors, staff, and volunteers, along with community leaders and businessmen all contributed in some way.

The Glory House is still raising money for the Sands Freedom Center, expected to open September 1st.
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source: http://www.keloland.com

Saturday, June 14, 2008

Why Is Mom in Rehab?

The actress Tatum O’Neal was arrested recently on charges of buying crack cocaine from a man on the street near her New York City home. She is a 44-year-old mother of three. She has spent years in and out of drug abuse treatment (which she chronicled in her 2004 memoir), and according to her publicist she will continue to “attend meetings” for drug and alcohol abuse.

Ms. O’Neal illustrates a disturbing trend among those being admitted to substance abuse treatment services: a growing percentage of older women are being treated for harder drugs.

Data from the Substance Abuse and Mental Health Services Administration revealed that the total number of admissions to treatment services from 1996 to 2005 (the last year for which detailed data are available) stayed about the same among people under 40, but jumped 52 percent among those 40 and older. Of the 40 and older group, the rise in admissions among men was 44 percent. Among women, it was 82 percent.

(During the same span, the population in the United States age 40 and older grew by only 19 percent.)

Of these women, admissions for nonsmoked cocaine have doubled; admissions for crack cocaine have tripled; admissions for opiates other than heroin have nearly quadrupled; and admissions for methamphetamines have increased sevenfold.


These trends could grow stronger. A 2006 report by the National Institute on Drug Abuse focused on drug use among baby boomers, all of whom were 41 to 59 years old in 2005. It concluded that “the large size of this cohort, coupled with greater lifetime rates of drug use than previous generations, might result in unprecedented high numbers of older drug users in the next 15 to 20 years.”

There was a time when we thought that the biggest substance abuse threat to older women was alcoholism and abuse of prescription drugs.

Ten years ago this month, Betty Ford and the National Center on Addiction and Substance Abuse at Columbia University issued a report called “Under the Rug: Substance Abuse and the Mature Woman.” At the time, Joseph Califano, president of the center said: “Abuse and addiction to alcohol and psychoactive drugs and tobacco by women 60 and older is an inexcusable area of neglect.”

But since boomers can’t seem to shake their street-drug demons, the focus needs to shift.
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source: The new York Times op-ed page.

Friday, June 13, 2008

Drug Treatment Center marks first anniversary


It’s a year to the day since eight drug addicts serving time became the first clients of Mesa County’s Summit View Drug Treatment Center.

Located on the third floor of the community corrections building in Grand Junction, the residential treatment center has seen more than 100 clients in its first year.

They’re clients like Brandon Burns, who volunteered for treatment because he kept using meth and marijuana while he was on probation. He’s coping with his past in treatment, picking at the things he’s hidden from with drugs since he was a preteen and learning how to deal with those problems sober.

“This is the longest I’ve been sober since I was 12 years old,” Burns said. “I’ve never felt this good in my life ever.”

Burns was ready to come, but Jason Thomas, who didn’t know his court sentence would bring him to the center, came in “kicking and screaming.” This was his fourth rehabilitation experience.

“I was going to fake it,” he said. He changed his mind when he saw this treatment center had more group participation and less staff control than other centers.

Group meetings with the 16-20 men living six to a room on the treatment floor happen every morning and afternoon. Clients write in a series of workbooks on topics from the connection between drugs and criminal behavior to anger management to communicating with family. Discussions are about discovering why they use drugs so they can live without drugs.

“It’s not the drugs, it’s you as a person you’re changing,” said Justin Ringold, who is transitioning out of the center.

The program isn’t for pretenders, said client Matt Onstott.

“If you do it for your sentence, it’s not going to work, you’re going to get called on it,” he said.

Optimism is common in the center, but that can wane when clients go to a community corrections floor to finish a sentence and when they get a place of their own. Justin Bohannon graduated from the center Nov. 5. He started going to the gym, took GED classes and got two jobs. But temptations outside get stronger, he said, and he ended up relapsing. He told the center he got high, and they worked with him to get him back on track.

“I knew if I went to prison I’d be in and out of prison for the rest of my life. The time comes when enough is enough,” he said. Still, it’s been “rough” to stay clean.

Helping clients transition from the center into the workforce has been a challenge, said Treatment Coordinator Jason Talley. The center now includes a short-term program, an enhanced outpatient program and a transition program to help with that, and case workers keep up with graduates and encourage them to meet new people and volunteer in the community. Talley said recidivism is low and the completion rate was 74 percent as of December.

Burton Shoebridge Jr. graduated treatment Nov. 26 and will move out of community corrections today. After spending nearly three decades in an out of prison, jail was the easy thing for Shoebridge. Living drug free in the real world was the struggle. But after treatment, he says he’s ready to try it.

“Things are going great and I’m not willing to give that up,” he said.

Counselor Bill Wimsatt said he’s heard no regrets from graduates.

“The ones I see are happy to be sober, happy to be clean. They walk up and they have a smile on their face, and that tells me enough. That tells me they’re happy to be living the life they choose to live,” he said.

The next step for the center could be incorporating clients under the age of 18. Talley said the need is greater to give youth a place to go than women and their children because the center isn’t “ideal” for families and there are two local in-patient treatment options for women, whereas the only nearby center for youth is in Glenwood Springs.
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source: Grand Junction Colorado Free Press