Current Issues - Opioids

 
The pages in the tab "Current Issues" are designed to provide information and links to articles that speak to current moral issues facing our society. Please reference the original article (if available) when using quotes from these resources.

ACAAP does not necessarily agree with all opinions or "conclusions" that are reached in the following articles, but offers these articles as resource material for research purposes.

"I find that the news items that you have captured on the ACAAP website are among the best anywhere. What helpful information!  Dr. Paula Gordon, PhD, author, Guide to Ideas on Drug Abuse Policies and Programs.


Healthy Pregnancy Healthy Baby Fact Sheets

SAMHSA www.samhsa.gov

This series of four fact sheets emphasizes the importance of continuing a mother's treatment for opioid use disorder (OUD) throughout pregnancy. The series includes information on OUD and pregnancy, OUD treatment, neonatal abstinence syndrome, and considerations to address before hospital discharge.

Click here to download the fact sheets.
                                                                             

How Teenage Vaping Puts Structure in Place for Heroin and Cocaine Addiction

THE RAPID ADOPTION OF E-CIGARETTES HAS BEEN DRIVEN, AT LEAST IN PART, BY A HUGE JUMP IN THE POTENCY OF E-LIQUIDS.

By Indra Cidambi, M.D.
June 13, 2018
U.S. News & World Report

CIGARETTE SMOKING AMONG teenagers is on the wane. While data show smoking among teenagers has dropped over the past few years, it's not all good news. Teenagers are vaping nicotine instead. One in 8 – or 12 percent of – teenagers in New Jersey have tried e-cigarettes and/or hookah at least once. When cigarette smoking and nicotine vaping are added together, nicotine use may actually have increased. The rapid adoption of e-cigarettes has been driven, at least in part, by the huge jump in the potency of e-liquids (both nicotine and marijuana) used in vapes. Nicotine and marijuana act on the brain in ways similar to other substances of abuse and prime the brain for addiction to other potent drugs down the road.

Exponential Jump in E-Liquid Potency

Part of the reason for the adoption of e-cigarettes by teenagers is the exponential jump in the potency of e-liquids (nicotine and marijuana) used in vapes. E-liquid products like JUUL contain nearly 50 milligrams of nicotine per milliliter of liquid, whereas a cigarette has about 12 milligrams of nicotine. THC content in liquid concentrates, used in vapes, can range between 50 and 90 percent, as compared to 20 percent in marijuana. Vaping high-concentration marijuana can deliver a more intense high, but it can also lead to addiction.

Click here to read the rest of the article.
                                                                                        

Get Opioid Resources and Personal Support Sent Straight to Your Phone Via Text

APRIL 16, 2018 BY THE PARTNERSHIP
Help + Hope by Text - SMS messages about opioids

The opioid epidemic in our country has impacted countless families. Unfortunately, the needs of parents and caregivers are often neglected by mainstream care, and every day more families are turning to us for help and support.

We’d like to introduce you to Help & Hope by Text, a way to get customized, mobile messages on your cell phone that provide you with personalized, ongoing support and relevant resources for families struggling with heroin and other opioids.

In other words, parents and caregivers who are concerned with their son’s or daughter’s opioid use can sign up to receive text messages —informed by parents who have been there themselves — containing evidence-based resources, tips, skills, support and hope. Parents can also text “CHAT” to connect with one of our Parent Helpline Specialists at any time, if and when they’re ready.

Click here to visit the Partnership for Drug Free Kids website for opioid resources and personal support.
                                                                                             

Introducing the Heroin, Fentanyl & Other Opioids eBook

Partnership for Drug Free Kids

Fueled by drugs like heroin, fentanyl and the misuse of prescription pain pills, the opioid epidemic in our country has impacted countless families.

To help address this, Partnership for Drug Free Kids and The Medicine Abust Project has created a new eBook — Heroin, Fentanyl & Other Opioids: A Comprehensive Resource for Families with a Teen or Young Adult Struggling with Opioid Use. Parents and families need to be prepared with the knowledge and skills to identify opioids, spot early use and take action effectively.

If your son or daughter is actively using opioids, you’re probably experiencing many negative emotions and concerns. You’re not alone in this struggle. We hope that the information and resources in this guide will empower you with the important tools and guidance you need to help you, your child and your family.

Click here for your copy of the e-book.
                                                                                         

Featured News: Naloxone Administration May Lead to Complications

Partnership for Drug Free Kids www.drugfree.org
FEBRUARY 8, 2018 BY CELIA VIMONT

There seem to be a growing number of cases of high amounts of fluid in the lungs – known as noncardiogenic pulmonary edema – following administration of the opioid overdose antidote naloxone, experts said at a recent meeting of the New York Society of Addiction Medicine annual meeting.

“The cause of naloxone-associated pulmonary edema is unclear. It may be that it is part of the natural history of opioid overdose, and we are just seeing it more often because we have the ability to save patients using an antidote. It could also be because when we wake people with naloxone, they try to take a deep breath against a closed airway, causing barotraumas – injuries caused by increased air or water pressure,” says Nicholas Nacca, MD, Assistant Professor of Emergency Medicine and Medical Toxicologist at the University of Rochester Medical Center.

There is no hard data to support that this phenomenon has increased in frequency, but it certainly seems to be the case, he said. “The dose and route of administration have changed recently. Naloxone is now available in 4-milligram intranasal doses, which is higher than what we have used in the past,” said Dr. Nacca. “Previously, naloxone was available in 2-milligram doses.” In the controlled setting of an emergency room, toxicologists recommend giving the lowest dose of naloxone possible to reverse the respiratory arrest. This is different than in the field, where first responders, police and lay persons are using preloaded intranasal drug delivery devices. “Lives are being saved by these doses of naloxone, and at this time, complications may be a necessary evil,” he said.

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Illicit Fentanyl Use Linked to Cases of Amnesia

FEBRUARY 1, 2018 BY PARTNERSHIP NEWS SERVICE STAFF

More than a dozen people who used fentanyl, either alone or in combination with stimulants, have suffered severe memory loss, researchers from West Virginia University report.

These cases involved severe short-term memory loss, HealthDay reports. Imaging scans revealed the patients had lesions on the hippocampus, a region of the brain associated with memory. The patients did not recovery quickly, and may never fully regain their short-term memory, according to lead researcher Marc Haut.

“They all have difficulty learning new information, and it’s pretty dense,” Haut said. “Every day is pretty much a new day for them, and sometimes within a day they can’t maintain information they’ve learned.” He added, “Based upon the imaging, I would be surprised if they didn’t have at least some significant memory problems permanently.”

The findings are published in the Annals of Internal Medicine.

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A Tide of Opioid-Dependent Newborns Forces Doctors to Rethink Treatment

By CATHERINE SAINT LOUIS
JULY 13, 2017
https://www.nytimes.com/

RICHMOND, Ky. — Just 24 hours old, Jay’la Cy’anne Clay already was having a rough day.

Convulsions rocked her tiny body as she lay under warming lights in the nursery of the Baptist Health Richmond hospital. She vomited and made strange, high-pitched cries.

The infant was going through opioid withdrawal.

For more than a decade, her mother, Jamie Clay, 28, had been hooked on oxycodone. For six months now, she had been in a recovery program, taking another opioid that eased her addiction but put her baby at risk for withdrawal.

From 2003 to 2012, the last year for which statistics are available, the number of babies born dependent on drugs grew nearly fivefold in the United States. Opioids are the main culprit, and states like Kentucky are particularly hard-hit: 15 of every 1,000 infants here are born dependent on opioids.

Babies with the worst withdrawal symptoms are routinely separated from their mothers and whisked by ambulance, at great expense, to hospitals hours away, filling up beds intended for newborns who have even more serious problems, like heart defects.

Urban medical centers nationwide are scrambling to expand neonatal intensive care units or to build separate facilities to accommodate a tide of opioid-exposed babies arriving from rural communities.

The result, many experts say, is an exercise in good intentions gone awry.

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This isn’t the first U.S. opiate-addiction crisis

By Stephen Mihm

The U.S. is in the throes of an “unprecedented opioid epidemic,” the Centers for Disease Control and Prevention reports. The crisis has spurred calls for action to halt the rising death toll, which has devastated many rural communities.

It’s true that there’s an opioid epidemic, a public health disaster. It’s not true that it’s unprecedented. A remarkably similar epidemic beset the U.S. some 150 years ago. The story of that earlier catastrophe offers some sobering lessons as to how to address the problem.

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Scout project teaches Erie-area parents signs of addiction

By Madeleine O’Neill
http://www.goerie.com
Jul 17, 2017

COREY EISERT-WLODARCZYK BUILT THE INTERIOR OF A MOBILE TRAILER DESIGNED TO LOOK LIKE A TEENAGER’S BEDROOM AND TEACH SIGNS OF DRUG ABUSE.

To parents, picking up on the signs of drug addiction in their teenager’s bedroom might seem daunting.

Corey Eisert-Wlodarczyk wants to help change that.

“I think that the front line dealing with youth in the heroin and opioid crisis is the parents,” said Eisert-Wlodarczyk, 17.

For his Eagle Scout project, Eisert-Wlodarczyk built and decorated the interior of a Hidden in Plain Sight mobile display that looks like a teenager’s bedroom and can be used to show parents common indicators of drug abuse.

Eisert-Wlodarczyk knows the tragic costs of the heroin crisis: he lost his older brother, Collin Eisert-Wlodarczyk, to an accidental heroin overdose in 2012.

“A big part of that for me is just having the ability to use my loss to change the community to benefit others,” he said.

His work on the trailer is aimed at providing as many parents as possible with tools to recognize warning signs of drug addiction, which could be as subtle as a piece of foil or a water bottle with a false bottom. Eisert-Wlodarczyk is a member of Boy Scout Troop 52 in Millcreek Township and is entering his senior year at McDowell High School.

Click here to read the rest of the article.

                                                                                                    

The Public Cost Of Heroin: $51,000 A Year Per User, UIC Study Says

By DNAinfo Staff | June 13, 2017
www.dnainfo.com

THE LOOP — Heroin users in the United States cost society about $51,000 per year in terms of treatment, infectious disease, prison and lost productivity, a team at the University of Illinois Chicago has determined.

UIC pharmacoeconomists led by Simon Pickard and Ruixuan Jiang estimated that 1 million people in the United States are "active heroin users," costing the country $51 billion per year.

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Meet Chef Jesse Schenker: An All-Star Chef in Recovery

Partnership for Drug Free Kids
www.drugfree.org
APRIL 21, 2017 BY JULIE

We recently met up with Chef Jesse Schenker, executive chef and owner of The Gander and author of All or Nothing: One Chef’s Appetite for the Extreme. We’re thrilled that Schenker will be the VIP chef at our All-Star Tasting event on May 31, 2017 in New York City and are grateful for his honesty in sharing his recovery story with us.

PARTNERSHIP FOR DRUG-FREE KIDS: Could you first give us a little background on yourself, both personally and professionally?

CHEF JESSE SCHENKER: Growing up in South Florida, I experienced epicurean pleasures that quickly ignited my passion and set me on the path toward becoming a chef. I began requesting menus from my parents’ dinners and invested in a cookbook collection that has since grown to nearly 350 volumes.

I channeled my excitement for food into a Culinary Degree at the Atlantic Technical Center in Coconut Creek, Florida. While in school, I was introduced to my first professional kitchen experience at Café Maxx under the tutelage of Chef Oliver Saucy. I then moved on to hold positions in the kitchens of some of Florida’s most celebrated restaurant like Chef Mark Militello’s James Beard award-winning restaurant Mark’s on Las Olas and City Cellar Wine Bar & Grill. I then moved to New York to refine my skills in some of the world’s finest restaurants. I accepted a position as Chef de Partie as the two-Michelin star rated Gordon Ramsay at the London where I stayed for a year and a half.

I opened my first restaurant Recette, an intimate, urban American restaurant in New York’s West Village, in January of 2010. Just months after its opening, Recette received glowing two-star reviews from both The New York Times and New York Magazine.

In 2014, I wrote my memoir, All or Nothing: One Chef’s Appetite for the Extreme to reflect on my journey from growing up as an anxious child in a tight-knit family to a homeless teenager with a heroin addiction by the time I was 19 years old — and the journey back.

PARTNERSHIP: Tell us about your recovery story. What helps to maintain your recovery today?

SCHENKER: I first smoked pot when I was about 11. I knew something inside of me was forever changed. It wasn’t typical experimentation; I became different. I became me without the anxiety. The marijuana use escalated over my teenage years. I used acid, took painkillers, pretty much whatever I could get my hands on. The straw that broke the camel’s back for me was OxyContin. I quickly became hooked to this powerful opioid and when I couldn’t get my hands on any, I did whatever any person with a burgeoning addiction did in the 90’s: I switched to heroin and developed a full-blown heroin addiction by the time I was 18.

Things had to get very, very bad for me to get to a place where I was ready to begin recovery. I had been through rehab/detox a number of times. Didn’t matter. My parents gave me a choice: drugs or family. I chose drugs. From that point on, I was on my own until I was arrested. I served six months in jail and then another six months in a drug rehab facility for inmates. Following that was six months in a work release/halfway house. The moment I was arrested was the moment I decided to turn my life around.

I was ready — I was cold, alone, homeless and unemployed. I was determined to rebuild my life. Jail saved my life. I was very ill initially from the withdrawal of heroin, it was extremely painful. Once the physical withdrawal passed, I had intense drug dreams and flashbacks. I immersed myself in the 12-step program, and everyone said, “Keep coming back.” Well, I did, and I still attend AA/ NA meetings to this day. I learned to take what I need, and leave the rest. I learned that as long as I stayed clean and sober, I could rebuild my life.

And I did. I went from track marks and jail stints to a fulfilling life as a New York City chef with my wonderful wife and two kids, Eddie who is 6 and Liv who is 2.

PARTNERSHIP: Why are you excited to be working with us?

SCHENKER: Because I’m passionate about ensuring that people have the resources and the community around them to deal with this issue head-on. I want to see the shame eliminated from the families and individuals who struggle with drug addiction. Kids (and their parents) aren’t the sum total of the bad choices that they have made. We need competent mental health counselors who understand the complex issues of addiction today.

I remember being in a clinic when I was on methadone and someone asking me how a nice Jewish kid from a nice family ended up this way. Drugs don’t discriminate. It doesn’t matter how much socio-economic wealth you had or didn’t have. It doesn’t matter if you are Christian, Jewish or Muslim. It doesn’t matter if you attended an Ivy League university. We are all vulnerable to the effects of drug addiction.

PARTNERSHIP: How does your recovery impact your approach to parenting?

SCHENKER: I am very honest with my kids, in the most age appropriate way that I can be. Drugs and alcohol will be a part of our conversation once it’s more appropriate. I think it’s up to us to really educate our kids about the dangers, and the pitfalls, and also what it means to have an addiction. There’s definitely a biological component, so just as you would want to know if your parents have high blood pressure, it’s important that they understand that I struggled with addiction.

There’s also this overwhelming desire that parents have today to make their kids happy. This is not the paradigm by which my wife and I parent. Happiness, something so fickle and so different for each individual, must be cultivated from within. Our children will have to figure that part out on their own for themselves. What we can do, is to teach them how to lead moral and productive lives. That is what we strive for one day at a time.

PARTNERSHIP: Do you have any advice for parent with a child who is struggling with drugs or alcohol?

SCHENKER: I get asked this question quite often. The truth is that every family is different. I think the best thing a parent can do is have their eyes wide open. Denial is powerful. I remember something my parents told me: You can only blame yourself and feel guilty for so long. When I was out on the street, they decided to get into Al-Anon and work on themselves, so that when I came around, they too would be healthy. They had to learn all over again how to set healthy boundaries for themselves and what it means to be a parent. What they needed to provide and what they didn’t. Thank God they did, it saved my life.

PARTNERSHIP: What do you like to cook with/for your kids?

SCHENKER: We are a big barbeque family. Every Sunday we cook on an open outdoor grill. My son will collect the firewood from our yard. We will roast potatoes, fresh leeks, onions and whatever meat or fish looks most appealing that day: sausage, langoustines, octopus, a whole pig — you name it, we’ve done it.

The best thing as a parent is to watch your kids eat really good, nourishing food. I’ll throw together a salad with arugula, cashews, fresh ricotta cheese, mint and I’ll dress it with lemon juice and olive oil. My kids will actually eat it — it’s a win-win.
                                                                                        

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