Thursday, March 21, 2013

Prescription Drug Abuse in the Military



The Deadly Rise of Prescription Drug Abuse in the Military


Reported by: Sonyo Estavillo





Watertown— Over the past decade, the military has spent $1.6 billion on painkillers (opioids) such as Oxycontin and Hydrocodone. $2.7 billion has been spent on anti-depressants and more than $507 million on sleep medications such as Ambien.
According to the National Academy of Sciences, prescription medication has been abused along with alcohol in the last few years. Prescription drug abuse, mostly the use of painkillers tripled since 2002. The military substance abuse program has seen an overall increase in the amount of individuals enrolled in their program.

Since 2006, the number of soldiers who enrolled in the Army’s substance abuse program jumped 40% with 23,000 enrolled in 2010. Research has shown that prescription drug misuse is the second most illicit drug problem next to marijuana in the nation. According to the Army Office of the Surgeon General/Medical Command, the rise of psychotropic medications, as well as opioids is not solely related to Veterans with PTSD.

Soldiers also receive psychotropic medications for sleep disturbances, anxiety issues and depression. The increase in medication use parallels the increase in the amount of soldiers receiving behavioral health care and are therefore in treatment for behavioral health issues.

Per the Army Office of the Surgeon General/Medical Command:

“FDA approved medications, particularly antidepressants such as SSRIs (sertraline, paroxetine, etc.) are effective medications for the treatment of depression, PTSD, and other anxiety disorders. There are a number of other medications that are critical in the treatment of bipolar, schizophrenia, and various other conditions. Medication for these issues may be in tandem with cognitive behavioral therapy or other treatment. Treatment for our soldiers has to be individualized.” 

According to the Nation Institute for Drug Abuse (NIDA), military physicians writing pain reliever prescriptions to military members quadrupled from 2001 to 2009, nearly 3.8 million. In an ongoing effort to prevent drug abuse and assist military members with anxiety, trauma, depression, and sleep disturbances- the NIDA has made it their mission to continue their research. The main focus of the NIDA’s research is prevention, diagnosis, treatment, and recovery for military men and women who have served in both Iraq and Afghanistan. 

“In 2012, Jefferson County had 6 opioids overdoses, CDC (Center of Disease and Control) has this formula, that for every death due to prescription drug overdose, there are 10 admission treatments for abuse, 32 emergency room visits, 130 people abusing or dependent, 825 who are non-medical users” said Anita Seefried-Brown, Director of Community Prevention at the Alcohol and Substance Abuse Council of Jefferson County.

According to CDC Formula, 6 overdoses equal the following figures:

·      60 admissions for treatment due to prescription drug abuse

·      192 emergency room visits

·      780 individuals dependent on prescription drugs

·      4,950 non-medical users

From 2006-2009, the Army reported 139 soldiers accidentally took their own lives, while a third of Army suicides were due to prescription medication.  

The Army Office of the Surgeon General/Medical Command continued to explain that the Army has worked very hard to decrease the stigma associated with seeking behavioral health care. As a result, more soldiers are being treated for issues that previously might have been dealt with through self-medication and alcohol abuse. An increase in soldiers being treated for PTSD and other psychological issues has also resulted in an increase in medication use.





Wednesday, March 20, 2013

NARCAN BILL SIGNED INTO LAW!



GREAT NEWS! VIRGINIA GOVERNOR BOB MCDONNELL SIGNED HB 1672 INTO LAW ON MARCH 13TH!

The Nasal Narcan bill which called for the legalization of Nasal Narcan to be available to anyone with a prescription and short training is now a LAW that goes into effect July 1st of this year. This bill also contains a "Good Samaritan" clause which prohibits the arrest of someone who calls 911 in an overdose situation. For example, if you are with someone who overdoses and you feel nervous about calling 911 because you have drugs or paraphernalia on you or with you, you cannot be arrested because you are trying to save someone's life.  The only exception to this clause is if you have weight (LOTS of drugs) or a warrant. 

Grab your Nasal Narcan this summer! Contact the McShin Foundation at 804-249-1845 for more information. 




Tuesday, March 19, 2013

HBO's Methadonia

Last night I watched an HBO documentary called Methadonia. It was about a methadone clinic in New York City and patients at that methadone clinic. Methadone is a drug -- a synthetic opiate given to heroin addicts so that they can stop using heroin but not get sick. It's a terrible drug because the user still can get very high from it, especially when combined with other medications like benzodiazepines (Xanax, Valium, Klonopin, for example). Also, when the Methadone patient tries to stop taking the medication altogether, it is a 30 day detox as opposed to a 5 day heroin detox.

For these reasons, we do not allow clients to take Methadone. Watch full video below.


Thursday, March 14, 2013

John S. Speaker Tape




Amazing share! John S. from Richmond, VA (Pres. of McShin Foundation) speaking at a convention in Portland, OR!




Wednesday, March 13, 2013

More Info on Energy Drinks

From MEDICALNEWSTODAY.com


Energy Drinks' Health Hazards For Adolescents

06 Feb 2013   

Many energy drinks have ingredients which can have a harmful effect on adolescent health, especially when mixed with alcohol, says a news report published in Pediatrics in Review.

The article - "Energy Drinks: What Teenagers (and Their Doctors) Should Know," - summarizes recent evidence regarding the content, benefits and risks of energy drinks which are consumed by teenagers.

Energy drinks are beverages with caffeine added to them. They are advertised as a means to enhance performance, boost the immune system, or create a "buzz".

The most popular energy drinks contain elevated, unregulated quantities of caffeine and other stimulants which give the caffeine an extra kick.

Caffeine is known to produce detrimental health effects in adolescents, including dehydration, digestive problems, obesity, anxiety, insomnia, and tachycardia.

Some energy drinks contain alcohol. Sometimes, people mix them with alcoholic drinks.

When energy drinks are mixed with alcohol, the potential dangers for adolescent health are much greater; there is also a risk of abuse.

The authors advise health care professionals to ask their adolescent patients whether they consume energy drinks. They should explain what the dangers of consuming both energy drinks alone or with alcohol are. Doctors should become aware of the signs and symptoms of energy drink consumption.

The authors say that teenagers are no strangers to energy drinks. Over the last 24 months, the media has heightened the awareness of doctors, lawmakers and parents.

Red bull 1
About 66% of energy drink consumers are aged between 13 and 35.

Lead author Dr. Kwabena Blankson, a U.S. Air Force major and an adolescent medicine specialist at the Naval Medical Center in Portsmouth, Virginia, said regarding energy drinks:

"They contain too much caffeine and other additives that we don't know enough about. Healthy eating, exercise and adequate sleep are better ways to get energy."


In 2010, nine students at Washington State University were admitted to the hospital. Doctors attributed their illness to fruit-flavored caffeinated alcoholic drinks. One of the students nearly died. Twenty-three students were hospitalized one month later in New Jersey after drinking the same combination as the Washington students.

Energy drinks mask the effects of consuming alcohol

When we mix energy drinks with alcohol, the "cocktail" can make us feel less drunk than we actually are. Many adolescents are not aware of this, the researchers explained. Consuming just one energy drink with alcohol may be equivalent to drinking a whole bottle of wine and several cups of coffee.

The average cup of coffee has approximately 100 milligrams of caffeine, compared to 160 milligrams in a 16-ounce energy drink.

According to Dr. Blankson, teenagers should consume a maximum of 100 milligrams of coffee per day. Other ingredients found in energy drinks increase caffeine's potency, such as guarana and ginseng.

According to a US government report issued in January 2013, twice as many people visited hospital emergency rooms because of energy drink consumption in 2011 compared to 2007. The majority of hospital visits were by teenagers and young adults, said the SAMHSA (Substance Abuse and Mental Health Services Administration) report.

Approximately 42% of emergency room cases in 2011 involved energy drinks mixed with either alcohol or medications, such as Ritalin or Adderall.

Believe it or not, the human body knows when and how much alcohol it is drinking and emits cues when the person should stop for the evening and get some rest. Some people try to overcome these cues by mixing energy drinks with alcohol.

A study carried out by Cecile Marczinski, a psychologist at Northern Kentucky University, found that combining energy drinks with alcohol removes our built-in checks that stop us from overindulging.

Marczinski said:

"Even with just alcohol alone, young, underage drinkers are bad at deciding how safe a driver they are, but I think this (mixing alcohol with energy drinks) would make that situation far worse."


Nine years ago, the French government banned the sale of Red Bull, a popular energy drink. The French Scientific Committee on Human Nutrition found that Red Bull had too much caffeine, it also raised concerns about the beverage's other ingredients, taurine, an amino acid which Red Bull promoters say can "kick-start" the metabolism, and glucuronolactone, a carbohydrate.

After an appeal, Europe's highest court upheld the French Red Bull ban.

In this latest report, the authors say that the readers should be able to:
  • Understand how large the energy drink market is, as well as recognize the most common brands

  • Realize that teenagers are great consumers of energy drinks, which they use as performance enhancers

  • Know what the ingredients of energy drinks are, and how they may impact negatively on health

  • Understand that energy drinks can cause obesity, high blood pressure, tachycardia and other medical problems in teenagers

  • Understand how dangerous it is to mix energy drinks with alcohol

  • Understand the relationship between alcohol tolerance/dependence and caffeine tolerance/dependence

  • Understand how important it is to screen adolescents for energy drink consumption, and offer suitable counseling
Written by Christian Nordqvist 
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today 


References:
"Energy Drinks - What Teenagers (and Their Doctors) Should Know"
Kwabena L. Blankson, MD et al
Pediatrics in Review Vol. 34 No. 2 February 1, 2013. pp. 55 -62. (doi: 10.1542/pir.34-2-55)

Monday, March 11, 2013

[Guardian UK] Russell Brand: My Life Without Drugs

This recent article by Russell Brand on addiction. "Drugs and alcohol are not my problem, reality is my problem, drugs and alcohol are my solution."

http://www.guardian.co.uk/culture/2013/mar/09/russell-brand-life-without-drugs



Russell Brand: My life without drugs

Russell Brand has not used drugs for 10 years. He has a job, a house, a cat, good friends. But temptation is never far away. He wants to help other addicts, but first he wants us to feel compassion for those affected
______________________________________________
The last time I thought about taking heroin was yesterday. I had received "an inconvenient truth" from a beautiful woman. It wasn't about climate change – I'm not that ecologically switched on – she told me she was pregnant and it wasn't mine.
I had to take immediate action. I put Morrissey on in my car as an external conduit for the surging melancholy, and as I wound my way through the neurotic Hollywood hills, the narrow lanes and tight bends were a material echo of the synaptic tangle where my thoughts stalled and jammed.
Morrissey, as ever, conducted a symphony, within and without and the tidal misery burgeoned. I am becoming possessed. The part of me that experienced the negative data, the self, is becoming overwhelmed, I can no longer see where I end and the pain begins. So now I have a choice.
I cannot accurately convey to you the efficiency of heroin in neutralising pain. It transforms a tight, white fist into a gentle, brown wave. From my first inhalation 15 years ago, it fumigated my private hell and lay me down in its hazy pastures and a bathroom floor in Hackney embraced me like a womb.
This shadow is darkly cast on the retina of my soul and whenever I am dislodged from comfort my focus falls there.
It is 10 years since I used drugs or drank alcohol and my life has improved immeasurably. I have a job, a house, a cat, good friendships and generally a bright outlook.
The price of this is constant vigilance because the disease of addiction is not rational. Recently for the purposes of a documentary on this subject I reviewed some footage of myself smoking heroin that my friend had shot as part of a typically exhibitionist attempt of mine to get clean.
I sit wasted and slumped with an unacceptable haircut against a wall in another Hackney flat (Hackney is starting to seem like part of the problem) inhaling fizzy, black snakes of smack off a scrap of crumpled foil. When I saw the tape a month or so ago, what is surprising is that my reaction is not one of gratitude for the positive changes I've experienced but envy at witnessing an earlier version of myself unencumbered by the burden of abstinence. I sat in a suite at the Savoy hotel, in privilege, resenting the woeful ratbag I once was, who, for all his problems, had drugs. That is obviously irrational.
The mentality and behaviour of drug addicts and alcoholics is wholly irrational until you understand that they are completely powerless over their addiction and unless they have structured help they have no hope.
This is the reason I have started a fund within Comic Relief, Give It Up. I want to raise awareness of, and money for, abstinence-based recovery. It was Kevin Cahill's idea, he is the bloke who runs Comic Relief. He called me when he read an article I wrote after Amy Winehouse died. Her death had a powerful impact on me I suppose because it was such an obvious shock, like watching someone for hours through a telescope, seeing them advance towards you, fist extended with the intention of punching you in the face. Even though I saw it coming, it still hurt when it eventually hit me.
What was so painful about Amy's death is that I know that there is something I could have done. I could have passed on to her the solution that was freely given to me. Don't pick up a drink or drug, one day at a time. It sounds so simple. It actually is simple but it isn't easy: it requires incredible support and fastidious structuring. Not to mention that the whole infrastructure of abstinence based recovery is shrouded in necessary secrecy. There are support fellowships that are easy to find and open to anyone who needs them but they eschew promotion of any kind in order to preserve the purity of their purpose, which is for people with alcoholism and addiction to help one another stay clean and sober.
Without these fellowships I would take drugs. Because, even now, the condition persists. Drugs and alcohol are not my problem, reality is my problem, drugs and alcohol are my solution.
If this seems odd to you it is because you are not an alcoholic or a drug addict. You are likely one of the 90% of people who can drink and use drugs safely. I have friends who can smoke weed, swill gin, even do crack and then merrily get on with their lives. For me, this is not an option. I will relinquish all else to ride that buzz to oblivion. Even if it began as a timid glass of chardonnay on a ponce's yacht, it would end with me necking the bottle, swimming to shore and sprinting to Bethnal Green in search of a crack house. I look to drugs and booze to fill up a hole in me; unchecked, the call of the wild is too strong. I still survey streets for signs of the subterranean escapes that used to provide my sanctuary. I still eye the shuffling subclass of junkies and dealers, invisibly gliding between doorways through the gutters. I see that dereliction can survive in opulence; the abundantly wealthy with destitution in their stare.
Spurred by Amy's death, I've tried to salvage unwilling victims from the mayhem of the internal storm and I am always, always, just pulled inside myself. I have a friend so beautiful, so haunted by talent that you can barely look away from her, whose smile is such a treasure that I have often squandered my sanity for a moment in its glow. Her story is so galling that no one would condemn her for her dependency on illegal anesthesia, but now, even though her life is trying to turn around despite her, even though she has genuine opportunities for a new start, the gutter will not release its prey. The gutter is within. It is frustrating to watch. It is frustrating to love someone with this disease.
A friend of mine's brother cannot stop drinking. He gets a few months of sobriety and his inner beauty, with the obstacles of his horrible drunken behaviour pushed aside by the presence of a programme, begins to radiate. His family bask relieved, in the joy of their returned loved one, his life gathers momentum but then he somehow forgets the price of this freedom, returns to his old way of thinking, picks up a drink and Mr Hyde is back in the saddle. Once more his brother's face is gaunt and hopeless. His family blame themselves and wonder what they could have done differently, racking their minds for a perfect sentiment; wrapped up in the perfect sentence, a magic bullet to sear right through the toxic fortress that has incarcerated the person they love and restore them to sanity. The fact is, though, that they can't, the sufferer must, of course, be a willing participant in their own recovery. They must not pick up a drink or drug, one day at a time. Just don't pick up, that's all.
It is difficult to feel sympathy for these people. It is difficult to regard some bawdy drunk and see them as sick and powerless. It is difficult to suffer the selfishness of a drug addict who will lie to you and steal from you and forgive them and offer them help. Can there be any other disease that renders its victims so unappealing? Would Great Ormond Street be so attractive a cause if its beds were riddled with obnoxious little criminals that had "brought it on themselves"?
Peter Hitchens is a vocal adversary of mine on this matter. He sees this condition as a matter of choice and the culprits as criminals who should go to prison. I know how he feels. I bet I have to deal with a lot more drug addicts than he does, let's face it. I share my brain with one, and I can tell you firsthand, they are total fucking wankers. Where I differ from Peter is in my belief that if you regard alcoholics and drug addicts not as bad people but as sick people then we can help them to get better. By we, I mean other people who have the same problem but have found a way to live drug-and-alcohol-free lives. Guided by principles and traditions a programme has been founded that has worked miracles in millions of lives. Not just the alcoholics and addicts themselves but their families, their friends and of course society as a whole.
What we want to do with Give It Up is popularise a compassionate perception of drunks and addicts, and provide funding for places at treatment centres where they can get clean using these principles. Then, once they are drug-and-alcohol-free, to make sure they retain contact with the support that is available to keep them clean. I know that as you read this you either identify with it yourself or are reminded of someone who you love who cannot exercise control over substances. I want you to know that the help that was available to me, the help upon which my recovery still depends is available.
I wound down the hill in an alien land, Morrissey chanted lonely mantras, the pain quickly accumulated incalculably, and I began to weave the familiar tapestry that tells an old, old story. I think of places I could score. Off Santa Monica there's a homeless man who I know uses gear. I could find him, buy him a bag if he takes me to score.
I leave him on the corner, a couple of rocks, a couple of $20 bags pressed into my sweaty palm. I get home, I pull out the foil, neatly torn. I break the bottom off a Martell miniature. I have cigarettes, using makes me need fags. I make a pipe for the rocks with the bottle. I lay a strip of foil on the counter to chase the brown. I pause to reflect and regret that I don't know how to fix, only smoke, feeling inferior even in the manner of my using. I see the foil scorch. I hear the crackle from which crack gets it's name. I feel the plastic fog hit the back of my yawning throat. Eyes up. Back relaxing, the bottle drops and the greedy bliss eats my pain. There is no girl, there is no tomorrow, there is nothing but the bilious kiss of the greedy bliss.
Even as I spin this beautifully dreaded web, I am reaching for my phone. I call someone: not a doctor or a sage, not a mystic or a physician, just a bloke like me, another alcoholic, who I know knows how I feel. The phone rings and I half hope he'll just let it ring out. It's 4am in London. He's asleep, he can't hear the phone, he won't pick up. I indicate left, heading to Santa Monica. The ringing stops, then the dry mouthed nocturnal mumble: "Hello. You all right mate?"
He picks up.
And for another day, thank God, I don't have to.

Energy Drinks

Energy drinks are not allowed at McShin Foundation headquarters. Clients are fee'd every time we catch someone with an energy drink on church property. We are allowed to drink coffee. So what's the big deal? Maybe this will enlighten you:


Sara Bellum
At first glance, energy drinks seem like a great idea—they give you increased energy without sleep—but be careful. A fast-growing number of people are ending up in the emergency room because of them, according to a new report.
The Facts
In 2011, there were 20,783 ER visits because of energy drinks. That’s enough people to fill half of the average Major League Baseball stadium.
  • 42% of those visits involved the mix of energy drinks with alcohol or other drugs.
  • The other 58% of visits resulted from negative reactions to energy drinks alone. Reactions to the large amount of caffeine included insomnia, headache, fast heartbeat, and seizures.
  • Most of these ER visitors were young adults age 18–25; however about 1,500 were teens (age 12–17).
What You Need To Know About Energy Drinks
The high level of caffeine is what makes energy drinks potentially dangerous. Caffeine isn’t harmful in small amounts, but with energy drinks, a person could easily consume a lot of caffeine in a short amount of time.
  • Energy drinks can have as much as 5 times the amount of caffeine as a cup of coffee.
  • Research shows that among college students, drinking energy drinks has been associated with risky behavior, including things like fighting and abusing drugs.
  • When energy drinks are mixed with alcohol, the caffeine can hide the symptoms of drunkenness, such as feeling sleepy, which can cause someone to drink more than they intend.
Do any of your friends drink energy drinks? How do they act afterwards?