Tag Archives: Death or Recovery

Addict Advocacy-Opioid Crisis

Overall, it seems as if addict advocacy, lobbying their service providers, and for society as a whole has become a zero-sum game.  The opioid crisis thrives.

There are apparently sides to be taken in a battle of “us” versus “them.” There have been and always will be addicts amongst us.

There will always be drug providers (be it at the street level, at the liquor store, the marijuana dispensary, or those who have medical degrees and write prescriptions for pills). There will always be prejudice. Their will always be a lack of sense of community when fear and mistrust is involved. The addicts and their families want to blame the healthcare industry. Society wants to blame the treatment industry. They want to blame anyone but themselves. We want to blame them as being morally inferior and mentally weak.

They have a comprehensive and robust report from the U.S. Surgeon General, unequivocally identifying addiction as a national disease. We have an independent Grand Jury investigation, Sober Homes Task Force Report, and extensive local investigative reporting from a multitude of press outlets, The Palm Beach Post in particular, identifying an overwhelmingly fraudulent industry that seems to have an insatiable appetite for consuming its own class of people.

Maybe we are all wrong, that the march towards decriminalization and deinstitutionalization of the addict has been a social experiment mistake? Maybe addicts need to be isolated from society for their own good? Perhaps the “integration” mandate of the Americans with Disabilities Act really did not take into consideration that the disabled in a wheelchair may really be different in kind than the disabled on heroin?

Maybe we do need to reopen and reexamine the ADA, not to discriminate, but because there now is clearly a different set of facts that requires a different modality of response?

While I subscribe to the inherently American values of individualism and self-responsibility, we must put aside philosophical differences and recognize the clear science that the modern opioid epidemic is a terrorist that hijacks the mind, body and spirit.

Even without the misuse of substances, what is true for all Americans is that greed is the most tolerated yet the most destructive addiction of them all.

We cannot demand that someone do something about “those addicts” but then refuse to offer the necessary funding, resources, infrastructure, housing, and services to care for this population, and we can therefore neither blame the addicts nor the treatment provider. We are the adults in the room. We cannot blame the unsupervised children for playing with matches and burning down the house.

If the disease of addiction is truly a public health crisis, rather than the now debunked theory that it is a moral failing, we seem to be left with only one choice – double our efforts, buckle down, and fix this system once and for all. Not later, not when it is more politically palatable. Now. We no longer have the luxury of time.

Heroin Overdoses

Heroin Overdoses In Florida

We need rehabilitation, education and support to fight this epidemic. It is killing people of all ages and demographics.

It’s not a city or rural problem, or particular type of people problem; addiction does not discriminate.

Please speak out and become part of the solution.

Home – Prayer of Desperation

Pleading prayer of desperation, “Please God, please God, let me come home from the wars.” As far as I know, I have never read that anywhere. It came out of a heart filled with despair and anguish and self-reproach and self-hatred. But I knew the minute I heard it that the key word was home … home. It was coming out of a guy who had never ever, in his life, felt at home.
A home is where the heart finds rest and renewal. That’s where coming home is. I am far enough along in the journey now to be able to see that there is only one ultimate coming home, and that is the final, total, complete, surrender of self to a Power greater than myself. I’m also brave enough today to believe that there will come a day, there will be a place sometime, somewhere, someday, there will be an altar or a confessional, a mountain or a valley … probably in all likelihood .. just a plain, everyday, run-of the-mill AA meeting, where I will finally no longer pull back and say, “Oh, my God, no, no, don’t ask that of me, don’t take that away from me too.”
And when that moment comes, then I know that I will have finally come home. In the meantime, I am more at home here than anywhere I have ever been in my life. I’m more at home here for a very simple reason … you have never, ever asked anything of me … therefore I have been able to give you what I could afford.
What I’m trying to do tonight is to tell you that I have made a return, for as T. S. Eliot said, “There will never be any end from exploring, and the end of all our exploration will be to return to the place where we started and to see it for the first time.”
That is why I tell you, it took something that almost killed me to return me finally to the place where I started, to see it for the first time, and to return to you tonight and tell you that this journey has been worth everything I have been asked to pay to make it.

by Allen Reid McGinnis
The Rest Of Your Life
http://amzn.to/1T1xNRT

Can I Stay Away From The First Drink?

The first question I have to answer is; Can I stay away from the first drink?

“So, it seemed to me the answer to this thing lies in do I believe I’ve got it and do I believe it can kill me? If the answer to that is yes, then it doesn’t matter a damn whether it is a physical disease, a spiritual disease, an emotional disease, a mental disease, or a combination of all of them. The fact remains I’ve got to buy whether or not I think it is a killer disease. If the answer to that is yes, then comes the last question, and that is … Would I rather live than die? And, if the answer to that is yes, then you’re finally up against it. You’re up against will I, can I, stay away from the first drink? Can I stay away from the first drink? I had answered this many, many times before and so have all of you. We’ve all stayed away from the first drink for varying lengths of time. I stayed away once for a year and-a half with no trouble at all. So I knew I could stay away from the first drink.”

“I separated the state of sobriety from the state of my soul, from the state of my health, from the state of my finances, from the state of my job, from the state of my love life, if any. I separated it from the state of everything. I simply made up my mind that I would rather live than die, and if I had a disease, I would have to stay away from the first drink, and I knew that if I took all this other stuff from it, if I took the “be a better person” business off of it, I would be able to do it. That night I made a very simple decision and I now know it was the first authentic, 24-carat decision I had ever made in my life, because the minute I made it, I knew I’d be able to do it.”

By Allen Reid McGinnis
The Rest Of Your Life

Promises To Self

My Promises

I promise myself: Promises
To be so strong that nothing can disturb my peace of mind.
To talk, health, happiness and prosperity for all to every person I meet.
To make all my friends feel that there is something important within them.
To look at the sunny side of everything making my optimism my truth.
To think only good thoughts, to work only on good deeds and have only good goals.
To not regret the mistakes of the past and go forward creating a future of hope for all.
To wear a cheerful face and smile at every living creäture I encounter.
To give so much to improvement of self that I don’t have time to criticize others.
To be aware of worry, fear and anger but let the Spirit of my Soul shine and dominate the present.

Ending America’s Opioid Addiction Epidemic

Putting politics aside, this is a comprehensive plan that needs bipartisan support. If you agree then contact your representatives on all levels and ask for their help. We can help end America’s quiet opioid addiction epidemic.

Governor Peter Shumlin began his remarks at the New Hampshire Roundtable on Addiction and the Heroin Epidemic by describing a phone call from Hillary Clinton a few months ago. According to Shumlin,“I figure it’s gonna be another politician talkin’ about how great they are.” But Clinton surprised him: “When I go to New Hampshire, when I go to Iowa, something strange has happened…” Clinton was told story after story about the “quiet epidemic” that had not even been on the table when she last ventured out as a candidate. She heard from families who were unable to help their loved ones and law enforcement officials who knew they couldn’t arrest their way out of the problem, so Clinton “resolved to do something about it.” She called the right person: Gov. Shumlin has been working to reframe the public debate around addiction for years. For the past two years he has dedicated his State of the State Message entirely to the topic of the heroin crisis in Vermont. Under his guidance, the state has implemented programs to address the complexity of addiction that have been imitated by states across the nation. Shumlin was struck by Clinton’s humility and patience, “She did what a lot of politicians aren’t very good at–she listened. For a second I thought she’d hung up.”

Clinton placed Shumlin’s advice amongst the advice of many others, and four weeks later “out came a policy” that the Governor believes, “if implemented, will give us the help from the federal government that we need to finally take this battle on and treat it as a disease and not a crime.” The plan would allocate 10 billion dollars to tackling America’s deadly epidemic of drug and alcohol addiction, and would address the following five points: Criminal Justice Reform, Treatment and Recovery, First Responders, Prescribers, Prevention.

In a statement about the indiscriminate reach of the epidemic, Clinton wrote: “Substance use disorders are a problem that touches Americans everywhere, from our biggest cities to our smallest towns, and from our richest enclaves to our poorest neighborhoods.”

I. Criminal Justice Reform

Governor Shumlin has visited treatment centers, jails, and detoxes all over Vermont to speak with those who have been impacted by the epidemic: “there are stories that make you want to sit down and cry,” he said. When he asked what kind of response was needed, “they told me that we were doing almost everything wrong.” Like most criminal justice systems across the nation, Vermont’s was slow and ineffective, especially when it came to dealing with drug-related crimes. Vermont has worked to try and turn the moment of arrest from a tragedy into an opportunity: “when your busted, when you’ve bottomed out, when the blue lights are flashing–that’s the most likely chance that we have to move someone from denial into treatment.”

Third party assessors are stationed in every county in the state and when someone is arrested, these experts determine whether the person needs treatment by asking: “is this someone that will hurt you or is this person more likely to hurt themselves?” Today, people who would have been arrested are told that if they participate in the “Hub/Spoke” treatment initiative with the wrap around services: “we’ll stick with you. You’ll never see a judge, you’ll never see a criminal record, you’ll never see a court.” And it’s working on all fronts, “they’ve got hope, they’ve got a job, they’ve got life and they’re getting back with their families.” Vermont has saved 50 million dollars since implementing the prison diversion program.

Clinton intends to “end the era of mass incarceration” by prioritizing treatment over incarceration for low-level, nonviolent drug offenses. In order for this to happen, greater collaboration and coordination must be fostered between public health and criminal justice institutions “to ensure continuity of care for those who suffer from substance use disorders.”

II. Treatment & Recovery

Gov. Shumlin introduced the second point of Clinton’s plan by talking about when his father, who is now deceased, was first diagnosed with lung cancer: “Why is it that when my dad is diagnosed with a cancer that’s created from behavior that we all know isn’t very smart—smoking—that we say ‘we will do everything we can to keep you on this earth as long as we can and you will not stand in line,’ but if you’re addicted to opiates, we say ‘get in line, we might serve you sometime—usually sometime later.”

Clinton’s plan involves building out more treatment centers, matching participating states 20/80 in federal funds, abolishing lengthy wait-lists and ultimately treating addiction like any other disease, “stop the discrimination—line up.”

Clinton’s plan makes sure that “everyone who needs support has access to continuing treatment.” This emphasis on continuity is key due to the fact that many treatment methods are too short-lived to be effective.

III. First Responders

Clinton’s plan ensures that states have adequate funding to get and dispense life-saving tools such as naloxone to anyone who wants it and that first responders are trained in proper practices.

IV. Prescribers

Clinton’s plan ensures that licensed prescribers meet training requirements and consult a prescription drug-monitoring program before writing a prescription for controlled medications. “Let’s make sure that we enhance the database so that we stop pill shopping across borders,” said Shumlin, “and doctor abuse, where folks can go in and line up this stuff, FDA approved Oxycodone and the rest, put it in their pockets, and keep getting more of it, with no questions asked.”

V. Prevention

“Let’s change the attitude about the disease. Let’s get rid of the stigma.” Clinton’s plan defines Substance Use Disorders as chronic diseases and insists that they be treated as such. Clinton emphasizes the importance of empowering communities to design their own “evidence-based programs tailored to their communities.” Such programs would focus on engaging adolescents through education and early intervention programs.

Addiction Recovery and Therapy

The following is an excerpt from The Clearing.

Why do I keep feeling this way? Why can’t I get over it already? Why can’t I make the changes stick? I’m worried that I’ll start using … again.

If you’ve ever had these thoughts flash across your mind, then you’re familiar with the struggle to sustain positive behavioral change through addiction recovery. You may believe that you need more willpower or personal strength  to stay clean and sober.
But what if the problem isn’t your personal determination at all? What if your prior efforts to heal didn’t work because you only learned a handful of coping skills for addiction when what you really needed was therapy to discuss the underlying issues driving your behavior?
This article will clarify the difference between therapy and coping skills, discuss their roles in traditional addiction recovery programs, and explore how a more integrative approach can promote lasting recovery.

What are Coping Skills for Addiction?
Coping skills for addiction are the techniques we use to handle life’s challenges and navigate difficult situations.
Though the term tends to have a negative connotation, the reality is that coping skills – or broadly speaking, behavior change skills – are a necessary part of life.
For example, if you’re trying to stop drinking, it makes sense to avoid your favorite pub by taking a different route home from work!
This is a positive coping strategy.
There are many good mental health and behavioral change strategies, including:
• Meditation
• Exercise
• Relaxation, and
• Self-care
That said, problems arise when people have a disability addiction take a solely coping-skills-based approach to more complex problems. In colloquial terms, they put a Band-Aid on a bullet hole and say, “All fixed!”
For example, people often use negative coping skills in times of extreme stress. They may use drugs and alcohol, or self-harm, or work to exhaustion.
These negative coping skills represent attempts to manage pain without addressing the real cause of the suffering.

What is Addiction Therapy?
Addiction therapy involves sessions with a trained therapist who treats mental and emotional health issues. There are many treatment modalities, (approaches) and no one modality resolves every addiction issue.
Different modalities work best for different issues, be they physical, mental, emotional, or spiritual. There’s no one magic bullet approach that fixes everything; on the contrary, the most effective treatment integrates several approaches in a holistic, personalized way.

12-Step Programs and Approach to Recovery
At present, most addiction rehab programs use a 12 Steps approach. However, since therapy is not part of the 12 Steps tradition, many people don’t receive the individualized treatment they need for addiction recovery.
To be sure, Alcoholics Anonymous and other 12 Step groups have created a culture of steps, rituals, slogans, meetings, and sponsorship that do help some people to replace their dysfunctional habits with positive ones. Many people have attained sobriety and sanity this way. Those who can make it work have become beacons of light for their peers.
However, many other people struggle with this approach. They go to 12 Step programs because they are accessible, familiar, and popular.
Yet many report that they don’t feel heard and that the moralizing lectures and repetitive meetings aren’t helpful.

Addiction Therapy: The Missing Piece in Residential Rehab
The 12 Steps were developed as a grassroots program, and in this capacity they’ve helped millions of people find community and sobriety. However, 12 Step programs were never intended to be an alternative to addiction therapy.
As such, the amount of counseling that participants receive in 12 Step-based residential rehab varies tremendously. While some 12 Step-based rehab centers do give significant time in therapy, many others do not. Instead, they rely on daily 12 Step meetings led by laypeople.
For some, this is enough to effect change. Yet others are left feeling as though they’ve failed because they weren’t able to “work the program.” But what if the real problem was that the program didn’t provide support for their mental health issues?
Even the 12 Step programs that do offer a professional addiction counseling tend to rely on behavior change and coping skills alone. However, this is an incomplete approach because it doesn’t address the core mental and emotional issues present.

12 Step Programs and Professional Therapy, as well as private work with an Addiction Recovery Coach (not the same as a sponsor) are all beneficial solutions to staying in recovery. Explore a multi-faceted  approach for your life.