Advanced Recovery: Opioid and Heroin Addiction in Oklahoma City

LinkedIn ^ | 12/30/16

[RFEngineer]

“My cousin in OK once told me her two teenage sons did “Karaoke” several times a month.”

I observe that a teenager caught with alcohol has the book thrown at them,while a teen caught using heroin is coddled.

Heroin is easier to get, in some cases its cheaper.

My hypothesis is that if you want to put a dent in future heroin addicts? Let teens escape with something less addictive. Let teens drink beer.

The level of vice taxation is such that there are alternatives that are cheaper.

[DBCJR]

You are correct, it cuts across all socioeconomic strata. No profession is immune religious, medical, law enforcement, etc.

Prevention initiatives need to be expanded on all levels. Medication Assisted Treatment needs to be funded and accepted by the criminal justice system. But it needs to be done right or it becomes part of the problem. Done correctly it improves outcomes 9 fold over traditional treatment. It’s not perfect but a huge difference.

[DBCJR]

Then inform us of the inaccuracies with cited sources.

[RedWulf]

>On some level, the people who matter don’t want it stopped.

Bingo. It’s also why the left is freaking out over the Philippines president, they’re terrified that he’s succeeding and everyone will find out how easy it is to stop drugs.

[Recovering Ex-hippie]

Many cities now have Veterans courts...It is a year long diversion program that mandates treatment for substance abuse ( or other mental health problems). It is very successful where other programs have not been. the courts work VERY closely with the VA treatment team and the results are good.

[Recovering Ex-hippie]

I would refer you to SAMHSA.... the leading national governmental research organization on substance abuse...that publishes the latest evidence based research on treatment; yet cost the patient extra money.

below is a publication on opioid treatment..with medication assisted treatment.

The evidence based research now states that Buprenorphine tx (suboxonne) in a medically supervised program is the number one treatment for opioid use disorders. It is not considered that “abstinance” based treatment is effective in opioid use disorders. Of course, to handle all the other issues an addict faces , supportive interventions ( housing, 12 step programs, counseling) are helpful—albeit those who are on MAT —medically assisted therapy—very often do fine without other treatments, which are often not providing any additional benefit.

that is where I disagree with the source of this article.

The VA around the country now has substance abuse clinics who have Buprenorphine medically assisted clinics that are providng help and hope to many veterans. We need to get the word out.

http://store.samhsa.gov/shin/content//SMA12-4214/SMA12-4214.pdf

[NobleFree]

The evidence based research now states that Buprenorphine tx (suboxonne) in a medically supervised program is the number one treatment for opioid use disorders. It is not considered that “abstinance” based treatment is effective in opioid use disorders. Of course, to handle all the other issues an addict faces , supportive interventions ( housing, 12 step programs, counseling) are helpful—albeit those who are on MAT —medically assisted therapy—very often do fine without other treatments, which are often not providing any additional benefit.

Is this text a paraphrase? I can't find it in your 358-page link.

[Recovering Ex-hippie]

Yes, this is a paraphrase..of the latest information in my study of this treatment.

[NobleFree]

Can you please point out the text in your 358-page link that supports your paraphrase, "those who are on MAT —medically assisted therapy—very often do fine without other treatments, which are often not providing any additional benefit"?

[Recovering Ex-hippie]

WILL LOOK FOR ANOTHER LINK.

[Recovering Ex-hippie]

Most of your posts are very negative.

If you are interested in learning more about addiction tx, I suggest you go to the samhsa webiste. It has hundreds of articles re research.

You’ve been here since november of 2016. How about posting some information you’ve found about whatever the topic is that you’re interested in.

[DBCJR]

Thank you. This article refers to SAMHSA CSAT. I would refer you to Treatment Improvement Protocol 43 for the components of a proven effect MAT program. Also, I would refer you to The National Alliance of Advocates
for Buprenorphine Treatment chart in a Washington Dept of Education article (see figure 7) chart depicting buprenorphine plateauing in effectiveness at a 32 microgram dose http://depts.washington.edu/hivaids/spop/case2/discussion.html

For intermediate to heavy dependency methadone, a full agonist, is indicated.

[DBCJR]

And what has this to do with treating opiate addiction?

[DBCJR]

For about 4 years running Oklahoma lead the nation in prescription painkiller addiction.

[DBCJR]

70-75% if following SAMHSA CSAT Treatment Improvement Protocol 43

[left that other site]

Sad.