PUBH 3003 1st Edition Lecture 21Outline of Last Lecture I. Interventiona. Medical Modelb. Methodsc. Out-patient programsII. NIDA principles of drug action treatment III. SAMHSA’s guiding principles of recoveryIV. Strategiesa. Relapse Preventionb. Risk factorsc. TriggersOutline of Current Lecture:I. National Drug Control Strategy a. The science b. Administration’s 21st century drug policy II. HazeldenIII. Drug Rehabilitation, Alcohol Addiction treatmenta. Menb. Women c. Adolescents Current Lecture:Drug use limits educated skilled workforce:- Limits potential of individual and harms families, communities and neighborhoods- Enormous economic costs- Nationwide, drug-induced overdose deaths now exceed car crashes and homicidesNational Drug Control Strategy- Obama Administration plan to reduce drug use and its consequences - “Represents a 21st century approach”- Science – based plan guided by the latest researchThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.- More than 100 specific reformsThe science - Myths and misconceptions about nature of addiction- When science began to study addictive behavior in the 1930’s people addicted thoughtto be morally flawed- Shaped society’s responses, treating it as moral falling rather than public health - Lead to emphasis on punitive rather than preventative and therapeutic responses - Today response to drug abuse has begun to change- Groundbreaking discoveries about the brain- Revolutionized our understanding of drug addiction - Science demonstrates that addiction is a disease of the brain- a disease that can be prevented and treated - Administration’s drug policy emphasizes prevention and access to treatment over incarceration - Law enforcement always needed to protect communities from drug-related crime and violence- However, cannot simply incarcerate our way out of drug problem- Enforcement-centric “war on drugs” is counterproductive, inefficient, and costly- At the other extreme, drug legislation runs counter to public health and safety approach Administration’s 21st Century Drug Policy- Emphasizing prevention over incarceration- Preventing drug use before it begins-especially among young people-is the most cost-effective way to reduce drug use- Every dollar invested in school-based substance use prevention has the potential to save up to $18 in costs related to substance use disorders- Promotes expansion of national and community- based programs- such as the Drug Free Communities Support Program- Reach young people in schools, on college campuses, in the workplace Training Health Professionals- Early detection and treatment of a substance abuse problem by a clinician is much more effective than dealing with addiction or criminal justice involvement later- Plan works to expand programs that train health care professionals to identify and treat drug use before condition becomes chronic- By supporting programs such as screening, brief intervention, and referral to treatment, can promote healthy lifestyles and prevent addictive disordersExpand Access to Treatment- Approximately 22 million Americans need treatment for a substance abuse disorder- Only 2 million-about 1 in 10-receive the treatment they need- This is unacceptable-research shows that addiction is a disease from which people can recover- Success rates for treating addictive disorders are roughly on par with recovery rates forother chronic diseases such as diabetes, asthma, hypertensionAction to Expand Access to Treatment - Through the Affordable Care Act, insurance companies will be required to cover treatment for addiction- Estimate that with ACA, 62.5 million people will receive expanded substance abuse benefits by 2020- 32.1 million will gain these benefits for the first time- To support this expansion, the President’s FY 2014 Budget included an increase of $1.4 billion for treatment over the FY 2012 amount“Smart on Crime” Approach - Drugs and crime often linked- Addressing drug related crime and violence will always be a vital part of protecting public health and safety- However, cannot arrest our way out of the drug problem- Administration policy is not to focus on individual drug users- Plan calls for substantial reforms to criminal justice system to lower incarceration ratesand reduce recidivism- Expand specialized courts that divert non-violent drug offenders into treatment instead of prison- Diversion programs that identify first time offenders who have a substance abuse disorder- Provide community health services instead of jail or an arrest record- Giving voice to Americans in recovery including removing barriers such as lack of access to housing, employment, or even driver’s license or student loansHazelden- 1947 Austin Ripley “a recovering alcoholic” sets out to create a rehab center for alcoholic priests- Idea is supported but for a center that would serve all professionals- 1948 meeting paves way for Hazelden- 1949 Hazelden incorporates- Treatment philosophy based on the understanding that alcohol and drug addiction is a disease- Abstinence is the best way to manage the condition- Hazelden approaches addiction treatment holistically- Work with mind, body and spirit as components of a healthy life- Each person who turns to Hazelden Betty Ford Foundation for help comes with unique history and set of circumstances- Treatment is tailored to provide most effective approaches and best opportunity for recovery- Treatment plans influenced by multiple factors including family history, addictive substance(s), gender, physical health, and many others- Specializing in treatment of co-occurring disorders is very common for those suffering from drug addiction- Common to have a co-occurring mental health condition such as depression, anxiety disorder, or post-traumatic stress disorder- A mental health professional is part of each patient’s care team- Alcohol and drug treatment is delivered many different ways depending on needs of the individual- Residential treatment may be necessary for some, and others may be able to completetreatment on an outpatient basis- For most, a combination of addiction treatment services provides the best chance of recoveryDrug Rehabilitation, Alcohol Addiction Treatment for Men - For residential programs, Hazelden Betty Ford Foundation has maintains separate primary addiction treatment