Tag Archives: heroin

For many heroin addicts, treatment barriers remain

heroinspoonThe rise in heroin addiction across the nation, fueled by the prescription drug addiction epidemic, means that increasing numbers of people are in need of inpatient treatment services — but many who need help are contending with a shortage of services and constraints placed on care by insurance companies, according to this article.

Unlike withdrawal from dependencies on alcohol or benzodiazepines, heroin withdrawal isn’t life-threatening – but it is so horrific that many addicts are drawn back to the drug and overdose, the article notes. Because withdrawal is not directly deadly, most insurance companies won’t pay for inpatient rehab, either claiming that the addict does not meet the “criteria for medical necessity” — that inpatient care would be an inappropriate treatment — or requiring that the user first try outpatient rehab, the article says.

Of the 23.1 million Americans who needed treatment for drugs or alcohol in 2012, only 2.5 million people received care at a specialty facility, the article says, citing data from the Substance Abuse and Mental Health Services Administration.

The number of people reporting heroin use in the previous year increased between 2007 and 2012, from 373,000 to 669,000, while nearly 80 percent of people who had used heroin in 2011 had also previously abused prescription painkillers classified as opioids.

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Mass. Gov. bans Zohydro amid opioid epidemic

pills and pill bottlesMassachusetts Governor Deval Patrick has declared a public health emergency in response to the state’s growing opioid addiction epidemic, issuing an order banning the controversial new form of hydrocodone, Zohydro, and taking a number of other steps to curb overdoses and help the addicted. In a press release, the governor said the use of oxycodone and other narcotic painkillers, often as a route to heroin addiction, has been on the rise for the last few years in Massachusetts; at least 140 people have died from suspected heroin overdoses in communities across the state in the last several months, levels previously unseen. From 2000 to 2012, the number of unintentional opiate overdoses increased by 90 percent, he added. The prescribing and dispensing of Zohydro, which was recently approved for sale by the FDA despite widespread protests, will be prohibited “until it is determined that adequate measures are in place to safeguard against the potential for diversion, overdose and misuse,” he said. The governor added:

The introduction of this new painkiller into the market poses a significant risk to individuals already addicted to opiates and to the public at large.

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Ky. anti-heroin bill moves forward

heroinA controversial bill that would boost penalties for drug dealers — particularly when the sale of drugs like heroin results in an overdose death — is gaining traction in Kentucky, where the House Judiciary Committee narrowly approved the measure. The bill needed 12 votes to advance out of committee, and only secured enough support when one lawmaker agreed to change her vote, with eight members passing and no one voting in opposition, according to this article.

The legislation would allow the prosecution of homicide when the sale of heroin or some other Schedule I controlled substance results in an overdose death; classify the controversial new painkiller Zohydro as a Schedule I drug; require the state Medicaid program to cover several inpatient and outpatient treatment options for people addicted to opiates, including heroin and prescription painkillers; and divert state funds to expand treatment programs, according to this article.

Prescription painkillers are the primary cause of overdose deaths in Kentucky, while heroin contributed to 129 Kentucky resident drug overdose deaths in 2012 — a 207 percent increase from the 42 heroin-involved deaths recorded in 2011.

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N.J. task force urges action on opiate abuse

bunchofpillsA New Jersey task force on heroin and opiate abuse is calling for a number of measures to address the state’s growing prescription drug and heroin epidemic. In a new report, the Governor’s Council on Alcoholism and Drug Abuse said the number of drug-related deaths in the state is skyrocketing, rising 53 percent from 2010 to 2012, with more than two-thirds of those fatalities involving prescription drug abuse, according to this article. The report proposes major changes to New Jersey’s prescription pill monitoring laws, improvements to an insurance system that stacks the deck against drug addicts, and expanded use of recovery communities for students battling opioid addiction, the article says.

Like many other states, New Jersey has seen a rise in heroin abuse in light of the prescription drug addiction epidemic. Heroin is cheaper than pills, and in many cases easier to obtain. In the report, the task force chairman wrote:

“This is hardly the traditional path to heroin abuse, and that is one of the things that make the present situation so troubling. Because readily-available prescription pills have become a gateway drug, heroin is finding its way into the world of people who never imagined that they would ever confront this terrible substance.”

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Generation Rx

41mx4k+hrxL._SY344_BO1,204,203,200_As you may know, I am a journalist. When my 20-year-old brother Pat died of a heroin overdose in 2009, I had heard about powerful painkillers like OxyContin and knew he was addicted to them, but I didn’t understand the connection to heroin. I started digging deeper, trying to learn more about both Pat’s personal downfall and the painkiller and heroin abuse epidemic. I have spent the past five years traveling the country and talking to people who have been affected by this issue. My book on the subject, Generation Rx: A Story of Dope, Death, and America’s Opiate Crisis, will be published August 12 by Counterpoint Press and is available for pre-order on Amazon. I wanted to share my brother’s story and the stories of other families in the hopes of breaking down the stigma associated with drug addiction.

In 2010, 75% of the 38,000 yearly deaths by drug overdose in the U.S. were related to opioids; in 2011, almost 80% of people who had used heroin in the previous year also had a history of abusing prescription painkillers. This problem is getting worse, not better, and we need to start talking about it. If you’ve been touched by opiate addiction, I hope you’ll read my book and share it with others.

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Teen pill abuse down in Ohio

PILLS.jpgThere is evidence that Ohio’s efforts to curb prescription drug addiction among teens is working. Fewer than 12.8 percent of ninth through 12th graders reported using prescription painkillers without a doctor’s orders at least once during their life, according to the 2013 Ohio Youth Risk Behavior Survey. The number marks a 40 percent drop from the previous study, in 2011, when 21.3 percent of students said they had used painkillers without a prescription, according to this article.

But the state’s fight is far from over: many painkiller addicts are turning to heroin when their prescriptions run out or they can no longer afford to get the painkillers from dealers, leading to a surge in overdose deaths in the Greater Cincinnati area, the article notes.

From 2000 to 2011, Ohio’s death rate due to unintentional drug poisonings increased more than 350 percent, and the increase in deaths has been driven largely by prescription drug overdoses, according to the Ohio Department of Health.

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Ky. sees rise in drug-addicted babies

sick babyIn Kentucky, where prescription drug and heroin addiction are rife, hospitalizations for babies born dependent on drugs because of their mothers’ addictions are continuing to increase even as drug overdose deaths level off. In 2012, there were 824 hospitalizations for infants with neonatal abstinence syndrome, up from 678 in 2011 and 28 in 2000, according to this article, which cites a new report by the Kentucky Injury Prevention and Research Center. In addition, the report found that even though drug overdose deaths overall have leveled off and adult drug overdose hospitalizations have gone down, heroin-overdose deaths rose 207 percent between 2011 and 2012, the article says.

According to the article:

Along with the rise in infant hospitalizations has come a similar increase in the charges for these hospital stays in Kentucky, which reached $40.2 million in 2012, up from $200,000 in 2000. Researchers found that 694 of the 824 hospitalizations in 2012 were expected to be paid by government-funded Medicaid, for a total of $34.9 million.

Kentucky currently only has one-tenth of the substance abuse treatment beds it needs, according to data from the Substance Abuse and Mental Health Services Administration.

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Heroin addicts facing treatment barriers

drug moneyThe rise in heroin addiction across the nation, fueled by the prescription drug addiction epidemic, has caused an uptick in the number of people in need of inpatient treatment services — but many who need help are contending with a shortage of services and constraints placed on care by insurance companies. The increase in demand for treatment has left many addicts to wait weeks in some cases for care because of denial from their insurance companies, according to this article. Before insurance companies agree to cover inpatient services they want evidence that an addict has tried one or more outpatient programs, has little or no outside support network, and has a health condition that makes treatment a medical necessity, the article says.

Previously, a typical inpatient program lasted a month and the average detox program ran seven to 10 days; these days, as a result of insurance companies scaling back their coverage and increasing their deductibles, inpatient services generally run 10 days and detoxes three to five days — and most insurers will only pay for up to 10 days, the article says.

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Fentanyl-laced heroin may be behind rise in ODs

fentanylAuthorities are investigating whether heroin laced with the powerful painkiller fentanyl may have contributed to up to 50 recent fatal overdoses in three states. Fentanyl, an opiate that is 50 to 100 times more potent than heroin, is sometimes added to the street drug to create a stronger high.

According to this article, at least 17 fatal overdoses in Pennsylvania in January were suspected to have been caused by the dangerous blend; while 37 deaths in Maryland since last September and four recent deaths in Flint, Mich. have also been linked to the drug.

A heroin overdose can cause your body to forget to breathe, your blood pressure to dip significantly, and your heart to fail. (Naloxone, otherwise known as Narcan, literally reverses the dangerous effects of taking too much heroin by counteracting the depression of the central nervous system and respiratory system. For every 20% of heroin addicts in a population treated with the drug, about 6.5% of overdose deaths could be prevented, resulting in 2,000 lives saved in a population of 200,000 heroin users, a recent study found.)

The investigation into the rise of fentanyl-laced heroin comes as authorities are looking into the apparent overdose death of Oscar-winning actor Philip Seymour Hoffman earlier this week.

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Wisc. legislators tackle heroin abuse

gavelIn Wisconsin, where heroin killed nearly 200 people in 2012, legislators are considering legislation that would provide immunity to anyone who helps a person who has overdosed on drugs, and would also provide immunity for possessing and administering the overdose antidote Narcan, according to this article.

They are also considering a separate bill that would target the abuse of opiate painkillers like Vicodin and OxyContin by allowing more medicine collection sites to accept them for disposal. A third measure would create regional treatment centers, the article says.

Heroin overdose deaths surpassed cocaine deaths in Milwaukee County for the first time in 2012, and heroin was present in 32% of fatal overdoses from mixed drug cocktails, according to this article. Narcan is increasingly being used to address the problem: statewide, emergency medical services have seen an increase in naloxone in the last three years, from 2,915 uses in 2010 to 3,247 in 2011 and 3,730 in 2012, the article says.

Overdose hospitalizations accounted for approximately two of every 10,000 hospital visits in 2012, and opiate-related deaths have grown from 2.19 per 100,000 deaths in 2000 to 8.08 in 2011, a report by the State Council on Alcohol and Other Drug Abuse found.

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