by Sher Delva | May 22, 2017 | Addiction, Addiction Medicine, Addiction Stigma, Mental Health, Stigma, Therapy, Uncategorized
A needle exchange program in the Bronx, New York is stepping up to combat the ongoing opioid crisis and rising overdose death rates. Their latest tactic is handing out fentanyl test strips to heroin users.
The reasoning behind the test strips is to lower overdoses due to fentanyl-laced heroin.
Staff member Van Asher explains that the test strips will help addicts determine whether or not there is fentanyl is the drugs they’re using. The strips are usually used to drug test urine, but people can put a little of the mixture that’s in their syringe onto the strip to test whether or not what they are injecting contains fentanyl. This will help them make a more informed decision about what they are putting in their bodies, Asher explained to NPR.
Studies conducted by the Centers For Disease Control and Prevention revealed that most people do not know whether the heroin they’re using contains fentanyl. Asher told NPR that he started handing the strips out of desperation to curb the overdose rates among his clientele.
With each strip, Asher gives a survey to fill and report back. Unfortunately, Ashley admits getting clients to follow through is a difficult task.
Still, Asher is now working with programs around the country to try to replicate his idea. The idea originated at Inside in Vancouver Canada, North America’s only safe injection facility.
However, the major difference is that if someone is choosing to use their fentanyl-laced heroin at Inside, they can be medically monitored and an overdose is more likely to be reversed by staff, preventing death.
In the United States, safe injection facilities do not exist yet. While there are few areas testing the concept, none have yet to become established. Furthermore, harm reduction strategies remain a controversial topic. Therefore, it is up to the drug user to monitor how they use the drugs.
Some simply are not convinced.
Drug users like Vincente Estema explain that knowing there is fentanyl in his heroin is not going to stop him from using.
“It’s stronger! If it makes me feel the euphoria, I’m going to go for it,” he told NPR.
When an addict is at the point of wanting to use drugs, it is unlikely that the fentanyl test strips would deter them from using. However, it would at least inform them of the risk they are taking, and could potentially reduce the amount of the drug they take.
In 2015, the spike in fentanyl-laced overdose deaths led the Drug Enforcement Administration to issue a nationwide warning about the drug.
“Drug incidents and overdoses related to fentanyl are occurring at an alarming rate,” said DEA Administrator at the time, Michele Leonhart, calling it a “significant threat to public health and safety.”
During a three-month period in 2016, 74% of opioid overdoses in Massachusetts were caused by fentanyl! Fentanyl is up to 100 times stronger than morphine and is the strongest opioid available to doctors; even worse, different variations of fentanyl are hitting the streets like carfentanil and acryl fentanyl.
The numbers from Massachusetts indicate that heroin overdoses are dropping, but opioid-related overdose deaths continue to increase. Authorities agree that fentanyl is to blame. In a press release, Massachusetts Secretary of Health and Human Services Marylou Sudders called the data, “a sobering reminder of why the opioid crisis is so complex.”
Do you believe these strips could help combat the opioid epidemic? Would it affect how an addict uses? Regardless, any addict continues to use needs to seek help instead. The next time you use could be your last. Recovery is possible. We want to help you. Call now.
CALL NOW 1-888-922-5398
by Sher Delva | May 16, 2017 | Addiction, Addiction Stigma, Mental Health, Stigma, Therapy
When Frank McKinney graduated high school, he earned his diploma with a less-than-stellar 1.8 GPA. With $50 in his pocket, McKinney left his native state of Indiana and headed to Florida in search of his life’s highest calling. Despite all odds, he managed to become successful.
McKinney is an accomplished author, real-estate artist, and philanthropist. In real estate, McKinney started with a $50,000 fixer upper and worked his way to a $50 million oceanfront mansion. He is a 5-time International Bestselling Author (in 4 genres), and an ultramarathon runner.
The Real Deal On… Reinvention
Recently, McKinney was a guest on The Real Deal On… with Dug McGuirk. The conversation occurred in one of McKinney’s stunning micro mansions where he discussed the theme of reinvention and rediscovery.
In the first 25 years of his real-estate journey, McKinney focused on building huge mansion-like homes for the ultra-wealthy, but later he discovered a shift in the mindset of the rich. McKinney talks about his decision to develop “micro mansions.” He says the experience was a valuable life lesson.
“We realized there was a shift. You can become complacent, you can become in denial, but there’s been a big shift in that the ultra-wealthy are not wanting houses that are as big as they used to. So we took the opulence, the grandeur, the artistry, the beauty [and] shrunk it down to a more manageable size.”
“That was huge— I’ve built bedrooms bigger than this house!” McKinney says. “4,100 sq. ft. is the biggest bedroom I’ve ever built. This [home] is 4,087, so it’s 13 sq. ft. smaller than the bedroom I built.”
“But part of the beauty of reinvention is a reigniting of the soul after you’ve done something for so long…” he explains.
On Running Ultra Marathons
Along with his professional accomplishments, McKinney has run several ultramarathons. An ultra-marathon is a marathon “of any distance longer than a regular marathon” which means it can be a marathon of 35, 50 or 100 miles. The ultra-marathon McKinney runs is an astounding 135 miles.
Known as The Badwater Ultramarathon, it is considered the “world’s toughest footrace” according to National Geographic. It takes place in the Badwater Basin in California’s Death Valley.
Initially, McKinney says the idea of completing the ultramarathon was “unfathomable.”
“It’s 135 miles nonstop through the desert in July where the daytime temperatures are 125 and the pavement temperature, because you’re running on a road, is over 200 degrees,” he says. “You can fry an egg on it. I’ve seen people fry an egg on it.”
“I learned about this race, and I had it—insurmountable, incomprehensible, impossible— lay itself on my heart. I had two choices, to believe that it was those three things…but others had done it?” He says.
“So I hired a coach.”
Although McKinney did not consider himself to be a “coachable” person, he knew it was what he needed to get on the starting line. He explains how runners must be selected to participate in the Badwater Ultramarathon and to apply to the race “is like applying to Harvard or Yale.”
In total, McKinney has run the race ten times and completed the race seven times.
“When I’m in that race, it is a metaphor for life. There are extreme highs, euphoric highs, and then ten miles later, I could be bawling my eyes out because I feel like you-know-what, and I’ve got another 70 miles to go, and I already have blisters on the bottom my feet,” he says.
“What I’ve learned though is with faith, patience and the passage of time, those low points pass. Unfortunately, so does the high points!”
Still, McKinney says he learns from his failures as much as his successes. There were three consecutive races that he did not finish.
“I’ve failed three times in a row. I’m aging out; I’m getting too old,” he admits.
“Last year, […] I wanted to quit so many times, and I had all my meltdowns, problems and issues, but I never let my mind cross over. It wanted to, and it was ready to. I take my shoes off and throw my glasses down… but I never made that cross over,” he says.
“So maybe for somebody who’s going through recovery, you’ve crossed over, you’re sober now; don’t ever allow your mind to cross back over.”
Pushing Through the Internal Dialogue
Later in the interview, Frank McKinney answers how he overcomes the monsters in his head considering all of the risks he’s taken to be successful. Ultimately, he says outside criticism can be a source of motivation. He learned this lesson when he was building a 30 million dollar spec house a while back.
“I was told when we built that house…a guy from M.I.T was quoted in this article in the USA Today saying, ‘There’s no market for a $30 million spec house, there’s no buyer for it. That young man (at the time I was younger), will be dumpster diving in a year.”
“I’m like, ‘Oh my god! What if he’s right!’” he remembers.
“I went out and busted even harder, and I ended up selling that house in a relatively short period of time, and I took the article that was written about that house. I remember cutting it out, and I took a picture of me sitting in a dumpster, and I sent it to the dude at M.I.T.”
The lesson learned, McKinney says, is to take it from the source. Sometimes that inner dialogue can be a tool of productivity, he explains.
“I will always consider the source, and it’s really important to allow the little monster in. It’s okay! I allow some of that in. I want the feedback from the marketplace,” McKinney says.
“It gets back to that creation of your own reality,” he says.
“People that go through recovery […] they’re wired a little bit differently. They’ve got a synapse or two that are different than the rest of us. I think it’s a gift. I think that the person who enters those doors, they struggle. They can be tortured at times with that gift. But if you can turn that into a true gift, as I mentioned before, you’re not going to change, but redirect into something constructive instead of destructive, you can set the world on fire. “
“I have not changed. I still have that addictive personality. I’m addicted to excitement, but I’ve found a constructive outlet.”
The Difference between Motivation, Inspiration, and Aspiration
Whether it’s in recovery or everyday life, many dig for motivation or inspiration to push them along hardships. Looking back, Frank McKinney says an important lesson he learned in life was understanding motivation does not last.
Motivation “washes down the body and goes down the drain with the soap at night,” he says.
“You can read a motivational quote on Facebook, how long does that last? About three seconds?” he says.
“There’s a little bit of relief to know that we are not, as a species, meant to stay motivated.”
As for inspiration, that does not last either.
“Inspiration lasts about as long as a bad sunburn,” he says. “You can read an inspirational book, and it will last for a while. I’ve had some that lasted for a while. Or you watch an inspirational movie. Eventually, it wears off.”
So if motivation does not last and inspiration does not last, what does last? What is it?
“It’s aspiration. When you identify something that really is greater than you can comprehend now,” McKinney says.
Ask Yourself:
- What legacy do you aspire to leave behind for your family?
“If you answer that every single day of your life, you may lose motivation or inspiration, but that aspiration, endeavor or undertaking, you’ll never lose sight of that,” McKinney affirms.
- Who do you aspire to emulate?
- “I aspire to _blank_ which is higher than I can comprehend ”
Overall, love is at the basis of everything, he says. Everyone wants to be happy, but beneath all of that is the want to be loved. Peel all the layers and love is beneath it all.
“Being in love and living in love and having that beautiful word in your life is magic,” McKinney says.
Throughout the 40-minute interview, McKinney discusses taking and embracing risks, the importance of creating a creative space and other powerful lessons learned through his real estate journey. When asked about his greatest accomplishment, he credits his philanthropy work in Haiti, building homes for the less fortunate. Furthermore, he also shares lessons learned in his 27-year marriage. Please watch the full interview to hear more about his incredible journey!
Frank McKinney’s journey shows the importance of recreating your reality and the importance of reinvention. Regardless of the cards handed to you in life; you still have the ability to move forward. If you or someone you know is struggling in recovery, know there is help out there. It is never too late to change. Call now.
CALL NOW 1-888-922-5398
by Sher Delva | May 11, 2017 | Addiction, Addiction Medicine, Addiction Stigma, Drug Abuse, Heroin, Mental Health, Stigma, Therapy
Public bathrooms are ground zero in the opioid epidemic, according to a recent report. Addicts like Eddie* know all about this. In an interview with NPR, Eddie declares every single bathroom in Cambridge, Massachusetts that he among many others uses to get high.
“I know all the bathrooms that I can and can’t get high in,” says Eddie, 39, in the interview.
“With these bathrooms here, you don’t need a key. If it’s vacant, you go in. And then the staff just leaves you alone,” Eddie says. “I know so many people who get high here.”
Even at fast food places, Eddie has his technique for gaining access.
“You don’t need a key, but they have a security guard that sits at the little table by the door, directly in front of the bathroom,” Eddie says.
“Some guards require a receipt for admission to the bathroom,” he says, “but you can always grab one from the trash.”
*Name Changed
Managing Public Bathrooms is ‘Tricky.’
Businesses in the area struggle to come up with solutions to the problem. Some have installed low lighting, blue in particular, to make it difficult for users to find a vein.
The city of Cambridge plans to install “Portland Loos” in the heart of Central Square by the end of the summer. The “Portland Loo” public bathrooms originated in the city of Portland, Organ. These toilets reduce privacy and ensure police can see in if they suspect illegal activity.
Furthermore, the Loos have:
- No running water inside: Prevents people from using the water to clean themselves.
- No mirror: People tend to smash mirrors.
- Bars at the top and bottom of the structure: This reduces privacy. Cops can peep in near the ground to make sure there’s no more than one set of feet inside. Furthermore, you hear sounds inside and outside of the bathrooms. Nobody wants to stick around these toilets for long.
- A graffiti-proof coating: No one will be tagging these bathrooms.
- Walls and doors made from heavy-gauge stainless steel
Business owners hope that these bathrooms will relieve pressure on their bathrooms. However, others worry they will become a haven for drug use.
The bathrooms at 1369 Coffee House in Central Square are open for customers who request the code from staff at the counter. Owner Joshua Gerber required this step to make the bathrooms safer. He also installed metal boxes in the mall next to his toilet for needles and other things that clog pipes.
“We’d find needles or people’s drugs,” Gerber says to NPR. “It’s a tricky thing, managing a public restroom in a big, busy square like Central Square where there’s a lot of drug use.”
In recent years, Geber and his staff have found several people lying on the bathroom floor unconscious.
“It’s very scary,” Gerber says. “In an ideal world, users would have safe places to go that it didn’t become the job of a business to manage that and to look after them and make sure that they were OK.”
Safe Needle Exchange Programs?
In the past, we have mentioned areas in Canada and some European Countries that offer safe areas to do drugs. The United States is slowly coming around to providing these facilities as well. Though controversial, these safe needle injection sites offer a place for addicts to use drugs and reduce overdose fatalities. They also reduce crime and will hopefully reduce drugs done in public restrooms.
The city of Las Vegas plans to decrease the risk of sharing contaminated needles by installing vending machines throughout the city. These vending machines would provide clean needles to addicts reducing infectious diseases. They would also offer disposal containers to dispose of needles safely. This would prevent needles from being disposed of improperly.
Officials in several states in America have proposed the implementation of supervised injection facilities, including:
- New York
- California
- Washington D.C.
Supervised injection facilities (SIFs) are legally sanctioned locations where people who use intravenous drugs can inject pre-obtained drugs under medical supervision. There are pros and cons to these facilities, however, they are likely to reduce drug sue on the streets and reduce infections from needle sharing. Furthermore, they reduce overdose fatalities.
Limits on Discussion and Direction
Overall, discussions on safety practices for bathrooms remain sparse. There is a reason why:
“It’s against federal and state law to provide a space where people can use knowingly, so that is a big deterrent from people talking about this problem,” says Dr. Alex Walley, director of the addiction medicine fellowship at Boston Medical Center.
Still, without guidance, many libraries, town halls, and businesses are shutting their bathrooms down to the public. Closing down public restrooms leads to more drug use, injuries and discarded needles on the streets and in parks with children playing.
There are a variety of methods that could make bathrooms safer for the public and drug users.
- A model restroom would be clean and well-lit and have very few cracks and crevices for hiding drug paraphernalia.
- Bathrooms should also contain a biohazard box for needles and bloodied swabs.
- These bathrooms would also need naloxone and perhaps sterile water.
- The door with open out so a collapsed body would not block entry.
- It would need to be easy for EMTS and authorizes to unlock from the outside in the case of an emergency.
Very few bathrooms meet these standards in the United States. Sadly, as the opioid epidemic continues to take lives each and every day, these issues must be addressed. How can cities improve the safety of their public bathrooms?
Doctors, nurses and public health workers who help addiction patients every day argue the solution will have to include safe injection sites.
If communities like Boston start to reach a breaking point with bathrooms, “having dedicated facilities like safer drug consumption spaces is the best bet for a long-term structural solution that I think a lot of business owners could buy into, “ says Daniel Raymond. Raymond is deputy director of policy and planning at the New York-based Harm Reduction Coalition.
No business groups in Massachusetts have come out for such spaces yet. Time will tell what changes occur. Getting the right kind of treatment for drug addiction is paramount to progress. If you or someone you love is struggling, don’t wait. Please call toll-free now.
CALL NOW 1-888-922-5398
by Sher Delva | May 4, 2017 | Addiction, Addiction Medicine, Addiction Stigma, Addiction Treatment, Stigma
These days, it is harder to name celebrities who aren’t sober than those who are. After all, we hear reports daily on newly sober celebs. Whether it’s Daniel Radcliffe or Bam Margera, the list of celebrities who are sober continues to expand.
Now, leading man Brad Pitt revealed in an interview with GQ magazine that he has quit drinking and is living sober. Brad Pitt says he is six months sober and is looking forward to continuing his sobriety for the long-haul.
According to Pitt, his divorce from actress and producer Angelina Jolie was due partly to his out-of-control drinking behavior. Pitt admits that the past six months of his life has been a “weird” time, according to the interview, and he looks forward to regaining his life back.
“Personally, I can’t remember a day since I got out of college when I wasn’t boozing or had a spliff, or something. Something. And you realize that a lot of it is, um—cigarettes, you know, pacifiers. And I’m running from feelings. I’m really, really happy to be done with all of that,” he says.
During Pitt’s divorce from Angelina Jolie, his drinking and drug use got the full media scrutiny. Jolie said her reason for the divorce was “for the health of the family” which may have alluded to Pitt’s struggles with substance use. Now, with this recent interview, it is apparent substance use played a major role.
“I was boozing too much. It’s just become a problem,” he admits. “And I’m really happy it’s been half a year now, which is bittersweet, but I’ve got my feelings in my fingertips again. I think that’s part of the human challenge: You either deny them all of your life or you answer them and evolve.”
From the interview, Brad Pitt confirms a commonality about addiction: it doesn’t happen overnight. In most cases, people drink and use for years, and the destruction continues to build months, years and decades down the road. Substance use creates problems for more than just the addict. It can destroy families, friendships, and careers too.
Celebrities like Brad Pitt, Ben Affleck, Bam Margera, Stephen Moyer and Alex Baldwin have all gone public with their recovery. With each admission, the stigma of addiction decreases. Many have a perception of what it looks like to be an addict. However, addiction does not discriminate. It can affect anyone.
When it comes to celebrities, often having too much power and success can lead to their downfall.
Pitt himself has said, “Success is a beast. And it actually puts the emphasis on the wrong thing. You get away with more instead of looking within.”
Furthermore, Brad Pitt says he is now looking within and learning more about himself. He sees a therapist regularly and is refocusing his family.
“For me this period has really been about looking at my weaknesses and failures and owning my side of the street,” Pitt said. “For me every misstep has been a step toward epiphany, understanding, some kind of joy. Yeah, the avoidance of pain is a real mistake. It’s the real missing out on life. It’s those very things that shape us, those very things that offer growth, that make the world a better place, oddly enough, ironically. That make us better.”
These days, Pitt says he enjoys his cranberry and fizzy water drinks. He admits that it is challenging to give up wine completely, but he “does not want to live that way anymore.”
“I mean, we have a winery. I enjoy wine very, very much, but I just ran it to the ground. I had to step away for a minute,” He says.
More and more celebrities are choosing sobriety. If they can do it so can you. Do not feel ashamed of where your addiction has led you. Instead, choose to live a life of sobriety. We can help you get back on track. Call now.
CALL NOW 1-888-922-5398
by staff | Apr 12, 2016 | Anxiety Disorder, Mental Health, Mood Disorders, Panic Disorder, Stigma, Therapy
If there are any other nerds out there like me, you may have come across an abstract animated series called Psycho-pass that rose in popularity a few years back in 2012. The show’s name fits firmly into the primary premise of the show, an authoritarian future dystopia, where omnipresent public sensors ceaselessly scan the mental states of every passing citizen. In the TV show, collected data on both present mentality and aggregated personality data is used to gauge the probability of an individual committing a crime, the rating referred to as that citizen’s Psycho-Pass. Law enforcement and public security utilizes technology tracking mental health of citizens in order to premeditate possible threats. The characters chase criminals who the system deems emotionally or psychologically at risk, and the show adds a few good twists of suspense and philosophical paradox.
Needless to say, I am a big fan of the series.
So of course, seeing a headline explaining a new research project that could make this kind of system a reality, it stirs up some curiosity. This abstract concept of machines reading the psychological profiles of everyday people as a security measure has jumped right out of the world of sci-fi fantasy and could soon be another innovation that changes our world.
Could a mental health security system be the future of public safety?
