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From anecdotes of living beside the biggest open air drug market in Canada for a decade, and from watching my own friend's behavior growing up it seems to me th
by hackermailman 10y ago
From anecdotes of living beside the biggest open air drug market in Canada for a decade, and from watching my own friend's behavior growing up it seems to me the biggest problem is being unable to do anything when somebody you know or a family member becomes an addict. You can't force them into treatment, you can't even get the police to find them if they disappear into the streets, and the cycle in and out of jail just makes them career addicts as any chance of normal life seems over to them at that point.
Here if they check into detox, even if you are direct family you can't visit them or bring them anything because detox will deny they are there. You can't ask detox to call when they are released so you can pick them up and they don't end up released back on the streets.
Another problem is the waiting times for treatment. Real treatment is a long commitment sometimes living for years in a halfway house being supported by other peers to remain sober. An addict should be able to check into treatment and immediately commit themselves instead of waiting for months for a spot to open.
Lack of any facility for police to just dump out of control users and have them treated by doctors and addiction specialists is another issue. Often there are mentally ill with secondary addictions or other problems, and the police don't know what to do with them and money is wasted having them ferry around doctors to look at these addicts in jails or playing catch and release after a weekend in jail. A one stop sober shop and treatment option is always requested by police here but it never materializes.
Of course all of this costs money nobody will get elected with this spending platform on junkies until the synthetic opiates problem is so large the political will exists to do this.
All the addicts I've talked to including 2 of my friends who had a bad addiction for a few years, they all ended up addicts by becoming successful and partying to celebrate it. Anybody who lives in Vancouver if you go to VANDU and listen to one of their meetings sometime this is the same story you will hear: I was successful, I started drinking and partying, I used drugs to help regulate my sleep, or to get sober (cocaine sobers you up) or stay awake to function, I ended up an addict and lost everything here I am living in the dumpster or flop hotel being enabled by other addicts because I stole from every family member/friend and burned all those bridges.
- Schn1eck7 10y agoStarted an addiction clinic (outpatient) and I'm pretty convinced it's a great model for large populations. It's not for everyone initially - you may need more attention than weekly/bi-weekly visits to a treatment center, but we've seen more than half remain in treatment. Of that group that stays in treatment, more than half got jobs (almost all without our help, although we're starting to help now). Focusing on rebuilding your life while on Suboxone, while having access to mental health professionals (doctors, counselors, therapists) is working. Open 6 months, we're growing fast and hope to help everyone we can. Only one in our city who accepts insurance without a waiting list, and we do that exclusively (no self pay).
- hackermailman 10y agoThey've had success here too with Suboxone but took a long time for regulators to allow it to be prescribed instead preferring methadone which failed as a treatment strategy http://www.theglobeandmail.com/news/british-columbia/a-bc-clinic-is-showing-how-quick-treatment-can-get-patients-offopioids/article33815291/ http://www.theglobeandmail.com/news/british-columbia/a-bc-cl... It's good you have immediate treatment they still can't figure that out here, the "Rapid Access Addiction Clinic" in that story is unfortunately not accessible to all addicts and has temporary funding.
- Schn1eck7 10y agoMethadone is a full opioid agonist, similar to traditional opioids like painkillers and heroin. So the abuse potential is there. And nearly all methadone clinics don't provide additional supports (behavioral health or otherwise). They more or less function as pill mills. I don't need to own the entire system with this stuff, but it's very hard to set up (unfortunately). Hoping more people wake up and are able to do similar things. And we're going to keep expanding access to treatment. We only accept medicaid (for the poor in the US), who otherwise wouldn't have access to free treatment. They pay $300-500 per month for Suboxone at cash clinics, but typically don't get as much behavioral health treatment.