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Youth Living With Substance Abuse or Substance Dependence

by James Heller 11. May 2009 10:09
It is common for teen alcoholics and drug addicts to be able to name at least one close family member with the disease.  Since it can skip generations, it is not surprising that a family history of alcohol dependence or drug addiction is so prevalent with patients in youth alcohol and drug treatment.  But when a child is raised in a home with substance abusing or substance dependent parents, suffering goes beyond genetics.

The report referenced below from the Substance Abuse and Mental Health Services Administration provides information that may shock people outside of the alcohol and drug treatment community.  It is hard to grasp that 1 in 10 youths live in this situation.  And it should be noted that in most cases they will copy their parents’ behavior.  

Tarzana Treatment Centers is previewing and linking this report with the hope that it brings awareness to the community at large about the problems of family alcohol dependence and drug addiction.  The effect reaches beyond the walls of these households to the youth’s friends and families.  This kind of awareness has the potential to slow or even reverse the rising adolescent alcohol and drug abuse trends.

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Parental substance dependence and abuse can have profound effects on children, including child abuse and neglect, injuries and deaths related to motor vehicle accidents, and increased odds that the children will become substance dependent or abusers themselves. Up-to-date estimates of the number of children living with substance-dependent or substance-abusing parents are needed for planning both adult treatment and prevention efforts and programs that support and protect affected children.

The National Survey on Drug Use and Health (NSDUH) can be used to address this data need. NSDUH annually collects data on alcohol or illicit drug dependence or abuse. It defines dependence or abuse using criteria specified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which includes such symptoms as withdrawal, tolerance, use in dangerous situations, trouble with the law, and interference in major obligations at work, school, or home during the past year. The NSDUH sample includes representative subsamples of mothers and fathers, as well as mother-father pairs who live in the same household. The survey obtains information about children living in the household, including age and relationship to the adult respondent.

This issue of The NSDUH Report examines the number of children living with substance-dependent or substance-abusing parents. It focuses on biological, step-, adoptive, and foster children under 18 years of age who were living with one or both parents at the time of the survey interview.  All findings are based on annual averages from the combined 2002 to 2007 NSDUH data.

-- Source: http://oas.samhsa.gov/2k9/SAparents/SAparents.htm --

Tarzana Treatment Centers in Los Angeles makes a daily effort to find treatment news articles that we can share with our readers in the alcohol and drug treatment community.  The external content was found among other articles of equal informational and educational quality.

Employer Mandated Alcohol and Drug Treatment

by James Heller 1. May 2009 13:07
Employers often face the consequences of a worker abusing alcohol or drugs.  Low productivity slows business and, at worst, negative behavior of the employee can cause the loss of business from important clients.  Commonly, the alcoholic or drug addicted employee has talents that leave the employer debating whether it is worth paying for alcohol or drug treatment.  According to a study recently published by the American Psychiatric Association the answer is probably yes.  The conclusion shown below states that employees who are mandated to alcohol and drug treatment experience a more successful recovery than those who admit themselves.

Of course each business will weigh the financial benefits that would result from this investment.  Work time lost and money spent are considerations.  But hiring a replacement could almost equal that investment, and his or her performance is unknown.

On the other hand, if alcohol dependence or drug addiction is the only cause of bad performance by an employee, then alcohol or drug detox, treatment and recovery is the optimum solution.  It is likely that the recovered employee will improve on positive performance areas as well as those that suffered due to substance abuse.

Businesses with employee substance abuse problems should review this study and consider mandating alcohol and drug treatment.  Good employees are often hard to find, whether the economy is good or bad.  And since the alcoholic and drug addicted employee may only need short-term residential or outpatient treatment, business can improve and a life may be saved.

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Substance Use, Symptom, and Employment Outcomes of Persons With a Workplace Mandate for Chemical Dependency Treatment

OBJECTIVE: This study examined the role of workplace mandates to chemical dependency treatment in treatment adherence, alcohol and drug abstinence, severity of employment problems, and severity of psychiatric problems.

METHODS: The sample included 448 employed members of a private, nonprofit U.S. managed care health plan who entered chemical dependency treatment with a workplace mandate (N=75) or without one (N=373); 405 of these individuals were followed up at one year (N=70 and N=335, respectively), and 362 participated in a five-year follow up (N=60 and N=302, respectively). Propensity scores predicting receipt of a workplace mandate were calculated. Logistic regression and ordinary least-squares regression were used to predict length of stay in chemical dependency treatment, alcohol and drug abstinence, and psychiatric and employment problem severity at one and five years.

RESULTS: Overall, participants with a workplace mandate had one- and five-year outcomes similar to those without such a mandate. Having a workplace mandate also predicted longer treatment stays and improvement in employment problems. When other factors related to outcomes were controlled for, having a workplace mandate predicted abstinence at one year, with length of stay as a mediating variable.

CONCLUSIONS: Workplace mandates can be an effective mechanism for improving work performance and other outcomes. Study participants who had a workplace mandate were more likely than those who did not have a workplace mandate to be abstinent at follow-up, and they did as well in treatment, both short and long term. Pressure from the workplace likely gets people to treatment earlier and provides incentives for treatment adherence.

-- Full Study Source: http://psychservices.psychiatryonline.org/cgi/content/abstract/60/5/646 --

Tarzana Treatment Centers in Los Angeles makes a daily effort to find treatment news articles that we can share with our readers in the alcohol and drug treatment community.  The external content was found among other articles of equal informational and educational quality.

Alcohol, Women, and Cancer

by James Heller 21. April 2009 10:45
April, 2009 marks the 22nd year of Alcohol Awareness Month.  

Tarzana Treatment Centers is participating with a series of articles meant to inform and educate the general public about alcohol abuse, dependence and treatment.  Considering that over 21 million Americans meet the criteria for alcohol abuse and over 53 million admit to past-month binge drinking, not to mention the many loved ones affected by each, our efforts are worthwhile.

Studies linking breast cancer to alcohol use by women have been plentiful.  Results show the average increase in risk at about 9%.  This has lead to broader studies that look at the association with all types of cancer in women, with drinking habits of 1 drink per day to alcohol dependence.

As the scope of research has widened with women, scientists have also begun similar studies on men.  To date, the focus with men has been on alcohol abuse and alcohol dependence, in non-cancer studies, usually when they enter detox and treatment facilities.

Now the Journal of the National Cancer Institute has published a study by Oxford University that included over 1 million women. Some of the results are shown below.  Any woman who drinks alcohol should stay informed on these findings, especially if there is a history of cancer in her family.

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Million Women Study Shows Even Moderate Alcohol Consumption Associated with Increased Cancer Risk

Low to moderate alcohol consumption among women is associated with a statistically significant increase in cancer risk and may account for nearly 13 percent of the cancers of the breast, liver, rectum, and upper aero-digestive tract combined, according to a report in the February 24 online issue of the Journal of the National Cancer Institute.

With the exception of breast cancer, little has been known about the impact of low to moderate alcohol consumption on cancer risk in women.

To determine the impact of alcohol on overall and site-specific cancer risk, Naomi Allen, D.Phil., of the University of Oxford, U.K., and colleagues examined the association of alcohol consumption and cancer incidence in the Million Women Study, which included 1,280,296 middle-aged women in the United Kingdom. Participants were recruited to the study between 1996 and 2001. Researchers identified cancer cases through the National Health Service Central Registries.

Women in the study who drank alcohol consumed, on average, one drink per day, which is typical in most high-income countries such as the U.K. and the U.S. Very few drank three or more drinks per day. With an average follow-up time of more than 7 years, 68,775 women were diagnosed with cancer.

The risk of any type of cancer increased with increasing alcohol consumption, as did the risk of some specific types of cancer, including cancer of the breast, rectum, and liver. Women who also smoked had an increased risk of cancers of the oral cavity and pharynx, esophagus, and larynx. The type of alcohol consumed – wine versus spirits or other types – did not alter the association between alcohol consumption and cancer risk.

Each additional alcoholic drink regularly consumed per day was associated with 11 additional breast cancers per 1000 women up to age 75; one additional cancer of the oral cavity and pharynx; one additional cancer of the rectum; and an increase of 0.7 each for esophageal, laryngeal, and liver cancers. For these cancers combined, there was an excess of about 15 cancers per 1000 women per drink per day. (The background incidence for these cancers was estimated to be 118 per 1000 women in developed countries.)

"Although the magnitude of the excess absolute risk associated with one additional drink per day may appear small for some cancer sites, the high prevalence of moderate alcohol drinking among women in many populations means that the proportion of cancers attributable to alcohol is an important public health issue," the authors write.

-- Source: http://jnci.oxfordjournals.org/cgi/content/full/101/5/281-a --

Tarzana Treatment Centers in Los Angeles makes a daily effort to find treatment news articles that we can share with our readers in the alcohol and drug treatment community.  The external content was found among other articles of equal informational and educational quality.

Medication Assisted Alcohol Treatment

by James Heller 20. April 2009 10:10

April, 2009 marks the 22nd year of Alcohol Awareness Month.  

Tarzana Treatment Centers is participating with a series of articles meant to inform and educate the general public about alcohol abuse, dependence and treatment.  Considering that over 21 million Americans meet the criteria for alcohol abuse and over 53 million admit to past-month binge drinking, not to mention the many loved ones affected by each, our efforts are worthwhile.

Recovery from alcohol dependence is not easy.  In fact, very few of those in alcohol treatment will get sober and stay sober on their first attempt.  In most cases there will be at least one relapse into drinking before long-term recovery is achieved.  But for the “chronic relapser”, those who can’t seem to maintain any long-term sobriety, there is an answer called Medication Assisted Treatment.

Alcoholism is a body and mind disease, and cravings for alcohol are a major reason for relapse.  These cravings are strong throughout the early days of recovery from alcohol and tend to diminish in time, but they are a lifelong burden for an alcoholic.  

Naltrexone is one medication used to fight alcohol cravings by blocking the pleasure centers stimulated by alcohol use.  With no euphoric effect from alcohol use, there is no craving associated for the alcohol dependent brain and body.  In an alcohol treatment setting, this removes a major distraction so patients can concentrate on recovery once alcohol detox has cleansed the body.  

Vivitrol, the injectable form of Naltrexone, is offered as part of the treatment program at Tarzana Treatment Centers.  With each injection lasting 30 days on timed release, patients can focus on treatment of the mind instead of the body, and are less likely to leave treatment early and drink.

CNN.com posted a story about Medication Assisted Treatment on 4/15/09.  Some excerpts are below.  

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"It's like a little kid wanting a piece of candy. You see it, you want the taste of it." He closes his eyes and sniffs the air, remembering the feeling. "You can be by yourself, and all of a sudden get even a hint of alcohol, just the smell of it, and say, 'Oh, I need a drink.' That sensation is not something you can get rid of."

But today, Kent isn't tempted in the least. He says the credit goes to a prescription medication -- a pill called naltrexone.  It's part of a new generation of anti-addiction drugs that may turn the world of rehab on its head.

Among the findings that are causing excitement:

  • A federally funded study known as COMBINE compared cognitive-behavioral therapy alone with therapy along with naltrexone. Patients receiving both were more likely to stay abstinent and drank less if they did relapse.

These findings highlight what's become increasingly clear: Addiction is a brain disease, not just a failure of willpower. Naltrexone and topiramate have slightly different mechanisms, but both seem to block the release of brain chemicals that are linked to pleasure and excitement. Unlike earlier drugs used to treat alcoholics, neither is addictive or carries significant side effects.

-- Source: http://www.cnn.com/2009/HEALTH/04/15/addiction.cold.turkey.pill/index.html --

For more information on Vivitrol, contact us via email at vivitrol@tarzanatc.org.

Tarzana Treatment Centers in Los Angeles makes a daily effort to find treatment news articles that we can share with our readers in the alcohol and drug treatment community.  The external content was found among other articles of equal informational and educational quality.

Prescription Pain Killer Treatment Admissions Rise

by James Heller 17. March 2009 14:30
Every year the Substance Abuse and Mental Health Services Administration (SAMHSA) releases a report on alcohol and drug treatment, abuse, and addiction.  The report offers a clear snapshot of trends related to alcohol and specific drugs.  The 2007 report has confirmed that treatment admissions for prescription pain killers have risen substantially in the past ten years, as most alcohol and drug treatment professionals are aware.  

Unfortunately, a rise in treatment admissions for a particular substance does not always mean that fewer people are abusing it.  In the case of prescription pain killers it is likely that there are far more abusers, based on other reports showing a rise in adult and adolescent prescription drug abuse.

Tarzana Treatment centers provides adult and adolescent drug detox and treatment for prescription drugs.  Our staff is quite familiar with the problems presented when a family member becomes addicted to prescription drugs.  If you or someone you know has a problem with prescription drugs, read the article below and call us at 888-777-8565, or contact us here.

New Report Reveals Treatment Admissions for Prescription Pain Killers are on the Rise

Largest Share of Treatment Admissions is Still for Alcohol Abuse, But Has Significantly Decreased Over the Past Decade

Treatment admissions for prescription pain killer misuse has risen dramatically over the past decade – from constituting 1 percent of all admissions in 1997 to now representing 5 percent, according to a report by the Substance Abuse and Mental Health Services Administration (SAMHSA).

The Treatment Episode Data Set (TEDS) 2007 Highlights report also indicates that although alcohol-related admissions still account for the largest share (40 percent) of the 1.8 million treatment admissions occurring throughout the country during 2007, this reflects a reduction from 50 percent in 1997.

The TEDS 2007 Highlights report is the latest in a series of yearly reports, developed by SAMHSA, providing demographic and other information on substance abuse treatment admissions from state licensed treatment facilities (most of them publicly-funded) across the country.  Although it does not include information on all treatment admissions, it is the largest, most comprehensive study of its kind and provides a vast array of specialized data on the characteristics of substance abuse treatment in the United States.

Among the findings:

• The percentage of treatment admissions for primary heroin abuse is at about the same level it was a decade ago (14 percent).

• The percentage of treatment admissions primarily due to methamphetamine/amphetamine abuse is relatively small.  Admissions accounted for 4 percent in 1997, rose to 9 percent in 2005, then decreased to 8 percent in 2006 and remained at 8 percent in 2007.

• Even though the proportion of admissions for primary marijuana abuse increased from 12 percent in 1997 to 16 percent in 2003, admissions have remained steady at 16 percent each year after.

“The TEDS report provides valuable insight into the true nature and scope of the challenges confronting the substance abuse treatment community,” said SAMHSA Acting Administrator Eric Broderick, D.D.S., M.P.H. “By carefully analyzing this data, the public health community can better anticipate and address emerging needs.”
The report is available online at http://oas.samhsa.gov/TEDS2k7highlights/TOC.cfm
Copies may be obtained free of charge by calling SAMHSA’s Health Information Network at 1-877-SAMHSA-7 (1-877-726-4727) or by visiting http://ncadistore.samhsa.gov/catalog/productDetails.aspx?ProductID=17972 .    For related publications and information, visit http://www.samhsa.gov/.

Tarzana Treatment Centers in Los Angeles makes a daily effort to find treatment news articles that we can share with our readers in the alcohol and drug treatment community.  The article above was found at http://www.samhsa.gov/newsroom/advisories/0903171654.aspx among others of equal informational and educational quality.

Prescription Drug Abuse Among Adolescents

by James Heller 16. March 2009 12:28

Studies continue to show a rise in prescription drug abuse among teens.  The results of the study cited in the article below suggest that this is in large part due to perceptions and availability.  If there is no perceived risk, the number of teens using prescription drugs is likely to grow, and illegal drug dealers are sure to make them even more available.

So the 41% of adolescents who believe that prescription drugs are "much safer" than illegal drugs are a market for illegal distribution of prescription drugs.  This is the engine propelling the rise in abuse of prescription drugs.  It underlines the importance of educating teens on the dangers of abusing prescription drugs in order to expose the "much safer" myth.  

It is also important to educate parents and families on these dangers, and how adolescent drug treatment can help if needed.

Marijuana, Inhalants, and Prescription Drugs Are Top Three Substances Abused by Teens

More teens report abusing prescription drugs and inhalants than any illicit drug except marijuana, according to data from the recently released Partnership Attitude Tracking Study (PATS). Marijuana continues to be the most prevalent drug used among this population, with nearly one-third of teens reporting having ever tried marijuana in their lifetime. The next two most prevalent substances abused, however, are substances that are not illegal when used as directed, and are often readily available in teens’ households. Nearly one in five (an estimated 4.7 million) teens have ever abused inhalants and the same number report abusing prescription drugs. In addition, 10% of teens (an estimated 2.5 million) have ever abused over-the-counter cough medicines—approximately the same percentage who have ever used crack/cocaine or ecstasy (see figure below). Perceived risk and availability may help explain the prevalence of prescription drug abuse—41% of teens thought that prescription drugs are much safer to use than illegal drugs and 61% reported that prescription drugs are easier to get than illegal drugs (data not shown).

Percentage of U.S. Teens (Grades 7 to 12) Reporting Ever Trying Drugs, 2008 (N=6,518)


NOTES: Abuse of inhalants and OTC cough medicine is defined as using the substance to get high. Abuse of prescription drugs is defined as use without a doctor’s prescription. The margin of error is +/- 1.3%.

SOURCE:  Adapted by CESAR from The Partnership for a Drug-Free America, The Partnership Attitude Tracking Study (PATS): Teens 2008 Report, 2009. Available online at http://www.drugfree.org/Files/full_report_teens_2008. For more information, contact the Partnership at 212-922-1560.

Tarzana Treatment Centers in Los Angeles makes a daily effort to find treatment news articles that we can share with our readers in the alcohol and drug treatment community.  The article above was found at http://www.cesar.umd.edu/cesar/cesarfax/vol18/18-09.pdf among others of equal informational and educational quality.   

The Cost of Methamphetamine Use

by James Heller 12. March 2009 14:35
Studies continually show the societal impact of methamphetamine addiction.  In the article below, we see that using methamphetamines negatively affects many more people than just the user.  

It is interesting to note that methamphetamine treatment at $546 million is less than 2.5% of the total costs of $23.4 billion.  It stands to reason that if methamphetamine detox and treatment costs were to trend upwards, we would see an end to much of the crime, child neglect, and productivity loss, and those costs would sharply trend downwards.

Methamphetamine Use Incurs High Costs for Law Enforcement, Lost Productivity

By Will Dunham

Methamphetamine use costs the United States about $23.4 billion a year considering lost lives and productivity, drug treatment, law enforcement expenses and other factors, according to a report released on Wednesday.

Methamphetamine, also called meth, is a highly addictive stimulant that users inject, snort, smoke or swallow. A form called crystal meth looks like fragments of glass and is smoked using a glass pipe like those used to smoke crack cocaine.

The report by the nonprofit RAND Corporation found that costs relating to the 900 people who died from using meth in 2005 and the addiction of many thousands of others accounted for two-thirds of the total economic burden.

"Our study represents the most comprehensive assessment so far of the economic costs of meth use in the United States. It shows the impact of methamphetamine is substantial," RAND economist Nancy Nicosia said in a telephone interview.

Arresting, prosecuting and incarcerating methamphetamine users plus the economic cost of various crimes they commit amounted to $4.2 billion in 2005, according to the report.
Some other costs included $546 million in drug treatment, $687 million in lost productivity and $905 million toward removing children from the homes of users.

A U.S. government survey showed that in 2007 about 13 million Americans ages 12 and up reported using methamphetamine at least once in their lifetimes, or 5 percent of that population. About 1.3 million people, or 0.5 percent, reported using it some time in the previous year, the survey showed.

The U.S. Drug Enforcement Administration said the drug is particularly popular in Western and Midwestern states.

Nicosia said methamphetamine accounts for 5.5 to 7.5 percent of the total cost of drug abuse in the United States.

(Editing by Maggie Fox and Cynthia Osterman)

Copyright 2009 Reuters News Service. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Copyright © 2009 ABC News Internet Ventures


Tarzana Treatment Centers in Los Angeles makes a daily effort to find treatment news articles that we can share with our readers in the alcohol and drug treatment community.  The article above was found at http://abcnews.go.com/Health/wireStory?id=6800146 among others of equal informational and educational quality.