Human Trafficking Response and Social Disparities Training
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Sex Trafficking Convictions Across Our Nation

Sex Trafficking Convictions Across Our Nation

Sex Trafficking Convictions Across Our Nation. When it comes down to how the battle against the practice of sex trafficking, and all human trafficking, will be won, by one conviction at a time. These three recent convictions for sex trafficking demonstrate that, even if maddeningly slowly, progress in eliminating human trafficking in the United States is being made.

Toledo man gets 35 years in prison for sex trafficking

A Toledo man was sentenced to 35 years in prison for sex trafficking a minor.

Lawrence Jones, 32, previously pleaded guilty in U.S. District Court in Toledo to one count of sex trafficking of a minor and one count of sexual exploitation of a minor. He was sentenced Wednesday.

Jones met a minor via social media who had run away from home, officials said. Jones transported the girl to a home on Coventry Avenue in Toledo, where he took nude photographs of her and posted them online, offering commercial sex acts in the Toledo area in January, according to court documents.

Read more at toledoblade.com

California man sentenced to 18 years for sex trafficking victims in Kansas City

Ronald Ean Taylor. 45, was sentenced in federal court in Kansas City Thursday.

In March, Taylor pleaded guilty to sex counts of sex trafficking of an adult. He also admitted that he used force, fraud or coercion to cause six child victims to engage in prostitution. He trafficked six victims between Nov. 2014 and May 2017.

An investigation into Taylor began in June 2016, when one of the victims contacted Kansas City police. She said that Taylor was a pimp who lived in California, but was selling drugs and engaging in sex trafficking in the Kansas City area.

Read more at fox4kc.com

Monroe County woman sentenced to 7 years in prison for sex trafficking, drug trafficking

Sex Trafficking Convictions Across Our Nation. A Monroe County woman was sentenced to seven years in prison after pleading guilty to conspiring with others to commit sex trafficking.

Jordan Capone, 24, of Mt. Pocono, was sentenced for participating in a conspiracy that forced or coerced women to engage in prostitution in northeastern Pennsylvania, and for distributing the drug known as “molly” in Monroe County.

Read more at wfmz.com


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OSHA: Violence in the Healthcare Workplace

OSHA: Violence in the Healthcare Workplace

OSHA: Violence in the Healthcare Workplace.  In an interesting posting, the National Law Review discusses some OSHA eye opening statistics on violence in the health care workplace recently released by OSHA, the Occupational Safety and Health Administration. It’s clear that this is a problem that deserves more attention than it has received to date.


Nurse injury from patient violence is costly

The costs can be attributed to healthcare dollars spent in any injuries sustained, missed shifts, and the psychological costs in the act of being attacked and in living with any permanent physical injury. The cost of injuries as a result of violence will have long and wide ramifications for both the victim and the healthcare facility in terms of treating the injuries, cost of long-term recuperation or disabled workers, and lost wages.
The nursing profession is experiencing a serious shortage at the present time; this coupled with violence toward nurses escalating – predictions are that the shortage will grow for the 10 years, partly due to the abuse that nurses are being exposed to each time they report for their shift. There is a direct correlation between understaffing and working short have increased incidences of violent acts perpetrated on nurses Healthcare organizations that allow nurses to work short have increased costs due to nurse injuries, treatment costs, and lost days from work (The Joint Commission, 2018).

Health care employers must heed the growing concern

OSHA: Violence in the Healthcare Workplace. Health care employers must heed the growing concern in their workforces about the risk of job-related violence. The Occupational Safety and Health Administration (“OSHA”) has gathered statistics showing that health care workers are subjected to a high rate of workplace violence. See Guidelines for Preventing Workplace Violence for Healthcare and Social Services Workers  (“Guidelines”) at pp. 2-3.

While extensive, the Guidelines are, as OSHA recognizes, not a standard or regulation. However, in the preamble to the Guidelines, OSHA points out that the Occupational Safety and Health Act’s (“OSH Act’s”) general duty clause, Section 5(a)(1), “requires employers to provide their workers with a workplace free from recognized hazards that are causing or likely to cause death or serious physical harm.”

Read more at natlawreview.com

Violence Against Nurses: The New Epidemic

Check out our Video: https://htrsd.org/product/violence-against-nurses-the-new-epidemic/

Violence Against Nurses: The New EpidemicLink to our course on Violence Against Nurses: The New Epidemic

Hotel Motel Sex Trafficking

Hotel Motel Sex Trafficking

Hotel Motel Sex TraffickingHotel Motel Sex Trafficking. Hospitality owners are turning a blind eye to sex trafficking taking place on their premises. Some are even in cahoots with the traffickers by warning them of presence of the police. These are not just the seedy motels but rather are the nationally known hospitality chains. Women advertised for sex for hire are found on adult escort sites. This is a strange irony since the inception of the Federal Online Sex Trafficking Act (FOSTA), which was intended eliminate online sex trafficking advertisement.


Escort Women At Hotels & Motels

Hotel Motel Sex TraffickingWhen most people go to a hotel or motel it’s an opportunity to unwind and relax possibly after work, a road trip or on vacation. While in your comfy room unbeknownst to you, there is a distinct possibility that women escorts might be paid for sex in the nearby rooms. Many of these women are unwilling participants and are victims of sex trafficking. Hospitality Industry is Ground Zero for Sex Trafficking. There are many of online Escort Websites featuring thousands of women be advertised for sex for hire occurring in all fifty states. What is mind boggling is most of these women are residing at a hotel or motel.


Look at the website links below. WARNING: Some of the images may be unsuitable for minors.

Skip The Games: http://skipthegames.com/

City X Guide: https://cityxguide.com/

Adult Search: https://adultsearch.com/

Escort Babylon: https://escortbabylon.net/cities_list


Hotel Employees Complicit with Sex Traffickers

Hotel Motel Sex Trafficking

Prostitutes speaking with an undercover Police Officer at a motel

Hotel Motel Sex Trafficking. A news story on CNN.COM discusses how the hospitality industry has played a role in helping the sex trafficking in the City of Atlanta, Georgia sustain itself in hotels and motels across the United States. Hospitality workers warned traffickers when the police were on the premises. Trafficked women were seeing 5 to 20 men per day. https://www.cnn.com/2019/08/28/us/atlanta-sex-trafficking-lawsuit/index.html






Johnson and Johnson Increased Opioid Addiction

Johnson and Johnson Increased Opioid Addiction

Johnson and Johnson Increased Opioid Addiction Johnson and Johnson Increased Opioid Addiction.  State of Oklahoma Cleveland County Judge slammed the drug company Johnson & Johnson with a $572 million court for increasing the opioid epidemic through its greedy opioid drug sales. Johnson & Johnson has become a Drug Dealer earning huge profits while irresponsibly addicting the public to opioids. The company must be held accountable for instructing its drug sales representatives to provide erroneous information to physicians that the opioid addiction risks.


Drug Company Lied About Opioid Addiction

Johnson and Johnson Increased Opioid Addiction. Opioid manufacturers are facing thousands of lawsuits across the country for aggressively marketing drugs like OxyContin, Vicodin, and Percocet as non-addictive and safe for long-term use for chronic pain—even though the drugs are chemically very similar to heroin. https://www.commondreams.org/news/2019/08/26/about-damn-time-first-thousands-lawsuits-against-big-pharma-johnson-johnson-ordered


Johnson and Johnson Increased Opioid Addiction Was The Opioid Addiction A Planned Epidemic

The opioid addiction epidemic has reached mega proportions throughout the United States. Many people became addicted to the opioids prescribed by physicians for pain. There have numerous deaths from opioid over dosages.  Many of those addicted to opioids turned to using heroin when their opioid prescriptions were discontinued. The irresponsibility of Johnson and Johnson executives is so obvious one must ask if the opioid epidemic was planned? Was Johnson & Johnson in cahoots with the Food & Drug Administration (FDA) to intentionally fuel addiction? Because now the Addiction Treatment is a $35 Billion Dollar business. Government already knew the seriousness of opioid addiction. During the end of the Vietnam War, thousands of military personnel were addicted to Heroin and other drugs. The U.S. Government fearing the military personnel might return home as drug addicts mandated negative urine drug screens prior to returning home. Those military personnel who failed the urine drug screens were held in country until they could pass the test. How could the Federal Drug Administration (FDA) not have known that Opioids sold by drug companies were not highly addictive?

Johnson and Johnson Increased Opioid Addiction

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Opioid Summaries by State

Opioid Summaries by State

Opioid Summaries by State

PHILADELPHIA, PA – A man administers Narcan as they try to revive a man who overdosed on heroin.

Opioid Summaries by State. The National Institute of Drug Abuse has developed a very interesting chart showing the frequency of opioid-Involved overdose deaths. The chart doesn’t lead to any direct conclusions, but it certainly alerts to the frequency of opioid related deaths on a geographic basis.

Center For Disease Control & Prevention (CDC)

According to the Center For Disease Control & Prevention (CDC), in 2017 there were 70,237 Drug Overdose Deaths! The Opioids account for 46,700 of the 70,237 Drug Overdose Deaths. The U.S. States with the highest Drug Overdoses are as follows:

  1. West Virginia
  2. Ohio
  3. Pennsylvania
  4.  District of Columbia
  5. Kentucky

Source: https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

Opioid Summaries by State. The age range most at risk is the younger adults ages 18 to 25. The younger teens age 12 to 17 heroin usage is declining. Stopping this Opioid Overdose Death problem isn’t going to be occurring anytime soon. Collectively all venues of Education, Healthcare, Law Enforcement, Treatment Centers and Social Services need to be involved in mass effort educating the younger generations of Children.

How Does Heroin and Fentanyl Get Here 

Opioid Summaries by State. An October 3, 2019 Philadelphia Inquirer News article states that the City of Philadelphia Pennsylvania has the most Opioid related deaths of any other Major U.S. City. That 300 people are killed every week by Heroin Overdoses. It is stated that 90% of the Heroin is smuggled across legal crossing points of the U.S. Mexico Border. According to the Drug Enforcement Agency (DEA), some shipments of Heroin does enter over the border across illegal crossing points. The bulk of the Heroin is  smuggled in secret compartments in cars and inside tractor trailer across the legal crossing points of the U.S. Mexico Border. The I-95 Highway Corridor is a thoroughfare for drug shipments. Fentanyl is shipped in packages from China directly into the U.S. and indirectly from China to Canada into the United States. The Fentanyl can be ordered from the Dark Web and it also can be made in Mexico with chemicals from China.

Source: https://www.inquirer.com/health/how-do-illegal-drugs-enter-us-heroin-fentanyl-trump-border-wall-mexico-china-20190109.html

Link to our course on Understanding Addiction

Human Trafficking Victims Hesitant to Contact Police

Human Trafficking Victims Hesitant to Contact Police

Human Trafficking Victims Hesitant to Contact Police.  Police still arrest Child Prostitutes for Prostitution. They see a prostitute as a working girl supporting a drug habit selling sex. It is provocative and strange but factual unless the Police have had the right type of Human Trafficking training.  Victims of Human Trafficking are taught not trust outsiders and especially the Police. Some victims may fear being deported and these people might not self identify themselves as victims.


Read this citation and weep

The girls are 16 and 17 years old. Sometimes as young as 10. They’re brought into juvenile hall wearing miniskirts and crop tops in the middle of February. Or they show up at an urgent-care clinic with three different sexually transmitted infections, or for their second pregnancy test in two months.

Stacey Katz, executive director of WestCoast Children’s Clinic in Oakland, knows that they are victims of sex trafficking, even if the girls don’t always say it. Their traffickers are men they call their boyfriends. Their abusers — their so-called clients — may be relatives, school counselors, lawyers. Sometimes, they’re cops.

Last month, when an 18-year-old woman began telling reporters she’d had sex with 29 Bay Area law enforcement officers over the past two years, including Oakland officers she met on the streets, Katz wasn’t surprised.

Source: https://www.sfchronicle.com/health/article/Police-abuse-of-trafficking-victims-weakens-8382480.php

A child under the age of 17 cannot legally consent to have sex but they can be arrested in the State of Texas, working as a prostitute. The Governor of Texas vetoed the Bill to prohibit arresting children for prostitution working as prostitutes. These children are victims of sexual abuse and the police can still arrests them.

“The Governor Abbott of the State of Texas rationale for vetoing the Bill is because it takes away options that law enforcement and prosecutors can use to separate victims from their traffickers,” Abbott said. “And it may provide a perverse incentive for traffickers to use underage prostitutes, knowing they cannot be arrested for engaging in prostitution.”

Source: https://www.texastribune.org/2019/06/21/abbott-vetos-child-prostitution-bill/



Human TraffickingLink to our course on Human Trafficking Response

Avoiding Nursing Burnout

Avoiding Nursing Burnout

Finding ways to minimize nursing burnout helps both care provider and patient. But avoiding nursing burnout includes both an understanding of the potential causes of the problem, and and a consideration of what can be done to minimize it on both on an individual and departmental basis. The National Institute of Health released an interesting look at the benefits of supporting empowered leadership to address the issue.

Nurse burnout is a widespread phenomenon characterized by a reduction in nurses’ energy that manifests in emotional exhaustion, lack of motivation, and feelings of frustration and may lead to reductions in work efficacy. This study was conducted to assess the level of burnout among Jordanian nurses and to investigate the influence of leader empowering behaviors (LEBs) on nurses’ feelings of burnout in an endeavor to improve nursing work outcomes. A cross-sectional and correlational design was used. Leader Empowering Behaviors Scale and the Maslach Burnout Inventory (MBI) were employed to collect data from 407 registered nurses, recruited from 11 hospitals in Jordan. The Jordanian nurses exhibited high levels of burnout as demonstrated by their high scores for Emotional Exhaustion (EE) and Depersonalization (DP) and moderate scores for Personal Accomplishment (PA). Factors related to work conditions, nurses’ demographic traits, and LEBs were significantly correlated with the burnout categories. A stepwise regression model–exposed 4 factors predicted EE: hospital type, nurses’ work shift, providing autonomy, and fostering participation in decision making. Gender, fostering participation in decision making, and department type were responsible for 5.9% of the DP variance, whereas facilitating goal attainment and nursing experience accounted for 8.3% of the PA variance. This study highlights the importance of the role of nurse leaders in improving work conditions and empowering and motivating nurses to decrease nurses’ feelings of burnout, reduce turnover rates, and improve the quality of nursing care.

Read more at ncbi.nlm.nih.gov

Mindfulness in Nursing: Decreasing Burnout, Improving OutcomesLink to our course on Mindfulness in Nursing: Decreasing Burnout, Improving Outcomes

News Affects The Opioid Epidemic

News Affects The Opioid Epidemic

News Affects The Opioid Epidemic. Like many, maybe even most things, the public continues to get a large percentage of the information they receive on a trending subject from the news media. Leaving out personal social media interactions, that number even increases when you add online media to traditional media outlets.

So, it probably comes as no surprise that news coverage of the opioid epidemic affects people’s perceptions of exactly what the problems are, as well as whether it is a growing concern, and how well or effectively the problem is being addressed.

The Public Health Institute has performed an analysis of news coverage of the opioid epidemic in Northern California that sheds an interesting light on the question:

News Affects The Opioid Epidemic. The news in rural Northern California provides a window through which we can glimpse how the public—and policymakers—understand the critical epidemic of opioid abuse and overdose in the region. A new preliminary analysis from PHI’s Berkeley Media Studies Group (BMSG) found that the news reinforces that the opioid epidemic is severely affecting communities locally and nationally; that the epidemic drives local crime; and that communities are exploring fledgling prevention and recovery efforts.

Unlike previous responses to drug use, opioid addiction is routinely framed in the news as a public health issue as well as a criminal justice issue—but public health advocates and medical practitioners are currently absent from the coverage.

As the opioid epidemic worsens, it is critical to understand how the news is shaping people’s understanding of the issue and what can be done about it. In this report, supported by the California Public Health Department, PHI’s BMSG analyzes news coverage from Northern California outlets, provides insights into how the issue is framed, and suggests questions for additional research.

Read more at phi.org

Understanding AddictionLink to our course on Understanding Addiction

Human Trafficking Conviction in Philadelphia

Human Trafficking Conviction in Philadelphia

Human Trafficking Conviction in Philadelphia Human Trafficking Conviction in Philadelphia. News of the first adult human trafficking conviction in Philadelphia history points out the stark reality of how much more needs to be done to even begin to address this still often hidden social dilemma. The PhillyVoice website provides a detailed look at the story of the perpatrator, the victims, and the District Attorney’s office that secured the guilty verdict.

Human Trafficking Conviction in Philadelphia A Kensington man was convicted last week of human trafficking and other crimes involving the forced servitude of five women, marking the first case of its kind resolved in Philadelphia.

District Attorney Larry Krasner spoke about the importance of the case on Monday, detailing the context of the crimes committed by 50-year-old Richard Collins.

“Trafficking cases involving adult victims are historically difficult to prove, in part because of stigma associated with commercial sex work as well as harmful misconceptions about people who struggle with addiction,” Krasner said.

Philadelphia police opened an investigation into Collins in June 2018 when one of his victims managed to escape his residence by climbing over a barbed wire fence. The victim contacted the Special Victims Unit and a search warrant was executed at the property, where the four other women were recovered.

Read more at phillyvoice.com

Human TraffickingLink to our course on Human Trafficking Response

Nurse Assault and Violence At Work

Nurse Assault and Violence At Work

Nurse Assault and Violence At Work Nurse Assault and Violence At Work.  Violence against Nurses at work is growing epidemic in the United States than in many other places across the globe. Nurses working in healthcare caring for patients must be safe. Nurses have been assaulted by both patients and family members. The American Nurses Association states that 1 out 4 Nurses are assaulted at work. That is 25%. Nurses are at the greatest risks for violence working in the areas of the Emergency Department and the Psychiatric units.

Creating a Culture of Safety

Nurse Assault and Violence At Work. Healthcare Delivery Employers need to create a culture of safety to influence organizational wide safety. There needs to be mettle detector for all victors screened upon entering hospital. Nurses need to be taught how to utilize therapeutic communication. For psychiatric patients the Therapeutic Options is generally the preferred method to deescalate an angry patient. Some patients may have had traumas which are triggered and Nurses need to learn how to implement Trauma Informed Care and improved communication strategies.

Nurse Assault and Violence At Work. American Nurses Today posted an article titled; Patient violence: It’s not all in a day’s work “However, according to the National Institute for Occupational Safety and Health, “…the spectrum [of violence]…ranges from offensive language to homicide, and a reasonable working definition of workplace violence is as follows: violent acts, including physical assaults and threats of assault, directed toward persons at work or on duty.” In other words, patient violence falls along a continuum, from verbal (harassing, threatening, yelling, bullying, and hostile sarcastic comments) to physical (slapping, punching, biting, throwing objects)”.

Source: https://www.americannursetoday.com/patient-violence/

Violence against health workers is unacceptable. It has not only a negative impact on the psychological and physical well-being of health-care staff, but also affects their job motivation. As a consequence, this violence compromises the quality of care and puts health-care provision at risk. It also leads to immense financial loss in the health sector.

Read more at who.int


Violence Against Nurses: The New EpidemicLink to our course on Violence Against Nurses: The New Epidemic

Hepatitis A Outbreak in Heroin Users

Hepatitis A Outbreak in Heroin Users

Hepatitis A Outbreaks in Heroin Users

Hepatitis A Outbreak in Heroin Users. “You’re turning yellow.” Using of contaminated needles and other drug paraphernalia increase risk of Hepatitis A. Hepatitis A infections is the newest negative outcome of the opioid epidemic is emerging . The population is at risks for Hepatitis A particularly if they are injecting drugs like Heroin and reusing syringes and the other drug paraphernalia. These Intravenous Drug Abusers don’t think to throw out used syringes because they would have to buy new ones. There use to be nonprofit mobile van needle exchange that was available for addicts to bring safety disposal containers with old syringes. That was a good harm reduction methodology to discourage reusing old syringes and discarding them on the ground. Then there was talk about Syringe Dispensing machines. Now there is nothing here in the way of harm reduction in areas ravaged by addiction. The addicts are reusing syringes, discarding them on the ground and Hepatitis A has come to roost.

Maybe those who unilaterally make these horrible decisions to do away with the Harm Reduction strategies of a Needle Exchange Van or the Needle Dispensing Machines might realize that having them in place is actually better for Public Health.

The CDC recommends health departments ensure people who report drug use are vaccinated for hepatitis A, and consider programs to educate at-risk populations, as well as to provide vaccinations in places where at-risk populations may seek treatment. Health care providers should encourage patients who report drug use to be vaccinated for the disease.

Source: https://www.mdedge.com/psychiatry/article/167799/hepatitis/cdc-warns-hepatitis-outbreaks-injection-drug-users

Hepatitis A Outbreaks in Heroin Users, Just before the Fourth of July, Trenton Burrell began feeling run-down and achy. Soon he could barely muster the energy to walk from one room to another. A friend shared an alarming observation: “You’re turning yellow.”

Within days, the 40-year-old landed in the hospital, diagnosed with the highly contagious liver virus hepatitis A, which has infected more than 3,220 people in Ohio and killed at least 15.

Since 2016, the virus has spawned outbreaks in at least 29 states, starting with Michigan and California. It’s sickened more than 23,600 people, sent the majority to the hospital and killed more than 230. All but California’s and Utah’s outbreaks are ongoing, and experts expect to eventually see the virus seep into every state.

Read more at usatoday.com

Understanding AddictionLink to our course on Understanding Addiction

The complexity of human trafficking legislation

The complexity of human trafficking legislation

The complexity of human trafficking legislation is a real impediment to making a quantifiable difference in reducing human trafficking activity “on the ground.” It may well be a cliche at this point to note that “the road to hell” is paved with good intentions, but when it comes to finding workable solutions to the problem, “good intentions” may not have the desired result. As a case in point, reason.com takes a close look at the intersection of the illegal drug problem with the human trafficking problem, and finds that conflating the provision of drugs to individuals offering sex for pay as an act of human trafficking may end up causing more harm to human trafficking victims than good. And, while no one believes that those promulgating such solutions are only trying to do good, the complexity of the problem of human trafficking – especially when it is combined with other social ills, illustrates just how difficult it can be to find ways to improve the situation.

Much of the U.S. government’s effort to “stop human trafficking” consists of defining a larger and larger subset of activity as trafficking, then cracking down on this ancillary activity. New legislation from Sen. Sherrod Brown (D–Ohio) would expand this territory even further. Under Brown’s bill, “using drugs or illegal substances to cause a person to engage in a commercial sex act” or in any kind of labor would be punishable under federal criminal laws related to human trafficking.

It’s certainly wrong (and should be criminal) to force drugs on someone in order to get them to do something they wouldn’t otherwise consent to, be that engaging in any sort of sex or performing any sort of work. That’s why doing so is already punishable under a range of criminal statutes.

But Brown’s bill (S. 2197) is vaguely worded enough to open up new possibilities, like charging anyone who sells drugs to a sex worker as a sex trafficker (or at least threatening them with this if they don’t cop to some lesser offense) and counting any informal trade of drugs for any sort of labor as a human trafficking offense.

Read more at reason.com

Human TraffickingLink to our course on Human Trafficking Response

Addressing disparities in healthcare

Addressing disparities in healthcare

Addressing disparities in healthcare. All people should have access to good healthcare. Addressing disparities in healthcare requires going beyond the simple provision of medical services towards understanding how societal, cultural and economic forces affect different patient populations. The Kaiser Family Foundation provides an excellent overview that answers five key questions about health disparities overall, and a consideration of addressing disparities in healthcare effectively.

Many groups are at disproportionate risk of being uninsured, lacking access to care, and experiencing worse health outcomes. For example, people of color and low-income individuals are more likely to be uninsured, face barriers to accessing care, and have higher rates of certain conditions compared to Whites and those at higher incomes.

Disparities in health and health care not only affect the groups facing disparities, but also limit overall gains in quality of care and health for the broader population and result in unnecessary costs. Addressing health disparities is increasingly important as the population becomes more diverse.

Many groups are at disproportionate risk of being uninsured, lacking access to care, and experiencing worse health outcomes. For example, people of color and low-income individuals are more likely to be uninsured, face barriers to accessing care, and have higher rates of certain conditions compared to Whites and those at higher incomes.

Read more at kff.org

Healthcare Disparities Among Prenatal PatientsLink to our course on Healthcare Disparities Among Prenatal Patients

Prescription painkillers and the opioid crisis

Prescription painkillers and the opioid crisis

Prescription painkillers and the opioid crisisPrescription painkillers and the opioid crisis. Trying to get a clear understanding of the relationship between Prescription Painkillers and the Opioid Crisis has, for a long time, been a difficult journey in which consensus has been a circuitous, moving target. Theatlantic.com has taken a lengthy and clear-eyed look at the issue, from the earliest days of the dawning awareness that a new and devastating social ill of opioid addiction was proliferating, through today, where the long held professional opinions on the best way to treat opioid-using pain patients is undergoing profound reconsideration.

It a true deep dive on the subject, but if you take the time to read it, you will gain a fuller understanding of why it’s been so difficult for many to even begin to understand all the complex factors that must be integrated into efforts to alleviate suffering without exacerbating the challenges of the addiction rehabilitation process.

In the early days of the opioid crisis, public officials had reasons to blame it on all the pills. News stories featured people who, to the shock of their neighbors and loved ones, had died unexpectedly of a drug overdose. In an emergency, authorities do what they can with the tools at hand. In tightening controls on doctors who prescribed pain relievers, state and federal agencies were focusing on the aspect of the problem most subject to regulatory intervention.

To some degree, that strategy worked. According to the Centers for Disease Control and Prevention, overdose deaths declined by about 5 percent in 2018—a dip attributable almost exclusively to fewer deaths from oxycodone, hydrocodone, and other prescription opioids. (Fentanyl deaths are still climbing.) Now that the fever of the opioid crisis may be breaking, Americans can revisit some of the stories we have told ourselves about the role of prescription medication in the crisis.

By now, the outlines of the story are familiar: Opioid prescribing began to rise in the early 1990s, powered by two forces. One was a campaign by oncologists and pain specialists to correct the undertreatment of pain. The other was the introduction in 1996 of the potent time-release oxycodone medication Oxycontin, which the drug company Purdue Pharma vigorously marketed to doctors.

Read more at theatlantic.com

Understanding AddictionLink to our course on Understanding Addiction

Human trafficking information: 11 facts you should know

Human trafficking information: 11 facts you should know

Human trafficking information: 11 facts you should know. Human trafficking information that is accurate and informative is one of the most powerful tools available for fighting what has for too long been a shadowy and poorly understood phenomenon. Dosomething.org, an organization dedicated to helping young people become active in fighting social ills across the United States, has created a short but powerful article sharing 11 Facts About Human Trafficking. It includes exactly the kind of information that, if more people know about it, just might help make a difference in how successfully the public-at-large can be a active factor in helping to diminish instances of human trafficking, sex trafficking, and forced labor in America. Although it’s a very quick read, the article does a great job of sharing human trafficking information most people may not be aware of.

Human trafficking is a crime that forcefully exploits women, men, and children. According to the United Nations, human trafficking affects every country in the world, but it’s not talked about enough. So we’re talking about it. Read on to learn more about human trafficking, and find support resources and ways you can take action at the Polaris Project, Love146, and Free the Slaves.

  1. Trafficking involves transporting someone into a situation of exploitation. This can include forced labor, marriage, prostitution, and organ removal. This kind of exploitation is known by a few different names — “human trafficking,” “trafficking of persons,” and “modern slavery” are the ones accepted by the US Department of State. [1]
  2. It’s estimated that internationally there are between 20 million and 40 million people in modern slavery today. Assessing the full scope of human trafficking is difficult because so cases so often go undetected, something the United Nations refers to as “the hidden figure of crime.”[2]
  3. Estimates suggest that, internationally, only about .04% survivors of human trafficking cases are identified, meaning that the vast majority of cases of human trafficking go undetected. [3]

Read more at dosomething.org

Human TraffickingLink to our course on Human Trafficking Response

Social disparities in healthcare

Social disparities in healthcare

Social disparities in healthcare. The concept of social disparities in healthcare can sometimes be difficult to apply to a specific healthcare service or sector. The healthypeople.gov site, created by the U.S. Office of Disease Prevention and Health Promotion, provides a succinct definition of social disparities, particularly as it applies to health care delivery, and also serves as a great introduction to this valuable information resource. Although it is an easy read, this particular article also delivers a great foundation for understanding how to integrate a focus on social disparities in healthcare into your interactions with healthcare delivery.

Although the term disparities is often interpreted to mean racial or ethnic disparities, many dimensions of disparity exist in the United States, particularly in health. If a health outcome is seen to a greater or lesser extent between populations, there is disparity. Race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location all contribute to an individual’s ability to achieve good health. It is important to recognize the impact that social determinants have on health outcomes of specific populations. Healthy People strives to improve the health of all groups.

To better understand the context of disparities, it is important to understand more about the U.S. population. In 2008, the U.S. population was estimated at 304 million people.1

  • In 2008, approximately 33%, or more than 100 million people, identified themselves as belonging to a racial or ethnic minority population.1
  • In 2008, 51%, or 154 million people, were women.1
  • In 2008, approximately 12%, or 36 million people not living in nursing homes or other residential care facilities, had a disability.2
  • In 2008, an estimated 70.5 million people lived in rural areas (23% of the population), while roughly 233.5 million people lived in urban areas (77%).3
  • In 2002, an estimated 4% of the U.S. population ages 18 to 44 identified themselves as lesbian, gay, bisexual, or transgender.4

Read more at healthypeople.gov

Racism in Nursing: An Under-Addressed ProblemLink to our course on Racism in Nursing: An Under-Addressed Problem

Overview of the Opioid Crisis

Overview of the Opioid Crisis

Overview of the Opioid CrisisOverview of the Opioid Crisis. The problems of opioid addiction, from both illicit drugs like heroin and prescription medications such as oxycodone has been with us for a very long time, and sadly, will remain a huge, costly, and ultimately deadly issue for the foreseeable future. But it is said that knowledge is power, and CNN.com has just published an excellent overview of the opioid crisis that is sure to open the eyes of even those who have a good working knowledge of the issue.

From the insightful overview of the opioid crisis, to a unique time line that begins in 1861, the article is well worth the time it takes to read:

Overview of the Opioid Crisis. Experts say the United States is in the throes of an opioid epidemic. In 2017, an estimated 1.7 million individuals in the United States suffered from substance use disorders related to prescription opioid pain relievers and 652,000 suffered from a heroin use disorder.

Opioids are drugs formulated to replicate the pain-educing properties of opium. They include both legal painkillers like morphine, oxycodone, or hydrocodone prescribed by doctors for acute or chronic pain, as well as illegal drugs like heroin or illicitly made fentanyl. The word “opioid” is derived from the word “opium.”

During 2017, there were more than 70,200 overdose deaths in the United States and 47,600 of those overdose deaths involved opioids. More than 130 people died every day from opioid-related drug overdoses in 2016 and 2017, according to the US Department of Health & Human Services (HHS).

Prescription opioid volumes peaked in 2011, with the equivalent of 240 billion milligrams of morphine prescribed, according to the market research firm, IQVIA Institute for Human Data Science. The volume declined to about 171 billion milligrams of morphine in 2017, a 29% drop.

read more at cnn.com

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Human Trafficking Is Entrenched in American History

Human Trafficking Is Entrenched in American History

Human Trafficking Is Entrenched in American History Human Trafficking Is Entrenched in American History. The American Colonists were involved in the kidnapping of African men, women and children from the Continent of Africa. These victims were forced under chattel into slavery, beaten, raped, forced to breed with other slaves, traded, sold, sold into brothels, and families were destroyed. For Americans, human trafficking dates back to the Colonies through the Revolutionary War and on into the 1800’s when the Civil War erupted. Obviously, the ill effects of slavery have continued because this country has had a long history of inequality, racism and social injustice into present day.

 The crime of human trafficking continues to exists in the United States and in almost every country in the world. It is associated with transnational criminal organizations, small criminal networks and local gangs, and violations of labor and immigration codes.  More recently, Human Trafficking has been defined to include other types of force, fraud, or coercion for sexual & forced labor exploitation.  A lot of the American people are under the false impression that most human trafficking victims are transported across international boundaries into the United States. However, contrary to these false beliefs, many trafficking victims are in fact United States Citizens.

Trafficking in persons shall mean the recruitment, transportation, transfer, harboring or receipt of persons, by means of the threat or force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power, or of a position of vulnerability or of the giving or receiving of payments or benefits to achieve the consent of a person having control over another person, for the purpose of exploitation.  Exploitation shall include, at a minimum, the exploitation of the prostitution of others or other forms of sexual exploitation, forced labor or services, slavery or practices similar to slavery, servitude or the removal of organs.

read more at aspe.hhs.gov

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Criminal intent and the opioid crisis

Criminal intent and the opioid crisis

Criminal intent and the opioid crisis. It’s not always the illegal drug traffickers and dealers who are the criminals in these cases. Sometimes it is the upstanding members of our community, like the pharmaceutical companies and distributors, physicians and the pharmacists who are the ones committing the crimes that lead to increased opioid abuse, addiction, overdose and death.

Of course, the opioid epidemic has many elements, and is a complex problem that will not be easy to eradicate nor resolve. Most communities and regions of the United States have been adversely impacted by opioid abuse, addiction, overdose and death. In the Appalachia region, a legitimate distributor of prescription drugs was recently indicted. Fox News has the story:

Criminal intent and the opioid crisis. An Ohio pharmaceutical distributor has been accused in a criminal indictment of scheming to flood parts of rural Appalachia with millions of painkillers, contributing to the opioid epidemic.

Miami-Luken was charged with conspiring to provide hydrocodone and oxycodone pills to more than 200 pharmacies in Ohio, West Virginia, Indiana and Tennessee, the Cincinnati Enquirer reported Thursday.

Read more at foxnews.com


Criminal intent and the opioid crisisIn the State of Virginia, a physician was found guilty and sentenced to 40 years in prison for illegally prescribing more then 500,000 doses of opioids to patients in Virginia, Kentucky, Ohio, West Virginia and Tennessee.


Source: https://www.nbcnews.com/news/us-news/virginia-doctor-who-prescribed-more-500-000-opioid-doses-sentenced-n1062136


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Information on human trafficking: 20 important facts you should know.

Information on human trafficking: 20 important facts you should know.

Information on human trafficking in the United States is always welcome, but there is often a lot of repetition in what information is made available. When you’re asking how to prevent human trafficking in the United States, that’s not a million dollar question, it’s a multi-billion dollar question.

And the answer to it is both complicated and one that may never be fully answered. Bad actors are motivated by many things, not the least of which is money, power, and control over others.

Still, information is key tool in the ongoing fight over how to prevent human trafficking, and Business Insider has a timely and useful article presenting 20 Facts you should know about human trafficking in the U.S. Following is an excerpt of the introduction, but please read the whole item (link below) for all twenty of the facts sharing Information on human trafficking in the United States:

In 2016, then-President Barack Obama told the Clinton Global Initiative: “I’m talking about the injustice, the outrage of human trafficking, which must be called by its true name: modern slavery. It is barbaric and it is evil and it has no place in a civilized world.”

Human trafficking is when people are recruited or harbored, by threat or force, to be exploited, according to the United Nations. Mostly, it’s commercial sex or labor exploitation, and a victim does not need to be transported anywhere in order to fall under the definition.

Trafficking is covert and illegal, and precise information is not easy to get. The US State Department and trafficking hotlines are helping to paint a clearer picture of what’s going on.

Hundreds of thousands of victims are estimated to be working in the sex industry, or in the hospitality, beauty, or agricultural industries where such conditions could be occurring.

Read more at businessinsider.com

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