Opioid Addicts Life Is Hard. I have met a bunch of opioid addicts who were patients mostly hooked up on dope (Heroin). They have been through drug treatment for inpatient, outpatient, methadone clinic, prescribed Subutex, suboxone and some had the vivitrol intramuscular shot. Most of them are still using dope. I worked in the emergency departments , the psychiatric crisis unit and did 9 month case management project for graduate school. I don’t know exactly what exactly it is about dope, but most addicts can’t quit that drug. I hear people say well the person just has not hot rock bottom yet and are not ready. In the City of Camden, New Jersey some of those poor souls, that I have seen, sure as hell look like they hit rock bottom ten times! Some are emaciated, drawn in faces, eyes popping out with scars all over their arms, legs and even the neck. Scars from abscesses. One person told me it takes her well over hour to find and inject into her vein. Some of the women sell their bodies for money (tricking). Some women and men panhandle while others shoplift. Some go to nice neighborhoods to burglarize homes. Whatever is their poison is what they are going to do get money. They all smoke cigarettes and mostly its the brand Newport’s.
Opioid Addicts Life Is Hard. The level of commitment that opioid addicts dedicate to finding money, copping drugs, avoiding detection from law enforcement, go to an “abando” (abandoned house) or bushes, and then to try to find a vein. Others snort or smoke heroin. But most are (IVDA) Intravenous Drug Abusers. Heroin Addicts have pure dedication to doing everything to get that drug. The addicts repeat doing the same litany of steps several times a daily and everyday of the week. I don’t judge and I don’t hate on them. If addicts could get clean and dedicate themselves to any job or task, they would become very successful.
I began thus little eulogy stating that addicts who seek drug treatment may go for inpatient, outpatient, methadone clinic, prescribed Subutex, suboxone and some had the vivitrol intramuscular shot. Clearly some addicts who complete Rehabilitation do stay clean & sober. I have read about drug rehabilitation centers who state that they are 90% effective, and my sense is that is a rather lofty percentage. I am not entirely certain how these Rehabilitation Centers measure their successes nor what metrics they are using to make that claim.
If some drug rehabilitation outfits were truly at a 90% effective drug addiction treatment success rate, than I would surmise that entity’s methodology would be replicated and the center would receive notoriety comparable to a Nobel Peace Prize. I believe these questionable success rates may be more of a marketing tactic because Addiction Centers want to keep the beds full and make money. Now, there is nothing at all wrong with making money. But the question remains of how effective their treatment methodology really is in successfully treating addiction and hence the client staying clean & sober.
According to White, W (2018), “Despite decades of advancements in science, pharmacology, and technology, the continuum of evidence-based addiction treatment services remains largely unavailable to those in need. The addiction treatment system is hindered by fragmentation, outdated treatment philosophies, and a payment system that perpetuates antiquated care models and discourages the adoption of best practices in the field. The historical rise and development of the current addiction treatment system explains the evolution of a broken system, and sheds light on new solutions. The continued use of outdated treatment methods is harmful to patient health, and, in some cases, it’s even criminal. The treatment system fails to reach people until the latest stages of addiction, and is ill-equipped to provide care for people with low to moderate problem severity. Insurance denials, prior authorization requirements, and admission waiting lists create impossible hurdles. The system is plagued by high early dropout rates (40-60%), high rates of non-completion (more than 50%), and low rates (less than 50%) of successful linkage to long-term recovery support resources.” https://www.shatterproof.org/blog/time-now-radical-transformation-addiction-treatment
Opioid Addicts Life Is Hard. There really needs to be a strictly evidence based standard of care practices that are rooted in both science and medicine. Consumers need to be able ascertain if a given Rehabilitation method is implementing evidence based practice and can objectively demonstrate their outcomes. All Rehab Centers should have a score card system rating them for demonstrated outcomes, cataloged by a third-party recorder.
I see all these heroin addicts in Camden New Jersey and many have been using dope for years. I am not certain they are willing or wanting to quit. But there is a definite disconnect between the number of times that they have gone to drug rehab and the high success rate that some of rehabs claim.