heroin - XIX Recovery Support Services

AGENDA
THE CHAPEL
•
PARENTS,
DON’T BE
HEROIN •
•
BLINDSIDED!
PARENTS OF PRODIGALS
•
•
•
Introduction
The State of Addiction
Signs & Symptoms of Opiate Use - Moods, Behavior & Surrounding Environment
The Drug World - Confidence in Clearly
Communicating about Drug Culture
How to Help
Resources
OVERVIEW
What are we doing here and
what do you want to get out of today?
1
1
WHAT’S IN IT FOR ME?
Goals & Objectives
• INDICATORS
• WHAT IS ADDICTION?
• ENVIRONMENTAL/GENETIC
• WHAT’S UP WITH THE ADDICT BRAIN?
HELP
• Resources
4
CHINA KRYS
DARRINGTON
RAYNARD PACKARD
PEER RECOVERY
COACH &
ADVOCATE, •
XIX RECOVERY
SUPPORT SERVICES
• WHY ARE THE DRUGS SO IMPORTANT TO THEM?
3
•
• WHAT ARE THEY LOOKING FOR?
• HOW TO
2
5
•
THE PACKARD INSTITUTE
•
ADOLESCENT, YOUNG
ADULTS
•
HOUSING, TREATMENT,
RECOVERY SERVICES
6
XIX_TheChapel_Heroin_101414.key - October 14, 2014
SOLACE - GRIEF SUPPORT
FI COMMUNITY HOUSING
•
DENNY WILSON
•
HOUSING, TREATMENT
•
FAITH-BASED
•
(888) 422-2759
SURVIVING
OUR
LOSS
AND
CONTINUING
EVERYDAY
•
“FACES OF HOPE”
Summit County ADM Board Media Campaign
SUPPORT
•• PEER
Dale GRIEF
Batdorff
(330) 323-7605
OF CHILD,
OR LOVED
ONEpm
•• LOSS
3rd Monday
of PARTNER
each month,
6:30-8:00
• GAP (GRIEF ACTION PREVENTION) NETWORK
• Stark Park’s Exploration Gateway
5714 12th Street NW, Canton
7
8
Name
THE MEDIA
PHILIP SEYMOUR
HOFFMAN
DIED FEB. 2, 2014
• OSCAR WINNING ACTOR
• APPARENT HEROIN
OVERDOSE
•
• SO DID ANOTHER 100 OTHER
AMERICANS THAT SAME DAY…
10
9
Notable Fame
Cause of Death
Drug Category
Actor
Heroin overdose (unconfirmed)
Illegal drug
Actor (Glee) and singer
Toxic mix of heroin and alcohol
Illegal drug and alcohol
Actress (That '70s Show)
Multiple drug intoxication
Illegal drug
Chris Kelly
Rapper (Kris Kross)
Fatal overdose, cocaine and heroin
Illegal drug
Jeff Hanneman
Musician (Slayer)
Cirrhosis due to alcoholism
Alcohol
Whitney Houston
American singer, actress
Drowning; complications of cocaine and heart disease; Flexeril, marijuana, Xanax and Benadryl also found in body but
Illegal drug
Michael Carl Baze
Horse jockey
Overdose; cocaine, oxymorphone (accidental)
Mixed prescription/ illegal drugs
Derek Boogaard
Canadian professional ice hockey player; left wing (New York Rangers)
Alcohol and oxycodone overdose (accidental)
Mixed alcohol and prescription drugs
Amy Winehouse
English singer and songwriter
Fatal alcohol poisoning; alcoholism
Alcohol
Erica Blasberg
American golfer (LPGA)
Asphyxia; multiple drug overdose: butalbital, temazepam, alprazolam, codeine, hydrocodone, and tramadol (suicide)
Prescription drugs
Andy Irons
Surfer
Cardiac arrest complicated by mixed drug ingestion (cocaine, methamphetamine, alprazolam, methadone)
Mixed illegal and prescription drugs
Edward Fatu “Umaga”
Samoan-American professional wrestler
Hydrocodone, carisoprodol, diazepam (accidental)
Prescription drug overdose
Michael Jackson
American Pop Singer and icon
Cardiac arrest, acute propofol intoxication; midazolam, lidocaine, diazepam, lorazepam also noted in autopsy report
Prescription drugs
Billy Mays
Spokesperson
Heart disease possibly complicated by cocaine use
Illegal drug
Christopher Bowman
American figure skater
Drug overdose: cocaine, diazepam, cannabis, alcohol (accidental)
Mixed alcohol, illegal and prescription drugs
Heath Ledger
Australian actor
Combined drug toxicity due to oxycodone, hydrocodone, alprazolam, diazepam, temazepam, doxylamine (accidental)
Prescription drug overdose
Scott Charles (“Bam Bam”) Bigelow
American professional wrestler; World Wrestling Federation (WWF) and World
Multiple drug overdose: cocaine, temazepam (accidental), possibly worsened by heart disease
Mixed illegal and prescription drugs
Chris Mainwaring
Australian Football Player
Cocaine overdose (accidental)
Illegal drug
Anna Nicole Smith
American model, Playboy playmate, actress
Combined drug toxicity due to chloral hydrate and benzodiazepines (accidental)
Prescription drugs
Ike Turner
Musician, bandleader, songwriter, producer
Cardiovascular, lung disease complicated by cocaine overdose (accidental)
Illegal drug
George Best
Professional soccer player
Complications due to alcohol abuse, alcoholism
Alcohol
Eddie Guerrero
Professional wrestler
Cardiomyopathy, heart disease, possibly due to anabolic steroid use
Anabolic steroids (speculated)
Steven Scott Bechler
Major League baseball pitcher; Baltimore Orioles
Heat stroke exacerbated by ephedra
Alternative/herbal drug
Anthony Durante
Professional wrestler
Oxycodone or fentanyl overdose (accidental)
Prescription drug overdose
Howie Epstein
American bass guitarist (Tom Petty and the Heartbreakers)
Possible heroin overdose; also reportedly using prescription antibiotics
Illegal drug overdose
Elisa Bridges
American model, actress
Drug overdose: heroin, methamphetamine, alprazolam, meperidine
Mixed illegal and prescription drugs
Douglas Glenn Colvin, aka Dee Dee Ramone
American songwriter and musician (The Ramones)
Heroin overdose (accidental)
Illegal drug
John Entwistle
English bass guitarist (The Who)
Heart attack induced by cocaine
Illegal drug
Darrell Porter
American professional baseball player
Cocaine overdose (accident)
Illegal drug
Christopher Wiley Antley
Horse jockey; 2-time Kentucky Derby winner
Overdose; (clobenzorex, paroxetine, methamphetamine, carbamazepine) and trauma (accidental)
Prescription drugs
Chris Farley
Comedian, actor; Saturday Night Live sketch comedy TV show
Overdose; combination of morphine and cocaine; complicated by heart disease; fluoxetine also in system (accidental)
Illegal drugs
Peter Jackson
Australian rugby player
Heroin overdose (suicide)
Illegal drug
Margeaux Hemingway
American actress
Phenobarbital overdose; suicide
Prescription drug overdose
Cory Monteith
Lisa Robin Kelly
THE OTHERS
AND MANY MORE
WHO DIE ALONE &
ADDICTED WHO
NEVER GET THEIR
THEIR STORY COVERED
BY A REPORTER
11
THE FACTS
OHIO HAD
MORE THAN
680
HEROIN-
RELATED
DEATHS IN
2013
•
Past 3 years have seen
heroin-related deaths
double.
•
Since 2007 fatal drug
overdoses have been
Ohio’s leading cause of
accidental death. (More than automobile accidents)
http://enjoy.ohio.com/akron-area-heroin-deaths-soar-suburbs-and-rural-areas-fall-victim-1.457119
12
XIX_TheChapel_Heroin_101414.key - October 14, 2014
THE FACTS
•
OHIO HAD
MORE THAN
680
HEROIN-
RELATED
DEATHS IN
2013
•
WHAT IS ADDICTION
WHAT IS ADDICTION
• USE
• ABUSE
• DEPENDENCY
• ADDICTION
• 2 Cs
E
• 2 Cs OF ADDICTION
• US
SE NCY
U
B
•A
E
END N •Compulsive
• DEP
IO
•“Use Against My Will”
DICT
• AD
s
•Consequences
•2 C
•Negative
•Subjective
CUYAHOGA FALLS POLICE SEIZE MORE
THAN $760,000 IN SUSPECTED DRUG RAID
(Oct. 12, 2014)
http://www.fallsnewspress.com/news%20local/2014/10/12/cuyahoga-fallspolice-seize-more-than-760-000-in-suspected-drug-raid •
SON OF CUYAHOGA FALLS MAYOR
CONVICTED ON DRUG CHARGES AFTER
NEAR-FATAL OVERDOSE (Oct 9, 2014)
•
http://www.fallsnewspress.com/news%20local/2014/08/31/son-of-cuyahoga-fallsmayor-indicted-on-drug-charges-after-near-fatal-overdose
•
19-YEAR-OLD AKRON MAN HAS BEEN
ARRESTED FOR SUPPLYING THE HEROIN
TO A GREEN MAN WHO OVERDOSED ON
THE DRUGS AND DIED.
•
http://www.ohio.com/news/break-news/akron-man-19-charged-in-heroinoverdose-death-1.530438
•
MAN CONVICTED OF AGGRAVATED MURDER
FOR QUADRUPLE HOMICIDE AT CHAPEL HILLAREA TOWNHOUSE IN APRIL 2013 (OCT. 9, 2014)
•
http://www.ohio.com/news/break-news/akron-man-convicted-in-quadruplehomicide-requests-new-trial-1.530117
http://www.fallsnewspress.com/search=“drug”
http://enjoy.ohio.com/akron-area-heroin-deaths-soar-suburbs-and-rural-areas-fall-victim-1.457119
13
14
WHO IS AN ADDICT?
VIDEO: “ADDICTION DOESN’T DISCRIMINATE”
Give some
words to
describe
an addict
15
WHY DO THEY GIVE UP
THEIR LIVES
AND DREAMS FOR HEROIN?
Dopamine
• Community
GABA
Serotonin
Norepinephrine
Health Center Video - 2010
THE BRAIN CHEMICALS
Dopamine, GABA, Serotonin & Norepinephrine
http://enjoy.ohio.com/akron-area-heroin-deaths-soar-suburbs-and-rural-areas-fall-victim-1.457119
16
Community Health Center “Addiction Doesn’t Discriminate video: http://youtu.be/KZ3f3xinuzA |
17
11m17s
18
XIX_TheChapel_Heroin_101414.key - October 14, 2014
C17H17NO(C2H302)2
• Opium Poppy GABOR MATÉ, M.D.
• "Finally something I can
count on to feel OK.”
• “It was my first love.”
(Papaver somniferum)
• “It felt like a warm, soft,
hug…like a mother hugging
a baby.”
• Refined to Morphine (Diacetylmorphine, 1874)
• Heroin (1897 - 1910)
• Highly addictive
• Euphoric depressant
• Difficult physical
withdrawal
• “Compared to the emptiness
of what I felt before , the cost,
risk and interaction with
shady characters I can't trust
is worth it."*
HEROIN
WHAT IS IT?
* Quotes from using heroin addicts in Dr. Gabor
Mate’s book “In The Realm of the Hungry Ghosts”
• Physician, Addiction
•• Binds
IT CHANGES
THE
BRAIN
to the opiate
receptors
Pleasurethe
Center
reward center
• •Activates
Reward
Path
away
pain.
• •Takes
• Endorphins Make Possible
everything
okay.
• Makes
The Feeling of Love
HEROIN
WHY IT WORKS
Mate, G., and First M.D. In the realm of hungry ghosts, close encounters with addiction. Berkley, CA.: North Atlantic Books, 2010. Print.
19
GABOR MATÉ, M.D.
20
•
•
•
•
•
•
•
CONSTRICTED “PINNED” PUPILS
NODDING OUT
ITCHING / SCRATCHING
MENTAL CLOUDINESS
NAUSEA / VOMITING
SHALLOW BREATHING
SKIN IRRITATION
HEROIN
SYMPTOMS
22
Specialist
• Works On Vancouver’s
Downtown Eastside
Drug Ghetto
• Created INSIGHT Supervised Injection Site
23
Dr. Gabor Mate, M.D., Biography
|
http://drgabormate.com/about/
21
• DO KNOW THAT AN ACTIVE REWARD PATH
MAKES DRUG USE SEEM LIKE A GOOD IDEA
• DO KNOW WE DON’T WANT TO HURT YOU
• DON’T TRY TO MAKE US LISTEN DURING WITHDRAWAL
• DO REALIZE OUR BRAINS ARE COMPROMISED
HEROIN
DO’S & DON’TS
24
XIX_TheChapel_Heroin_101414.key - October 14, 2014
BORN OR MADE?
What makes some people addicts,
while other don’t like the stuff?
E NVIRONMENT ?
G ENETIC ?
L ITTLE OF B OTH ?
DISTRIBUTION
DISTRIBUTION
Solman, Paul., PBS, “Getting High for Less: Easier Access to Better, Cheaper Heroin Cripples Small Towns”, August
18, 2011, http://www.pbs.org/newshour/making-sense/a-high-for-less-easier-access/
Solman, Paul., PBS, “Getting High for Less: Easier Access to Better, Cheaper Heroin Cripples Small Towns”, August
18, 2011, http://www.pbs.org/newshour/making-sense/a-high-for-less-easier-access/
25
26
27
GETTING UNHOOKED
RELAPSE
HOW DOES HEROIN GET HERE?
XALICO - MEXICO
•
FIND OUT THE “WHY” OF THE
ADDICTION
WHAT ROLE DOES HEROIN PLAY
IN THE ADDICT’S LIFE?
• RELATIONSHIP WITH THE DRUG
•
GETTING UNHOOKED
28
29
GENETIC
50%/50%
ENVIRONMENTAL
WHY DO THEY KEEP GOING BACK TO ADDICTION?
• Euphoric - Bliss
• Stability - “The Devil You Know…”
• Low-self esteem
• Boredom
• Lack of:
• Resiliency
• Opportunity
• Economic ability
• LACK OF HOPE
30
XIX_TheChapel_Heroin_101414.key - October 14, 2014
GETTING UNHOOKED
GETTING UNHOOKED
Addiction
Withdrawal
•
•
•
Physical
Psychological
Spiritual
31
GETTING UNHOOKED
Recovery
•
•
•
•
•
Treatment
Holistic;
Body
Mind
Soul/Spirit
Community
• Replacing the “WHY” of
substance use with
something better
•
Scared of Getting Sick
Progressive
Chronically-Relapsing
Easy to Overdose
Potentially Fatal
•
•
•
•
32
RECOVERY?
33
SAMHSA’s
WORKING DEFINITION OF
RECOVERY
Hope
Getting clean is
only the first
step
• Life worth living
• Good fit
•
WHAT IS IS?
HOW CAN WE
GET THERE?
http://store.samhsa.gov/product/SAMHSA-s-Working-Definition-of-Recovery/PEP12-RECDEF
34
GETTING UNHOOKED
35
PersonDriven
Many
Pathways
Respect
Strengths /
Responsibility
Holistic
Addresses
Trauma
Peer
Support
Culture
Relational
10 GUIDING PRINCIPLES
OF RECOVERY
10 GUIDING PRINCIPLES
OF RECOVERY
1. HOPE
6. RELATIONAL
2. PERSONDRIVEN
7. CULTURE
3. MANY
PATHWAYS
8. ADDRESSES
TRAUMA
4. HOLISTIC
9. STRENGTHS/
RESPONSIBILITY
5. PEER SUPPORT
10. RESPECT
SAMHSA’s
WORKING DEFINITION OF
RECOVERY
Hope
PersonDriven
Many
Pathways
Respect
Strengths /
Responsibility
Holistic
Addresses
Trauma
Peer
Support
Culture
Relational
10 GUIDING PRINCIPLES
OF RECOVERY
http://store.samhsa.gov/product/SAMHSA-s-Working-Definition-of-Recovery/PEP12-RECDEF
36
XIX_TheChapel_Heroin_101414.key - October 14, 2014
ABSTINENCE-BASED
•
•
•
•
•
AA / NA
Smart Recovery (Self Management
And Recovery Training)
LifeRing - Positive Social Support
Rational Recovery (RR)
Secular Organizations for Sobriety
(SOS)
FAITH-BASED
•
•
•
•
•
•
•
•
http://www.facesandvoicesofrecovery.org/guide/support/resources/secular.html
Alcoholics for Christ (Christian)
Alcoholics Victorious (Christian)
Buddhist Recovery Network (Buddhist)
Celebrate Recovery (Christian)
JACS - Jewish Community Services
(Jewish)
Millati Islami World Services (Muslim)
Overcomers Outreach (Christian)
The Calix Society (Catholic)
http://www.facesandvoicesofrecovery.org/guide/support/resources/faith-based.html
MARC LEWIS, PH.D.
HARM
REDUCTION &
MINDFULNESS
Biography of Marc Lewis, “Memoirs of an Addicted Brain” | http://www.memoirsofanaddictedbrain.com/authors-bio/
37
38
39
DRUG TESTING
MEDICATION ASSISTED TREATMENT
MAT
CO-OCCURRING DISORDERS
HOW AND WHEN TO DRUG TEST
• Most addicts with their can pass a
drug test they know about
• Many can pass a spontaneous
drug test
• Addicts prepare for this type of
thing
• Evaluate the objective/cost
• Tool in the Toolbox…not the 1st one!
2003 - Subutex
• Buprenorphine
• Partial Opiate Agonist
• Suboxone (Buprenorphine &
Naloxone)
• Partial Opiate Agonist
• Opiate Antagonist (Narcan)
Opiate Reversal
• Vivitrol (Naltrexone)
• Methadone
•
Which came first…
the chicken or the egg?
"TIP 42: Substance Abuse Treatment for Persons With Co-Occurring Disorders”.
SAMHSA."Substance Abuse and Mental Health Publications. SAMHSA Store. Web. 09 Jan. 2012. <http://store.samhsa.gov/product/TIP-42-Substance-Abuse-Treatment-for-Persons-With-Co-Occurring-Disorders/SMA08-3992>.
http://beta.samhsa.gov/medication-assisted-treatment
40
41
42
XIX_TheChapel_Heroin_101414.key - October 14, 2014
CO-OCCURRING DISORDERS
Addiction or mental health issue?
Substance Abuse &
Mental Health Issues
•
50- 80 % of substance
abusers also have
mental health issues
• Self-Medicate
•
Prior to addiction
• Undiagnosed
•
Developed during
addiction
• Addiction Creates
•
Trauma
• Life On Life’s Terms
Some Behaviors And
Affects That Present
Similar To Mental
Health Issues
• Childhood
“What’s wrong withduring
you?”
active addiction
“What has happened to you?”
•
• What
has been experienced
• The
• brain changes
"Mental Health Screenings and Trauma-Related Counseling in Substance Abuse Treatment Facilities." Web. 09 Jan.
2012. <http://oas.samhsa.gov/2k10/313/313Trauma2k10.htm>.
43
44
45
TRAUMA
TRAUMA
TRAUMA
THE ACE STUDY
Video: Healing Neen
(ADVERSE CHILDHOOD EXPERIENCES)
• Tonier Cain
•
•
83 Arrests
66 Convictions
• Written off by society
•
“Healing Neen” |
http://healingneen.com/ |
46
10 Questions
Yes / No
Linking childhood trauma to long-term health and social consequences.
•
VIDEO:
TRAUMA
CO-OCCURRING DISORDERS
3m02s
ACE Study:
47
http://acestudy.org/
48
XIX_TheChapel_Heroin_101414.key - October 14, 2014
GETTING UNHOOKED
• Intuition
• Do Your Part, Then Turn It Over
•
•
•
Breathe
Bypass ego and false pride
Get support (Al-Anon, Naranon,
Family Anon.)
•
Open heart / Open eyes
•
•
Compassion…balanced with facts
Beware co-dependance or
enabling
49
THANK YOU!!!
WRAP UP & DISCUSSION
Thank you for being here tonight
Thank you to The Chapel & POP
(Parents Of Prodigals)
Resource List to Local Supports
• Contact:
• Phone:
• Website:
• Training:
china@xix-recovery.org
(330) 871-9702
xix-recovery.org
popheroin.xix-recovery.org
50
REFERENCES
ONLINE:
http://popheroin.xixrecovery.org/
XIX_Addiction_Reso
urces_Summit_Cou
nty_Ohio_2014.pdf
51
XIX_TheChapel_Heroin_101414.key - October 14, 2014