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Categories Blog Tags National Institute on Drug Abuse (NIDA), National Recovery Month, Substance Use Disorder (SUD)

Recovery: Breaking the Stigma of Addiction

Recovery: Breaking the Stigma of Addiction

By Bizzell Editorial Staff

Deadbeat. Druggie. Drunkard. Hopeless. These words are still part of the stigma associated with the disease of addiction. And, unfortunately, feeling stigmatized can make people with substance use disorders (SUDs) less willing to seek treatment [1]Hadland, S. E., Park, T. W., & Bagley, S. M. (2018, May 7) Stigma associated with medication treatment for young adults with opioid use disorder: a case series. Addict Sci Clin Practice, 13(1),15. doi: 10.1186/s13722-018-0116-2. PMID: 29730987; PMCID: PMC5937046.. September is Recovery Month, a time dedicated to inspiring hope and raising awareness that recovery from SUDs is possible. This month carries significant meaning for many individuals, families, and communities as a time to honor those recovering from the disease. Those in recovery serve as beacons of hope, shining light on the many challenges faced by millions and highlighting the successes achieved through resilience, determination, and support. Breaking down the stigma associated with SUDs is a vital purpose of celebrating Recovery Month.

Stigma is the prejudicial attitudes and discrimination that people battling SUDs often face. Examples of stigmatic behavior can include inaccurate or unfounded beliefs that people with SUDs are dangerous, incapable of managing treatment, have moral or value failures, or are otherwise at fault for their condition. The Johns Hopkins School of Medicine is removing these barriers by providing guidance and resources to help families navigate existing stigmas and help them avoid perpetuating negative stereotypes. By openly discussing recovery pathways and sharing stories of healing, we can foster an environment where people feel safe to ask for help and access needed support.

According to the National Institute on Drug Addiction (NIDA), stigma affects people with from SUDs by:

  • Reducing the willingness of individuals to seek treatment. 
  • Leading others to feel pity, fear, anger, and a desire for social distance from the person due to stereotypes. 
  • Influencing language, e.g., “alcoholic,” that negatively impacts the perceptions of healthcare providers.  

Shatterproof is a leading national organization dedicated to combating the stigmatizing effects of addiction. They share best practices and resources to positively impact individuals and families grappling with addiction. Examples include:

  1. Change your Language
  2. Take a Pledge
  3. Crisis Resources
  4. Resources for Family & Friends
  5. Resources for Peers
  6. Treatment Resources
  7. Resources for Loss

Recovery Month also sheds light on the significance of accessible and effective treatment options for SUDs. Advocates use this month to raise awareness about the importance of evidence-based quality care, early intervention, harm reduction and the elimination of barriers to treatment. Addiction is a condition that can have a devastating impact on young adults, but it is often not treated effectively.

According to the 2021 National Survey on Drug Use and Health, 94 percent of people aged 12 or older with a substance use disorder did not receive any treatment. Nearly all those with a substance use disorder who were not treated at a specialty facility did not believe that they needed treatment. Organizations such as Young People In Recovery (YPR) are mobilizing efforts to address the imbalance in care. YPR embraces all pathways to recovery including 12-step, harm reduction, medication-assisted treatment, and others to help young adults struggling with addiction.

Bizzell is committed to supporting those in their recovery journey. Earlier this year, we published “Peer Recovery Support Services: A Promising Approach to Combat Substance Use Disorders.” This spotlight describes how peer recovery support services are used to extend the capacity of healthcare workers and to offer ongoing SUD treatment. Bizzell continues to partner with federal agencies to address these issues through a variety of avenues. Through our work with NIDA’s Clinical Trials Network, we produced online educational resources on topics related to screening, fentanyl overdose prevention, and treatment for methamphetamine use disorder.

As September unfolds, remember that healing is possible, and hope is ever-present. Recovery Month encourages us to look beyond the challenges and setbacks, focusing instead on the strength and resilience that lie within each individual and their families and communities. Here are four things you can do to help #StoptheStigma of addiction:

  1. Educate yourself and others about addiction and recovery. The more people understand about addiction, the less likely they are to stigmatize those in recovery.
  2. Use person-first language. Instead of saying “addict” or “alcoholic,” say “person with an addiction” or “person in recovery” to focus on the person, not their condition.
  3. Challenge stigma when you see it. If you hear someone making a negative comment about addiction or recovery, use the opportunity to educate them about how their comments are harmful and offer a more accurate perspective.
  4. Be supportive. Let people facing SUDs know that you are there for them and consider offering practical help, such as rides to meetings or childcare.

References:

[1] Hadland, S. E., Park, T. W., & Bagley, S. M. (2018, May 7) Stigma associated with medication treatment for young adults with opioid use disorder: a case series. Addict Sci Clin Practice, 13(1),15. doi: 10.1186/s13722-018-0116-2. PMID: 29730987; PMCID: PMC5937046.

Categories Blog Tags Behavioral Health, Opioid Use Disorder (OUD), Substance Abuse and Mental Health Services Administration (SAMHSA), Substance Use Disorder (SUD)

Supporting Drug Prevention Week

Supporting Drug Prevention Week

By Todd W. Mandel, MD, Bizzell US

National Prevention Week is a Substance Abuse and Mental Health Services Administration (SAMHSA) led national public education campaign highlighting the work of communities and organizations dedicated to raising awareness about substance misuse prevention and positive mental health. Observed May 7–13, this week-long endeavor encourages preventative initiatives and tactics designed to increase positive mental health outcomes.

This collaborative effort helps to strengthen prevention efforts and create a culture of health and wellness, bringing together individuals, organizations, and communities across the country. Please visit the Prevention Week homepage to register and join SAMHSA in honoring of the work of their partners in prevention and celebrating stories of success.

There are numerous dangers of substance use disorders (SUDs) that can affect both an individual’s physical and mental health. SUDs can cause changes in brain chemistry that can facilitate the development of mood disorders, anxiety, and depression. SUDs contribute to potentially fatal overdoses, and other issues such as heart disease, liver and kidney damage, and respiratory issues. Additionally, SUDs can disrupt personal relationships, cause financial problems, and even lead to legal issues.

According to the CDC figures cited by the Drug Enforcement Agency (DEA), 107,375 people in the United States died of drug overdoses and drug poisonings in the 12-month period ending in January 2022 [1]United States Drug Enforcement Administration. (2022, April 29). Fentanyl Awareness. Retrieved May 9, 2023, from https://www.dea.gov/fentanylawareness. A staggering 67 percent of those deaths involved synthetic opioids, like fentanyl, with some of these deaths attributed to fentanyl mixed with other illicit drugs like cocaine, methamphetamine, and heroin. This illicit mixture leaves many users unaware they were taking fentanyl, further contributing to overdoses. Only two milligrams of fentanyl can be a potentially lethal dose, particularly for someone who does not have an opioid tolerance. Recent data from the DEA indicates that Fentanyl is involved in more deaths of Americans under 50 than any cause of death, including heart disease, cancer, homicide, suicide, and accident-related deaths [1]United States Drug Enforcement Administration. (2022, April 29). Fentanyl Awareness. Retrieved May 9, 2023, from https://www.dea.gov/fentanylawareness.

While the focus of National Prevention Week is providing an educational forum to encourage people to not start using substances, for those who are already facing challenges with SUDs, effective treatments are available. There are also other strategies and resources for overdose prevention. Bizzell US, through its work with The National Institute on Drug Abuse Clinical Trials Network, produced online educational resources on topics for screening, fentanyl overdose prevention, and treatment for methamphetamine use disorder:

Prevention efforts such as education and awareness campaigns, early intervention programs, and easy access to treatment and support are essential to reduce drug use and its harmful consequences. By working together as a community to prioritize drug use prevention, we can help individuals and families avoid the devastating effects of drug addiction, promoting a safer and healthier future for everyone.

 

References

[1] United States Drug Enforcement Administration. (2022, April 29). Fentanyl Awareness. Retrieved May 9, 2023, from https://www.dea.gov/fentanylawareness.

 

5 ounces of table wine is 12% alcohol which equals 12 ounces of regular beer at 5% alcohol which equals 1.5 ounces of liquor at 24% alcohol.
Categories Blog Tags Alcohol, Behavioral Health, Substance Use Disorder (SUD), Thought Leadership

Alcohol Awareness Month: A Time for Reflection and Action

Alcohol Awareness Month:

A Time for Reflection and Action

By David A. Sleet, PhD, Senior Associate, Bizzell US

April is Alcohol Awareness Month, an opportunity to raise awareness about alcohol harms and take action to prevent them, both at home and in the community.

Data from the World Health Organization found the harmful use of alcohol is a causal factor in more than 200 disease and injury conditions. Worldwide, 3 million deaths every year result from harmful use of alcohol. Overall, 5.1 percent of the global burden of disease and injury is attributable to alcohol, as measured in disability-adjusted life years (DALYs).

According to the Centers for Disease Control and Prevention, excessive alcohol use was responsible for more than 140,000 deaths each year in the United States during 2015–2019, or more than 380 deaths per day. There is clear evidence that heavy drinking, even on a small number of days increases risks to health.

Excessive drinking is also costly, reaching $249 billion in 2010, or about $2.05 per drink. Most (77 percent) of these costs were due to binge drinking, defined as drinking four or more alcoholic beverages per occasion for women or five per occasion for men. Further, two of every five dollars were paid by federal, state, and local governments, demonstrating that we are all paying for excessive alcohol use.

It is well known that alcohol is strongly associated with death from motor vehicle crashes, drowning, falls, workplace injuries, fires, burns, suicide, and violence[1]Chikritzhs, T., & Livingston, M. (2021). Alcohol and Risk of Injury. Nutrients, 13(8), 1-15. https://doi.org/10.3390/nu13082777. Alcohol also has what is regarded as “secondhand harms,” defined as harms to individuals as a result of someone else’s drinking — estimated to affect one in five adults annually[2]Nayak, M., Patterson D., Wilsnack, S., Karriker-Jaffe K., and Greenfield, T. (2019). Alcohol’s Secondhand Harms in the United States: New Data on Prevalence and Risk Factors. Journal of Studies on Alcohol and Drugs, 80(3), 273-281. https://doi.org/10.15288%2Fjsad.2019.80.273.

A recent analysis from the Institute for Health Metrics and Evaluation even suggests that for young adults aged 15-39, there are no health benefits to drinking alcohol, only harms. The harms they are most likely to experience involve injuries. Both males and females under age 40 risked health losses from alcohol use, even when consuming small amounts. For those over age 40, consuming small amounts of alcohol (e.g.,1-2 glasses of wine daily) may provide some health benefits but only among selected groups[3]GBD 2020 Alcohol Collaborators. (2022). Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis from the Global Burden of Disease Study 2020. Lancet, 400(10347), 185–235. https://doi.org/10.1016/S0140-6736(22)00847-9.

We need stronger interventions tailored towards younger individuals to reduce the substantial global health loss attributable to alcohol use. To improve population health, the public should demand greater accountability from those who manufacture, advertise, market, distribute, and sell alcohol.

Actions you can take:

  • Encourage friends and family to make small changes, such as keeping track of how much they drink – daily, weekly, or monthly – and setting safe drinking limits.
  • Find effective ways to talk to your children about the risks of alcohol use and the dangers of underage and binge drinking.
  • Support health care efforts to curb alcohol-related illness and disease by screening patients for alcohol problems, obtaining routine blood alcohol concentrations (BAC) for injured patients, and by strengthening laws that limit the availability of alcohol to underage youth. 
  • Avoid driving after drinking and support state government initiatives to enact per se laws for alcohol impaired driving to 0.05 percent BAC, from current laws at 0.08 percent. 
  • Limit alcohol intake to two drinks or less a day (if you are a man) and one drink or less a day (if you are a woman), on days when alcohol is consumed. 

 

References

[1] Chikritzhs, T., & Livingston, M. (2021). Alcohol and Risk of Injury. Nutrients, 13(8), 1-15. https://doi.org/10.3390/nu13082777

[2] Nayak, M., Patterson D., Wilsnack, S., Karriker-Jaffe K., and Greenfield, T. (2019). Alcohol’s Secondhand Harms in the United States: New Data on Prevalence and Risk Factors. Journal of Studies on Alcohol and Drugs, 80(3), 273-281. https://doi.org/10.15288%2Fjsad.2019.80.273

[3] GBD 2020 Alcohol Collaborators. (2022). Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis from the Global Burden of Disease Study 2020. Lancet, 400(10347), 185–235. https://doi.org/10.1016/S0140-6736(22)00847-9

Categories News Tags Behavioral Health, BHARC, Mental Health, National Institute on Drug Abuse (NIDA), National Institutes of Health (NIH), Substance Use Disorder (SUD)

Senior Associates at Bizzell Co-author NIDA Report on Improving Adolescent Health

Senior Associates at Bizzell Co-author NIDA Report on Improving Adolescent Health

According to numerous reports, it takes roughly 17 years [1] for research findings to find their way into routine clinical practice, depriving adults, and children of timely and effective therapeutic care. The improvement of adolescent health ultimately depends on access to timely research and scientific findings from the National Institute on Drug Abuse (NIDA) to better educate health care professionals, policymakers, adolescents, and their families. The “National Institute of Drug Abuse: Dissemination of Scientific Knowledge to Improve Adolescent Health” report spotlights NIDA’s vigorous efforts to accomplish the dissemination of evidence-based information achieved through varying approaches to diverse and targeted audiences; more specifically on substance use disorders (SUD) in the adolescent population.

The NIDA Clinical Trials Network Dissemination Initiative contract, held by Bizzell US, is overseen by co-authors Dr. Todd Mandell and Kenyatta Crenshaw. Within the report, the co-authors share evidence-based educational resources and materials developed to reduce the persistent gap between the publication of research findings on the treatment of SUDs and best practices for implementation and adoption in clinical practice. Dr. Mandell and Ms. Crenshaw also address the Mentor Facilitated Training Program (MFT), which is part of the NIDA Clinical Trials Network Dissemination Initiative contract. An overview of the MFT program is provided in the article, demonstrating how trainees in the field of substance use are encouraged to expand their depth of knowledge by the 1) identification of gaps in substance abuse training; and 2) dissemination of NIDA-sponsored, evidence-based resources/tools to their peers. The study was published in the Child and Adolescent Psychiatric Clinics of North American Volume 32, Issue 1, January 2023.

“I would like to congratulate Dr. Mandell and Ms. Crenshaw, and the other contributing authors, on the publication of the report, the recommendations are another imperative step to ensuring that the dissemination and access to critical data and tools is widely accessible to the public health community” said Anton C. Bizzell, MD, Chairman & CEO of Bizzell.

[1] Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med 2011;104(12): 510–20. Accessed December 14, 2021.

About Bizzell US

Established in 2010, Bizzell US is a U.S. Small Business Administration (SBA) HUBZone-certified strategy, consulting, and technology firm with a mission to improve lives and accelerate change. Bizzell US develops innovative solutions to some of the most critical issues of our time such as health care services equity, global health, workforce innovation, and other urgent needs facing the world. Under the leadership and vision of founder, Anton C. Bizzell, MD, the company has grown into a thriving firm, headquartered in New Carrollton, Maryland, with staff and offices in various regions around the country, including California, Colorado, Connecticut, Oklahoma, and Georgia, and globally in Africa, Asia, and Central America. Learn more about how we develop data-driven, research-informed, innovative solutions to complex, real-world challenges. Learn more at www.BizzellUS.com

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