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Friday, June 14, 2013

ATOD and Advocacy Update - Week-Ending June 14, 2013



SOBERLINK's Alcohol Monitoring Technology Is Giving Parents of College-Aged Students Peace of Mind
Remote alcohol monitoring helps parents feel more secure about their investment in their child's college education

SOBERLINK, Inc., a technology company based in Southern California, has developed a discreet, wireless breathalyzer for secure remote alcohol monitoring that is currently being sought after by parents of college-aged students. According to the Centers for Disease Control and Prevention, binge drinking is the most common form of excessive alcohol consumption in the United States. Binge drinking, defined by the National Institute on Alcohol Abuse and Alcoholism as drinking four or more alcoholic drinks for women and five for men within the span of two hours, brings a person's blood alcoholic concentration to 0.08 or above. Rest of this story is here.

New Jersey Drug Overdose Law Experiencing Growing Pains
There are some bumps along the road to implementing New Jersey’s new Good Samaritan Emergency Response Act, which is expected to save lives. For the first time, the law allows someone who calls in a drug overdose emergency to 911 to not face charges for possession of a small amount of drugs. The idea, of course, is that the threat of arrest may have gotten in the way of the urge to help, and cost lives. Continue reading here.

Shopping for drugs online carries risks
When Steven Kovacs was in college, a doctor prescribed for him increasingly larger doses of the attention-deficit drug Adderall and the anti-anxiety medication Xanax. When he returned home before starting graduate school, his family doctor insisted on weaning him off the drugs, says his mother Joni Kovacs. So Steven Kovacs did what many others do: He turned to online pharmacies, which often don't require a prescription from a personal physician. Kovacs says that's how her son bought the drugs on which he overdosed and died in 2009 at age 22. More of this story here.


Advertising of Prescription Drugs – Keeping it Honest and Balanced
It is well known that the pharmaceutical industry spends billions each year on promoting their products, especially to healthcare professionals. In the US, a significant amount is also spent on direct advertising to consumers. In a report by the FDA on Keeping Drug Advertising Honest and Balanced, Thomas Abrams, director of the Office of Prescription Drug Promotion (OPDP), shares on how the agency “protects consumers from false and misleading ads for prescription drugs that appear on TV, radio, online and in print publications.” In the US and New Zealand, direct-to-consumer advertising is allowed because of the First Amendment, which provides for freedom of speech, including commercial speech by pharmaceutical companies. Abrams however points out that the FDA has been charged by law to ensure accurate and balanced advertising so that consumers are provided with helpful information about the medical conditions and the drugs to treat them. Continue reading here.


Designated Drivers Often Drink
A new study suggests that many designated drivers do not themselves refrain from drinking, creating an obvious barrier to the campaign’s effectiveness. Researchers interviewed and did breath tests on more than 1,000 people — including 165 who identified themselves as designated drivers — as they left bars in a Florida city. The tests were conducted six times over a three-month period, and the results were not encouraging. Only 65 percent of the designated drivers showed no blood alcohol content, 17 percent registered 0.02 percent to 0.049 percent, and 18 percent measured 0.05 percent or higher. Rest of this story is here.


Underage Drinking Laws on Campus
It is no secret that alcohol use is prevalent on college campuses. According to the National Institute On Alcohol Abuse and Alcoholism, 80 percent of college kids drink alcohol, and over 50 percent of them have partaken in binge drinking in the last two weeks alone. Because less than half of  the collegiate student body is over 21 (the legal drinking age in the United States), most schools are left with a choice; they can either enforce underage drinking laws on and around their campuses, or they can ignore the underage drinking that takes place in their vicinity. Continue reading this blog here.


Chantix may also help curb alcohol addiction
The popular stop-smoking drug Chantix may also help treat alcohol addiction, a new study suggests. The study involved 200 people who reported drinking at least four to five drinks per day. Half of the participants were given Chantix to take every day for 13 weeks, while the other half were given a placebo. Those who took Chantix had reduced alcohol cravings and drank an average of 22 percent less each week compared to those who were given a placebo, the study found. Chantix was approved by the US Food and Drug Administration in 2006 to help people stop smoking. The drug works by suppressing the release of hormone receptors that are involved in both smoking and alcohol addiction. Click here to read more.

Study Suggests College Marijuana Use Linked With Academic Problems
A new study links marijuana use in college with an increase in academic problems, including skipping classes, spending less time studying, receiving lower grades, dropping out and being unemployed after graduating. Researchers at the University of Maryland School of Public Health studied 1,200 college freshmen over 10 years. They found early chronic marijuana use can lower a person’s IQ by as much as eight points, USA Today reports. “It’s really the first time that such an intense look at the health-risk behaviors of college students has been linked to the post-college functioning,” lead researcher Amelia Arria told the newspaper. The study found students who smoked marijuana more than 15 times a month were twice as likely to drop out of school, compared with those who smoked only a few times. Students who smoked marijuana about twice a month were 66 percent more likely than those who were minimal users to drop out. The study also found on average, 40 percent of college students drink alcohol excessively, and 16 percent meet criteria for an alcohol use disorder. In addition, 22 percent used a drug during the past month, with marijuana being the most common.

Health law could overwhelm addiction services
It has been six decades since doctors concluded that addiction was a disease that could be treated, but today the condition still dwells on the fringes of the medical community. Only 1 cent of every health care dollar in the United States goes toward addiction, and few alcoholics and drug addicts receive treatment. One huge barrier, according to many experts, has been a lack of health insurance. But that barrier crumbles in less than a year. In a major break with the past, 3 million to 5 million people with drug and alcohol problems -- from homeless drug addicts to working moms who drink too much -- suddenly will become eligible for insurance coverage under the new health care overhaul. The number of people seeking treatment could double over current levels, depending on how many states decide to expand their Medicaid programs and how many addicts choose to take advantage of the new opportunity, according to an Associated Press analysis of government data. The analysis compared federal data on the addiction rates in the 50 states, the capacity of treatment programs and the provisions of the new health law. Click here for more.

Preventing Substance Use Disorders in People With Mental Illness
A researcher at Harvard Medical School is studying which substance use disorders are more common among people with different types of mental illness, and when they tend to develop. He hopes his research will one day be used to prevent drug and alcohol disorders among people with mental illness through early counseling, detection and treatment. Ronald C. Kessler, PhD, the McNeil Family Professor of Health Care Policy at Harvard Medical School, is investigating at what age people tend to develop mental health problems and substance use disorders. “I am looking at when these problems develop, and at interventions to try to prevent a pileup of problems,” he says. “Often, when a person comes in for mental illness treatment, they already have several problems. For instance a young person with social phobias, depression or anxiety may start using alcohol to self-medicate, so by the time we see them, they have mental health issues and a drinking problem.” At the recent American Psychiatric Association annual meeting, Dr. Kessler discussed his goal of reaching people with mental health issues before they develop alcohol or drug disorders, known as secondary prevention. “If a person comes in for treatment of depression, social phobia or anxiety, we need clinicians to warn them they may also be at high risk of substance use disorders because of self-medication. We need to look at children, adolescents and young adults being treated for mental illness, and examine their risk for substance use. Find out if they are using drugs or alcohol as a crutch, and if they aren’t, give them the tools to prevent them from starting. Clinicians don’t normally think this way.” Dr. Kessler analyzed data from the World Mental Health Survey Initiative, which includes several hundred thousand people from 28 countries. He analyzed patterns of when mental health disorders and substance use disorders unfold over the course of a person’s life, to try to find why some people abuse substances and are able to stop, while others become dependent. For instance, he explained, some people start abusing marijuana in their teens and stop by their early 20s, while for others, marijuana use becomes central to their lifestyle. “We found that in people with anxiety problems, marijuana use is less likely to disappear, while juvenile delinquents tend to grow out of it.” People suffering from anxiety are also more likely to abuse alcohol chronically than those who are not anxious, he added. The survey looked at “internalizing” mental health disorders including depression, phobias, obsessive-compulsive disorder, anxiety, separation anxiety disorder, bipolar disorder, and post-traumatic stress disorder. The researchers also evaluated the prevalence of common “externalizing” disorders including drug and alcohol abuse, conduct disorder, attention-deficit disorder and intermittent explosive disorder.

Five myths about legalizing marijuana
Doug Fine is the author of “Too High to Fail: Cannabis and the New Green Economic Revolution,” in which he followed one legal medicinal cannabis plant from farm to patient. With 16 states having decriminalized or legalized cannabis for non-medical use and eight more heading toward some kind of legalization, federal prohibition’s days seem numbered. You might wonder what America will look like when marijuana is in the corner store and at the farmers market. In three years spent researching that question, I found some ideas about the plant that just don’t hold up. Continue reading here.


The Relationship Between Food and Alcohol
Food can be a perpetrator for alcoholism.  Simply put, food may be responsible for some people’s relationship to alcohol, or, alcoholism can be caused by food. Food tastes better when you’re drunk, for some people.  It ties into guilt, and when you drink your diet or food restrictions can get thrown to the wind.  As a result, we experience food on a new level that we can’t experience when we are sober.  Guilt for eating something “bad” like pizza doesn’t mean much when you’re drunk. This can cause alcoholism, or an unhealthy relationship between food and alcohol, once you find yourself making a connection to food based on booze. For example, you hit the bars with your friends, and make a stop at a taco stand after a night of drinking, and it tastes great, even though it’s the booze talking, we make a correlation or connection to that feeling of satisfaction with something we wouldn’t otherwise eat, or a connection to the feeling of food tastes better when you’re drunk.  So it carries over to your regular relationship to food.  Since you connect food to tasting better with alcohol, you find the need to drink before or while you eat. Is it the lack of restrictions on your food regime that you are trying to relive, or do you think that food will taste better when you’re drunk, so try and relive that “this tastes amazing” reaction to food? Alcoholisms roots are known to be in genetics, or one’s environment, among other known triggers, but, it can also have its roots in food, and the feeling you recall of food when you’re drunk, and you find yourself thinking food is only good with alcohol. Or some other substance, like marijuana.  For whatever reason, it’s a double-edged sword.


BU Mandates Online Alcohol Course for First-Year Students
More than a third (35 percent) of first-year BU students don’t drink alcohol. But many students may not know that, misled by urban myth about universal, Animal House imbibing on college campuses.  This year, the University is requiring first-year students to take an online alcohol course to separate truthful wheat from mythic chaff, starting before they even arrive on campus. Those students will receive log-in instructions midsummer for AlcoholEdu for College. The course includes two parts: the first, featuring educational material and surveys before and after the material is studied, takes between one and a  half and two and a half hours to complete. (It needn’t all be done in one sitting.) Part 2 is a third, 15-minute survey. In recent years, the University has offered students another online survey, iHealth, to dispel misconceptions, but has not required it. The hope is that through the mandatory course, students will be more responsible about alcohol use. “It is used by most of our peer institutions as a prevention-level intervention for first-year college students” to curb dangerous drinking, says Elizabeth Douglas, manager of wellness and prevention services at Student Health Services.  “We are using AlcoholEdu because it has the capacity to track student completion, in addition to having evidence of its being an effective intervention.”  That evidence comes from a three-year, 30-campus study that found reduced frequency of drinking, including binge drinking, and related problems among students who participated in AlcoholEdu, as compared with students who did not. Part 1 must be completed before students arrive on campus for the academic year. They will be required to finish Part 2 sometime in October; the University will send them a reminder email. AlcoholEdu is designed to be taken by both drinkers  and nondrinking students. The surveys and intersecting information touch on such topics as how many drinks are in a bottle of wine or beer, factors influencing whether people drink, exaggerated notions of heavy drinking on campuses, alcohol’s effects on the  body and mind, and tactics students can use to protect themselves and friends from harm in a variety of drinking situations. The course also provides information for parents about discussions they should have with their children: about alcohol, about its possible effects on schoolwork, and about drinking laws. It asks their views on college alcohol policies,  issues they deem important to discuss with their kids, and demographic information about their families. (Parents wanting a demonstration of the program can find it here.) The new program follows a drop in alcohol-related violations and hospital runs on campus last year, which officials attribute to their recent alcohol enforcement program, entering its third academic year this fall. That program features  increased police patrols of known party neighborhoods, dispersing parties, issuing citations, and publishing fall’s enforcement statistics on BU Today. Meanwhile, a city ordinance allows Boston police to arrest landlords and tenants in so-called problem properties—rentals with four documented complaints of loud parties or alcohol violations.  Douglas says the University likely will use AlcoholEdu in coming years, since BU chooses responsible drinking programs “based on research and evidence of effectiveness.”

Five Errors the Washington Post Should Have Caught About Marijuana
In recent years, the Washington Post has managed to strike a balance between pro- and anti-legalization opinion pieces (e.g. Rauch's "Let's Go Down the Aisle Toward Legalized Pot" and Wehner's "Republicans should just say no."). Importantly, even when the Post has published pieces that I disagree with, the basic facts presented have been correct. Their history of consistent balance is why I nearly fell off my chair when I read Doug Fine's Sunday Post piece, "Five Myths About Legalized Marijuana." It's not just that I disagree with Fine about marijuana policy (indeed, we debated once on CNBC). What I find disturbing is that the Post published a piece containing numerous major factual errors without, it seems, much thought. These were not close calls. The numbers in Fine's article are easily challenged with a simple Google search. Click here for more

The Many Different Faces Of Marijuana In America
On Tuesday, Vermont moved to decriminalize the possession of marijuana for quantities up to an ounce, replacing potential prison time for arrests with fines. Peter Shumlin, the state's governor, made a telling when he announced the move. "This legislation allows our courts and law enforcement to focus their limited resources more effectively to fight highly addictive opiates such as heroin and prescription drugs that are tearing apart families and communities," he said. The idea that weed isn't that big a deal and that governments need to readjust their priorities is pretty common. There's little vocal anti-pot government outcry, no temperance movement analog for cannabis. have found that a majority of Americans think marijuana should be legalized. Click here to read the rest of the story.


New, troubling heroin addiction trend grips southeast Michigan
At the 99-bed St. John Providence Brighton Center for Recovery, more clients are coming in these days addicted to opiates, including heroin. “Our 18- to 25-year population has exploded” in recent years, said outreach and referral specialist Scott Masi, 48. “The prescription medication problem is pushing this heroin problem. Anybody who tells you anything different doesn’t know what they’re talking about. I could poll every kid who comes in our clinic, and it’s a broken record. It’s the Vicodin and OxyContin, and then it goes to the heroin.” Authorities say a particularly toxic heroin mix known by some on the street as “black shadow” appears to be circulating in southeast Michigan communities, causing a rise in overdoses and at least one death this month. Please click here for more.

Meeting the needs of mature women in treatment
An estimated two million older women in the U.S. could benefit from treatment for issues related to alcohol misuse or dependence, though less than one percent receive treatment.  An even greater number misuse prescription drugs. Click here for the rest of this story.


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