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Friday, June 15, 2012

ATOD News Recap Week Ending June 8, 2012


Will New Jersey Make Legalize Marijuana? Chris Christie Says Probably Not
A measure is working its way through the Legislature that would decriminalize possession of small amounts of marijuana – but it now seems unlikely that Governor Christie will sign it if it passes.
Speaking at his latest town hall meeting in Piscataway, the Governor said “I don’t think you will see me sign a bill that legalizes marijuana in this state – and for people who disagree with me that’s fine- you’re welcome to disagree…I’m the Governor and I get to make those calls – when those bills come to my desk, and if that bill comes to my desk – it’s not one that I’m going to sign.”

He told the crowd he would not let the Garden state become like Colorado or California – where medical marijuana laws are so loose, that it’s as if pot were legal.

“There are shops everywhere” said Christie, “there are fly by night doctors who are writing prescriptions for someone who walks in and says they’ve got some stress from the flight they just took …you’ve got essentially the legalization of marijuana in Colorado and California – I don’t think that’s where we want to go as a state.”
He also said he’s in favor of making treatment mandatory for every non-violent offender charged with drug possession, “but I don’t think that what we should do is increase the number of drugs that we’re making legal…people who are supporters of the legalization of marijuana make a couple of different arguments – I get well alcohol is legal – and I say well okay, my mother told me a long time ago, 2 wrongs don’t make a right…and they say to me you can tax it if you make it legal – and I’m like, I get it, but no thanks – I think I’ll pass on another tax.”

While Christie’s tone was generally negative about marijuana, he did not specifically discuss pending legislation to decriminalize possession of pot in small quantities.

Workplace Insurers Spend More Than $1 Billion on Narcotic Painkillers

Costs related to narcotic painkillers are growing for workplace insurers, which are currently spending an estimated $1.4 billion on the drugs, The New York Times reports. The companies are facing payouts to workers with injuries who are being treated with opioids, including many who do not return to work for months—or who don’t return at all.

Opioids can increase disability payouts and medical expenses by delaying employees’ return to work, if the drugs are used too often, too early in treatment, or for too long. A study by the California Workers Compensation Institute conducted in 2008 found workers taking high doses of opioids to treat injuries, such as back strain, were out of work three times longer, compared to those with similar injuries who took lower doses of medication.
A 2010 study by the insurer Accident Fund Holdings found that when disability payments and medical care are combined, the cost of a workplace injury is nine times higher when a strong painkiller such as OxyContin is used, compared to when an opioid is not used, the article notes.

“What we see is an association between the greater use of opioids and delayed recovery from workplace injuries,” Alex Swedlow, the head of research at the California Workers Compensation Institute, told the newspaper.

Although there is little evidence that opioids provide long-term benefits in treating common workplace injuries such as back pain, these drugs are widely prescribed for these problems.
Insurance industry data shows that between 2001 and 2008, opioid prescriptions as a percentage of all drugs used to treat workplace injuries rose 63 percent. Costs have also increased. To reverse this trend, some states have issued new pain treatment guidelines, or are expected to do so.

Treating Teens for Depression Can Reduce Odds of Future Drug Abuse

Treating teenagers for major depression can reduce the odds they will develop a drug use disorder, a new study suggests.

The five-year study included 192 teenagers across the country who were treated for depression for 12 weeks. The teens had no preexisting problems with alcohol or drug abuse. They had major depression before treatment began. The researchers found that among those whose depression was successfully treated, 10 percent later abused drugs, compared with 25 percent whose depression continued even with treatment, Health24 reports. Treatment methods included cognitive behavioral therapy, medication, a combination of treatments, or a placebo.
Researcher John Curry of Duke University said improved regulation of mood from medication or skills learned in cognitive-behavioral therapy, along with support and education received by all study participants, may have helped keep the teens off drugs. Depression treatment did not have an effect on alcohol abuse, the researchers were surprised to learn. “It does point out that alcohol use disorders are very prevalent during that particular age period and there’s a need for a lot of prevention and education for college students to avoid getting into heavy drinking and then the beginnings of an alcohol disorder,” Curry said in a news release. “I think that is definitely a take-home message.”

The study is published in the Journal of Consulting and Clinical Psychology.

Fighting Cocaine Addiction
A new drug may be on the horizon for treating patients with cocaine dependency.

An article shares information about a clinical trial in the works. Catalyst Pharmaceutical Partners, Inc. announces that it has recently reached the number of study participants needed to complete the first round of the drug trials. What they hope to achieve through this study and approval of the drug is another option for patients to be able to receive the treatment they need for an addiction to cocaine. Cocaine affects the mind in a way that when a user abuses the drug over and over the less effects they feel so they are more inclined to repeatedly use the drug to get high. When the high is not received from the previous use, then they think they need more of the drug. When the abuser cannot get enough of the drug, then this is what leads to overdose and potentially death.
If this new drug is approved by the U.S. Food and Drug Administration (FDA) then this could be an option for sufferers to lessen their dependency on the drug.

Cocaine use is a growing problem in the United States and across the globe. Statistics from 2009 indicate that more than four million people use or have used cocaine. The costs associated with this type of drug use are also on the rise, including crime and treatment for patients. According to the pharmaceutical company that is developing the treatment, no therapy currently exists that can properly treat those addicted. With millions abusing cocaine that number is certain to continue to grow unless there is either a crackdown on making and selling the drug or a way to eliminate the high that a person gets from its use.


Study: Fewer Alcohol-Related Traffic Deaths in States With Heavier Control
 A new Keystone Research Center report has found that states with more control of the sale and distribution of alcohol have fewer alcohol-related traffic fatalities than states with no such controls. The new analysis showed that with all else equal, a state with control characteristics like Pennsylvania has 58 fewer adult deaths per year from alcohol-related traffic accidents than it would if the state had no control over the distribution of alcohol. The findings reinforce the recent Community Preventive Services Task Force recommendations against the privatization of alcohol sales, and are particularly relevant in Pennsylvania given recent moves to privatize there. 

News from Trust for America’s Health (http://healthyamericans.org/)
·         Many of you are probably being asked about the potential impact of the upcoming Supreme Court decision on the Affordable Care Act upon the prevention and public health provisions in the Act.  Attached is an independent analysis from The George Washington University, Department of Health Policy, produced for TFAH.
·         This January, all nondefense discretionary (NDD) programs “face indiscriminate, across-the-board cuts of 8.4 percent through a ‘sequester.’ Such cuts will devastate medical and scientific research; education and job training; infrastructure; public safety and law enforcement; public health; weather monitoring and environmental protection; housing and social services; and international relations.”  The Coalition for Health Funding (CHF) is urging organizations to sign onto this letter –http://publichealthfunding.org/uploads/NDD_Sign_On.June2012.pdf – drafted by CHF and other leaders of national coalitions—urging Congress to avoid the sequester by passing a “balanced approach to deficit reduction that does not include further cuts to NDD programs.”   To sign onto the letter by June 22nd, click on the following -- https://nlihc.wufoo.com/forms/signon-letter-stop-acrosstheboard-cuts/.

Heroin Use Rises as Prescription Painkillers Become Harder to Abuse
Regulations designed to make it more difficult to abuse prescription painkillers are leading to an increase in heroin addiction, MSNBC reports. Heroin is inexpensive, powerful and may be even more destructive than painkillers, experts note.

Law enforcement officials report there is an abundance of cheap heroin from Mexico. They are seeing it in upscale suburbs, where heroin was once hard to find. Young heroin users are increasing in areas including Illinois suburbs, Long Island, New York, and Seattle. Emergency room visits for heroin use among young adults are on the rise, according to the national Drug Abuse Warning Network. Until recently, heroin addiction was seen mainly in men living in urban areas, many of them minorities. In Ohio, most people entering treatment programs for heroin addiction are white, and many are young. They come from both poor rural areas and wealthy suburbs, and many are female.

In Ohio, “doctor shopping” for painkillers has become more difficult since the state implemented a database to track prescriptions. The state also passed a law in 2011 to help fight “pill mills” that dispense painkillers. Many other states have taken similar steps to fight prescription drug abuse, the news report notes. As a result of these measures, prescription painkillers have become more expensive–$30 to $80 per pill, compared with $10 for a bag of heroin.

Dr. Steven Matson of Nationwide Children’s Hospital in Columbus, Ohio, says he now sees many young people from upscale suburbs who use heroin. “Because of the availability of these drugs now, it is not an unusual story that we hear, ‘I went to a party, some friends there were doing heroin, so I shot up,’” he said. “It seems like madness that you would go to a party and never have used anything and then use heroin. But that’s what’s happening with some children.”


Prescription Painkillers Containing Hydrocodone May Become More Tightly Regulated

Advisers to the Food and Drug Administration (FDA) will meet this fall to discuss whether prescription painkillers containing hydrocodone should be more tightly regulated, Bloomberg reports. They will evaluate the risks and benefits of hydrocodone preparations that are used to treat pain and coughs.
Emergency room visits related to hydrocodone, the key ingredient in Vicodin and other painkillers, have soared since 2000. Vicodin, which also contains acetaminophen, is subject to fewer regulations than pure hydrocodone, the article notes. The Drug Enforcement Administration (DEA) wants to change the way drugs that combine hydrocodone with other products are classified, to require patients to have more interaction with doctors in order to obtain prescriptions for them. “It has to do with penalties for trafficking,” Barbara Carreno, a spokeswoman for the DEA, told Bloomberg. “You have to go back to the doctor when you run out of medicine. It’s more oversight by the doctor.” She said that if the FDA decides that the drugs should have more oversight, the DEA will change its drug classification schedule accordingly.

The FDA and DEA have repeatedly passed information back and forth about hydrocodone, without making any final decisions about the drug.
The DEA classifies drugs on a five-stage scale, which takes into account the potential for addiction. Currently, hydrocodone is considered by the DEA to be a Schedule II controlled substance, the second-highest level. Hydrocodone combinations, such as Vicodin, are Schedule III, and therefore have fewer restrictions on sales.

Schedule II drugs must be locked up at pharmacies. Physicians can only prescribe one bottle at a time and patients must have an original prescription in order to obtain the medication. Schedule III drugs can be refilled up to six times without visiting a doctor, who can phone or fax in a prescription to the pharmacy.

Government Study Finds More Teenagers Smoke Marijuana Than Cigarettes

More teenagers smoke marijuana than cigarettes, according to a survey released by the Centers for Disease Control and Prevention (CDC). The survey found 23 percent of high school students said they recently smoked marijuana, compared with 18 percent who said they had smoked cigarettes.
The number of teenagers who smoke cigarettes has been declining for decades, the Associated Press reports. Marijuana use has risen in recent years. The AP notes that 2011 was the first year that marijuana smoking exceeded cigarette smoking among teens.

The new findings echo those of the nationwide Monitoring The Future survey, which also found marijuana was more popular than cigarettes among teens. According to that survey, marijuana use among teens rose in 2011 for the fourth straight year—a sharp contrast to the considerable decline that had occurred in the preceding decade. Daily marijuana use is now at a 30-year peak level among high school seniors.

Friday, June 1, 2012

ATOD News Recap week ending June 1


Report reveals that U.S. teens are sending and receiving more mobile phone texts than in 2009

The volume of texting among teens has risen from 50 texts a day in 2009 to 60 texts for the median teen text user. In addition, smartphones are gaining teenage users. Some 23% of all those ages 12-17 say they have a smartphone and ownership is highest among older teens: 31% of those ages 14-17 have a smartphone, compared with just 8% of youth ages 12-13. This report, sponsored by the Pew Research Center’s Internet and American Life Project examines the tools teens use to communicate, with a particular focus on mobile devices, and then places the use of those tools in the broader context of how teens choose to communicate with people in their lives.

The 2011 Teens and Digital Citizenship Survey obtained telephone interviews with a nationally representative sample of 799 teens ages 12 to 17 years old and their parents living in the continental United States. The survey was conducted by Princeton Survey Research Associates International. The interviews were conducted in English and Spanish by Princeton Data Source, LLC from April 19 to July 14, 2011. Statistical results are weighted to correct known demographic discrepancies. The margin of sampling error for the complete set of weighted data is ±4.8 percentage points.

In addition to the two surveys, this study conducted 7 focus groups with teens between the ages of 12 and 19 in the greater Washington, DC metro area in January and February 2011. Participants were recruited via word of mouth, email, schools, and non-profit organizations. A total of 57 youth participated in the focus groups, though each group averaged 8 to 14 people.



Alcohol Intoxication Plays Major Role in U.S. Suicides according research report

According to researcher Mark Kaplan, new nationally based evidence supports the need to address alcohol misuse among patients at risk for suicide. Using data collected by the National Violent Death Reporting System between 2003 and 2009, Kaplan determined that about one in five U.S. residents who killed themselves were intoxicated with alcohol at the time of death. Intoxication was more prevalent among men, younger adults, and those using firearms as a suicide means.

"There is a relationship between young age, alcohol use, and use of highly lethal means" among suicide decedents, said Kaplan. There is a lethal combination of gun availability, alcohol, and a precipitating life crisis. The message to clinicians is that they need to probe for alcohol misuse among patients at risk for suicide."  

Kaplan, who is professor of community health at Portland State University, presented his findings at the most recent conference of the American Association of Suicidology.


Source: Suicide Prevention Resource Center - The Weekly Spark

Only Small Percentage of States’ Tobacco Revenues Used Toward Smoking Prevention

Only a small fraction of revenues that states collect from the sale of tobacco products goes toward smoking prevention programs, according to a report by the Centers for Disease Control and Prevention (CDC).
Tobacco manufacturers agreed to reimburse states for Medicaid costs related to tobacco use, under the 1998 Tobacco Master Settlement Agreement. The intent of this agreement was for states to also use this money to help prevent youth smoking, HealthDay reports. However, the agreement did not require money be used for this purpose.
The new study revealed that between 1998 and 2010, states collected a total of almost $244 billion in payments from the tobacco industry agreement, as well as from cigarette excise taxes. They have only invested about $8 billion in effective state tobacco control programs, the report notes. The rest of the funding has gone toward general expenses, or to pay for programs other than tobacco control. If states had followed the recommendations of the CDC, they would have spent more than $29 billion in tobacco control programs during that time. The CDC noted that many states face extensive cutbacks to tobacco control funding, resulting in the near elimination of tobacco control programs in those states. According to the report, states that have made larger sustained investments in comprehensive tobacco control programs have seen cigarette sales drop approximately twice as much as in the United States overall. “Smoking prevalence among adults and youths has declined faster as spending for tobacco control programs has increased in Arizona, California, Massachusetts, Minnesota, Maine, New York, Oregon, and Washington,” the researchers note.

U.S. Senate Approves Bill to Ban Sale of Synthetic Drugs

The U.S. Senate last week passed a bill that would prohibit the sale of synthetic drugs. The bill had been held up in the Senate for months by Kentucky Senator Rand Paul. New York Senator Charles Schumer was able to get the bill passed by attaching it to a larger Food and Drug Administration bill, the New York Daily News reports. The bill passed 96-1, the article notes.
“Let this be a warning to those who make a profit manufacturing and selling killer chemical components to our teens and children: the jig is up,” Senator Schumer said in a statement. “This bill closes loopholes that have allowed manufacturers to circumvent local and state bans and ensures that you cannot simply cross state lines to find these deadly synthetic drugs.”
Often marketed as legal substances, synthetic drugs are sometimes labeled as “herbal incense” or “bath salts” and sold in small pouches or packets over the Internet, in tobacco and smoke shops, drug paraphernalia shops, gas stations, and convenience stores. In December, the National Institute on Drug Abuse released new information indicating that one in nine high school seniors had used “Spice” or “K2” over the past year, making synthetic marijuana the second most frequently used illicit drug, after marijuana, among high school seniors. Poison control centers operating across the nation have also reported sharp increases in the number of calls relating to synthetic drugs.
A similar bill passed the House last December. Senator Schumer said he expects the ban to be on President Obama’s desk by July 4. When it is signed into law, the bill will make it illegal to sell synthetic marijuana and bath salts anywhere in the United States, regardless of local laws. First-time offenders will receive up to 20 years in prison, and repeat sellers will receive up to 30 years.

New York Emergency Room Visits Related to Drinking on the Rise

The number of visits to New York public hospital emergency rooms that are related to drinking shot up from almost 8,000 to 15,620 in five years, the New York Daily News reports. Drinking is now the fifth-leading cause of emergency room visits at public hospitals, according to the newspaper. Teenage binge drinking is one of the main drivers behind the increase.
“I certainly see really young people who drank enormous amounts of alcohol and have bad withdrawal,” Dr. Christopher McStay of Bellevue Hospital’s Emergency Department said. A $200,000 ad campaign launched by the city in 2011, warning about alcohol abuse, seems to have had little effect on hospital visits, the article notes.
At Bellevue, the number of alcohol-impaired patients coming to the ER rose by 191 percent, from 1,659 in 2007, to 4,844 last year. The majority of these patients have cuts or broken bones, while some need their stomachs pumped. Many of the patients are minors, according to hospital staff. The hospital currently has 50 patients enrolled in a program for repeat offenders. They receive added psychiatric care. Almost 2,000 people were admitted to the hospital’s detox center last year.

Fake Adderall Being Sold Online, FDA Warns

A counterfeit form of the drug Adderall is being sold online, the Food and Drug Administration (FDA) warned this week. Adderall, prescribed for attention deficit hyperactivity disorder and narcolepsy, also is used illicitly to increase attention and get high, the Los Angeles Times reports. The drug is in short supply because of manufacturing problems, the article notes. Distributors of the fake medication are taking advantage of the shortage. The ingredients in Adderall are dextroamphetamine saccharate, amphetamine aspartate, dextroamphetamine sulfate and amphetamine sulfate. The 30-milligram phony pills analyzed by the FDA contain the painkiller tramadol and acetaminophen.
Several spelling mistakes on the label of the fake medication make it easy to detect, according to the newspaper. The label says “NDS” instead of “NDC,” “Aspartrte” instead of “Aspartate,” and “Singel” instead of “Single.”
According to a FDA news release, the fake Adderall tablets are round, white and do not have any type of markings, such as letters or numbers. “The counterfeit versions of Adderall should be considered as unsafe, ineffective and potentially harmful,” the FDA notes. Genuine Adderall 30 milligram tablets are round, orange/peach, and notched down the middle, with “dp” marked on one side and “30” on the other side. They come in a 100-count bottle with the National Drug Code (NDC) 0555-0768-02 listed. Anyone who believes they have counterfeit Adderall should contact the FDA’s Office of Criminal Investigations.

U.S. says drug abuse needs treatment, not just jail
The United States sees drug abuse as a public health problem as much as a crime issue and is seeking to learn from countries in Europe and elsewhere about how to treat addiction as a disease, Barack Obama's drugs policy chief said on Tuesday. Gil Kerlikowske, the U.S. president's director of national drug control policy, said the United States is taking a more balanced approach to substance abusers rather than fighting a "war on drugs" centered mainly on law enforcement. Speaking to reporters during a visit to London, Kerlikowske, a former police chief, said major advances in medical science had shown that drug abuse disorders are chronic diseases of the brain that can be effectively prevented and treated.
He said the international community should recognize this and work together on program to prevent and treat abusers, help addicts recover, and explore reforms to criminal justice systems to stop the revolving door of drug use, criminal behavior, jail, release, and re-arrest. "It's very clear we can't arrest our way out of this problem," he said. "The availability of quality treatment and the engagement of the public health sector and primary care physicians in drug issues is very critical."
While officials say overall illicit drug use in the United States has dropped substantially over the past 30 years, there are upwards of 20 million Americans who could benefit from treatment and recovery programs, Kerlikowske said. Currently, only around 4 million of these get the kind of help they need. Prescription drug abuse has become a serious concern in the United States in recent years and was the second-biggest factor behind accidental deaths in 2007.
Kerlikowske, who was in London as part of a tour through Sweden, Britain and Russia this week, said the Obama administration was eager to talk to those dealing with drug addiction problems in other countries to see whether elements of their approaches could be useful in the United States. He has also previously visited Portugal and Italy, as well as Mexico, Colombia and other countries in South America to see different kinds drug treatment programs and prevention plans. He noted what he described as a "somewhat successful" fresh approach in Portugal, where since 2001 authorities have dispensed with arrests, trials and prison for people carrying a personal supply of any drug from marijuana to heroin and focused their efforts on prevention messages and treatment.
"We're happy to learn from and visit and have our eyes wide open to look at these other countries," he said. "But it should be noted that about 85 percent of all drug treatment research is conducted or funded in the United States...so we're also happy to share with other countries what we have learned." Drug enforcement experts in the United States say the evidence strongly supports the wider use of drug courts, which seek to impose treatment programs instead of prison sentences on repeat criminals who are dependent on illegal drugs.

Health care costs drop if adolescent substance abused use 12-step programs

The use of 12-step programs, such as Alcoholics Anonymous, by adolescents with a history of drug and alcohol abuse not only reduces the risk of relapse but also leads to lower health care costs, according to research by the University of Wisconsin School of Medicine and Public Health.  The study, which appears in the journal Drug and Alcohol Dependence, is the first to examine the cost implications of 12-step programs for adolescents.

Researchers studied 403 participants between 13 and 18 years old enrolled in Kaiser Permanente alcohol and drug treatment programs in northern California and followed their progress over seven years.

Past research has shown that adolescents with drug and alcohol problems are at risk for a number of negative outcomes, including poor academic performance, violence, depression and suicide, and chronic medical conditions such as asthma.

According to Dr. Marlon Mundt, assistant professor of family medicine, for each 12-step meeting attended, medical costs were reduced by an estimated 4.7 percent or $145 per year for hospital inpatient days, psychiatric visits, and alcohol and drug treatment.  "What is important to remember is that while the exact mechanism of the effect is not known, 12-step is linked to better health, and as a result, lower medical costs in teenagers with a history of substance abuse," said Mundt.

Twelve-step programs, first established by Alcoholics Anonymous founder Bill Wilson in 1939, offer meetings and one-on-one consultations with recovering drug and alcohol abusers who want to become sober. The concept is copied by groups such as Cocaine Anonymous and Narcotics Anonymous.

"Our findings suggest that in addition to providing support for their sobriety, 12-step participation may also help adolescents meet their physical and mental health recovery needs by supplementing formal medical and psychiatric services," said Mundt. "However, while 12-step participation may be an important complement to formal treatment, it should not be considered a substitute for needed formal psychiatric or alcohol and drug rehabilitation services, simply on the basis of cost."

The study was funded by the Robert Wood Johnson Foundation, the Center for Substance Abuse Treatment, and the National Institute on Alcohol Abuse and Alcoholism.

Friday, May 25, 2012

ATOD News Recap - Week ending May 25, 2012


Throwing Unused Prescription Drugs in Trash May Be Best for Environment: Study

A new study concludes that throwing away unused prescription drugs in the trash may be the most environmentally friendly option. The study appears shortly after the Drug Enforcement Administration’s fourth National Prescription Drug Take-Back Day, which collected 276 tons of unwanted or expired prescription medications. The researchers compared the environmental impact of flushing medication, throwing it in the trash, and burning it. Drugs collected through take-back programs are incinerated. The study took into account how much of the drugs would enter the environment, as well as emission impacts from water treatment, transportation and burning of waste materials, NPR reports.
They found flushing allows the highest levels of drugs to enter the environment, and creates more air pollution than throwing unused drugs in the trash. Drug collecting and the burning that follows produce far greater emissions of greenhouse gases and other pollutants than the other two options, the researchers found. That is largely due to the travel required for people to come to drop-off points, and for the drugs to be shipped somewhere to be incinerated.

“It’s surprising to find out that even though there’s this push towards take-back, trash seems to be the best option for several different reasons,” lead author Sherri Cook of the University of Michigan, told NPR. Cook noted that when people throw their drugs out at home, they are using an infrastructure that already exists for collecting household trash. The findings appear in the journal Environmental Science and Technology.

The Food and Drug Administration’s website explains the best ways to dispose of unused medications, including directions for throwing them away in household trash.
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Alcohol Treatments Not One-Size-Fits-All

Not all treatments for alcoholism work for everyone who needs them, experts tell The New York Times. There are a few drugs that have shown promise in treating alcoholism when used with therapy. The challenge is to determine which treatments will benefit which patients.

“Just as breast cancer isn’t just one type of breast cancer, alcoholism is heterogeneous as a disorder, so there’s clearly not one drug that is going to work for everybody,” Dr. Nora D. Volkow, Director of the National Institute on Drug Abuse, told the newspaper.
Some addiction experts say as soon as a decade from now, the approach for treating alcoholism may be similar to that of treating depression. There will be a range of medication to choose from, coupled with therapy and other treatments.

Three drugs have been approved by the Food and Drug Administration for treating alcoholism. Naltrexone and acamprosate reduce cravings to drink, while disulfiram makes patients sick if they drink.
Studies have shown both naltrexone and acamprosate work well for about one in seven people, and have almost no effect on the others. The antispasm drug Baclofen is sometimes prescribed for alcoholism, but results of studies on the drug are mixed, the article notes. Other drugs that have been tested include the antinausea drug ondansetron and the epilepsy drug gabapentin.

Alcoholics Anonymous and the Betty Ford Center emphasize abstinence instead of medication for alcoholism, the article states. “When you medicalize the disease and pay a lot of attention to the biology, it’s easy to get a patient to say, ‘Well, my cravings are gone, there’s nothing else I have to do,’” said Dr. Harry L. Haroutunian, Physician Director at the Betty Ford Center in Rancho Mirage, California. “We try to use the principles of the 12-step program as a source of strength during times of craving, to deal with the inevitable stressors. We want patients firmly involved with that.”
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Trust for America’s Health and the Robert Wood Johnson Foundation have released a new report -- The Facts Hurt:  A State-By-State Injury Prevention Policy Report.  The report concludes that millions of injuries could be prevented each year if more states adopted additional research-based injury prevention policies, and if programs were fully implemented and enforced.  The report recommends that states adopt, implement and enforce the evidence-based policies and programs featured in the report, ranging from primary seat belt laws to mandatory ignition locks for all convicted drunk drivers to strong laws for youth sports concussions.  This means making injury prevention a high priority and providing the resources and dedicated staff needed to successfully carry out these programs.  The full report and supporting materials is available on the TFAH website at http://healthyamericans.org/report/97/.  For some additional expert perspectives, you can go to NewPublicHealth at http://blog.rwjf.org/publichealth/category/injury-prevention/
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Breaking the Intergenerational Cycle of Substance Abuse

Children raised in a household with one or more parents struggling with a substance use disorder often use compliance as a coping mechanism—a skill that often no longer serves them well in adulthood, according to an expert who spoke recently at the National Council Mental Health and Addictions Conference. Teaching new skills to substitute for learned patterns can help break the intergenerational cycle of substance abuse, says Robert Neri, MA, LMHC, CAP, Senior Vice President/Chief Clinical Officer of the WestCare Foundation in St. Petersburg, Florida.

“We see a number of clients who have learned to be compliant because of how unpredictable the adults were in their life—they realized the best strategy was to blend into the woodwork, and not to make waves or test anyone,” he says. “Most kids test the adults around them, to stretch and make their world bigger, but in children living in families with substance abuse, compliance is a survival tool.”
Neri teaches his counseling staff that if a client does everything in treatment correctly, that can be a sign they are not internalizing, but rather simply adapting. “We see that with people who have been in treatment settings a lot—they learn not to make mistakes. But as the saying goes, ‘If you make an A in treatment, you make an F in recovery.’ We have to realize that mistakes are a wonderful opportunity to learn.” He encourages his staff to tell clients that making mistakes allows them to learn how to tolerate frustration. Compliance is one key reason so many people with substance use disorders do well while in the criminal justice system, but relapse, often only days after they are released. “They do well in a structured environment, but when that structure goes away, the person hasn’t built any internal structure to rely on.”
Learning how to play is another coping skill Neri teaches clients. “Children who grow up in a family with substance abuse become pseudo-adults, learning how to take care of their parents,” Neri says. “They’ve missed their childhood. When we get them into treatment, they often avoid leisure-time activities. They are uncomfortable with these activities, because they never experienced them as children,” Neri observes. Knowing who to trust is also a vital coping skill, according to Neri. “First, we have to acknowledge that not trusting people has, in many cases, probably kept them alive, but now they need to expand their interpersonal tools to learn how to trust,” he says. Clients learn how to evaluate who is trustworthy through exercises such as making a list of qualities they would want in a potential business partner, and interviewing members of their treatment group to see who matches the qualifications.

Clients who have spent years viewing themselves as victims can break the cycle of substance abuse by learning they are free to make choices, Neri states. “This gives them a model of empowerment, so they can take control and change the script.”
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Teens Who Listen to High-Volume Music at Greater Risk of Substance Abuse

Teens and young adults who listen to high-volume digital music with ear buds, or who visit music venues such as clubs or concerts, are at greater risk of substance abuse than their peers who don’t engage in so-called risky music-listening behaviors, according to a new study. Young people who listen to loud music with ear buds are almost twice as likely to smoke marijuana as those who do not listen to music on MP3 players, the Los Angeles Times reports. Teens and young adults who attend loud concerts and dance clubs are almost six times as likely as those who don’t frequent these venues to have had five or more alcoholic drinks in a row at some point in the previous month, the study found. They are also twice as likely to have sex without using a condom every time.Researchers in the Netherlands surveyed 944 low-income students at two vocational schools, who ranged in age from 15 to 25. “This study highlights the need to regard high-volume music listening as a risk factor for risk-taking behavior,” they wrote in the journal Pediatrics. They suggested the findings could lead to practical interventions, such as handing out condoms and earplugs at concerts, or printing messages about alcohol abuse on concert ticket stubs.
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Colleges Confront Issue of Medical Marijuana

Medical marijuana laws are posing a challenge to colleges, NPR reports. Since marijuana is illegal under federal law, colleges that allow students to use medical marijuana on campus are at risk of losing federal funding, by violating the Drug Free Schools and Communities Act and the Drug Free Workplace Act.
“It’s not a question of right or wrong, ethical or not ethical, any of that,” Stephen Nelson, who oversees student misconduct at the University of Southern Maine, told NPR. “Right now, we just can’t run the risk of losing federal dollars.” He noted his university receives research funding, as well as more than $60 million worth of Title 4 financial aid. In total, hundreds of millions of dollars could be withheld, he says.
Jill Creighton of the University of Colorado, Denver, who has been discussing medical marijuana with college administrators around the country, agrees that Title 4 funding is at risk. “Some student codes of conduct are much more lax about marijuana use in general, but the assumption is if we were to allow medical marijuana on our campuses, we would then be jeopardizing our Title 4 funding,” she says.

A spokesperson for the U.S. Department of Justice said in a written statement, “The Department of Justice is focusing its limited resources on significant drug traffickers, not seriously ill individuals who are in compliance with applicable state medical marijuana statues.”
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