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Tuesday, January 19, 2010

"Substance Abuser" or "Substance Use Disorder"

The labels society place on people or groups could directly affect one's life. At times, the perception peers place upon people greatly impacts one's decision making process, sometimes dissuading them from seeking help. The words we use to name and help us describe everything in life can bring negative connotations along with them, changing how we perceive and react. When I say that someone is clever it is one thing, but, to say someone is a con is completely another. The same idea applies to labeling someone an alcoholic as opposed to labeling them a drunk, naturally the latter has a more negative stigma attached to it. How we choose to describe those suffering from addiction can have an effect on one's willingness to enter treatment. John F. Kelly of Massachusetts General Hospital, the leader of a new study, noticed that health professionals' answers to survey questions about a hypothetical patient varied depending on the patient being described as a "substance abuser" or as "having a substance use disorder". The UPI reported, "only 10 percent of those who misuse alcohol and other drugs seek treatment. The stigma against addiction problems is often cited as a major reason for not seeking treatment".

"We found that referring to someone with the 'abuser' terminology evokes more punitive attitudes than does describing that person's situation in exactly the same words except for using 'disorder' terminology. Reducing the use of such stigmatizing terms could help diminish the shame, guilt and embarrassment that act as barriers, keeping people from seeking help", stated Kelly. This study is making public that which many in recovery and the treatment industry have known for a long time; how addicts are described or termed changes societies' view of them, thus keeping them trapped in a class of people that are less-than.

The study which is scheduled to be published in the International Journal of Drug Policy, distributed surveys to more than 700 mental health professionals who were at two mental health conferences last year. The study participants that were given the paragraph that labeled the individual as a "substance abuser" were, as you might have guessed, much more likely to agree that the individual should be punished for not following their treatment plan. "Our results imply that these punitive attitudes may be evoked by use of the 'abuser' term, whether individuals are conscious of it or not", said Kelly.

How society views alcoholics has come a long way with the advancements in mental health and our understanding that addiction is a disease that needs to be treated - not punished. Kelly's new study has shown us that we still have a long way to go, people still have very negative views of addicts and in a lot of ways view them as criminals. That modality has to be smashed!

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Tuesday, December 29, 2009

"You Cannot Separate The Mind And The Body"


"You cannot separate the mind and the body", said Rep. Patrick Kennedy, D-R.I. People in need of mental health care may finally get the help they need. Insurance companies have always provided the least amount of coverage for mental health and substance abuse patients. Countless people have been denied coverage for mental health related problems, to the point where people have come to accept that that is the way it is. With the help of the late Sen. Edward Kennedy and his son, Rep. Patrick Kennedy, D-R.I., politicians were able to get the parity bill on to the Wall Street bailout package in September 2008. While the entire nation was preoccupied with the presidential election and the economy, the bill was passed without anyone even noticing. Starting Jan. 1, 2010 large group health insurance plans that provide mental health coverage must provide the same level of coverage at the same price as physical and surgical coverage; the new law only applies to group health plans which cover 50 or more. This is the beginning of a very significant change in the way health care is provided. "This is a major piece of civil right's health care legislation," the younger Kennedy told an audience honoring him and Ramstad at Mar-a-Lago last year according to the Palm Beach Post.

Just as with any new bill, there is still a lot that hasn't been worked out, such as the guideline for how the new law will be implemented. Companies that offer mental heath care with their package may choose to drop mental health coverage all together rather then be burdened with the new law. Nobody knows if student health care plans and employee assistance plans fall under the umbrella of this bill or not. Naturally, if insurance companies have to provide equal coverage, the cost of coverage will increase; heightened costs may be unaffordable for a significant amount of employers, forcing them to drop coverage all together.

Despite the kinks that still need to be worked out this is a big step and providing patients what they need and deserve. Routinely, those in need of drug and alcohol treatment have been denied coverage by the health care provider. For too long mental health patients have slipped through the cracks - not any more!

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Tuesday, October 27, 2009

More Young Teens are Using Alcohol and Marijuana

The California Healthy Kids Survey was released on Monday showing that more young teens are using alcohol and marijuana in Santa Cruz County. More young people believe that alcohol is harmful but that is not deterring them from drinking; teens are smoking more pot believing that it is not harmful, how could it be - it's medicine. The laws in California and fourteen other sates allowing the use of medical marijuana have created an ideology that marijuana is in no way harmful. There is evidence that there are medical benefits to weed, there needs to be a way to produce and distribute the drug without sending out the wrong message to the young and impressionable. "Bill Manov, the director of Alcohol and Drug Services for the county's Mental Health and Substance Abuse Services, thinks it's good news that more teens are perceiving alcohol as dangerous because it could lead to a decrease in future drinking habits. And although he said there's a pretty widespread acceptance of marijuana in Santa Cruz, he said he is still alarmed at the upward trend of use among children", reports San Jose Mercury News. Here are the reported statistics:
  • Thirty-six percent of high school freshmen countywide who were surveyed in February say they've been very drunk or sick from alcohol, up from 29 percent in 2005. Sixteen percent of seventh-grade students report binge drinking, up from 10 percent in 2005.

  • More freshmen report thinking that alcohol is harmful or extremely harmful, which is up seven percent from 2005.

  • Twenty-six percent of freshmen who took the survey report having used marijuana in the last 30 days, as opposed to 18 percent in 2005. Half of juniors say they've tried the drug.

  • Cigarette use increased three or four percentage points for high school students since 2007.

  • Six percent more said they think frequent use of cigarettes is harmful.

  • About a third of seventh grade students are overweight or at-risk, though those numbers drop to 29 percent in ninth grade and 23 percent in 11th grade.

  • More than 75 percent of seventh- and ninth-grade students still break a sweat for 20 minutes three times a week.

Fewer teenagers are exercising and more of them are partying. Habits in all different forms are popping up at alarming rates; young people are not as healthy as they were in the past for a number of reasons. About two hours of every young person's day is spent in front of the television. "Idle hands are the devil's workshop", the message is being sent that it is alright to get high and drink. Alcohol and marijuana may be sitting next to each other at the store one day very soon. America needs to tread lightly in figuring out the best way to implement medical marijuana.

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