Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    


The New Face of Opioid Addiction


 

Specialists Address Disturbing Trends, Skyrocketing Death Rates

More than 2.5 million Americans suffer from opioid use disorder, which contributed to more than 33,000 overdose deaths in 2015, according to figures from the Centers for Disease Control and Prevention. Fortunately, a growing number of treatment options are helping to break the addiction cycle and bring healing to families in Middle Tennessee and beyond.


The New Face of Addiction


Chapman Sledge, MD

"Once upon a time, opioid addiction was limited to healthcare professionals with access," said Chapman Sledge, MD, FASAM, chief medical officer at Cumberland Heights.

An addiction specialist for more than 20 years, Sledge said programs like Cumberland's primarily treated those suffering from alcoholism a decade ago. Fast-forward to 2017, and the 50-year-old program regularly sees housewives, teenagers and executives - all patients addicted to prescription opioids and, more recently, heroin.

"Eight years ago you rarely saw heroin in Nashville," Sledge said. "When Tennessee became more aggressive with the Controlled Substance Monitoring Database Program, it cut down on multiple prescriptions from multiple prescribers, which tightened up the illegal supply and drove cost up."

To help prevent abuse, pharmaceutical companies also made the drugs less dissolvable. That shift opened doors for mom-and-pop heroin dealers to set up shop, offering an alternative that's cheaper, easier to get, and more potent than prescription opioids. Today, heroin is often the most popular opioid for first-time users, leading to more overdose-related deaths than ever.

"The thing that's a game-change is the rate at which people are dying and the desperation among families," Sledge said. "It's so incredibly dangerous because the potency has changed. With prescription opioids, we knew what to expect from a single dose ... but with heroin, it's difficult to judge potency."


Evolving Therapies

Enter medication-assisted therapy (MAT) including fast-acting opioid antagonist drugs, now a standard in pharmacies and emergency departments nationwide. In fact, certain antagonist therapies are available without a prescription in many states, including Tennessee.

Also growing is the number of in- and out-patient treatment options now available. At Cumberland Heights, patients undergo an evidence-based, 12-step recovery process that focuses on spiritual healing, as well as physical. In 2016 the program treated more than 2,000 men, women and adolescents through their two main campuses and 10 outpatient offices.


Mental Health & Addiction


Kevin Lee

Fully addressing an addict's mental health also is imperative. Kevin Lee, CEO of Nashville-based JourneyPure, said the majority of addicts struggle with mental illness related to anxiety, depression, OCD or bipolar disorder.

"Our approach to addiction treatment is to first get an examination done to identify possible mental illness," said Lee. "That's one reason we founded JourneyPure, because so many adults with chronic mental illness have spent time in psychiatric hospitals without addiction ever being addressed."

Lee said 70 percent of addicts are between the ages of 20-35, many of whom developed mental illness after using drugs. While the company serves all demographics, JourneyPure also offers programs specifically for professionals struggling with addiction.

The company treats more than 3,000 new patients annually at facilities in Kentucky, Florida, Mississippi and Tennessee, including a Knoxville program specifically for expectant mothers. However, Lee said only 10 percent of addicts who would benefit from treatment receive it.

"They're embarrassed because they think they can't leave work or don't have the money," he said. "We want them to know it's available and that it can be an enjoyable and rewarding process."


A Lifelong Journey

While inpatient treatment programs traditionally last 30-60 days, those with substance abuse disorders typically face a lifetime struggle with addiction.


Maria Russo-Appel, MD

Maria Russo-Appel, MD, medical director for CleanSlate Addiction Treatment Centers Eastern Division, said patients who stop medications have an 80 percent chance of relapse. "Graduating from treatment is really an old concept in addiction medicine so we don't frame our programs around that," she said. "We understand that this is a potentially lifelong disease, and we provide medications for that."

CleanSlate, which is relocating its Massachusetts headquarters to Nashville in 2017, currently treats more than 6,000 patients in eight states (and growing). Working closely with mental health providers, CleanSlate's care coordinators ensure patients continue to receive medical and behavioral therapies as long as necessary.


Breaking the Cycle

Like Sledge and Lee, Russo-Appel said the stigma around addiction is changing. "Many believe addiction is found in the lower socioeconomic class or the homeless, but it's startling to see the number of high functioning, well educated people battling this," she said. That's because addiction so often starts with a valid prescription for chronic pain. "PCPs and other providers are all coming into an understanding that this has gotten out of control," she said. "We now have task forces and doctors signing pledges on how to prescribe opioids moving forward."

Russo-Appel said stopping the addiction cycle begins with prevention efforts as early as grammar school. "We need more awareness programs and access to care," she said. "The heart of our mission is access. How do we get treatment to as many people as we can?"

WEB:
CleanSlate
Cumberland Heights
JourneyPure

 
Share:

Related Articles:


Recent Articles

Corker: PEPFAR Reauthorization Bill Passes Committee, Extends Successful U.S. Program to Combat HIV/AIDS

U.S. Senator Bob Corker (R-Tenn.), chairman of the Senate Foreign Relations Committee, today praised committee passage of legislation he authored with U.S. Senator Bob Menendez (D-N.J.) to extend the President's Emergency Plan for AIDS Relief (PEPFAR) for another five years.

Read More

TDH Issues Public Health Advisory On Cannabis

Evidence, Known Harms Increase Concerns about Risks to Health

Read More

HHS Secretary Addresses Nashville Health Care Council Audience

On Thursday, Sept. 27, Health and Human Services Secretary Alex M. Azar II flew to Nashville to share thoughts and updates on healthcare coverage in America during a Nashville Health Care Council Event held at Lipscomb University.

Read More

The War Against Opioids in Pain Management

Awareness, innovative therapies are effective tools to manage pain and ward against addiction.

Read More

Designed to Disinfect: The Relation Between Interior Design & Infection Control

About one in 25 patients in America has at least one healthcare-associated infection (HAI) on any given day, according to the most recent statistics from the Centers for Disease Control and Prevention.

Read More

Physician Spotlight: Changing Minds

Acadia Healthcare CMO Michael Genovese, MD, JD, tackles misconceptions around mental health and addiction.

Read More

Addressing the Gap Between Need & Access in Treating Addiction

Need far outstrips capacity when it comes to treating substance abuse disorders. American Addiction Centers CMO Dr. Lawrence Weinstein discusses barriers to care and possible solutions.

Read More

News of Note in Addiction

Tennessee Department of Health data show 1,776 Tennesseans died from drug overdoses in 2017, the highest annual number of such deaths since reporting began with prescription opioids leading the way.

Read More

Physicians, Healthcare Organizations Convene to Combat Tennessee's Opioid Crisis

Physicians and other healthcare professionals from around the state gathered in Nashville last month for education and updates on the opioid crisis and other pressing issues at the second annual TriMED Healthcare Education Summit.

Read More

Keeping the Focus on Quality & Safety

Quality and safety don't happen by accident. LifePoint Health has garnered national recognition for their commitment to quality and now shares their insights on sustained improvement with others.

Read More

Email Print
 
 

 

 


Tags:
Chapman Sledge, Chronic Pain Management, CleanSlate Addiction Treatment Centers, Cumberland Heights, Drug Addiction, Heroin, JourneyPure, Kevin Lee, Maria Russo-Appel, Opioid Addiction, Prescription Pain Medicine
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: