Category Archives: Drug Abuse

Most Americans say they have a personal tie to prescription drug abuse



By Lisa Gillespie

The growing abuse of prescription painkillers now touches home for a majority of Americans, according to a poll released Tuesday.

One in three say either they have been addicted to painkillers or they have known a family member or close friend who was.

More than 56 percent of the public say they have a personal connection to the issue, reports the latest monthly tracking poll of the Kaiser Family Foundation.

That share includes those who say they know someone who died from a painkiller overdose, have been addicted themselves or know someone who has and those who know someone who took painkillers not prescribed to them, the poll’s results show. (KHN is an editorially independent program of the Foundation.)

Details from the poll:

— 16 percent say they know someone who has died and 9 percent say that person was a close friend or family member.

— 27 percent say either they have been addicted to painkillers or they have known a family member or close friend who was.

— 63 percent of whites say they have a personal connection to the abuse of prescription painkillers compared with 44 percent of blacks and 37 percent of Hispanics.

Half of those surveyed rank prescription painkiller and heroin abuse as a top priority for their governor and legislature, behind improving public education and making health care more accessible and affordable, which drew 76 percent and 68 percent shares, respectively.

Sixty-two percent of those polled said the drug Naloxone, which can reverse an overdose and is handed out in some states without a prescription and for little or no cost, should only be available via prescription.

Efforts to reduce painkiller abuse would be at least somewhat effective, many Americans say. Providing treatment for addicts is cited by 85 percent, monitoring doctors’ prescribing habits by 82 percent and encouraging people to dispose of leftover medication by 69 percent.

Kaiser’s tracking poll was conducted Nov. 10 to 17 among 1,352 adults.The margin of error for the full sample is +/- 3 percentage points.

Please contact Kaiser Health News to send comments or ideas for future topics for the Insuring Your Health column.

khn_logo_lightKaiser Health News is an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.


10 percent of US adults have drug use disorder at some point in their lives


75 percent report not receiving any form of treatment.

From the National Institutes of Health

Three red and white capsulesA survey of American adults revealed that drug use disorder is common, co-occurs with a range of mental health disorders and often goes untreated.

The study, funded by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health, found that about 4 percent of Americans met the criteria for drug use disorder in the past year and about 10 percent have had drug use disorder at some time in their lives.

“Based on these findings, more than 23 million adults in the United States have struggled with problematic drug use,” said George F. Koob, Ph.D., NIAAA director. “Given these numbers, and other recent findings about the prevalence and under-treatment of alcohol use disorder in the U.S., it is vitally important that we continue our efforts to understand the underlying causes of drug and alcohol addiction, their relationship to other psychiatric conditions and the most effective forms of treatment.”

“Based on these findings, more than 23 million adults in the United States have struggled with problematic drug use.” —George F. Koob, Ph.D.

NIAAA directorA diagnosis of drug use disorder is based on a list of symptoms including craving, withdrawal, lack of control, and negative effects on personal and professional responsibilities. Continue reading


Opioid epidemic continues in Washington


Tablet Thumb BlueFrom the Washington State Department of Health

New Washington health data shows a significant drop in deaths from prescription narcotics in recent years.

Tragically, the decline is offset by a doubling of the number of heroin deaths in our state during the same time.

Both heroin and prescription narcotics are types of drugs known as opioids.

Progress in preventing deaths from prescription narcotics compromised by rising heroin fatalities

Data from 2014 state vital statistics records show the number of deaths from prescription narcotics has steadily dropped from a peak of 512 deaths in 2008 to 319 in 2014.

At the same time, heroin killed 293 people in Washington last year, about twice as many as in 2008. Overall, the number of deaths from opioid overdose in Washington remains at about 600 a year. Continue reading


How heroin is hitting the foster care system


320px-HeroinBy Sophie Quinton

Timothy Dick’s office receives all kinds of reports of child abuse and neglect. Perhaps a child has a broken bone, or is underfed, or has been left home alone for too long.

But when caseworkers drive to the child’s home to investigate, they often discover the same root cause. “What we’re finding more and more is that the parents are addicted to opiates. And more often than not, it’s heroin,” said Dick, assistant director of child protective services in Clermont County, Ohio.

In Ohio and other states ravaged by the latest drug epidemic, officials say substance abuse by parents is a major reason for the growing number of children in foster care. In Clermont County, east of Cincinnati, more than half the children placed in foster care this year have parents who are addicted to opiates, Dick said. Continue reading


Q&A: Vermont Gov. Peter Shumlin on attacking the drug epidemic


VermontBy Elaine S. Povich

In January 2014, Vermont Gov. Peter Shumlin devoted his entire State of the State address to the opiate drug scourge ravaging his state. While Vermont is not the only state to experience the growing addiction problem, it arguably has been the most aggressive in tackling one aspect of it — offering treatment to residents who agree to participate.

Gov. Shumlin

Gov. Shumlin

Within six months of his speech, Shumlin, a Democrat, signed bills and executive orders that included $6.7 million for a “hub and spoke” treatment program of central facilities and small treatment outposts, a medication-assisted addiction therapy program, tougher sentences for drug traffickers and new regulations for prescribing and monitoring prescription drugs. One of biggest changes is giving people who are picked up by police the choice of treatment instead of criminal prosecution.

In January 2015, the state reported that medically assisted drug treatment had increased by 40 percent. Of those who completed treatment plans, 75 percent showed improved functioning. But the report also said more treatment opportunities are needed, citing the difficulty in hiring and retaining clinicians and other health care providers as a major obstacle.

A year and a half after his groundbreaking speech, Stateline checked in with Shumlin to talk about his progress and what remains to be done. Continue reading


When rehab might help an addict, but insurance won’t cover it – WITF-Fm


Federal law requires insurance firms to cover treatment for addiction as they do treatment for other diseases. But some families say many drug users aren’t getting the inpatient care they need.

Cris and Valerie Fiore hold one of their favorite pictures of their sons Anthony (with the dark hair) and Nick. Anthony died from a heroin overdose in May 2014 at the age of 24. Cris Fiore’s eulogy described his son’s death as a shock, but “not a surprise.” Anthony had been addicted to heroin for years.


Most states list deadly methadone as a ‘preferred drug’


465px-Methadone.svgBy Christine Vestal

The federal government has been issuing warnings about the dangers of methadone for nearly a decade.

Two years ago, states started removing it from their Medicaid “preferred drug lists.” (Joe Amon/Getty Images)

As prescription drug overdose deaths soar nationwide, most states have failed to take a simple step that would make it harder for doctors to prescribe the deadliest of all narcotics.

Methadone is four times as likely to cause an overdose death as oxycodone, and more than twice as likely as morphine, yet as many as 33 states make it easy for doctors to prescribe. 

Methadone overdoses kill about 5,000 people every year, six times as many as in the late 1990s, when it was prescribed almost exclusively for use in hospitals and addiction clinics where it is tightly controlled.

It is four times as likely to cause an overdose death as oxycodone, and more than twice as likely as morphine. In addition, experts say it is the most addictive of all opiates.

Yet as many as 33 states make it easy for doctors to prescribe the pain medicine to Medicaid patients, no questions asked. Continue reading


Narcotic Painkillers in Pregnancy Common, Harmful to Baby: Study – WebMD


Blue Pregnant BellyUse of prescription narcotic painkillers is common in pregnancy and increases the likelihood a baby will be born small or early, or go through painful drug withdrawal, a new study finds.

These prescription painkillers, also called opioids, include drugs such as hydrocodone (Vicodin), oxycodone (Oxycontin), codeine and morphine.

Nearly 30 percent of the Tennessee mothers-to-be in the new study used at least one of these drugs while pregnant, and the associated risks went up if they also smoked or took antidepressants.

via Narcotic Painkillers in Pregnancy Common, Harmful to Baby: Study – WebMD.


Overdoses due to the painkiller fentanyl prompt nationwide alert


Alert IconFrom the US Drug Enforcement Administration

The United States Drug Enforcement Administration (DEA) today issued a nationwide alert about the dangers posed by abuse with the synthetic opioid painkiller fentanyl.

The drug, which is commonly added to heroin, has been associated with a marked increase in overdoses and deaths as abuse of heroin has increased in recent years, the DEA said.

“Drug incidents and overdoses related to fentanyl are occurring at an alarming rate throughout the United States and represent a significant threat to public health and safety,” said DEA Administrator Michele M. Leonhart. “Often laced in heroin, fentanyl and fentanyl analogues produced in illicit clandestine labs are up to 100 times more powerful than morphine and 30-50 times more powerful than heroin.”

In the last two years, DEA has seen a significant resurgence in fentanyl-related seizures and last year state and local drug-testing labs reported 3,344 fentanyl submissions, up from 942 in 2013. Continue reading