“ADDICTION SOLUTION”

October 19, 2018 at 5:00 am

We continue our coverage of New York State’s fight against the opioid epidemic. We take a look at a possible “Addiction Solution.”

For more information on substance abuse resources, click here. 

Aired on October 19, 2018.

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>> IN 2017 OVERDOSES BY OPIODS
AND OTHER DRUGS KILLED AN
ESTIMATED 72,000 AMERICANS,
ACCORDING TO THE CDC.
BY COMPARISON.
OVER 40,000 AMERICANS DIED THE
SAME YEAR FROM CAR ACCIDENTS.
AN ASTONISHING COMPARISON.
EVERY DAY, WE CONTINUE TO COMBAT
THIS DEADLY DRUG EPIDEMIC, A NEW
BOOK TITLED THE ADDICTION
SOLUTION TREATING OUR DEPENDS
ENS ON OPIODS AND OTHER DRUGS
EXAMINES THE DISEASE FROM A
PSYCHIATRIST PERSPECTIVE, AND
OFFERS PRACTICAL SOLUTIONS IF
YOU OR SOMEONE YOU KNOW IS
DEALING WITH SUBSTANCE ABUSE.
HERE TO TELL US MORE IS DR.
LLOYD SETTERER FROM THE COLUMBIA
UNIVERSITY SCHOOL OF PUBLIC
HEALTH.
>> THANK YOU FOR COVERING THIS
CRITICAL SUBJECT.
>> LET ME START WITH AN OVER
ARCHING ISSUE, IF YOU WILL.
WE TEND TO TOSS OUT TERMS SUCH
AS CRISIS, SOMETIMES FAIRLY
CASUALLY, BUT IN LOOKING AT THIS
SCENARIO, IS THIS INDEED A
GENUINE PUBLIC HEALTH CRISIS?
>> INDEED.
IT'S DECLARED AN EPIDEMIC BY THE
CDC.
THE NUMBERS OF DEATHS CONTINUE
TO RISE EVERY YEAR.
WE'RE NOT DOING WHAT WE NEED TO
DO.
AND WE'VE BEATEN BACK A LOT OF
EPI
EPIDEMICS.
THINK OF HOW WE REDUCED -- WE
HAVE APPROACHES THAT CAN WORK,
BUT WE'RE NOT USING THEM ENOUGH
YET.
>> LET ME TALK ABOUT SOME OF THE
THINGS YOU TALK ABOUT IN THE
BOOK HERE.
I LOVE THE WAY IT'S ORGANIZED.
FROM THE BEGINNING, FOCUSING ON
FACTS.
THINGS THAT DRAW PEOPLE INTO THE
INVOL
INVOLVEMENT.
AND PEOPLE ACROSS SOCIOECONOMIC
PLATFORMS, IF YOU WILL.
>> TALK ABOUT WHAT YOU FOUND IN
TERMS OF KNEES FACTORS.
WE HUMANS ARE ACTIVE INGREDIENTS
IN OUR EXPERIENCE WITH A DRUG.
IT'S NOT JUST THE DRUG, IT'S THE
DRUG AND THE PERSON.
AND ONE CHAPTER I IDENTIFIED 10
DIFFERENT FACTORS LIKE OUR
INTERNAL PSYCHOLOGY.
OUR EARLY EXPERIENCE PUTS US AT
RISK.
OUR SECOND -- CIRCUMSTANCES, THE
SOCIAL ENVIRONMENT IN WHICH WE
LIVE IN, POVERTY, VIOLENCE.
A LACK OF PROSPECTS FOR THE
FUTURE, THESE ARE ALL ADDITIONAL
RISK FACTORS.
AGE IS A RISK FACTOR.
THE EARLY THE AGE EXPOSED TO THE
DRUG, THE MORE THE BRAIN WILL BE
ALTERED BY IT.
>> YOU'RE NOT JUST TALKING ABOUT
WILL POWER?
>> OUR BRAINS ARE UNDER
CONSTRUCTION WELL INTO OUR 20s.
LONGER FOR YOUNG MEN THAN WOMEN.
>> WHAT SHOULD PEOPLE KNOW ABOUT
IN TERMS OF THE TREATMENTS THAT
THEY SHOULD BE LOOKING FOR THAT
WOULD BE MOST EFFECTIVE.
>> IT'S A TOUGH DISAGREES, A
CHRONIC RELAPSING DISEASE.
WHETHER IT'S OPIODS OR COCAINE
OR ALCOHOL.
AND TREATMENT THEN NEEDS TO BE
ROBUST, WHEN YOU COMBINE
RECOVERY, 12 STEP PROGRAMS WITH
COGNITIVE TREATMENT PROGRAMS.
THIS IS ABOUT RELAPSE
PREVENTION.
WE RESPOND TO CUES LIKE THE
SIGHT OF SOMEONE USING, THE
SMELL OF A SUBSTANCE.
WE CAN ACTUALLY MITIGATE THAT.
MEDICATIONS, WE HAVE NOW VERY
EFFECTIVE MEDICATIONS TO REDUCE
CRAVING AND TO REDUCE OVERDOSES.
WE NEED TO BE DOING THAT.
FAMILY EDUCATION AND SUPPORT.
FAMILIES NEED TO BE GUIDED ABOUT
HOW TO RESPOND, HOW TO HELP
SOMEBODY WITH AN ADDICTION.
YOU PUT THESE TOGETHER, SOMEONE
IS MUCH MORE APT TO HAVE A GOOD
RESPONSE AND STAY ALIVE AND GET
BETTER.
>> LAST QUESTION FOR YOU.
WE STARTED THIS CONVERSATION BY
TALKING ABOUT THE EXTENT OF THE
SITUATION.
THE FACT THAT IT IS INDEED A
CRISIS.
>> YOU'VE BEEN ACTIVELY INVOLVED
IN IT.
>> DO YOU FIND THAT THERE'S ANY
CAUSE FOR OPTIMISM?
>> ABSOLUTELY.
>> THERE'S OVERWHELMING EVIDENCE
THAT PEOPLE RECOVER FROM
ADDICTION.
WE'RE JUST NOT VERY GOOD AT
PREDICTING WHEN.
BECAUSE IT'S A CHRONIC RELAPSING
CONDITION, ALONG THE WAY, PEOPLE
ARE GOING TO SLIP AND FALL.
THAT'S WHEN WE HAVE TO KEEP HOPE
THE MOST ALIVE.
BECAUSE IT'S SO DEMORALIZING TO
SOMEONE WHO'S ADDICTED TO THEIR
FAMILY, EVEN TO THE CLINICIANS,
WE HAVE TO CONTINUE TO
SUPPORT -- OPTIMIZE SUPPORT AT
THOSE MOMENTS AND KEEP HOPE
ALIVE.
>> THE BOOK IS CALLED THE
ADDICTION SOLUTION.
THIS IS A MARVELOUS LOOK AT A
VERY COMPLICATED AND COMPELLING
PROBLEM FOR US.
WE APPRECIATE YOU SPENDING SOME
TIME TALKING WITH US, AND THE
GOOD WORK THAT YOU'RE DOING.
THANKS FOR COMING IN.
>> GREAT TO BE HERE, THANK YOU.
>>> FOR MORE INFORMATION ON DR.
LLOYD'S BOOK, CAN YOU VISIT OUR
WEBSITE AT METRO FOCUS.ORG.

Mutual of America PSEG

Funders

MetroFocus is made possible by James and Merryl Tisch, Sue and Edgar Wachenheim III, the Sylvia A. and Simon B. Poyta Programming Endowment to Fight Anti-Semitism, Bernard and Irene Schwartz, Rosalind P. Walter, Barbara Hope Zuckerberg, Jody and John Arnhold, the Cheryl and Philip Milstein Family, Janet Prindle Seidler, Judy and Josh Weston and the Dr. Robert C. and Tina Sohn Foundation.

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