“ADDICTION SOLUTION”

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.

TRANSCRIPT

> 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.

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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