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Dear Dr. Toni
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A Further Look at Adult Children of Addiction
Resilient qualities are not only what we are born with, but also the strengths that we build through encountering life’s challenges and developing the personal and interpersonal skills to meet them. The idea of growth through suffering or pain is not a new one, though the systematic study of it is.
Comprehensiveness and Continuity of Care
I believe that the development and three subsequent revisions of the ASAM Criteria (Mee-Lee et al., 2013), along with motivational interviewing (MI) and medication-assisted treatment (MAT), have made the greatest contributions to assessment and placement for people with substance use disorders (SUDs).
The behavioral health field is engaged in a movement to expand the conventional medical treatment model of care that emphasizes diagnosis and subsequent treatment to the more comprehensive and inclusive model of population health. Improving “the health outcomes of a group of individuals, including the distribution of such outcomes within the group” (Kindig & Stoddard, 2003) is the critical focus of the population health model.
As an independent researcher, professor, and clinical officer in many venues for more than forty years, I am an insider who has grown to love struggling addicts and I invite you to face with me some of the elephants living in our rooms.
For decades, addiction professionals have been providing screening and assessment instruments that evaluate problem severity, complexity, and chronicity, but offer little data on the internal and external resources individuals and families can mobilize in resolving such problems (White & Cloud, 2008).
Substance use disorders (SUDs) are highly prevalent in veteran populations. Among US veterans of the conflicts in Iraq and Afghanistan, for example, approximately one in ten have been diagnosed with an SUD (Seal et al., 2011). Social and interpersonal factors play a key role in the onset and course of SUDs (Galea, Nandi, & Vlahov, 2004; Moos, 2007).
Any useful analysis of adolescents and pornography must first start with facts. The first and most important fact to understand is that kids engage with and through technology as much if not more than they engage face-to-face with actual, in-the-flesh people.
Adolescence, by its very nature, is full of turmoil as we transition developmentally from childhood to adulthood. These are the hurricane years when the winds pull us in many directions, sometimes even unpredictably throwing us off-course, changing our lives quickly and in frightening ways.
It is impossible to overstate the negative impact that substance abuse has on individuals, families, and society. Addiction is arguably the greatest public health threat that we face in the US. When training on substance use disorders (SUDs), I describe it as a unique and complex issue in that it is like an octopus that has its tentacles wrapped up in every societal problem.
In the past five years, there has been a greater focus on patients who are readmitted to the hospital within thirty days. This is in part because Medicare is paying less for readmissions and in part because providers want to provide the best care possible.
Overwhelment occurs when we experience severe overload to the point where we feel mentally, emotionally, physically, and spiritually depleted. While the adage that “God never gives us more than we can handle” may hold true, we mortals are experts in setting ourselves up for truly overwhelming situations. That is particularly true for us obsessive-compulsive types!
Ketamine, a short-acting, less powerful derivative of phencyclidine (PCP), is used in veterinary hospitals primarily on dogs and cats. Ketamine is used often in conjunction with Valium or other sedatives that relax muscles during medical procedures. Regrettably, the substance is gaining in popularity, worldwide, with club goers and adolescent drug users.
According to the Center for Disease Control and Prevention’s (CDC’s) Vital Signs report, suicide rates have almost universally risen across the nation. Of the ten leading causes of Americans’ deaths, suicide is among only three on the increase (CDC, 2018).
Fentanyl has risen in popularity as a frequently used and abused drug over the past couple of years, which leads Stanford University psychiatry professor Keith Humphreys to wonder if it has the potential to “permanently alter illegal drug markets and international relations along with them” (2018; Kim, 2018).
Last month several people in Brooklyn, New York were hospitalized due to “. . . a toxic batch” of synthetic marijuana usually referred to as “Spice” or “K2” (Kim, 2018).
The Food and Drug Administration (FDA) has recently approved a new medication for the treatment of opioid withdrawal symptoms—the first time this has happened in its history (Kim, 2018).
According to a recent study published in JAMA Psychiatry, resistance training (i.e., lifting weights) at the gym may help reduce symptoms of depression (Hosie, 2018; Leipholtz, 2018).
New mothers in America are suffering from postpartum depression more than from any other pregnancy complication, but it is possible new fathers are also suffering.
U.S. Journal Training
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