Ann Arbor, Michigan Decriminalizes Psychedelics

Addiction Recovery Bulletin

Groovy –

October 1, 2020 – On September 21, the City Council of Ann Arbor, Michigan voted unanimously to decriminalize naturally occurring psychedelics. It becomes the fourth US city in two years to adopt such a reform. However, lawmakers added a late amendment to the resolution that alters its scope. Commercial manufacture and sales, driving under the influence, “public disturbance” and distribution in schools will remain firmly illegal. 

The city also calls upon the Washtenaw County prosecutor to stop charging people for offenses related to use of these drugs. The resolution cites clinical research, anecdotal evidence, and historical and traditional use of psychedelics for medicinal, therapeutic and spiritual purposes.

The sponsors of the resolution, local group Decriminalize Nature Ann Arbor, feel that while the reform is unlikely to have a large impact on criminal justice in the city, it still helps to push a necessary conversation about drugs. “We think this move is more symbolic of what is already happening in Ann Arbor,” Myc Williams, the group’s communications director, told Filter. “According to the chief of police there have only been six arrests in Ann Arbor since 2017, and none in 2020.”

Williams suggested that the successful vote allows groups like his to move forward with public education around psychedelics, so people can talk about how to use them safely. “[We are] working closely with Michigan Psychedelic Society and Michigan DanceSafe to provide educational materials and resources,” he said, “as well as creating a ‘community container,’ to not only address education and safe consumption, but also ensure that communities that stand to benefit most and are hardest to reach have equity in access, provide spaces for integration, and continue the conversation.”

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Mike Tyson Knows He’s an Alcoholic but Refuses to Call Himself One

Addiction Recovery Bulletin

WATCH – He can call himself anything he wants –

Sept. 28, 2020 – Mike Tyson was 41-1 as a pro boxer — his lone loss coming against James ‘Buster’ Douglas — when he was convicted of rape in 1991. Tyson was sentenced to prison for six years but served three. He returned to boxing in 1995, and although he made quick work of Peter McNeeley in his return to the ring, Tyson was never the same.

After the McNeeley fight, Tyson went 8-5 in his next 13 bouts. Despite raking in more than $300 million during his boxing days, Tyson declared bankruptcy in 2003. In 2006, Tyson was arrested for suspicion of DUI and felony drug possession. He’s admitted he has a substance abuse problem. 

In 2005, Tyson, according to USA Today, said, “My whole life has been a waste — I’ve been a failure. I just want to escape. I’m really embarrassed with myself and my life. I want to be a missionary and I think I could do that while keeping my dignity without letting people know they chased me out of the country. I want to get this part of my life over as soon as possible.”

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10 Most Commonly Used Illegal Drugs in America

Addiction Recovery Bulletin

When some go High/Others go Low –  

Sep. 29, 2020 – 

1. Methamphetamine Number of drug reports: 417867 Percent of all cases: 27.47% Methamphetamine was most common in the South (183427 reports). 4. Heroin Number of drug reports: 127641 Percent of all cases: 8.39% Heroin was most common in the Northeast (33678 reports). 3. Cocaine Number of drug reports: 209086 Percent of all cases: 13.74% Cocaine was most common in the South (87581 reports).

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Many Residential Addiction Centers Don’t Offer MAT, at a Deadly Cost

Addiction Recovery Bulletin

Harm Reduction is Death Reduction –

Sep. 29, 2020 – Without it, Berry entered the halfway house unmedicated. Because he had been abstinent for months, his tolerance was far lower than it was when he entered rehab on May 10.

Not even a month after his discharge, Berry, a father of two, died from an overdose on July 23.

“He called when he was in the inpatient facility and told me, ‘They are going to wean me off this because they’re having some trouble finding a place to send me,’” Hornak told MedPage Today. “I believed he would be okay, that he was in a system that was intended for him to get better.”

“He didn’t want to die,” she said. Stories like Berry’s are common in the addiction treatment field, specialists told MedPage Today. At many addiction treatment centers, follow-up care is rarely provided post-discharge, OAT certification is not required, and many are centered around a “12-step” program or similar abstinence-only treatment methods. Programs patterned after Alcoholics Anonymous can be lifesaving for some, but are not backed by research.

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‘The Drug Became His Friend’: Pandemic Drives Hike In Opioid Deaths

Addiction Recovery Bulletin

New York Times – Real (Bad) News –

Sep. 28, 2020 – In the six months since Covid-19 brought the nation to a standstill, the opioid epidemic has taken a sharp turn for the worse. More than 40 states have recorded increases in opioid-related deaths since the pandemic began, according to the American Medical Association. In Arkansas, the use of Narcan, an overdose-reversing drug, has tripled. Jacksonville, Fla., has seen a 40 percent increasein overdose-related calls. In March alone, York County in Pennsylvania recorded three times more overdose deaths than normal. For Mr. Cameron, the shutdown of daily life in the spring not only led him back to drugs, but led him to use alone — an especially dangerous proposition.

“Usually he would use with somebody, especially if it’s a different dealer or different batch,” said his mother, Tara Reil. “I don’t think he had that person to use with, to have that safety net.”

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How Many Meds Does It Take to Get Sober?

Addiction Recovery Bulletin

Depends who you ask –  

Sep. 29, 2020 – It used to be against the law to treat narcotic addicts with narcotics (The Harrison Act). In 2000, the Drug Addiction Treatment Act (DATA) changed that. DATA gave physicians the ability to treat opioid dependency with narcotic medications, mainly buprenorphine (the main ingredient in Suboxone), which is considered a schedule III drug. Physicians were also allowed to use schedule IV drugs, schedule V drugs, or any combination thereof.

To put this in perspective, schedule IV drugs include benzodiazepines, one of the most addictive substances known to man. “In the US, prescriptions for benzodiazepines more than tripled and fatal overdoses more than quadrupled in the past 20 years” since 2000, the year DATA was passed. ”Benzos” are becoming an epidemic in their own right.

An example of a schedule V drug could be Gabapentin, which has been moved to schedule V in some states, due to its well-known abuse potential. Gabapentin has also been shown to affect the brain’s ability to form new synapses, which is crucial in recovering from addiction. I have seen a single client prescribed an opioid, a benzo, a stimulant, and gabapentin numerous times a day, every day, as part of treatment prescribed by an addiction treatment professional—regardless of the fact the client continued to relapse on illicit drugs. When I ask myself, “How is this possible?” the Drug Addiction Treatment Act answers the question.

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In Joe Biden’s response to attacks on Hunter Biden’s drug use, I saw my own father

Addiction Recovery Bulletin

WATCH – I see America –

Oct. 1, 2020 – He was dishonorably discharged” — which he was not. “For cocaine use,” Trump added. My father is a one-time Republican and now a staunch Biden supporter, but you can never assume to know how someone else experiences a moment like that or exactly what my father saw in Joe Biden that night. I know what I saw: a reflection of my dad. Biden is a father whose unwavering love has been essential in his child’s struggle and recovery from addiction. And my father’s love has been essential in mine.

Tuesday marked six months and 14 days into my recovery from alcoholism, and six months and 14 days since my father, my best friend and a team of EMTs saved my life. My dad and that friend together made what I know now was a difficult but instant decision to call 911, and then insisted that those EMTs kick in the door of my apartment in Washington, D.C. Because they insisted, the first responders found me on the floor, semiconscious and unable to stand; I had both pneumonia and hepatitis. I learned later that I had been close to death.

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Costa Mesa addiction treatment CEO faces federal charges

Addiction Recovery Bulletin

Arrested envelopment – Read List –

Oct. 3, 2020 – The massive federal crackdown charges defendants with submitting more than $6 billion in fraudulent claims to federal health care programs and private insurers. That includes some $4.5 billion connected to telemedicine schemes; $845 million connected to substance abuse treatment or “sober home” schemes; and another $806 million in other health care fraud and illegal opioid distribution schemes.

“These ‘sober homes’ cases are particularly egregious, not just because of the substantial amounts of financial loss they cause, but also because of the significant harm they cause to patients who are used and abused along the way,” said Acting Assistant Attorney General Brian C. Rabbitt in announcing the crackdown on Sept. 30.

“In many of these cases, defendants are alleged to have preyed upon addicted patients, recruiting them from their hometowns, where they have support networks, and shipping them off to far-away states where they are placed into these so-called ‘sober homes.’ Once there, these vulnerable patients are often provided with drugs that undercut their ability to recover from the addiction they are trying to kick, and they are often shuffled from facility to facility to boost headcount and maximize billing, instead of being given the care they so desperately need.”

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‘No Mercy’ Chapter 2: Unimaginable, After a Century, That Their Hospital Would Close

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Can’t see the audio player? Click here to listen.

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Closing a hospital hurts. In Fort Scott, Kansas, no one was a bigger symbol for that loss — or bigger target for the town’s anger — than hospital president Reta Baker. Baker was at the helm when the hospital doors closed.

“I don’t even like going out in the community anymore, because I get confronted all the time,” Baker said. “Someone confronted me at Walmart. You know — ‘How could you let this happen?’”

The closure put Baker at bitter odds with City Manager Dave Martin, who some in town call “the Little Trump” of Fort Scott. Martin said his town wasn’t given the chance to keep the hospital open.

Click here to read the episode transcript.

Reta Baker

“Where It Hurts” is a podcast collaboration between KHN and St. Louis Public Radio. Season One extends the storytelling from Sarah Jane Tribble’s award-winning series, “No Mercy.”

Subscribe to Where It Hurts on iTunes, Stitcher, Google, Spotify or Pocket Casts.

And to hear all KHN podcasts, click here.

Campus Dorm Resident Assistants Adjust to a New Role: COVID Cop

Breaking up parties, confiscating booze and answering noise complaints — being a resident adviser has always required a willingness to be the “bad guy” and uphold university policy despite the protests of friends and peers.

Now there’s a new element to the job description: COVID cop.

The worst part of his job as a resident adviser and dormitory hall security manager is verifying residents’ ID cards in the evening and dealing with the mask policy, said Marco Maldonado. But the positions help him afford his annual $20,000 tuition at the University of Massachusetts-Amherst.

Almost every night, he said, at least one person tries to enter the building without a mask. While most will take advantage of the box of disposable masks at the security desk, “every once in a while, you’ll meet someone who’s like, ‘Oh, it’s all bulls—. Stop — I don’t want to hear it,’” said Maldonado, 20, a political science and legal studies double major.

And sometimes people get aggressive. “Pardon my French, but they could say, ‘Who the f— do you think you are? Get the f— out of here!’”

It can be frightening and even dangerous to enforce mask-wearing and social distancing. Public tantrums and physical assaults on employees enforcing COVID-19 policies prompted federal officials to issue guidance for retail workers on how to de-escalate situations and avoid violence.

It’s particularly tricky for students whose job involves monitoring their peers. Residential staff members, including security monitors and resident assistants, represent the front line of enforcement in dormitories.

Many say they are struggling with a lack of communication and unrealistic expectations from their institutions. They feel caught between competing interests: connecting with their fellow students, protecting their health, and being able to afford their education.

Maldonado is clear about his priorities.

“When it comes to my personal health, I’m concerned but not afraid,” said Maldonado. “I’m more afraid of losing my housing and my ability to go to school.”

The position of resident assistant or adviser, RA for short, is a sought-after college job — not just for the free or discounted housing and meal plans that are often offered as compensation, but because of the built-in community and mentorship opportunities and the chance to showcase leadership on a résumé.

This fall, however, RAs are balancing the perquisites of the job with the difficulties of doing it.

Resident assistants from the University of Pennsylvania, University of Wisconsin-La Crosse, Washington University in St. Louis and other schools wrote letters and submitted petitions to their administrations raising concerns about the risk the virus posed to them as students and staffers returning to campus this fall.

“While we concede that there is a need to verify that our private residences are up to standard,” said a petition from Stony Brook University in New York, “we feel that having an RA carry out these checks brings up a number of logistic[al] health concerns,” such as higher risk of exposure to coronavirus, they wrote.

Despite these pleas, at institutions that welcomed students back to campus, resident assistants are finding that the perks — like community building and mentorship — are scant, while risk, frustration and fractured relationships are plentiful. For some, the job is no longer worth it.

Kenny Leon, 21, flew into New York City in mid-August from Miami, his hometown, for RA training at New York University, where he’s a senior. He was required to get tested for the coronavirus and then wait in isolation in his dorm until he received his results. The university was responsible for bringing him meals.

The first two days of isolation passed with no problems, Leon said. On the third day, he said, he didn’t receive his first meal until about 9 p.m. The next day, it arrived around 5 p.m. On the fifth day of isolation, Leon said, he sent his resignation email.

“If they had months to plan for this and they still managed to completely blunder it, I can only imagine how they were going to blunder a potential response to COVID or an outbreak on campus,” Leon said.

Such outbreaks have been common at reopened campuses. The University of North Carolina-Chapel Hill reverted to online classes Aug. 19, one week into the new school year, after hundreds of students tested positive for the virus. The University of Notre Dame in Indiana and Temple University in Philadelphia did the same soon after classes began again.

Since the beginning of the pandemic, more than 88,000 positive cases and at least 60 deaths have been reported on more than 1,100 college campuses, according to a New York Times survey.

Leon is finishing his studies online at home in Miami. The university gave him a deal that included the monetary value of the housing and meals he would have received as a resident assistant, he said.

Some of those who stayed on the job are finding that enforcing rules and creating community is more difficult than in the past, even though fewer students are physically present.

UMass-Amherst is allowing only international students, those with in-person lab classes and some with other special circumstances to live on campus. Instead of holding game nights or cereal buffets for students the way he’d have done in a normal year, Maldonado’s job now is to create a virtual community for the 25 students living in the three floors he supervises. He does this through group Zoom meetings and one-on-one FaceTime chats for those who want to talk about an issue.

He said he’s gotten mixed instructions about what to do when students resist his directions on mask-wearing and distancing. One supervisor told him to deny entry to those who refuse a mask, while others have said his job is more about education than enforcement. On Sept. 13, three weeks into the semester, Maldonado said he got new instructions: Don’t force a mask on anyone, but report those who refuse.

Maldonado is also unsure how to enforce the no-guest policy when he walks the halls of his nine-floor dormitory. Should he approach every group of students and ask for proof of residence? He’s already seen students erupt when challenged.

The residence hall security staff has an educational role and was trained on how to communicate the university’s policies starting Aug. 11, said Mary Dettloff, a spokesperson for UMass-Amherst. The university knows of only one troubling incident, in which a resident rushed through a dorm lobby without a mask and with two guests in tow, she said in an email.

On some campuses, confrontations arise if the university has stricter guidelines than the areas students come from.

In South Dakota, Gov. Kristi Noem opposes mask mandates, but the University of South Dakota requires students, staffers and visitors to wear masks in all public indoor spaces, with few exceptions. Addison Miller, 19, a sophomore and resident assistant at the university, said he had to remind students on move-in day to wear their masks.

Miller said he didn’t get enough training on COVID-related policies, and feels limited in his ability to keep the 50 to 60 students on his dormitory floor in line.

“Once the dorm room doors close, what can we do if we don’t see it directly?” he asked.

COVID-related considerations were woven into the resident assistants’ training and their role is vital, said Kate Fitzgerald, director of university housing. For example, the assistants are required to deliver dinners and weekend meals to students quarantined in their rooms.

“I definitely wouldn’t be wanting to do this without them,” Fitzgerald said.

Miller sympathizes with students who seek a quintessential, mask-free college experience. But if they break the rules they just raise the odds of the school closing down again, he said. He has to remind students daily to comply.

“It’s really easier for us both if you wear a mask,” he said.


This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

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