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Overdose Training In Jail Gets Naloxone To Where It’s Needed Most, Data Show
"Of those who were given naloxone, 32% later reported that they had used it to reverse an overdose; 44% later received naloxone refills at community-based DOPE locations in San Francisco (either because they used it on someone, lost it, or their possessions were stolen or discarded by another person, city workers, or police). 'This confirms that implementation of OEND in criminal justice settings is feasible and reaches people who have not previously been trained as well as those willing to act as overdose responders,' researchers concluded. The jail program is still in operation, and one of a growing number of jail-based OEND programs around the world, though data on their success has previously been hard to gather."
Episode Five: A Tale of Two Crises: Opiates vs. Crack
"'If we had addressed the crack epidemic in a public health framework, chances are, we would not be dealing with the opioid epidemic as badly as we are today. If you imagine we were like, okay, let’s build up our addiction treatment infrastructure, let’s really do that. Let’s commit all the resources to it. The tens of billions of dollars, whatever is necessary. Then we would have this infrastructure today where people who get addicted to opioids could have just gone to these treatment centers, and they probably would be run just as well as like hospitals, and if they are state of the art, it would have been just great. It's just kind of an interesting dynamic because like racism is self-defeating. If we had built this treatment infrastructure before, we would be in a much better place today.' Like Herman said, racism is self-defeating, our failure to empathize with those suffering addiction during the crack epidemic, to leverage a public health approach, to support those individuals who are suffering, it may have help pave the way for the opioid epidemic that we are struggling with today."
"...Today’s conversations — whether they take place in the media, Congressional hearings, or among medical providers — still often fail to grasp the complexity and nuance of addiction. This incomplete understanding has likely contributed to an inadequate and unimaginative national response to our addiction and overdose crisis. It has delayed — and in some areas thwarted — comprehensive action plans that fully address the biological, psychological, and social factors that contribute to the development and perpetuation of this disease and has led to punitive approaches that often cause more harm than good. For these reasons, ASAM updated its definition of addiction this year."