Treatment Options for Opiate Addiction

Treatment Options for Opiate Addiction


HI, I’M STEPHEN JONES AT ROBERT WOOD JOHNSON WE BELIEVE CITIZENS NEED TO BE INFORMED ABOUT THE IMPORTANT HEALTHCARE ISSUES AFFECTING THEIR LIVES. THAT’S WHY WE’RE PROUD TO SUPPORT THE HEALTHCARE PROGRAMMING PRODUCED BY THE CAUCUS EDUCATIONAL CORPORATION>>TREATMENT OPTIONS FOR OPIOID ADDICTION. NEXT ON CAUCUS NEW JERSEY>>FUNDING FOR THIS EDITION OF CAUCUS NEW JERSEY HAS BEEN PROVIDED BY STEVE AND ELAINE POZYCKI WELLS FARGO CALDWELL UNIVERSITY PSEG COMMITTED TO IMPROVING NEW JERSEY’S ECONOMY AND STRENGTHENING ITS COMMUNITIES ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL THE HEART OF ACADEMIC MEDICINE THE ROBERT WOOD JOHNSON FOUNDATION AND BY OSCAR HEALTH INSURANCE PROMOTIONAL SUPPORT PROVIDED BY NJ.COM SMALL NEWS BIG NEWS TRUE JERSEY AND BY NJBIZ ALL BUSINESS, ALL NEW JERSEY [MUSIC PLAYING] [MUSIC PLAYING]>>WELCOME TO CAUCUS NEW JERSEY I’M STEVE ADUBATO THE RISE OF OPIOID RELATED ADDICTIONS CAN NOT ONLY BE SEEN IN NEW JERSEY BUT ACROSS THE COUNTRY. HERE TO DISCUSS THIS AND THE RESOURCES TO HELP IN THE RECOVER PROCESS, WE HAVE DOCTOR LOUIS BAXTER SENIOR EXECUTIVE MEDICAL DIRECTOR OF THE PROFESSIONAL ASSISTANCE PROGRAM OF NEW JERSEY OUR FRIEND CAROLYN BEAUCHAMP WELL YOU’RE ALL FRIENDS, BUT I JUST WANT TO ACKNOWLEDGE CAROLYN, WHO IS THE PRESIDENT AND CEO OF THE MENTAL HEALTH ASSOCIATION IN NEW JERSEY TONIA AHERN ADVOCATE AND MOTHER OF A SON WITH A SUBSTANCE ABUSE DISORDER AND FINALLY WAYNE WIRTA PRESIDENT AND CEO OF THE NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE NEW JERSEY I WANT TO THANK ALL OF YOU FOR JOINING US. THROUGHOUT THIS PROGRAM, YOU’RE GONNA SEE IMPORTANT INFORMATION DOWN THE BOTTOM OF YOUR SCREEN, AS TO WHERE YOU CAN GET IMPORTANT INFORMATION. AN OPIOID WHAT IS IT DOCTOR? I DON’T WANT TO ASSUME ANYTHING AS TO WHAT PEOPLE KNOW>>AN OPIATE IS A CHEMICAL THAT WAS ORIGINALLY DEVELOPED TO HELP US MANAGE PAIN OPIATES ARE SYNTHETIC OPIATES ARE NATURALS THEY ARE MEDICATIONS THAT ARE USED TO ADDRESS PAIN>>WHEN DO THEY GET PRESCRIBED?>>I’M SORRY?>>UNDER WHAT CONDITIONS DO THEY GET PRESCRIBED?>>WELL, UNFORTUNATELY THEY ARE PRESCRIBED TOO OFTEN IN MY OPINION. BUT THEY ARE PRESCRIBED, SOMETIMES, POST DENTAL WORK. EVEN EXTRACTIONS CERTAINLY DENTAL SURGERY WOULD QUALIFY. AND THEY ARE PRESCRIBED FOR OTHER ACUTE TRAUMATIC BREAKS, OR POST-OP SURGERY>>CAROLYN, WHAT IS THE CONNECTION, WE’VE HAD LOTS OF OFFLINE CONVERSATIONS, WE PARTNERED WITH THE MENTAL HEALTH ASSOCIATION ON A LOT OF SEMINARS AND FORUMS OUTSIDE, AND WE’RE DOING SOME OF THESE PROGRAMS TOGETHER WHAT IS THE CONNECTION BETWEEN OPIATES AND MENTAL HEALTH?>>THEY ARE CLOSELY CONNECTED WE CALL IT CO-OCCURRING DISORDERS>>CO-OCCURRING DISORDERS? GO AHEAD>>AND WE, THE MENTAL HEALTH ASSOCIATION IN NEW JERSEY HAS HAD INFORMATION AND CALL LINES FOR NOW TEN YEARS AND WE PROVIDE SUPPORT INFORMATION, WHICH MEANS A VERY BIG DATABASE. AND AS WE’VE GONE AND PROCEEDED TO SERVE PEOPLE AND HELP PEOPLE FIGURE OUT WHERE TO GO WHAT THE ISSUES ARE, WE HAVE FOUND THAT AN ENORMOUS NUMBER OF PEOPLE WHO CALL US FOR HELP WITH MENTAL HEALTH, ALSO HAVE A SUBSTANCE ABUSE PROBLEM SO WHAT WE’VE SEEN NOW WITH THE OPIATE CRISIS, IS THAT WE NOW HAVE A CALL LINE JUST FOR OPIATES. AT LEAST 60 PERCENT OF THE PEOPLE CALLING US AROUND THE OPIATE, NEEDING INFORMATION, HELP WITH TREATMENT, ALL OF THAT FAMILY MEMBERS CALLING IS THAT THERE’S A 60 PERCENT OCCURRENCE OF SOME KIND OF MENTAL HEALTH ISSUE SO IT’S BOTH PROBABLY DEPRESSION, ANXIETY, NOT SO MUCH THE SERIOUS MENTAL ILLNESSES, BUT SOME OF THE OTHER KINDS OF MENTAL HEALTH PROBLEMS THAT ARE, THAT REALLY NEED TO BE TREATED ALONG WITH THE OPIATE ADDICTION>>DEFINE THE CRISIS THERE’S AN OPIATE CRISIS DESCRIBE IT TAKE A SHOT>>[LAUGHTER]>>I JUST TALKED TO DIRECTOR BOTTICELLI WHO SAID THAT WE HAVE 120 PEOPLE A DAY DYING>>120 PEOPLE…>>120>>…A DAY?>>THAT’S A CRISIS>>YOUR STORY. SHARE, PLEASE AND THANK YOU BY THE WAY FOR BEING WITH US>>MY SON, YOU KNOW, ACTUALLY WAS DIAGNOSED AS ADHD, WHEN HE WAS YOUNG, LATE. SO WE DIDN’T REALLY REALIZE WHAT WAS GOING ON, AND HE FOUND OPIATES THROUGH, YOU KNOW, AT SCHOOL KIDS EXCHANGING MEDICATIONS EXPERIMENTING, BUT WHAT HAPPENED WAS, YOU KNOW, IT MADE HIM FEEL BETTER. HE SEEMED LIKE IT, FOR, YOU KNOW, FOR WHATEVER REASON, HE FELT GOOD. SO HE WENT FROM, YOU KNOW PAIN PILLS, THOSE KIND OF THINGS, WENT ON TO, FIRST STARTED WITH ADHD MEDICATIONS HE STARTED EXPERIMENTING HE DIDN’T LIKE WHAT WE GAVE HIM HE WENT ON TO SOMETHING ELSE THEN HE W…>>THEY WERE ACCESSIBLE?>>THEY WERE ACCESSIBLE I MEAN, WE’VE DONE A LOT AT ADVOCATES, WE’VE REALLY BEEN DOING A LOT ABOUT, YOU KNOW, LOCKING UP MEDICATIONS DON’T HAVE MEDICATIONS IN CABINETS. I MEAN I KNOW FOR SURE THAT, YOU KNOW, ONE HOUSE WHERE THEY WERE GETTING PAIN MEDICATIONS>>ANOTHER HOMNE>>MM HMM>>IN THE COMMUNITY>>RIGHT>>WHERE KIDS, ABOUT HOW OLD WERE THEY?>>16, 15, 16, SOME WERE EVEN YOUNGER NOW. I MEAN, IT’S SCARY HOW YOUNG THEY ARE>>AND THEY WERE GETTING?>>THEY WERE JUST>>PRESCRIPTION MEDICATION?>>YUP. THEY WERE GETTING… AND WHAT WAS HAPPENING TOO IS ONCE KIDS STARTED LEARNING ABOUT IT, OR FOUND OUT SOMEBODY HAD IT, OR THEIR PARENTS HAD IT THEN THEY STARTED SELLING IT TO THEM, YOU KNOW, SO THEY WERE 15 YEARS OLD BASICALLY, YOU KNOW, YOU CAN CALL THEM DEALERS I GUESS YOU CAN SAY, BUT THEY WERE SELLING THEM TO EACH OTHER>>BUT HOW DOES IT GO FROM PAIN PILLS OR PAINKILLERS TO HEROIN?>>TO HEROIN. THE COST OF THESE PILLS WAS SO HIGH, AND THESE KIDS DIDN’T HAVE THE MONEY FOR THE PILLS, AND AS YOU BUILD YOUR TOLERANCE, YOU NEED MORE>>HMM>>SO WHEN YOU’RE LOOKING AT 30 DOLLARS A PILL, AND YOU’VE GOT A HABIT WHERE IF YOU STOP YOU GET SICK. SO YOU NEED TO KEEP TAKING THE MEDICATIONS CAUSE YOU’RE SICK. YOU GO YOU KNOW, YOU JUST, HEROIN’S SO ACCESSIBLE. AND HEROIN IS I THINK RIGHT NOW, IT’S LIKE FIVE DOLLARS A BAG FOR…>>CHEAP?>>YEAH, IT’S VERY CHEAP SO IT JUST KEPT GOING FROM THERE, YOU KNOW, UNTIL EVENTUALLY HE WAS SHOOTING HEROIN. WHICH, YOU KNOW, THEY ALL THINK THEY’LL NEVER DO THAT YOU KNOW, AND THAT’S WHAT HE ENDED UP DOING. SO IT WAS A STRUGGLE>>HOW IS HE DOING TODAY?>>HE ACTUALLY, YOU KNOW, FOR TODAY, HE’S GOOD. HE’S ON A MEDICATED ASSISTED TREATMENT IT>>SAY THAT AGAIN?>>HE’S ON MEDICATED ASSISTED TREATMENT. SO HE’S ON SUBOXONE I ALWAYS FORGET THE NAME, THE>>BUPRENORPHINE>>BUPRENORPHINE, THANK YOU I REMEMBER IT BUT I CAN’T SAY IT [LAUGHTER] BUT>>IS THAT SIGNIFICANT?>>IT IS. I MEAN, FOR HIM IT WORKED. I MEAN THERE’S SEVERAL DIFFERENT TYPES OF MEDICATED ASSISTED TREATMENT YOU CAN USE. FOR HIM, YOU KNOW METHADONE IS SOMETHING THAT YOU HAVE TO EVERYDAY TO GET FROM A PHYSICIAN>>RIGHT>>WHICH WAS HARD FOR HIM WITH THIS JOB. AND HARD FOR A LOT OF PEOPLE. TRANSPORTATION-WISE VIVITROL IS ANOTHER ONE THAT YOU DO A SHOT ONCE A MONTH WHICH IS GREAT, BUT YOU HAVE TO LIVER ENZYMES HAVE TO BE RIGHT>>BUT SUBOXONE’S WORKING FOR YOUR SON?>>IT IS. IT IS>>IT…>>HE’S TRIED IT IN THE PAST, IT DIDN’T WORK, BUT IT SEEMS TO BE>>IS THERE SOME PUSHBACK HERE?>>YOU KNOW>>WAYNE? ON THE PART OF SOME?>>YES. THERE IS. I THINK IN THE>>BASED ON WHAT?>>TRADITIONAL, KIND OF, OLD TIME RECOVERY COMMUNITY YOU KNOW, YOU HAVE TO REALIZE THAT PROBABLY 30 40 YEARS AGO AND EVEN TO THIS DAY, DOCTOR BAXTER CAN SPEAK ON THIS PHYSICIANS, PSYCHIATRISTS, DID NOT GET ANY TRAINING BACK IN THOSE DAYS, ABOUT ADDICTION AND SO IT WAS VERY COMMON FOR PEOPLE WHO HAD AN ADDICTION PROBLEM TO GO TO THEIR PHYSICIAN, AND GO TO THEIR PSYCHIATRIST, NEVER BE ASKED ABOUT WHAT THEY WERE DRINKING OR TAKING. RILEY REGAN, FORMER DIRECTOR OF ADDICTION SERVICES USED TO SAY HE WAS TIRED OF WOMEN WITH ALCOHOLISM BEING TREATED AS IF IT WERE VALIUM DEFICIENCY>>OH MY GOD>>BECAUSE THEY WOULD BE PUT ON BARBITUATES. WHICH WAS ANOTHER>>RIGHT>>ADDICTING DRUG. AND SO, I THINK THAT LEFT SUCH A BAD TASTE IN THE RECOVERY COMMUNITY OF ALL THE MISDIAGNOSIS, AND ALL OF THE BEING GIVEN OTHER ADDICTIVE DRUGS, THAT THERE WAS SORT OF A PUSHBACK THAT SAID SOME IN THE VERY EXTREME, THAT YOU SHOULDN’T TAKE ANY DRUGS NO MATTER WHAT. I MEAN THAT WAS THE VERY EXTREME. BUT CERTAINLY PEOPLE SELLING ANY KIND OF DRUG THAT EVEN SMELLS PSYCHOACTIVE IN ANY WAY, NO NO NO, YOU KNOW IT’S BAD, YOU SHOULDN’T DO THAT BECAUSE THAT’S ALL BAD STUFF>>AND WHAT’S THE DOWNSIDE OF THAT APPROACH?>>WELL, THE DOWNSIDE IS YOU GET PEOPLE WHO GO INTO RECOVERY GO INTO THE ROOMS, GO INTO A SELF HELP GROUP, AND IF THEY HAVE A MENTAL ILLNESS, AND THEY NEED TO TAKE MEDICATION FOR THAT, OR IF THEY’RE SUCCESSFUL ON METHADONE AND THEY’RE NOT USING NARCOTICS ANYMORE, YOU KNOW, THEY’RE VERY, THEY’RE DISCOURAGED SOMETIMES. AND SOME GROUPS VERY ACTIVELY DISCOURAGE FROM CONTINUING TO DO IT>>BECAUSE THAT OTHER MEDICATION WHO COULD HELP THEM, THAT COULD HELP THEM WITH THE MENTAL HEALTH ISSUE, IF YOU DON’T PRESCRIBE THAT, THEN DOCTOR THEN ISN’T THAT PROBLEMATIC? I MEAN LIKE, I’M, AGAIN, WE’RE NOT HERE TO ADVOCATE ANY PARTICULAR POINT OF VIEW, BUT ISN’T THAT POTENTIALLY PROBLEMATIC?>>IT IS VERY PROBLEMATIC I COULD TELL YOU THAT I’VE BEEN IN ADDICTION TREATMENT FOR NEARLY 30 YEARS. AND AT THE BEGINNING OF MY EXPERIENCE WE WERE TOLD JUST WHAT WAYNE HAS SAID. THAT UNDER NO CIRCUMSTANCES DO YOU USE ANY MEDICATION>>ANY?>>ANY. AND I SHUDDER TO THINK ABOUT THE THOUSANDS OF INDIVIDUALS THAT HAD I HAD AVAILABLE THE INFORMATION AND THE MEDICATION, HOW MANY COULD HAVE BEEN SAVED. AND SO>>WOW>>TODAY, WITH THE KNOWLEDGE THAT WE HAVE FROM NIDA, THAT IT’S ACTUALLY A…>>NIDA IS?>>IS THE NATIONAL INSTITUTE OF DRUG ABUSE, PART OF THE NATIONAL INSTITUTE OF HEALTH WE HAVE INFORMATION, IRONCLAD THAT TELLS US THAT IT IS A BRAIN DISEASE>>WOAH HOLD ON. ADDICTION IS A BRAIN DISEASE?>>YES>>EXPLAIN THAT>>WELL, WHEN PEOPLE TAKE CERTAIN MEDICATIONS FOR PERIODS OF TIME, THE BRAIN CHEMISTRY CHANGES. AND IN ORDER TO HAVE PEOPLE GET BETTER AND TO “RECOVER” IF YOU WILL WE HAVE TO ADDRESS THOSE CHANGES THAT HAVE OCCURRED IN THE BRAIN. THERAPY IS VERY VERY HELPFUL, BUT SOME OF THESE CHANGES NEED TO BE ADDRESSED WITH MEDICATION>>CAROLYN, THERE ARE PEOPLE WATCHING, PARENTS WATCHING RIGHT NOW, LISTENING TO THIS CONVERSATION, STRUGGLING FEARFUL, LOOKING FOR HELP FOR THEIR KIDS. WHAT SHOULD THEY TAKE FROM THIS CONVERSATION RIGHT NOW?>>THEY NEED TO BE AWARE OF WHAT’S VERY IMPORTANT WHEN THEY’RE LOOKING FOR TREATMENT FOR THEIR YOUNG PERSON. AND IT’S CONFUSING>>IT IS RIGHT?>>WE HAVE A, WE DON’T HAVE ENOUGH TREATMENT CENTERS WE DON’T HAVE ENOUGH TREATMENT AVAILABLE FOR PEOPLE. BUT I THINK MORE TO THE POINT OF WHAT WE’RE TALKING ABOUT HERE, FAMILIES AREN’T AWARE OF THE SCIENCE OF WHAT HAPPENS TO YOUR BRAIN, AND THE FACT THAT IF THEY’RE GOING TO SEND SOMEONE TO A TREATMENT CENTER THEY WANT TO BE AWARE, AND THEY WANT TO ASK QUESTIONS YOU KNOW, IF WE, WE’VE GOTTEN A LITTLE MORE SOPHISTICATED ABOUT MENTAL HEALTH. SO IF YOU’RE GONNA ASK SOMEBODY AND YOU HAVE THE RESOURCES YOU WANT TO GO INTO A MENTAL HEALTH UNIT, YOU KNOW WHAT QUESTIONS YOU’RE GONNA ASK WHAT… HOW INVOLVED CAN YOU BE IN THE TREATMENT? ET CETERA ET CETERA. WITH THIS ISSUE PEOPLE AREN’T AWARE THAT THEY NEED TO BE ASKING “IS THERE A DOCTOR WITHIN THE TREATMENT CENTER?”>>HOLD ON, LET ME BE CLEAR IMPORTANT QUESTIONS “IS THERE A DOCTOR IN THE TREATMENT CENTER?” GO AHEAD “IS MEDICALLY ASSISTED TREATMENT A PART OF A CHOICE OF TREATMENT WHILE PEOPLE ARE IN REHABILITATION?”>>THAT’S CRITICAL?>>IT’S CRITICAL BECAUSE WHAT WE FIND IS IF PEOPLE GO THROUGH A REHAB PROCESS, AND THERE IS NO MEDICATION, AND THEY HAVE BRAIN CHANGES THAT OBVIOUSLY THEY’RE NOT AWARE OF, BUT HOPEFULLY SCIENCE TELLS US THAT’S WHAT’S GOING ON THEY LEAVE THERE ON NO MEDICATION, NOT ON MENTAL HEALTH MEDICATION, OR FOR OPIATES, THEY THEY’RE, THEY HAVE TO DAN… THEY HAVE TO HANDLE STRESS, THEY HAVE TO DEAL WITH WHAT THEY’RE FACING IN THE OUTSIDE WORLD. THAT STRESS CAN GET EXTREME FOR ANYBODY. THEY CAN’T HANDLE IT THEY’RE GONNA GO TO HEROIN THIS IS WHAT WE’RE SEEING AND THEY CAN OVERDOSE THE PROBLEM, ONE OF OUR PROBLEMS WITH HEROIN, IS THAT WE DON’T KNOW HOW STRONG THE DOSE IS THAT WE’RE TAKING “WE” I’M NOT TAKING IT, BUT PEOPLE WHO ARE. AND WE DON’T KNOW HOW THAT’S GOING TO AFFECT US. SO PEOPLE OVERDOSE AND THEY’RE DYING. OUR YOUNG PEOPLE ARE DYING. AND THAT’S WHAT FAMILIES ARE SO TERRIFIED ABOUT. AND THIS IS ONE OF THE WAYS THAT WE CAN HELP CONTAIN THAT, WHILE THEY’RE GOING THROUGH A WELLNESS PROCESS>>POWERFUL INFORMATION JUMP IN WAYNE>>YEAH I THINK THAT EVEN BEFORE THAT, ONE OF THE BIGGEST PROBLEMS IN THIS COUNTRY IS THE STIGMA ASSOCIATED WITH BOTH MENTAL HEALTH PROBLEMS AND ADDICTION PROBLEMS>>STILL?>>OH STILL, YEAH>>TALK ABOUT IT>>I MEAN IT’S GETTING BETTER BUT IT’S STILL, BUT I MEAN HOW THAT OPERATES AT THE FAMILY LEVEL, IT BECOMES VERY DIFFICULT TO FIRST OF ALL EVENT TO ADMIT TO YOURSELF THAT YOUR CHILD MIGHT HAVE A PROBLEM I MEAN, THAT’S VERY HARD FOR ANYBODY. YOU KNOW, I’VE HAD CHILDREN WITH PROBLEMS AND IT’S VERY HARD TO GET TO THE POINT WHERE YOU SAY, “YES, THIS CHILD IS NOT JUST A LITTLE STRANGE OR HAVING A BAD DAY. MY SON DAUGHTER REALLY HAS SOME SORT OF A PROBLEM.” THAT’S VERY HARD>>YOU’VE DEALT WITH THIS HEAD ON?>>I HAVE, YEAH. AND THEN SECONDLY, WHEN YOU, IF YOU’RE GONNA ASK FOR HELP, YOU NEED THE, OTHER PEOPLE HAVE TO KNOW AND THAT’S, BECAUSE OF OUR SOCIETY, VERY HARD. SO I THINK YOU KNOW, YEARS AGO PEOPLE WOULDN’T TALK ABOUT CANCER IT WAS A BIG SECRET. SHAMEFUL>>RIGHT>>IF YOU HAD CANCER. WELL, YOU KNOW, STILL, TO A DEGREE SHAMEFUL IF YOU HAVE A MENTAL HEALTH ISSUE>>AS IF YOU DID SOMETHING TO BRING THIS ON?>>YEAH EXACTLY. AND CERTAINLY WITH THE ADDICTION, YOU KNOW OUR COUNTRY HAS TREATED IT AS IF YOU ARE AT FAULT AND YOU GET PUT IN JAIL FOR JUST BEING ADDICTIVE, LET’S NOT TALK ABOUT THE OTHER CRIMES YOU MIGHT DO>>YOU’RE NOT GETTING PUT IN JAIL IF YOU HAVE CANCER?>>NO, YOU’RE NOT, YOU’RE NOT>>AND THIS IS AN ILLNESS AND BY THE WAY, LANGUAGE MATTERS, DOESN’T IT?>>OH ABSOLUTELY>>DID… YOU’VE TOLD OUR PRODUCERS IN THE PRE INTERVIEW THAT THERE ARE CERTAIN WORDS THAT YOU REALLY HAVE PROBLEMS WITH?>>YEAH I NEVER, I DON’T CALL ANYONE AN “ADDICT”>>SAY IT AGAIN?>>I DON’T CALL ANYONE AN “ADDICT”. I JUST DON’T I MEAN IT, YOU KNOW, IF SOMEONE WITH A SUBSTANCE ABUSE DISORDER IT JUST, THERE WAS A STUDY DONE AND YOU MAY KNOW THE STUDY THAT WAS DONE BY A DOCTOR WHERE THEY USED CERTAIN LANGUAGE IN THE STORY, AND THEN THEY CHANGED THE LANGUAGE IN THE SAME STORY, AND THEY HAD A COMPLETELY DIFFERENT OUTCOME I MEAN THE PEOPLE THOUGHT COMPLETELY DIFFERENT THAT READ THE STORY>>JUST BECAUSE OF THE WORDS?>>JUST BECAUSE OF THE WORDS>>CLEAN, DIRTY? TALK ABOUT THOSE WORDS>>YOU KNOW, SOMEONE IN RECOVERY SOMEONE STRUGGLING>>SOMEONE’S “CLEAN”>>THEY’RE IN RECOVERY>>SOMEONE’S “DIRTY”>>THEY’RE STRUGGLING YEAH I THINK IT’S…>>WORDS ARE POWERFUL>>WORDS ARE VERY POWERFUL>>WHAT DO THEY SAY TO THE PERSON WITH A DISORDER, WHO IS STRUGGLING? AND IS DEALING WITH IT? AND IS AWARE ENOUGH OF THE POTENTIAL PERCEPTION OF THOSE AROUND HIM OR HER?>>RIGHT. WELL…>>THAT CAN’T HELP?>>I JUST HAD… I WAS JUST HAVING A CONVERSATION WITH SOMEBODY ON FACEBOOK WHO’S IN RECOVERY, I WOULD CALL HER “IN RECOVERY” SHE’S ON METHADONE, AND SHE’S DOING VERY WELL ON METHADONE. AND SHE WAS BEING BULLIED ON FACEBOOK FOR BEING ON METHADONE AND SAYING THAT SHE WAS, SHE KEPT SAYING SHE WAS CLEAN, SHE’S IN RECOVERY. AND I SAID TO HER I MESSAGED HER AND I SAID “STOP SAYING ‘CLEAN’ EVEN THOUGH TO, IN YOUR…” YOU KNOW>>OH BOY>>SAY, YOU KNOW, “I’M IN RECOVERY. BECAUSE YOU ARE IN RECOVERY.” YOU HAVE TO CHANGE THE LANGUAGE. AND NOBODY CAN DISPUTE YOU’RE IN RECOVERY>>AND THAT’S ALSO A SIGNIFICANT PROBLEM IN THE TREATMENT FIELD IS THAT WE STILL HAVE PROVIDERS WHO ACTUALLY USE THAT LANGUAGE>>PROVIDERS?>>PROVIDERS, COUNSELLORS PHYSICIANS, PSYCHIATRISTS BECAUSE WHEN YOU USE THAT TYPE OF TERMINOLOGY, IT TAKES THE CONCEPT AWAY FROM IT BEING A DISEASE. IT GOES>>HMM>>BACK TO IT BEING WILLFUL MISCONDUCT>>AS OPPOSED TO?>>AS OPPOSED TO BEING…>>A DISEASE OF THE…>>…A DISEASE OF THE BRAIN>>BY THE WAY, INSURANCE COMPANIES, COVER RECOVERY? DON’T? WHAT?>>THEY ARE SUPPOSED TO ACCORDING TO THE ACA AND THE PARITY>>THE ACA, MEANING THE AFFORDABLE CARE ACT?>>THE AFFORDABLE CARE ACT AND THE ISSUE IS THAT THEY ARE SUPPOSED TO PROVIDE THE SAME TYPES OF SERVICES FOR SUBSTANCE ABUSE AND MENTAL ILLNESS, AS THEY DO FOR OTHER CHRONIC MEDICAL PROBLEMS>>BUT YOU SAID “SUPPOSED TO”>>YEAH. BUT IT DOES NOT ALWAYS HAPPEN>>IS THAT THE CASE?>>YEAH. IT DOESN’T HAPPEN QUITE FREQUENTLY>>WELL, THE OTHER ISSUE TOO IS THAT IF WE HAVE, IF YOU HAVE INSURANCE THROUGH THE AFFORDABLE CARE ACT, THE DEDUCTIBLES ARE VERY HIGH FOR ADDICTION. SO A LOT OF PEOPLE CAN’T AFFORD THE DEDUCTIBLE FOR ADDICTION TREATMENT>>SO WHAT HAPPENS? DE FACTO WHAT GOES ON?>>SO THEN YOU CALL, YOU KNOW YOU CALL FOR TREATMENT AND AS SOON AS THEY FIND OUT YOU HAVE INSURANCE, YOU’RE NO LONGER ABLE TO GET FUNDING THROUGH THE STATE. SO YOU LOSE>>OH BOY>>FUNDING, AND YOU CAN’T PAY YOUR DEDUCTIBLE. SO YOU’RE YOU’RE OUT OF LUCK>>AND I’VE ACTUALLY HEARD OF PARENTS WHO HAVE CHILDREN WHO THE INSURANCE WOULD NOT PAY, THEY HAD INSURANCE>>HMM>>WHO TOOK OUT SECOND MORTGAGES ON THEIR HOME>>YES>>TO PAY FOR REHAB FOR THEIR KIDS>>CAROLYN, LET’S GO BACK. YOU AND I HAVE HAD THESE CONVERSATIONS, AND WE TALKED RIGHT BEFORE WE GOT INTO THE STUDIO ABOUT OF THE THINGS YOU WANTED TO ACCOMPLISH WITH THIS PROGRAM. AGAIN, WE WENT BACK TO HELPING PARENTS FROM YOUR VANTAGE POINT, DOING THE WORK YOU DO, AND THE EFFORT TO HELP PARENTS, WHAT ARE SOME OF THE SIGNS THAT YOU FEEL AND I’LL ASK THIS ALL THE WAY AROUND, THAT PARENTS SHOULD BE LOOKING FOR? SOME SIGNALS AND SOME SIGNS THAT SHOULD SAY “HEY, WAIT A MINUTE? MY CHILD MAY BE DEALING WITH AN ISSUE… A PROBLEM, THAT I NEED TO BE MORE ENGAGED IN, INVOLVED IN AND POTENTIALLY REACH OUT FOR SOME HELP”?>>YOU KNOW I THINK IN GENERAL AND WE’RE TALKING HERE ABOUT ADOLESCENCE AND A BIT OLDER PEOPLE IN, YOUNG PEOPLE IN THEIR 20’S>>YES>>IT’S VERY TOUGH. BECAUSE OUR YOUNG PEOPLE ARE GROWING UP BUT THEY’RE CREATING MORE DISTANCE, THEY DON’T WANT THEIR FAMILIES AS INVOLVED. AND THERE ARE BEHAVIORS THAT CHANGE BUT THAT’S REALLY THE KEY I MEAN WHETHER IT’S A MENTAL ILLNESS THAT MAY BE HAPPENING OR AN ADDICTION PROBLEM YOU’RE GOING TO SEE CHANGES IN THAT PERSON’S BEHAVIOR YOUR YOUNG PERSON’S BEHAVIOR AND THAT WOULD HAPPEN OVER A PERIOD OF TIME. IF THEY’RE BEGINNING TO ISOLATE MORE IF THERE IS LESS COMMUNICATION IF THERE’S MONEY MISSING FROM THE HOUSE, IF THERE ARE MEDICATIONS MISSING FROM THE HOUSE, AND THAT SPEAKS MORE TO THE OPIATES THAN IT DOES TO MENTAL HEALTH. BUT STAYING IN COMMUNICATION>>HMM>>IT’S DIFFICULT, BUT IT REALLY YOU REALLY NEED TO STAY IN COMMUNICATION AND PURSUE SOME OF THESE ISSUES WITH YOUR YOUNG PEOPLE>>YOU KNOW IT’S SO INTERESTING WE HAVE A SON WHO’S TURNING 13 AS WE DO THIS SHOW, AND I’M NOT GONNA SAY TOO MUCH BECAUSE, NOT THAT HE WATCHES THAT OFTEN>>[LAUGHTER] HE MIGHT BE THOUGH [LAUGHTER]>>WE TRY TO FORCE HIM TO>>RIGHT>>HE WATCHES OTHER PUBLIC TELEVISION. WE TRY NOT TO MICROMANAGE HIS RELATIONSHIPS WITH OTHER KIDS>>MM HMM>>BUT I GET CONCERNED>>AND MINE>>YEAH, I DO GET CONCERNED AND MY WIFE AND I HAVE THIS CONVERSATION ALL THE TIME HOW INVOLVED IS TOO INVOLVED? IF HE’S NOT WITH CERTAIN KIDS AND ALL OF A SUDDEN HE’S ISOLATED, OR ISOLATING>>CHANGING>>IS IT BY CHOICE? I’M NOT SURE DOES HE CARE? DOES HE NOT CARE? HE’S A REAL STRONG KID, HE’S AN INDEPENDENT KID. BUT, HOW INDEPENDENT IS ISOLATED? I DON’T KNOW. WHAT’S MICROMANAGING? HELP US>>IT’S…>>WELL IT WAS EASIER 20 YEARS AGO, YOU KINDA KNEW WHO YOUR KIDS WERE WITH. NOW…>>YEAH RIGHT [LAUGHTER]>>WITH FACEBOOK AND>>BY THE WAY, WITH ALL KINDS OF SOCIAL MEDIA AND STUFF GOING ON>>COME ON, YOU HAVE NO WAY TO FOLLOW THAT STUFF ANYMORE I MEAN, I GUESS YOU COULD BUT YOU’D HAVE TO REALLY GET>>IT’S HARD>>INVESTIGATIVE ABOUT IT>>YEAH>>TO FIGURE THAT OUT>>AND YOU’RE BEING INTRUSIVE>>WHEN WE DID, I MEAN, WE WERE DOING THINGS LIKE… I MEAN…>>WHAT WERE YOU DOING?>>WE WERE, I MEAN, MY SON WOULD IN THE MIDDLE OF THE NIGHT I MEAN, I NEVER SLEPT. I MEAN FOR YEARS I DIDN’T SLEEP I STILL HAVE PROBLEMS SLEEPING I WOULD… I WOULD GO… I’D BE LIKE HEAR NOISE OUT IN THE DRIVEWAY, AND THEY WOULD BE PUSHING A DRIVE… A CAR DOWN THE DRIVEWAY TO GO OUT AND I’D BE, THEY’D BE PUSHING THE CAR>>OH BOY>>AND I’D BE STANDING IN THE MIDDLE OF THE DRIVEWAY WAITING FOR THEM TO PUSH THE CAR TO ME. I MEAN THEY WERE CRAZY. I MEAN I PUT GPS ON THEIR PHONES, SO I COULD TRACK THEM, THEY THEY FIGURED THAT OUT, AND THEY’D LEAVE THE PHONES, YOU KNOW, THEY’D LEAVE THE PHONES SOMEWHERE SO I>>OH BOY>>COULDN’T… I SHOULDN’T HAVE SAID THAT>>SO THEY WERE GOOD?>>OH YEAH, THEY, WELL THEY BECOME VERY, THEIR BRAIN IS SO, THEY WANT THE DRUGS THEY NEED THE DRUGS>>WOW>>SO BAD, THAT THEY BECOME SO MANIPULATIVE, AND REALLY CONVINCING THAT, YOU KNOW THEY REALLY DO CONVINCE YOU THAT YOU’RE CRAZY AND THEY’RE NOT DOING ANYTHING. AND YOU KNOW THEY ARE, BUT IT’S HARD>>ADVICE TO PARENTS RIGHT NOW? ANYTHING ELSE? I KNOW THERE ARE NO EASY ANSWERS HERE>>WELL, I THINK THAT, YEAH ANOTHER IMPORTANT SIGN IS WHEN YOU SEE THAT THEIR AWAKE AND SLEEP PATTERNS CHANGE>>SAY THAT AGAIN?>>WHEN YOU SEE CHANGES IN THEIR AWAKE AND SLEEP PATTERNS. AND THAT IS THAT THEY ARE UP ALL NIGHT LONG AND WANT TO SLEEP DURING THE DAY. OFTEN TIMES, THAT’S WHAT YOU SEE IN ADOLESCENCE AND TEENAGERS THAT ARE ABUSING SUBSTANCES>>WHY IS THAT? WHAT’S THE CORRELATION?>>WELL, BECAUSE THEY ARE UP USING IN THE, YOU KNOW NIGHTTIME HOURS. AND SO THEY’RE UP, THEY’RE FEELING THE EFFECTS OF THE SUBSTANCE. AND THEN THEY TEND TO SLEEP IN THE DAYTIME AND WAYNE, SOMEONE WATCHING RIGHT NOW SAYS, “WOW, THAT’S TOUGH, I FEEL BAD FOR YOU AND FOR YOUR KID AND WISH YOU THE BEST FOR YOUR KID, BUT NOT MY KID. I DON’T SEE IT.” AND I HAVE TO TELL YOU SOMETHING. I HAVE SAID “NOT MY KID” I WILL ADMIT IT “NOT OUR KIDS” HOW DELUSIONAL IS THAT?>>YOU NEVER KNOW. IT’S BRAIN CHEMISTRY, AND IN THE CASE OF MY DAUGHTER, YOU KNOW, SHE SUFFERED FROM A VERY SEVERE CASE OF BI-POLAR DISORDER WHEN SHE WAS YOUNG AND HAD IT THEY DIDN’T EVEN RECOGNIZE IT PSYCHIATRY DIDN’T RECOGNIZE IT AS A CHILDHOOD DISORDER, SO WE COULD NEVER GET A DIAGNOSIS>>RIGHT>>I KNEW SOMETHING WAS WRONG AND THEY NEVER GOT IT. AND IT TURNS OUT THAT HEROIN IS THE DRUG OF CHOICE FOR PEOPLE WITH BI-POLAR DISORDER CAUSE IT HELPS THEM THE MOST AND SO SHE HAD A VERY SEVERE EPISODE AFTER SHE GOT OUT OF COLLEGE, AND AS SHE STARTED THE DRUGS FOR BI-POLAR DISEASE ARE VERY… NOT GREAT DRUGS WITH OTHER SIDE EFFECTS>>RIGHT>>AND HEROIN DOESN’T HAVE THOSE SIDE EFFECTS AND MADE HER FEEL GOOD. AND SHE WAS A VERY SEVERE HEROIN ADDICT FOR PROBABLY TEN TO TWELVE YEARS. AND SHE WAS>>YEAH>>DOING WELL ON METHADONE LAST SEVEN YEARS, SHE PASSED AWAY ABOUT TWO, THREE YEARS AGO SHE WAS 43. AND THAT WAS A COMBINATION, I WOULD SAY MORE THAN MENTAL ILLNESS>>MM HMM>>YOU KNOW, I THINK PEOPLE WITH MENTAL ILLNESS LIVE ON AVERAGE TEN YEARS LESS THAN THE AVERAGE PERSON. RIGHT? ISN’T THAT THE STATISTIC?>>HMM>>THAT. AND THEY TEND TO DIE IN THEIR 50’S, RATHER THAN HAVING A LONGER LIFE>>YEAH>>YEAH>>YEAH SO I MEAN IT WAS A>>YEAH>>COMBINATION. IT’S ALL BRAIN CHEMISTRY>>YEAH>>THE MENTAL HEALTH IS BRAIN>>IT’S THE LUCK OF THE DRAW>>CHEMISTRY, IS THE LUCK OF THE DRAW. ONE OTHER, ONCE YOUR D… WHAT… I ALWAYS TELL MY OTHER KIDS, YOU KNOW, YOU WON THE DICE WHEN IT CAME TO YOUR GENES>>YEAH>>YOU KNOW>>AND CAROLYN, TALK TO US IN THE COUPLE MINUTES WE HAVE LEFT. PARENTS WHO ARE SAYING “NOT MY KID” YOU DON’T KNOW WHAT THE BRAIN CHEMISTRY IS OF YOUR CHILD?>>YOU KNOW, EDUCATION IS SUCH AN IMPORTANT FACTOR HERE BECAUSE PARENTS TEND TO BE, IF WE WANT TO CALL IT “IN DENIAL” OR JUST NOT SEEING, BECAUSE IT’S TERRIFYING. AND ONE OF THE THINGS THAT THE MENTAL HEALTH ASSOCIATION IS SO FOCUSED ON IN TERMS OF CHANGING THE WAY THINGS ARE HAPPENING, IS TO PROVIDE EDUCATION. THIS KIND OF PROGRAM IS A WONDERFUL WAY FOR PEOPLE TO TUNE IN AND SAY “OH, I’D BETTER LOOK FOR THAT” BUT THEY CAN ALSO, WE HAVE A CALL LINE CALLED “NEW JERSEY CONNECT FOR RECOVERY”>>IT’LL BE UP RIGHT NOW KEEP TALKING>>AND WE STARTED THAT PROBABLY AT THE END OF DECEMBER OF 2014 ONLY AROUND OPIATES. BUT WE HAVE TWO DIFFERENT LINES ONE OF THEM IS FOR PEOPLE WHO ARE ADDICTED THEMSELVES AND WE HAVE LICENSED COUNSELLORS TO TALK WITH THEM AND HELP THEM MAKE DECISIONS THE OTHER IS FOR FAMILY MEMBERS SO WHEN YOU CALL A LINE THERE’S A PROMPT, AND YOU CAN EITHER GO ON ONE OR TWO IF YOU’RE A FAMILY MEMBER WE WILL STAY WITH YOU WHATEVER YOUR ISSUES ARE AND WHAT WE FIND IS ARE FAMILIES OFTEN ARE SAYING “I DON’T KNOW WHETHER THIS IS AN ISSUE. CAN YOU HELP ME WITH THIS?” AND WE HOPEFULLY DO AND WE, THEY CALL BACK AND THEY GET MORE HELP WE’LL STAY ON THE LINE WITH THEM. WE WILL COUNSEL AND SUPPORT THEM. THEY DON’T KNOW WHERE TO GO FOR THAT KIND OF INFORMATION>>PEOPLE DON’T KNOW, AND WE HAVE A FEW SECONDS LEFT SO FINAL MESSAGE YOU WANT TO LEAVE TO ALL PARENTS RIGHT NOW?>>WELL, I THINK ONE OF THE THINGS THAT I DID LEARN IS THAT THERE ARE THINGS, THERE ARE CERTAIN LEARNING DISABILITIES THERE’S BULLYING, THERE’S THINGS LIKE THAT THAT KIND OF LEAD KIDS TO SELF-MEDICATE AND THAT WE NEED TO BE AWARE I MEAN I TOOK MY CHILD TO>>HMM>>SOMEBODY WITH… FOR ADHD AND NEVER EVEN, I DIDN’T HEAR HIM SAY ANYTHING ABOUT, HE DID TELL ME, HE DID TALK ABOUT ADDICTION. BUT I NEVER PUT IT TOGETHER>>YOU NEVER PUT IT TOGETHER>>MM HMM>>LISTEN>>MM HMM>>YOU KNOW, CAROLYN MENTIONED A PROGRAM LIKE THIS. THIS WILL NOT BE THE ONLY PROGRAM WE DO ON THIS. WE HAVE A RESPONSIBILITY IN PUBLIC BROADCASTING TO CONTINUE TO EDUCATE. BUT WE CAN ONLY DO THAT WITH THE HELP OF PROFESSIONALS AND COMMITTED PEOPLE LIKE YOURSELF. THANK YOU SO MUCH FOR BEING WITH US WE APPRECIATE IT>>THE PRECEDING PROGRAM HAS BEEN A PRODUCTION OF THE CAUCUS EDUCATIONAL CORPORATION CELEBRATING OVER 25 YEARS OF BROADCAST EXCELLENCE AND THIRTEEN FOR WNET NJTV AND WHYY FUNDING FOR THIS EDITION OF CAUCUS NEW JERSEY HAS BEEN PROVIDED BY STEVE AND ELAINE POZYCKI WELLS FARGO CALDWELL UNIVERSITY PSEG ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL THE ROBERT WOOD JOHNSON FOUNDATION AND BY OSCAR HEALTH INSURANCE TRANSPORTATION PROVIDED BY AIR BROOK LIMOUSINE SERVING THE METROPOLITAN NEW YORK NEW JERSEY AREA CAUCUS NEW JERSEY HAS BEEN PRODUCED IN PARTNERSHIP WITH TRISTAR STUDIOS [MUSIC PLAYING] [MUSIC PLAYING]>>NEW JERSEY IS A LEADER IN SOLAR POWER. AND PSEG IS DOING ITS PART. WITH 24 SOLAR INSTALLATIONS IN NEW JERSEY PROJECTS THAT ARE GIVING LANDFILLS NEW PURPOSE AND TURNING FORMER BROWN FIELDS GREEN, SOLAR POWERS MORE THAN OUR HOMES, AND SCHOOLS AND BUSINESSES. IT POWERS OUR ECONOMY BY CREATING JOBS RIGHT HERE IN THE GARDEN STATE PSEG. PROUD TO SUPPORT

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