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Posts Tagged ‘substance abuse treatment’

Bain Capital sees opportunity in methadone clinics
Bain paid $ 58 million to acquire the for-profit centers through CRC Health Corp., a California company it has owned since 2006. CRC Health is the biggest provider of substance abuse treatment and behavioral health services in the country. This foray …
Read more on Boston Globe

Barriers Remain Despite Health Law's Push To Expand Access To Substance
Similarly, the vast majority of the substance abuse treatment in Colorado is located in centers with more than 16 beds, said Arthur Schut, chief executive officer of Denver-based Arapahoe House. There are ongoing conversations among treatment providers …
Read more on Kaiser Health News

Laws needed to help treat drug addiction
HB 240 gives greater power to family members seeking involuntary treatment by adding the definition of "incapacitated by alcohol and/or drug abuse" to the statutes. Opiate use changes brain chemistry and abusers cannot make rational decisions about …
Read more on The Courier-Journal

Groups urge Tennessee governor to veto prenatal drug use bill
"We all want to promote healthy pregnancies by providing pregnant women struggling with a drug or alcohol dependency with the opportunity to seek the best possible prenatal care and substance abuse treatment," Hedy Weinberg, executive director of the …
Read more on WDJT

Question by me: How come nicotine is not a schedule I substance?
Nicotine meets all the criteria for being a schedule substance:
– The drug or other substance has a high potential for abuse.
-The drug or other substance has no currently accepted medical use in treatment in the United States.
– There is a lack of accepted safety for use of the drug or other substance under medical supervision.

Why is it not a schedule I substance or a II-V substance?? Isn’t it the one of the most addictive substances…? Why is THC labeled as a hallucinogen?
4Get the THC stuff, I don’t know why I added it in.

Best answer:

Answer by Apocalypse Cow
Follow the $ – all those tobacco growers and cigarette makers make pretty good contributions to our lawmakers.

Answer by Mathieu
Firstly the American Controlled Substances Act (CSA) does not define “abuse.”

From that alone it can be argued that nicotine does not fit criteria for abuse. Generally speaking to abuse something means to use it in a manner that is inappropriate (ie abusing a wife, husband, child). Thus a person taking prescription morphine would be “abusing” it by taking more than prescribed under that definition. However medically “substance abuse” is a diagnosis below addiction (technically known as “substance dependence” or “dependence syndrome”). The medical definition of abuse would not include taking two tablets of morphine- it only relates to potential problems that may arise from that (ie to have “abuse” there needs to be harm from the drug use).

However what would really support the idea of having nicotine under schedule I is that the DOJ/DEA has said, simply put, that if a substance is generally considered to have no medical use AND it is generally considered to have at least some abuse potential then it should be classified under schedule I.

That would also exclude putting nicotine anywhere except C-I without accepted medical use (FYI there are some limited but important medical uses in neurology/psychiatry).

Then again the CSA is intended to list the abuse risk and potential, not the dangerousness of a drug.

In the end the CSA was designed to meet the obligations under The Single Convention on Narcotic Drugs and The Convention on Psychotropic Substances. To a large extent it is hardly even American legislation, it is just international law ratified by Congress.

And nicotine (remember the CSA came into effect in 1970) is both in 1970 and 2010 would not be controlled because that is not really accepted. In the US currently about 1/4 of the population smokes (it was around 50% in the 70’s) and in some countries that number can be as high as 60% today. Politically the US is extraordinary divided- imagine the hell it would be for a politician to try to basically make all tobacco produces illegal. Not the mention the lobby groups, the job loss (both directly from production and the job loss from gas station and grocery stores resulting from a loss of income from cigarettes). And then the loss of tax money especially when cites, counties, states, and the federal government are broke. It would cause a loss of services and would be directly felt my everyone. Also it is very hard to get a drug under C-I and still comply with international law (like it or not there does have to be compliance). Rohypnol is, for example, not available for medical use in The US but it is schedule IV to comply with international law (Rohypnol is a benzodiazepine like Valium, which is a legal CIV drug. But Rohypnol is legal in most of the world). Even if The US did want to put nicotine under C-I then there would be issues of international law and many countries would never agree.

I know how stupid it is and how it looks like a good thing to do but that is life. Smoking is part of the culture- I have an occasional cigaret especially if a friend went to visit Iran or The Middle East and brought back some cigarettes (I think in The US getting things from Iran would be illegal). I also have an occasional Cuban cigar.

If you ask most experts they would admit that if alcohol or nicotine would be developed now they would be listed under C-I. Although unlike nicotine, alcohol meets the criteria as a true drug of abuse in every way. Although medically nicotine dependence (ie addiction) is a genuine diagnosis it is controversial and many symptoms and behaviours of addiction can’t be determined with nicotine because it is so readily available.

ACA Brings Mental Health and Substance Abuse Treatment to Millions
While the ACA now requires insurers selling plans on the online exchanges to offer substance abuse treatment and “mental health parity,” these changes may not translate into effective or immediate help for everyone. But the experts interviewed for this …
Read more on Healthline

Men Twice As Likely To Enter Substance Abuse Treatment, Though Elderly
Print. Men Twice As Likely To Enter Substance Abuse Facilities. Although twice as many men seek inpatient treatment for substance abuse, elderly women are nearly three times as likely as men their age to abuse prescription painkillers such as oxycodone.
Read more on Medical Daily

Proposed substance abuse treatment center would be a first in West Virginia
CHARLESTON, W.Va. – More West Virginians died as a result of substance abuse in 2013 than auto accidents. That doesn't come as a surprise to Jim Wilkerson. He's the development director of the T Center. Once it's built, it will be the first of its kind …
Read more on West Virginia MetroNews

Less conflict at home when dad quits drinking
… for their addiction, conflict levels in their homes fell close to those of the comparison families. "Alcohol dependence, as well as its treatment, are complicated," said Daniel Rounsaville, lead author of the study and a psychologist at Meadow's …
Read more on Health24.com

Substance Abuse Tx Problematic Despite ACA
Similarly, the vast majority of the substance abuse treatment in Colorado is located in centers with more than 16 beds, said Arthur Schut, chief executive officer of Denver-based Arapahoe House. There are ongoing conversations among treatment providers …
Read more on MedPage Today

Rays' Cobb could miss 4-6 weeks with oblique strain
Matt Moore was placed on the disabled list Tuesday with left elbow soreness that will force him to miss several months if he decides to rehab the partial tear in his left UCL or the entire season if he opts for surgery. This leaves the Rays … That's …
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A Sobering Story: Addicts must confront their demons, experts say
So people tend to still see it as a moral weakness,” said Vince Mercuri, executive director of The Open Door Alcohol & Other Drug Treatment Center in Indiana. However, addiction is not a moral failing, and brain-imaging techniques have helped to show …
Read more on Indiana Gazette

Mountainside Reminds Patients about Deducting Addiction: Writing Off Medical
It's tax time. As Americans scramble to find their calculators and receipts from 2013, Mountainside Drug Rehab and Alcohol Treatment Center reminds former clients and others suffering with addiction that their alcohol and substance abuse treatments are …
Read more on Virtual-Strategy Magazine (press release)

Need for a quick solution can develop drug dependency
The habit-forming nature of the drugs increases likelihood of addiction to sedatives because the brain has an incredibly hard time adapting back to natural, unaided sleep. At a young age, I labeled myself as an … It is only a sustainable treatment as …
Read more on Dailyuw

Heroin a growing problem in Missouri, nationwide
The Missouri Department of Mental Health reported that 776 people admitted for substance abuse treatment in 1993 cited heroin as the primary drug of abuse. … Some police agencies are taking a more holistic approach to treating the problem. Rather …
Read more on The State

Humble Beginnings in Cherry Hill opens as outpatient addiction facility
Humble Beginnings, a new outpatient drug treatment facility in Cherry Hill, strives to help clients break the cycle of relapse and maintain sobriety through a holistic approach to treatment. Humble Beginnings CEO Joe Lubowitz said the facility provides …
Read more on Today’s Sunbeam – NJ.com

Leading Addiction Specialist to Meet with Addiction Treatment Professionals in
Clinical Programme Director Alastair Mordey of The Cabin Chiang Mai, Asia's leading inpatient rehab centre, will be visiting Beijing and Shanghai from the 16-24th April to offer insights into the latest addiction treatment methods practised. Share on …
Read more on PR Web (press release)