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Ignore and Concur

Tough love is the only thing that works. Science shows tough love doesn’t work. Addicts need to reach rock bottom. Not all addicts have a bottom unless it’s death. Addicts need a reason to live, a reason to strive for recovery. Addicts will get clean for themselves no matter what, if that is what they want. Helping an addict is hurting. If you can’t help and addict don’t hurt them. The messages are so conflicting. There are so many schools of thought surrounding dealing with addiction. There is no handbook, or guide pack, or even expert that knows exactly the thing to do. We all have opinions. We all have our own processes, families and addicts alike, but there is no right or wrong- in my opinion. I have had many people tell me that addiction isn’t a disease and I don’t harbor bad feelings toward those people because they truly believe that. Either they have never dealt with addiction in their immediate family, or they have and were so hurt and traumatized they can’t see past their own anger. Either way their opinions are valid. Just as my opinion that it is a disease. Or maybe not a disease. Maybe I would call it a mental disorder, but no matter what it starts with something in the brain that can’t be corrected with a cycle of antibiotics. It isn’t that simple.

At this point I know that my addict is not going to be the person I always hoped she would be. It is a different level of acceptance for the family. For a long time there is denial that she is an addict, then there is the hope she will find recovery and resume her life. That eventually leads to realization that addiction will be a monkey on their back forever, but it is manageable if they work for it. And, lastly, when you have addicts like my child, acceptance that she will realize the future I envisioned for her. Though, in fairness, that is probably something most parents go through anyway. Throwing addiction in the mix is just an additional obstacle.

There are so many recovery centers with different philosophies. JoDee has been to them all. Some super strict, some not strict at all, some family based, some individual based, some Christian based, some follow N/A, some follow other fellowships; it’s a world all of its own. When the needle exchange facilities opened up there was a huge uproar. Lot’s of people felt that it was enabling drug users and condoning illegal activity. I’m not sure that I disagree. There is a sense of sort of turning a blind eye but it did help reduce the spread of AID’s, HIV, and Hep C among other diseases. It was also a good resource for those that wanted help. Options were available and discussed when folks came into for needle exchange. Those programs grew into larger, productive organizations working for the greater good of their community. Next came the big Narcan debate. Why was Narcan free but not epipen? Why was Narcan free but not chemotherapy? I can’t answer those questions on a broad spectrum but I can tell you that a lot of fight went into that. It was families fighting for the ability to try to save their kid, just like a parent or loved one would do. And in the end, it isn’t free. It may be free to the person receiving it, but DPH pays for those with a grant that was secured.  If people have an issue with it, take it up with Big Pharma.

Now, I saw that they have passed a law to allow what will essentially be a shooting gallery. They are formally called Legal Injection Sites and they have stirred up the shit pot for sure. The theory is that if user’s had a safe place to inject there would be less overdose, fewer needles on the street, and a safe place for addicts to go. The sites would also provide social services, help with recovery, and the like. Some say it is enabling. Others say it will save lives.  Both are correct, really.  There are people who stand firmly on one side of the debate or the other. I have no idea where I stand. In the last few weeks I have had conversations with many different families about their own loved ones dealing with addiction. Two in particular have stayed in my mind. Both need help right away. Both need their families to be way more aware of the urgency to the situation. I am truly afraid that the families will be shocked when something tragic and permanent happens that makes them wake up. I also think about how I felt when I was in their shoes five years ago. I know I would have been completely horrified. I think I still am. Am I?

There are Pros and Cons to everything in life. Studies showed a large decrease in public nuisances such as addicts shooting in public, publicly disposed of used needles, and public overdose. The impact on blood-borne viruses had an overall decrease because users were able to have access to clean needles eliminating the need to share. The survival rate for overdose increased as trained professionals were on-site to administer narcan and other medical interventions.

Of course one of the number one reasons (to me) this is a con is financial. I would imagine that a site like this will have to have a lot of government funding along with donations and fundraising. A site in Australia reports costs of $2.7 million per year to keep it running. That is not a lot of money for any type of public health clinic, however, it is $2.7 million that could be used for more rehab or detox beds.  The funding for recovery is very low. I know that many people complain that any money is spent on addiction, but it receives the least amount of any funding in Massachusetts. Less than 1%.  Opening an injection site would provide some of the services needed for successful recovery but it isn’t a long term solution.  Currently there is no long term solution. An injection site would help in the short run but what happens when the injection site staff is not able to find a bed for an addict in need because there aren’t enough?

Not to mention the enabling part. It is allowing drug addicts to use illicit and illegal drugs openly without recourse.  It sends a shitty message. My addict would have come in, plopped her ass down and not left unless they threw her out. Will addicts be able to hangout all the time? Who wants that sort of facility in their neighborhood? So after a lot of research and strong debate in my own head, I decided I stand firmly on the side……hell if I know. This is too big for me.  I believe we should try anything, and I appreciate that there are steps being taken but I just don’t know if this is one in the right direction. There is a point that divide an concur is effective at winning a war but this feels a little bit like ignoring the bigger issue. But that is just one woman’s opinion.

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