- Posted byon July 25, 2012 at 9:01 AM EST
Preventing the development of substance use disorders is fundamental to the Obama Administration’s approach to drug policy. If problematic substance use can be detected, interrupted, and treated before it reaches the “tipping point” to become a serious health problem, then the consequences of substance dependence can be avoided. By intervening early, we can reduce the harmful consequences of substance use.
This common-sense approach is the principle behind Screening, Brief Intervention, and Referral to Treatment (SBIRT), an innovative program supported by grants from the Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA).The goal of the program is to deliver early intervention and treatment services in traditional healthcare settings to people with, or at risk of developing, substance use disorders.
With today’s announcement of $22 million in new SAMHSA funding to expand the program, the promise of SBIRT to prevent substance use disorders moved closer to reality for many Americans. The awards went to three states – New Jersey, Arizona, and Iowa – each of which will receive up to $7.5 million for as many as 5 years to implement SBIRT.
The SBIRT program equips primary care centers, hospital emergency rooms, trauma centers, and other community settings with the ability to intervene early with at-risk substance users before more severe consequences occur. Healthcare providers using SBIRT screen patients by asking patients about their substance use during routine medical visits. They provide medical advice and, if appropriate, refer patients who are deemed to be at risk of substance use problems to treatment. In this way, SBIRT helps identify people with underlying substance abuse problems that might otherwise go unnoticed and untreated, then puts them on the road to recovery before their drug use becomes a life-threatening or criminal justice issue.
SBIRT exemplifies the medical, prevention-based approach to the drug problem outlined in the 2012 National Drug Control Strategy. It’s part of our “third way” forward in drug policy—a path defined by evidence-based strategies and a public health approach to America’s drug problem.
We can be proud of the progress we have made in reducing substance use in America. The rate of overall drug use in the United States has plunged by roughly 30 percent since 1979, with a 40 percent decline in the rate of cocaine use just within the past four years. SBIRT represents the future of this continued progress, and we look forward to working with partners in government and in the health communities to implement this innovative program.
- Posted byon July 20, 2012 at 1:11 PM EST
Today, Director Kerlikowske participated in a preconference hosted by the International AIDS Society to help kick off the 2012 International AIDS Conference in Washington D.C. Director Kerlikowske underscored the Obama Administration’s commitment to preventing drug use and its consequences, particularly the transmission of HIV. Injection drug use is a leading cause of HIV in the United States.
Director Kerlikowske made clear that the Administration and ONDCP recognize and acknowledge the connection between drug use and the spread of HIV/AIDS. The National Drug Control Strategy, the federal government’s primary blueprint for drug policy in the United States, includes an action item from the Administration to help reduce drug use and the attendant spread of HIV. The Strategy explores all avenues for curbing the drug problem in America, including areas not emphasized in past drug policies: treatment, prevention, and recovery.
The Administration’s policy recognizes drug addiction not as a moral failing but as a chronic disease of the brain, a disease that can be treated and managed. The policy encourages and applauds those who have overcome the disease of addiction, and it supports former users who are now living healthy, productive lives in recovery.
In recent years ONDCP has worked collaboratively with the Office of National AIDS Policy and the Department of Health and Human Services to develop the National HIV/AIDS Strategy, which calls for the coupling of HIV screening with traditional substance abuse treatment programs. The Nation’s first-ever comprehensive HIV/AIDS roadmap, the Strategy urges more medical facilities to employ rapid HIV screenings and, thus, give more people the opportunity to be tested in a variety of settings.
Working together with our partners in and out of government, we are committed to “turning the tide together” while building a healthier, safer America. For more information on this year’s International AIDS Conference, please visit the event page on AIDS.gov.
- Posted byon July 9, 2012 at 12:00 PM EST
Today, the Food and Drug Administration (FDA) approved a plan designed to increase the number of health care professionals who are trained on how to properly prescribe certain types of painkillersand help patients use prescribed medications safely. The Risk Evaluation and Mitigation Strategy (REMS) targets extended-release (ER) and long-acting (LA) opioid drugs, including prescription medications containing oxycodone hydrochloride.
The new FDA plan is the latest step in a multi-agency Federal effort to address prescription drug abuse, a major public health problem in the United States. These drugs, used for treating patients with severe, persistent pain, provide needed relief for millions but also pose a serious risk of abuse, overdose, and death. Nearly 15,000 Americans died from unintended consequences of pain reliever use in 2008, according to the Center for Disease Control.
The REMS plan will affect more than 20 companies that manufacture opioid analgesics, requiring them to make continuing education programs available for prescribers based on models developed by the FDA. These programs will help prescribers weigh the risks and benefits of opioid therapy, manage and monitor patients correctly, and counsel patients more effectively. Opioid manufacturers must also provide prescribers and patients with information regarding the safe use of these drugs and the risks involved.
In April, 2011, as part of its comprehensive plan to address the epidemic of prescription drug abuse, the Obama Administration called for training prescribers in proper use of ER and LA opioid analgesics. The FDA continues to support this approach by including company and prescriber compliance as part of its REMS plan.
- Posted byon July 3, 2012 at 2:50 PM EST
Thermometers across the country have made it clear that summer is upon us. In conjunction with summer holidays, we often see campaigns designed to heighten our awareness of the dangers of alcohol-impaired drivers. However, there is an equally dangerous driver: the drugged driver. These drivers crash, and those crashes may not only result in injuries, but deaths.
According to a survey by the National Highway Traffic Safety Administration, one in eight nighttime weekend drivers test positive for illegal drugs. More alarming – one in three drivers with known test results who were killed in accidents tested positive for an illegal drug. Young people are also at risk. According to another study by the National Institute on Drug Abuse, one in eight high school seniors admit to smoking marijuana before driving.
The research is clear – driving high slows reaction time, impacts judgment, and all too often leads to deadly consequences. So when people drive high, they don’t just pose a threat to themselves, but to others with whom they share the road.
Our agencies are committed to reducing drugged driving. The Office of National Drug Control Policy is working with states to help them pass zero tolerance laws when it comes to drugged driving. Already, 17 states have established per se laws, which means that any presence of an illegally used drug is a violation of the law. We are also working with law enforcement agencies to increase the number of law enforcement officers who are trained to detect the signs of drugged driving and are properly trained to identify impaired drivers.
But our efforts don’t end there. Last month, the National Transportation Safety Board hosted its first-ever forum examining the substance-impaired driving problem. Over the next several months, NTSB will be reviewing the information obtained during the forum and conducting additional research to identify the best recommendations for preventing future drug-related highway crashes, injuries, and deaths.
Americans deserve fewer risks when taking to the roads and highways; parents should not have to fear that their children will become another teenage drugged driving statistic. We at the Office of National Drug Control Policy and the National Transportation Safety Board are steadfast in our mission to reduce this threat, and we hope that Americans will join us in raising public awareness regarding this challenge.
Synthetic Drug Update: Congress Moves to Classify “K2” and “Spice” Chemicals as Schedule I SubstancesPosted byon June 26, 2012 at 5:05 PM EST
Just a quick update from the Hill—both houses of Congress have now passed S. 3187 which will classify 26 synthetic chemicals—used to make “fake weed,” “K2” ”Spice,” and “bath salts”—as Schedule I substances. Substances classified as Schedule I have a high potential for abuse, have no medical use in the United States, and “lack of accepted safety for use.”
Back in February, we worked with the Partnership at Drugfree.org to put together a toolkit to help parents talk to their kids about the dangers of synthetic drugs. To read more about synthetic drugs, see this page on our site.
- Posted byon June 25, 2012 at 5:04 PM EST
Tomorrow in New York, the United Nations General Assembly will hold a thematic debate on drugs and crime as a threat todevelopment worldwide.
At 10 a.m. EST tomorrow, Yury Fedotov, the Executive Director of the United Nations Office on Drugs and Crime, will launch the 2012 World Drug Report.
The webcast of the event will be streamed on Tuesday 26 June from 10 am - 1pm (first session) and from 3pm - 6pm (second session) EST (New York time) through http://webtv.un.org/. You can join the conversation on Twitter using #WDR2012--be sure to follow @ONDCP and @UNODC for highlights from tomorrow's sessions and from the report.
- Posted byon June 21, 2012 at 10:01 AM EST
Today in Indiana and Ohio, the Department of Health and Human Services (HHS) launched a pilot program that promises to give prescribers another powerful tool for combating prescription drug abuse. The Enhancing Access to PDMPs Project is designed to test the feasibility of connecting a prescription drug monitoring program to other health information technology (Health IT) systems to help emergency department physicians deliver better and more timely care to patients needing substance abuse treatment.
Prescription drug monitoring programs (PDMPs) are statewide electronic databases that collect, monitor, and analyze prescribing and dispensing data submitted by pharmacies and dispensing practitioners. The programs collect a considerable amount of useful information, but their effectiveness at combatting prescription drug abuse is often limited because prescribers fail to access them.
The purpose of the new project is to help hospital staff quickly identify a patient’s controlled substance history and alert them to patients with a potential addiction to painkillers. The Centers for Disease Control and Prevention (CDC) has declared that prescription drug abuse in the United States is an epidemic. Programs such as this one can address the prescription drug abuse epidemic by expanding timely access to PDMP data and helping doctors provide quality care.
The Enhancing Access to PDMPs Project was created through the joint efforts of public sector and private industry experts who participated in the White House Roundtable on Health IT and Prescription Drug Abuse in June 2011. Later that month, the HHS Prescription Drug Abuse and Health IT Work Group of the Behavioral Health Coordinating Committee followed up with an Action Plan for Improving Access to Prescription Drug Monitoring Programs through Health Information Technology. The pilot program launched today in Indiana and Ohio is managed within HHS by the Office of the National Coordinator for Health Information Technology in collaboration with ONDCP, CDC, and the Substance Abuse and Mental Health Services Administration.
- Posted byon June 17, 2012 at 7:00 AM EST
Editor's note: In honor of Father's Day, we have two posts today about fatherhood, family, and recovery. This post comes from Bob Curry, a Vietnam veteran in recovery and the founder of Dryhootch, a veterans' network. Notes from his two daughters, Amy and Kristy Curry, are included in the following post.
During the past year, I’ve had the honor to be a part of both of my daughters’ weddings. There was a time when I believed that would never be possible.
As a young solider more than three decades ago, I left Vietnam and shut the door on all that happened there. I moved on to the promises of life that every American hopes to enjoy. I married my high school sweetheart, finished college, and got a great job at an iconic American tech company. Soon after, my wife and I bought our first home and our two beautiful daughters joined us.
Life was great; the war was a distant memory, and my family was flourishing. We were fortunate—my wife was able to stay home with our girls and we both spent as much time as possible with them. We enjoyed weekends at home, and our parties revolved around the family; drinking was never an issue.
It was never an issue, that is, until the drums of our wars in the Middle East began to beat and the demons of my own war experience demanded my attention. It was like a switch was flipped in my head. Images and reports of these new wars became intertwined with my own memories, and I found myself withdrawing from my family. I found alcohol could calm the storms in my head, at least for a while. Denial is the hallmark of an addicted person, everyone else around you knows what going on; and the only one you are fooling is yourself. My daughters, then in college, along with my wife, watched me self-destruct but were powerless to stop me. They couldn’t talk to me anymore, and they couldn’t understand me. They could only suffer and watch my descent into darkness.
A dad often thinks of his daughters as his “little” girls, who need to be protected and shielded from the world. Yet, when my life collapsed, I learned that my “little girls” were in fact women capable of protecting me. Who was strong when I no longer had hope? Who refused to quit when I had given up? Who reached out to other veterans to get me help for Post-Traumatic Stress Disorder from a war that refused to let me go? My daughters and wife are the ones who fought for me when I was convinced my fight was over.
It has been a long journey. They say that life is ten percent what happens to us and ninety percent how we react to it. These women reacted when I was unable, while their own lives crumbled underneath them. They have given me the greatest gift a father could ever hope to receive on Father’s Day. They gave me their unconditional love. And now, more than nine years sober, I now help other veterans deal with their struggles, and I’ve rebuilt my relationship with my daughters.
There is hope for those struggling with addiction and mental disorders. In my case, my girls and my wife—and the veterans and doctors they reached out to— were my hope. They made it possible for me to regain my sanity and sobriety. My girls give me a Father’s Day gift every day of my life. They give me their love. They’ve given me today. And I will be eternally thankful.
- Posted byon June 17, 2012 at 7:00 AM EST
Editor's note: In honor of Father's Day, we have two posts today about fatherhood, family, and recovery. This post comes from Amy and Kristy Curry, daughters of Bob Curry, a Vietnam veteran in recovery and the founder of Dryhootch, a veterans' network .
From Kristy Curry:
Father's Day has a new meaning in my life. To me, it means my dad's rebirth. He is back—I can see it and sense it. He is healthy, happy, and passing his gift of recovery and hope on to hundreds (if not thousands) of others. I do not doubt for a second that he will touch a million lives with his story.
My father has always been the strong one—the one that took care of everyone else, often at his own expense. When I saw an addiction start to take control of him, it was like watching someone slowly shutting him away. Trying to understand his past in a war that we knew little about was frustrating. How could something from so long ago, something he never talked about, be destroying his life 25 years later? Not until we contacted other veterans did we start to understand that we were not alone; that he was not alone. Had it not been for his fellow veterans willing to sacrifice their time and energy to help others, I believe I would have lost my father.
I am proud to say that my father has done the unimaginable. He has overcome his addiction with grace and power. He has overcome his pride to tell others his history in the hope that it will empower them to take a better path in their own lives.
My father is my hero. He not only saved himself, he is saving lives every single minute of every day. He is selflessly and tirelessly working to rewrite the future for all veterans. Father's Day was always special, but it now carries the additional meaning of survival and strength. I love my father and am proud to brag about him as much as I can.
From Amy Curry:
For me, Father's Day is a time to celebrate the incredible things my dad has accomplished and overcome. It’s also a time to reflect on his mission for other military fathers, mothers and families.
My dad has always been a great father—he has supported our family from the beginning, and was a constant presence in our lives as my sister and I grew up. We were lucky that my dad was able support the family and my mom was able to stay at home with Kristy and me. That’s a gift I would not trade for the world.
We never knew much about his time in the Army, and he didn't really like to talk about it. Many years after he left Vietnam, my dad began to drink—something he never had done in the past. It came out of the blue and it didn't stop. There were ups and downs and we kept hoping he would get better.
My sister, mom and I did everything we could to help, but it seemed that nothing we did could get through to him. The worst thing about addiction is watching what it does to the person you love and thought you knew so well. Addiction doesn’t just take that person away, it spreads destruction to the people who love him most.
After years of struggle, we learned that my dad’s addiction stemmed from Post- Traumatic Stress Disorder (PTSD). If only we had known sooner. With the support of his fellow veterans, we were able to get the treatment my father finally needed. His military family encouraged him to draw on his own strength on the path to recovery. Now it’s my dad's mission in life to help those who may be headed down the painful path he and many veterans endured.
He works tirelessly for his cause in raising awareness for PTSD and the needs of our veterans. He knows what will happen if they are ignored and doesn't want to see it happen to another generation.
I am extremely proud of my father and what he has been able to accomplish. I have no doubt that he will continue to do great things for our veterans and continue to be the loving supportive father he has always been to our family.
- Posted byon June 15, 2012 at 4:52 PM EST
Editor’s Note: In honor of Father's Day, we'll be posting three messages about fatherhood, family, and recovery. This first post comes from Jackson Wiese, who is in recovery and is interning at the National Youth Recovery Foundation. Check back Sunday for a post from Bob, Amy, and Kristy Curry.
I gagged as I threw up again and again. The alcohol was killing me. I was lying on the bathroom floor in my own vomit, unable to move, completely paralyzed. I heard my dogs run to the front door. The door opened and I heard my Dad’s voice. “Move, Boo! Bad dog!” he screamed. I sighed with relief that someone was there to help me.
This is what my relationship with my father was like: avoidance, punctuated by moments of trauma. He is no stranger to addiction, but the two decades he spent beating his own disease could not prepare him for a tremendous guilt he felt—the guilt of watching me die from the same disease he was convinced his father had given him. He never said it to me, but I knew. He blamed himself for my descent to rock bottom.
My dad didn’t say a word as he picked me up and carried me to the couch. He was cracking; my sickness was making him sick, too. The pain in his eyes, the dark circles underneath them, and the drained look on his face told me something that I could not see before. He, like me, was getting dragged into the darkness—this time not by his addiction, but by mine.
The next day after another violent binge, I awoke to my dad crying beside me. “I’m watching you drown in the ocean. And I can’t swim,” is all he said. I was rotting away physically, but I was killing my dad emotionally.
That was then. Now, I’m just shy of four months clean, and I think about how things used to be. I smile a bit, knowing I have made it out of the depths of hell. I smile because I’m beginning to repair a bridge with my father— one which I thought had been burned to ashes.
I am overwhelmed as I try to write a few paragraphs that explain the change in my dad since I entered recovery. As I sat down to write this, I received a text message from him. It was a picture of him on the summit of a mountain with the words “Mt. Quandary. 14,000 ft.”
At my desk, I took a moment to study the picture, and I was struck by its beauty. Four months ago, my dad wasn’t able to go to work because he was staying at home to watch me, preparing for that moment when he found me dead from an overdose. Now he is climbing mountains—refreshing his soul.
In the photo, his arms are in the air, celebrating the ascent of Mount Quandary. He looks like a new person, bright-eyed and unworried. He is smiling for the first time in a long time. It’s the picture of a father freed from the fear of losing a son. It’s the picture of a father able to live his own life again.
I made it back to the shore, Dad. We can now walk on the beach together. Happy Father’s Day.
White House Blogs
- The White House Blog
- Middle Class Task Force
- Council of Economic Advisers
- Council on Environmental Quality
- Council on Women and Girls
- Office of Intergovernmental Affairs
- Office of Management and Budget
- Office of Public Engagement
- Office of Science & Tech Policy
- Office of Urban Affairs
- Open Government
- Faith and Neighborhood Partnerships
- Social Innovation and Civic Participation
- US Trade Representative
- Office National Drug Control Policy