(#RecoveryIsPossible from #liquidhandcuffs if effective chemical free rehabilitation is applied) The ‘damage management’ and short-sighted approach of Opiate Substitute Treatments, cares little for the rehabilitation of the addicted individual, if there is no ‘sunset clause’ on the process. Medically Assisted Treatments, may be useful only as an initial circuit-breaker to dependency, but is not a long-term health benefiting option. (Some people are now going to Narcotics Anonymous to get off Methadone, after being heroin free for 14 years)

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(Dalgarno Institute Comment – Medically Assisted Treatment or Opioid Substitute Treatments are not a long-term solution, and the sector knows it. In fact, these treatments are causing increasing harms in and of themselves, both unto addiction, as well as physiological and biological harms. If drug use exiting outcomes is not the goal and all vehicles employed to help the dependent individual exit drug use – including the imperative of ‘sunset clauses’ on the use of MAT’s, then ‘harm reduction’ becomes a ‘harm enhancer’. (See Combining Medications With 12-Step Model Treatment Improves OUD Outcomes) These failed policy practices continue to be largely left unscrutinised (at least in the Australian context), as a more ‘set and forget damage management’ model, and this is both unacceptable as a public health outcome and an individual recovery outcome)

Dopamine along with other chemical messengers like serotonin, cannabinoids, endorphins and glutamine, play significant roles in brain reward processing. There is a devastating opiate/opioid epidemic in the United States. According to the Centers for Disease Control and Prevention (CDC), at least 127 people, young and old, are dying every day due to narcotic overdose and alarmingly heroin overdose is on the rise. The Food and Drug Administration(FDA) has approved some Medication-Assisted Treatments (MATs) for alcoholism, opiate and nicotine dependence, but nothing for psychostimulant and cannabis abuse. While these pharmaceuticals are essential for the short-term induction of “psychological extinction,” in the long-term caution is necessary because their use favors blocking dopaminergic function indispensable for achieving normal satisfaction in life. The two institutions devoted to alcoholism and drug dependence (NIAAA & NIDA) realize that MATs are not optimal and continue to seek better treatment options. We review, herein, the history of the development of a glutaminergic-dopaminergic optimization complex calledKB220 to provide for the possible eventual balancing of the brain reward system and the induction of “dopamine homeostasis.” This complex may provide substantial clinical benefit to the victims of Reward Deficiency Syndrome (RDS) and assist in recovery from iatrogenically induced addiction to unwanted opiates/opioids and other addictive behaviors.

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Media release

Fifty-two prisoners have graduated from a unique new rehabilitation program at Casuarina Prison designed to break the cycle of addiction to alcohol and other drugs that so often leads to criminal behaviour.

The nine-month program, called Solid Steps, was developed by the Department of Justice in conjunction with external service providers the Palmerston Association and Wungening Aboriginal Corporation.

It is the first residential alcohol and other drug rehabilitation program to be delivered in an adult male prison in Western Australia.

Department of Justice Director General, Dr Adam Tomison, said breaking the cycle of addiction is critical to improving community safety in the longer term.

"Solid Steps aims to deliver a holistic program which enables prisoners to reduce their alcohol and drug dependence by developing strategies and skills to address risky, harmful and destructive behaviours that lead to poor choices and criminality," Dr Tomison said.

"The program is based on a culturally safe, modified therapeutic community model. It also strengthens connection to self, family, culture and community."

Just over 40 per cent of the program’s participants are Aboriginal.

Solid Steps is delivered five days a week by trained health experts, counsellors and support staff.

Dr Tomison said support for the program graduates continues beyond the prison.

"A comprehensive through-care framework has been developed to support the participants’ recovery journey, whether they are transitioning back into the community or remaining in custody for now," Dr Tomison said.

"There's no sugar-coating the reality that breaking addiction to alcohol or drugs is hard – really hard – and it isn’t always achieved on the first attempt."

Dr Tomison said by investing in programs like Solid Steps, the Department of Justice hoped to drive recidivism rates down.

"If we can help the vast majority of Solid Steps graduates stop using alcohol and drugs and they then don’t commit any more offences, that’s a win-win," Dr Tomison said.

"There’ll be less people being harmed and less people as victims of crime. And these men will be leading more productive lives, which is really important for them and their families, and overall it’s going to be cheaper for the community."

One participating prisoner, a Noongar man who cannot be identified for privacy reasons, said he volunteered for the Solid Steps program after spending the past 20 years in and out of the justice system.

"It’s the longest I’ve been clean in the past 10 years and my confidence has grown every day that I can say no to drugs because I know what I’ve got in life, I know everything I can be thankful for in life and I don’t want to lose all that because I go down that same path of drugs and crime again," he said.

The Solid Steps program continues at the Mallee Unit with rolling intakes every four to six weeks.

Prisoners graduate from unique addiction-breaking program at Casuarina (www.wa.gov.au)

#overdoseawareness #DemandReduction #preventdontpromote

For More See Overdose Day - Does Nomenclature Matter?  and Naloxone  and Naltrexone