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What 'Roseanne' Gets Wrong About Opioid Addiction

Alternet - Mon, 05/28/2018 - 07:08
The depiction of opioid addiction on “Roseanne” isn’t doing public health practitioners any favors

The new "Roseanne" series has been getting much acclaim, but the way the show addresses opioid addiction will not help the Connor family or any of the millions of families watching across the country. Roseanne’s use of painkillers to address her ongoing knee pain spirals out of control and results in the type of crisis facing many U.S. families today. The episodes (thankfully) do not attempt the stereotypical Hollywood-style resolution in 30 minutes, neither do they propose the type of approach that would allow the title character to get the help she needs.

What did the Connor family get wrong?

First, we see Roseanne’s husband Dan (John Goodman) respond emotionally (understandably) to his wife’s behavior. Driven by a physiological condition, an addicted person’s behavior often leads him or her to act in certain ways, causing friends and family members to behave in ways that are not only inconsistent with getting a person help, but also potentially harmful. The Conner family expends lots of energy in trying to figure out who has been using the missing opioid pills—when the answer is right in front of them all along. Rather than looking for a treatment option for his wife, Dan resorts to serving as a dispensary and doling out one pill every six to eight hours, not knowing that Roseanne has stashed a private supply of her own in her icepack. Dan’s well-meaning but misguided effort could easily have tragic results if the pills he provides to his wife are combined with those that she has hidden for herself. Obituaries and death certificates tragically contain the phrase “accidental overdose” due to situations just like this one.

Second, with this disease/disorder, people often try what has been referred to as "self-treatment," rather than seeking out appropriate care. We see things like parents grounding their kids, children flushing their parents’ cigarettes or alcohol (or other drugs), etc. The point here is that people need to seek help for a substance use disorder from professional providers—not try to handle the problem themselves through a show of force or discipline. Imagine if we tried that approach with diabetes or high cholesterol. For example, a parent I heard speak recently who had served on a non-profit board of an addiction treatment agency, shared that when he learned of his child’s heroin addiction his first step was not to help his child get help, but to purchase $1,000 worth of drug testing kits to try to impose abstinence.

Finally, there are major issues with a healthcare system when people have to figure out how to get the $3,000 deductible noted in the show that would have been required to allow Roseanne to have the knee operation she needs. One generation down, Roseanne’s daughter is pressured to take a less-than-desirable job to qualify for health insurance. Desperation may be a tremendous motivator, but should it be the driving force in an individual’s choice of employment simply because health benefits are offered?

What is needed to get an addicted person help?

The first thing is a complete revamping of how we view addiction. It is not a moral issue, although those who are addicted may indeed do “immoral” things. It is not a character flaw, although people in recovery do work on improving themselves. It is not something we can address solely through tougher laws, although appropriate laws are clearly needed.

It is a public health problem. We need accessible, affordable, evidence-based treatment for those with a substance use disorder. If each community in this country had treatment on demand, people like Roseanne’s character could access the care they need, when they need it. Instead, we are plagued with no bed availability, waiting lists, arbitrary and discriminatory policies against medication-assisted treatment, and other roadblocks to care that simply do not exist for more “mainstream” maladies.

There are two important components to address this critical problem: access to care and an adequate delivery system. Access is largely a financial issue, as the Roseanne episodes clearly show. Whether it be a single payer system, expanded Medicaid, or some other structure, people must be able to get the help they need without having to wait needlessly or figure out how to get the money to afford treatment. The current delivery system is flawed in that services at varied levels of care (outpatient, residential, medication-assisted) are not available in all communities. Enhanced access would drive the creation of more treatment options and provide the services that are so crucial to finding our way out of the current crisis.

Ironically, one of the ads aired during the final episode of "Roseanne" was a promo for an upcoming show titled The Last Days of Michael Jackson. Stigma around addiction is alive and well—preventing individuals and families from responding to a physiological problem (addiction) in the way they would for any other such issue. Who knows if the King of Pop would still be with us if we had a more enlightened view of addiction and its treatment?

As we wait for the next season of "Roseanne," let’s hope that the Conner family will consult with trained professionals to inform how they deal with their matriarch. What a great example it would be if she were to enter into a structured treatment regimen, manage her opioid withdrawal with appropriate oversight, and enter into recovery. America deserves that, and Roseanne would join the millions of people in successful, stable recovery.

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Condo boards urged to consider making bylaws on cannabis use by residents - Edmonton Journal

Google - Cannabis - Mon, 05/28/2018 - 02:01

Edmonton Journal

Condo boards urged to consider making bylaws on cannabis use by residents
Edmonton Journal
The rules for growing and smoking cannabis should be a priority for condo boards, says an Edmonton lawyer. Roberto Noce, a partner at Miller Thompson LLP and a former city councillor, is urging condo boards to consider amending their bylaws to address ...

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OR: Feds Clarify Use Of Hemp-Based Ingredients In Craft Beer - Jefferson Public Radio

Bot - Cannabis - Mon, 05/28/2018 - 01:48
ijpr.org (US) A San Francisco Brewery is under federal orders to stop producing a beer infused with the hemp-derived extract known as CBD. (Mon May 28 21:48:33 2018 PDT)
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FL: Marijuana Growers Turning To Hemp As CBD Extract Explodes - WUSF News

Bot - Cannabis - Mon, 05/28/2018 - 01:44
wusfnews.wusf.usf.edu (US) Marijuana Growers Turning To Hemp As CBD Extract Explodes ! WUSF News Marijuana Growers Turning To Hemp As CBD Extract Explodes A glut of legal marijuana is driving Oregon pot prices to rock-bottom levels. (Mon May 28 20:44:34 2018 PDT)
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OR: Williams claims need for pot data, cooperation with local police - Capital Bureau - The Daily Astorian

Bot - Cannabis - Mon, 05/28/2018 - 01:26
dailyastorian.com (US) Cooperation with local police Attorney says federal resources will be focused on overproduction of cannabis. Williams said federal resources will be focused on overproduction of cannabis. (Mon May 28 22:26:26 2018 PDT)
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FL: Florida Supreme Court stays out of pot case - Story - WOFL

Bot - Cannabis - Mon, 05/28/2018 - 01:21
fox35orlando.com (US) Florida Supreme Court stays out of pot case - Story ! WOFL Florida Supreme Court stays out of pot case The Florida Supreme Court on Friday refused to jump into an ongoing legal battle about whether Tampa businessman Joe Redner should ... (Mon May 28 20:21:07 2018 PDT)
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CANADA: Historical buildings on council agenda

Bot - Cannabis - Mon, 05/28/2018 - 01:21
lethbridgeherald.com (US) Historical buildings, the Galt Museum and Archives annual report, and nearly $15 million in borrow bylaws for City upgrades are scheduled for today's city council meeting, while later, a Community Issues Committee meeting is planned regarding cannabis legalization. Historical buildings,... (Mon May 28 02:21:18 2018 PDT)
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OR: Feds in Oregon will target pot trafficking, public safety - Capital Bureau - The Daily Astorian

Bot - Cannabis - Mon, 05/28/2018 - 01:20
dailyastorian.com (US) Feds in Oregon will target pot trafficking. Public safety - Capital Bureau - The Daily Astorian Feds in Oregon will target pot trafficking. (Mon May 28 21:20:22 2018 PDT)
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OR: Opinions - Nugget Newspaper - Sisters, Oregon News, Events, Classifieds - Sisters, Oregon

Bot - Cannabis - Mon, 05/28/2018 - 01:18
nuggetnews.com (US) CANNABIS - yes or no? Four years ago, in November 2014, Sisters voted narrowly to permit marijuana dispensaries to open for business, as did the entire state of Oregon. Four years ago, in November 2014, Sisters voted narrowly to permit marijuana dis... (Mon May 28 22:18:37 2018 PDT)
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OR: Slide Shows

Bot - Cannabis - Mon, 05/28/2018 - 01:17
bendbulletin.com (US) A marijuana plant is seen in Matt Toepfer's greenhouse in La Pine on Friday. (Mon May 28 21:17:35 2018 PDT)
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OR: What's next for cannabis in Deschutes County?; Advocates, opponents discuss past, present and future of the industry

Bot - Cannabis - Mon, 05/28/2018 - 01:17
bendbulletin.com (US) Was one of several who argued that as long as marijuana is a legal crop in Oregon and Deschutes County. (Mon May 28 21:17:35 2018 PDT)
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OR: Deschutes County looks to California for cannabis guidance; California cities and counties could provide framework for production cap

Bot - Cannabis - Mon, 05/28/2018 - 01:17
bendbulletin.com (US) Lelack noted that looking at Californiab s restrictions is just one method among many when exploring ways to limit the marijuana industry in rural parts of the county. (Mon May 28 21:17:35 2018 PDT)
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OR: Overproduction of marijuana floods market; Growers scale back to match demand

Bot - Cannabis - Mon, 05/28/2018 - 01:17
bendbulletin.com (US) Which is in its first year of legalized recreational cannabis. Only 108330 pounds of usable recreational marijuana were sold in 2017 at the retail level. (Mon May 28 21:17:35 2018 PDT)
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FL: State Supreme Court stays out of marijuana case - News - The St. Augustine Record - St. Augustine, FL

Bot - Cannabis - Mon, 05/28/2018 - 01:17
staugustine.com (US) State Supreme Court stays out of marijuana case - News - The St. State Supreme Court stays out of marijuana case The Florida Supreme Court on Friday refused to jump into an ongoing legal battle about whether Tampa businessman Joe Redner should be able to grow his own medical marijuana to try to prevent a recurrence of lung cancer. The Florida Supreme... (Mon May 28 19:17:23 2018 PDT)
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CANADA: Touche pas A mon verre de vin! - Le Journal de Montreal

Bot - Cannabis - Mon, 05/28/2018 - 01:17
journaldemontreal.com Autour du pot D'un cC4tC) la CAQ dit qu'il faut interdire la consommation de pot dans les lieux publics, les condos (sauf si tous les copropriC)taires dC)cident de changer le rC)gl... (Mon May 28 02:17:59 2018 PDT)
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CANADA: Des athlA(tes veulent assouplir les rA(gles sur le pot - JDM

Bot - Cannabis - Mon, 05/28/2018 - 01:17
journaldemontreal.com Des athlC(tes veulent assouplir les rC(gles sur le pot ! JDM 2018-05-26 - Comment sera consommC) le cannabis de demain Des athlC(tes veulent assouplir les rC(gles sur le pot ... (Mon May 28 02:17:59 2018 PDT)
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[2]: Blitz on drugs to be ongoing: Narcotics chief

Bot - Cannabis - Mon, 05/28/2018 - 01:15
thesundaily.my (Malaysia) Blitz on drugs to be ongoing: Narcotics chief The war against drugs will never stop and police will have to be on full alert to keep the situation under control. (Mon May 28 23:15:45 2018 PDT)
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[2]: NCID scores major drug bust; 140kg of syabu worth RM10m seized

Bot - Cannabis - Mon, 05/28/2018 - 01:15
thesundaily.my (Malaysia) NCID scores major drug bust; 140kg of syabu worth RM10m seized Bukit Aman Narcotics Criminal Investigation Department (NCID) has scored a major drug bust, seizing 140 kgs of syabu (methamphetamine) worth RM10 mi... (Mon May 28 23:15:45 2018 PDT)
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[2]: More than 11,000 held during drug raids

Bot - Cannabis - Mon, 05/28/2018 - 01:15
thesundaily.my (Malaysia) More than 11000 held during drug raids A total of 11295 people were picked up by the Selangor Narcotics police during raids conducted from January until July this year and 511 have been charged under Section 39B of the Dangerous Drugs Act 1952. (Mon May 28 23:15:45 2018 PDT)
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