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Morning Briefing

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Friday, Aug 4 2017

Full Issue

Most Effective Opioid Addiction Treatment Banned From Majority Of Jails

Much of the criminal justice system still takes a punitive approach to addiction. Many who work in corrections believe, incorrectly, that treatments like methadone, itself an opioid, allow inmates to get high and simply replace one addiction with another. In other news on the crisis: driving under the influence; answers about the epidemic; how health law repeal would hurt those fighting addiction; and more.

When Dave Mason left jail in October 2015 after his 14th criminal conviction, the odds were good that he would end up dead. A man with a longtime heroin addiction, Mr. Mason was entering one of the deadliest windows for jailed users returning to the streets: the first two weeks after release, when they often make the mistake of returning to a dose their body can no longer handle. (Williams, 8/4)

In one of the latest examples of the growing opioid epidemic, researchers found a seven-fold increase in the proportion of drivers killed while under the influence of prescription opioids since 1995. Researchers at Columbia University examined drug testing results for 36,729 drivers in California, Hawaii, Illinois, New Hampshire, Rhode Island and West Virginia who died within an hour of being in a car crash. (Toy, 8/3)

Nearly two decades of using heroin and a year of living on the streets of Philadelphia had led Steven Kemp to a simple conclusion: It was time to get sober. But when he staggered into a detox facility on a recent Friday night, his head brimming with the thought that suicide would end the pain, he was told he couldn't be admitted because he didn't have a photo ID. (Izaguirre, 8/4)

Two summers ago, we met a woman who went by the name Teacup. "I'm an active heroin user," she told us. "Thirty-three years as a matter of fact." We were in West Baltimore, reporting on a citywide effort to stop a growing opioid crisis. On a street corner known for its open-air drug market, health workers trained anyone passing by on how to use naloxone, a medication that can reverse an opioid overdose. They were trying to get naloxone kits into as many hands as possible. (Cornish and Hsu, 8/3)

This week, President Trump鈥檚 commission on combating the opioid crisis, led by Gov. Chris Christie of New Jersey, recommended that the president declare a national emergency. The problem has become significantly worse recently, so you might feel that you could use a little catching up. Here are 11 things you need to know. (Katz, 8/3)

The former White House drug czar questions the Trump administration鈥檚 commitment to dealing with the nation鈥檚 deadly opioid crisis while President Donald J. Trump continues to call for repeal of the Affordable Care Act. The 2010 law defined addictions treatment as an 鈥渆ssential benefit鈥 that must be covered through insurance policies sold in ACA marketplaces and through the expansion of Medicaid. (Rodricks, 8/3)

A $136 million plan to convert the upscale Lodge and Spa at Cordillera into a high-end drug treatment facility is moving forward. The investment group behind the project closed on the lodge this week and the $20 million first-phase of renovation is slated to begin in September as the new owners, led by Concerted Care Group, convert the 56-room lodge, restaurant and spa into a private drug rehabilitation center. (Blevins, 8/3)

Along聽Kensington Avenue these days, people are dispensing with the niceties. A man panhandling on a recent Tuesday morning made his聽pitch, in Sharpie on cardboard, simple and clear: 鈥淒ope sick.鈥 Dealers openly sought clients on the sidewalk. Users slouched against walls. And artist Kathryn Pannepacker stood outside the Kensington Storefront, inviting them all inside. There was air-conditioning in there, she told them, peanut butter and jelly sandwiches in plastic baggies, hot tea and cookies, and a craft project to complete. (Melamed, 8/4)

In his push against the opioid epidemic, Missouri Gov. Eric Greitens last month signed an executive order that would equip Missouri state troopers with an anti-overdose drug. What remains unclear is how long it will take to train troopers and other state law enforcement officers to use the drug, naloxone, and where the money will come from. (Sanderson, 8/3)

Philip Kirby said he first used heroin during a stint in a halfway house a few years ago, when he was 21 years old. He quickly formed a habit.鈥淵ou can鈥檛 really dabble in it,鈥 he said. Late last year, Kirby was driving with drugs and a syringe in his car when he got pulled over. He went to jail for a few months on a separate charge before entering a drug court program in Hamilton County, Ind., north of Indianapolis. But before Kirby started, he says the court pressured him to get a shot of a drug called Vivitrol. (Harper, 8/4)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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