TO
TO HEAR
TO HEAR YOU SAY THAT YOU ARE SEEING THIS GO DOWN IS
WONDERFUL.
WONDERFUL. WE WILL CONTINUE, THIS
CONVERSATION, COMING UP.4@ 4@
>> LET'S TAKE SOME STEPS BACK.
HOW DO OPIOIDS REALLY IMPACT
THE BODY, AND CAUSE ADDICTION?
WHEN IT COMES TO ADDICTION, THE
BODY SAYS YOU DON'T HAVE A
CHOICE OF WHETHER YOU WANT TO
USE.
USE.
USE. YOUR
USE. YOUR BRAIN IS TELLING YOU THAT
YOU NEED TO USE.4@
PEOPLE IN THE THROES OF
ADDI4@CTION, WILL GIVE UP
EVERYTHING IN THEIR LIVES, JUST
BECAUSE THEIR BRAIN IS 4@TELLIN
THEM YOU ONLY NEED THIS.
TO SURVIVE.4@
TO SURVIVE.4@ HEATHER, TAKES A LOOK AT HOW 4@@
THAT DESPERATION CAN LEAD 4@
ATTICS TO A JAIL CELL.
>>4@ MY FACE WENT THROUGH 4@THE
WINDSHIELD, THE TRUCK FLIPPED
OVER.4@
OVER.4@
OVER.4@ FOR THE FIRST TIME, I WAS
HANDED A BOTTLE OF 4@PAINKILLER
>> JAMES, WAS 21 YEARS OLD.
SUDDENLY, NOTHING ELSE
MATTERED.
MATTERED.
MATTERED. >>4@ THE PAINKILLERS CAME BEFOR
EVERYTHING ELSE IN MY LIFE.
>> IN HIS DECADE OF ADDICTION,
JAMES PLAYED TAG WITH POLICE,
ARRESTED, BONDED OUT, AGAIN AND
AGAIN, UNTIL A DUI.
COST HIM 72 HOURS BEHIND BARS.
>> I WASN'T ABLE TO TAKE
ANYTHING.
ANYTHING.
ANYTHING. AND THE WITHDR4@AWAL SYMPTOMS
KICKED IN.
KICKED IN. >> HE WASN'T ALONE. 4@
METRO CORRECTIONS ASSISTANT4@
DIRECTOR, STEVE, SAYS 30,000
PEOPLE, GO THROUGH THE JAIL
EVERY YEAR.
EVERY YEAR. NEARLY 10,000 GO STRAIGHT TO
DETOX.
DETOX.
DETOX. >>
DETOX. >> ANY GIVEN 4@DAY BETWEEN4@ 40
60, 80, SOMETIMES AS MUCH AS
120 INDIVIDUALS THAT ARE GOING
THROUGH WITHDRAWAL HERE IN
METRO CORRECTIONS.
METRO CORRECTIONS. >> IT IS A PAIN.
>> IMAGINE THE WORST FLU YOU
HAVE EVER HAD TIMES 10.
>> THIS JAIL IS TRYING TO TAKE
AWAY.
AWAY.
AWAY. >>
AWAY. >> MEDICATION ASSISTED
TREATMENT ALONG WITH
COUNSELING, AND RECOVERY, IS
THE GOLD 4@STANDARD. 4@
>> MEDICATION ASSISTED
TREATMENT, OR METHADONE.
>> A RED LIQUID4@4@ AND AN OPIO
ITSELF TAKEN LIKE COUGH SYRUP.
>> THE MEDICATION DOES HELP TO
REDUCE THE 4@WITHDRAWAL SYMPTOM
THAT PEOPLE HAVE SO THAT THEY
DON'T EXPERIENCE THAT SEVERE
WITHDRAWAL.
WITHDRAWAL. >> THIS IS A PATHWAY FOR US.
INDIVIDUALS COMING TO US, KIND
OF A CAPTURED AUDIENCE AND WE
HAVE AN OPPORTUNITY TO OFFER
THEM AN 4@OPPORTUNITY TO CHANGE
THE WAY THEIR LIFE IS GOING.
>> THE JAIL ALREADY ADMINISTERS
METHADONE4@ TWO WOMEN LOCKED UP
AND PREGNANT.
AND PREGNANT. BUT A PROGRAM ANNOUNCED IN MAY,
IT WOULD EXTEND THE TREATMEN4@T
TO OTHER INMATES.
>> VERY QUICKLY INTO THE
PLANNING STAGE, WE WILL BE
FINDING WAYS TO IDENTIFY
INDIVIDUALS WHO CAN BEST
BENEFIT FROM MEDICATION
ASSISTED TREATMENT.4@4@
ASSISTED TREATMENT.4@4@ >> TREATMENT THAT FOR SOME, IS
CONTROVERSIAL.
CONTROVERSIAL. >> WHAT IS THE PROCESS TO
DETERMINE IF SOMEONE QUALIFIES?
SO, HOW ARE THEY ASSESSING,
WHAT IS THE FOLLOW-UP4@4@?
>> HENRY LUCAS IS A THERAPIST
WHO WORKED WITH THOUSANDS IN
RECOVERY.
RECOVERY.
RECOVERY. AFTER HIS OW4@JOURNEY TO
SOBRIETY.
SOBRIETY.
SOBRIETY. >> MEDICATION ISN'T THE ONLY
TREATMENT.
TREATMENT. AGAIN, IT IS GOING TO DECREASE
AND MAYBE BRING SOME COMFORT TO
THE PHYSIOLOGICAL SYMPTOMS,
RIGHT?4@
RIGHT?4@
RIGHT?4@ BUT IT IS NOT THE END-ALL BE-4@
ALL.
ALL.
ALL. >>
ALL. >> JAMES TRIED METHADONE AS A
TREATMENT.
TREATMENT. >> I THINK IT CAN BE A GOOD
THING.
THING.
THING. BUT THEY ARE PLAYING WITH FIRE.
>> REMEMBERS THE WITHDRAWAL WAS
WORSE THAN ANY OTHER OPIOID.4@4
AND ADVOCATE FOR ABSTINENCE,
THAT WORRIES ABOUT AFTER
INCARCERATION, A COSTLY4@ $12 A
DAY FOR A DOSE 4@AT LOCAL
CLINICS.
CLINICS.
CLINICS. >> WHAT HAPPENS WITH HER FEET
HIT THE STREETS?
WHERE IS 4@THE OFFRAMP?
>> DOCTOR LORI, WITH THE
DEPARTMENT OF PUBLIC HEALTH AND
WELLNESS SAYS IT DEPENDS ON
EACH PERSON.
EACH PERSON. >> IT DOESN'T HAVE TO BE AN 4@
OFFRAMP NECESSARILY.
OFFRAMP NECESSARILY. I THINK THERE ARE SOME PEOPLE
WHO BELIEVE THAT ABSOLUTELY THE
ULTIMATE GOAL4@ IS TO HAVE PEOP
BE ABSTINENT AND NOT USE ANY
DRUGS AT ALL, BUT I THINK THAT
WE ARE FINDING THAT THAT IS NOT
NECESSARILY THE CASE ACROSS THE
BOARD.
BOARD.
BOARD. >>
BOARD. >> Reporter: HENRY BELIEVES
LONG-TERM TREATMENT IS
NECESSARY, NO MATTER 4@4@WHAT.
THE SUCCES4@S IS SUBJECTIVE.
>> IF THEY SAY WELL, I AM ON
METHADONE AND I HAVEN'T USED
HEROIN, THAT IS WHAT THEIR GOAL
WAS TO NOT 4@USE HEROIN, THEN 4
WOULD SAY THAT WOULD BE A
SU4@CCESS FOR THEM.
>> JAMES CHOOSES ABSTINENCE,
CLEAN AND SOBER FOR SIX YEARS.
AND HOPES OTHERS WILL BE ABLE
TO GET THERE ALSO.
ONE WAY OR 4@ANOTHER.
>> IT IS IT IS A BAD IDEA TO BE
PUT THESE PEOPLE ON NGO, TO PUT
THEM ON 4@SOMETHING THAT COULD
PROTECT THEM?
PROTECT THEM? I DON'T THINK SO.
I THINK IT'S SOMETHING THAT
WILL REQUIRE A LOT OF 4@THE JAI
LISTENING4@ TO THE RECOVERY4@