From Melissa Fletcher Stoeltje: Until we can increase access to the medications that stop people from using illicit opioids in the first place, residents of this state will continue to die.
A patient displays his Suboxone prescription. Suboxone is a medicine that contains buprenorphine and naloxone to treat substance use disorders.Lindsay Atkins, 38, was introduced to heroin by her boyfriend when she was just 18 years old.Atkins moved to Texas for a fresh start, but two years later her disease caught up with her, resulting in repeated stints in rehab and scattered periods of sobriety that inevitably ended with yet another return to the drug.
It also keeps users out of the torturous hell of physical withdrawal, often the downfall of many addicts’ attempts to get clean and sober. Meanwhile, tens of thousands of Americans continue to die of drug overdoses, which in 2022 once again topped 100,000 deaths, about 75% from opioids. I reached out to two psychiatrists who direct the largest medication-assisted treatment program in Bexar County to see if this national-level critique applies to facts on the ground here.
“And because of the regulations, you could only treat a certain number of patients at any time, to guard against doctors overprescribing or creating ‘pill mills,’” he said. “Some psychiatrists may feel they have enough to do dealing with patients who struggle with bipolar disorder, depression or other mental illnesses,” said Olvera. “They don’t want to do the special training to treat this population. They would rather just refer to someone else, although the reality is people without insurance are not going to be referred in the first place.
Also, Congress has required all doctors to receive eight hours of education on substance use disorders before prescribing controlled substances. Still, resistance to evidence-based MAT remains. Outdated beliefs that such treatment entails “just trading one addiction for another” persist in the wider culture.
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