Opioid drugs represent the second most prevalent type abused
nationally. These substances possess significant pain relieving properties and
often cause euphoria. Physical and psychological dependence on these substances
is a well-established risk and the misery of opioid withdrawal has become part
of our collective consciousness.
In response to suspected rises in opioid use, the City of
Albuquerque recently commissioned researchers to assess local trends in drug
use and treatment. The results are in: opioid use is increasing – both in
adults and youth. This rise in opioid use also means an unfortunate rise in
corresponding overdose deaths, joblessness, family problems, and crime. In this
article we’ll explore the current state of affairs and recommendations for the
future.
A Deadly Habit
Opioid drug abuse poses great risk to the user due to the possibility of fatal
respiratory depression (reduced breathing) at high doses. At double the
national rate, New Mexico holds the inauspicious top rank for drug overdose
deaths by an enormous margin. Heroin and prescription opioids account for
almost three quarters of these deaths.
Younger individuals in our community have increasingly high
rates of opioid use and youth represent the fastest-growing sector of the opioid-using
population. In 2001, New Mexican high school students were more likely to have
used heroin compared to students in other states. Bernalillo County statistics
reveal that from 2002 – 2004, people between ages 18 and 25 had much higher
rates of prescription painkiller abuse than older age segments. As a proportion
of statewide heroin-related overdoses, deaths in the youth increased more than fivefold
since 2004.
One interview respondent stated that “We are sitting on a
new epidemic of young people. They start out with pills and then switch to
heroin, and it is a struggle to get them into therapy.” It is common for users
to begin with prescription painkillers and then transition to using heroin
because heroin is cheaper and widely available.
Good Help is Hard to Find
The study also indicates that the New Mexico substance abuse treatment
infrastructure has some serious problems. There is a severe shortage of counseling
services, medical care, treatment facilities, and medication support for
opioid-dependent patients. A study respondent reported that “It is a struggle
to find consistent counseling, and there are no efforts to increase
availability.”
Considering the alarming increases of opioid use in the
youngest populations, one would hope that treatment options for young people
were plentiful. However, Albuquerque currently has precious few facilities
willing to accept minors and none which are equipped to handle minors
undergoing opioid withdrawal.
Local treatment providers also cite a lack of education as a
problem. Both treatment professionals and the community at large would benefit
from increased awareness. Proliferation of information about prevention,
intervention, overdose treatment, and medications available to assist
drug-dependent individuals is necessary.
Taking Action
Our Pledge
Recovery Services of New Mexico is committed to the prevention and treatment of opioid addiction in our State, as well as education and community outreach. Please check out our website to get involved!
References
Considering the prevalence of opioid use and the lack of necessary support systems,
researchers recommend some changes. Important changes fall into one of these
categories:
- Curb prescription drug abuse before users move on to heroin
- Bolster prevention efforts in the youth
- Establish more treatment programs, especially those which accommodate youth
- Incentivize buprenorphine treatments and publicize information about buprenorphine treatment availability
Our Pledge
Recovery Services of New Mexico is committed to the prevention and treatment of opioid addiction in our State, as well as education and community outreach. Please check out our website to get involved!
References
Greenfield, B. L., Owens, M. D., & Ley, D. (2014). Opioid use in
Albuquerque, New Mexico: a needs assessment of recent changes and treatment
availability. Addiction science & clinical practice, 9(1), 1-8. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070335/.
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