Reasons
for the drug problem numerous; some even legitimate
By
Bob Robinson
TROY
– “Heroin seems to be especially on the uptake… and seems be
related to the larger problem of opiates, which is related to
prescription abuse.”
Tri-County
Board of Recovery and Mental Health Services Community Resource
Development Director Brad Reed compared the drug abuse problem to an
octopus.
“It
has its tentacles everywhere. People are prescribed opiate pain
killers for legitimate reasons. Especially after major surgery some
kind of opiate is usually prescribed,” he said. “For a reason no
one seems to understand yet, some people are more susceptible to
addiction. Their prescription runs out, they go doctor shopping.”
They
use up that avenue and find their opiates on the street, but those
are expensive. Heroin is cheaper and much more easily available.
This
drug abuse avenue starts legitimately, however Reed noted another
pathway ties into mental health. Despite the advancements in
understanding over the years, mental health issues still carry a
stigma.
“Individuals
may have financial concerns or they have no health insurance. Some
don’t trust doctors, so they choose to self medicate,” he said.
“Sometimes it’s alcohol. Other times it’s drugs… even
cigarettes are a form of self-medication. It calms them down.”
They’ve
found the brain functions of those suffering from a form of mental
illness are different from normal functions, he added.
“Regardless,
it still hurts.”
There
are different reasons for back pain, for instance. But the back still
hurts.
“The
relationship between mental illness and drugs isn’t typical, but
it’s definitely sometimes there.”
Reed
gave another example: eating disorders such as bulimia and anorexia.
Individuals suffering from these disorders literally do not see
themselves the way others see them. We see thin. Their
self-perception is weight problem. Reed noted if not treated by a
professional, this leads to anxiety and can then lead to them trying
to self medicate.
Reed
said these are just two of the many reasons for the escalating drug
problem being seen everywhere. He noted State Attorney General Mike
DeWine’s focus on bringing awareness to all aspects of drug abuse,
including prescription drugs.
Some
urban areas, including Miami County, have recognized the significance
of certain types of crimes and have established specialized dockets
to deal with them. One such docket is the Miami County Common Pleas
Drug Court Program.
The
program is supervised by a judge and is limited to non-violent Felony
3, 4 and 5 convictions. Those allowed to enter the program are
screened according to different factors such as history,
circumstances, previous diversions, other health conditions and more.
Is
this something a rural areas such as Darke County might consider?
“Probably
not,” Reed said. “A specialized docket is just a formal way to
establish procedures. One of the things they try to do, for instance,
is look at a repeat offender’s crime… why is he breaking into
stores? To feed addition. So the purpose is to try to stop the
addiction…
“Your
judges (Common Pleas Judge Jonathan Hein) and (Municipal Court Judge
Julie Monnin) are already doing that. They’re taking these factors
into consideration; they aren’t incarcerating, they’re trying to
intervene and rehabilitate.”
He
added pretty much everyone knows each other in a rural community.
They know who the resource people are, how to find them and probably
already have a working relationship with many of them in other areas.
“That
isn’t always the case in an urban area. Formalizing the process
gives them the tools they need.”
Reed
also noted the more conservative rural areas have a tendency to be
less likely to jump on trends, such as specialized dockets, until
they see how it’s working elsewhere. Urban areas do it because they
have a problem and they are trying to come up with workable options
to deal with it.
“I
think courts are willing to try anything that’s plausible,” Reed
said. “If they wait for the data to come in, that could be 20 years
down the road. We’ll have missed an entire generation.”
Special
docket courts, in addition to drugs, have been set up for mental
health and veterans. Hamilton County (Cincinnati) started the first
one in 1995. Thirteen years later, there are approximately 150 around
the state.
Reed
noted the Ohio Supreme Court has established certification guidelines
for special docket courts. He said he thought the deadline was the
end of this year or early next year.
The
Tri-County Board is dedicated to planning, funding, monitoring and
evaluating substance abuse and mental health services for Darke,
Miami and Shelby Counties. Darke County Recovery and Darke County
Mental Health are contract service providers for the Tri-County
Board.
Published
courtesy of The Early Bird
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