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Search resuls for: "Maia Szalavitz"


11 mentions found


☆ Moral Hazard Has No Place in Drug Addiction Treatment - The New York Times
  + stars: | 2024-03-01 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +1 min
In 2016, Rachel Winograd began to see methadone patients who relapsed or left the treatment program where she worked start overdosing and dying at unprecedented rates. The culprit was illicitly manufactured fentanyl, which is generally 50 times as strong as heroin — with some variants an astonishing 5,000 times as potent. Fentanyl had begun to overtake heroin in Missouri. It would “enable” continued addiction and deter treatment, she was told. Or, others said, reducing fatalities would increase risk-taking among people who were already using drugs — and encourage children to try heroin.
Persons: Rachel Winograd, overdosing, “, ”, Winograd Organizations: University of Missouri, Louis’s Missouri, of Mental Health Locations: Missouri, St, Louis’s
☆ Oregon’s Decriminalized Drugs Debate Is Full of High Stakes - The New York Times
  + stars: | 2024-02-05 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +1 min
In February 2021, Oregon decriminalized possession of small amounts of all drugs, via a ballot initiative known as Measure 110. The idea was to treat addiction as a public health problem, based on overwhelming evidence that jailing people for having small amounts of drugs for personal use is both ineffective and counterproductive. This spike was far greater than the 14 percent rise in the nation’s overall overdose deaths during the same period. Although Measure 110 passed with nearly 59 percent support, many Oregon voters are now calling for drugs to be recriminalized, citing these worsening conditions. But rampant misinformation — often being spread for political gain — means that the legislature is likely to return to its old-school drug war approach.
Organizations: Oregon voters Locations: Oregon
☆ Pain Management Tests the Limits of Drug Addiction Recovery - The New York Times
  + stars: | 2024-01-22 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +2 min
Beyond fear of pain and temporary disfigurement from missing teeth, I had another major concern: I was addicted to heroin in my 20s. As an expert on addiction, I knew that a return to compulsive drug use wasn’t inevitable with medical opioid exposure. As a result, some languish in extreme pain because they believe that drug exposure will cause them to lose control and immediately return to active addiction. There is much misinformation about how opioid pain treatment affects people in recovery and those at high risk of addiction. Understanding how psychoactive drugs and addictions really work is crucial for better managing medical opioid use — and ending policies that interfere with both prevention and recovery.
Persons: I’d, ”, Sarah Wakeman, Dennis Bohlin Organizations: Neuroscience, Harvard Medical School
☆ Opinion | Treating Pain and Those Who Suffer
  + stars: | 2024-01-17 | by ( ) www.nytimes.com   time to read: +1 min
To the Editor:Re “We’re Thinking About Pain All Wrong,” by Maia Szalavitz (Opinion guest essay, Dec. 26):Millions of people suffer from pain, which is by far the major symptom about which patients complain. Despite the fact that most pain can be effectively controlled, too many suffer unnecessarily, many intolerably, because of the undertreatment of pain. The vast majority of schools, inexplicably, do not have elective courses in pain management, and only a small percentage have required courses. Our health care system has failed to provide the good pain management to which patients are entitled. Ms. Szalavitz’s article should be another call to action to the federal and state governments, medical and nursing schools, and health care systems to make urgent, major improvements.
Persons: Maia Szalavitz Organizations: of Medicine, Prevention, Education, Research, ” Locations: United States, Pain, America
☆ Safe Injection Sites Don’t Lead to More Crime, New Study Finds - The New York Times
  + stars: | 2023-11-16 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +1 min
Over 100,000 Americans now die from drug overdoses annually. Upon taking office, Mayor Eric Adams, Mr. de Blasio’s successor, has continued to support the sites’ work. Some neighbors, politicians and media have claimed that the centers — one in East Harlem and one in Washington Heights — are increasing crime and public drug use in neighborhoods already burdened with poverty. But an important new study published this week refutes these claims. It shows that violent and property crime rates near the two overdose prevention centers (sometimes referred to as safe injection or safe consumption sites) did not increase any more than crime in similar neighborhoods elsewhere in the city.
Persons: Bill de Blasio, Eric Adams, de Blasio’s, ”, Brandon Del Pozo Organizations: Brown University, New York Police Department Locations: New York City, East Harlem, Washington Heights, Burlington , Vt
☆ The Troubled Teen Industry Needs Better Regulation - The New York Times
  + stars: | 2023-10-19 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +2 min
In 1994, the 15-year-old Liz Ianelli was sent by her parents to the Family Foundation School in Hancock, N.Y., which claimed to treat her disruptive behavior. Now Ms. Ianelli is an activist and the author of a new memoir, “I See You, Survivor,” which details her ordeal. Some states exempt programs that claim to be religion-based from standards enforced on other child-caring facilities, while some states have few, if any, regulations on these programs. Because more than a dozen states allow spanking and paddling in schools, corporal punishment that would be illegal in prisons occurs in many of these programs. But until Ms. Hilton took up the cause, efforts to protect youth on the federal level had stalled.
Persons: Liz Ianelli, Ianelli, “, Paris Hilton, Harlan Crow, Clarence Thomas’s, Hilton Organizations: Family Foundation School, Hidden Lake Academy, Supreme Court Locations: Hancock, N.Y, Paris
☆ Claims That Drug Decriminalization in Oregon Isn’t Working Are Short-Sighted - The New York Times
  + stars: | 2023-08-29 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +1 min
But outside of having his vital signs purportedly checked a few times by paramedics, Mr. Bohanan received no medication or treatment for his withdrawal. Pink and Mr. Bohanan for low-level drug crimes while continuing to penalize dealers — known as decriminalization — are working or are counterproductive. They point to recent rises in overdoses and disorder like public drug use in Oregon, which decriminalized small amounts of drug possession in 2021, and in Portugal, which decriminalized drug possession in 2001 and was the model for Oregon’s law. People tend to assume that arrests for possession result in offers of treatment, and that treatment is available for anyone in jail who wants help. But as the Butler County cases illustrate, arrest and incarceration often block access to treatment rather than bolster it.
Persons: Cody Bohanan, Bohanan, “ Organizations: Columbia University Locations: Butler, Ohio, Oregon, Portugal
☆ Tougher Penalties for Users and Sellers of Fentanyl Don’t Work - The New York Times
  + stars: | 2023-07-28 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +2 min
It made no distinction between drug use and sales, or between marijuana and heroin. About 90 percent of those who were born at the peak of the baby boom have at least experimented with illegal drugs. Though by 1970 both parties agreed the Boggs Act had flopped, New York State’s moderate Republican governor, Nelson Rockefeller, didn’t take note of its ineffectiveness. In 1962, he had tried mandating lengthy periods of residential treatment for people with addiction. The sentencing was deliberately harsher than for rape or murder because drugs were seen as a crime against the whole community.
Persons: Boggs, Nelson Rockefeller, didn’t, “, ”, Rockefeller Organizations: Republican, Dealers, Drug, New York, New York City Bar Association, Corrections Locations: United States, China, York, New York City
☆ This Drug Could Help Survivors Heal From Cults Like NXIVM - The New York Times
  + stars: | 2023-07-09 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +2 min
The best way to prevent this — or mitigate harm, if it cannot be prevented — is through social support, via good parenting and other loving relationships, which calm the brain’s stress systems. A study of mice recently published in Nature suggests that psychedelics can reopen what’s known as a critical period for learning social and emotional skills that occurs during the animal’s adolescence. And psychedelics known to produce a longer “trip” in humans seem to reopen the critical learning period in mice for a longer period of time. This ability to specifically enhance social learning is why these drugs may be so useful for helping those who are harmed by cults or early life trauma. NXIVM did not drug its victims, although other cults have — most notoriously the murderous “family” led by Charles Manson, who gave his followers LSD.
Persons: It’s, NXIVM, ”, Charles Manson Organizations: India, NXIVM
☆ What Ozempic and Addiction Drugs Reveal About Desire - The New York Times
  + stars: | 2023-06-04 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +1 min
Mary Boyer, a 41-year-old tech worker, started taking the drug Mounjaro last October to treat obesity. Mounjaro — like the better-known Ozempic — is one of a new class of diabetes and obesity drugs that work differently from earlier medications in ways that are not yet fully understood. Unlike stimulants, which can be addictive, these drugs may fight addictions and not just those related to food. Discovering how the new weight loss medications alter appetite and the compulsive behavior that can be associated with it could offer new insight into the nature of pleasure and addictions. When drugs can significantly ease weight loss or addiction recovery, it’s hard to argue that the problem is moral rather than medical.
Persons: Mary Boyer, “ I’m, ”, “, ’ ”, Mounjaro
☆ Opinion | Is There Still Free Will in Addiction?
  + stars: | 2023-04-24 | by ( Maia Szalavitz | ) www.nytimes.com   time to read: +1 min
When I was arrested and charged with possession with intent to sell cocaine in 1986, I was addicted to both coke and heroin. I knew that doing this further jeopardized my life prospects and my relationships with everyone I cared about. Was my brain hijacked by drugs — or was I willfully choosing to risk it all for a few hours of selfish pleasure? What makes people continue taking drugs like street fentanyl, which put them at daily risk of death? These questions are at the heart of drug policy and the way we view and treat addiction.
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