Decisions in Recovery: Treatment for Opioid Use Disorder

https://goo.gl/bqr0Ml

Should I start?

Which do I start?

How do I start?

Recovery tools

Are you finding it difficult to stop using? If you've thought about cutting down or stopping, this site can help. If you are using narcotics, prescription pain medications, heroin, or any other opioid drug, this site has information about some of your treatment options and ways to locate a provider who can help.

You can also watch videos of people who have been where you are. They found a way to succeed in recovery and reclaim their lives. So can you.

Opioid use disorder is a primary, chronic and relapsing disease that affects your body and your brain. Whether this is your first try at overcoming addiction, or a fresh start after many attempts, give yourself credit for having the courage to change.

The site offers a wide variety of resources on recovery, recovery support and treatment. Although recovery and recovery support are related to treatment, they are not the same and you are encouraged to talk with your provider about the treatment options that will work best for you and your unique needs.



The Upward Spiral: Using Neuroscience to Reverse the Course of Depression, One Small Change at a Time

This is more like real recovery.....

https://goo.gl/48y9hI

Depression can feel like a downward spiral, pulling you into a vortex of sadness, fatigue, and apathy. In The Upward Spiral, neuroscientist Alex Korb demystifies the intricate brain processes that cause depression and offers a practical and effective approach to getting better. Based on the latest research in neuroscience, this book provides dozens of straightforward tips you can do every day to rewire your brain and create an upward spiral towards a happier, healthier life.
 

Whether you suffer from depression or just want a better understanding of the brain, this book offers an engaging and informative look at the neuroscience behind our emotions, thoughts, and actions. The truth is that there isn’t one big solution to depression, but there are numerous simple steps you can take to alter brain activity and chemistry. Some are as easy as relaxing certain muscles to reduce anxiety or getting more sunlight to improve your mood. Small steps in the right direction can have profound effects—giving you the power to become your best self as you literally reshape your brain, one small change at a time.

Fetal alcohol exposure reduces responsiveness of taste nerves and trigeminal chemosensory neurons to ethanol and its flavor components

https://goo.gl/Xf3HUD

Fetal alcohol exposure (FAE) leads to increased intake of ethanol in adolescent rats and humans. We asked whether these behavioral changes may be mediated in part by changes in responsiveness of the peripheral taste and oral trigeminal systems. We exposed the experimental rats to ethanol in utero by administering ethanol to dams through a liquid diet; we exposed the control rats to an isocaloric and isonutritive liquid diet.



Battle Creek is ahead of the curve in addressing childhood trauma

https://goo.gl/uLxQaa

A teacher gathers her class into a circle in the classroom and leads a discussion on a topic such as their favorite memories. For students with trauma in the class, this relationship building exercise can mean the difference between staying in class and being expelled.

Research has shown that temporarily removing students from school doesn’t work. Students are just as likely to exhibit the same behaviors upon returning to the classroom. And behavioral issues at school, even as early as kindergarten can disrupt learning. That's why new practices such as the relational restorative circle are being implemented in a growing number of classrooms across the nation, including in Battle Creek.

Recent discoveries in neuroscience demonstrate that repeated childhood trauma (or adverse childhood experiences) can disrupt brain development and effect changes both at the biological and psychological level.

For the last few years, many educators and mental health professionals in Southwest Michigan have seen childhood behaviors that seemed clearly related to childhood stress, such as bolting from the classroom, tipping over desks, covering their ears, or verbal and physical conflicts with fellow students and adults. 

By 2014, the behaviors were identified as trauma-related by the United Way of Battle Creek and Kalamazoo Regions, which began incorporating a trauma-informed approach into all of its early childhood and educational grants and programs.

In the last couple of years, the issue of childhood trauma has gained national attention, but the Battle Creek Public School District has been ahead of the trend.

Since 2014, BCPS has gradually adopted a three-tier system for building community, resolving conflict, and creating resiliency in its students who may have experienced repeated trauma. The district is beginning to experience some success.


SCHOOLHOUSE SEX ASSAULT

Several separate stories, nuclear bullying.........
https://goo.gl/M9m3GD

Student-on-student sexual assault is not just a problem on college campuses. It threatens thousands of kids a year in elementary, middle and high schools across America. Rich or poor, urban or rural, no type of school is immune.


Certain immune reaction to viruses may cause learning problems

Combine this with the long history of research on the impact of strep infections on OCD, anxiety, and changes in learning......

http://www.medicalnewstoday.com/releases/317446.php

Researchers have discovered a mechanism by which the body's immune reaction to viruses like influenza and HIV may cause learning and memory problems. This is the finding of a study led by researchers from NYU Langone Medical Center and published online in Nature Medicine.

Evidence in mice suggests that the entry of a virus anywhere in the bloodstream turns on "first responder" immune cells called CX3CR1highLY6Clow monocytes, which then release the inflammatory signaling protein TNFα. According to the authors of the study, TNFα then travels to the brain where it blocks the formation of nerve cell connections needed to turn sensory information into memories.

Although immune system activation by viruses has long been linked to cognitive problems, the underlying mechanisms have been poorly understood. In the new report, researchers found that virus-associated immune activation causes a loss of connections between nerve cells within brain circuits in the cortex, the brain region responsible for learning. Such mice then do worse on established tests of learning ability.

The observed changes in nerve connections were triggered, not in the brain, but out in the body (the periphery) where viral infection first makes contact with CX3CR1highLY6Clow monocytes in the bloodstream, say the authors.

"This study in animals resonates with what we see in the clinic, where patients with acute or chronic infectious diseases often have weaker performance on motor skills and experience memory decline," says Guang Yang, PhD, assistant professor in the Department of Anesthesiology, Perioperative Care, and Pain Medicine at NYU Langone. "Our results suggest that existing anti-inflammatory treatments that target TNFα may protect against brain dysfunction during peripheral infection."

Severe mental illness linked to much higher risk for cardiovascular disease and associated early death

This is a very large study and is very disturbing.......

https://goo.gl/rvNsEB

An international study of more than 3.2 million people with severe mental illness reveals a substantially increased risk for developing cardiovascular disease compared to the general population.
 
Led by King’s College London, the research shows that people with severe mental illness (SMI), including schizophrenia, bipolar disorder and major depression, have a 53 per cent higher risk for having cardiovascular disease than healthy controls, with a 78 per cent higher risk of developing cardiovascular disease over the longer term. Their risk of dying from the disease was also 85 per cent higher than people of a similar age in the general population. 

Published online today in World Psychiatry, these findings highlight the importance of regularly screening SMI patients for cardiovascular risk and also point towards a number of potentially modifiable risk factors.

This new study is the largest ever meta-analysis of SMI and cardiovascular disease, including over 3.2 million patients and more than 113 million people from the general population. The researchers examined 92 studies across four continents and 16 different countries, including the US, UK, France, Australia and Sweden.10 per cent of people with SMI had cardiovascular disease, with rates slightly higher in schizophrenia (11.8 per cent) and depression (11.7 per cent) than bipolar disorder (8.4 per cent), with a substantially increased risk for developing cardiovascular disease over time. 

The researchers identified some important factors which increase risk for cardiovascular disease, including antipsychotic use and higher body mass index. Based on these results, it is crucial that clinicians where possible choose antipsychotics with lower side effects related to weight gain, high blood pressure and glucose abnormalities.

Combining heroin and commonly prescribed non-opioid pain killers leads to a significant rise in overdose deaths

I took Neurontin for several months to deal with neuropathic pain from shingles and it seriously degraded my cognitive abilities......
https://goo.gl/FVbx41

A multi-disciplinary study has shown that the recent substantial increase in prescriptions for two drugs, pregabalin and gabapentin, used widely for a range of neurological disorders is closely correlated with a rise in the number of overdose deaths in England and Wales. These drugs have become drugs of abuse, according to new University of Bristol findings published in Addiction, which highlight that they are especially dangerous when used with heroin or other opioids.

Pregabalin and gabapentin were originally used to treat epilepsy but more recently also used to treat neuropathic pain, anxietyinsomnia and other mental illnesses. Recent figures show that prescriptions for these drugs increased from 1 million in 2004 to 10.5 million in 2015 (i.e. a 24 per cent increase year on year) and concern has arisen about their diversion and misuse.

The number of deaths in England and Wales involving gabapentoids increased from fewer than one per year prior to 2009 to 137 in 2015 of which 79 per cent also involved opioids such as heroin. Interviews with heroin users reported that pregabalin and gabapentin were easy to access and that taking them was associated with a feeling of loss of control and an enhanced effect of heroin. Laboratory experiments demonstrated that pregabalin enhanced heroin-induced respiratory depression by reversing heroin tolerance at low doses and then at higher doses directly depressing respiration itself so increasing the likelihood of heroin overdose.

The team suggest that alternatives to gabapentoids need to be recommended for clinicians managing opioid dependent patients with neuropathic pain or generalised anxiety, and greater attention given to restricting diversion of gabapentoid prescriptions.


Child welfare workers say records faked; boss says they aren't

https://goo.gl/DNv6ns

Abused children may have been ignored because state officials assigned cases to employees who weren't there to work them, sources say and records suggest.

The State Journal found evidence in at least three counties that supervisors logged inaccurate information about employee caseloads and other activities that were court-ordered as part of a federal lawsuit filed after a string of child deaths, including Williamston's Ricky Holland in 2005. Current and former employees said supervisors are trying to make the state appear in compliance with the federal court order.

In Muskegon and Marquette counties, documents show cases were assigned to employees who were out of the office on extended leaves of absence. In Barry County, where state investigators in 2015 confirmed a supervisor falsified records of required meetings, similar behavior appeared to continue as recently as December.

The practice affected cases. A former Barry County worker, for example, said she inherited a case in 2015 that was nearly dropped for lack of evidence because no one had drug-tested the parents for months. A Delton father who was fighting to get his daughter back said he couldn’t reach anyone at the state for months.

A Michigan Department of Health & Human Services spokesman said he could not comment on the State Journal's specific findings because they were personnel matters. However, a department official said children were cared for and the allegations are likely the result of misunderstandings.