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Next Steps for the Recovery Movement: Stay Vocal, Issue Is Bipartisan Report Details an Uncommon Exposure to Fentanyl in Regular

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Access this content and more online! Go to alcoholismdrugabuseweekly.com/createaccount and log in with your subs ref #, shown on the mailing label. Next steps for the recovery movement: Volume 29 Number 7 Stay vocal, issue is bipartisan February 13, 2017 With the loss of some recovery lead- there’s still a lot that can be done. Print ISSN 1042-1394 ers from federal government, some First, there is a movement to get Online ISSN 1556-7591 advocates in the field are worried more people in recovery into federal that their momentum will be lost (see government. The movement, spear- ADAW, February 6). But interviews headed by Facing Addiction, already Wlast week revealed that even without has more than 100 applications, said IN THIS ISSUE… a website for the Office of National Facing Addiction co-founder Greg Drug Control Policy (ONDCP) — Williams. “We don’t know yet where Our lead stories this week look at something which has rattled advo- these individuals might be placed,” next steps for the recovery cates who want everything to go Williams told ADAW. But they would movement, and at fentanyl overdose back to the way it used to be — be in top positions. “We believe this deaths in people who thought they can inform policy moving forward,” had bought cocaine. Bottom Line he said. “We have plans to represent . See stories, beginning on this page a top-tier list.” Until Senate confir- The recovery movement is alive and mations move forward, however, Botticelli’s optimistic advice: well and growing, but needs support nothing will happen. from everyone concerned about Partner with law enforcement “Having people in recovery in . See page 4 addiction as a health problem. See RECOVERY page 2 CADCA annual meeting: Training for youth to take back home Report details an uncommon exposure . See page 5 to fentanyl in regular cocaine users SAPT 20 percent set-aside essential A June 2016 incident in which 12 Morbidity and Mortality Weekly Re- to SUD prevention . See page 7 people in New Haven, Connecticut, port detailing the crisis in New Hav- overdosed on fentanyl, contained in en point out that typical public edu- a substance they thought was co- cation and naloxone distribution caine, underscores the need for efforts that target regular users of Amore comprehensive and multia- opioids would not have captured gency strategies to combat opioid these New Haven individuals be- overdose, a new report suggests. cause opioids generally were not Authors of an article in the Feb. their drug of choice. The June out- 3 edition of the Centers for Disease break resulted in nine hospital ad- Control and Prevention’s (CDC’s) missions and three deaths. The authors wrote that “this out- Honorable Mention 2016 Michael Q. Ford break of severe opioid intoxication Spot News 2016 Journalism Award Bottom Line… among patients who were cocaine A 2016 illicit fentanyl outbreak in FIND US ON FOLLOW US ON users, but not chronic opioid users, New Haven, Connecticut, affecting suggests that distributing naloxone individuals who thought they had and offering training to all illicit drug purchased cocaine, illustrates the need adawnewsletter ADAWnews users, their friends, and family mem- for public health and education © 2017 Wiley Periodicals,Inc. bers might prevent such opioid-as- strategies with a broad reach across View this newsletter online at wileyonlinelibrary.com sociated morbidity and mortality.” DOI: 10.1002/adaw the drug-using community. See FENTANYL page 6 A Wiley Periodicals, Inc. publication. wileyonlinelibrary.com 2 Alcoholism & Drug Abuse Weekly February 13, 2017 RECOVERY from page 1 she said. Specific tools federal government should not be Still, everyone in the recovery When the Comprehensive Ad- something that happens by acci- field thinks that the gains made over diction and Recovery Act (CARA) dent,” said Michael Botticelli, former the past eight years are at risk, said was enacted last July (see ADAW July director of the Office of National McDaid,“You’d have to be naïve if you 18, 2016), it authorized a small Drug Control Policy, in recovery and didn’t think about that strategically.” amount of grant funding for “build- openly gay. “Having people in re- The long-time grassroots recov- ing communities of recovery.” This covery throughout the federal gov- ery group, which has been known could be used for recovery schools, ernment should happen by design,” for celebrating recovery, decreasing recovery supports, and other recov- he told us last week. “Under the stigma and implementing real recov- ery-related issued. “One of our jobs Obama administration there were ery support services across the coun- will be to make sure that the funding similar projects — on LGBT, on peo- try, is Faces and Voices of Recovery. from that and from the rest of CARA ple of color.” Patty McCarthy Metcalf, executive gets appropriated,” said McDaid. The focus should not be restrict- director, said that Botticelli, Coderre, CARA’s allocation of $37 million ed to addiction work, said Botticelli. and Hill helped create a “culture of gave $20 million to the Department “The recovery community needs to recovery” at ONDCP and SAMHSA. of Justice, to focus on recovery sup- demand that they be involved in “We do have a lot of people in re- port services in the criminal justice these positions and these discus- covery at SAMHSA and at ONDCP,” system, said Metcalf. “We’re advocat- sions,” said Botticelli. The recovery she told ADAW. “They may not be ing that SAMHSA and Congress nominations project will give people vocal or have leadership positions, come to a resolution” on the other in recovery a chance to step forward but they understand how far we’ve $17 million, to use money to fund “and be open not only about their come and that we can’t go back- recovery support services, she said. individual competences but their wards. They know it’s a health crisis The $1 billion in Cures money recovery.” and not a criminal justice issue.” going out to the states can be used The loss of Botticelli, as well as The national advisory council of for recovery supports, but only to Tom Coderre and Tom Hill from the SAMHSA’s Center for Substance the extent that the state wants to use Substance Abuse and Mental Health Abuse Treatment (CSAT) consists of it for that. “We have 127 recovery Services Administration (SAMHSA), many people in recovery, who are community organizations across the hurt the field, advocates agree. in leadership positions throughout country,” said Metcalf. “We gave “They are irreplaceable,” said Carol the country, said Metcalf. “Structur- them specific strategies to work with McDaid, principal at lobbying firm ally, CSAT is where the money the SSAs to become apart of that Capitol Decisions. But the recovery comes from. Any decisions around funding.” In some states, RCOs are appointment project can help, she funding for Community Support Ser- not even being invited to the table. said. “This is when the recovery ad- vices comes from CSAT, not from When the applications are in Febru- vocates are going to have to step up, CSAP [Center for Substance Abuse ary 17, more will be known about the grass roots is going to have to Prevention] or CMHS [Center for how that Cures money will be used. step up, getting good candidates,” Mental Health Services].” The Surgeon General’s report $7056 (institutional, Can./Mex.), $7110 (institutional, rest of world); Print & elec- tronic: $765 (individual, U.S.), $788 (individual, Can./Mex.), $937 (individual, rest of world), $7805 (institutional, U.S.), $8468 (institutional, Can./Mex.), $8532 (institu- tional, rest of world); Electronic only: $555 (individual, U.S.), $572 (individual, rest of world), $6504 (institutional, U.S.), $6895 Institutional, rest of world). Alcoholism & Drug Abuse Weekly accepts no advertising and is supported solely by its readers. For address changes or new subscriptions, contact Customer Service at (800) 835- Editor Alison Knopf 6770; email: [email protected]. © 2017 Wiley Periodicals, Inc., a Wiley Com- Contributing Editor Gary Enos pany. All rights reserved. Reproduction in any form without the consent of the publisher is strictly forbidden. Copy Editor James Sigman Alcoholism & Drug Abuse Weekly is indexed in: Academic Search (EBSCO), Aca- Production Editor Douglas Devaux demic Search Elite (EBSCO), Academic Search Premier (EBSCO), Current Abstracts Managing Editor Donna Petrozzello (EBSCO), EBSCO Masterfile Elite (EBSCO), EBSCO MasterFILE Select (EBSCO), Expanded Academic ASAP (Thomson Gale), Health Source Nursing/Academic, Publisher Lisa Dionne InfoTrac, Proquest 5000 (ProQuest), Proquest Discovery (ProQuest), ProQuest Health & Medical, Complete (ProQuest), Proquest Platinum (ProQuest), Proquest Research Alcoholism & Drug Abuse Weekly (Print ISSN 1042-1394; Online ISSN 1556-7591) Library (ProQuest), Student Resource Center College, Student Resource Center Gold is an independent newsletter meeting the information needs of all alcoholism and and Student Resource Center Silver. drug abuse professionals, providing timely reports on national trends and develop- ments in funding, policy, prevention, treatment and research in alcohol and drug Business/Editorial Offices: John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ abuse, and also covering issues on certification, reimbursement and other news of 07030-5774; Alison Knopf, email: [email protected]; (845) 418-3961. importance to public, private nonprofit and for-profit treatment agencies. 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