What you should know….
- ● In 2016, 12,871 opioid prescriptions for every 10,000 people in Shiawassee County.
- ● 10,917,012 tablets of hydrocodone were dispensed, enough for every man, woman, and child in Shiawassee County to have 18 tablets per person per month.
- ● 17% of Shiawassee County high school students report binge drinking in the past 30 days.
- ● 10% of Shiawassee County middle school students were offered, sold, or given an illegal substance on school property in the last 30 days.
- ● In 2017, 21 people died of opioid overdose in Owosso.
- ● Last year, there were 369 confirmed cases of overdoses treated in Memorial Healthcare Emergency Department.
What is Addiction?
Addiction is a chronic brain disease that affects the pleasure center of the brain. The choice to take a substance is voluntary; brain chemistry changes after long-term use. The person develops cravings for the substance that are not easily overcome. The body also depends on the substance to avoid unpleasant or dangerous withdrawal symptoms. Addiction is a disorder that is prone to relapse, which means that it can return, but with proper treatment and lifestyle choices, you can live a healthy, happy life in recovery. Addiction can coincide with another condition. When two conditions exist, it is called a co-occuring disorder, or dual diagnosis. A person with co-occurring disorders has a mental health condition, like depression, anxiety, or bipolar disorder. When a co-occuring disorder exists, addiction and the mental health condition should be treated together. Because addiction is a medical condition, proper guidance and care is necessary to recover. This booklet describes your options to start your road to recovery
What are my Choices?
There are many types of services. Below are some of the common types, along with an explanation of each.
- Detox: detox facility provides a safe place with close monitoring for you to withdraw from substances.
- Residential: esidential is in-patient care, free from the stressors of daily life, where you can begin healing from substance use disorder. Counseling, group sessions, and sometimes medication-assisted treatment, are available in residential care.
- Outpatient Therapy: utpatient therapy includes counseling with a certified therapist in either an individual or group setting.
- Medication-assisted Treatment: edication assisted treatment is a prescription or monthly injection that makes it easier to cope without certain substances. Medication-assisted treatment is most effective when used alongside counseling.
- Peer Support: eer support includes peer support groups and recovery coaches. Peer support groups allow people at different stages of recovery to support one another throughout their recovery journey. Recovery coaches are in long-term recovery and can help you transition to daily living and learn to overcome triggers that may cause relapse.
- 12 Step Fellowship: 2 step programs are abstinence-based groups that work through a process of 12 defined steps, while offering support to one another.
What is Detox?
Withdrawl from a substance can be painful and life-threatening. A detox facility offers medical monitoring so you can withdraw safely. Staff at a detox facility can also help you figure out your next steps and teach early coping skills. It may take a couple of days to secure a spot, so call ahead.
What is Residential Care?
Learning to live without substances can be challenging when combined with your regular daily stressors. Residential care offers a setting away from your normal daily life while you learn new skills and participate in intensive counseling. Residential treatment can last one month to one year, depending on your needs and insurance.
Local residential options Mid-State Health Network Access and Referral 530 W Ionia St, Lansing, MI 48933 Ph. (844)405-3095 http://www.midstatehealthnetwork.org/
What is Outpatient Counseling?
Outpatient counseling consists of regular, ongoing appointments with a psychologist or counselor. Counseling helps you work through any behavioral or mental health issues that may be contributing to your substance use disorder. Counseling helps you get to the root of your substance use disorder and learn skills to cope with triggers. You may meet with a therapist many times per week at the beginning of your recovery and taper down the number of sessions as time goes on.
There are numerous other counseling service providers through Shiawassee County. If one counselor does not work for you, keep trying until you find the right fit. There is financial assistance available through mid state network, please contact individual agencies.
- DOT Caring Center 510 S Washington St #1 Owosso, MI 48867 Ph. (989)725-2229
- Recovery Pathways LLC 115 Shiawassee St. Corunna MI 48817 Ph. (989)494-0404
- Taylor Life Center 632 N. Shiawassee St./M-52 Owosso, MI 48867 Ph. (989)723-0330
- Catholic Charities 1480 N. M- 52, Ste. 1 Owosso, MI 48867 Ph. (989)723-8239
What is Medication-assisted Treatment (MAT)?
Some substances have such a grip on a person that the individual may need medical support to get sober. This is common with opiods, and sometimes with alcohol. Medication-assisted treatment is a prescription or monthly shot that makes it easier to cope without substances. Medication-assisted treatment is most effective when used alongside outpatient counseling.
- Recovery Pathways LLC 115 Shiawassee St. Corunna MI 48817 Ph. (989)494-0404
Peer Support What is a Recovery Coach?
A recovery coach is a person who has successfully walked that path of recovery. They bring support, empathy, and the ideas for success. Recovery coaches have training, but are not counselors. They offer valuable skill-building based on real-life experiences. If you are interested in becoming connected with a recovery coach, many local facilities and groups can help you find a coach.
- Alcoholics Anonymous 24 Hour Hotline (989)-721-5711 https://www.aa.org/
- Narcotics Anonymous (818)-773-9999 https://www.na.org/
- Peer 360 Pregnancy Resource Center of Shiawassee County 224 N. Ball Street, Owosso, MI 48867 (989)-723-4025
- Recovery Pathways LLC. 115 Shiawassee St. Corunna Ph.(989)494-0404 Mental Health Disorder Treatment, Group and Family Therapy, Shiawassee County Drug Court Program.
- Safe Center 1300 N. Hickory Street Owosso (989)723-9716 Emergency Shelter, Counseling, Advocacy, Basic needs, Housing programs, Support groups
- Shiawassee Health and Wellness 1555 Industrial Drive Owosso (989) 723-6791 Counseling, Psychotherapy
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SUBSTANCE ABUSE PREVENTION
Why is Prevention Important?
- A substance use disorder is a chronic, progressive, relapsing disease, not unlike heart disease, cancer or diabetes. Use and abuse peaks in young adulthood. It is preventable and treatable.
- There are two main factors that lead to substance use disorders – early onset of use while the brain is still developing, and biologic factors.
- The research tells us that those who begin to use substances before the age of 15 are 5 times more likely to develop abuse/dependence in adulthood.
- Children of addicts are 4 times more likely to develop the disease.
- Drug use during pregnancy, especially opiates and heroin, are extrememly dangerous to the unborn child. Children born to mothers who use drugs during pregnancy are born addicted and have to endure withdrawl and long-term health and development problems.
What are the Signs and Symptoms of Opiate Abuse?
- Physical: small pupils, shallow or slow breathing, slow pulse/heart rate, analgesia (feeling no pain), tiredness or nodding off, euphoria (feeling high), nausea, vomiting, itching or flushed skin, constipation, slurred speech, and poor coordination. Scabs, sores and bleeding of the arms are signs of injecting drug use. Users may also have a change in hygiene, including bad skin, hair loss and a lack of interest in appearance. Weight loss and lack of appetite are also common.
- Behavioral: changes in friends/grades/activities, changes in appetite or sleep patterns, confusion or poor judgment. Stealing to support the habit, isolation, anxiety, carrying pill bottles with them, and sudden changes in mood or behaviors are also signs.
- Environmental: missing vent screws (for hiding drugs), burned spots on carpet, burnt spoons, foil or tins nearby, cotton swabs with the end pulled off or cigarette filters, pen casings or straws, blackened finger tips, crushed pills or white powder residue, sunglasses cases or other ways to disguise a heroin "kit", folded receipts or small papers for carrying heroin, blood spots on clothing, bedding or in the sink from injecting.
What are the Harms and Consequences of Opiate Abuse?
- Impaired decision-making abilities, inability to regulate behavior, and respond to stressful situations.
- Physical dependence, addiction.
- Respiratory depression, hypoxia, coma, permanent brain damage, death.
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Addiction, like any other illness, requires treatment to recover
- Effective treatment attends to multiple needs of the individual, not just his or her drug abuse. As with other chronic illnesses, relapses to drug abuse can occur. Relapse signals the need for treatment to be reinstated or changed. It does not indicate that the individual can’t get better. It may take one, two, or even five attempts for a person to finally stay clean. Don't give up.
Families Suffer Too
- National surveys indicate that 1 in 4 families are struggling with alcohol and/or drug addiction in a family member. Alcoholism and drug addiction affects the whole family – young, teenage, or grown-up children; wives or husbands; brothers or sisters; parents or other relatives and friends.
- Without help, active addiction can totally disrupt family life and cause harmful effects that can last a lifetime.
Reaching Out is Critical
- Even when we know there is a problem with addiction and really want to fix it, going to an addiction treatment program for help can be intimidating. Sometimes it seems your calls get you nowhere. Maybe you have tried before and feel like you failed. Or maybe you are not sure what to expect and find it all overwhelming. Don’t give up. There is help available.
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LAW ENFORCEMENT/SUPPLY REDUCTION
Law Enforcement has been tasked with reducing the supply of heroin and opiates in Shiawassee County through a unique partnership of several law enforcement entities. Although traditional law enforcement must be part of an overall solution, heroin and opiate abuse requires strategies that not only reduce supply but also address the demand.
If an overdose occurs in our county, no matter where the drug is sold or used, law enforcement will investigate to identify the dealer, as well as anyone else involved.
Your local law enforcement is working to give a voice to those who have lost their battle to addiction, but we need your help to investigate and pursue prosecution.
Law enforcement agencies are sharing intelligence and resources around the county. Those who are found to have sold or supplied heroin and opiates to someone who overdoses could face serious charges. Personnel are highly trained, dedicated and experienced investigators with access to the latest in investigative tools. They have taken the unprecedented step to gather intelligence in regards to dealers, overdoses, arrests and are turning that intelligence into useful information so we can act.
It’s our hope that distributing this information will allow the officers responding to calls to be better prepared to intervene with those distributing drugs. This information also assists the medical community and addiction services providers with information on current drug use trends to better help those in need.