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Addiction (Psychology)

Drug Overdose Deaths Have Surged During the Pandemic, C.D.C. Says

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On Tuesday, several dozen organizations that work on addiction and other health issues asked Mr. Biden’s health and human services secretary, Xavier Becerra, to “act with urgency” and eliminate the rule that doctors go through a day of training before getting federal permission to prescribe buprenorphine. Many addiction experts are also calling for abolishing rules that had already been relaxed during the pandemic so that patients don’t have to come to clinics or doctors’ offices for addiction medications.

Although many programs offering treatment, naloxone and other services for drug users have reopened at least partly as the pandemic has dragged on, many others remain closed or severely curtailed, particularly if they operated on a shoestring budget to begin with.

Sara Glick, an assistant professor of medicine at the University of Washington, said a survey of about 30 syringe exchange programs that she conducted last spring found that many closed temporarily early in the pandemic. After reopening, she said, many programs cut back services or the number of people they could help.

“With health departments spending so much on Covid, some programs have really had to cut their budgets,” she said. “That can mean seeing fewer participants, or pausing their H.I.V. and hepatitis C testing.”

At the same time, increases in H.I.V. cases have been reported in several areas of the country with heavy injection drug use, including two cities in West Virginia, Charleston and Huntington, and Boston. West Virginia’s legislature passed a law last week placing new restrictions on syringe exchange programs, which advocates of the programs said would force many to close.

Mr. Biden’s American Rescue Plan Act includes $1.5 billion for the prevention and treatment of substance use disorders, as well as $30 million in funding for local services that benefit people with addiction, including syringe exchange programs. The latter is significant because while federal funds still largely cannot be spent on syringes for people who use drugs, the restriction does not apply to money from the stimulus package, according to the Office of Drug Control Policy. Last week, the administration announced that federal funding could now be used to buy rapid fentanyl test strips, which can be used to check whether drugs have been mixed or cut with fentanyl.

Fentanyl or its analogues have increasingly been detected in counterfeit pills being sold illegally as prescription opioids or benzodiazepines — sedatives like Xanax that are used as anti-anxiety medications — and particularly in meth.

Northeastern states that had been hit hardest by opioid deaths in recent years saw some of the smallest increases in deaths in the first half of the pandemic year, with the exception of Maine. The hardest-hit states included West Virginia and Kentucky, which have long ranked at the top in overdose deaths, but also western states like California and Arizona and southern ones like Louisiana, South Carolina and Tennessee.

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Filed Under: BUSINESS Tagged With: Addiction (Psychology), Arizona, Boston, budget, Buprenorphine (Drug), California, Centers for Disease Control and Prevention, Coronavirus (2019-nCoV), Deaths (Fatalities), Doctors, Drug Abuse and Traffic, Drugs, Fentanyl, Health, Hypodermic Needles and Syringes, Louisiana, Methamphetamines, Money, Native Americans, Opioids, Opioids and Opiates, Policy, South Carolina, Tennessee, Virginia, West Virginia, your-feed-healthcare

It’s Easy (and Legal) to Bet on Sports. Do Young Adults Know the Risks?

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Most adults who bet on sports do so without major negative consequences. But about 1 percent of American adults have a gambling disorder, in which the core symptom is continuing to gamble despite harmful consequences, said Dr. Fong, who is a director of the Gambling Studies Program at U.C.L.A.

A vast majority of those with a serious gambling problem never seek or gain access to treatment, he said.

Studies have shown that sports bettors are typically male, under 35, single, educated and employed or preparing for a career. According to a new survey commissioned by the National Council on Problem Gambling, sports bettors showed significantly higher levels of problematic gambling than other gamblers. The risk of addiction is higher for young adults — specifically sports bettors — than for those of any other age, the survey found.

According to CollegeGambling.org, a subgroup of the International Center for Responsible Gaming, 6 percent of college students in the United States have a serious gambling problem that can lead to psychological difficulties, unmanageable debt and failing grades.

Young adults are at particular risk for developing a gambling problem, especially if there is a family history of gambling or if they are introduced to it at a young age, Dr. Fong said. The increased accessibility of online gambling may accelerate the development of problems, he said — a phenomenon known as telescoping.

As sports betting has grown — household names like FanDuel and DraftKings now offer legal avenues — the need for recovery programs and dedicated treatment facilities has quickly outpaced their availability, recovery experts said. Rick Benson, the founder of the Algamus Gambling Recovery Center in Arizona, said the number of young adults who have sought treatment for gambling problems has more than doubled in the past two years.

Sex, drugs and alcohol are commonly covered in school and in the coming-of-age conversations that parents have with their children, but discussions about the consequences of gambling are rare, former gamblers and experts said. This can lead young people to underestimate the addictive nature of sports betting and other forms of gambling. Warnings, often in small fonts, that caution visitors to online sports books and gambling websites about the risks of addiction are easily overlooked.

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Filed Under: BUSINESS Tagged With: Addiction (Psychology), Arizona, Athletics and Sports, Books, Children, DraftKings Inc, Family, FanDuel.com, Fantasy Sports, Gambling, Men and Boys, National, NCAA Basketball Championships (Men), NCAA Basketball Championships (Women), United States, Youth

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