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Miami Rescue Mission Clinic Case Study

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At the Miami Rescue Mission Clinic (MRMC), patients came from the Miami Rescue Mission shelter and its surroundings. A very diverse community is seen at this clinic, especially, homeless patients that everyday face similar situations among them and that are prone to illicit drug use on the street or medication overuse when addiction is a medical condition. But, what are alternative treatments that can be used at the MRMC when knowing that opioids are not a good option for this population neither the clinic has a specialty in this area that can specifically deal with such condition by following already approved guidelines. In this primary care clinic, pain relief, monitor for appropriate use of chosen medications, and recommendations for effective alternatives of treatment will be primary concerns for …show more content…

In addition, Vilmont (2011) states, “At the recent American Psychiatric Association (APA) meeting, pain specialists said that treating patients in pain who are dependent on opioids involves a delicate balance between managing pain relief and risk of drug abuse (Vilmont, 2011).” However, Jones, et al. (2012) reported that “The use of prescription drugs for nonmedical purpose by Americans in 2009 exceeded the use of cocaine, heroin, hallucinogens, and inhalants combined.” Jones, et al. added, “Visits to hospital emergency departments (ED) involving the nonmedical use of prescription analgesics rose 111%, more than doubling the number of visits between 2004 and 2008…top three medications were oxycodone, hydrocodone, and methadone products.” SUD patients are at high risk of death when opioids are combined with alcohol, sedatives, hypnotics, and/or

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Psychology truly is everywhere. “The Pain Medication Conundrum” is a news story that was published on August 13, 2015 in the New York Times written by Danielle Ofri. The news story discusses the confusing and difficult problem that the prescribing of pain medication has caused. In summary, the news story explains a situation where an old man, in his mid-60s, entered his primary doctor’s office asking for a prescription of oxycodone for pain because the clinic where he used to get it from closed. In the six months that the doctor had been seeing him, he was unaware that his patient was taking narcotic pain medication.

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Other Opioids played roles in overdosed deaths, 137 died in 2012 and 107 in 2013. The people that are dying are typically are young men and women that are targeted, due to the fact that there’s nothing to do (In same term the documentary used). My personal experience dealing with a heroin addict was in my senior year I had moved to a different school that was more diverse of white. I made greats friends, especially with these two guys they were fraternal twins. We all grow close in friendship in senior year, one of the twin had died the early year of 2015.

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I. Importance: As American deaths from drug overdoses continue to rise in the United States, the nation is faced with a public health crisis so profound that in October 2017, President Trump declared the opioid epidemic to be a national public health emergency (Merica). President Trump’s declaration came after numerous studies indicating the danger opioid addiction posed; for example, a 2016 study entitled “Increases in Drug and Opioid-Involved Overdose Deaths—United States, 2010-2015” claimed that drug overdose deaths “nearly tripled during 1999-2014,” reaching a startling high 52,404 deaths in 2015 (Rudd, et al). These statistics are more than just disturbing revelations regarding the opioid crisis; they are evidence of a serious problem that is rapidly affecting the lives of more and more Americans every year. Death by overdose is not the only public policy concern, however, as millions of Americans are also addicted to prescription opioids.

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Pharmacodynamics and Pharmacokinetics: Opioids Opioid misuse, dependency, and addiction has reached epidemic proportions across the United States. According to the Centers for Disease and Prevention (2016) approximately two million individuals misused or were dependent upon prescription opiates in 2014. Hydrocodone and oxycodone are two commonly prescribed drugs that are at the forefront of the epidemic, accompanied with prescription Fentanyl and illegal heroin (CDC, 2016). For future counselors understanding how opiates operate within the brain and body of a client aids in the treatment of dependency and addiction. Counselors are also expected to perform various roles to assist individuals with addiction including assessments, creating individualized treatment plans, and counseling (SAMHSA, 2016).

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Medication Assisted Treatment, or "MAT" for short, is the use of FDA approved medication for the treatment of opiate/opioid addiction and substance abuse with counseling and behavioral therapies to treat addiction (Cormier, 2014). This treatment can be used concurrently with a 12-step addiction program. Common medications used with this treatment are Methadone, Buprenorphine, Naltrexone, Acamprosate and Disulfiram. Despite research demonstrating MAT’s effectiveness as an evidence-based practice, such treatment remains underutilized (Reardon, 2014). For example, less than one-half of the 2.5 million Americans aged 12 or older who abused or were dependent on opioids in 2013 received MAT with positive effects (Volkow, Frieden, Hyde, & Cha, 2014).

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