Category Archives: Opioid addiction

Getting through the tough times

Posted on December 6, 2016 by Melissa Killeen

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As a recovery coach, I often see my clients need some help getting through the tough times, without using drugs, picking up a drink or acting out. Recently, I personally encountered some rough patches in my own life, so I went to my library of recovery books. Reading books on recovery is an import tool I use regularly in my practice. Several years ago, I was curious about Buddhist recovery, so I became an avid reader of the books by Pema Chodron.

Pema Chodron Celebrates 80 Years

Pema Chodron, is a Buddhist nun, she was born in 1936, in New York City, and is celebrating her 80th year. After a divorce, in her mid-thirties, Pema traveled to the French Alps and encountered Buddhist teacher Lama Chime Rinpoche, and she studied with him for several years. She became a novice Buddhist nun in 1974. Pema moved to rural Cape Breton, Nova Scotia in 1984, ­­­to be the director of Gampo Abbey and worked to establish a place to teach the Buddhist monastic traditions (waking before sunrise, chanting scriptures, daily chores, communal meals and providing blessings for the laity). In Nova Scotia and through the Chodron Foundation, she works with others, sharing her ideas and teachings. She has written several books, and in my time of deep spiritual need, I went to her book “When Things Fall Apart”.

Drawn from traditional Buddhist wisdom, Pema’s radical and compassionate advice for what to do when things fall apart in our lives helped me. There is not only one approach to suffering that is of lasting benefit, Pema teaches several approaches that involve moving toward the painful situation and relaxing us to realize the essential groundlessness of our situation. It is in this book, I discovered a simple breathing exercise I can use during these chaotic times so I can move into a better space. Pema advocates this tool as a breathing exercise, although this exercise could also be considered a mindful meditation.

I use Chodron’s tool whenever and wherever life hits me below the belt. I share this tool with my clients. It is all about breathing and consciously repeating words to yourself to accompany the breathing. Since we breathe every day, it is indiscernible whether you are using this tool as you travel on the bus commuting home from work, in a conference room with your boss, or when you are feeling low and want to curl up in a ball and die.

Breathe

Pema explains in her book, when things get way too complicated; step back and breathe. When the force of the world, the politics of the U.S., Great Britain or Italy start weighing heavily on your mind, breathe. When you look at all the pain around you and feel powerless to do anything, breathe.

Pema explains, inhale and say silently to yourself breathe in the pain, then exhale and say breathe out relief. Then, inhale, and say silently to yourself breathe in the relief, and exhale and say breathe out the pain. I find I need about 15 minutes of conscious breathing in this way. After doing this, I find I have new energy or something else crosses my path to move me into a different space.

If I continue to be in that negative space of worry or feeling powerless, then absolutely nothing will be accomplished that day. I know we all have something to accomplish every day, whether it is just getting out of bed, taking a shower and brushing our teeth or running a Fortune 500 company, this exercise gets us from zero to ten in fifteen minutes. Chodron’s exercise moves me to the space I need to be in, so I can function. It is what I need.

So, I invite you to try this simple exercise…and remember…keep breathing.

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Posted in Addiction, Addiction Recovery Posts, alcohol, Alcoholism, body image, Drug Abuse, Family Dynamics, Gambling, Health, internet addiction disorder, love addiction, mental health, Opioid addiction, Parents, Pornography, pornography addiction, Relapse, relationships, Research, Sex Addiction, Sleep Deprivation, Sleep Loss, Sponsor, Uncategorized | Tagged , , , , , , , , , , , | Comments Off on Getting through the tough times

A new ER resource – recovery coaches

Posted on August 27, 2016 by Melissa Killeen
Melissa

Melissa Killeen

In Rhode Island, more than 1,000 addicts have been brought from the edge of death due to opioid overdose, thanks to first-responders and emergency room workers using the new lifesaving drugs Narcan and Naloxone. When patients are overdosing, first-responders or ER nurses administer these new drugs, which reverse an opioid overdose. The ER staff members use it so often it’s become a verb, as in: “we Narcaned him.”

In 2015, a pilot program to train law enforcement officers to use Narcan and Naloxone prefilled syringes or nasal spray was started in the New Jersey counties of Monmouth and Ocean. It has been successful in reversing over 400 potentially fatal overdoses. Narcan kits are now available in police cars, ambulances, public transportation centers and even at your local CVS. But the growing number of overdoses has stretched the emergency room doctors and nurses to a breaking point.

When Narcan patients come to the ER, they can be angry and disorientated, when upon waking they find their high is gone. Emergency rooms are handling a lot of overdose patients, and the work can be frustrating. These patients are combative, upset, demeaning, often yelling or physically acting out. ER personnel, not trained in detox reactions, are perplexed. They are being pulled away from the people who have more medically-critical needs.

In a relatively short period of time, Naloxone and Narcan are emerging as very one-dimensional treatments. They are lifesavers, but don’t treat the real problem that brings the patient into the emergency room. Another similar one-dimensional treatment is using a defibrillator for a heart attack, it saves the life but it doesn’t treat the heart disease. Using Narcan does not treat the disease of addiction.

As a result, emergency room physicians, first-responders and treatment experts across the country say the same thing, without a mechanism to connect the overdose patients to addiction services, Narcan and Naloxone only create a revolving door in emergency rooms. Some addicts have returned from the edge of death four and five times, thanks to Narcan injections or nasal sprays.

In Rhode Island’s hospitals, and in hospitals throughout New Hampshire and New Jersey, ER doctors have called on a relatively new resource to help: the recovery coach. These coaches are not ER employees but are part of a new plan to assist ER personnel in dealing with the detoxing victims of an opioid overdose. These recovery coaches work with the detoxing patients, allowing the ER staff to continue with their tasks of treating others that come into an emergency room. These recovery coaches are peers, many of them former addicts trained to work with an overdose patient coming down from the opioid. These coaches are trained to move the patients into long-term treatment programs for their drug addiction.

“The goal of the LifelineED program is to get individuals who were Narcaned into detox and treatment,” says Sharon Chapman, program supervisor of the LifelineED program at Center for Family Services in Voorhees, NJ. “Our Recovery Coaches and Patient Navigators work with each individual to help get them into a treatment facility. It’s important for these patients to know they’re not alone, we offer support to help the patients and their families as they go through the recovery journey.”

These recovery coaches offer peer-to-peer support. There’s nothing like being approached by another recovering drug addict who can help you in your time of need, who knows exactly what you’re going through at that moment. Often, they use information and resources that the hospital staff might not have, such as a list of treatment programs, how to go through the intake process, as well as spending time to educate addicts’ families about the treatment process and how to recognize early signs of the addiction. Of course, the patient decides whether they will take part in treatment, but willingness is the strongest when the patient realizes they just have been given a new “lease on life.” Emergency staff acknowledge it’s helpful to have recovery coaches who can spend time with a patient, and can begin moving them into treatment. These coaches know the recovery terrain better than the ER nurses and physicians. Patients have the option to go to a treatment center, or if they choose to go home, they take the recovery coach’s number with them. The recovery coach or the patient navigator will follow up with them, and assists in helping the patient take the next steps towards recovery. Overdose victims are willing to let recovery coaches into their homes to talk about the program immediately after their overdose. Some need time to come to the realization that if they don’t accept the offer of treatment, there may not be another opportunity. Finding the time for a home visit is something that the ER staff could never do.

Funding for these ER Recovery Coaching programs is popping up all over the United States, since President Obama and Michael Botticelli, the Director of National Drug Control policy, have requested over $1 billion dollars to be placed into the 2017 budget to fight this growing opioid epidemic. This funding request surpasses the $400 million amount Obama signed for in the 2016 budget, which was a jump of $100 million over the 2014 budget, all in hopes of addressing this harrowing epidemic, which has ravaged communities in all corners of the U.S.

If you are interested in learning more about working in an ER room as a recovery coach, here are some resources:

https://providencecenter.org/services/crisis-emergency-care/anchored

Holly Fitting

Providence Center-AnchorED– 528 North Main Street, Providence, RI 02904

Phone: (401) 528-0123 / Email: hfitting@provcntr.org

Attn: Melissa Silvey

311 Route 108, Somersworth, NH 03878

Phone: (603) 516-2562 / Email: info@onevoicenh.org

Sharon Chapman, Program Supervisor

108 Somerdale Rd, Voorhees NJ 08043

Phone: (856) 428-5699 x116 / Email: lifelineED@centerffs.org

http://www.centerffs.org/programs/lifelineed

http://evasvillage.org/recovery-center.shtml

Attn.: Michael Santillo

16 Spring Street

Paterson, NJ 07501 / Phone: (973) 754-6784

  • Barnabas Health Opioid Overdose Recovery Program

1691 U.S. 9, Toms River, NJ 08754

Phone: (732) 914-3815

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The Top Ten Warning Signs You Are Talking to an Online Catfisher-Part 4

Posted on July 21, 2016 by Melissa Killeen

 innocence-en-dangerHow can you protect yourself from a Catfisher or an online predator?

Why do they do what they do? Catfishers want something from you. These are people that are not motivated by love, but are driven by money, perverse sexual desires and criminal intent.

  • Money is usually the first thing predators want from adult contacts
  • They want to win you over and manipulate you, so you begin to desire them in a sexual way and that means you will begin to trust them
  • They will use your photographs and distribute them to other online predators, they will re-post the pictures online in sexual forums or just enjoy your photographs themselves, privately
  • They want to have conversations with you, texting or otherwise, in order to get sexually aroused during the conversation
  • Any of the above contacts will enable these predators to black-mail, extort or rape you

Scary Stats

There are some scary statistics on Catfishers or online predators.

  • An estimated 725,000 people are aggressively pursued online for sex or extortion annually in the US
  • In 2005 alone, 25% percent of rapists used online dating sites to find their victims
  • In 2011, the FBI Internet Crime Complaint Center lodged 5,600 complaints from victims of “romance scams” or “catfishers”
  • Reports say victims of these romance scams have lost over fifty million dollars—however authorities know this figure is much higher because many victims are too embarrassed to report the incidents
  • Every 2 minutes a person in America is sexually assaulted
  • 1 out of 4 children in the U.S. have been sent pictures of people who were naked or having sex by an online predator
  • Each year Internet predators commit over 16,000 abductions, over 100 murders, and thousands of rapes
  • Over 39,000 verified Registered Sex Offenders have profiles on social media sites
  • 1 out of 5 kids have been solicited for sex on the Internet
  • 1 out of 4 kids have been contacted online by a person not representing themselves in a true or accurate way
  • Only 25% of kids tell parents or adults about any online encounters
  • 77% of the time, the targets for online predators are usually in the 11-14 year-old-age range
  • 25% of children that were surveyed were exposed to unwanted pornographic material

Dating Safety Tips

Online dating often leads to offline dates, which may end up as a successful relationship. However, before you meet someone in person, take all the time you need to get well-acquainted with this person, so there is hopefully nothing to worry about when you meet face-to-face. Sexual assault on a date is definitely not an everyday occurrence, nonetheless, you need to ensure your personal safety when planning to meet someone for a first date. Take the time to really get to know a person and dangerous incidents are less likely to occur.

The predators need to be exposed, if you or anyone you know has been contacted by an online predator or has received unwanted solicitation from someone online, call the police and notify the social networking site on which the contact was made.

  • NEVER give out your personal information or home address online, even giving out the town you live in can reveal too much information to a predator
  • Don’t reply to social media messages from people you don’t know
  • NEVER meet face-to-face with someone you have just met online, give yourself and the contact at least 3 weeks to get to know each other before a face-to-face is planned
  • Never download image files from an unknown source, they could contain sexually explicit images that could put you in a compromising legal situation
  • Avoid chat rooms or discussion forums that are sexually proactive
  • If you receive uncomfortable or frightening material, end the communication, block the person from contacting you and report them to the dating site or the social networking site
  • If you receive an unwanted solicitation call 911, contact the dating site or the social networking site and report the perpetrator immediately

Sexual assault and date rape are definitely not common occurrences when meeting an online date. Read and follow the safety advice for first date meetings that have been outlined on your online dating site, so you are well-prepared. In addition, here are some of tips that will be useful too.

  • Always take the time to get well-acquainted with someone before you plan a meeting. Talking to this person online or on the phone for three weeks is a good amount of time to ensure this person is safe to meet
  • Bookend the date, which means you notify a friend where the date is, whom the date is with and when the date starts and then again, contact the same friend when you leave the date, to ensure you are home and are safe
  • Meet in a public place, like a restaurant, coffee shop, and drive your own car or know the public transportation schedule in order to leave to catch the last bus. At no time should this first date drive you home
  • While on the date, always be very aware of your surroundings. Keep an eye on your drink at all times. Date rape drugs are very easy to drop into any drink. Drinking coffee with a lid on the cup is probably your best defense against this kind of occurrence
  • Getting a girl drunk is a common ploy for a predator, so watch how much alcohol you drink. In fact, many online dating site guidelines do not recommend going to a bar or having a drink on the first date
  • Be cautious during your first few meetings with this person. Have the dates in open public places and stay away from dark and deserted situations
  • Never go to this person’s home or to a hotel until months into your dating experience

What do you do if you have been assaulted?

If you believe you may be a victim of sexual assault, the first thing you should do is immediately contact the police and report the crime, no matter how small you might think the crime is. It is common for victims to blame themselves in a case of assault, however you must always remember that this predator had absolutely no justification to attack you. It is also very important to protect your health, go to the hospital and request to have a sexual assault forensic exam, the staff will administer some tests that are compiled into what is sometimes known as a “rape kit.” These exams will preserve possible DNA evidence and you will receive important medical care. You don’t have to report the crime to have this exam, but the process gives you the chance to safely store evidence, should you decide to report the crime at a later time.

  • If you feel you cannot handle going to the hospital alone, try asking an understanding family member or friend to escort you to the hospital.
  • If necessary, you can also speak with a rape hotline operator, an experienced therapist or social worker who can help you deal with it. For more information, reference the local hotlines and services that are featured below
  • If you choose not to have a sexual assault forensic exam, it is also a good idea to to go to a clinic or to see a doctor who can test you for sexually transmitted diseases (STDs)
  • To find a location near you that performs sexual assault forensic exams, call the National Sexual Assault Hotline at 800-656-HOPE (656-4673) or talk to your local sexual assault service provider

Here are some National Resources for Victims of a Catfisher

General Information:

Internet Crime Complaint Center (IC3)                             https://www.ic3.gov/                                                                                                           A partnership between the Federal Bureau of Investigation (FBI) and the National White Collar Crime Center (NW3C).

National Sexual Assault Hotline: National hotline, operated by RAINN, that serves people affected by sexual violence. It automatically routes the caller to their nearest sexual assault service provider. You can also search your local center here. Hotline: 800.656.HOPE (656-4673)

National Sexual Violence Resource Center: This site offers a wide variety of information relating to sexual violence including a large legal resource library.

National Organization for Victim Assistance: Founded in 1975, NOVA is the oldest national victim assistance organization of its type in the United States as the recognized leader in this noble cause.

National Online Resource Center on Violence Against Women: VAWnet, a project of the National Resource Center on Domestic Violence hosts a resource library home of thousands of materials on violence against women and related issues, with particular attention to its intersections with various forms of oppression.

U.S. Department of Justice: National Sex Offender Public Website: NSOPW is the only U.S. government Website that links public state, territorial, and tribal sex offender registries from one national search site.

The National Center for Victims of Crime: The mission of the National Center for Victims of Crime is to forge a national commitment to help victims of crime rebuild their lives. They are dedicated to serving individuals, families, and communities harmed by crime.

Child Abuse/Sexual Abuse:

National Child Abuse Hotline: They can provide local referrals for services. A centralized call center provides the caller with the option of talking to a counselor. They are also connected to a language line that can provide service in over 140 languages. Hotline: 800.4.A.CHILD (800-422-2253)

Darkness to Light: They provide crisis intervention and referral services to children or people affected by sexual abuse of children. Hotline calls are automatically routed to a local center. Helpline: 866.FOR.LIGHT (367.5444)

Cyber Tip Line: This Tipline is operated by the National Center for Missing and Exploited Children. Can be used to communicate information to the authorities about child pornography or child sex trafficking. Hotline: 800.THE.LOST (800-843-5678)

National Children’s Alliance: This organization represents the national network of Child Advocacy Centers (CAC). CACs are a multidisciplinary team of law enforcement, mental and physical health practitioners who investigate instances of child physical and sexual abuse. Their website explains the process and has a directory according to geographic location.

Stop It Now: Provides information to victims and parents/relatives/friends of child sexual abuse. The site also has resources for offender treatment as well as information on recognizing the signs of child sexual abuse. Hotline: 888-PREVENT (888-773-8368)

Justice for Children: Provides a full range of advocacy services for abused and neglected children.

Domestic, Dating and Intimate Partner Violence:

National Domestic Violence Hotline: Through this hotline an advocate can provide local direct service resources (safe-house shelters, transportation, casework assistance) and crisis intervention. Interpreter services available in 170 languages. They also partner with the Abused Deaf Women’s Advocacy Center to provide a videophone option. Hotline: 800-799-SAFE (800-799-7233)

National Teen Dating Abuse Online Helpline: This online helpline assists teens who are, or may be, in abusive relationships. Call 1-866-331-9474, chat at loveisrespect.org or text “loveis” to 22522, any time, 24/7/365

Americans Overseas Domestic Violence Crisis Center: The center serves abused Americans, mostly women and children, in both civilian and military populations overseas. In addition to providing domestic violence advocacy, safety planning and case management, the center assists victims with relocation, emergency funds for housing and childcare, and funds for payment of legal fees. International & Toll-Free 866-USWOMEN (866- 879-6636) (Available 24/7/365)

National Coalition against Domestic Violence: The national coalition of Domestic Violence organizations is dedicated to empowering victims and changing society to a zero tolerance policy. Call the Nat’l #DomesticViolence Hotline 1-800-799-SAFE (799-7233) if you or someone you love is a victim and needs help

Incest:

(See also resources on Child Abuse/ Sexual Abuse above)

Survivors of Incest Anonymous: They provide information on how to find incest survivor support groups in your area and empowers individuals to become survivors and thrivers.

GirlThrive: Girlthrive Inc. honors teen girls and young women who have survived incest and all sex abuse through thriverships, opportunity and education.

Stalking

Stalking Resource Center: The Stalking Resource Center is a program of the National Center for Victims of Crime. Their website provides statistics on stalking, information on safety planning and other resources.

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Posted in Addiction, Addiction Recovery Posts, alcohol, Drug Abuse, Family Dynamics, Health, internet addiction disorder, love addiction, mental health, Opioid addiction, Parents, Pornography, pornography addiction, relationships, Research, Sex Addiction, Uncategorized | Tagged , , , , , , , , | Comments Off on The Top Ten Warning Signs You Are Talking to an Online Catfisher-Part 4