Tag Archives: painkillers

The Sheriff and the Country Boy

I meet a lot of great folks as I talk about Dreamland across America – and hear amazing stories, too.

In Richmond, Virginia recently, where Virginia Commonwealth University had chosen Dreamland as the Common Read for their incoming freshmen, I happened to meet Sheriff Karl Leonard, of nearby Chesterfield County.

We got to talking about a recovery pod – which he calls the Heroin Addiction Recovery Program (HARP) – he instituted in his jail. HARP allows inmates to begin their recovery from addiction, with a nurturing, inmate-led environment. This replaces the stress and tedium of traditionally run jail.

Traditional jail has always been a prod to crime and drug addiction. But sheriffs like Karl Leonard are rethinking how it’s done. I find this transformation of jail, which is growing as a response to our opiate-addiction epidemic, to be one of the most radical and positive ideas happening in America today.

I wrote about another jail, in Kenton County, Kentucky, doing the same thing a while back.

Later, Sheriff Leonard sent me an email with the following story. Please read:

__________

I work very hard with our Heroin Addiction Recovery program (HARP) to educate the public and to break down the stigma that is attached to not only being an addict but a criminal as well. I take recovered addicts from our program out into the community all the time so they can put a face with this disease. And once I do that I have personalized this crisis with them and they can no longer look away. I have these addicts tell their stories which are always compelling and gut wrenching. But just when I think I have heard it all, I get educated myself.

Just a few weeks ago after one such public engagement in the community with two of the HARP members, one male and one female, I decided to take them to lunch at a local Burger King as a reward, which I do often. (They are placed in civilian clothes when we take them out of the jail).

When we pulled into the Burger King parking lot, the male asked me what this was. I was dumfounded by the question and told him it was Burger King. I then asked him if he’d ever been in a Burger King before, thinking he was messing with me. But he said no. I then asked him if he was ever in a McDonald’s before; he again said no.

I shrugged it off and took him inside. He spent several minutes looking at the menu above his head like a child on Christmas morning. He turned to me and asked me if he could get whatever he wanted. I said yes. He then asked me if he could get the biggest thing on the menu and I again said yes, knowing that jail food probably didn’t satisfy this 6’4”, strapping 26-year-old. He then ordered the mushroom Swiss triple burger and a large Coke and fries.

I watched him devour his meal. I asked him if he liked it and he replied he did very much, especially the Coke. I asked him if he had Coke before and he told me he had not. This kid who never had a Burger King or McDonald’s hamburger or a Coke is a heroin addict.

He told me he grew up in a very rural county in Virginia and his father was very strict with him about eating junk food, sugars, sodas, etc. His father made sure they only ate good fresh food without sugars. It is also why he led a life that was drug free – not even marijuana.

His father also helped him with his athletic skills, which helped him become a very good football player in high school. So good he was given a scholarship to play football at a prominent four-year university in our state. I was intrigued by how this seemingly innocent guy became a heroin addict.

Then the common thread to almost all of our heroin addicts revealed itself.

While at the university, he said, he was involved in a bad car crash and suffered a broken femur, shoulder, and other bones. Eventually his doctor gave him Oxycontin and Dilantin pills. He was directed to take four Oxycontin pills a day for 30 days in addition to the Dilantin.

Once the prescriptions ran out he said he started to become very sick but he didn’t know why. He spoke to a friend who told him he was in withdrawal from the painkillers, which was causing his sickness. So he went back to his doctor, who refused to prescribe him any more. He was very sick and tried to get pills on the street but they were hard to get and expensive so he turned to heroin. And that was all it took.

He eventually had bad drug screens at school and was kicked out of the university and lost his full scholarship. When his father found out he was using drugs he disowned him. So now, without a dorm room or family to take him in, he turned to criminal activity to sustain his life.

These stories go on and on. They are all heartbreaking but also examples of how these are not bad people trying to be good but sick people trying to get well. And we are making a difference here with our very unconventional approach to recovery.

Thank you for enlightening a Nation with your book!

Karl

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Filed under Dreamland, The Heroin Heartland

Forcing Pharma to Pay To Take Back Drugs

The Los Angeles County Department of Public Health is today holding hearings on a proposal that would force pharmaceutical companies to pay to “take back” their drugs and needles that are not used by consumers.

Los Angeles County is following the lead of Alameda County in northern California, which enacted an ordinance requiring pharmaceutical companies to provide funds to collect and dispose of unused pills. The ordinance survived Supreme Court review last spring, and is now in place under the concept of Extended Producer Responsibility (EPR).

According to the L.A. County department’s website, “EPR is an environmental protection policy approach that recognizes the responsibility of a manufacturer or producer of a product to steward that product through the post-consumer stage of its lifecycle.”

This has become an issue due to overprescribing of addictive narcotic painkillers over the last two decades – often following routine surgeries. Frequently patients are prescribed 60 or 90 Vicodin, Percocet, or Oxycontin pain pills, of which they often use only a small fraction, leaving the rest in their medicine cabinets. Many of those pills have been discovered by kids in the home, their friends, by workers doing jobs at houses, or otherwise entered the black market.

These overprescribed and unused pills have added enormously to the street supply of pills and are a large part of why the country is in the midst of an unprecedented scourge of opiate addiction.

Profits from the sale of these pills have accrued to pharmaceutical companies, while the costs of dealing with that addiction have been borne by taxpayers – cities, counties, jails, coroners, police and public health departments.

One response has been Drug Take-Back days, which have spread nationwide. In 2014, 5 million pounds of drugs were taken back during these events nationwide, according to the National Safety Council. (LA County’s interim health director estimates some 200 million pounds remain of these drugs remain in medicine cabinets around the country.)

Of course, the problem is who pays to take back these drugs, and to then dispose of them. Up to now, again, public agencies, typically cities, counties or the DEA, have foot the bill.

The move to push pharmaceutical companies to contribute is new. Counties and cities across America might want to look into this new kind of ordinance as they cast about for ways to pay for taking back the enormous quantities of highly addictive painkillers still out there.

 

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Filed under Dreamland, Drugs, The Heroin Heartland

DREAMLAND – At Last!

Been a very long time, and lots of hard work, but finally my third book of narrative nonfiction is out.Dreamland-HCBig

Dreamland: The True Tale of America’s Opiate Epidemic was released this week by Bloomsbury Press.

When neck-deep in writing a book, I’m never sure if it’s any good. Too much time spent laboring over every phrase, whether one clause should be separated by a comma or a semicolon, which adjective best describes a person’s mood – on top of all the facts that, like cats, need to be corralled and herded in one direction or another.

And new facts you learn every day that may change everything.

Then there’s the rewriting – which is what writing is all about.

So I’m thrilled to hear reaction to the book – that people couldn’t put it down. Love hearing that, I have to say.

I’ve had great appearances at the LA Times Bookfest and at Vroman’s, with more to come at Powell’s Books in Portland, Elliott Bay Town Hall in Seattle and Bookstore West Portal in San Francisco, not to mention the Arkansas Literary Festival in Little Rock, where I’m heading as I write.

Amazon.com chose Dreamland one of its Best Books of the month, alongside books by Toni Morrison, TC Boyle and others. That was nice of them.

The NY Times ran a column of mine on the front page of its Sunday Review opinion page. Nice of them, as well.

Salon.com wrote this terrific review of the book. Kirkus Review ran a long story on it. Willamette Week published a review, and an article on Dreamland. Mother Jones, where I was once an intern (1984), reviewed it as well. Thanks, you guys.

KPCC in LA aired an interview i did on their show, Take Two, and CSPAN did the same with an interview at the Bookfest, then covered the LA Times Bookfest panel I was on with some terrific nonfiction crime authors  – Ruben Castaneda, Barry Siegel, and Deanne Stillman, and Tom Zoellner doing a bang-up job moderating.

All in all, an exhausting but fulfilling first few days to a book’s life.

Thanks to all who’ve bought the book, and especially to those who’ve written me about it with such feeling.

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Filed under Books, Drugs, Storytelling, The Heroin Heartland, Writing