Monthly Archives: January 2017

Ask the Experts: Contraception

Opiate dependent people tend to have unwanted children. 90% of pregnancies among opioid-using women are unintended. And they are five times more likely to have an abortion than the general population. Listen to this podcast to hear our experts, Vicki and Matt from Family Services provide education on contraception.

Discussion Guide:

Which birth control is the most effective?

What is the difference between hormonal and non-hormonal contraceptives?

Which forms of birth control are most effective in protecting against HIV and STDs?

Which type of birth control is right for you?

Supplemental Reading:

Which Birth Control Method is Right for Me, The Iowa Initiative

Birth Control Methods, Bedsider, http://www.bedsider.org/methods

 

What the Group Wants You to Know

In this week's podcast, I asked the members two questions: What has surprised you about treatment and recovery? and What do you wish everyone knew about treatment and recovery? Listen in to the group as they answer these questions.

 

Discussion Guide:

What has surprised you about treatment and recovery?

What do you wish everyone knew about treatment and recovery?

 

 

What’s With the High Cost of Narcan?

Narcan, also known as Naloxone, is a life saver for someone who has overdosed on opioids. The number of deaths has skyrocketed, but so has the cost of Narcan. What's up with that? Listen in to a group of people who are in recovery from opiate addiction discuss this issue.

Discussion Guide:

Have you overdosed? What were the costs associated with it?

Do you have a Narcan kit for emergency purposes?

Can you purchase Narcan from your local pharmacy? How much is it, do you need a prescription and does your insurance cover it?

What is the most expensive Narcan kit available on the market right now?

Why do you think the price of Narcan has increased over the years?

How does the manufacturer justify this cost increase?

Supplemental Reading:

Meg Tirrell, As Opioid Epidemic Worsens, the Cost of Waking Up From an Overdose Soars, http://www.cnbc.com/2017/01/04/as-opioid-epidemic-worsens-the-cost-of-waking-up-from-an-overdose-soars.html

Needle Safety

Needle exchange programs provide a valuable service to IV drug users. They provide sterile needles and syringes which reduces the risk of infectious diseases (HIV, Hep B, Hep C),  and they refer drug users to prevention and treatment programs. There are more of these exchange programs in operation now, but few in rural areas. Listen to an opiate recovery group talk about their experiences with needles.  

Discussion Guide:

Did you inject drugs? Which substances?

Did you share needles? Did you think you were safe in doing so?

What are the risks involved in sharing needles?

If you used needles, did you feel psychologically addicted to the process of preparing the needle?

Have you taken advantage of a needle exchange program?

How did you dispose of your needles?

Where is a safe place to dispose your needles?

Supplemental Reading:

Use of Needle Exchange Programs Up Dramatically in 10 Years, Medical Press, http://medicalxpress.com/news/2016-11-needle-exchange-years-cdc.html

 

Sexual Side Effects and Family Planning

Methadone and Suboxone have sexual side effects. Some men experience impotence, loss of desire and delayed ejaculation depending on age, dose and a combination of other medications. A small percentage of women experience a loss of menstruation and loss of desire. And, opiate dependent people tend to have unwanted children. 90% of pregnancies among opioid-using women are unintended. And they are five times more likely to have an abortion than the general population. Listen in to a group of people who are in recovery from opiate dependence talk about this issue.

Discussion Guide:

What do you know about the sexual side effects of opiate use?

Have you experienced these side effects with Methadone and Suboxone?

Have you been surprised by a pregnancy?

When you were in substance abuse treatment, did a counselor talk to you about family planning and the sexual side effects of Methadone or Suboxone?

Where did you learn about contraception?

When you were abusing opiates, did you use birth control responsibly?

Supplemental Reading:

Integrating Family Planning and Substance Use Disorder Treatment Services: Is It a Good Idea? Robinowitz, N., Muqueeth, S., Scheibler, J., Salisbury-Afshar, E., Terplan, M. (2016). http://www.recoveryanswers.org/pressrelease/family-planning-and-substance-use-disorder-treatment-services/

CRC Health, http://www.crchealth.com/addiction/heroin-addiction-treatment/heroin-detox/methadone-effects/