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Sacramento News & Review - Treasure over treatment: Private detox centers, addict brokers come under fire at Capitol - News - Local Stories - March 1, 2018

The poisonings were a result of both prescription opioid pain relievers as well as heroin and opium, though the state didn’t include those who died as a result of chronic drug use. The following year, 51 people died of opioid overdoses in the county. Sacramento was home to nearly 1.2 million opioid prescriptions in 2016. That’s a lot of potential customers for detox facilities to draw in. During the January hearing, Sen. Richard Roth held up a newspaper story from the Orange County Register about 21-year-old Dillon DeRita, who died of a heart attack just two days into treatment at the privately run Pacific Coast Detox in Costa Mesa. The Register reported that video from the facility showed treatment workers checking on DeRita, finding him unresponsive and then walking away without calling for help. “I don’t have to tell you that this is outrageous and can’t be allowed to continue,” Roth said. Senella agreed, saying, “Much of the abuse we hear about in the news has nothing to do with the public sector.” One person watching the testimony was Thomas Renfree, deputy director of substance use disorder services for the County Behavioral Health Directors Association of California. Renfree told SN&R this week that the problems with private treatment facilities are no exaggeration. “You’ve got some bad operators in the private system,” Renfree agreed. “It’s an area that’s pretty much unregulated. … And, in many cases, when people’s insurance runs out, they’re quickly shown the door.” But Renfree was also careful to point out that some private treatment centers choose to operate at high standards, even though they’re not required to. “Undoubtedly there are some good private programs,” he added. “It’s a shame that some of them are giving a black eye to that entire system.” One of the more brazen approaches taken by unscrupulous treatment providers, Senella explained, involves the rise of “addict brokering”—a process where marketing companies identify substance abusers with health insurance and then help recruit those addicts into private treatment centers in exchange for a fee. The phenomenon often includes the brokering companies sending scouts to methadone clinics or approaching wealthier addicts under the guise of “life coaches.” In other instances, brokers use targeted advertising on social media. Senella said that, much to his dismay, Tarzana Treatment was getting numerous calls from addict brokers every month.

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ABCD logo - brains at various levels of development according to age To date, more than 7,500 youth and their families have been recruited for the study, well over half the participant goal.  Approximately 30 terabytes of data (about three times the size of the Library of Congress collection), obtained from the first 4,500 participants, will be available to scientists worldwide to conduct research on the many factors that influence brain, cognitive, social, and emotional development. The ABCD study is the largest long-term study of brain development and child health in the United States.  MRI of adolescent brains activated during a memory task in ABCD study Source: Dr. Richard Watts and ABCD/Univ. of VT P.I. Dr. Hugh Garavan This interim release provides high-quality baseline data on a large sample of 9-10-year-old children, including basic participant demographics, assessments of physical and mental health, substance use, culture and environment, neurocognition, tabulated structural and functional neuroimaging data, and minimally processed brain images, as well as biological data such as pubertal hormone analyses. The data will be made available through the National Institute of Mental Health (NIMH) Data Archive , which can be accessed by researchers who obtain a free NIMH Data Archive account . All personally identifiable information is removed from the data to ensure participant confidentiality and anonymity. "By sharing this interim baseline dataset with researchers now, the ABCD study is enabling scientists to begin analyzing and publishing novel research on the developing adolescent brain," said Nora D. Volkow, M.D., director of the National Institute on Drug Abuse (NIDA). "As expected, drug use is minimal among this young cohort, which is critical because it will allow us to compare brain images before and after substance use begins within individuals who start using, providing needed insight into how experimentation with drugs, alcohol and nicotine affect developing brains."  "Sharing ABCD data and other related datasets with the research community, in an infrastructure that allows easy query, data access, and cloud computation, will help us understand many aspects of health and human development." said Joshua A. Gordon, M.D., Ph.D., director of NIMH. "These datasets provide extraordinary opportunities for computational neuroscientists to address problems with direct public health relevance." This comprehensive dataset, which will be disaggregated by sex, racial/ethnic group, and socioeconomic status, will allow researchers to address numerous questions related to adolescent brain development to help inform future prevention and treatment efforts, public health strategies and policy decisions, including, but not limited to: How do sports injuries impact developmental outcomes? What is the relationship between screen time and brain and social development? How does the occasional versus regular use of substances (e.g., alcohol, nicotine, marijuana) affect learning and the developing brain? What are some of the factors that contribute to achievement gaps? How do sleep, nutrition, and physical activity affect learning, brain development and other health outcomes across racial/ethnic and socioeconomic groups? What brain pathways are associated with the onset and progression of mental health disorders and do these pathways differ by sex? private alcohol rehab centres

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A group of four women in therapy, one is crying. Sponsored adThis sponsor paid to have this advertisement placed in this section. When someone experiences trauma, their amygdala--the primitive part of the brain that controls memory, emotions and survival instincts--becomes important link overactive. “It’s like an antenna is always up and the brain is constantly looking for and perceiving threats,” Lycett says. This can trap people in a loop of anxiety, fear and vulnerability, which characterizes post-traumatic stress disorder (PTSD). The response makes sense for people who are under constant threat — like those living in a war zone. However, for people who experienced an event and now lead a generally safe life, being constantly on edge becomes a hindrance. They are less able to focus on the future and may avoid certain situations because of their trauma response. “That part of your brain that is searching for danger doesn’t make very good decisions,” Lycett says. “It’s that part’s job just to keep you alive, so you may not be able to focus on other things. It would be like asking a soldier in battle to make decisions about retirement, when he’s just trying to stay alive.” How is trauma treated in the short and long term? Although living with trauma or PSTD can be debilitating, there are ways to effectively treat trauma, including cognitive behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR) and other modalities. The goal of any treatment is to reprocess the traumatic memory in a way that makes a person able to deal with it. “People who have experienced trauma have to work through all of those traumatic events to tell the brain to calm down.