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INFLUENCE - April 30, 2008 . Addiction: Who Suffers? Who Pays?. Helene M.Cross President/CEO Fairbanks. Women and Addiction. 4.4 million (17%) U.S. women over the age of 59 are addicted to nicotine 1.8 million (7%) abuse alcohol 2.8 million (11%) abuse prescription drug. Women and Addiction.

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Addiction who suffers who pays

INFLUENCE - April 30, 2008

Addiction: Who Suffers? Who Pays?

Helene M.CrossPresident/CEOFairbanks


Women and addiction
Women and Addiction

  • 4.4 million (17%) U.S. women over the age of 59 are addicted to nicotine

  • 1.8 million (7%) abuse alcohol

  • 2.8 million (11%) abuse prescription drug


Women and addiction1
Women and Addiction

  • Women over the age of 59 are more likely to be hospitalized for health problems related to substance abuse than for heart attacks.

  • The substance abuse health issues and accidents these women suffer from will result in $100 billion a year in 10 years.


U s data
U.S. Data

  • One in four people between the ages of 15-54 have a substance abuse problem.

  • Since 1999,the deaths attributable to alcohol and drugs has grown steadily in the U.S., over dose mortality has grown 60%.


U s data1
U.S. Data

  • One in four children live in a home where alcohol is abused.

  • In 2003, an estimated 34 million people, aged 12+ used an illegal drug during the past year.


Medicare medicaid
Medicare/Medicaid

  • Medicare hospital admissions of women over the age of 59 for ailments or injuries caused by substance abuse is 3x the rate of admissions for non-substance abuse related heart attacks.

  • Medicaid admissions of women over the age of 59 is more than 4x the rate of admissions.


College students
College Students

  • 38% of college students abuse or are dependent on alcohol.

  • 44% of college students reported binge drinking at least 2x a month. 1/3 are women.

  • Binge drinkers experience a higher percentage of alcohol-related problems such as disciplinary problems, violence, irresponsible sexual activity, personal injury and academic performance.


Indiana data
Indiana Data

  • In 2004, 27% of 12-20 year olds used alcohol.

  • In 2004, 1 in 10 Hoosiers used Marijuana.

  • 30% of Marion County 8th Graders used Marijuana.

  • In 2001, 47% of homicides were related to alcohol


Indiana data1
Indiana Data

  • Alcohol abuse is the most significant substance abuse problem in Indiana.

  • Indiana’s estimated rate of abuse exceeds that of the nation for prescription pain relievers, especially in 12-25 year olds.


What are the costs
What are the Costs?

  • Every person in the US pays approximately $1000 per year for unnecessary health care, extra law enforcement, auto crashes, crime and lost productivity resulting from untreated addiction.


What are the costs1
What are the Costs?

  • Alcohol are Drugs are leading factors in:

    • 40% of Homelessness

    • 38% of Child Abuse & Neglect

    • 50% of Domestic Violence Disputes

    • 50% of Auto Accidents

    • 62% of Aggravated Assaults



Symptoms
Symptoms

  • Depression

  • Memory Loss

  • Irritability

  • Upset Stomach

  • Trouble Sleeping

  • Change in Friends

  • Drop in Grades

  • Poor Hygiene

  • Never Having any Money

  • Changes in Eating or Sleeping Habits


A hidden disease
A Hidden Disease

  • Substance abuse and addiction is hidden in the shame, embarrassment and denial of those who struggle with it.

  • Physicians fail to identify substance abuse or addiction, some simply ignore it because they don’t believe anything can be done.


A hidden disease1
A Hidden Disease

  • Addiction is hidden in the diseases and injuries it spawns.

  • Including : Cancer, heart attacks, diabetes, hypertension, strokes, pneumonia, kidney failure, asthma, bronchitis and hip fractures.


Related costs
Related Costs

  • In 1998, of the $10 billion in acute care hospital charges resulting from substance abuse and addiction in women over the age of 59, 98% ($9.8 billion) was spent to treat the illnesses and injuries that are the consequence of abuse and addiction.

  • Only 2% is spent to treat substance abuse and addiction.


Undiscovered untreated
Undiscovered - Untreated

  • Less than one percent of doctorsidentified a classic profile of an alcoholic woman as having an alcohol problem.


Undiscovered untreated1
Undiscovered - Untreated

  • Few caregivers, families and friends spot the symptoms of substance abuse and addiction; fewer know what to do when they spot these symptoms.

  • Physicians survey revealed that less than 1% look for substance abuse and addiction.


Undiscovered untreated2
Undiscovered - Untreated

  • When physicians identify a woman as a substance abuser, 1 in 5 report that managed care organizations or insurance companies have refused to cover the cost of referrals for counseling or treatment.

  • Some caregivers and family are deaf to the sounds of trouble, or they don’t realize that there is treatment.



Consequences of not treating
Consequences of Not Treating

  • School failure

  • Infant mortality or low birth weight

  • Child abuse

  • Other health issues or death


Consequences of not treating1
Consequences of Not Treating

  • Abuse and depression are also related.

  • At any age, alcoholic females are twice as likely as non-alcoholic females to be depressed and almost four times as likely than male alcoholics to be depressed.



No we can t
No, We Can’t!!!

  • Addiction cannot be eliminated.

  • Addiction is a Chronic Disease


Prevention treatment is the answer
Prevention & Treatment is the Answer

  • For millions of people the problem of substance abuse and addiction can be prevented and treated.


What can we prevent and when do we treat
What can we prevent and when do we treat?

  • Two groups of people

    • Thosewho abuse alcohol and illegal drugs

    • Those who have the biological and genetic predisposition to addiction.


Alcohol drug abuse
Alcohol & Drug Abuse

  • Educate the abusers:

    • Overdrinkingcan result in an accident.

    • Illegal drug possession can result in arrest and conviction.

    • Both can cause brain injury and other health issues, including addiction.


Alcoholism drug addiction
Alcoholism & Drug Addiction

  • The second group, an estimated 1 in 20 people have a genetic link to the disease.

  • They have a chronic brain disease.

  • Other chronic diseases include diabetes, hypertension and asthma.


Symptoms of alcoholism
Symptoms of Alcoholism

  • Primary symptoms of alcoholism:

    • Craving

    • Loss of Control

    • Physical dependence

    • Tolerance



Treatment and recovery management
Treatment and Recovery Management dependent?

  • Professional medical help and treatment.

  • Detoxification, inpatient and outpatient rehabilitation, medication, and counseling.

  • Tools for recovery management.

  • 12-Step program and other supports.


Often treatment doesn t occur
Often Treatment Doesn’t Occur dependent?

  • 23 million Americans drug or alcohol dependent in 2006, only 2.5 million (11%) received treatment.

  • 1.8 millionwomen 59+ who needed treatment for alcoholism, less than 11,000 received it.

  • Only 25% of students who were alcohol abusers, and 6% of students who were alcohol dependent, got treatment while in college.


Often treatment doesn t occur1
Often Treatment Doesn’t Occur dependent?

  • Some of the factors why individuals don’t get treatment:

    • They don’t know that alcohol and drug dependence is a brain disease

    • Lack of knowledge about treatment

    • Cost/insufficient insurance coverage

    • Low investment in treatment with government dollars


Close the treatment gap
Close the Treatment Gap dependent?

  • Yet, for every dollar invested in addictions treatment, the taxpayer saves $7.46 in societal costs (including the cost of incarceration.)

  • Substance abuse treatment cuts drug use in half, reduces criminal activity up to 80%, and reduces arrests up to 64%.

  • The cost of treatment is 15 times less than the cost of incarcerating a person for a drug-related crime.



Sources
Sources treatment.

  • Under the Rug: Substance Abuse and the Mature Woman, June 1998 the National Center and Addiction and Substance Abuse at Columbia University (CASA)

  • Substance Abuse and Mental health Service Administration (SAMHSA) www.samhsa.gov

  • Alcohol abuse and Dependency among US College Students, Journal of Studies on Alcohol (2002)

  • Controlling Cocaine Supply VX. Demand Program, RAND Drug Policy Research Center (1994).

  • Cost Effectiveness and Cost Benefit Analysis of Substance Abuse Treatments, IRETA 2003

  • PLNDP and Join Together: A Physician’s Guide on How to Advocate for More Effective national and State Drug Policies. (January 2002)

  • 2006 National Survey on Drug Use and Health

  • The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana; A State Epidemiological Profile 2007

  • A Community at Risk, Drug Free Marion County, 4th Edition


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