Sunday, February 05, 2012

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What Does Health Care Reform Mean for Addicts

The health care reform bill passed. Now what does it mean? According to the front page of my local paper it means 13 attorney generals are already filing suit against it. Some people can barely feed their children in this economy. Many people skip meals because they can’t feed themselves and are thankful they do not have a child in this economy. Now the government is saying pay for health coverage or get a fine? What does this mean for someone with a drug addiction or, more likely, a dual diagnosis problem of addiction and mental problems? There is no straight answer. Every link, every meeting shown on TV, shows a different answer.

I can sbalance 140x300 What Does Health Care Reform Mean for Addictsee it now. A person can not afford health care yet finally admits he or she has an addiction problem that has damaged that person both physically and mentally. Drugs take away everything so you know that person isn’t eating or worrying about paying bills. He goes to get help and is told “Oh, you do not have health insurance. We need to contact law enforcement.” Hmm, sort of reminds me of the vet who went to a clinic stating he was suicidal and was told sorry, no room for you here and later killed himself.

The surprising thing about my article? I have always been a Democrat. However, I am turning more and more to a Republican view on this. Women writing hot checks to feed their children because they can not get food stamps, men working honey-do jobs for less than minimum wage just to make enough to keep the electric on that month, the stories are all over the internet and in our society. What will health care reform mean for those families and for the families of an addict? The Texas attorney general has joined in the suit.

Now I would love for every person to have health care insurance but to be penalized criminally for it? People who can not afford insurance are not criminals. I could never afford insurance as a single mother and was thankful that my children were covered under their father’s insurance following our divorce. I made sure to keep myself healthy and exercised and dieted and stayed away from things that could hurt me. That doesn’t mean I’m a saint. It doesn’t mean someone who is sick or can’t afford health care or is an addict is a lowlife, either. Addiction is a disease, cancer is a disease. Being poor should not make one a criminal yet that is exactly what the new health care reform will make those who can not afford it. Oh, and if you think the poor can go get government coverage, well, just ask the injured vet who keeps getting denied or the single mother who can not get food stamps so she goes without eating in order to feed her kids.

 What does health care reform mean for addicts?  Something tells me we haven’t seen the entire picture in this so-called scale of fairness.

 

Dual Diagnosis Working in Dallas County

photo 5505 20090331 300x206 Dual Diagnosis Working in Dallas CountyBipolar disorder is one of the most severe forms of mental illness. While it can be a genetically factored disease, it is often also found hand in hand with alcoholism or drug addiction. A probation program in Dallas County specifically looks at the dual diagnosis of addiction and bipolar disorder and treats them together in order to help more people to successfully rehabilitate.

Honesty and accountability are required of the ones on probation. Properly treating the dual diagnosis of bipolar disorder and addiction are required of the program. Together they can build something remarkable: a second chance.

If a person is treated just for bipolar disorder or another mental illness but not for an addiction, chances are he or she is going to relapse quickly. If a person is treated for the addiction but not for the illness, same thing. Neither can successfully be treated if they are not both treated. Sort of a catch 22. Some probation programs recognize this and are working towards heading off problems associated with treating only part of such a situation.

It stands to reason that if a person can get disability for depression and bipolar disorder, then it needs to be recognized in the judicial system and the drug addiction cycle as well. This is where the dual diagnosis treatment comes in. It encourages honesty and accountability in those that the judicial system is giving a second chance to. It also aids in successful rehabilitation, having more people cleaner longer and less people relapsing and getting into more legal trouble.

Check to see if your county has a dual diagnosis probation program for mental illness and addiction. If it does, great. If not, bring it to the attention of those who should know. Let them know that the probation program in Dallas County seems to be having positive effects with it. It would be nice if every county in every state could eventually work this way. Treating both problems could end the addiction one altogether.

Dallas County is showing a good success rate. Two thirds more participants are graduating successfully than not. More are in the program and both the judicial system and the participants are finding it is showing a good rapport between success and accountability. Follow through has been successful for the most part as well, with clean drug tests. This helps participants maintain employment and encourages artistic endeavors as well, such as writing essays. All in all, dual diagnosis seems to be a positive program in the probation system.

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