U.S. Surgeon
General’s Groundbreaking Report Sets the Stage for Eliminating Stigma,
Preventing and Treating Substance Use Disorders
More than 20 million people
across the nation have substance use disorders (SUDs) and the numbers of
overdose deaths from several types of drugs have, on average, tripled between
2001 and 2014, according to the National Institute on Drug Abuse. Although
treatments for all types of SUDs have been proven to be effective, only about 10
percent of individuals receive any type of specialty treatment. These
statistics reinforce the timeliness and importance of the groundbreaking
report, Facing Addiction in America: The Surgeon General’s Report on
Alcohol, Drugs, and Health, which Vivek H. Murthy, MD, MBA, Vice Admiral,
U.S. Public Health Service Surgeon General, released on November 17, 2016.
Dr. Murthy’s statement that
addiction is not a character flaw or a moral failing is powerful and will help
foster progress in the ongoing battle against stigma, which, along with lack of
insurance, is the most common reason why people do not seek treatment when they
need it. The details on the neurological framework of addiction in the Report,
proving it is a disease of the brain, also helps fight stigma by providing
necessary education and understanding.
We are pleased that this is in
line with Governor Christie’s public statements about addiction being a disease
and making substance use treatment a priority for New Jersey. The political
will to expand access to services is essential, and it is very heartening to
know that leaders in both our state and federal governments are focused on
addressing this critical health need that has grown to be a public health
crisis.
The Surgeon General’s Report
details biological and other factors that increase risk for substance use,
misuse and addiction and highlights programs that aim to not only mitigate risk
factors, but also reinforce protective factors. These factors are the same for
depression, bullying and risky behaviors, and they are predictive factors of
addiction and other behavioral health challenges. This reinforces the
importance of prevention and early intervention, as such efforts are designed
to have a far-reaching impact on individuals’ lives.
Notably, the Report acknowledges
and expounds upon the many paths to recovery and the need for ongoing recovery
support services. This reinforces the fact that the medical model is not
sufficient for treating SUDs because these illnesses rarely, if ever, follow a
linear path toward resolution. Unexpected stressors in individuals’ lives could
trigger symptoms and relapse at any time. Therefore, the full continuum of
services must always be available to everyone at every stage of treatment and
recovery.
The Report illustrates the U.S.
Department of Health and Human Services’ (HHS’) dedication to leverage
opportunities identified in ongoing efforts for healthcare and criminal justice
reform, information technologies, research and resulting clinical advances to
expand access to effective prevention and treatment services. The report’s
emphasis on integrating physical health care and substance use services, as
well as a public health approach, is greatly appreciated and clearly
demonstrates the Surgeon General’s and his team’s knowledge of what works and
what is needed to truly address the addiction crisis throughout our country.
Sixty percent of individuals with SUD’s also have mental illnesses and in this
population, only 48 percent receive treatment for either disorder. Integrated
care is necessary to address both of these disorders, as well as physical
co-morbidities that are common in this group and often not treated. The lack of
treatment for these multiple health conditions leads to a greatly declining
quality of life and tremendous need for costly healthcare services. All of this
can and must be prevented.
The Report also contains a call to
action and recommends specific endeavors different groups of individuals –
parents, families, educators, healthcare professionals, public policy makers,
researchers and all community members – can undertake to help ensure access to
SUD treatment for those in need and to help prevent others from developing
SUDs.
Addressing the addiction crisis
absolutely requires a team effort and we admire Dr. Murthy for taking the lead
in convening experts from HHS, the Substance Abuse and Mental Health and
Services Administration and other areas of the field and rallying all
stakeholders nationwide to work together on this critical issue. All of us at
NJAMHAA look forward to our ongoing partnerships with federal and state
leaders, our members and other stakeholders to give individuals with SUDs
opportunities to achieve recovery and help others protect themselves from the dangers
of alcohol and other drugs.
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