My Passion for the Addicted Criminal….

Let us explain why this approach works.

Coastal Wellness and Sentencing Consultants

Those of us who have been inflicted by the disease, or have a loved one who has the disease know first hand the pain, dejection, fear, prejudice, longing to ” be normal”, and all of the other painful by-products of this terminal disease ( sometimes if left untreated) which we struggle through.  Often times more than none, in the deathly grips of addiction addicts find themselves caught up in what I would refer to as substance abuse induced behaviors. The cry out for help often comes by way of jails, institutions, and death. Once the addict becomes involved in the judicial system, it’s very hard to get out from under its grip. Addicts are not bad people trying to get good, rather sick people who need to heal, and inventory their grosser handicaps which ultimately block them off from the sun light of the spirit which I call, God! Troubles already flood the family system, so when jail or legal issues are added to the family, it’s often unbearable and viral.  I will give you an example; Johnny is hurt in a car accident and rushed to the emergency department by ambulance only to find out he has a broken tibia, collar bone, as well he is in need of invasive and corrective oral surgery all requiring potent narcotic analgesics.  I will elaborate somewhat in more detail here below defining such examples.Opiates are a classification of medications that are derived, either naturally or synthetically (man-made) from the opium plant. These medications are very effective pain relievers because they attach to the opiate receptors in the peripheral nervous system to modify the transmission of pain signals. They also attach to receptors in the brain to modify the incoming pain signals and trigger feelings of euphoria. There are many different types of opiate pain relievers, some to relieve severe pain and others for moderate or mild pain.

  1.   PERCOCET ( ox y codone) w/ APAP ( tylenol)
  2. LORCET  ( hydrocodone)
  3. NORCO ( hydrocodone)
  4. percodan ( oxy w/ aspirin)
  5. Vicodin- ( hydrocodone) w/ APAP tylenol
  6. Vicoprofen ( IBU w/ hydro)
  7. Oxycodone HCL ( Roxicodone)
Once a patient is given these narcotics for pain, stopping while still in pain is almost necessary for addicted individuals. They hit the part of the brain which help ( refocus ) the patient from the pain level.

How Opiates Affect the Brain and Body

Opiates elicit their powerful effects by activating opiate receptors that are widely distributed throughout the brain and body. Once an opiate reaches the brain, it quickly activates the opiate receptors that are found in many brain regions and produces an effect that correlates with the area of the brain involved. Two important effects produced by opiates, such as morphine, are pleasure (or reward) and pain relief. The brain itself also produces substances known as endorphins that activate the opiate receptors. Research indicates that endorphins are involved in many things, including respiration, nausea, vomiting, pain modulation, and hormonal regulation.

When opiates are prescribed by a physician for the treatment of pain and are taken in the prescribed dosage, they are safe and there is little chance of addiction. However, when opiates are abused and taken in excessive doses, addiction can result. Findings from animal research indicate that, like cocaine and other abused drugs, opiates can also activate the brain’s reward system. When a person injects, sniffs, or orally ingests heroin (or morphine), the drug travels quickly to the brain through the bloodstream. Once in the brain, the heroin is rapidly converted to morphine, which then activates opiate receptors located throughout the brain, including within the reward system. (Note: Because of its chemical structure, heroin penetrates the brain more quickly than other opiates, which is probably why many addicts prefer heroin.)

Within the reward system, the morphine activates opiate receptors in the VTA, nucleus accumbens, and cerebral cortex (refer to the Introduction for information on the reward system). Research suggests that stimulation of opiate receptors by morphine results in feelings of reward and activates the pleasure circuit by causing greater amounts of dopamine to be released within the nucleus accumbens. This causes an intense euphoria, or rush, that lasts only briefly and is followed by a few hours of a relaxed, contented state. This excessive release of dopamine and stimulation of the reward system can lead to addiction.

Opiates also act directly on the respiratory center in the brainstem, where they cause a slowdown in activity. This results in a decrease in breathing rate. Excessive amounts of an opiate, like heroin, can cause the respiratory centers to shut down breathing altogether. When someone overdoses on heroin, it is the action of heroin in the brainstem respiratory centers that can cause the person to stop breathing and die.

As mentioned earlier, the brain itself produces endorphins that have an important role in the relief or modulation of pain. Sometimes, though, particularly when pain is severe, the brain does not produce enough endorphins to provide pain relief. Fortunately, opiates, such as morphine are very powerful pain relieving medications. When used properly under the care of a physician, opiates can relieve severe pain without causing addiction.

Feelings of pain are produced when specialized nerves are activated by trauma to some part of the body, either through injury or illness. These specialized nerves, which are located throughout the body, carry the pain message to the spinal cord. After reaching the spinal cord, the message is relayed to other neurons, some of which carry it to the brain. Opiates help to relieve pain by acting in both the spinal cord and brain. At the level of the spinal cord, opiates interfere with the transmission of the pain messages between neurons and therefore prevent them from reaching the brain. This blockade of pain messages protects a person from experiencing too much pain. This is known as analgesia.

Opiates also act in the brain to help relieve pain, but the way in which they accomplish this is different than in the spinal cord.

Why the craving after pain pill mis-use occurs:Substance abuse occurs when a person uses a substance, which in time the body comes to rely on. When a drug, obtained either legally or illegally, is used regularly, the brain becomes used to its presence and normal functioning may occur. When the amount of the substance in the body is depleted as more of it is released from the body, the cells send a signal to the brain that more of the substance is needed. A craving for the substance has therefore developed.
Chemical addiction can be dangerous because when a person does not obtain the substance they are addicted to, they will feel ill and unable to survive without the substance.withdrawal symptoms such as:

  • Depression,
  • Anxiety
  • Craving

Will be felt. If this period of time continues, the person will get desperate about obtaining the substance. After a longer period of time without the substance, the feelings become more intense and the person may be prompted to commit violent acts such as:

  • Harassing
  • Stealing
  • Robbing
  • Killing

Just so he or she can have the substance.
Another cause of chemical addiction is the addiction to the feeling when taking or abusing a substance. For example, those who go clubbing and use drugs may like the sensual feeling caused by the substance and the ability to dance all night and into the morning. Soon, they will crave for the sensation and will eventually get addicted to it. This kind of addiction is hard to break because the person becomes so dependent on the activity that their life will start to revolve around it. If they stop doing the thing they are addicted to, they will feel like a part of their lives is missing. If they don’t find other activities to fill these times and spaces, they will revert to using the substance.
Another reason why substances are abused is the feeling of “high” that a person gets while using the substance. It will feel so wonderful to them that they cannot imagine feeling that way. Craving and addiction to substance will eventually develop.

What happens when addicts deviate from the legal to the illegal way of obtaining narcotics?

It is illegal to purchase any of the pain medicines from any place other than a Pharmacy with a Legal Rx. Many addicts attempt to : obtain controlled substances by way of fraud, misinterpretation,  and forging scripts. This is a felonious act and they may be arrested and placed in jail and have to sit there or bond out.

This is where I feel addicts begin to loose chances to get help.

There is zero rehabilitation in County Jails and often many offenders sit and sit for months on end awaiting a plea offer from the prosecutor and their defense team. If the offender has a long history of involvement with the law, he or she could be facing a prison term for what is called a ” paper crime” or white collar crime. I am not suggesting that this isn’t severe in nature however I am saying that prison and jail has been proven noneffective in obtaining a solution based approach to the disease of addiction. The offender needs what we call, alternative sentencing such as what is offered at                        www.coastalwellness-rehabnotjail.com

Alternative Sentencing and its Success rate for the Addicted Criminal

See next post for more information on this subject of ” Alternative Sentencing and Diversion Programs for the Addicted Offender

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What we offer your loved one who is facing legal issues due to addiction.

What we offer your loved one who is facing legal issues due to addiction..

The process from beginning to the end with the offender:

THE PROCESS OF EVENTS FOR THE OFFENDER INCARCERATED AND WHAT WE OFFER:

• Review inmates immediate needs to see if they meet protocol for our services

• Submit a pre-screening application for services to the jail

• Upon receipt we schedule a phone screen to ensure the inmate is willing to change, ( not jusy because they are locked up.

• Once we feel certain the inmate is a good fit we then contact the family .

• We contact the defense attorneys office to request a motion for expedited bond modification.

• We attempt to communicate with the D.A/Solicitors office to see if they are on the same page or in opposition with our clinical recommendation for the inmate needing pre-trial release for the sole purpose of getting well so this doesn’t continue and become a way of life for the inmate. ( some people become institutionalized and are not even aware.

• Once we have this in place we are at the mercy of the DA’s office and the Court system to get us before a General Sessions/Superior Court Judge to request a PR bond/Bond Reduction for the purpose of going into a program of recovery which most likely caused the inmate to commit the alleged crime.

• Once we have a date on the docket we travel and present all the findings on a clinical basis and mitigating factors as to why the inmate should be allowed to be released for said reasons.

• Once permitted the Judge will sign off on this and our staff will schedule a pick up time with the jail sgt, to get the inmate and transport them to the location of treatment.

• We are very involved from this point forward however we do not try and step on the toes of those whom run the facility. We are basically on-call as a case manager. Keeping ongoing lines of communication open between us and the newly established client in the “ free world”. 

• At the time the courts make a decision a new court date will be assigned, we communicate with the defense team and DA office as well as the treatment provider to ensure the client is actively pursuing recovery and more than likely cases can be pushed out up to 1 yr after pre-trial release. The longer the better, this gives some high profile drug cases in small towns time for the “ dust to settle” if you will and also gives the offender time to rehabilitate themselves so THE PROCESS OF EVENTS FOR THE OFFENDER INCARCERATED AND WHAT WE OFFER:

• Review inmates immediate needs to see if they meet protocol for our services

• Submit a pre-screening application for services to the jail

• Upon receipt we schedule a phone screen to ensure the inmate is willing to change, ( not jusy because they are locked up.

• Once we feel certain the inmate is a good fit we then contact the family .

• We contact the defense attorneys office to request a motion for expedited bond modification.

• We attempt to communicate with the D.A/Solicitors office to see if they are on the same page or in opposition with our clinical recommendation for the inmate needing pre-trial release for the sole purpose of getting well so this doesn’t continue and become a way of life for the inmate. ( some people become institutionalized and are not even aware.

• Once we have this in place we are at the mercy of the DA’s office and the Court system to get us before a General Sessions/Superior Court Judge to request a PR bond/Bond Reduction for the purpose of going into a program of recovery which most likely caused the inmate to commit the alleged crime.

• Once we have a date on the docket we travel and present all the findings on a clinical basis and mitigating factors as to why the inmate should be allowed to be released for said reasons.

• Once permitted the Judge will sign off on this and our staff will schedule a pick up time with the jail sgt, to get the inmate and transport them to the location of treatment.

• We are very involved from this point forward however we do not try and step on the toes of those whom run the facility. We are basically on-call as a case manager. Keeping ongoing lines of communication open between us and the newly established client in the “ free world”.

• At the time the courts make a decision a new court date will be assigned, we communicate with the defense team and DA office as well as the treatment provider to ensure the client is actively pursuing recovery and more than likely cases can be pushed out up to 1 yr after pre-trial release. The longer the better, this gives some high profile drug cases in small towns time for the “ dust to settle” if you will and also gives the offender time to rehabilitate themselves so when the day does come for the client to be in court, we will have multiple mitigating factors as to why these charges should be lessened/dropped and a lesser sentence imposed.

• After the final court date we begin to slowly remove our self from the clients daily affairs, for by this time they should be well established in their recovery and on the road to a happy, sober, productive way of life, as well as a asset to society rather than a burden or criminal.

• In most felony cases some probation is imposed at sentencing, this should not be any big deal if the client remains clean, sober and compliant with the rules laid out by the Department of Probation, Parole and Pardons. Basically be where you are supposed to be, doing what you are supposed to be doing, and with whom you should be doing it with. Its that simple. Yet the addicted mind tends to complicate, over analyse the terms and gets engulfed in fear, fails to utilize the tools given and ends up resorting back to the old way of coping and ends up high again….and we all know from this point the places the client will end up. Jails, institutions, detox facilities and so on . RECOVERY MUST BE THE MOST IMPORTANT THING IN THEIR DAILY LIVES. FOR WITHOUT RECOVERY THERE IS NO FAMILY, FRIENDS, JOB, OR FREEDOM. RECOVERY IS A LIFE LONG PROCESS. YOU ARE NOT CURED ONCE YOU GRADUATE FROM A REHAB PROGRAM. ITS A DISEASE, READY TO FLARE UP JUST WHEN THE ENVIRONMENT IS CONDUCIVE.

• Alas. You and the family should continue doing all you’ve been taught over the last 6 months-up to 1 year and all should go well. Should the client have any unexpected related issues pertaining to the case of which we were actively involved with by all means feel free to contact us with any concerns, or questions and we will do our best to help.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 

Some facts to ponder:

“About 90 percent of inmates are drug- or alcohol-addicted, according to jail officials. More than 6,000 of them come through the doors at the jail every year, according to the sheriff, with a historically high rate of recidivism. The goal of the ALTERNATIVE SENTENCING programs, he said, was to create safer communities and reduce the rate of recidivism.

 The end result depends on the addict and their willingness to change!

We Promise this for you once you have become willing to go to

………..ANY LENGTH FOR VICTORY OVER YOUR ADDICTION/ALCOHOLISM

If we are painstaking about this phase of our development, we will be amazed before we are half way through. We are going to know a new freedom and a new happiness. We will not regret the past nor wish to shut the door on it. We will comprehend the word serenity and we will know peace. No matter how far down the scale we have gone, we will see how our experience can benefit others. That feeling of uselessness and self-pity will disappear. We will lose interest in selfish things and gain interest in our fellows. Self-seeking will slip away. Our whole attitude and outlook upon life will change. Fear of people and of economic insecurity will leave us. We will intuitively know how to handle situations which used to baffle us. We will suddenly realize that God is doing for us what we could not do for ourselves. Are these extravagant promises? We think not. They are being fulfilled among us—sometimes quickly, sometimes slowly. They will always materialize if we work for them.

AA THE PROMISES

all throughout our daily affairs

WHAT DO WHEN……

As we go through the day we pause, when agitated or doubtful, and ask for the right thought or action. We constantly remind ourselves we are no longer running the show, humbly saying to ourselves many times each day “Thy will be done.” We are then in much less danger of excitement, fear, anger, worry, self-pity, or foolish decisions. We become much more efficient. We do not tire so easily, for we are not burning up energy foolishly as we did when we were trying to arrange life to suit ourselves. It works-it really does.

 

  1. What we offer your loved one who is facing legal issues due to addiction. 1 Reply
  2. Alternatives to your loved one sitting in jail awaiting court date. Leave a reply
  3. There are Alternatives to jail and prison for the addicted offender. We can HELP!! Leave a reply
  4. There are Alternatives to jail and prison for the addicted offender. We can HELP!! 1 Reply