نسخه فارسی
نسخه فارسی

Communications of Hossein and Bill (Reply to Hossein - Jan 18, 2019)

Communications of Hossein and Bill (Reply to Hossein - Jan 18, 2019)

Jan 18,2019

Dear Hossein,

I look forward to reviewing the published data on the retention rate within Congress 60. I just reviewed the addiction treatment retention data for the U.S. from 2002 to 2011.  The majority of people admitted to addiction treatment in the U.S. do not successfully complete treatment.  The successful completion rate was 40.6% in 2002, reached its peak of 47.5% in 2006, and was 43.7% in 2011. Those failing to complete treatment fall into seven categories:  dropped out, terminated by the facility (administrative discharge, AD), transferred, incarcerated, death, other, and unknown. The failure to complete treatment contributes to the number of people recycling through multiple episodes of treatment, which is quite high with 58% of people admitted to treatment having one or more episodes of prior treatment. The fact that treatment time is so short in the U.S.—between 30-60 days and the lack of sustained support as provided in Congress 60 contributes to this high readmission rate.

Your discussion of the DST method and its application to men and women of widely varying age was quite interesting. I recently reviewed much of the research on the effects of addiction on children, adolescents and young adults and found that they faces special vulnerabilities to addiction and unique challenges to recovery.  Perhaps most striking in this research was the finding that younger age of onset of alcohol and drug use dramatically increases risk of subsequent addiction, the speed of such development, concurrent medical and psychiatric problems, and decreased rates of recovery.  That is of great concern in the U.S. as average age of onset of drug use has declined over recent decades. One other finding of note was the increase in accidental deaths of very young children from opioids—both children consuming opioids prescribed to their parents for pain or prescribed as part of the parents treatment for addiction (e.g., methadone). Have there been any issues with young children of Congress 60 members being accidentally poisoned by access to their parents OT?

The review I did also noted the role genetics plays in addiction vulnerability and the common intergenerational transmission of addiction through both increased genetic risks and parental modeling of coping through drug use. The date here suggests the need to provide targeted prevention services to children of those undergoing addiction treatment. Are there any such efforts to do this in Congress 60 or otherwise involve the children of Congress 60 members?

The U.S. is experiencing several winter storms at present though the temperature here in FL remains warm enough to do a daily walk without a coat. My daughter Alisha, who lives in Illinois in the Northern U.S., just had more than 10 inches of snow that closed the university for a few days.  Last night, Rita and I went to see a play entitled Fences about African American family life in the U.S. in the 1950s.  Going to our local theatre remains one of our favorite entertainments.

I hope this communication finds you and your family doing well. We are fine here, though quite distressed by the current political affairs in the U.S. Please extend warm regards to all members of Congress 60.

 

Friends and Brothers Forever,

Bill

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