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group_2_presentation_2_-_methadone_clinics [2018/11/02 21:11] shihp1 |
group_2_presentation_2_-_methadone_clinics [2018/11/02 23:50] (current) bhattj3 |
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| ====== Methadone Clinics====== | ====== Methadone Clinics====== | ||
| - | {{:anorexia_ppt.pptx|}} | + | {{:methadone_clinic.pptx|}} |
| + | {{ :a-look-inside-a-methadone-clinic.jpg |}} | ||
| + | <div style="text-align: center;">Marden, D. (2016). Western NC Harm Reduction: A Look Inside a Methadone Clinic. Retrieved from https://sobernation.com/western-nc-harm-reduction-a-look-inside/> | ||
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| The two main types of clinics are public and private. Public are cheaper and longer waits, private are better equipped. In Canada, free consultation but a cost of $5-15 for the medication each time <sup>5</sup>. | The two main types of clinics are public and private. Public are cheaper and longer waits, private are better equipped. In Canada, free consultation but a cost of $5-15 for the medication each time <sup>5</sup>. | ||
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| + | <box 30%| > {{ :methadoneuses.png?nolink&400|}} </box| Figure 5: Uses of methadone for treatment [[https://www.confirmbiosciences.com/wp-content/uploads/2018/02/methadone-graphic-3-01.png]] > | ||
| Goals of a Methadone Clinic <sup>5</sup>: | Goals of a Methadone Clinic <sup>5</sup>: | ||
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| Harm reduction is essentially policies and strategies that are aimed at reducing negative consequences of active drug use <sup>12</sup>. Users no longer need to buy drugs from the black market, instead, they would visit the clinic several times each day to receive drugs supplied by the clinic under professional care <sup>12</sup>. The idea behind this is to respect the rights of people who use drugs, however, drug use is still punishable by law <sup>12</sup>. Many law enforcement agencies practice harm reduction policies in high drug use areas <sup>12</sup>. | Harm reduction is essentially policies and strategies that are aimed at reducing negative consequences of active drug use <sup>12</sup>. Users no longer need to buy drugs from the black market, instead, they would visit the clinic several times each day to receive drugs supplied by the clinic under professional care <sup>12</sup>. The idea behind this is to respect the rights of people who use drugs, however, drug use is still punishable by law <sup>12</sup>. Many law enforcement agencies practice harm reduction policies in high drug use areas <sup>12</sup>. | ||
| - | ====== Negative and Positive Implications ====== | + | ====== Positive and Negative Implications ====== |
| === Positive Effects === | === Positive Effects === | ||
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| === Negative Effects === | === Negative Effects === | ||
| + | One common observation amongst many different areas with high concentrations of people addicted to opiates and heroin is the prevalence of poverty. Services such as Methadone clinics are great additions in combating addiction, however, affordability is a crucial concept to consider. People in these general areas are often addicted to these substances due to circumstances that are out of their control (ie. hung out with the wrong crowd or hit with a sudden financial crisis). The stigma within these clinics is that while you can afford the treatment, you'll be treated very well, however, the moment it becomes affordable or you miss payments, the institution really stigmatizes you. They have the mentality of "if you can afford heroin, why can't you afford the treatment" <sup>21</sup>. This stigma coupled with the financial inaccessibility causes people to slowly shy off the treatment. As the dosages get smaller, the addiction often comes back to many people and it goes back to controlling their lives. It truly becomes a constant loop that can’t be broken and leaves people stuck in their unfortunate situation <sup>21</sup>. | ||
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| + | Another side effect that people often shrug off and do not take seriously is the fluctuations in weight gain that methadone users often experience. Many times, the dosage required to curb addiction is very variable and thus, quantities ingested are not always the correct amount. There has been a correlation between high methadone dosages and the increase in cravings that patients have in ingesting food that they deem rewarding <sup>8</sup>. Often times, this food is junk food and contains high amounts of sugar and fats. Essentially, this causes patients to substitute one addiction to another and this could lead to another severe problem such as diabetes. Counsellors have seen some patients gain up to 50 pounds in a mere 4 months of treatment, which puts peoples BMIs at levels exceeding 30 (overweight/obese) <sup>12</sup>. | ||
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| + | Lastly, the side effect that many individuals experienced was related to the functioning of their reproductive organs and their overall sexual experience as human. One mind boggling fact that isn't really advertised is that almost 40 percent of men over 40 will encounter some type of form of erectile dysfunction <sup>6</sup>. There are over 100 million individuals that fall into those categories and 40% would mean almost 40 million affected. This is quite the huge number of males affected. Luckily, only 12% of men are affected under 40, which is still quite a large number but dismal compared to the other statistic <sup>6</sup>. Some men have also reported decreased levels of libido, which is the desire to engage in sexual intercourse. Methadone also effects women's sexual drives as well by causing the loss of menstruation. Luckily, this only happens in a very small percentage of females <sup>6</sup>. | ||
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