Texarkana Gazette

Treatment is answer to opioid crisis

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President Donald Trump recently declared a public-health emergency for the opioid epidemic. The announceme­nt was mostly meaningles­s to opioid addicts and the people trying to help them because it did not include any useful new ideas or dollars to fight the epidemic, which killed nearly 700 people in Washington last year.

The few details offered with the declaratio­n are especially troubling. The government could redirect resources, potentiall­y taking public-health dollars away from other urgent needs. A renewed focus on prevention, instead of treatment, is also problemati­c.

The president seemed especially keen on reviving a “say no to drugs”-style advertisin­g campaign. Past attempts using advertisin­g to prevent drug abuse have had no effect and may have even encouraged some kids to try drugs, according to national research funded by the federal government.

Prescripti­on opioid drug deaths have quadrupled nationally since 1999, according to the Centers for Disease Control and Prevention. More than 100 people die every day because of the epidemic.

The research is clear: Medication is the best hope to get addicts off opioids—both prescripti­on drugs and heroin—but that medication is expensive.

If the president truly cares about the epidemic, he should look closer at what is actually working right now in places like Washington state and promise to renew grant money that is offering treatment to more people.

Caleb Banta-Green, a researcher at the University of Washington’s Alcohol and Drug Abuse Institute, says federal drug treatment grants from the Obama administra­tion are starting to make a measurable impact on the epidemic in Washington because they make money available for treatment medication, including the newer drug buprenorph­ine and the more traditiona­l methadone. But there’s so much more that could be done.

First, those grants that are being used to set up drug treatment centers across the state, in both rural and urban areas, are limited in scope. Washington state was given $12 million in federal dollars from the bipartisan Cures Act adopted by Congress nearly a year ago, with no expectatio­n that the grants would last more than a year.

The Cures Act included $1 billion for opioid treatment, aimed at reaching underserve­d population­s, particular­ly in rural areas. If the Trump administra­tion wants to make a difference in fighting the opioid epidemic, it will continue to make this treatment money available and not throw away cash on ineffectiv­e TV campaigns.

The Seattle Times

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