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Substance Abuse
She says she's ready ...so how do I help?
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<blockquote data-quote="Elsi" data-source="post: 743176" data-attributes="member: 23349"><p>I'm not sure about the rules for being clean at the DV shelter either. Good question to ask. But they may be able to point me to other resources, too. </p><p></p><p>I KNOW, and she admits, she is a serious alcoholic. I have to assume, based on present living circumstances, she is on cocaine. I know many of her friends are on heroin. She claims not to shoot up herself, but she has near full sleeve tattoos on both arms now so it is hard to tell. Meth and opioids are very prevalent here. The last several times I've seen her, her hygiene has been poor and she looks more and more emaciated. But I don't know exactly what she's on presently, so I'm not sure what to expect on detox. I have to assume she'ss need a professionally supervised medical detox of some duration before she can move on to other programs. </p><p></p><p></p><p></p><p>She has never gotten on Medicaid, even though she qualifies, because she can never get her act together to apply on time during the enrollment period. I think this year that's going to be the one thing I will push for both C and S - get medicaid applications completed before the enrollment window closes, so we will have more options for care in 2019. </p><p></p><p></p><p></p><p>Sadly, here I think beds are very limited compared to demand. S talks about friends she knows who were turned away from programs and later died of overdoses. I don't know the full stories or why they were turned away, but I do know services are extremely stretched. I am in the rust belt and in the epicenter of the opioid crisis. The lack of available services is in the news all the time. My county morgue had to put up temporary trailers a couple of years ago to handle the overflow from the opioid epidemic. Those trailers are still there and they are talking about needing a couple more. It is insane. And heartbreaking. My sense is that priority is given to people who they think have the best shot of getting clean, and demonstrate the highest level of readiness and willingness to work with the program. They don't have the resources to spend on those who are difficult to work with or deemed to be at high risk of relapse. From what I can see, it's a very sad and cynical form of triage. So the question is - is she ready? Will she work with them? And can she convince someone that she's ready and willing? Maybe you're right, and maybe it will be easier than I think. But I do worry about availability in my area. </p><p></p><p></p><p></p><p>Is she? I thought the cut off was 26? She's 28 now. 29 in the spring. </p><p></p><p></p><p></p><p>I asked her if she wanted to file a report and told her I would go with her. She said no. She's had run-ins with police before, and for all I know could have an open warrant now. She's not going anywhere near them voluntarily. </p><p></p><p></p><p>I just can't get her voice out of my head today. She kept sobbing "I know I'm going to die if I don't stop. Everyone around me is dying and I think I'm next. I can't do this anymore."</p></blockquote><p></p>
[QUOTE="Elsi, post: 743176, member: 23349"] I'm not sure about the rules for being clean at the DV shelter either. Good question to ask. But they may be able to point me to other resources, too. I KNOW, and she admits, she is a serious alcoholic. I have to assume, based on present living circumstances, she is on cocaine. I know many of her friends are on heroin. She claims not to shoot up herself, but she has near full sleeve tattoos on both arms now so it is hard to tell. Meth and opioids are very prevalent here. The last several times I've seen her, her hygiene has been poor and she looks more and more emaciated. But I don't know exactly what she's on presently, so I'm not sure what to expect on detox. I have to assume she'ss need a professionally supervised medical detox of some duration before she can move on to other programs. She has never gotten on Medicaid, even though she qualifies, because she can never get her act together to apply on time during the enrollment period. I think this year that's going to be the one thing I will push for both C and S - get medicaid applications completed before the enrollment window closes, so we will have more options for care in 2019. Sadly, here I think beds are very limited compared to demand. S talks about friends she knows who were turned away from programs and later died of overdoses. I don't know the full stories or why they were turned away, but I do know services are extremely stretched. I am in the rust belt and in the epicenter of the opioid crisis. The lack of available services is in the news all the time. My county morgue had to put up temporary trailers a couple of years ago to handle the overflow from the opioid epidemic. Those trailers are still there and they are talking about needing a couple more. It is insane. And heartbreaking. My sense is that priority is given to people who they think have the best shot of getting clean, and demonstrate the highest level of readiness and willingness to work with the program. They don't have the resources to spend on those who are difficult to work with or deemed to be at high risk of relapse. From what I can see, it's a very sad and cynical form of triage. So the question is - is she ready? Will she work with them? And can she convince someone that she's ready and willing? Maybe you're right, and maybe it will be easier than I think. But I do worry about availability in my area. Is she? I thought the cut off was 26? She's 28 now. 29 in the spring. I asked her if she wanted to file a report and told her I would go with her. She said no. She's had run-ins with police before, and for all I know could have an open warrant now. She's not going anywhere near them voluntarily. I just can't get her voice out of my head today. She kept sobbing "I know I'm going to die if I don't stop. Everyone around me is dying and I think I'm next. I can't do this anymore." [/QUOTE]
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She says she's ready ...so how do I help?
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