Thursday, July 23, 2009

Addicts in health professions flock to get peers' help

This article perpetuates many of the most prominent myths associated with the disease of addiction without even realizing that's what they're doing.

Just a few examples:
"Until the late 1970s, drug addiction in the health care industry was largely addressed punitively. Licenses were revoked, careers crushed and addicts jailed. That made doctors, nurses, dentists and pharmacists reluctant to confess addiction or pursue help, further endangering patients. Even now, when addiction is better understood as a disease, health workers fear coming forward."
That's STILL the way many states continue to handle impaired health care providers. They have a "Program on the books", but even if a person meets all the inclusion criteria and also clears the criteria for exclusion from the program, the board can still refuse to admit the provider if they "feel" they might not do well. That's the problem...we need to stop dealing with this disease with feelings and begin using science and evidence based practices. Yes, addicts can do some terrible things as a result of their disease, but if we can remove the stigma, maybe we can intervene and get them into treatment BEFORE they get to the point of committing illegal acts.

"It is extremely difficult to acknowledge because it is admitting to human frailty, and we as health care professionals are held to a higher standard," said Elizabeth Pace, chief executive of Peer Assistance."
Is having cancer a human frailty? Is having diabetes or heart disease a human frailty? This statement is nothing more than being judgmental and assigning blame and lack of willpower to the person with a medical disease that CAUSES the inability to just stop using. This is the very condescending and judgmental attitude that prevents people from seeking help.

Addicts are not bad people trying to become good! They are ill with a chronic, progressive and unnecessarily fatal disease and are trying to become well!

"I didn't understand I had a disease," she said. "I thought I was bad and I had let down my entire profession. I had let the world down. I really thought my punishment should be that I should die."
This is one of the correct things published in this article. Every addict feels this way...not just health care professionals. Society perpetuates this incorrect and unscientific "belief". Once you read the research and the science, looking at it as a lack of will power makes no sense.

"Experts say crushing the stigma of addiction starts with education in medical, dental, nursing and pharmacy schools."
Yes it does. And using scientific terms instead of emotion laden judgment filled words and phrases in the press coverage will also be required to change the cultural acceptance that addiction is NOT a disease.

"That education should also be directed at hospital administrators, who sometimes must choose between quietly firing a pill-plundering employee or calling for help, which can lead to public scrutiny."
There is a great example of using negative emotional words instead of scientific or neutral language. Gee, I wonder what the not so hidden agenda this writer holds when it comes to the disease of addiction in health care providers?

"There are probably people alive right now because some hospital administrators had the guts to say we are going to call in an airstrike on ourselves and fix this problem the right way," said Jeff Sweetin, agent in charge for theDrug Enforcement Administration's Rocky Mountain region."
Typical attitude of a police agency...we have to bring an air-strike in order to eliminate these horrible addicts. We certainly wouldn't want to treat the disease now would we. Of course not, it might cost them their jobs.

"We always ask (the addicted health care worker who just got "busted" instead of diagnosed) what we can tell the hospital to make their system better, and that typically leads to changes in the system."
The biggest change that needs to happen in the system is to start treting this as the disease that it is, not some lack of willpower or moral failing. Until THAT happens, not much is going to change.

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