How would you feel if your insurance provider told you that the doctors’ visits and treatment costs for your illness were not going to be covered, or that you would have to pay a high deductible? Many people in our country are being told just that, and the reason is that the illness they have is substance abuse. There has long been a view in the world that substance abuse is a choice, or a character flaw, not a mental illness. Things are changing, however, and more and more research is being done on the complexities of the brain and its reaction to substance abuse. People today are beginning to see that while substance use might start as a decision to try something new, it quickly becomes an addiction that can’t be controlled.

Congress approves Mental Health Parity Act

Congress approved legislation last week that would change the way insurance providers handle claims for mental illness and substance abuse. The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 provides “equity in the coverage of mental health and substance use disorders by ensuring that group health care plans do not charge higher co-payments, coinsurance, deductibles, and impose maximum out-of-pocket limits and lower day and visit limits.” Supporters of this measure include many in the House and Senate, businesses, insurance companies, and physicians. However, a few questions remained and until last week, it was uncertain whether or not the bill would pass before Congress went into recess this year. By attaching it to the Wall Street bailout bill, however, Congress was able to pass it quickly.

Help is needed

Help can’t come soon enough for many Americans struggling with drug or alcohol addiction. According to the National Alliance on Mental Illness and the National Council for Community Behavioral Healthcare, mental illness is the leading cause, and substance use is the second leading cause, of disability among adults. Many of these adults are not getting the help they need to recover from their mental illness, and often it is because of the high cost of treatment. Another reason is fear of discrimination from their employer if they do seek treatment.

Equal Coverage for an epidemic

With legislation such as the Mental Health Parity Act, those with a substance abuse disorder can be reassured that their insurers will not be able to set a cap on healthcare coverage for mental illness or substance abuse that isn’t set for other illnesses.

In order to deal with the epidemic of substance abuse, we need more good addiction treatment facilities, more affordable health care to addicts, and more support behind families dealing with substance abuse. Through the passage of this bill, those with addiction should be encouraged to move forward and seek treatment, so that we can work toward decreasing the incidence of drug and alcohol abuse.

Sources

Congresswoman Shea-Porter Hails Passage of Mental Health Parity Act September 24, 2008

Many State Reform Initiatives Are Neglecting Mental Illness, Says Study July 08, 2008

Layton, Lyndsey Congress Approves Mental Health Bill Private Insurers Would Provide More Benefits Sept. 24, 2008

Ault, Alicia Equal Coverage For Mental Health?
Many States Require Parity, and Congress May Order It Nationwide November 6, 2007

Curley, Bob Congress, Bush Approve Addiction and Mental Health Parity Legislation October 3, 2008

There is not necessarily any rhyme or reason to it: some children become addicted to drugs and alcohol. While there are genetic and social factors that can increase or decrease the likelihood, the fact remains that both good and bad parents can wind up with an addicted son or daughter. Now, your child will most likely not simply come out and tell you that they are abusing drugs or alcohol, so here are a few signs that should warrant your attention:

• As stated above, genetics do play a factor, so be alert if your family has a history of abuse.
• Have you seen evidence of their abuse, i.e. empty liquor bottles, marijuana joints, or other drug paraphernalia? Children generally try very hard to hide these things, and if they are found easily, it could be a sign that they are losing control.
• Has your child been showing a drastic change in behavior? This could be a loss of interest in family activities, loss of appetite, change in friends, depression, irritability or defensiveness, or many other signs.
• Is your child having money problems but won’t talk about them?
• Has your child received a DUI, or has he or she been involved in shoplifting or theft?
• Do you notice any burn marks on their fingers or lips, needle tracks, or sores on their face and nose?

If you do notice some of the above things and suspect that there is a problem, be careful in your reaction. Harsh punishment or lectures to your child may simply drive them further to abuse. So what can you do about it?

• Resist yelling. Try to create a healthy, positive atmosphere in your house.
• You can’t control your child; you can, however, control yourself. Focus on that and your dealing with it, rather than forcing your child to change.
• Sit down and discuss the boundaries of the home with the child. Explain reasons for them and consequences for their actions if disobeyed.
• Get your son or daughter enrolled in a rehabilitation program and be patient. This does not happen overnight. You may not be the factor that produces change, but rather your child’s experiences with other recovering addicts. It will take time.
• Keep a hopeful, positive attitude, and have a sense of humor. Overstressing over the situation only leads to a hostile environment, which will not produce the change.
• Get help yourself: for co-dependents. You’re not alone, so it’s important to help yourself recover as well as your child. You may need family addiction treatment.

It can be frustrating. You may be ashamed, or resent your child for acting the way they have been. The important thing to understand is that there is hope, and things can turn around – it will just take some positive action and a little patience.

If you feel your friend or family member is steeped in a dangerous addiction, staging an intervention can be an effective way to get that person to seek help. The key is it has to be done well. Here are a few tips to ensure that you put together an effective intervention:

Plan it out.

Go to the people around him or and speak to them privately about the idea of an intervention. You want the people closest to him, who care about him, and who he cares about as well. Even if you do not like someone who he cares about, it’s important to let these biases be put aside for the purpose of this. If he doesn’t care about the people confronting him, it won’t work. He has to respect these people, and value their opinions. The threat of these people walking out on him needs to have great impact. Keep the group on the smaller side: no need to invite the whole, extended family. Try to keep the number in single digits, if you can. A more intimate group will be more effective. It also has to be clear that this intervention is a surprise, to keep the addict from avoiding the situation.

Seek additional help.

It may be beneficial to talk to an interventionist, who can guide you through the intervention process and, if requested, be present during the intervention. Having an addiction specialist present can help moderate the group if the group does not know what they are doing.

Prepare in advance.

With or without the interventionist, the group should meet beforehand to lay out how they will approach the addict and what they will say to him. Treatment options should be researched in advance, so that help can be suggested and offered immediately. It may be good for everyone to have a speech or something to say written out beforehand, so that everyone’s impact can be felt on the person. That way, everyone can adjust their speeches if they sound too blaming, rather than loving. The tone of the intervention is extremely crucial. Everyone then also should offer an ultimatum to push the addict to action. It may be difficult to do this for many, but it is one of the keys to an effective intervention. Preparing in advance can also clue in the group to any rejections or resistance that the addict may show towards the group.

Be careful during the intervention.

Keep the atmosphere positive. You want the addict to know you are here to help, not to blame. Also, keep the discussion about “I” and not “you.” By doing this, you are speaking about your feelings, and not pointing fingers. This person will be defensive, so don’t insult or berate him. If the interventionist is there, he can help talk through the objections.

Take immediate action.

Following the intervention, the addict will either admit it or deny it. If he admits it, escort him to his place, help him pack a bag, and take him to a treatment center for admission. If he denies it, unfortunately, the ultimatum’s consequences must begin immediately. Hopefully, the lack of his loved ones supporting him will prompt him to take action in a few days.

A policy brief by the Justice Policy Institute confirms what Substance Abuse Professionals have already known.

http://www.justicepolicy.org/images/upload/04-01_REP_MDTreatmentorIncarceration_AC-DP.pdf

Publication Year: 2004

Publisher

Justice Policy Institute
4455 Connecticut Avenue, NW, Suite B-500
Washington, dc 20008
Phone: 202-737-7270
Website: http://www.justicepolicy.org/
Email: info@justicepolicy.org