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08.1.2011

Rehab seeing younger drug abusers as costs to society spiral upward

Rehab seeing younger drug abusers as costs to society spiral upward

Kids, hooked on cheap narcotics, add to society's multibillion-dollar burden

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Steve Wicke on Addictions (7/31/11)
Steve Wicke on Addictions (7/31/11): Endeavor House Executive Director Steve Wicke speaks about addictions. STAFF VIDEO BY THOMAS P. COSTELLO
 
 
 
Barbara Cashin, director of Business Development, at Endeavor House on Broadway in Keyport.
Barbara Cashin, director of Business Development, at Endeavor House on Broadway in Keyport. / MARY FRANK/STAFF PHOTOGRAPHER
 

Addiction facts

$55.7 billion: Cost of lost work, health care, prison and law enforcement due to heroin and other opioid addictions in 2007. 
400 percent: Increase in the drug overdose death rate since 1990. 
27,658: Number of unintended drug overdose deaths in the U.S in 2007. 
1.6 million: High school students who are addicted to alcohol or other drugs. 
6 percent (99,900): Students who have received treatment in the past year. 
2.1 percent: Ninth-graders who have used heroin. 
2.5 percent: 12th-graders who have used heroin. 
Sources: The National Center on Addiction and Substance Abuse at Columbia University; National Institute on Drug Abuse; Centers for Disease Control and Prevention; “Pain Medicine” journal. 
More on the Web:

Visit
www.APP.com and search for “Heroin” to view a video about rehab and to read other stories in this series.

How many sought treatment?

In 2007, the latest year available, 59,800 New Jersey residents were treated for some type of addiction. Heroin addictions accounted for a third of the treatment admissions, or 22,000 cases. Alcohol abuse was second at 10,500 admissions.

New Jersey drug deaths

An estimated 950 deaths attributed to drug and alcohol abuse (including suicide and homicide) were reported in 2008, the latest year available. 
Four were under the age of 11. Most of the deceased abusers were white males between 21 and 50. 
Source: New Jersey Office of State Medical Examiner, 2008 annual report.For help with addiction, visit NJ Narcotics Anonymous at www.njan.org or 800-992-0401; Nar-Anon for families of addicts at 877-424-4491; or the Endeavor House atwww.endeavorhouse.com or 800-650-7002. 
Visit www.app.com and search for “Heroin” for more contact information.

 

More

Joe is taking his second tour of duty in detox for opiate addiction, and Lindsay Lohan is nowhere in sight.

Endeavor House’s detoxification facility in Kearny isn’t movie-set glamorous. It’s retrofitted into the old West Hudson Hospital. There are no views of oceans or valleys from this city street.

“It’s a real working-class rehab that’s serious about recovery,” Endeavor House executive director Steve Wicke said. “We are aware (that) addiction is a disease of chronic relapse. That’s a fact of the disease.”

Joe, who requested his last name not be used to protect his family, doesn’t want an ocean view. At 23, the former Rider University student who grew up in the heart of Central New Jersey suburbia wants to get off pills and stay off pills. Take two of detoxification, a five- to seven-day medical protocol, impressed on him the stark fact of relapse: It happens. It happens to the vast majority of addicts.

“It was one drink — just one drink,” Joe said, at a holiday party that sent him back to a Rioxicette habit and, in less than a year, saw him living on the streets.

And, ultimately, back in detox, the first step in a treatment process many follow with a stay in a residential treatment facility, immersion in 12-step fellowship programs and a lifetime of dedication to recovery.

Today’s addicts are younger than ever. Some start using at 11 or 12. By 14, they can be veterans of rehab. They get hooked on prescription painkillers such as Rioxicette — a.k.a. Roxies, or “blues,” for their color — and may graduate to cheaper, easily obtained heroin.

Right now, Wicke noted, more than half the people seeking treatment at Endeavor House’s facilities are under age 25. Of those in that category, 80 percent are treated for addiction to opiates. That’s a marked rise from 10 years ago “when the most common addictions were cocaine and alcohol” and the typical addict 35 and older, he added.

“These kids haven’t even started their lives, and they’re full-blown 10- to 15-bag-a-day (heroin) addicts,” said Barbara Cashin, former clinical director and currently director of business development for Endeavor House. “Remember, it’s not picking up a joint. There’s a genetic predisposition and a physiological addiction to the opiate.”