Dr. Vinson, Morehouse School of Medicine and Families First Child & Adolescent Psychopharmacology Clinic

For those who wish to use their insurance and are willing to be seen by psychiatric residents (physicians in training) working closely with Dr. Vinson, there is an exciting new treatment option for child and adolescent patients. In collaboration with Morehouse School of Medicine and Families First, Dr. Vinson will be providing psychiatric assessment and treatment services. For appointments, please call 404-853-2811.

 

Chairing Events at American Psychiatric Association Mtg.

This year the national conference for the American Psychiatric Association will be held right here in Atlanta. In addition to my involvement in the community outreach event which is open and free to the public (check out the earlier blog entry), I will be chairing two events during the conference - a media presentation based on the Nina Simone Netflix Documentary - What Happened Miss Simone and a Multidisciplinary Symposium with perspectives from psychiatry, psychology and law on Racial Disparities in the Juvenile Justice System. 

Prince and Opioids

While there is much we still do not know, and frankly can never know definitively about Prince’s death, in the two weeks since a variety of sources – a man claiming to be a former drug dealer, a former family members attorney, medical professionals and an addiction doctor’s attorney - have been quoted in numerous stories pointing to opioid addiction as a factor. The autopsy results have yet to be released.

If reports that Prince received naloxone (brand name Narcan) during an emergency medical landing just 6 days before his death are true, this in and of itself is telling. This is a medication used for one purpose: to reverse the effects of opioid overdose.

If opioid addiction contributed to Prince’s death, the tragedy of the loss is made even more acute by the fact that drug addiction is a treatable condition. Opiate addiction in particular, has highly effective FDA-approved medication options in addition to psychosocial interventions.

It is an undeniable truth that treatment is not always readily available. Approximately 13% of Americans do not have health insurance and insurance is no guarantee that a suitable treatment facility or program accepting one’s coverage is available. For most, the alternative of paying cash or out of pocket is prohibitively expensive. For Prince, though, who left behind a fortune in excess of 300 million dollars, money and the access to treatment that it affords most certainly were there.

As a mental health professional, I can’t help but to wonder if stigma killed Prince. 

The stories of people with drug addiction do not have to end with death or imprisonment. Whether or not the autopsy results reveal that opioids contributed to Prince’s death, this is an area that merits our collective attention and effort. According to the CDC, Opioids killed more than 28,000 people in 2014, more than any year on record.

So, what now?

  • Flush them. If no longer needed, get rid of prescription medications that have a risk for harm to others, including the risk of addiction and abuse. The FDA has a list of medications, which include opioids, that they recommend flushing. http://www.fda.gov/downloads/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/UCM337803.pdf 
  • Be informed. The Centers for Disease Control has a wealth of information about the opioid  epidemic. This information will better equip you to be an advocate in your family, communities and state to prevent opioid overdose deaths. http://www.cdc.gov/nchs/data/health_policy/AADR_drug_poisoning_involving_OA_Heroin_US_2000- 2014.pdf.
  • Recognize and refer. Know the signs and symptoms of addiction. The American Society of Addiction Medicine has a great resource page on this issue http://www.asam.org/quality-practice/definition-of-addiction.  If treatment is needed for yourself or a loved one, the Substance Abuse and Mental Health Services Administration has a treatment finding tool available at https://findtreatment.samhsa.gov/TreatmentLocator/faces/quickSearch.jspx.

Holiday Season ABCs

A – Accept your family for who they are. The old saying is true - you do not choose your family. If you are choosing to spend the holidays with them though, they must have some redeeming virtues. Human behavior is stubborn as are relationship patterns, so it is more likely than not that whatever grating quirks or habits family members had last year have not disappeared.  Acceptance allows you to spend more of your mental energy and time enjoying your loved ones rather than frustrating yourself trying to change them. 

 

B – Budget now. Money is a constant stressor for families, and with travel, big meals, and gifts, the holidays can intensify money-associated stress. Knowing what you have to work with and planning accordingly can help set realistic family expectations and take off some of the pressure. Planning ahead also can give you time to shop around for lodging options if you’re traveling and not staying with family.

 

C – Celebrate Conscientiously. Parties, vacation days and more people on the road combine to increase the risk of legal, or potentially worse, consequences from impaired driving. According to the National Highway Traffic Safety Administration, during major holiday periods 40 percent of vehicle crash fatalities involve a drunk driver and in the Christmas/New Year’s Eve season, an average of 304 people die in drunk driving crashes. If a designated driver was not decided upon before the festivities, the use of car-sharing services provides a back-up for safe travels home. (Just be sure your phone is charged, so you can use the app.!)