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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal" align="center" style="text-align:center"><a href="http://www.wellnesscourts.org/"><span style="color:#212121;text-decoration:none"><img border="0" width="704" height="198" style="width:7.3333in;height:2.0625in" id="_x0000_i1025" src="cid:image001.jpg@01D240C4.C0F84730"></span></a><span style="color:#212121"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#212121"> <o:p></o:p></span></p>
<p class="MsoNormal" align="center" style="text-align:center"><b><span style="font-size:24.0pt"><a href="http://addiction.surgeongeneral.gov/"><span style="font-weight:normal">Nearly 21 Million in US Have Substance Use Disorder: Surgeon General's Report</span></a><o:p></o:p></span></b></p>
<p><span style="font-size:13.5pt;color:black"><o:p> </o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline"><span style="font-family:"Arial",sans-serif;color:#333333"><a href="http://abcnews.go.com/Health/21-million-us-substance-disorder-surgeon-generals-report/story?id=43587900" target="_blank"><span style="color:#C42015">ABC
News, by Gillian Moheny</span></a><o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">Nearly 21 million people are grappling with substance use disorder, with only one in 10 getting treatment for the condition, according to a lengthy new report released today by the U.S. surgeon general.<o:p></o:p></span></p>
<p style="background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">Currently, the number of people with a substance use disorder exceeds the number of people diagnosed with cancer -- any kind of cancer, according to the report. This means at least one in seven people
will develop a substance use problem at some point during their lives, the report states. And, while approximately 32,744 people died from car accidents in 2014, the report found that approximately 50,000 people died from either an opioid, alcohol or other <a href="http://abcnews.go.com/topics/lifestyle/health/drug-overdose.htm" target="_blank"><span style="font-family:"inherit",serif;color:#5D90CE;border:none windowtext 1.0pt;padding:0in">drug
overdose</span></a> that year.<o:p></o:p></span></p>
<p style="background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">The massive report is the first time the U.S. surgeon general has released a report on this issue. Similar releases by the U.S. surgeon general on cigarette use and <a href="http://abcnews.go.com/topics/lifestyle/health/hiv.htm" target="_blank"><span style="font-family:"inherit",serif;color:#5D90CE;border:none windowtext 1.0pt;padding:0in">HIV</span></a>/<a href="http://abcnews.go.com/topics/lifestyle/health/aids.htm" target="_blank"><span style="font-family:"inherit",serif;color:#5D90CE;border:none windowtext 1.0pt;padding:0in">AIDS</span></a> were
used to galvanize and inform the public on those topics.<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">In an emotional forward, U.S. Surgeon General Vivek Murthy wrote about nurses at his hospital asking him to step up on fighting addiction when he left to work as surgeon general.<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">"The nurses had one parting request for me. If you can only do one thing as Surgeon General, they said, please do something about the addiction crisis in America," Murthy wrote. "I have not forgotten
their words."<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">In a summary of the report, Murthy called for more programs and policies, including health coverage, to help treat substance use disorder.<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">"I recognize there is no single solution. We need more policies and programs that increase access to proven treatment modalities. We need to invest more in expanding the scientific evidence base for
prevention, treatment, and recovery," Murthy said. "We also need a cultural shift in how we think about addiction. For far too long, too many in our country have viewed addiction as a moral failing."<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">The long-term effects of substance use disorder have become more pronounced in recent years as the opioid epidemic has continued to affect large portions of the country.<o:p></o:p></span></p>
<p style="background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">In 2014, nearly 30,000 people died from an opioid overdose, including <a href="http://abcnews.go.com/topics/lifestyle/health/opioids.htm" target="_blank"><span style="font-family:"inherit",serif;color:#5D90CE;border:none windowtext 1.0pt;padding:0in">heroin</span></a> or <a href="http://abcnews.go.com/topics/lifestyle/health/prescription-drugs.htm" target="_blank"><span style="font-family:"inherit",serif;color:#5D90CE;border:none windowtext 1.0pt;padding:0in">prescription
drugs</span></a>, and another 20,000 people died from overdoses due to alcohol, cocaine or another kind of prescription drug, according to the report.<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">"These efforts have to start now," Department of Health and Human Services Secretary Sylvia Burwell wrote in a summary of treatment efforts. "Change takes time and long-term commitment, as well as collaboration
among key stakeholders."<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">Dr. Richard Rosenthal, professor of psychiatry at Icahn School of Medicine at Mount Sinai and medical director of the Mount Sinai Behavioral Health System, said the report showed how important it is
to have more substance use treatment programs available and to integrate them more with regular medical services.<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">"It's killing 50,000 a year outright and the information demonstrates clearly the need to invest more dollars into treatment and recovery," Rosenthal told ABC News. Only "one in 10 people get any kind
of treatment for their addiction, which is nuts."<o:p></o:p></span></p>
<p style="background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">Rosenthal pointed out that the <a href="http://abcnews.go.com/topics/news/healthcare/affordable-care-act.htm" target="_blank"><span style="font-family:"inherit",serif;color:#5D90CE;border:none windowtext 1.0pt;padding:0in">Affordable
Care Act</span></a> required insurance plans include coverage for substance use disorders but said more still needed to be done to get addicts into treatment programs.<o:p></o:p></span></p>
<p style="background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">The report specifically calls for more early intervention programs, screening for substance misuse in healthcare settings and behavioral interventions to help keep people from becoming addicted or from
relapsing. The use of medication-based therapies such as <a href="http://abcnews.go.com/topics/lifestyle/health/methadone.htm" target="_blank"><span style="font-family:"inherit",serif;color:#5D90CE;border:none windowtext 1.0pt;padding:0in">methadone</span></a> to
treat opioid abuse is also recommended since scientific data has found maintenance medication can help someone recover from substance use disorder better than abstinence treatment.<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">However, as the opioid epidemic has progressed, Rosenthal said he's heartened to see more people consider substance use disorder a disease and not just a matter of willpower.<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333">"Rather than a moral failure, it's an illness that requires the same kind of individualized care," said Rosenthal. "This is the first time I've seen convergence between federal, state, local government
officials ... and the local public. [It's] because the kids are dying."<o:p></o:p></span></p>
<p style="margin-bottom:15.0pt;background:white;vertical-align:baseline;box-sizing: border-box;font-variant-numeric: inherit;font-stretch: inherit">
<span style="font-family:"Arial",sans-serif;color:#333333"><a href="http://addiction.surgeongeneral.gov/" target="_blank"><span style="color:#C42015">See the Report here</span></a>:<span class="apple-converted-space"> </span><a href="http://addiction.surgeongeneral.gov/" target="_blank"><span style="color:#C42015">Facing
Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health</span></a><o:p></o:p></span></p>
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