What are Methadone and Buprenorphine? | Matters of Substance
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The Opioid Effect: An Ohio Family Rebuilds After Addiction
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The Hope Not Handcuffs program helps addicts, but volunteers are needed
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It was her oldest son’s heroin use that led Lisa Bofka to become an angel, one of a network of volunteers for Hope Not Handcuffs that helps people get into drug treatment. addiction He sits with them while they wait for a car to take them to rehab, offering water and maybe a snack and always a shoulder to lean on.
“I try to be a little mom to everyone,” she said
Bofka, who is 59 and lives in the northern Macomb County community of Richmond, has been involved since 2017, the year she found her son nearly dead from an overdose. He sobered up. And he decided that if there was anything he could do to help others living with addiction, he would do it.
How many people has Bofka helped to receive treatment? She’s not sure. Maybe 500? There is a young woman who went to rehab several times before finding sobriety. There’s a young man he chased down the street after he decided to drop out of rehab at the last minute; ended up going the next day. There are so many.
There’s also someone he hasn’t been able to help: his middle son. He has been battling addiction to methamphetamine and alcohol. He has been in and out of treatment probably 30 times over the past two years, Bofka said. And maybe that’s also part of why he’s an angel. Seeing others get sober gives him hope that maybe, one day, his middle son will do the same; before Thanksgiving, I was almost 30 days clean.
There aren’t enough people like Bofka, people willing to do what he does. Hope Not Handcuffs is in the midst of a recruitment drive. He has a great need for angels. “We’re starting from scratch,” Bofka said.
The pandemic changed everything
Hope Not Handcuffs is a program run by Families Against Narcotics, a community group, with chapters across the state, that seeks to help and support loved ones of people living with addiction and addicts themselves.
When Hope Not Handcuffs started in 2017, it worked like this: People could show up at a participating police department — there are about 125 — that agreed not to arrest them on drug or paraphernalia charges and ask officers to call Hope Not Handcuffs. on his behalf An angel would meet with them and stay with them until they were placed in treatment, or at least keep in touch with them if there were no openings for treatment that day.
All this changed during the pandemic. Law enforcement agencies closed their lobbies. People who needed help started calling themselves Hope Not Manilles. And now that’s how most people connect, no face-to-face meeting with an angel, no visit to the police department.
Now that the pandemic rules have been relaxed, Kim Baffo, who is the program director of Hope Not Handcuffs, wants to get back to angels meeting people in police departments. “Our program was designed as face-to-face support,” he said. “We know that human-to-human compassion, connection, instills more hope in individuals.”
Adds Bofka: “Sometimes, we’re the only warm hand people have felt in a long time.”
But the number of volunteer angels has dropped from about 300 statewide before the pandemic to about 100 now, and even then, only about 30 of those angels travel for face-to-face meetings. The staffing shortages affecting businesses are also affecting the ranks of volunteers.
The angel training lasts about 90 minutes and includes instruction on rehabilitation terminology, tips for giving hope to the person seeking help (be a good listener, don’t judge) and the details of the Hope Not Cuffs program. Angels must also pass a background check.
“We couldn’t hire enough people to do an angel’s job,” Baffo said. “Our angels are at the root of all our programs.”
“Save a life a day”
Within a year of becoming a volunteer angel, Bofka had a full-time job at Hope Not Handcuffs. He still goes out to run angels. He also oversees Hope Not Handcuffs’ new call center in Clinton Township, which has a staff of five and receives about 800 calls a month, compared to about 600 before the pandemic.
He works with Anthony Elia, 28, of Warren, who dedicated his life to helping others with addiction after he ended his own addiction to meth and heroin. He started as an angel.
And he works with Emily Taube, who is 23, lives in New Baltimore and went through Hope Not Handcuffs several times before getting sober from heroin two years ago. “When I went through Hope Not Manilles, I was immediately treated with such patience, such kindness. …. I remember being blown away.”
Among the angels who helped her: Bofka.
“I love what I do. I absolutely love what I do,” Bofka said. “I keep my phone on all night, all day because if somebody I know and … they ask for help, we’re going to work on it right now. And I do. … I probably will until the day I die.
“My motto is to save a life a day.”
And there’s something else Bofka wants to erase: the stigma associated with addiction. He wants parents to know that they are not responsible for their children’s actions. “We automatically try to fix them. We blame ourselves. That’s how it was with me, at least.” But “it’s nobody’s fault… You shouldn’t be ashamed of it. We didn’t do anything. It’s hard. Some days, it really takes a toll on me emotionally.
“Hopefully, one day, this will all be over.”
For everyone, including your child.
She called Bofka on Dec. 1 and said she was staying at a shelter — she won’t be allowed in her home until she’s six months clean.
He also told her that he was using again.
To contact Hope Not Handcuffs or for more information: 833-202-4673 or hnh@familiesagainstnarcotics.org or familiesagainstnarcotics.org
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Medication-Assisted Treatment: Methadone l The Partnership
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The opioid crisis: Part 2 — The worst pain you can imagine | FACES OF POLICY
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Laura Chapman: Substance abuse disorder doesn’t work like that
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This comment is from Laura Chapman, a community organizer living in Putney.
“I don’t give them money, because they will only buy drugs with it. I don’t want to feed his addiction.”
Let’s unpack this statement that I just repeated to myself for what felt like the millionth time today. Maybe they are, maybe they aren’t.
But let’s say, for the sake of argument, that they are actively dependent on illicit substances, struggle and abuse to fuel a substance abuse disorder. Do you think not giving them money will starve the disorder and that will force them to stop?
Based on my years of embedded observations and experience, this will not be the case. Substance abuse disorder doesn’t work like that. If it were that simple, the so-called “war on drugs” would have worked. Instead, we have one of the highest rates of substance abuse disorders in the world.
Addiction of any kind is tenacious, but substance abuse disorder is downright herculean in the power it holds over those who struggle. One way or another, he will get what he needs. And it depends on us focusing on outcomes, not root causes, to continue to thrive and grow in our communities.
So what happens when someone struggling with a substance abuse disorder can’t meet the demands of addiction and manipulation doesn’t work?
What I have witnessed is that depending on the substance one is addicted to, some become incredibly sick and desperate. It really is a disease.
Some (not all, not even most) become so ill and desperate that they make an incredible effort, but in the illness they are not stable, their decision-making abilities are compromised, their inhibitions are lowered, and the ability to take care of themselves, others. , anything but what it will take to make this pain stop, goes out the window.
This may look like selling whatever they have, including themselves, to whoever will pay, no matter how horrible. It can mean allowing dealers to move into your home and take it over, turning it into a trap house, a place where they are literally trapped, fed a small supply to comply and often He subjects them to violence when they are not. . Or it can mean taking whatever they can find to sell, and sometimes that looks like breaking and taking from you, from me, from our community.
And after all that, when the disease is momentarily satiated, they know what they did to get there and often hate themselves more for it, so they medicate more, deepening the cycle and making it harder to break out.
That’s why I give money without a doubt.
Manipulation is a desperate enough act for my compassion and I don’t want anyone to feel driven to further despair. I give this because I hope that if they are being used, it will hurt them less to use in a compatible way than they would otherwise to have fed that need.
Because they are suffering, they deserve connection and support. I care that they stay alive and I hope that one day they find a way to live without the torment of substance abuse disorder.
The data shows again and again that the most successful outcomes are almost always rooted in harm-reduction approaches and not in making judgments or withholding aid.
Please consider this before deciding that you will not support someone who is ill. Until we as a society can do better, as individuals we must act with more thought and compassion.
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Source: Laura Chapman: Substance abuse disorder doesn’t work like that
