'In the long run, there’s going to be an increased need for treatment.”
Those treatment centers are also facing a more existential threat: As potential patients stay away for fear of contracting the coronavirus, many smaller and publicly funded centers could run out of money and close their doors at a time when social isolation is driving many people with addictions to relapse.Historically, whenever there’s a crisis in the U.S., alcohol sales and illicit drug sales increase dramatically,” said Dr.
A person experiencing homelessness with no ability to access tele-health would rank high on the triage list, as would someone leaving detox who seems likely, based on their medical history, to go out and drink or use again. “No one can just walk up to a treatment center anymore,” said Dr. Paul Earley, president of the American Society for Addiction Medicine, which put out its ownThe overarching issue here is to balance the risks of the two illnesses: the risk of contracting coronavirus and developing COVID-19 versus the risk of not getting treatment for the disease of addiction.
The tight quarters at residential treatment centers and the medically fragile condition of most people with serious, long-term addiction make them ideal breeding grounds for infection. Long-term intravenous drug users often suffer from a heart infection called endocarditis; people who smoke crack, meth or marijuana may have diminished lung capacity; and heavy drinkers may have multiple organ failure and a suppressed immune system.
At Hazelden, they’re even requiring new patients to come prepared with a discharge plan just in case they get infected and need to leave treatment early. “If we get this, we want to catch it as early as possible and try and prevent that [initial] transmission,” Seppala said. Sundown M Ranch has no personal protective equipment, or PPE, of any kind. Olalla has just “10 to 15 masks” on hand, according to McKee, and is also short on thermometers and cleaning supplies. Hazelden is hoping to get hand sanitizer from one of the distilleries that has shifted production from whiskey to grain ethanol.
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