Addressing Ohkay Owingeh's Substance Abuse and Opioid Misuse Dilemma
Autumn Rain Abeyta
Ohkay Owingeh and San Felipe Pueblo
Autumn Rain Abeyta
Ohkay Owingeh and San Felipe Pueblo
Personal Picture, 2021.
Personal Picture, 2018.
In this article, Jeannette Armstrong expresses her identity and responsibilities of the Okanagan community. She also expresses key viewpoints of her community as well. Her mother is a “river Indian” from Kettle Falls, her father are “mountain people,” from the Okanagan Valley. That's who she is and where she gets her identity from, she knows the mountains, birth, and the river is her responsibility. It can't be separated from her place or her land. As individuals within our bodies we have four main capacities, the physical self, the emotional self, the thinking-intellectual self, and the spiritual self, which operates together within us. These capacities define a person by how we all interact with them in many different ways. Community is important to both Armstrong and ourselves as individuals because it can help someone understand who they are as a person.
Armstrong, Jeanette. “Sharing One Skin: The Okanagan Community,” in Jerry Mander and Edward Goldsmith (eds), The Case Against the Global Economy. San Francisco, CA, Sierra Club Books, 1996. Pp 460-470.
Personal Picture, 2018.
In this article, Perry G. Horses express how we are not white people but we are a lot like them. We have assimilated into the dominant culture meaning we are indeed like them. But we are still Native people, we cling to distinction consciously and unconsciously realizing that this is where Native American identity begins. We are dealing with peculiarities of linguistic meaning. If we agree to change Native American for American Indian then we have to make a meaningful connection. For American Indians, there’s racial face on anti-indian ideas such as manifest destiny. White people have privilege whether or not they are overtly racist themselves. Its synonymous was dominance in a racially stratified society that is based on oppression like racism or sexism.
Horse, Perry G. “Native American Identity.” New Directions for Student Services, no. 109, © Wiley Periodicals, Inc, 2005. Pp. 61-68.
Jimenez, Alejandra. “Safe Homes Coalition Launches to Combat Medication Misuse, Opioid Addiction.” The Daily Free Press, 1 Oct. 2015, https://dailyfreepress.com/2015/10/01/safe-homes-coalition-launches-to-combat-medication-misue-opioid-addiction/. Accessed October 7, 2021.
In this article, Alejandra Jimenez writes about Massachusetts Governor Charlie Baker addressing prescription drug misuse in 2015. Safe Home Coalition launched a program aiming to reduce the misuse and abuse of prescription medications and help combat the opioid addiction. The organization will distribute re-sealable plastic bags to real estate professionals and public figures to secure and dispose of unused or unwanted medications. Preventing prescription medications from getting into the hands of people who shouldn't have them, especially the children. The program intends to educate and empower people to safely use, secure and dispose of unwanted medication. Easy access to prescription drugs is a major part of the problem and to reduce the number of overdose deaths and curb the addiction epidemic. The opioid epidemic is one of the defining health problems of our time and people who are suffering from substance abuse disorders who need treatment aren't easy. People aren't aware of the risks and there's more that needs to be done to try to get to the root of the condition. One-third of teens say they believe it's okay to use prescription drugs for them to deal with an injury, illness, or physical pain. 43% percent of teens indicate prescription drugs are easier to obtain than illegal drugs. Prescriptions should be closely regulated in order to avoid addiction problems and shouldn't be allowed exceptions beyond dosage even if it's being used up quickly. Pharmaceutical drugs are much too available to the public. Prescription drugs are legally available to the public and are given out to people who shouldn't have them. It's a huge issue because it can lead to abuse of medication.
Jimenez, Alejandra. “Safe Homes Coalition Launches to Combat Medication Misuse, Opioid Addiction.” UWIRE Text, 1 Oct. 2015, p. 1. EBSCOhost, search-ebscohost-com.sfis.idm.oclc.org/login.aspx?direct=true&db=edsgao&AN=edsgcl.430387711&site=eds-live.
DeMio, Terry. “Heroin Children, Removed: Children of the Opioid Epidemic Face Neglect, Trauma.” The Enquirer, Cincinnati Enquirer, 27 Sept. 2018, https://www.cincinnati.com/story/news/2018/09/26/children-removed-heroin-addicted-parents-face-trauma-neglect/1203721002/. Accessed October 7, 2021.
Substance use disorders have been a priority public health concern for decades. Children of parents with opioid use disorder have been impacted through poverty, violence, neglect, and emotional and physical abuse. Without building resiliency in a child’s mental and physical health. The goal of literature review is to critique available intervention programs that focus on children of parents with SUD/OUD provide recommendations. Health providers can use findings to determine which evidence-based intervention is appropriate. In 2014, it was estimated that 8.7 million children had at least one parent with SUD. Many of these parents likely have OUD, and their parenting is often compromised. Parents with OUD tend to be preoccupied with obtaining and using opioids, distracting them from parental responsibilities. During intoxication, a parent can be sedated or euphoric, be socially withdrawn, have altered thoughts/perceptions, and have impaired decision-making capacity. The Centers for Disease Control and Prevention has estimated that 130 individuals die daily from opioid overdoses in the United States of which many are parents. The consistent caregiver attachment can be associated with positive childhood development, as well as long-term mental and physical health. Attachment in children of parents with SUD/OUD tends to be insecure and disorganized, which views the caregiver as distant, unmindful of their needs, unpredictable, and unsafe. They perceive relationships as scary, painful, and little valued.
Ahern, Nancy R., et al. "Children of Parents With Opioid Use Disorder." Journal of Psychosocial Nursing and Mental Health Services, vol. 59, no. 3, Mar. 2021, pp. 28+. Gale Academic OneFile, link.gale.com/apps/doc/A676113460/AONE?u=nm_s_santafeis&sid=ebsco&xid=1c65e816. Accessed 7 Oct. 2021.
“Teens & Families.” Help & Hope WV - Teens & Families, https://helpandhopewv.org/teens-families.html. Accessed October 7, 2021.
Dr. Nora Volkow expresses what happens when we lose control of our actions. Being able to control our desires, motivations, actions, and thoughts consistently lose control over capacity to control the phenomena called addiction. People addicted to drugs are not taking it because they want to, it's because they can no longer stop. Addiction is a product of exposure to drugs or known as rogue addiction. We can become addicted to anything like our behaviors, foods, and environment. The characteristics of drugs modify the function of the brain triggering the process. Not everyone can become addicted to something because there's many factors involved like biology and genes. If we have the gene risk for addiction, we're more likely to become addicted than if you don't. If multiple people are addicted and may have those genes will make you vulnerable. The most important thing in biology is our age. When we were a teenager or in our early 20’s, it's the period where our brain is particularly plastic. Which actually changes physically as a function of the environment. It allows us to optimize the structure and architecture to be able to survive. The unique capacity is more advanced when we are children and adolescents because we change much faster and it lasts longer. When taking a drug that actually modifies these plastic changes, our brains will physically challenge much faster and are at a higher risk of addiction.
Volkow, Nora. “Teens and Drugs Addiction.” YouTube, uploaded by USA Science & Engineering Festival, 30 September 2017, https://www.youtube.com/watch?v=M-RJauO7dpw. Assessed October 6, 2021.
Unemployment Rate, Opioids Misuse and Other Substance. https://www.researchgate.net/publication/348378988_Unemployment_rate_opioids_misuse_and_other_substance_abuse_quasi-experimental_evidence_from_treatment_admissions_data. Accessed 22 Nov 2021.
In the report "Unemployment Rate, Opioids Misuse and Other Substance Abuse: Quasi-Experimental Evidence from Treatment Admissions Data," the relationship between economic conditions and substance abuse is unclear and ambiguous with studies reporting drug-specific substance abuse. Present study examined the association between economic conditions and drug-specific substance abuse admissions. The outcome variable was the state-level aggregate number of treatment admissions for six categories of primary substances abuse like alcohol, marijuana/hashish, opiates, cocaine, stimulants, and other drugs. The unemployment rate was significantly associated with substance abuse treatment admissions. Between state unemployment rates and annual substance abuse admissions has the same direction during economic downturns and upturns. During the economic recession, the negative association between unemployment rate and treatment admissions for stimulants was weekend. The economic hardship may have increased substance abuse and treatment for substance use of certain drugs and alcohol remained a priority. The association between state unemployment rates and annual admissions to substance abuse treatment facilities in economic downward and upward trends. Unemployment increased psychological distress, resulting in increasing use of and treatment admissions for marijuana, opiates, cocaine, and other drugs.
Azagba, Sunday, et al. “Unemployment Rate, Opioids Misuse and Other Substance Abuse: Quasi-Experimental Evidence from Treatment Admissions Data.” BMC Psychiatry, vol. 21, no. 1, Jan. 2021. EBSCOhost, doi:10.1186/s12888-020-02981-7. Accessed 4 Nov. 2021.
“High School Drug Use Statistics & Facts: The Recovery Village.” The Recovery Village Drug and Alcohol Rehab, The Recovery Village Drug and Alcohol Rehab, 16 Sept. 2021, https://www.therecoveryvillage.com/teen-addiction/drug/high-school-drug-use/. Accessed 22 Nov 2021.
In the report "Violence and Substance Abuse in Schools," violence and drug use in schools have perplexed not only American society, but societies throughout the world: In an effort to understand and therefore curb violence and drug use, social scientists, scholars, policy makers, and researchers have expended many resources in terms of capital, time and energy. Although television is considered to be a major model with which children spend much of their time , school environment, the availability of drugs within schools, and the presence of gangs and weapons in the school settings may be equally influential in serving as models for children's behavior. Despite the attention school violence has received by the media, studies on school violence are convoluted by the introduction of variables that are more suitable for studies of violence occurring outside the school. For the purposes of this research, the definition of school violence, though inclusive of psyChological, school environmental and personal or individual variables, focuses on the specific act of "being attacked while at school". Student's perceptions of school rules, as to whether the rules are fair/unfair, effective or ineffective, may explain why drug use, gang activity, and violence exist in schools. For rules to work, the authority of teachers and public school officials must be effective. One of the strongest and most intriguing findings of the present study is that the perceived presence of weapons in school was related to avoiding certain "dangerous" places in school. Not surprising but disturbing is the finding that the availability of drugs and the perceived presence of gangs in school were related to being attacked and to getting high at school. Results of the present study indicate that while demographic variables, such as ethnicity, age, and gender, are not strongly related to reports of being attacked in school, avoiding places in school, and substance abuse, contextuality is more highly predictive.
Kimweli, David M. S., and Eric M. Anderman. Violence and Substance Abuse in Schools: Adolescents’ Fears and School Violence. Mar. 1997. EBSCOhost, search-ebscohost-com.sfis.idm.oclc.org/login.aspx?direct=true&db=eric&AN=ED412442&site=eds-live. Accessed 4 Nov. 2021.
Quintana, Jay. “The Opioid Crisis and Challenges facing the Native American Community.”Youtube. 7 Sept. 2019, https://www.youtube.com/watch?v=ZAHceGxHgWU.Accessed 22 Nov. 2021.
In September 2019, there was a discussion with Jay Quintana from Santo Domingo Pueblo. He stated that our historical trauma has impacted our tribal communities when the first Europeans came onto our land taking over the government and sending children to boarding schools causing them not to have any parents with them. When they become parents themselves, they try to raise their children to the best of ability making it seem like it is normal but they may be doing things that will be wrong to other people. With that, it wouldn't necessarily be their fault because they did not have their parents growing up. The historical trauma causes trust issues and lack of services. Community members would go out of the pueblo to seek services or they would be provided through the tribe. A lot of Native Americans receiving prescription opioids see it as being harmless. They have no acknowledgement about it or know that they have a problem. The stigma is a big issue individuals have causing them not to seek treatment. They do not want others to know they are suffering from substances or mental health disorders because they feel like it will change the way others view them within the communities. Economics play a role in accessing treatment, tribal communities are in very rural parts of the state. “So accessing services is a challenge in itself,” Jay stated. People working in the field to help bring opioid awareness in native communities need to understand that what works might not work for everyone. Understanding who you are working with and that treatment is available and it really does work.
Quintana, Jay. “The Opioid Crisis and Challenges facing the Native American Community.” YouTube, 27 Sept. 2019, https://www.youtube.com/watch?v=ZAHceGxHgWU. Accessed 4 Nov. 2021.
Chris ClancyChris Clancy is the in-house Content Manager for JourneyPure’s Digital Marketing team. “Substance Abuse among Women: Why Women Use Drugs.” JourneyPure At The River, 1 Apr. 2020, https://journeypureriver.com/substance-abuse-among-women/. Accessed 23 February 2022.
According to National Institute on Drug Abuse, women face issues when it comes to substance use like sex and gender. “19.5 million females (or 15.4 percent) ages 18 or older have used elicit drugs in the past year” (National Institude on Drug Abuse, 2020) Scientists discovered that women who use drugs can be related to hormones, menstrual cycle, fertility, pregnancy, breastfeeding, and menopause. Females also use substances differently than men and can respond differently. Women can experience physical effects on their heart and blood vessels as well as having panic attacks, anxiety, or depression. Treatment for females is a different process than men and enters treatment for a shorter amount of time. In the past, women weren't included in research because of beliefs and they are more “complicated” than men.
“Substance Use in Women Drugfacts.” National Institutes of Health, U.S. Department of Health and Human Services, 23 Jan. 2022,https://nida.nih.gov/publications/drugfacts/substance-use-in-women. Accessed 16 February 2022.
"Addiction among Males.” Sunrise House, 22 June 2021, https://sunrisehouse.com/addiction-demographics/men/. Accessed 23 February 2022.
According to Sunrise House Treatment Center, Men are more likely to have drinking patterns than women and are twice as likely to binge drink. Both women and men can abuse substances for different reasons which can cause changes in optimal treatment methods to address the abuse happening. Men can abuse drugs or alcohol when they are feeling good to increase feelings and to cope with social or behavioral problems. They are more likely to think they don't need treatment than women and they deny the needed treatment. They are also referred to substance abuse treatment though the criminal justice system instead of a mental health provider. It's likely due to the fact that drugs and alcohol abuse can increase the odds of men being involved in violent crime, property crimes, or driving under the influence.
“Addiction among Males.” Sunrise House, 22 June 2021, https://sunrisehouse.com/addiction-demographics/men/. Accessed 16 February 2022.
Paradis, Katie. “Talking with – Not at – Young People about Substance Use.” Boston Children's Answers, 6 Oct. 2021, https://answers.childrenshospital.org/substance-use-teens/. Accessed 2 March 2022.
One of the fastest growing epidemics is prescription pain medication misuse. On social media and the news, this has been the leading cause of death. Opioids are one of narcotic pain medications that are prescribed by doctors and filled by pharmacists. Opioids are in tablets or liquids such as oxycodone, hydrocodone, codeine, morphine, hydromorphe, and fentanyl that are designed for the nervous system. The number of overdoses deaths in 2017 involving both prescription and manufactured opioids was six times higher than in 1999. Prescription drug use and drug abuse is affecting all groups and can touch anyone. A child's thought process can tell the brain if their parents were prescribed the medication, it would be safe for them to take it as well and can lead to prescription drug misuse. Developing brains can take up to 25 years to fully develop and for those who are still developing, they're brain is generally able to be damaged. Since teenagers have an overactive impulse to seek pleasure and have less ability to consider the consequences, they are more vulnerable when it comes to the temptations of drugs and alcohol. Making sure to have an open relationship with teenagers and having that communication is key. Provided the child lessons and taught them about family history with adduction, drugs, alcohol, and safety about them. Tell them you don't want them to use drugs and opioids as well as talk to them about the negative effects to have teenagers make the right choices.
“Substance Misuse - Health - Family Resources: National PTA.” National Parent Teacher Association, https://www.pta.org/home/family-resources/health/Substance-Abuse. Accessed 17 February 2022.