By
Bob Cox
The
world of entertainment was forever changed when music legend Michael
Jackson was pronounced dead on June 25, 2009 at 2:26 pm while at the
Ronald Reagan UCLA Medical Center in Los Angeles, CA. The cause of
his death was a lethal dose of propofol, lorazepam and midazolam,
which was administered by his personal physician Conrad Murray.
Murray would later be convicted of involuntary manslaughter and serve
two years of a four year sentence.
Less
than seven years later, music lovers around the globe were rocked
again when another member of pop royalty, Prince Rogers Nelson,
better known as Prince, died on April 21, 2016 from an accidental
overdose of fentanyl. Tragically, just one day earlier, a
representative of Prince had reached out to Dr. Howard Kornfeld, an
addiction specialist. Dr. Kornfeld’s son placed the 911 call when
he found Prince unresponsive in his home.
The
deaths of these two icons of music has shined a light on the dark
subject of the escalating crisis of legal and illegal drug addiction
in America. Many public health officials have declared the current
opioid epidemic as the worst drug crisis in American history.
From 2000 to 2014, American rates of death from opioid overdose have
tripled
from three deaths per 100,000 people to nine per 100,000, according
to an article published on February 3, 2016 by Pacific Standard. In
2014 alone, 28,649 deaths from opioid overdoses occurred, with the
vast majority of the lethal overdoses involving prescription
opioids. Just one year later, those numbers have risen to over
33,000 deaths, according to an article in the New York Times on
January 6, 2017.
The
heroin crisis has been closely linked to prescription drugs, as many
users go on to become addicted to a prescription opioid before
switching to the oftentimes less expensive and more potent illegal
street drug heroin. So, who might become our next opioid overdose
victim? Could it be the local high school football star who suffers a
painful injury during the big game, an elderly family member that’s
fallen or perhaps the quiet girl next door who winds up in the
hospital for over three months with traumatic third degree burns all
over her body?
I
recently spoke to Janina Guarino, the founder and owner of Better
Decisions Counseling Services, who many years ago, was that quiet
girl next door. Here is her story, which is amazing and inspiring!
Q:
What was your experience like in the hospital after that tragic
motorcycle accident where you suffered third degree burns all over
your body?
A:
I was in the hospital for three months and they helped me manage
extreme pain by putting me on a morphine drip. I got to push a button
every time I needed more. Within about three or four days, I was
completely addicted to it. They stopped giving morphine to me three
months later and I went through terrible withdrawal symptoms and had
no idea what was happening to me. I actually thought I was going to
die and even told them my hair was hurting! That’s how
psychologically addicted I became.
Q:
It must be incredibly satisfying to help empower people to live a
healthy and addiction free lifestyle, especially in light of the fact
that you once stood in their shoes and truly understand their
struggles.
A:
Absolutely. I had such devastation as a young single mom coming out
of the hospital. I went through a divorce, I didn’t have the money
to afford an attorney, my car was vandalized by my ex and we didn’t
have grocery money. I didn’t even know how to go down to social
services and ask for food stamps or sign up for job skills training
to find the perfect job. These are all the things we’re helping
young people learn how to do and that feels great!
Q:
Your counseling program has an extremely high rate of success (86%)
helping clients stay addiction free. How have you accomplished this?
A:
We address the psychological and physical symptoms of withdrawal at
the same time with our intensive outpatient services. I’ve
counseled many people that were addicted to opioid prescription
medications who had no idea what they’re going through when they
experienced extreme withdrawal symptoms. Many become severely
depressed and some suicidal, because those drugs release serotonin
from the central nervous system, which helps people feel a greater
sense of euphoria. Also, we offer customized counseling plans that
meet the very unique and specific needs of our clients. The
conventional cookie cutter programs offered by many other counseling
services are simply not as effective. In addition to that, we
encourage our clients to deal with their emotional problems by
replacing negative addictions with positive addictions.
Q:
What is the purpose of Better Decisions Counseling Services?
A:
Our intensive outpatient services are designed to help people live
independently as they stabilize and move toward progress. These
services are provided in partnership with community-based
agencies and mental health care centers. The services are based on a
needs evaluation and an Individual Treatment Plan which is monitored,
reviewed and modified as needed on an on-going basis.
Q:
What services do you offer?
A:
Our dynamic intensive outpatient services include core mind and
health services such as counseling, individual and group therapy, and
medication monitoring. They also include community support in getting
and holding a job, finding a place to live, enrolling in higher
education, improving social relationships and gaining access to
benefit programs. Clients receiving intensive outpatient services may
also receive forensic evaluations (court required) and treatment,
including prescription medications.
We also provide case
management services. We have a recovery coaching program for long
term care and we also
offer a very effective intervention service.
Q:
What are some of the most common behavioral symptoms and signs that
someone in your home is becoming addicted?
A:
Anger, lots of outrage and major changes in the personality. Another
common symptom is discovering that items are missing from your home,
like medicine from your medicine cabinet, jewelry and a variety of
other items from your home and garage. There may be more frequent
requests for financial help, especially if they keep asking you for
the same amount every day.
Q:
Do you offer assistance to clients who are feeling vulnerable to
relapsing?
A:
Yes, we offer a sober companion, which is their recovery coach. If a
client is feeling the urge to use or drink, they can reach out to
someone by phone to talk them through it.
Q:
What’s the relapse rate with opioid drugs?
A:
It depends on which opiate. If it’s heroin, the chances of relapse
is pretty good. You’re almost 99% sure that you’ll have at least
one or two relapses. Relapse; however, is not a bad thing. It’s
like riding a bike; it takes time to learn how to be successful.
Q:
Can you tell us about your Michael Jackson and Prince Scholarships?
A:
Yes, these are scholarships we’ve put into place to help kids who
are addicted get the counseling they need, including those who might
not be able to afford it. So instead of going out on the street and
prostituting themselves to fund their next fix, they can get the
counseling they need to change those destructive behaviors. Simply
put, no individual can withstand prolonged stress indefinitely and we
want to be there for those who desperately need counseling, in loving
memory of Michael Jackson and Prince.
Q:
Are you accepting donations for the Michael Jackson and Prince
Scholarships?
A:
Yes, and it’s great because we directly apply those donations
towards reducing our counseling fees from 50% to 100%. With these
scholarships, a child in need will never get turned away from
receiving counseling for stabilization once they get out of the
hospital. We are now 501 (3) c, which means we can now accept large
donations and we’re tax exempt! Also, if somebody wants to donate a
house to Better Decisions so that we can offer residential treatment,
we have the programs written up and are ready to go.
Q:
Do you accept Drug MediCal?
A:
We have submitted all the paperwork and are waiting for approval.
Hopefully, we’ll be approved very soon.
Q:
Is there anything else that you want people to know about?
A:
If you have a loved one that is currently struggling with or has
passed away from drug addiction and want to speak to someone that
understands, feel free to contact me.
Editor’s
notes: To get help and/or donate to the Michael Jackson and Prince
Scholarships, contact Better Decisions at (916) 368-0700, visit their
office at 10366 Rockingham Drive in Rancho Cordova or email us them
at betterdecisions724@gmail.com.