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[NEWS] Methadone access woes cause despair

poledriver

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Joined
Jul 21, 2005
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11,543
Methadone access woes cause despair

IT WAS Christmas Eve and James* was desperate. Even 10 years later, his voice chokes as he remembers his trip from Newcastle to Sydney, a last-ditch attempt to get access to a life-saving methadone program.

''I had nowhere else to turn,'' he said. ''I believe … I would have murdered someone.''
So began a year of daily trips from Newcastle to the only treatment available in Sydney. He made the journey, which could take up to seven hours return, for three years, although later they allowedhim to take doses home.

James is one of the lucky people to have access to methadone in a system underfunded and lacking doctors and pharmacists who will provide the much-needed drug.
He told the Herald when he leaves the pharmacy with methadone he is regularly approached by people begging him for it. Many are women and ex-prisoners who have been released with a referral to a treatment centre that is unable, or unwilling, to take them on. ''It just makes me weep, these poor desperate bastards,'' he said.
A new study by the National Drug and Alcohol Research Centre, which followed 375 male heroin users in NSW prisons, found those who got methadone in prison and stayed on it afterwards were 20 per cent less likely to re-offend. They were also less likely to die.

Donna McKinnis, a pharmacist for 30 years, said the two pharmacies where she works in Newcastle turn away between four and six people a week because their regulated quota of 50 methadone patients is full. Last month, she tried to help a man who had come out of Long Bay jail but had been referred to a treatment centre in Newcastle that had a policy of not taking released prisoners, Ms McKinnis said. She called 17 doctors before finding someone who could help.

She believed ''pure snobbery'' stopped more pharmacists providing the drug.
The executive director of the Australian National Council on Drugs, Gino Vumbaca, said doctors were also not obligated to provide treatment.
''It's very detrimental to people living in some places,'' he said. ''Imagine if they could decide not to provide diabetes treatment or help people stop smoking.''
It also suffered significantly from underinvestment, but in this week's state budget the NSW government had committed more funding.
The Minister for Mental Health and Healthy Lifestyles, Kevin Humphries, said the government would provide $10 million over four years to treat drug and alcohol addiction, although it had not yet been decided how much would go to expanding methadone treatment.

In the 2011-12 financial year, $3.4 million is promised to expand access to opioid treatment programs.
A spokeswoman for NSW Health said the Newcastle region had received extra methadone funding after a 200 per cent increase in patient numbers over the past decade.
She said NSW Health was working with Justice Health to ensure patients leaving prison could get access to their methadone prescriptions.
*Not real name.​

smh link
 
Nice to see a really positive and supportive article about HR, even if the subject is tragic. Hopefully access to maintenance programs will become easier in the future.
 
I've really realised how far ahead Melbourne is in terms of these kind of HR practises lately. QLD is just terrible. I was trying to find a doctor who would continue to prescribe me the naltrexone and baclofen I've been prescribed in Melb for alcohol, but there's hardly anyone up there who does. Naltrexone isn't actually even officially prescribed up there at all, and there's so few doctors that will prescribe opiate maintenance that there must be so many people who miss out.

At the drug clinic I went to the counseller said that QLD really was the 'redneck' state in terms of harm reduction, and that snobbery is rife. Opiate addicts are really looked down upon amongst doctors, and the only services that are even halfway decent are alcohol and ciggie smoking ones.

It really does pay to live in a big city, and Melbourne or Sydney at that...
 
It's ridiculous that doctors aren't obliged to treat in most of these cases. I like to think public perceptions of addiction are slowly heading in the same direction as other 'invisible' conditions (depression, chronic pain, etc.), though they're still all unfairly stigmatised compared to other conditions. Last year I heard a junior doctor say that she didn't feel bad when her depressed patients killed themselves because they wanted to die..?! :(

Sadly these sort of changes take generations to actually become the norm.

I agree crankinit, tragic.
 
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