Posts Tagged ‘Drug treatment’

Zoraya’s Story: Drug court offers treatment & hope

 A row of plastic coins in silver, red, orange and green are affixed along the side of a mirror in Zoraya Arias’ bathroom at the Center for Hope treatment center in Mesa. There are nine of them – one for every month she has stayed clean.

 “I keep things to remind myself: I have a life worth living,” she tells me.

Zoraya, 25, is a former meth addict with the kind of life story that makes you think that maybe if it were you, you might have turned to meth to numb your frontal lobe, too. When Zoraya was six years old she saw her mother gunned down in a drive-by shooting during a family picnic in their front yard in Central Phoenix. A few years later, her dad went to prison. She has a middle school education. She started using alcohol, marijuana, cocaine and other drugs in her teens. She had her first child at 19. She stuck around for a few months, then she took off, leaving her son with his father’s family. She started using meth.

In the beginning “a twenty” of meth ($20 worth) would last her for a week. By the end, she and her friends would put away an “eight ball” that costs $200 in a few hours. To make money for meth, Zoraya became a “party girl.” When men asked if she was a prostitute she would say “no, but I’m not free.” At first, she lived in denial. Then she started walking the streets in stilettos and turning tricks at the La Quinta where she lived for a while. The drugs and prostitution came together in a vicious cycle: she had to get high to do what she was doing; she had to do what she was doing to get high. “I did things I never thought I would do,” she says. She got pregnant again and lost the baby.

Eventually the cops showed up at the La Quinta. She was arrested and put on probation. She didn’t get any treatment. She kept using meth. She was arrested again and went to jail. This time, she was placed in Maricopa County Drug Court.

I met Zoraya last month while researching drug court for a feature article that will appear in the April medical issue of Phoenix Magazine. Drug court is an alternative to incarceration, a program that combines drug treatment and probation to help addicts get clean and stay out of crime. In Arizona, the program is post-conviction: Participants are assigned to drug court as part of probation, with the threat of a prison term hanging over their head if they mess up. It is the only place in the criminal justice system here where an addict is guaranteed to get intensive drug treatment regardless of ability to pay. Research shows that treatment is much more effective than incarceration in helping to break the cycle of addiction and crime, and yet even though most Arizona prisoners have underlying substance abuse issues few get treatment. (And the treatment that is available is often not sufficient to meet their needs.)

Drug courts have been touted as one of the most successful criminal justice innovations of the last two decades. Research commissioned for the federal government’s National Institute of Justice found they save money, reduce crime and fight addiction. (Read more from the National Association of Drug Court Professionals here.)

For Zoraya, drug court combined with residential treatment has helped her get on the path to turn her life around. “I gained so much because I wanted to change my life,” she says. “Drug court gave me so many chances and opportunities.”

At first, she continued using even while participating in drug court. She was ordered into residential treatment. When she tried to slit her wrist, they kicked her out. She draws her finger up the inside of her left forearm along a ridge of scars. She’s been “a cutter” since age 10 – it is a coping mechanism, she tells me. The facility was not equipped to deal with her mental health issues, too. She went to another facility and got kicked out again. She was thrown in jail for 45 days last year. It was there that her attitude turned around. In May, she was admitted to the Center for Hope, a long-term residential facility specifically designed for women with children and mental health challenges.

The Center for Hope is a non-descript commercial building, set back from a residential street. While most residential facilities keep patients 30-90 days, the Center for Hope is a yearlong program that also helps with transitional housing afterward.  Children under four years old can stay there with their mothers.

Zoraya says the program has taught her how to cope with her past and prepare for the future. “I learned to understand and forgive my past. I have made a lot of mistakes and I am willing to make amends with everyone and myself,” she says. She is working on her GED and looking for a job in retail. She wants to be a peer counselor to help others get off drugs. One day, she would like to open a restaurant with her party girl name, “Ra Ra’s Bar & Grill.” She specializes in cooking soul food. “I learned I am a strong woman. I am determined to do more in life,” she says. “Although, there are a lot of things that happened, I don’t let it get to me. I don’t want to sound conceited…” She throws her dark hair back and laughs: “I love the way I am now!”

In her room at the treatment facility, she points to a picture of a too-thin woman with poorly bleached hair and hollow eyes. It is hard to recognize the curvy, happy, bubbly woman she is now in that image. She pulls out an old ID card to prove it.

Her room is a shrine for the son she left behind and for her own budding hope. She shows a visitor a picture of the boy, C.J., in a frame that says “My Angel.” She says she is getting better for him. More pictures of him are all around the room, along with photos of friends and family members. Inspirational messages are everywhere: on picture frames, clipped and pasted to the walls, on a poster behind the door: “Seize the moment.” “Be yourself.” “It’s time to feel good again.” “Survivor.”

In a criminal justice system far better at punishing drug addicts than rehabilitating them, Zoraya’s turnaround through drug court is a an example of one of the things we may be doing right.

–AJC

Read Amanda J. Crawford’s feature on Maricopa County Drug Court, “All Rise, Some Fall” in Phoenix Magazine’s April medical issue.

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This Week in Drugs (Feb. 5, 2011)

Mexican authorities in Guadalajara were scrambling Tuesday night to regain control of the country’s second-largest city after violent clashes between criminal gangs and police, the Associated Press reports. The suspected drug cartel gunmen used grenades and forced civilians out of their cars, using them as roadblocks on major streets. Fernando Guzman Perez, interior secretary of the state of Jalisco, said the seven coordinated attacks were likely in retaliation for  recent arrests of drug cartel members.

This prompted American officials to warn U.S. citizens not to drive at night in certain areas of Guadalajara, the AP reports. A message on the website of the U.S. consulate in Guadalajara posted  Thursday said the consulate had prohibited U.S. diplomatic personnel from traveling the highway to the airport at night, and that it “recommends that U.S. citizens consider similar precautions.”

The Ladies Professional Golf Association canceled the Tres Marias Championship in Morelia, Mexico, over safety concerns regarding the violence from the drug war. LPGA spokesman David Higdon told the AP that its security firm “determined the safety issues were too severe” but the association hopes to return next year if conditions have improved.

Emilio Gutierrez Soto, the Mexican journalist who fled across the border after saying he received death threats due to his critical coverage of the Mexican military, spent seven hours pleading his case to Immigration Judge Robert Hough in El Paso before it was rescheduled for May 9, 2012. The AP reports that Gutierrez and his son were placed in immigration jail for seven months but that Gutierrez has obtained a work permit and is supporting his son and himself with odd jobs in Las Cruces, New Mexico.

Border Patrol Agent Bryan Gonzalez was allegedly fired for talking to a fellow agent about Law Enforcement Against Prohibition and stating his opinion on the matter of legalization of marijuana. Gonzalez has filed a federal lawsuit alleging his termination violated the First Amendment.

Former South Carolina Treasurer Thomas Ravenel has recently spoke out on America’s drug war by calling the government’s response a failure and advocating the end of drug prohibition, The Post & Courier of Charleston, S.C., reports. Ravenel, who is still serving a term of three years of probation for a 2007 cocaine conspiracy charge, called drug abuse a “medical, healthcare and spiritual problem, not a problem to be solved with a criminal justice model.”

The largest medical cannabis dispensary in Berkeley, Calif., the Berkeley Patients Group, owes the state $6 million in taxes and interest from three years when it did not pay, reports The 420 Times. The group disputed the tax in 2007 saying medical marijuana should be left untaxed like other medicines, but lost its case. Now, California wants the money.

Washington Rep. Mary Lou Dickerson of Seattle has once again called for the state legislature to legalize marijuana for adults 21 and over, My Ballard reported. Dickerson says legalization could generate $400 million every two years and ease the budget shortfall.

With Republicans in the House looking to limit spending in the next fiscal year, supporters of drug policy reform are suggesting cutting the DEA’s budget. Marijuana Policy Project’s Steve Fox told Talking Points Memo, “The entire federal budget dedicated to keeping marijuana illegal and carrying out all the enforcement measures to do so is really something that is long past its prime.”

-DR

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Why I Love Charlie Sheen (Yes, it has to do with drugs.)

Charlie Sheen is a mess. I know this. He is, as The New York Daily News reports, “completely out of control.”  The latest drug-fueled, sex scandal allegedly involved $12,000 of booze, lots of cocaine and a porn star cowering in a closet and calling security when a naked Sheen went crazy and started trashing his hotel room looking for his wallet. The tabloids are talking about rehab and a lawsuit and what impact this will have on the ratings for his terrible sitcom.

And, still, I found myself telling friends this week when Sheen came up how much I adore him. He is, really, my only true celebrity crush. (As I’ve joked, in a very unfeminist sort of way: I would let him treat me badly.) I shared this with my artist friend Ellen yesterday, who admitted having similar feelings about Sheen. She told me she loved him because he is such a train wreck and owns it. It is really not that much of a surprise: so Charlie Sheen was caught snorting coke with a porn star in a hotel room? Yeah, we expected that.

But for me, I realized that there was this deep nostalgic connection with the actor: I have loved him since he appeared in “Ferris Bueller’s Day Off” as the soothsaying druggie bad boy who Jeanie makes out with in the police station. “Ferris Bueller” was a seminal movie for my generation and, well, now I write about drugs. So in honor of Charlie Sheen being Charlie Sheen (and, in all seriousness, in hopes that he gets his demons under control), I bring you my favorite Charlie Sheen cameo of all times courtesy of VideoHippy.com. (Please don’t sue me, Paramount Pictures!)

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What do you do with addicts who commit crimes? What about drug treatment?

What to do about drug addicts? Lock them up, let them out and watch them commit more crimes?

Newsweek has a great article this week arguing that the costs of treating drug addiction in prison saves money and cuts crime in the long-run. The article notes that nationally only one-fifth of inmates get drug treatment, even though nearly half of the 2.3 million people in prison nationwide have a history of drug addiction. While not all of those people are incarcerated for drug offenses, many crimes — like burglary — are fueled by addiction.

Drug treatment programs — just like other safety net programs – help prevent crime and continued drug abuse. But these programs are often the first things on the chopping block as state legislators struggle with budget deficits:

The irony here is that by lowering recidivism, the programs themselves save money in the long run. The NIDA report released last year cited a remarkable statistic: heroin addicts who received no treatment in jail were seven times as likely as treated inmates to become re-addicted, and three times as likely to end up in prison again. For every dollar spent, the programs save $2 to $6 by reducing the costs of re-incarceration, according to Human Rights Watch. Looked at another way, the programs can save the justice system about $47,000 per inmate.

Here’s the problem: Politicians can’t run for office and win on a “Treat them all” mantra. But “lock ‘em up” pays dividends. The best example I can think of is my own hometown sheriff, Maricopa County Sheriff Joe Arpaio. Arpaio has cost the county millions of dollars, has failed to investigate rapes and other serious crimes and abused the power of his office time and time again. But since he puts his low-level jail inmates in pink underwear and feeds them spoiled meat and pledges to round-up illegal landscapers, he gets elected again and again.

We have more people in prison per capita in the U.S. than anywhere else in the world.  We must demand that our politicians get smart — rather than continue to be tough and stupid — on crime. Maybe instead of a War on Drugs — which is, really, a War on Drug Users — we should try to truly battle drug addiction.

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