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Substance Abuse and Recovery in Plantation

Plantation is a principal city in Broward County in South Florida. Drugs flow through Florida up from South America, so it’s no surprise that drug abuse is a major issue in the region.

Cocaine availability has increased in recent years, and most of it comes up from Colombia. Cocaine abuse in Florida was rampant back in the 1980s during the infamous Miami drug wars. Overdose deaths related to cocaine peaked in the early 2000s but then seemed to drop off. Production of the dangerous white powder is up at record levels again today.

Overdose fatalities involving cocaine spiked close to 30 percent from 2014 to 2015 in Miami-Dade, Broward, and Palm Beach counties, up to 614 deaths. This made cocaine-related overdose fatalities second only to fentanyl.

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Opioid drugs are a major public health concern in Florida. Per the Sun-Sentinel, in Broward County alone, 180 people died from an overdose involving the potent and powerful synthetic opioid fentanyl in 2016. Fentanyl can be made in clandestine laboratories, and due to its high potency, it is killing people quickly. It is believed to be a major contributor to the spike in overdose fatalities in southern Florida in recent years.

Heroin is an issue as well. In 2017, heroin was a factor in 85 percent of the 1,642 overdoses treated in emergency rooms in Broward County.

Alcohol is the primary substance of abuse for residents of Broward County as around a third of all people admitted to addiction treatment programs cited it as the primary drug of abuse in 2015. Marijuana was the primary drug of abuse for adolescents, as more than 90 percent of residents under age 18 reported it as their top drug of choice.

Prescription opioids and synthetic cathinones, or bath salts, are on the radar as cause for concern in Broward County and South Florida. Benzodiazepine drugs, especially Xanax (alprazolam), are also being misused in the region. They are commonly combined with other drugs and involved in overdoses.

Treatment resources in Plantation for drug abuse and addiction begin with preventative measures that include federal actions, statewide measures, and community-based operations. Treatment programs in the area include both private and public providers that offer a host of services to carry individuals into recovery. Aftercare and recovery support services are part of the addiction treatment landscape in Plantation as well, offering ongoing encouragement for sustained sobriety.

LOCAL DRUG ABUSE PREVENTATIVE MEASURES

Resources based around drug abuse and addiction often look to address the root of the issue and begin by taking measures to prevent future drug use and abuse. This can be done through awareness campaigns and educational programming.

The Substance Abuse and Mental Health Services Administration (SAMHSA) funds a grant program that provides money to help states with preventative measures. Broward County, Florida, is a recipient of funding through the Florida Partnership for Success (PFS) grant program, which aims to improve state and local prevention measures and reduce overall substance abuse.

The goals of FPS include attempts to minimize underage drinking and alcohol consumption for Floridians between the ages of 12 and 20, prescription drug misuse in teens and young adults ages 12 to 25, and abuse of nonmedical opioids in residents 26 and older.

The Florida Alcohol & Drug Abuse Association (FADAA) offers a variety of resources and information on drug and alcohol abuse and aims to positively impact policy issues. Prevention efforts are provided at local schools through the Prevention Partnership Grant (PPG).

On a local level, the United Way of Broward County Commission on Substance Abuse (UWBCCSA) is a coalition striving to promote healthier communities by educating the public on the hazards and consequences of drug abuse. They offer education and resources to families and individuals, working to minimize drug abuse in the region.

Additional prevention efforts center around the opioid epidemic and attempts to raise public awareness and prevent prescription drug diversion and misuse. Programs like the prescription drug monitoring program (PDMP), the Electronic-Florida Online Reporting Of Controlled Substances Evaluation Program (E-FORCSE), track the dispensing of controlled substances to keep these potentially dangerous drugs from being misused.

Florida also passed the Controlled Substances Bill, which enforces stricter regulations on the prescription of controlled substances. The law also enhances the scope and use of E-FORCSE to ensure that providers are helping to track potentially harmful patterns of dispensing these substances. Educating medical professionals on the hazards of these drugs and what to look for in terms of drug misuse can be useful in prevention efforts.

TREATMENT FOR DRUG ABUSE AND ADDICTION IN PLANTATION

Public substance abuse treatment services in Florida are managed through the Substance Abuse and Mental Health (SAMH) Program, which serves as the statewide authority on substance abuse and mental health services. Treatment for drug abuse and addiction in Plantation, and for residents of Broward County, is managed through the Broward Behavioral Health Coalition (BBHC) as the designated local managing entity by the Florida State Department of Children and Families (DCF). BBHC, under the DCF, oversees a large network of community-based public providers offering a range of detox, treatment, and recovery services.

As published in the Combined Behavioral Health Assessment and Plan, services include: prevention and outreach, assessment, case management, crisis and intervention services, rehabilitation covering both residential and outpatient programs that offer group and individual counseling, medication management, medical treatment, and ancillary services that can provide transitional housing, aftercare programs, and recovery support.

To be eligible for public treatment services in Florida, individuals must:

  • Be residents in the local area of the program
  • Be below federal poverty standards for free treatment
  • If not applicable, then payment is arranged on a sliding scale
  • Not qualified for services Medicaid covers
  • Be part of the priority/targeted populations

The Marchman Act allows residents within Florida the ability to have a family member or loved one involuntarily committed into a substance abuse treatment program when they present a hazard to their own person or to others because of issues involving drug abuse and addiction.

Public treatment services are provided in priority order to specific populations. For example, children battling addiction, individuals with children who may be at risk due to parental substance abuse and/or addiction, those who are court-ordered into treatment, people who have co-occurring medical and/or mental health disorders and addiction, individuals within specially designated populations, and those battling addiction with a history of IV (intravenous) drug use will be given priority for public treatment programs in Plantation.

Public treatment services can have long waiting lists and limited beds. Often due to these wait times, private treatment may be preferable. Private providers in Plantation and the surrounding areas often accept insurance as a form of payment. These providers can often offer additional services to a wider population base.

NFORMATION ON CRISIS AND RECOVERY SERVICES

The  Opioid State Targeted Response Project in Florida aims to increase treatment access for residents and improve evidence-based opioid drug abuse prevention models, community-based treatment services, medication-assisted treatment services, and recovery support programs and offerings. The opioid overdose epidemic in Florida prompted Governor Rick Scott to declare a state of emergency and to issue an executiveorder to try and minimize opioid overdose fatalities.

The Good Samaritan Act and House Bill 249 are designed to offer criminal immunity for residents reporting an overdose or attempting to reverse one. There is a standing order in Florida that provides access to the opioid antagonist and opioid overdose reversal drug Narcan (naloxone) at local pharmacies, so both first responders and laypeople can obtain it without a prescription. Any individual can go to a local pharmacy in Plantation to obtain the potentially life-saving medication.

Local addiction treatment services span from crisis through to aftercare, helping to enhance the overall well-being of the community. Additional resources for crisis services, treatment information, and recovery support in Plantation include the following:

RESOURCES AND SUPPORT IN PLANTATION

Sources

(May 2017). Cocaine Comes Roaring Back to South Florida- and Then Some. Sun-Sentinel. from http://www.sun-sentinel.com/news/florida/fl-reg-cocaine-surge-fueling-overdoses-20170523-story.html

(October 2017). Fentanyl Fuels Rise in Drug Deaths in South Florida. Sun-Sentinel. from http://www.sun-sentinel.com/news/florida/fl-reg-overdose-death-report-20171016-story.html

(June 2016). Drug Abuse Trends in Broward County, Florida Annual Report: June 2016. United Way of Broward County Commission on Substance Abuse. from https://www.overdosepreventionstrategies.org/wp-content/uploads/2015/03/2016-Broward-Substance-Abuse-Trends-Report.pdf

(2014). Florida Partnership for Success (PFS). Florida Department of Children and Families. from http://www.myflfamilies.com/service-programs/substance-abuse/florida-partnership-success-pfs

(2018). Florida Alcohol & Drug Abuse Association. Florida Alcohol & Drug Abuse Association. from https://www.fadaa.org/

(2014). Prevention Partnership Grants (PPG). Florida Department of Children and Families. from http://www.myflfamilies.com/service-programs/substance-abuse/prevention-partnership-grants-ppg

(2018). Drug Free Broward. United Way of Broward County. from http://www.drugfreebroward.org/

(August 2018). E-FORCSE Homepage. Florida Health. from http://www.floridahealth.gov/statistics-and-data/e-forcse/index.html

(2018). Florida Take Control. Florida Health. from http://www.flhealthsource.gov/FloridaTakeControl/

(2014). Substance Abuse. Florida Department of Children and Families. from http://www.myflfamilies.com/service-programs/substance-abuse

(2018). Broward Behavioral Health Coalition (BBHC). BBHC. from https://bbhcflorida.org/

(2014). Treatment for Substance Abuse. Florida Department of Children and Families. from http://www.myflfamilies.com/service-programs/substance-abuse/treatment-and-detoxification

(August 2017). Florida Uniform Application FY 2018/2019- State Behavioral Health Assessment and Plan Substance Abuse Prevention and Treatment and Community Health Services Block Grant. Center for Substance Abuse Prevention Division of State Programs. from http://www.dcf.state.fl.us/programs/samh/docs/DRAFT%202018%20Combined%20Behavioral%20Health%20Assessment%20and%20Plan.pdf

(2003). Marchman Act Handbook 2003. State of Florida Department of Children and Families Substance Abuse Program. from http://www.dcf.state.fl.us/programs/samh/SubstanceAbuse/marchman/marchmanacthand03p.pdf

(2014). Florida's Opioid State Targeted Response Project. Florida Department of Children and Families. from http://www.myflfamilies.com/service-programs/substance-abuse/samh/treatment/opioidSTRP

(February 2018). State of Florida Office of the Governor Executive Order Number 18-47. Department of State. from https://www.flgov.com/wp-content/uploads/orders/2018/EO_18-47.pdf

(2017). CS/CS House Bill 249. Florida House of Representatives. from http://www.myfloridahouse.gov/Sections/Documents/loaddoc.aspx?FileName=_h0249er.docx&DocumentType=Bill&BillNumber=0249&Session=2017

(2018). 2-1-1 Broward. 2-1-1 Broward. from http://211-broward.org/

(2018). United Way Broward. United Way of Broward County. from https://www.unitedwaybroward.org/

(2014). Get Help. Florida Department of Children and Families. from http://www.myflfamilies.com/service-programs/substance-abuse/get-help

Broward Connections Guidebook- A Guide to Behavioral Health Services. Broward Connections. from https://www.browardconnections.org/substance-abuse-1.html

Carrying the Message of Recovery in Central and North Broward County Florida. Gold Coast Area of Narcotics Anonymous. from https://www.goldcoastna.org/

Broward County Intergroup, Inc. Serving… Alcoholics Anonymous Broward County Florida. Broward County AA Intergroup. from http://www.aabroward.org/index.asp

Florida Association of Recovery Residences (FARR). Florida Association of Recovery Residences. from http://farronline.org/

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