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They are being forced to reach out to private clinics because of a massive shortage of publicly funded beds. "Any Tom, Dick or Harry" can set up a drug rehab clinic in Victoria, according to Toby Lawrence from Arrow Health. "I've heard a lot of horror stories, we've heard about clients being mixed up in a romantic sense with the people that are providing therapy," Mr Lawrence said. "We've heard about drugs being offered by the therapists to the clients whilst they're in treatment. "We've heard about people not offering refunds or people parting with large sums of money for treatment and not seeing a cent even when that individual leaves after 24 hours." Mr Lawrence's family set up their own rehab centre after struggling to get effective public or private help for his brother, Sam Lawrence, whose life spiralled out of control because of ice addiction. He eventually got clean before dying from an unrelated medical condition in 2015. The horror stories are familiar to former heroin addict Belinda Walsh who also operates a private clinic, Sober Living Housing, in Melbourne south-east. She said staff at other facilities lack even basic training and lives are being put at risk. "I know of services that just have clients that come straight in and become a staff member," Ms Walsh said. "I've heard of services that charge to take people to the doctors … clients have died in their services here in Melbourne." The Victorian Government announced a funding boost earlier this year to deal with the months-long public wait lists — bringing the total number of beds to 340. But the Government must now act urgently to crackdown on shonky operators and provide more accountability, Mr Lawrence said. "People unfortunately are being taken advantage of, people in a very vulnerable position," Mr Lawrence said. "Somebody needs to set the bar and say that this level of care is adequate, this level of care is not." The State Government has previously pointed the finger at the Commonwealth to introduce minimum standards for private clinics. But the AMA argues the state has a responsibility to "protect vulnerable families from exploitative practices" by introducing proper regulation of the sector. It told a parliamentary inquiry earlier this year that if the Government can regulate private rooming houses — the same should done for private residential drug rehab programs. Victoria's Mental Health Minister Martin Foley said the Government would be unable to effectively regulate without national accreditation standards. "We've regularly raised with the Turnbull Government [the need] to get on with the job of finishing national accreditation standards for private rehab services," Mr Foley said in a statement. "Those national standards have sat unresolved for almost four years." Federal Health Minister Greg Hunt has been contacted for comment. Ms Walsh said government regulation would bring peace of mind for families and help separate her service from the shonky ones. "I think there should be a standard of care and I think the people that do the work really well should be acknowledged," she said.
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Initially, Dr. Michael Todd Schulenberg stood accused of prescribing oxycodone to Prince’s bodyguard to supply the music icon with the pills. However, the evidence showed that no one knew Prince was being supplied with counterfeit painkillers containing fentanyl, not Vicodin as Prince thought. The singer was found dead in the elevator at his Paisley Park estate back in April 21, 2016. While fans mourned his passing, Carver County and federal officials got to work investigating the circumstances around his death. An autopsy revealed Prince was killed by fentanyl, a synthetic opioid said to be 50 times stronger than heroin. He was 57. The AP reported that a toxicology test showed he had a fentanyl concentration of 67.8 micrograms per liter in his blood, much higher than the known lethal dosage of 3 to 58 micrograms per liter. Sponsored adThis sponsor paid to have this advertisement placed in this section. In his liver, concentrations were as high as 450 micrograms per liter. “The amount in his blood is exceedingly high, even for somebody who is a chronic pain patient on fentanyl patches,” said Dr. Lewis Nelson, chairman of emergency medicine at Rutgers New Jersey Medical School. Investigators attempted to track down who supplied fentanyl to Prince, but were unable to determine the source. Carver County is "effectively" closing the case, and an AP source revealed that the federal investigation will be inactive until new evidence is revealed. During the investigation, authorities found fentanyl hidden in various misleading containers around Prince’s home, as well as in prescription pill bottles with his bodyguard’s name on it. “Doctors are trusted medical professionals and, in the midst of our opioid crisis, they must be part of the solution,” said U.S. Attorney Greg Brooker. The investigation also revealed that Prince had been struggling with opioids and withdrawal. Six days before his death, Prince had to be revived with opioid overdose reversal drugs at an emergency stop after he passed out on a plane. Paisley Park staff had also called an addiction specialist , Dr. Howard Kornfeld, for help.https://www.thefix.com/prince-thought-he-was-taking-vicodin-not-fentanyl-laced-counterfeit-painkillers
At this point, we create a waiting list in order to start a number of folks together on Module 1. Each inmate receives a Participant Workbook. Facilitators learn how to lead meetings from a Facilitator Manual, along with a DVD that provides self-guided training. Another DVD is used in meetings to illustrate and reinforce important points. SMART offers separate InsideOut programs for male and female inmates. Since implementing InsideOut, we have found that the meetings and program are very helpful for those with longer sentences and more entrenched criminal attitudes and behaviors. “I used to go with the flow, and if someone offered me something I would do it. Now I take responsibility for my choices and stay away from those people.” – DC, 45-year-old man Each meeting runs 90 minutes and includes written material, homework, and group conversations. Group members take turns reading some of the handbook content, which we then relate to participants. Like a good SMART meeting, our group runs best when we (myself and a counselor trainee) just guide the conversation and the group members confront each other, support each other, and ask if they can get out early for doing such good work. Having done most of my clinical work alone, I want to say that having a co-facilitator is extremely helpful. Having two of us in there (one man, one woman) makes the group feel safer, and clients are more likely to identify with the staff members. We also model respectful interaction and collaboration. “I just made that connection! All these years I let resentment build until I relapsed. Now I know I have to deal with my feelings and how to do it.” – BB, 33-year-old man One rule we started early was that anyone who wants to complain about a policy has to first do an ABC on it.https://www.smartrecovery.org/insideout-smart-recovery-prison-inmates/