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How much does substance abuse cost the US?
Alcohol and drug misuse and related disorders are major public health challenges that are taking an enormous toll on our society. Recently more than 27 million people in the United States reported that they are using illicit drugs or misusing prescription drugs, and nearly a quarter of adults and adolescents reported binge drinking in the past month.
The annual economic impact of substance misuse is estimated to be $249 billion for alcohol misuse and $193 billion for illicit drug use. The misuse of and addiction to opioids—including prescription pain relievers, heroin, and synthetic opioids such as fentanyl—have become common chronic illnesses in the U.S.
Although there are effective treatments for opioid use disorder, only about one in four people with this disorder receive any type of specialty treatment. Mitigating the opioid and substance abuse epidemics ravaging our country is a major priority of the Surgeon General.
Is rehab free in New Zealand?
Residential services – Residential services provide a live-in situation. The location of facilities is discreet and your privacy is respected. Who it’s suitable for: For people who have been trying to get off alcohol and or drugs for a long time but don’t feel there are other options left to try.
- You are also willing to live with others who are recovering from alcohol or drug addictions.
- What to expect: Live-in services are available for a set period of time.
- There is provision of ongoing high-level support services.
- Read more about residential treatment centres and watch a video about how it supports your recovery on the Drug Help website,
Provided by: Non-governmental organisations, private clinics. Cost: Most residential services are free. Private clinics charge a fee. If you’re unsure, ask if there is a fee. How to access:
Ask for a referral from your GP or contact your local addiction service provider, Contact a residential service. For contact details, check the Healthpoint Services Directory, If you’re unsure about the options, contact a counsellor for free, confidential advice: Alcohol Drug Helpline contact details
How does alcohol affect a person financially?
The Costs Of Drinking – Not only are the physical and mental health effects from alcohol linked to procuring debt, so are spending habits that can be influenced by alcohol. Alcohol greatly impacts decision making, leading some to spend more at the bar and on drinks than they would choose to do in a clear mindset.
One study found that 46% of Americans who drink have indulged in shopping while drunk. This can be easy to do with the access to online shopping that is available today. In 2017, the annual amount spent by Americans while drunk reached $30.43 billion. The Centers for Disease Control and Prevention (CDC) estimates that, “The cost of excessive alcohol use in the United States reached $249 billion in 2010.” 72% of that total cost is due to losses in workplace productivity, followed by health care expenses at 11%, law enforcement and other criminal justice expenses at 10%, and motor vehicle crashes related to excessive alcohol use at 5%.
The link between debt and alcohol is one of the many negative associations that come from alcohol abuse.
The Costs of Substance Abuse – Substance use is big business. Revenues from the sale of cigarettes, alcohol, and illicit drugs exceeded $128.3 billion or 2.5 percent of GDP in 1998.(2) About 11 percent of revenues from the sale of cigarettes and alcohol are used for advertising which amounts to over $10 billion a year, or $28 million a day.(3) The societal costs of substance abuse in disease, premature death, lost productivity, theft and violence, including unwanted and unplanned sex, as well as the cost of interdiction, law enforcement, prosecution, incarceration, and probation are, however, greater than the value of the sales of these addictive substances (see Figure 1.) Everyone pays for these costs.
- Consumers pay in the form of higher prices for goods and services.
- Employers and employees pay higher health insurance premiums.
- Taxpayers pay higher taxes for the public expenditures of health care, law enforcement, the judicial system, incarceration as well as prevention and treatment programs.
- The price is also reflected in the need for foster care and homeless shelters.
Substance abuse also hinders economic growth and diverts resources away from future investments. Most of the adverse health consequences of substance abuse result in diseases and premature deaths. About 28 percent of all deaths annually can be traced to the use of tobacco, alcohol, or illicit drugs. Of these deaths, tobacco is directly responsible for the largest share.
How does alcoholism affect the economy?
Workplace Costs Because of poor health, hangovers, or other alcohol related problems, alcohol abusers are more likely to miss work than many of their co-workers. Finally, loss of productivity is a strain businesses have to manage with employees that abuse alcohol.
Is it OK to stop drinking immediately?
Before stopping – Firstly, if you think you may be dependent on alcohol, you should consult your doctor or another health professional. You could speak to your GP or a member of their team, or there are a number of national alcohol support services that you can confidentially self-refer to for advice and support.
Being dependent on alcohol means you feel you’re not able to function without it and means stopping drinking can causes physical withdrawal symptoms like shaking, sweating or nausea. If you have these symptoms when you don’t drink, it could be dangerous to stop drinking too quickly without proper support.
Worried you might be dependent? Take our confidential self-assessment test
How many times does the average person relapse?
Unfortunately relapse rates for individuals who enter recovery from a drug or alcohol addiction are quite high. Studies reflect that about 40-60% of individuals relapse within 30 days of leaving an inpatient drug and alcohol treatment center, and up to 85% relapse within the first year.
It is important for individuals who struggle with an alcohol dependence or other substance dependence to acknowledge the high risk for relapse, have an awareness of what their own personal triggers are, and learn to cope with their triggers and emotions in a healthy way. Through an understanding of common risks for addiction relapse, individuals can be better equipped and better able to maintain their recovery.
Here are a list of 10 common triggers that contribute to addiction relapse.1. Withdrawal Many individuals relapse within the first week of stopping their substance use in order to avoid withdrawal symptoms, or thereafter due to post-acute withdrawal symptoms which can last for up to 6 to 18 months.
- Individuals with an alcohol or drug addiction will experience varying degrees of withdrawal symptoms when they stop using their substance of choice.
- Depending on the type of substance used, the quantity of use, the frequency of use, the duration of use, and other factors, withdrawal symptoms will be different on a case by case basis.
Some common physiological withdrawal symptoms may include nausea, hot and cold sweats, restlessness, vomiting, diarrhea, insomnia, and muscle aches to name a few. Withdrawal from substances such as alcohol and benzodiazepines (Xanax, Ativan, Klonopin, Etizolam, etc.) can even be deadly and/or cause seizures.
- As such, it is highly recommended that individuals who stop using drugs or alcohol seek out a medical detox where they can safely and more comfortably get off of the substances they were using under medical supervision and using medically assisted treatments such as Suboxone or Valium.2.
- Mental Health Alcoholism and drug addiction are a problem in and of itself, but there is also a problem underlying the substance dependence.
Without addressing the underlying issues and simply stopping substance use, it is like putting a band aid on severed limb. Oftentimes there are unaddressed or hidden mental health concerns such as anxiety, depression, mania, personality disorders, or post-traumatic stress.
- If an individual receives proper alcohol and drug addiction treatment, therapists, psychiatrists and other addiction specialists will work with the patient to address underlying mental health issues.
- As with alcohol and drug addiction, mental health issues often require long-term attention to sustain recovery.
If mental health issues go unaddressed, or if an individual does not know how to properly cope, they can trigger an alcohol or drug relapse. Individuals with alcohol or drug addiction are not used to experiencing psychological issues such as depression or anxiety without using alcohol or drugs as their primary coping mechanism.
With proper guidance from a mental health professional, and in some cases with the aid of prescribed psychotropic medications, individuals can live a thriving life with a mental health diagnosis.3. People Individuals with an alcohol or drug addiction often surround themselves with likeminded individuals who also enjoy drinking or drugging.
Being around the same people who are engaging in substance use while you are in recovery can trigger a relapse. Part of the recovery process is setting healthy boundaries with friends, family or colleagues who do not respect your sobriety enough to stay sober while they are around you.
Ideally you want to reach a point in your recovery where you can enjoy social gatherings where other individuals are drinking alcohol and not be triggered to relapse, but this often takes time and effort. One should not surround themselves intentionally with other people who are using alcohol or drugs unless they have a stable foundation in their own recovery.
It is also helpful to have a plan in place when surrounding oneself with people who are using alcohol or drugs, and bring a sober support and accountability partner with them when possible.4. Places Bars, liquor stores, wineries, strip clubs, casinos, and parties are some obvious places that individuals in recovery from alcohol or drug addiction may want to avoid, but there are many others.
- The place will be dependent on the individual.
- Any place that you may have associated with your alcohol or drug use is a place you would ideally want to stay away from.
- The impacts of addiction on the human brain are so far-reaching that miniscule things may trigger an individual in recovery that may not even enter their conscious minds.
This is important for individuals in recovery to be aware of, and if they do feel triggered in a “random” situation they may want to take inventory of their surroundings and ask themselves why they are feeling triggered. If an addicted individual was frequently using alcohol or drugs in their own home or apartment, their own residence in and of itself may be triggering for them.
For obvious reasons their own home may not be a place they can simply avoid (although, this is why Sober Homes are very helpful in early recovery). In such cases, it may be helpful to get new furniture or rearrange furniture to allow for a new space that they can correlate with their newfound life in sobriety rather than with their substance use.5.
Things People, places and things, oh my. Yes, we could not have this list without listing things, What exactly are things anyway? Well, first let’s remember how addiction impacts the brain as noted above, and how miniscule things can trigger a relapse, ones that may not even enter our conscious mind.
- For example, glasses clinking, bottles popping, or cans opening may trigger an alcoholic to think of alcohol.
- Credit cards or straws may trigger a cocaine addict or other drug addict to think of their drug of choice, as might a pill bottle or syringe.
- Anything that you associate with your drinking or using is a thing to be mindful of.
Obviously we live in a world where these things are nearly impossible to avoid. In any given situation, with awareness and mindfulness, you can understand why you might be experiencing cravings, understand why you are feeling the way you are, and then properly cope without the use of alcohol or drugs.6.
- Poor Self-Care Self-care is an important part of addiction recovery.
- Proper self-care will make you feel better about yourself, and will be sending a message to yourself that you care about your wellbeing.
- Conversely, poor self-care sends messages to yourself that you don’t care about your wellbeing and can trigger a relapse.
For example, eating a diet that is unhealthy, low in nutrients, and/or high in sugar may result in poor physiological and neurological health that can lead to low mood and cause alcohol or drug cravings. Weight gain can lead to individuals feeling depressed, and trigger thoughts that their substance use might help them lose the weight they have put on.
- Poor sleep-hygiene can leave individuals feeling irritable, stressed, anxious, and experience low mood, which can also trigger a relapse.
- It is important for individuals in recovery to eat well, exercise, meditate, have proper sleep-hygiene, and engage in other such self-care behaviors that support their mental wellness and addiction recovery.7.
Relationships and Intimacy If an individual is not in an intimate relationship when they enter recovery, it is often encouraged to stay out of one for several months or even a year, until they are more stable in their recovery. This is because individuals who are newly sober may try to fill their void with an intimate partner.
There are many other reasons it is encouraged not to date in sobriety. For example, dating and intimacy often involves alcohol, and a newly sober individual may not know how to navigate the dating scene without alcohol or drug use. Additionally, relationships (even long-term relationships that existed prior to recovery) can trigger unpleasant and unwanted emotions that a newly sober individual may not know how to cope with.
Furhtermore, individuals who are newly sober may never have had sober sex, and therefore sexual experiences in recovery can be very triggering. Due to arguments, uncomfortability, or insecurity that relationships can cause, this is an area that needs to be taken with caution by a newly sober individual.8.
- Pride and Overconfidence Sometimes individuals who are new to sobriety experience a pink cloud, or have notions that they will never use alcohol or drugs ever again no matter what.
- They have such bad memories of their substance use, and are enjoying their recovery journey.
- Sure, it is a great feeling when you are confident in your recovery, but keep in mind that everyone is eligible for relapse.
All it takes is a millisecond, being in the wrong place at the wrong time, or just one bad thought that leads to one bad decision. Do not be so confident in your recovery that you are willing to put yourself in risky situations or seek them out to prove to yourself that you can be sober at a party, for example.
Do not become complacent, cocky, or have the belief that you are “cured.” No matter how confident you feel, it is encouraged to follow treatment recommendations and engage in recovery related behaviors and activities, and stay away from people, places and things that are not aligned with your sobriety.9.
Boredom and Isolation Boredom and isolation could easily be listed as the number one reason for relapse by many individuals in early recovery. Any and all down time prior to recovery was usually used getting their substance, using their substance, and recovering from their substance.
- As such, individuals new to sobriety often find lots of time on their hands.
- When one is bored or feeling isolated, they are left with themselves, and as they say, an addict alone is in bad company.
- When one is bored or isolated they are left with their own thoughts and emotions, which often do not want to be heard or felt.
While one should also be cautious to not fill their days with activity after appointment after activity as a means to escape reality and avoid their thoughts and emotions, it is also not healthy to be bored and isolated in early recovery. Spend down time engaged in recovery related behaviors such as exercising (join a fitness or running club), cooking nutritious meals with loved ones, going to recovery related therapy or support groups, or trying new activities and picking up new hobbies.10.
Uncomfortable Emotions In active addiction, when you were tired you used alcohol or drugs. When you were angry you used alcohol or drugs. When you were sad you used alcohol or drugs. When you were lonely you used alcohol or drugs. When you were stressed you used alcohol or drugs. Etcetera. Nobody wants to experience uncomfortable emotions, but they are a natural and normal part of the human experience.
What is not healthy is avoiding such emotions, or even worse, using alcohol or drugs to cover them up and sweep them under the rug. The more we accept uncomfortable emotions and acknowledge that they are trying to teach us something important about our current situation, the better able we are to handle them and cope with them.
- An important part of the addiction recovery process is learning to be aware of emotions, accept emotions, feel emotions, and cope with emotions.
- The longer one is able to maintain their sobriety, the better chance they have at long-term recovery.
- As noted, up to 85% of individuals relapse within their first year of sobriety.
The good news is that the longer one is able to maintain their recovery, the better chance they have at sustaining long-term sobriety. Once an individual is able to maintain sobriety for their first year, their chances of maintaining their sobriety exponentially grows.
- Do not think that just because you attended a 28 day inpatient treatment program you are cured.
- It is highly recommended to seek out outpatient drug and alcohol treatment and have additional support such as a sober coach and/or sober companion.
- Engage in holistic recovery related behaviors and surround yourself with likeminded individuals who care about your wellbeing.
For more information on addiction treatment, therapy and mental health, sober coaching, sober companions, or to inquire about our private concierge therapy services and/or our teletherapy services (online therapy/virtual therapy) in New York City please contact our undisclosed therapy office location in the Upper East Side of NYC today at (929) 220-2912.
Is it hard to stop drinking once started?
When does drinking become a problem? – For most adults, moderate alcohol use — no more than two drinks a day for men and one for women and older people — is relatively harmless. (A “drink” means 1.5 ounces of spirits, 5 ounces of wine, or 12 ounces of beer, all of which contain 0.5 ounces of alcohol.
Alcohol abuse is a drinking pattern that results in significant and recurrent adverse consequences. Alcohol abusers may fail to fulfill major school, work, or family obligations. They may have drinking-related legal problems, such as repeated arrests for driving while intoxicated. They may have relationship problems related to their drinking. People with alcoholism — technically known as alcohol dependence — have lost reliable control of their alcohol use. It doesn’t matter what kind of alcohol someone drinks or even how much: Alcohol-dependent people are often unable to stop drinking once they start. Alcohol dependence is characterized by tolerance (the need to drink more to achieve the same “high”) and withdrawal symptoms if drinking is suddenly stopped. Withdrawal symptoms may include nausea, sweating, restlessness, irritability, tremors, hallucinations and convulsions.
Although severe alcohol problems get the most public attention, even mild to moderate problems cause substantial damage to individuals, their families and the community. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), 6.2 percent of adults in the United States aged 18 and older had alcohol use disorder.1 For example, a government survey revealed that about one in five individuals aged 12 to 20 were current alcohol users and about two in five young adults, aged 18 to 25, were binge alcohol users and about one in 10 were heavy alcohol users.2
What percentage of alcoholics can stop drinking?
7 Alcoholism Recovery Statistics To Know in 2021 –
- About 36% of people suffering from alcoholism recover after one year in one study.
- Approximately 18% of recovering alcoholics achieved low-risk drinking after a year.
- About 18% of recovering alcoholics were able to abstain from drinking completely one year later.
- Recovery rates are less than 36% for people with a severe or lifetime alcohol dependence.
- Around 60% of individuals who are sober for two years after AUD remain that way.
- The majority of former alcoholics who stay sober for five years and over usually stay that way.
- About 12% of Native Americans suffer from a drinking problem.