What's Next in W.Va.'s Fight Against Heroin Abuse?

In some counties in the state, deaths from heroin overdoses have tripled in the past three years, drawing the attention of both lawmakers and law…

In some counties in the state, deaths from heroin overdoses have tripled in the past three years, drawing the attention of both lawmakers and law enforcement looking for ways to combat the problem.

At the statehouse, lawmakers approved the Opioid Antagonist Act during the 2015 Legislative session. The bill expands access to the overdose reversing drug Naloxone, allowing police officers to carry it and also family members and friends of addicts to seek a prescription for the medication.

Naloxone, if followed by more intense medical treatment, can save a person’s life giving them a second chance, according to Joseph Garcia, Gov. Tomblin’s legislative affairs director. Tomblin backed the bill.

But members of both the House and Senate leadership say the new law alone will not decrease the number of heroin overdose fatalities. Senate Majority Leader Mitch Carmichael said that ‘more’ should include a focus on rehabilitative services and a program to drug test those on public assistance.

“Now, it’s not a punitive measure, it’s a compassionate response to identify those who are using illegal drugs and channelthem into some kind of a counseling program,” he said.  

Carmichael introduced a bill during the 2015 session to create a pilot program, but the bill didn’t pass out of committee.

House Speaker Tim Armstead agreed rehabilitative services are important, but he would like to see the Legislature focus on increased penalties for people selling drugs and bringing them across state lines.

“That’s not going to be an easy thing to do, but it’s something we may need to do because if you are making money on a drug trade, you need to be in jail,” he said.

Gary Tennis, Secretary of Pennsylvania’s Department of Drug and Alcohol Programs, said he believes both Carmichael and Armstead can be right.

“I think that we need strong treatment, strong prevention and strong law enforcement,” Tennis said. “I don’t think there’s a conflict.”

Tennis cautioned, however, when Pennsylvania raised the mandatory minimum sentences for drug crimes, a bill he wrote while working as a lobbyist for the state’s District Attorney Association, Pennsylvania saw a drastic increase in its prison population, a problem West Virginia is already working to address.

Andrea Boxill, Deputy Director of the Governor’s Cabinet Level Opiate Action Team in Ohio, has watched the problem grow in her state as well. She urged West Virginia lawmakers to approach  solutions to substance abuse and drug deaths from a regional stand point, working with other states to combat the problem. 

Southern W.Va. Just Days Away from Non-Medical, Inpatient Treatment

While other parts of the state are seeing a rapid increase in heroin overdoses, southern West Virginia continues to battle a prescription pill problem. As access to addiction treatment in the state’s larger cities like Charleston and Huntington grows, rural parts of West Virginia are still struggling with a lack of resources. But in Bluefield, a much anticipated alternative for  recovery is just days away from opening, bringing 20 male beds to southern West Virginia. It’s not much, but those involved expect it to make a difference in the community.

The program at the Four Seasons Recovery Place is modeled after the Healing Place in Huntington. A former school in Bluefield was renovated to make room for 20 men looking to recover from addiction.

Credit Jessica Lilly
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A former school in Bluefield is being renovated to accommodate Four Seasons Recovery Place, an inpatient treatment facility for men.

It’s a non-medical detox facility in southern West Virginia. It’s funded by the West Virginia Justice Reinvestment Act, which covers the first three years of cost allowing patients to access treatment for free.

The state plans to double the amount of beds in the second year and provide space for 60 men in year three.

Patients are referred to and qualify for the Four Seasons program after a run in with the law.

“I was dying to get out I just didn’t know how to get out,” said recovering addict Justin Clark.

Clark spent most of the last 18 years of his life addicted to prescription pain pills. After being arrested for the second time for driving under the influence of drugs, Clark decided he wanted to get clean, and the justice system helped him find a way.

He qualified for and recently completed the recovery program at the Healing Place in Huntington.

Credit Jessica Lilly
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After being arrested for the second time for driving under the influence of drugs, Justin Clark decided he wanted to get clean, and the justice system helped him find a way.

Clark is a replication team member at Four Seasons Recovery Center. He helps determine if applicants qualify for the program. He also serves as a mentor to those receiving treatment.

Clark said he believes in this program because it’s peer driven and based on accountability and unity.

“So for me to give back to my own community for so much I’ve took away for so many years is why I took this job,” Clark said.

Director Terry Danielson is also a recovering addict and has been clean since November 2011. So far, Danielson said taking on this new leadership role has been helpful in his own recovery.

“I don’t care to share my story if that’s what it takes to get somebody to relate,” Danielson said.

Danielson was named the director shortly after the expected director was arrested for failing a drug test.  The Four Seasons Recovery Place is expected to open June 1. It’s located on Preston Street in Bluefield.

Some Judges Say There Should be an Alternative to Sending Addicts to Prison

Drug courts are becoming a more and more popular option for judges dealing with minor drug offenders in West Virginia. Instead of being incarcerated,…

Drug courts are becoming a more and more popular option for judges dealing with minor drug offenders in West Virginia. Instead of being incarcerated, offenders go through a highly structured, highly monitored rehabilitative process overseen by a probation officer and counselor.

Judge Wants an Alternative to Sending Addicts to Prison

Three years ago, Michael Aloi became a circuit court judge in Marion County.

In his first year on the bench, Judge Aloi became more and more troubled by the number of people he was sending to prison for drug crimes.

“You know, I became a judge to make matters better. And I couldn’t feel good about looking from the bench at those in front of me and responding in such a way that I couldn’t leave the bench and then say, ‘what have I done today that’s made things better in their lives, and made the community safer?’”

Then he heard about drug courts, which have been in some West Virginia counties since 2006.

Drug Courts are an alternative sentencing program. Instead of sending an addict to prison, a judge can chooses offenders to enroll in the program so they can receive addiction treatment.

Offering Treatment to Addicts

“If we treat the underlying condition and people in recovery, then they’re far less likely to commit the same crime,” said Judge Aloi.

Drug court programs take a minimum of one year to complete, though most participants take at least a year and a half to finish. Participants undergo drug counseling, complete community service, take regular drug tests, and check in with a probation officer every day.

In W.Va. 1 in 4 Released Prisoners Return to Crime

Travis Zimmerman is a probation officer on Judge Aloi’s drug court team. He used to work in prisons, where he saw addicts get released and then come right back, when they either couldn’t or refused to get treatment.

“So if you just want to put somebody in jail and you want to lock them up for 5, 10 or 15 years, and not do anything with them and not change anything about how they act when they get out, then don’t expect them to come out any different that when you put them in,” said Zimmerman.

In West Virginia, about 1 in four of the inmates released from prison fall back into the habits that put them there in the first place. That’s far below the national recidivism average of 43%.

Former Addict Talks About Finding Recovery

Officer Zimmerman is in charge of supervising 22 Drug Court participants, including 24 year old Ashley, who was addicted to heroin.

“It destroyed my life. I was put in jail over heroin. I almost lost my children.”

Ashley recently regained custody of her three children. She wants them to have the kind of childhood that she never had.

“My mom is also an addict. And my father. And they are also heroin users. My mother’s on probation now, and my father he’s in prison. And my sister is a heroin addict also, and she is also in prison.”

When she was arrested for heroin possession, Ashley went to a 28 day treatment program. When she was released she moved back in with friends who were also drug addicts. Then she failed a drug test and was sent back to prison.

Judge Aloi wanted to send her to longer-term treatment, but she had to wait in jail for five months before a bed opened up.

Changing Friends, Family, Home In Order to Stay Sober

When she got out of treatment, she decided if she was really going to stay off drugs, then she had to leave her old friends and move to a new town.

“It’s probably one of the hardest decisions I’ve ever made. I get homesick still sometimes,” said Ashley.

Judge Aloi says a lot of the people that come through Drug Court don’t have families who can afford rehab.

“And I can’t feel good as a court that we will treat people who are poor, disenfranchised, do not have certain services available to them, different than others of a different socioeconomic group. I think that’s wrong.”

But treating and supervising addicts can be costly.

William Ihlenfeld is the U.S. Attorney for the Northern District of West Virginia. He says Drug Courts  can be very resource intensive for any county, especially in remote areas.

It’s not as easy as saying that we want to do it – we have to make sure the probation office has the people that can supervise the participants in the program. They need to engage and talk to them every day. They need to call them in the evening to make sure they’re not depressed, not high.”

New Law Makes Drug Courts Mandatory in W.Va. by 2016

Now, there are 21 adult drug courts in 38 counties, with three more in development. A law passed by the West Virginia legislature in 2013 requires every judicial circuit in West Virginia offer an adult drug court by July of next year. The law is known as the Justice Reinvestment Act. It’s aimed at taking on the state’s prison overcrowding problems by lowering the mandatory sentences for minor drug crimes and focusing resources on community-based treatment options.

Ihlenfeld says in the long run, these Drug Courts are worth the cost.

“Because the costs of incarceration are much greater. Not just the dollars, but also the cost on society of incarcerating so many people. If we can keep people out of prison, keep them clean, get them back in the workforce then we’re gonna get them out of this storm that we’re in much quicker.”

According to the National Association of Drug Court Professionals, only one in four offenders who go through a drug court program return to prison. Here in West Virginia, some drug courts are even more successful. Jennifer Bailey is the judge in Kanawha County’s program.

“Certainly when you see the people graduate, and you see what they’re doing now, it makes you want to keep going, doing it,” Judge Bailey said.

Recovery Addict’s Advice: Be Grateful, See That it’s Not Too Late

And Ashley was successful. She got her children back, and now she’s engaged to be married. Still, she says she feels the pull of her old life.

“I mean, it’s not easy at all. Still to this day it’s hard. Like if I see somebody else high, sometimes I’ll get jealous, sometimes I’ll feel sorry for them, and sometimes I’ll get disgusted. You know it depends, day by day. It’s still difficult.”

Still, Ashley says she has hope.

“[In NA] they tell you wait for the miracle. Like it says wait and the miracle will happen. Then you come to realize that you are the miracle. Look what you just went through and you’re alive. There is a purpose for your here on this earth. People just need to step back and look at it. Look how grateful they are for the things they do have still. And that it’s not too late.”

Ashley recently celebrated her first full year of being clean since she was 14 years old. She and her fiancé have a new baby girl on the way. The baby is due just before Ashley graduates from the drug court program.

In the interest of disclosure, Judge Aloi, who was featured in this story, is a close, personal friend of Roxy Todd.

If you want information about where to find help for substance abuse in West Virginia, call 1-866-WV-QUITT, contact your local comprehensive behavioral health center, or visit the The West Virginia Prescription Drug Abuse Solutions Program’s website.

For a list of Narcotics Anonymous meetings in West Virginia, click here.

Heroin Trafficking in Berkeley County: Rampant, Devastating…Could Naloxone Be the Answer?

As law enforcement officials are increasingly turning their attention to the growing problem with heroin in West Virginia, many of them have strong…

As law enforcement officials are increasingly turning their attention to the growing problem with heroin in West Virginia, many of them have strong opinions on the legislation that provides greater access to Naloxone, an opioid antagonist that combats the effects of an overdose. That bill, which goes into effect Wednesday, will allow police officers to carry the medicine. But some law enforcement officials believe that increased access enables heroin users.

Kenny Lemaster is the sheriff of Berkeley County. We’re parked in a small parking lot across the street from a bar on the outskirts of Martinsburg. In the bar’s parking lot there’s a group of three young men wearing hoodies and jeans. They’re standing in a circle beside an old, rusting car. The sheriff pulls out his binoculars to get a closer look at what the men are doing. This small group could be totally innocent, but Sheriff Lemaster is suspicious. He says this scene could easily turn into an arrest for dealing heroin.

Lemaster didn’t end up making any arrests, but he says he doesn’t take any chances when it comes to certain areas in Martinsburg.

“It’s just another way to say it’s okay to use drugs, cause we’re going to treat you if you do. We’re going to help you if you are using drugs. It’s kind of like giving the nod saying, yeah it’s alright, we’ll take care of you. I believe in saving people’s lives, but at what expense do you keep giving in and allowing people to break the law to use such things?” – Berkeley County Sheriff Kenny Lemaster on Naloxone; the opioid antagonist.

Heroin trafficking in Berkeley County, specifically in areas of Martinsburg, has started to increase in the past ten years. As more and more businesses and families moved to the ever-growing region, so did heroin.

“I think it’s everywhere,” Lemaster noted, “It’s just more prevalent here, because of our location as far as DC and Baltimore, I mean I think Washington County, Frederick County, they have about the same thing with the same problems, or similar problems, it’s just that maybe those aren’t quite as bad. You know per capita, we probably have less police officers that are working on the issues compared to maybe those jurisdictions.”

To combat the growing heroin problem, Lemaster’s department has teamed with the State Police, Martinsburg Police Department and others to form the Eastern Panhandle drug task force. The sheriff says the size of the task force is a problem, though. Just 12 officers in the Eastern Panhandle have been given the special assignment.

U.S. Prosecuting Attorney William Ihlenfeld, from the Northern District of West Virginia, says heroin use in Berkeley County is the second highest in the state, right after Cabell County.

Both Ihlenfeld and Sheriff Lemaster say the heroin coming into the county almost exclusively comes from Baltimore, which Ihlenfeld believes could be the heroin capitol of the country.

“We have people from West Virginia who drive to Baltimore every single day – or to the outskirts of Baltimore every single day. And the reason why is because it’s cheaper to buy it in Baltimore than it is to buy it in West Virginia,” Ihlenfeld explained, “And so the user wants to go to a bigger city like Baltimore or Pittsburgh. They’re only gonna drive so far, but they will drive long distances, they will drive hours in the car, and they’ll travel to a bigger city cause they can get more for their money.”

Because it’s close to Baltimore, Philadelphia, and D.C., Ihlenfeld says Berkeley County is perfectly positioned for both addicts looking for cheap drugs and dealers looking for new customers.

But the same can be said for many areas of the state. Huntington in Cabell County is dealing with the same issues.

“We have become a distribution center here,” said Jim Johnson, the Director of the Huntington Mayor’s Office of Drug Control Policy, “You know, as you follow heroin if it comes Mexico to Phoenix to Chicago, Detroit, Toledo, Columbus, Huntington. We’ve become a distribution center and that’s why we say if we move drug dealers off of First Street in Huntington and they move to First Street in Kenova or Barboursville, we’ve still got the same problem.”

Johnson says Huntington has made great strides over the past few years in combating the flow of drugs into the area by working, much like they do in Berkeley County, with other law enforcement agencies as drug task forces.

High drug traffic comes with being a transient city, Martinsburg Mayor George Karos says. He believes movement through the county helps boost the local economy, but he says it helps boost the illegal drug activity as well.

“Back in the late 70s or early 80s, we had a fantastic drug problem here,” Karos explained, “Federal helicopters came in early in the morning, federal prosecutors were here, local DEA teams were here, the drug task force were here. They made several, several arrests early in the morning, took them to federal court, they were in prison, and it cleared up for a while. And I’m sure it’s going to happen with the heroin problem. It’ll get cleared up, but it’ll be a lapse, there’ll be a period there everything will be quiet, but it’ll come back again. It seems like it just moves from one area to another area or from one community to another community.”

Karos believes the opioid antagonist bill approved by lawmakers this legislative session is the answer to many of Martinsburg’s drug trafficking issues.

The bill gives not just emergency responders, but also friends and family members of addicts access to a drug called Naloxone. Administered either through a shot or a nasal spray, the drug reverses the symptoms of an overdose, saving lives.

But Sheriff Lemaster is skeptical access to the medication will make a difference to the amount of drugs being brought across the state line.

Still, Mayor Karos is optimistic the drug problem in Berkeley County will clear up. After all, cities like Huntington are starting to make some progress. But he also says, the drugs will never fully go away, just be controlled.

Bill Expanding Access to Life Saving Drug Takes Effect Wednesday

As Republican lawmakers prepared to take the helm of both the state House of Delegates and Senate for the first time in more than 80 years this…

As Republican lawmakers prepared to take the helm of both the state House of Delegates and Senate for the first time in more than 80 years this legislative session, they were questioned over and over again about their priorities. Those priorities became clear on the first day of the session when Speaker Tim Armstead and Senate President Bill Cole introduced the first 15 bills their party would pursue. 

Number nine of those 15: the Opioid Antagonist Act. 

“So many families have been affected by [addiction],” Armstead said of the bill. “Addiction to drugs is a huge challenge for our state and if we’re going to really put our house in order and move our state forward, we have to address it.”

While versions of the bill were introduced that first day in both chambers, the bill lawmakers ultimately approved came from Democratic Gov. Earl Ray Tomblin, whose family has also been affected by the drugs.

The Legislation:

  1. Expands access to Naloxone from EMTs and paramedic to all first responders, including police.
  2. Allows family members and friends of addicts to obtain a prescription for Naloxone from a health care provider.
  3. Calls on that health care provider to prescribe the medication “in good faith,” meaning that the person receiving the prescription intends to use the drug  for a good reason.
  4. Provides immunity from any legal action to both prescribers and administrators of Naloxone.

Naloxone is an opioid antagonist, meaning the drug reverses the effects of an opioid overdose. Opioids include drugs like oxycodone, hydrocodone and heroin.
It can be administered either through an autoinjector or nasal spray and, once in a person systems, coats the opioid receptors in the body blocking the drug. If followed with more medical treatment, the drug can save a person’s life.

“The leadership team thought this saves lives,” Senate Majority Leader Mitch Carmichael said, but not everyone saw the passage of the bill that way. Some lawmakers thought the expansion of Naloxone looked as if they were condoning drug use.

“Other states have done this and implemented it. It’s not like we’ve got some radical agenda here,” Carmichael said, “and it was the right thing to do.”

The bill takes effect Wednesday, May 27.

What is an Overdose? ER Doctor Explains

Derek Harman practices family medicine in Logan County, but he's also been an emergency room physician. He got his medical degree in 2008 from the School…

Derek Harman practices family medicine in Logan County, but he’s also been an emergency room physician. He got his medical degree in 2008 from the School of Osteopathic Medicine, in Lewisburg, and completed his residency in Virginia, in 2013.

 

Even at a young age, Harman has seen his fair share of overdoses.

Heroin is a respiratory depressant, and Harman said people who overdose can have shallow breath and a low number of breaths.

“You do not have enough oxygen to feed the body,” Harman said, “and usually opioid overdoses, and heroin overdoses included, people succumb to respiratory distress and then arrest and then death.”

 

But diagnosing an overdose can often be tricky.

 

“Anytime someone comes into the emergency room, there’s a whole slew of things that you go through,” he said. “It’s very algorithmic.”

 
Harman described looking for things like track marks, pain patches and talking to paramedics or any friends or family members that might be present for more information about the patient.

 
“Someone could have a stroke that could present similarly. Low glucose can present in a very same fashion.  But it is a guessing game at the beginning,” he said.

 
Still, Harman said, time is of the essence when dealing with an overdose. That’s why he often relied on the opioid antagonist Naloxone, or Narcan, in the emergency room. The drug coats pain receptors in the nervous system, allowing an overdose patient to start breathing again, but one injector is not always enough. 
 
“An initial dose of Narcan at home for example is often not enough to overcome the complete dosage of heroin or opioids,” he said. “So, these patients if given Narcan in the field still need to come to the emergency room because those opioids can again reattach to those receptors after Narcan has worn off.”

 
A state law taking effect Wednesday, May 27, will allow family members and friends of addicts to get a prescription for Naloxone. The bill also calls on all first responders, not just EMTs as in the past, to carry the drug. 

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