Advocates for Recovery through Medicine (ARM)

needs your help . . . . .

armorg@comcast.net or call(615) 354-1320

beth@methadonetoday.org or call (810) 250-9064

ARM--Web Site:  http://hometown.aol.com/ARMMAT/index.html


ARM--New Methadone Advocacy Group!

ARM--Getting Started, Planning for the Future
 
 

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SPECIAL ANNOUNCEMENT

"ARM" -- NEW METHADONE ADVOCACY GROUP!

   A new advocacy group for opiate agonist therapies (like methadone, LAAM,  Buprenorphine, and others that may come along) is ready to make this announcement to tell you about ourselves and reach out to YOU for your support.   We have received a grant from the Drug Policy Foundation to form a national organization aimed at changing the policy regarding Opiate Agonist (OA) treatment, thereby improving the lives of methadone patients everywhere in the country.  Our name is Advocates for Recovery through Medicine (ARM).
 

About ARM and You

 ARM is the creation of many long-time advocates who saw the need for a national organization to support their needs and requests for assistance in the educational/media/political arenas.  Without an expanded membership, we are all simply lone persons trying to convince elected officials that OA therapy is a viable, effective, and lifesaving treatment for victims of narcotic addiction.  Although we have reams of  medical, scientific, and socioeconomic data to prove those assertions, that is not enough.  ARM  needs you to add your voice to the tens of thousands of other voices we know are already out there.  Then we will be heard by those in a position to change the current prejudicial, stigmatized, in some cases incompetent, and frequently uneducated and ignorant attitudes that exist -- those that, in turn, affect every OA treatment patient at the patient level.

 With one very large voice, composed of  many individual voices, we will be spreading our  message by disseminating information and engaging in activities designed to simply force policy makers do the right thing, both under the law and in accordance with medical standards of care.  With the addition of YOUR voice, we can fulfill our mission much more quickly, effectively, and with greater authority as a group that will soon become well-known to all these entities and with a reputation that we have credibility and mean business.
 

The Community and ARM

 ARM intends to use that voice in a way that will benefit both those in need of treatment and those who simply want a safer, more stable community.  Many do not realize that when OA treatment is offered within a certain community, the addict-related crime drops significantly.  Methadone advocacy has now reached a time when, by working as a large, focused group, we can change the way we all think about this highly effective treatment.

       Despite the fact that methadone, the most common form of OA treatment, is endorsed by organizations such as the National Institutes of Health, the Institute of Medicine, American Psychiatric Association, the American Medical Association, and even the current Drug Czar, as well as dozens of other well-respected and well-known medical societies and individuals with expertise in the field, only about 1 in 10 addicts avail themselves of this treatment.  We believe that is in part due to unavailability of treatment slots in many areas (and even entire states), but also because the "clinic system" as it now exists is not designed to meet the needs of those who are serious about recovery and who demonstrate long-term compliance with the most stringent regulations imaginable.

 Methadone and LAAM have been totally segregated from the rest of the medical community and are thereby stigmatized. The medical community is woefully ignorant about the true facts of OA therapy, which is well established because of the decades of research done on the effects of methadone.

The result of this has been to further lower the self-esteem of MMT patients in general and to discourage many individuals who are most in need of this treatment from seeking it out.
 

The Clinic and ARM

 The clinic system that was supposed to protect us has also emerged as a harshly punitive system, with many clinics adopting attitudes that tend to intimidate patients into following the rules and, more generally, treating their patients with very little respect. There are rare and refreshing exceptions to this generalization, but even the "best" clinics, those that are most patient-friendly and respectful, are still stuck with a bureaucratic haze of regulations that make no sense in many patients' cases and that increase the cost of this nonetheless comparatively cost-effective treatment.  But the worst "cost" is to the patients themselves and the way this long-term overregulation and maltreatment of patients is known in the addict community and causes active addicts to refrain from seeking help and recovery through OA treatments.  ARM believes that just as punitive measures and intimidation are inappropriate in other medical treatments, they are inappropriate in this treatment as well.

 Active addicts in some areas, who cannot commute the 75-200 miles to the nearest clinic, are not able to conform their hours of employment to many clinics' unusually short, nonnegotiable hours of operation.  They also may not be able to afford the $50-$100 weekly clinic fee.  These addicts comprise the majority of the market for illicit methadone--not the person who has never taken opiates.   And, like a Catch-22, anti-methadone groups frequently point to incidents of methadone diversion as a reason not to increase the availability of this highly effective medication.  Of course, this is completely backward.  This is just one of the many disenfranchised groups ARM seeks to help by fully integrating OA treatment into the wider medical community.  We believe that by removing many of these barriers, we can greatly enhance the lives of so many people who need this treatment but simply cannot live with the daily intrusion of clinic attendance, especially after proven stability has been reached.
 

The Stigma

 OA treatment has been scientifically researched and proven to be the most effective means of stabilizing an opiate addict and reintegrating him or her into society as a productive and functioning citizen (as is the case with so many stabilized methadone patients with whom the "public" is typically unfamiliar--again, because of the stigma). And while ARM in no way believes that OA treatment should be the only choice available to an opiate addict seeking treatment, neither do we see any reason to treat this medical success story with the shame and stigma that has become associated with it for little or no reason whatsoever except the ignorance of people making the policy choices in the area of chemical dependency treatment in general and treatment of opiate addiction in particular.

 And if an opiate addict does make the choice to treat his/her chronic and fatal (if untreated) disease with OA therapy, then that treatment should be as patient friendly as any other legitimate medical treatment for any other chronic, relapsing disease.  Many people seem not to know, or are unwilling to accept, the fact that the field of medicine has identified narcotic addiction as a disease.  Many of these people would like to keep "the argument" on a moral plane rather than the health issue that it is.
 

What You Can Do

 We hope you will join us in calling for a change in the current policy of segregating OA therapy from other medical procedures and practices.  We want the chance to also educate individual physicians to the facts about OA treatment--not the stigmatized myths that are currently in vogue. This change will benefit not only the addicts who need this therapy but also their families, friends, employers, and the surrounding community.  It is a win-win situation for everyone involved.

 If you are interested in helping ARM achieve these goals, we have two areas of activity:

 (1) First, we need volunteers at the state and regional levels (our current plans call for 5-6 "regions" managed by a Regional Manager who will have to be a very committed and talented volunteer.
 We are then seeking volunteers from each state, and we can use several in each state because there is so much to do.  People in all  these positions will have access to real support at the national level, particularly in terms of getting you the materials you need to do the job (we are currently in the process of preparing those materials, but it shouldn't be long before we are ready to take applications for specific volunteer positions).

 These positions are not limited to methadone patients exclusively.  We would like to involve the families and friends of patients when possible.  If you as a patient have a good relationship with your family doctor, counselor, spiritual advisor, or other person, we welcome all who are in harmony with ARM's mission to become involved in this endeavor.

 Please look to future editions of Methadone Today for specific "job descriptions" and how to apply.  But if you already think that such a position might appeal to you, please send us some initial contact information so we know how to get in touch with you when we begin filling these slots and just in case you miss the MT edition that contains the job YOU want.

 (2) Although we are going to be operating under some grant monies, they will by no means cover all the expenses we will incur.  We are looking for people who are willing to pay dues or have fundraising experience or ideas. There are several levels of membership, including clinic membership, but details are being worked out.  If you think you might like to help ARM in this way, please contact ARM arm-org@home.com or call (615) 354-1320.
 Remember, you do not have to give a lot of time to ARM.  You may only have a few hours a month available to donate.  We can still use you as long as you are reliable.  Everyone needs to help a little for this to work.

 ARM is staffed by a number of very experienced and dedicated people. Please feel free to write to ARM in care of Methadone Today (address and E-mail on last page), and one of the staff will at least attempt to answer any specific questions you might have about our exciting new organization!

Thank you for your interest,
 From the current active members of the Board of Directors: Carole Larsen, Esq.; Beth Francisco, Editor; Malcolm Dickson; & Robin Robinette.

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ARM--Getting Started Planning for the Future

by Malcolm Dickson
 The methadone advocacy group, Advocates for Recovery through Medicine (ARM), is moving forward after a recent meeting of the Board of Directors in Detroit, Michigan.  Since it was also the first time the founders of the group have ever met each other in person, it was an auspicious occasion indeed. It is also a sign that ARM will soon be active in furthering the education of those in positions to make changes through focused efforts where education is desperately needed.

 ARM is planning to operate as a methadone advocacy organization as opposed to a patient advocacy organization. NAMA has always been, and will continue to be, the pre-eminent patient advocacy organization, and ARM plans to  be a cooperative entity designed to hasten the goals on which NAMA has been working so diligently for years.

 It is obvious that many, many people across the country need to be educated as to the facts about methadone, and ARM hopes to become an integral part in the educating of America.  With a cooperative effort, there will undoubtedly be more attention focused on our plight. That attention from the public and the mainstream medical community is our chance to educate them both and end the ignorance and fear that surrounds methadone treatment.

 ARM is proud of the fact that it was started strictly over the Internet.  Even though some of the original people involved in getting things started lost interest over time, a core group believed so much in what we were doing that we overcame the obvious obstacle of being geographically separated by thousands of miles and persevered.  It proves just how dedicated ARM is to seeing methadone maintenance become a routine medical treatment instead of an anomaly so abhorrent it must be practiced in a separate building under totally separate rules and regulations!

 The meeting in Detroit, held March 12-14, was a very successful session.  Since ARM's plan is to take its effort nationwide, some very intricate planning will be involved.  It was agreed upon that a national effort, with media participation, coupled with a local effort in every possible town and city, would be an effective way to educate the greatest number of people possible.  While such a plan is obviously very ambitious, ARM believes that enough people already exist who are aware of the facts and are willing to share those facts with their friends and neighbors.

 ARM feels that one way to educate the masses is to put a face on methadone.  If the Special Education Teacher in Illinois, the Medical Doctor in Pennsylvania, the College Professor in Michigan, and the PTA President in Florida would all come forward and talk about how methadone saved their lives, the public's opinion would change a great deal.

 In other words, it is up to us--the patients and the family and friends of methadone patients.  Those of us who are living a stable life, working and supporting a family, integrated in our community, tasked with responsibility that we live up to all because we found methadone at a desperate time in our lives--it is up to us to come forward and tell people.  Stop hiding that part of our lives and step up and admit that methadone helped us become stable citizens.  This will make it much easier on the next person to admit.  Think of how many people didn't get help because methadone maintenance is so burdened with regulations that are needless and oppressive.  You can change that fact.  Join ARM and help us make methadone normal medicine.

 Even if you are not able to "go public," there will be other focused efforts to educate groups of people.  We still need members who can help us with daily tasks, planning, organizing, etc.

 If you would like to help, please notify ARM arm-org@home.com or call (615) 354-1320. We need you if you have two hours a week or sixty hours a week to donate.  The main qualification is reliability.  If you are reliable and do what you say you will do, we need you.

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