Recovery During COVID-19: Tips for Women Returning to Work

Recovery During COVID-19: Tips for Women Returning to Work

U.S. Chambers recovery covid 19

One of my proudest accomplishments in 2019 was the opportunity to contribute my expertise to the U.S Chamber of Commerce Foundation’s Sharing Solutions campaign. Over the course of several months, I embarked on a National Tour where I addressed business leaders on their approach to being part of the solution to combat the opioid crisis in communities hit hardest by the epidemic. The goal of the campaign was to raise enough awareness on the local level to reach national business leaders. This is an active undertaking I am making strides towards as a member of the Advisory Board for the U.S Chamber of Commerce Foundation today.

To help in this cause, it is imperative we bring awareness to populations disproportionately prone to substance use disorders, such as the increased number of working women, and share what businesses can do for women going through recovery while unexpected new life changes arise during the COVID-19 pandemic. Undergoing recovery during a time of uncertainty and isolation, feelings resulting from COVID-19, have posed new challenges for women who are experiencing significant life-changing scenarios we call the “new normal”. Whether it is balancing life at home with essential work, stresses with going into the office every day, returning back to the office after months working remotely, or actively looking for new work after a furlough or layoff, women in recovery are at heightened risk for relapse during this time.

Our focus on substance use disorders disproportionately affecting women is continuing to increase at a much faster rate in recent months due to the pandemic but has been on the rise according to this 2017 report from the Center for Behavioral Health Statistics and Quality (CBHSQ) of the Substance Abuse and Mental Health Services Administration (SAMHSA). According to the report, in the United States, 8.4 million females misused prescription drugs and 19.5 million females aged 18 years old and older have used illegal drugs. Of these women surveyed, their reasoning for using illicit drugs in the past, or present, was to mask symptoms of depression, anxiety and fatigue (NIDA, 2019). According to the Centers for Disease Control and Prevention (CDC), increased fear and anxiety are among the top mental health concerns we are seeing during the pandemic.

According to the National Institute on Drug Abuse (NIDA) at the National Institutes of Health (NIH), differences in sex and gender impact the progression that both women and men experience when using and misusing opioids. Results from the most recent 2019 National Survey on Drug Use and Health from SAMHSA highlighted that the percentage of people aged 12 or older with a past year substance use disorder remained stable from 2015-2019. Among the 20.4 million (both women and men) reported in 2019 with a substance use disorder, 71.1 percent were affected by alcohol use disorder, 40.7 percent an illicit drug use disorder, and 11.8 percent both an alcohol and illicit drug use disorder. On the heels of National Recovery Month, mental health organizations are working to bring awareness for those who are affected by a substance use disorder or know someone who is affected.

COVID-19’s negative impact on the average working woman and their family situations can further prompt a substance use disorder or relapse in women in recovery. According to the COVID-19 Impact two-thirds of parents have changed their childcare arrangements due to the pandemic, which has led to added stress in the home. This has increased the concerns for being let go from one’s job due to the inability to manage the balance between their children’s academics and their workload.

We’ve compiled a list of recommendations for business leaders who are looking for ways to foster protocols that make work transitions easier on their employee, all of which provide peace of mind during life’s stressful events:

  • Work with your company personnel to develop an action plan best suited for their level of comfort and openly discuss these protocols, make it visually apparent in the office, and periodically ask staff for feedback.
  • Provide consistency in the office. Brainstorm midday or mid-week breaks where employees can gather together, have open discussions or participate in mindful meditations as a group to help ensure everyone is in this together.
  • Encourage open dialogue for employees, especially with managers. Look for ways to support this dialogue so that everyone feels connected and welcomed to reach out with any concerns.

At The Bizzell Group, one of the ways we are taking an active approach to raising awareness of substance use disorders in women is by partnering with the U.S. Department of Health and Human Services (HHS) Office of Women’s Health (OWH) to support the Combatting Opioid Misuse Among Women and Girls: Prevention Strategies at Work. 18 grantees and 75 participants discussed projects in 12 states focused on preventing substance use disorders for girls ages 10 to 17, women of reproductive age, and older women.

The goal was to improve health care delivery by holding discussions around community engagement, pregnant and postpartum women and infants, youth education, training, and capacity building for the clinical workforce, pain management, and health IT and innovation. With the goal to bring awareness for women prone to relapse during this time, we need to call on the business community to develop protocols for their businesses to ensure the safety of women prone to turning to abusing illicit drugs and misusing prescription medication for challenging, uncertain or new life events.

 

 

 

Dr. Bizzell Featured in Mind Your Health for the Psychology Today Publication

Dr. Bizzell Featured in Mind Your Health for the Psychology Today Publication

Dr. Bizzell highlights in Psychology Today how to manage well-being in high-stress environments and how businesses can combat the opioid epidemic. A Midwest Economic Policy Institute study shows that the injury rate for construction workers is 77 percent higher than the national average for other occupations. Because of that high injury rate — and subsequent use of prescribed opioids to control pain — the Centers for Disease Control and Prevention (CDC) says workers in the construction industry are among the groups with the highest rates of opioid abuse and opioid overdose deaths.

With Americans spending most of their time in the workplace, construction is not the only high-stress environment where opioids are abused. In its Morbidity and Mortality Weekly Report, the CDC points to miners, oil and gas extraction workers, and health care practitioners as other occupation groups with the highest proportional mortality rates due to methadone, natural and semisynthetic opioids, and synthetic opioids other than methadone.

American businesses are beginning to be creative about managing this crisis. An Indiana company had several job vacancies because it could not find any prospects who were able to pass a drug test. As a result, the company president decided to partner with a local treatment facility and hire former opioid abusers who had difficulty getting jobs after completing treatment. Another CEO pledged to take the stigma out of addiction by telling his workers to come to him directly for help because they should never have to suffer alone. These are just two of thousands of corporations figuring out the role they can play in fighting the opioid epidemic…one person at a time.

Read More: Managing Well-Being in High-Stress Environments

 

Maintaining Recovery from Substance Use Disorders During the COVID-19 Pandemic

Maintaining Recovery from Substance Use Disorders During the COVID-19 Pandemic

Written by: Anton Bizzell

The global COVID-19 pandemic has had a profound impact on health care delivery systems and on patterns of social support worldwide, creating an unprecedented set of challenges for individuals in recovery from substance use disorders (SUDs). In addition to managing the situational anxiety many people are facing with the unknowns of the pandemic, the social distancing that is vital to reduce the spread of the virus and protect vulnerable people, leaves individuals in recovery physically isolated from their health care providers and support system. Some people with SUDs may be at higher risk of relapsing with extended periods of time at home, uncertainty about work or finances, added stress on family relationships, or social isolation.

With this extraordinary situation, new resources and solutions are emerging to help people struggling with SUDs gain access to treatment in order to maintain their path to recovery.

New treatment access and guidelines during COVID-19. Health care and treatment of individuals with SUDs is evolving to meet the challenges of social isolation during the global pandemic:

  • Telehealth: Most insurance companies are now covering telehealth services at the same rate as traditional in-person visits with health care and behavioral health providers. Providers use secure virtual platforms to conduct a confidential video assessment, and to provide any necessary prescriptions or referrals to additional virtual or in-person treatment.
  • Take-home Medication-Assisted Treatment for Opioid Use Disorders: The Substance Abuse and Mental Health Services Administration (SAMHSA) has issued Opioid Treatment Program guidance for states to be granted an exception to administer 14 to 28 days of take-home medication to individuals in an Opioid Treatment Program. This new guidance improves access to evidence-based Medication-Assisted Treatment for individuals with opioid use disorders (OUDs).
  • Treatment for Alcohol Withdrawal: The American Society of Addiction Medicine (ASAM) has issued a Clinical Guideline on Alcohol Withdrawal Management. Some states have closed liquor stores as part of COVID-19 restrictions, resulting in limited access; at the same time, individuals experiencing alcohol withdrawal may also have limited access to treatment and withdrawal management programs. The ASAM Guideline advises clinicians in decision-making and treatment, improving care for these individuals struggling with alcohol use and alcohol withdrawal.

Virtual support during COVID-19. Many new resources are available to help individuals in recovery access support virtually:

  • SAMHSA Virtual Recovery Resources: SAMHSA notes that during the social distancing and isolation of COVID-19, it is still vital to continue social connections when recovering from SUDs and mental health conditions. This Tip Sheet describes resources for individuals in recovery and gives guidance for setting up a virtual recovery meeting.
  • National Alliance for Mental Illness (NAMI) COVID-19 Resource and Recovery Guide: Mental health support is a vital component of recovery. NAMI provides helpful tips for managing concerns about the virus, accessing virtual support, developing healthy daily routines, maintaining social support, and prioritizing self-care.
  • Alcoholics Anonymous Options for Meeting Online: During COVID-19, many Alcoholics Anonymous groups are exploring alternate ways to continue the community of support for recovery. This may involve phone calls, email, social media, and virtual meetings on digital platforms. Alcoholics Anonymous encourages groups to decide what will work best for them and provides information for groups making this change.
  • Virtual Narcotics Anonymous: This collaborative resource helps people find online and phone meetings of Narcotics Anonymous around the world. Narcotics Anonymous is for people who have any SUD and want support in their recovery.

Healthy habits to support recovery during COVID-19.  Some people in recovery have found it helpful to take this time of social distancing to focus on healthy habits that will support recovery. These can include:

  • Manage News Consumption
    • Check only established, reliable news sources. Set a timer to limit the amount of time you are reading the news. Avoid checking the news within one hour before bedtime, and instead focus on relaxing activities.
  • Get Ample Rest
    • Get at least 7-8 hours of sleep each night. Make sure that your sleeping area is used only for sleep. Use calming routines at night such as reading, taking a bath, or talking with a friend.
  • Develop and Maintain a Daily Routine
    • Keep a routine of getting up and getting dressed on a regular schedule each day. Set your alarm and start your day with a walk outside or your favorite breakfast. Take a shower, get dressed, and write out a plan for how you will spend your day.
  • Exercise Daily
    • Get daily exercise, even if it is just a gentle walk or simple stretches. If you usually go to a gym, look for online exercise programs such as yoga, dance, chair exercises, or even a boot camp routine. Start a virtual exercise routine with a friend so that you can encourage and support each other.
  • Schedule Time to Connect with Loved Ones
    • Schedule time for social connections each day, whether by phone, video, email, or text. Look for shared activities such as a book club, art activities, virtually movie night, or cooking that you can enjoy together remotely. Focus on connections with the people you can have honest conversations with about your feelings and struggles.
  • Other Mental Health Exercises
    • Choose activities that will support your mental health, including breathing exercises, journaling, or meditation. Look for online books and workbooks on Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Mindfulness, to help you manage your thoughts, worries, and behaviors during this challenging time. Notice what feels relaxing and restful for you, and intentionally choose those activities.

The COVID-19 pandemic has created new challenges for individuals in recovery; it has also fostered creative new approaches to treatment and support, many of which are reaching people in new ways that may continue beyond the end of social distancing. With continued integration of treatment, virtual support, and healthy habits, recovery can continue.

The Bizzell Group (Bizzell) was founded by President & CEO Anton C. Bizzell, M.D., a leading substance use disorders (SUDs) expert and former Medical Officer for the U.S. Department of Health and Human Services (HHS). Dr. Bizzell was selected as Maryland’s 2020 Small Businessperson of the Year by the U.S. Small Business Administration (SBA). Bizzell’s recent work includes systematic, integrated approaches designed to effect lasting change in the field of SUDs through work with the National Institute on Drug Abuse (NIDA), the National Cancer Institute (NCI), the Substance Abuse and Mental Health Services Administration (SAMHSA), the Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), and the United States Chamber of Commerce Foundation (USCCF). Learn more about how we develop data-driven, research-informed, innovative solutions to SUDs and other complex-real-world challenges: https://BizzellUS.com/

Alcohol Use Disorder: Hope for Recovery

Alcohol Use Disorder: Hope for Recovery

Written by: Anton Bizzell

Alcohol use disorder (AUD) is often referred to as the hidden substance use disorder (SUD). With alcohol use legal and socially acceptable in many settings, the symptoms of AUD may initially go unnoticed. Yet individuals with AUD may experience significant difficulties in their relationships, work, and health.

In a newly released analysis, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) at the National Institutes of Health (NIH) found that over 70 percent of the adult population drank alcohol in 2017. Alcohol-related deaths more than doubled from 1999 to 2017. Overdoses of alcohol alone or in combination with other drugs accounted for 18 percent of the deaths in 2017; 31 percent of the deaths resulted from alcohol-related liver disease. Researchers note that the since this study examined only death certificate data, the actual number of lives lost may be significantly higher.

The death rates increased higher for women than for men, and gender differences persist in risks for alcohol-related cardiovascular disease, liver disease, and cancer. In addition, while prevalence of alcohol use and binge drinking remained stable for men, the prevalence of alcohol use increased by over 10 percent for women and binge drinking increased by over 23 percent among women.

The NIAAA screening tool for AUD includes questions a provider can use to diagnose whether an individual may have an AUD. Individuals who are struggling with their drinking, or families and friends concerned about their loved ones, can start by considering the following questions.

In the past year, have you:

  •  Tried to cut down or stop drinking more than once, but couldn’t?
  •  Found that drinking or being sick from drinking got in the way of you taking care of your home or your family, or caused problems at work or school?
  •  More than once gotten into situations while drinking that could be dangerous, such as driving, having unsafe sex, using machinery, walking in an unsafe neighborhood; or had a memory blackout?
  •  Kept drinking even though it was making you depressed or anxious, or adding to other health problems?
  •  Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, irritability, anxiety, depression, restlessness, nausea, or sweating?

In addition to peer-led support models such as Alcoholics Anonymous, there are many options for professionally-led treatment. Treatment for AUD often involves a combination of talk therapy and medication. Therapy can be for individuals, groups, or families, under the direction of a licensed counselor trained in substance use disorders. Medication to help individuals stop drinking and avoid relapse can be administered under the care of a licensed primary care provider or a board-certified addiction medicine physician. In addition, different levels of care and care settings are available to meet the needs of each situation, including outpatient, partial hospitalization, residential, or intensive inpatient.

Although the consequences of AUD can be devastating, hope for recovery is possible with evidence-based, timely intervention.

Reference: White, A. M., Castle, I. J. P., Hingson, R. W., & Powell, P. A. (2020). Using Death Certificates to Explore Changes in Alcohol‐Related Mortality in the United States, 1999 to 2017. Alcoholism: Clinical and Experimental Research.

The Bizzell Group (Bizzell) was founded by CEO Anton Bizzell, M.D., a substance use disorders expert and former Medical Officer at NIAAA. Our recent work includes systematic, integrated approaches designed to effect lasting change in the field of substance use disorders through projects with the National Institute on Drug Abuse (NIDA), the National Cancer Institute (NCI), the Food and Drug Administration (FDA), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the United States Chamber of Commerce Foundation (USCCF). Learn more about how Bizzell advances data-driven, research-informed, innovative solutions to solve complex, real-world challenges. www.BizzellUS.com