From a small town in Mexico to the boardrooms of Big Pharma to main streets nationwide, an explosive and shocking account of addiction in the heartland of America. In 1929, in the blue-collar city of Portsmouth, Ohio, a company built a swimming pool the size of a football field; named Dreamland, it became the vital center of the community. Now, addiction has devastated Portsmouth, as it has hundreds of small rural towns and suburbs across America--addiction like no other the country has ever faced. How that happened is the riveting story of Dreamland. With a great reporter's narrative skill and the storytelling ability of a novelist, acclaimed journalist Sam Quinones weaves together two classic tales of capitalism run amok whose unintentional collision has been catastrophic. The unfettered prescribing of pain medications during the 1990s reached its peak in Purdue Pharma's campaign to market OxyContin, its new, expensive--extremely addictive--miracle painkiller. Meanwhile, a massive influx of black tar heroin--cheap, potent, and originating from one small county on Mexico's west coast, independent of any drug cartel--assaulted small town and mid-sized cities across the country, driven by a brilliant, almost unbeatable marketing and distribution system. Together these phenomena continue to lay waste to communities from Tennessee to Oregon, Indiana to New Mexico. Introducing a memorable cast of characters--pharma pioneers, young Mexican entrepreneurs, narcotics investigators, survivors, and parents--Quinones shows how these tales fit together. Dreamland is a revelatory account of the corrosive threat facing America and its heartland.
Drug and alcohol addiction are critical social problems in the United States. Drug and alcohol abuse are powerful facilitators of health and economic disparities, making recovery and re-entry into the community difficult. Alcohol and drug abuse/addiction are among the costliest of health problems, totaling approximately $428 billion annually. A range of services have been developed to address the problem of substance dependence, including inpatient services, outpatient services, and recovery housing. However, only about 11% of those with substance addictions reach any type of substance abuse treatment, and those that are treated evidence high rates of relapse. Thus, it is critical to understand the mechanisms by which individuals are successful, and sustain abstinence after receiving treatment and aftercare. This book provides a collection of research that explores alternative models, aftercare programs, employment services, trauma issues that affect recovery, gender-specific, and culturally modified treatment and aftercare programs. Each chapter is an individual study that addresses key unanswered questions in substance abuse and recovery research. Furthermore, the editors and authors identify potentially important, understudied topics for further research and formulate public policy recommendations. This is a must read for addiction researchers, academics, students, and individuals interested in learning about the dangers of substance abuse.