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Paid to Stop – How is Contingency Treatment Helping Users Kick Meth in California?

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Kick Meth in California?

At the end of 2021, California became the first state in which federal approval was granted for Medicaid to cover contingency management for addictions to drugs such as Methamphetamines and more. This sets a precedent, possibly opening the doors for other states also to support this approach to recovery from drug abuse.

The fact that the bill passed California legislation with enthusiastic support from both Republicans and Democrats alike surprised many, including those who had actively spoken in favor of it, such as Senator Scott Wiener (D-San Francisco). Although the efficacy of contingency management (CM) is undisputed, it remains a relatively new, bold, and therefore contentious approach. If this treatment method is accepted, this means that rehabilitation for meth can use contingency management as a way to support ongoing recovery and assist in continuous efforts to battle drug addiction in the long run.

What are Contingency Management Programs?

The principle on which contingency management programs are based is reward for negative drug tests. This reward sometimes extends to initially simply reducing drug use. Participants provide regular urine samples, and if these come back negative for drugs, they receive a modest sum of money. The money is not paid to them at once – they first have to demonstrate sustained abstinence over a given period of time. This incites participants in contingency management programs to persevere in their efforts, and allows them to gradually build up significant periods of clean time. Contingency treatment is currently changing the landscape of addiction treatment, in the US and beyond.

How Does Contingency Management Work?

The basic goal of contingency management is to change the drug use habits of people suffering from substance use disorders (SUD). But beyond helping them stop using, or cut down on their drug use, it helps change other behaviors too. It aims to address any behavioral patterns which lead them back to drugs, and help them modify the way they respond to life’s challenges. It is a proven tool for helping create a new template for how to live on a day-to-day basis. As such, it is defined as a behavioral therapy.

Read Also: 9 Tips to Keep in Mind When Driving in California

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Contingency management works by reinforcing abstinence from drugs by providing a reward. Generally, this reward is monetary, though at times coupons or vouchers that can be exchanged for purchases are also used. The repetition of demonstrating sobriety (by providing urine samples) and being rewarded for it strengthens a person’s resolve, and ‘reinforces’ their new behavior of not taking drugs. It also supports the acquisition of other behaviors relating to life in general. Since those participating in contingency management do not receive their money immediately, they in effect ‘work their way’ towards an even larger reward once the money is handed over. This provides extra incentive and motivation.

Contingency Treatment in California

In California, contingency treatment (CT) is currently primarily implemented for cocaine and meth addiction. These are the two substances for which CT appears most effective when treating abuse. This is particularly the case when it is combined with other behavioral therapy (such as CBT). California’s efforts to expand contingency treatment in the state are a response to the ever-worsening drug epidemic. More traditional approaches to treating SUDs have not prevented overdoses from meth or other stimulants from tripling in recent years. In 2020, these actually surpassed fentanyl overdoses in number. It has become urgent to put in place effective measures.

A Newer Treatment to Replace Failing Ones

While the opioid epidemic is also wreaking havoc on certain segments of society and costing the nation billions of dollars annually, at least medical treatments exist. There are three FDA-approved medications – methadone, buprenorphine, and naltrexone – that can be prescribed to treat opioid addiction. There is no such medication for meth or cocaine.

The push in California to embrace CT more fully is also a reaction to a general despondency among stimulant users, due to this lack of treatment options. The hope is that by making contingency management more accessible to greater numbers, more people will come forward to seek treatment. Stimulant users will see that it has worked for friends or acquaintances, and will want the same freedom.

Efficacy

The basic principles of CT – mainly positive reinforcement – are actually used in areas other than recovery too. Weight loss and fitness training programs both respond positively to CT. Using reward in place of punishment has been shown to work well in education also. Studies have shown that CT is definitely effective. In 2011, the Department of Veterans Affairs began an initiative to make contingency management more readily available to patients. Seven years later, it noted that the average percentage of patients undergoing CM who provided negative samples was 91.1%.

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Criticism of Contingency Treatment

In spite of multiple studies confirming that contingency management gives demonstrable positive results, opinion remains divided over the treatment. Some doubt the ethics of such a practice, believing that paying people to give up their drug use amounts to giving out bribes. A less subjective objection concerns the benefits of the treatment in the long term. Some doctors question whether abstinence can last once active treatment (prize benefits) has been stopped. With the incentive of a reward removed, they argue, there is less motivation to remain abstinent in the longer term. However, it appears that a taste of a life away from drugs, when sufficiently long, does in fact help long term sobriety. To the extent that a 2018 study showed that even 12 months after ceasing to receive benefits, patients were still more abstinent than those who had undergone other treatment modalities. It would seem some critics of the approach are beginning to soften – in the face of a drug epidemic that refuses to bend to more traditional treatments, the need for something new that works is self-evident.

Towards a Brighter Future?

California sees CT as a potential way to stem the tide of the drug crisis. This perspective is evidence-based, and there are a number of differences between CT programs and other treatments. First of all, CT is not a passive, but an active treatment – patients must earn their rewards by their actions. As a result, it is also empowering, since it gives patients the opportunity to demonstrate – to themselves, to other program participants, and to their doctors – that they can remain abstinent. This, in turn nurtures their self-worth and confidence. Currently, West Virginia and Washington are considering following in California’s footsteps and adopting a similar policy around CT. If they do so successfully, other states will no doubt follow.

 

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Gavi and UNICEF welcome approval of new oral cholera vaccine

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Gavi, the Vaccine Alliance, and UNICEF welcome the news that a new oral cholera vaccine (OCV), Euvichol-S, has now received WHO prequalification and can be made available to countries around the world. The prequalification of this new product will help EuBiologics, the manufacturer, produce more volumes of vaccine, faster, and at a lower cost – a key step to expanding supply amidst the ongoing acute global upsurge of cholera outbreaks.

Today’s approval will help increase the overall supply of OCV available in 2024, with approximately 50 million doses now forecasted to be available to the global stockpile this year, compared to 38 million in 2023. Euvichol-S is an important product innovation: a simplified formulation of Euvichol-Plus that reduces the number of vaccine components – delivering a vaccine that studies have shown remains equally effective against key cholera serogroups while lowering production cost and complexity – thus allowing for larger volumes to be produced faster.

Cholera has been surging globally since 2021, with high case fatality rates despite availability of simple, effective and affordable treatment. The large number of outbreaks has led to unprecedented demand for vaccines from impacted countries. While global OCV supply has increased eighteen-fold between 2013 and 2023, the large and sustained spike in demand has put a strain on the global stockpile of OCV. Partners and countries are working urgently on cholera response, prevention and control measures in the face of this crisis, and have called on countries, manufacturers and others to support. Most recently, Gavi, UNICEF and partners announced the largest ever global deployment of cholera diagnostics to support surveillance and response.

“Prequalification of Euvichol-S represents a lifeline for vulnerable communities around the world,” said Dr Derrick Sim, Managing Director of Vaccine Markets & Health Security at Gavi. “Every vaccine dose delivered through Gavi programmes today represents years of planning and investment to shape the market so supply matches countries’ needs. The approval of this new product could not have come at a more important time given the acute upsurge of cholera outbreaks we are seeing worldwide. We commend EuBiologics for their role in ensuring countries around the world have access to cholera vaccine as part of their response toolkit.”

EuBiologics is currently the only supplier of OCV to the global stockpile, although other manufacturers are expected to have products available in the coming years. Gavi, the Vaccine Alliance works to shape the OCV market, and funds the global stockpile of OCV doses, along with transport and vaccination activities in lower-income countries. UNICEF leads on procurement and delivery of doses to countries. Use of the stockpile for emergency response is overseen by the International Coordinating Group for Vaccine Provision (ICG), led by WHO.

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“Despite cholera being preventable and easily treatable, children continue to suffer from this potentially fatal disease. UNICEF has already secured access to all the available doses of the just-approved vaccine and will deliver these to the countries at the highest possible speed,” said Leila Pakkala, Director of UNICEF Supply Division. “The approval means that UNICEF can increase the procurement and delivery of cholera vaccines by more than 25%, pushing back harder on deadly cholera outbreaks.”

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Isap Music Drops ‘Naomi’ As First Single of The Year

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Ghanaian Hip-Life/Hip-Hop artiste, Isap Music has today officially released his premiere single of the year, “Naomi” on all digital streaming platforms.

The new single is an Afrobeats record that boarders on the thin line between love and obsession.

Isap Music opens with a reassurance for that special someone as he plans to put a ring on her finger soon. His sweet-singing voice together with the charming lyrics not only wins the heart of “Naomi,” but the listener as well.

On the DCM Records produced track, Isap Music brings a different energy to his first single of 2024, building a strong anticipation for subsequent releases as the year progresses.

However, until then, “Naomi” is simply one of the best Ghanaian Afrobeats songs released so far this year.

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Isap Music’s spectacular performance on the two minutes 27 seconds track has everything; vocals, lyrics, storytelling and ad-libs, all on point.

It’s hard to believe such a good song was produced from another person’s experience but that is exactly how the song came to life.

In an online interview with Amplify Ghana, Isap Music disclosed that “Naomi” was inspired by a friend.

“The love song was actually inspired by a friend who was so much into his girl that he couldn’t stay a day without hearing her voice,” he said.

The latest single comes after his collaboration with 2022 VGMA Best Rap Performance award winner Lyrical Joe, Suuparstar TZ and Siicie on “Yesu Frɛwo” released last year.

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Isap Music is one of the exciting new voices in the music scene. This new release, “Naomi” continues his streak of superb releases. Gaining recognition as one of the few street preachers, Isap Music’s versatility as an artist is of no doubt. He continues to share different messages and produce bangers in many genres.

“Naomi” by Isap Music is currently available on all digital streaming platforms.

Listen to “Naomi”

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Immediate Nexus: Your Gateway to Free Investment Education in 2024

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Immediate Nexus

Within the ever-changing financial environment, it’s an issue of immense importance that an investor remains at the forefront. Immediate Nexus is a beacon that avails the indispensable resources and insight to navigate an investor through manning the complexities in investment come 2024 and thereafter. Let’s delve into why immediate-nexus-ai.com is your ultimate gateway to free investment education in 2024.

Understanding Immediate Nexus: Your Gateway to Free Investment Education in 2024

It is nothing less than a whole ecosystem to be built with the idea of allowing investors at different levels of experience to obtain the knowledge and tools needed to gain a foothold in this business. Whether you are a seasoned investor or one learning the ropes of how to dabble in the finance world, the Immediate Nexus has got your back.

The Evolution of Investment Education

Traditional teachings of investment have a very short shelf life due to the fast pace with which technology and the trend of the global markets move. Immediate Nexus fills that need by providing modern investors with current, readily accessible, practical information.

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Free Resources for All

But what really strikes the most is the kind of free education toward all people without having any expense of seminars or the elite high-cost memberships. Truly, Immediate Nexus advocates that financial literacy should be made available to all, no matter where you come from or belong in terms of background or current financial status.

Expert Insights and Analysis

Investment can be cumbersome to wade through, especially for beginners. Immediate Nexus makes it easier with an expert insight and analysis curated from none but the best sources. Be it market trends or effective investment strategies, everything is there to make your decision wise.

Harnessing the Power of Community

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It doesn’t need to be a lonely journey. Immediate Nexus is a dynamic, live community where investors network, share ideas, and draw wisdom from one another. That interactive approach makes it conducive to learning at the same time, availing valuable networking opportunities.

Why Choose Immediate Nexus?

While Immediate Nexus may be a new kind of educational platform, in many ways, it is poised to soon become the go-to solution for those seeking to grow and succeed in the world of investing. Here are ten great reasons why you need to make it your go-to resource this year.

  • Holistic Content: From the guidelines of a beginner investor to the strategies which are to be followed at an advanced level, Immediate Nexus encompasses and provides information relevant to every single stage an investor might be in.
  • User-Friendly Interface: The platform friendliness comes with ease of navigating through the site, intuitive design, and a friendly interface.
  • Timely Updates:** Actual happenings in the capital and financial markets, economic development, and investment opportunities.
  • Interactive Learning: Engjson Quizzes, Interactive Tutorials, and Live Webinars assist learners in polishing skills and strengthening their learning.
  • Community of Trust: Be a part of an elite community of like-minded investors, share knowledge and support each other in growth.

Conclusion

Your Gateway to Free Investment Education in 2024 is not a platform—it’s a revolution, an immediate nexus revolutionizing ways people think about investment education. Equip your financial future with all the expert insights and resources that you would have needed, including a lively community. Join the movement today and take your first steps toward financial freedom.

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Mastering Bitcoin Trading: The BitLQ Matrix Advantage: A Path to Financial Freedom

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The financial opportunities, though, in mastering the trading Bitcoin are huge in this dynamic world of cryptocurrency. BitLQ Matrix strategy stands like a beacon of assurance and profitability among the myriad strategies available. This paper, therefore, seeks to detail the encapsulated greater benefits within the bitlq.app Matrix and illustrate how one could optimize his trading to achieve financial freedom.

Understanding Bitcoin Trading

Bitcoins are the first and leading cryptocurrency ever to evolve, and it altered the thinking of how the world used to look at finances. Bitcoin trading is a process through which one can speculate on the price movements of them and, in turn, takes home profits by analyzing the markets and makes a deciding move. Trading in bitcoins is very demanding in nature since it is very unpredictable. Good knowledge and strategic acumen are expected to surge through the market fluctuations victoriously.

Embracing the BitLQ Matrix Advantage

Mastering Bitcoin Trading: The BitLQ Matrix Advantage

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The BitLQ Matrix is not some trading strategy but a whole, complete framework aiming to trade optimal results while controlling risks most efficiently. This revolutionarily uses LQ to guide traders through informed considerations in making decisions for the best possible profits with the least possible vulnerability to market volatility.

Liquidity: The Backbone of Trading Success

Liquidity is the base that underlies any trading pursuit to support transactional ease and participation in the market. Priority to the BitLQ Matrix trade is given, executed seamlessly without slippage, or at least at the most minimal level, for the efficient trade execution at the best entry and exit levels.

Quantity: Balancing Risk and Reward

In this respect, good risk management becomes highly imperative while trading in Bitcoins, and with the BitLQ Matrix, there is a good balance since traders can put in the emphasis on the importance of trade quantity. By doing so, the traders will accurately calibrate the position sizes to market conditions and the risk-taker’s risk-bearing ability to ensure they make a better risk-reward ratio and protect the capital from likely losses.

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Quality: Elevating Trading Standards

Quality, in this case, regards the level of trades executed within BitLQ Matrix. This gives traders the opportunity to spike up their trading standards further, promoting the desired consistency and profitability from their undertakings.

Unveiling the Benefits

The BitLQ Matrix offers a plethora of benefits to traders seeking to master Bitcoin trading:

  • Increased Precision: With these details of liquidity, quantity, and quality at disposal, traders can be able to execute their trades with pinpoint accuracy, zero error tolerance, and hence reap all the profitability possible in their trades.
  • Risk Mitigation: The strategy of risk management integrated into BitLQ Matrix enables traders to be in a position where they could avert their possible losses and preserve capital in times of market downturn.
  • Consistent Profjson: The BitLQ Matrix principles will assure that you profit on a consistent basis, fostering sustainability for long-time success in trade.

Conclusion

This exciting journey into Bitcoin trading within the BitLQ Matrix soon turns into an adventure of financial independence and prosperity in one of the most lively and fast-changing cryptocurrency markets. You apply liquidity, quantity, and quality principles toward revealing limitless opportunities for profit multiplication and growth sustainability. Seize the advantage today and embark on your path to financial freedom with the BitLQ Matrix.

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Nana Quasi-Wusu Celebrates 10 Years In Broadcasting

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Renowned multiple Award winning Ghanaian media personality and a Humanitarian, Nana Quasi-Wusu, popularly known as PM, commemorates a decade in media as a broadcast journalist filled with exceptional stories and excellence. (more…)

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BLISS GVS PHARMA GHANA DONATES MEDICINES AGAIN TO CAPE COAST TEACHING HOSPITAL

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Spearheading the initiative for the fourth consecutive year, Bliss GVS Pharma’s campaign, “Act for Africa: A Malaria-Free Continent,” aims to provide crucial medical support to combat malaria, particularly in vulnerable communities.

In a significant stride towards eradicating malaria from the African continent, Bliss GVS Pharma Ghana reaffirms its commitment to corporate social responsibility by donating over GHC 250,000 worth of medicines to Cape Coast Teaching Hospital and Winneba Trauma Hospital to commemorate approaching World Malaria Day 2024.

The gesture underscores Bliss GVS Pharma’s dedication to ensuring that every individual gets access to high-quality medicines, particularly in regions heavily burdened by malaria. The donation encompasses anti-malarial and other essential medicines like LONART, GSUNATE, Fricks, Gacet and many more.

The driving force behind this noble vision is the Managing Director of Bliss GVS Pharma, Mr. Gagan Sharma. His unwavering belief in the fundamental right to healthcare motivates the company’s endeavours to make a tangible difference in the fight against malaria.

Pharm Rosemary, the representative of Bliss GVS Pharma, underscored the company’s steadfast commitment to malaria eradication, she said it is our social duty to contribute towards ensuring that no one is deprived of essential healthcare, especially in the battle against diseases like malaria. Through our ‘Act for Africa’ campaign, we aim to play our part in making Africa a malaria-free continent.”
Dr. Eric Kofi Nyedu, Chief Executive Officer of Cape Coast Teaching Hospital, who lead a delegation to receive the items expressed profound gratitude for Bliss GVS Pharma’s benevolent gesture, stating, ” We’re grateful for Bliss GVS Pharma’s generous antimalarial and other essential medicines donation, which strengthens our ability to treat patients, especially during peak malaria season and health outreaches in villages around the Cape Coast enclave. We have identified that Bliss GVS is dedication to improving community health through our partnership and we will always recommend them”
The donation of GHC 276,000 worth of medicine symbolizes Bliss GVS Pharma’s commitment to corporate social responsibility and its belief in the transformative power of collective action. By partnering with healthcare institutions such as the Cape Coast Teaching Hospital and Winneba Trauma Hospital, the company endeavours to strengthen healthcare delivery and improve access to malaria treatments.

In addition, the students of the Cape Coast Nursing and Midwifery College were engaged in a health talk where resource persons equipped them with topics on personal and vaginal hygiene, malaria prevention, and spread.
On World Malaria Day 2024, as the global community unites to amplify efforts against malaria, Bliss GVS Pharma Ghana stands as a beacon of hope, illuminating the path towards a healthier, malaria-free future for Africa.

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