Fields and Fields

Fields ields TREATMENT CENTER, LLC

SUMMER 2017 ISSUE

Mission, Vision & Philosophy All about Fields &Fields BALTIMORE EPIDEMIC What the police are doing to help

Life rough Christ & other core values we practice

Fields & Fields

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Fields & Fields TREATMENT CENTER, LLC

6108 OLD SILVER HILL ROAD, SUITE 217 DISTRICT HEIGHTS, MD 20747 • (240) 788-6125

Your source for news and information on Addiction, Recovery, and Everything in Between politics society culture incarceration crime reentry poverty

About Us Fields and Fields Treatment Center, LLC is Christ focused. Our belief is that our Lord Jesus Christ is the Great Minister of Healing. Program Mission

The mission of Fields and Fields Treatment Center, LLC is to provide an environment for every client to feel safe, renew the issues of their past, look forward to hope, and to acquire determination to do better in life.” We provide services for DUI / DWI education, substance abuse, intensive outpatient, family and individual counseling, behavioral health, anger management, domestic violence, and individual specialized instruction. Services are provided to adults, adolescents, and children.

Program Vision The vision of Fields and Fields Treatment Center, LLC is to create a program that will help hurting people heal. Our source for SUCCESS is due to the Great Healer Jesus Christ. We believe that each client should expect great things because of their faith in the Physician who was a great healer. Jesus healed all who came to Him. None were turned empty away. Our program will deal with the root of the problem to find a solution. No one likes pain and everyone desires to live a fulfilled life.The center will provide individuals with the help they need. No problem is too small; no issue is too trivial – Fields and Fields Treatment Center, LLC.

Program Philosphy TThe philosophy of Fields and Fields Treatment Center, LLC is to provide support for individuals who have made decisions that have caused challenges or unbearable obstacles in their life.They may feel hopeless or not in-control of their decisions, behavior, or everyday activities. Clifford Fields, one of the owners, often shares with

the client’s that “their best thinking got them here.” It is the philosophy of Fields and Fields Treatment Center that clients can uphold honest fulfilling lives. At the Fields and Fields Treatment Center we help people reshape their lives. We believe the whole person must be treated.The whole person includes the character and thought processes of the client, their family, significant

other and friends. For a person to be new - they must think new, act new, see new, and believe new. Together, we are destroying “I can’t” and making it “I will.”We will build a strong support system and non- judgmental environment that will allow a person to rise up and stay up.

We can do all things through Christ who strengthens us.

6108 OLD SILVER HILL ROAD, SUITE 217 DISTRICT HEIGHTS, MD 20747 • (240) 788-6125

Your future is created by what you do today not tomorrow.

Fields & Fields TREATMENT CENTER, LLC

Where you can have a voice in the national discussion on addiction and recovery

Bad Rap “Heroin City” reputation unfair, according to the Baltimore Sun

“A long-standing challenge is the lack of well-paying jobs,” asserts Marbella and Rentz. “It is simply more lucrative to sell drugs.”

Conflicting stories In the year 2000, the DEA found Baltimore to have the highest per capita heroin addiction rate in the country. Of Baltimore’s 645,000 people, the city’s Department of Health estimates there to be 60,000 drug addicts with about 48,000 addicted to heroin. Such numbers, though, “are imprecise given the nature of the drug market and the difficulty of surveying heavy heroin users.”, warn Baltimore Sun reporters Jean Marbella and Catherine Rentz in a detailed investigative report. The National Geographic documentary Drugs, Inc. used the 60,000 addicts data to “support their sensationalizing-sounding assertion that Baltimore is the Heroin Capital of America,” says The Sun’s Rodricks. “Since then city health officials have come up with what they believe to be a far better-and much lower-estimate, based on an extrapolation of data collected in a comprehensive federal survey.That estimate is about 11,000 heroin users.” (2014.)

”Despite all efforts, Baltimore can’t shake its reputation as a degenerate, violent Heroin City” claims Dan Rodricks of The Baltimore Sun. The Drug Enforcement Agency found Baltimore to be the city with the worst of America’s heroin problem in the year 2000, but heroin has plagued the area since long before then. Director of the Washington/Baltimore High Intensity Drug Trafficking Area program Tom Carr told ABC News Baltimore’s heroin problem began in the 1950’s. “It’s an old heroin town.There is an appetite for heroin in Baltimore... It’s accepted by all too many people down there as something that’s normal behavior,” says Carr to ABC News. “It’s almost a rite of passage for some.” Baltimore, Heroin Capital, USA - that’s what ABC News calls the beleaguered city in a two part report – The city still has a growing problem with heroin users and dealers.The problem is so bad, it sustains a large and profitable underground market.

A more recent statistic, compiled by The Baltimore Sun from Mayor Stephanie Rawlings-Blake’s 2015 heroin task force and a 2014 study by the RAND Corp. done for the White House, found the number of heroin users to be around 19,000 with about 9,500 chronic users. This group, the collective effort finds, spends an estimated $165 million on drugs a year.Though The Baltimore Sun acknowledges the inexact way these numbers are generated, it reports that when it comes to the amount of money spent on heroin, “experts say the actual valuation is likely much higher because of money spent by the occasional user.” Show me the money A large part of the problem stems from the fact that people are “making eye-popping sums in their chosen profession of heroin dealing,” says Marbella and Rentz of The Baltimore Sun. Searches of stash houses have found sums of money in the tens and hundreds of thousands of dollars.That level of money is maintained by top earners,The Baltimore Sun finds. ‘Corner boys,’ a name for people who sell on the street, make as little as minimum wage according to economists, write Marbella and Rentz. Unfortunately, according to The Baltimore Sun, there is a vicious cycle of the lowest paid people in the drug trade resorting to being “corner boys,” which then leads to arrests and convictions, thus making them less appealing to legitimate sources of income, so they end up going back to selling drugs, most likely near their homes.

Oftentimes, these individuals are heroin addicts themselves. ABC News reports how much it can cost to keep up the habit. Some recovering addicts, the report found, were spending $50 or $140 dollars a day. “A long-standing challenge is the lack of well-paying jobs,” assert Marbella and Rentz. “It is simply more lucrative to sell drugs.” It’s all where you live The website TheFix.com reports heroin consumers and dealers are growing every year and are concentrated in lower income neighborhoods.The Fix reports and attributes an element of the distressing heroin problem to the city’s location. It’s in the middle of the East Coast and a port town, making it an easy and quick stop for traffickers heading up and down the coast. In 2013, writes The Fix, custom agents seized 128 pounds of cocaine making its way to Baltimore from Panama and China. Neighboring states have similar problems. Vermont Gov. Peter Shumlin (D) made the heroin issue a big part of his 2014 State of the State address and Massachusetts Gov. Deval L. Patrick (D) called the heroin issue an emergency, writes The Washington Post. “The state’s heroin problem is likely a lot worse than most Marylanders think.That’s one of the conclusions from the state’s emergency task force on heroin and opioids,” says Marbella of The Baltimore Sun. Maryland Gov. Larry Hogan (R) said he would declare a state of emergency to end the heroin problem.

 task force. “I think it’s just going to shine more light on the subject. It’s going to make people pay more attention to it.” “Every state on the East Coast has declared a state of emergency except Maryland - and Maryland has the worst problem,” Hogan told reporters as governor-elect during a state Republican Party convention. “We’re going to do it,” says Hogan about organizing a heroin specific

“I think they’ve found jail doesn’t help. They come out worse than when they went in.” —Sen. Katherine Klausmeier

Effective Solution Baltimore PD explores treating, not jailing, low-level drug offenders

Devastating problem According to estimates by the Baltimore Sun, there are 19,000 heroin users in Baltimore.The police have found heroin to be a factor in a heightened city homicide rate. Overdoses have increased statewide, doubling since 2010. Heroin was the cause for 578 Maryland deaths in 2015, according to the Sun. Maryland’s State Attorney’s Office for Baltimore and the Behavioral Health System Baltimore have both signed off on the initiative, known as the Law Enforcement Assisted Diversion program (LEAD). “Criminalizing individuals with addiction issues is not the answer,” says Baltimore’s health commissioner Leana Wen to the Baltimore Sun. “We must treat addiction as a disease and not a crime or a moral failing. LEAD is an innovative, evidence-based strategy that diverts people with addiction away from arrest and incarceration and instead gives them the medical treatment they need.”

Low-level drug offenders in Baltimore might soon find themselves headed to substance abuse treatment instead of jail. Facing a growing number of heroin users, the Baltimore Police Department has teamed up with the non-profit organization Open Society Institute-Baltimore to revamp how the city works to tackle public safety. An arrest record can hurt a person’s opportunities for getting a job, education or housing. Without an opportunity to re-enter society, it’s possible drug offenders will re-offend, and again enter the criminal justice system.The police department will only consider treatment options for nonviolent offenders.Those committing serious offenses, like dealing drugs, would continue to face jail time.

“What is unusual about this program is that there is no arrest at all.”

—Diana Morris, director at Open Society Institute- Baltimore

Healing at-risk offenders Faced with a growing group of heroin users, Gov. Larry Hogan sought a new solution. Hogan organized a task force which called for more treatment for addicts both while in prison and after they are released—a time of increased relapse and overdose vulnerability, according to the Sun. “I think they’ve found jail doesn’t help,” Sen. Katherine Klausmeier, a participant on Gov. Hogan’s task force, says to the Baltimore Sun. “They come out worse than when they went in.”

LEAD is part of a state- and nation-wide reevaluation of the current approach of administering drug abusers into the criminal justice system. Instead, the program aims to divert low-level drug and prostitution offenders with substance abuse problems into community-based treatment and support services, like housing, job training and mental health support, according to the Baltimore Sun. Similar to alternative approaches around the country, LEAD includes access to Drug Court. Drug Court, according to the National Association of Drug Court Professionals (NADCP), allows for an eligible drug-

 important because it allows those who have addiction problems to not have the arrest on their record or go through the revolving door of the criminal justice system.” addicted person to be sent to Drug Court instead of the traditional justice system case processing. Drug Courts keep individuals in treatment long enough for it to work, writes the NADCP, while supervising the offenders closely. “What is unusual about this program is that there is no arrest at all,” says Diana Morris, director of Open Society Institute-Baltimore, to the Baltimore Sun. “That’s

Fields & Fields TREATMENT CENTER, LLC

6108 Old Silver Hill Road, Suite 217 District Heights, MD 20747

WWW.FIELDSANDFIELDSTREATMENTCENTER.COM

“Since entering Fields & Fields, my whole outlook on life has changed. I went from being depressed and hopeless to laughing and smiling again. I look forward to learning more about Jesus everyday. I know it’s a miracle that I’m alive and that He has a purpose for my life!”

Fields & Fields Treatment Center, LLC 6108 Old Silver Hill Road Suite 217 District Heights, MD 20747 TREATMENT CENTER, LLC Fields & Fields

Boom, Bust, and Drugs Study says economic downturn leads to increase in substance use disorders When the economy tanks, drug abuse goes up.That’s the finding of a new study which shows the state of the economy is closely linked with substance abuse disorder rates for a variety of substances. The study, conducted by researchers from Vanderbilt University, the University of Colorado and the Substance Abuse and Mental Health Services Administration (SAMHSA), found the use of substances like ecstasy becomes more prevalent during economic downturns. Researchers also found that other drugs like LSD and PCP see increased use only when the economy is strong. But for overall substance use disorders, the findings were clear.

“Problematic use (i.e., substance use disorder) goes up significantly when the economy weakens,” says Christopher Carpenter, one of the lead researchers. “Our results are more limited in telling us why this happens.” Researchers say it’s possible that people turn to substance use as a means of coping with a job loss or other major life changes caused by economic pressures, but their particular study did not pinpoint an exact cause and effect. Not all drugs are equal The study showed that a downward shift in the economy has the biggest impact on painkillers and hallucinogens. Rates of substance abuse disorders were significantly higher for those two categories than any other class of drug.

Researchers also found the change in disorder rates was highest for white adult males, a group which was one of the hardest hit during the Great Recession.They say more research is needed to determine exactly how the economy and drug use are related, but they say the study highlighted some key groups for prevention and treatment workers to target during future economic downturns.

“Problematic use (i.e., substance use disorder) goes up significantly when the economy weakens.” - Christopher Carpenter, Vanderbilt University

Slippery slope Despite some lingering questions, researchers were able to show the significance of the economy’s role in problematic substance use.The study showed that even a small change in the unemployment rate can have a tremendous impact on the risks for substance abuse disorders. “For each percentage point increase in the state unemployment rate, these estimates represent about a 6 percent increase in the likelihood of having a disorder involving analgesics and an 11 percent increase in the likelihood of having a disorder involving hallucinogens,” the authors write. Previous studies have focused on the economy’s link to marijuana and alcohol, with many looking at young people in particular.This study is one of the first to highlight illicit drugs, which given the current opioid epidemic, holds important lessons for those working to curb problematic drug use.

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When it’s needed most The study bears significant weight for treatment facilities and public policy makers in particular. During economic downturns, government agencies typically look to cut spending on treatment programs as a way to save money, something researchers say may be more costly in the end. “Our results suggest that this is unwise,” Carpenter says. “Such spending would likely be particularly effective during downturns since rates of substance use disorders are increasing when unemployment rates rise, at least for disorders involving prescription painkillers and hallucinogens.”

“Spending would likely be particularly effective during downturns since rates of substance use disorders are increasing when unemployment rates rise.” - Christopher Carpenter, Vanderbilt University

Our Philosophy

We provide support for adults who have made decisions that have caused challenges or unbearable obstacles in their life.They may feel hopeless or not in control of their decisions, behavior, or everyday activities. Cliffford Fields, one of the owners, often shares with the client’s that “their best thinking got them here.”We give clients hope that they can reshape and uphold honest fulfilling lives. We believe the whole person must be treated. This includes the character and thought processes of the client, their family, significant other and friends. For a person to be new they must think, act, see and believe new. We build a strong support system and non judgmental environment that will allow a person to rise up and stay up.

We build a strong support system and non judgmental environment that will allow a person to rise up and stay up.

Services SUBSTANCE ABUSE Treatment Services Offered: • Assessment & Screening • Level 0.5 Treatment • Level 1.0 Treatment • Level 2.1 Intensive Outpatient Treatment • 3 hour Drug and Alcohol • Driver Improvement Program

FAMILY & ADOLESCENT Treatment Services Offered: • Parenting Classes

• Multi-family Group Therapy • Single Family Group Therapy • Blended Family Therapy • Couples Therapy • Individual Therapy

PSYCHIATRIC REHABILITATION SERVICES Treatment Services Offered: • Self Care Development • Social Skills Development • Independent Living Skills Training • Community Living Skills Training • Individual Therapy

Together, we are destroying “I can’t” and making it “I will.”

INTERVIEW 3 Change To Metha done Reimbursement

State proposal aims to reduce repayment

A Maryland state agency has proposed reducing reimbursement to health facilities that use methadone to treat addiction. The proposal comes from the Behavioral Health Administration, which runs Maryland’s public mental health and substance abuse system. Currently, methadone payments are reimbursed by Medicaid for counseling and drug disbursement together. The proposal calls for the current $80 per week reimbursement to drop to $42, and would require treatment facilities to seek other funding sources for treatment. It would also separate counseling services reimbursement based on the kind of counseling. While some state officials say counseling can help patient health outcomes, some methadone treatment clinic operators say the proposal could hurt patients who might not be ready to receive counseling services. Methadone, according to the U.S. National Library of Medicine, is used to “prevent withdrawal symptoms in patients who were addicted to opiate drugs and are enrolled in treatment programs in order to stop taking or continue not taking the drugs.”

Operators: Resources Already Low

Counseling & Drug Treatment The proposal follows recommendations by the governor’s task force. The number of available and equipped counseling programs was one of the issues discussed. “This doesn't affect anyone’s bottom line if they are providing counseling,” Doug Mayer, spokesperson for Gov. Larry Hogan, tells The Baltimore Sun. “The overall effort is to ensure that it’s not just methadone, that it is counseling as well, which is an important part of treatment.” Treatment centers and providers were involved in drafting the proposal, and received letters about the proposal when it was announced. “Providers are among the stakeholders involved in the development of this proposal,” Christopher Garrett, spokesperson with the Department of Health and Mental Hygiene, tells The Baltimore Sun. “It is not something the state conceived of in a vacuum, without input from the community or the provider industry.” “Equipping the patient through counseling doesn't necessarily mean a provider will lose money, even a small provider,” Garrett says to The Baltimore Sun. “The goal is for the patient to get better and to graduate from the need to receive services from the provider.” “This doesn't affect anyone’s bottom line if they are providing counseling.” —Doug Mayer | Spokesperson for Maryland Gov. Larry Hogan Garrett notes that a wide variety of counseling is available to patients.

Drug treatment provider operators tell The Baltimore Sun that some clinics don't have the staff or resources to provide more intensive counseling, and clients might not be ready or willing to get counseling right away. Putting clients in programs to comply for reimbursements may end up hurting the client. “What this proposal will do is bankrupt every methadone clinic in the state,” Rev. Milton Williams, president of the Turning Point Clinic, tells The Baltimore Sun. “It is an effort to shut down methadone clinics in Maryland.”

INTERVIEW 3

The proposed fee reduction is seen by some treatment professionals as too much of a risk to the revenues of vulnerable treatment centers. “This could be extremely destructive,” Barbara Wahl, Concerted Care Group Business Operations director, tells The Baltimore Sun. “This is the last thing our patients need right now.” treatment professionals revenues of vulnerable treatment centers. ltimore Sun. “This is the last thin

Wahl says the proposal may leave treatment centers with fewer options to provide care, not more. Wahl says the proposal may leave treatment cen with fewer

“I think the spirit of the proposal is in the right place,” Wahl says to The Baltimore Sun. “It encourages more counseling, which is what we want to provide. It is just the way they want us to provide it that may be more burdensome than what they intended it to be.” The Department of Health and Mental Hygiene is still taking recommendations on the proposal and is accepting public comments on the issue. Some clinics, reports The Baltimore Sun, are planning protests against the proposal. Wahl says to The Baltimore Sun. “It encourages more vide it that may be mor ll taking recommen accepting public comments on t clinics, reports The Baltimore Sun, are planning rotests against the proposal.

Our Values Everyone who enters will be treated with the F.I.E.L.D.S. code of ethics.

FORGET We will forget who you were and focus on who you can be. Integrity EAGLE It is our belief that everyone is an eagle and can soar and will be treated with respect. LABOR Everyone will have to work for their success or personal development. We are here to support you. DEDICATION To the client. SUPPORT Respect and Care.

Fields & Fields TREATMENT CENTER, LLC

"Now clean, I go to an AA meeting every day of the week and realize now that I am an alcoholic and will be for the rest of my sober life. I am now more connected with my wife and daughter than I ever imagined I could be; for that I am truly blessed." Brian C. / Patron

Fields & Fields TREATMENT CENTER, LLC

WWW.FIELDSANDFIELDSTREATMENTCENTER.COM

Bend But Don’t Break Yoga is being used to help people maintain recovery and avoid relapse

Yoga is no longer exercise your annoying, health-conscious friend won’t stop talking about.The ancient practice is now being used to help people recover from addiction. While scholars estimate yoga was developed sometime around 300 to 400 B.C., the practice hasn’t stopped changing over the last 2,000 years. A new wave of yogis are now helping people in recovery connect their spiritual and physical sides through yoga by combining the practice with more traditional 12-step elements. “It’s just a way of coming back to a sense of wholeness,” says Nikki Myers, a yoga therapist who helped develop the 12-step yoga system. “We use yoga as a process in order to bring that reintegration.”

Myers says she developed the system primarily as a means of relapse prevention. She says a typical 12-step yoga session would begin the same way most 12- step meetings do, with a focus on sharing and discussion of important recovery topics. Once the “meeting” portion of the session is over, the group will then move into a series of yoga poses designed to help participants focus on their physical recovery. “A focus needs to be on the body- based piece as well as the cognitive piece in order for wholeness to really be manifested,”Myers says. “Once you include those things, the whole idea is that these will begin to offer us a set of tools that we can use both on the mat in the yoga practice and off the mat when the triggers of life show up.”

“It’s just a way of coming back to a sense of wholeness.” - Nikki Myers, yoga therapist

The right tools Myers says the idea that yoga can provide a set of tools is critical as the practice of yoga is much more than the poses themselves. She says there’s also a focus on breathing techniques, a meditation of sorts, and a connection to one’s physical reactions that can prove vital when faced with difficult circumstances. Myers recalls how one woman who participated in 12-step yoga later found herself in a very stressful situation at home with her kids misbehaving and everything going wrong. She said she could feel the negativity boiling up inside her. It was the kind of stress that had triggered her to drink in the past, but the woman said in that moment she was able to relax and calm herself by focusing on her breathing and remembering the feeling of tranquility she had experienced in class. “It had a way of creating a space, giving her tools to create a space between her reactions and instead take a different neural pathway,”Myers says. “These are the kind of tools that we’re looking to have people use.” “A focus needs to be on the body-based piece as well as the cognitive piece in order for wholeness to really be manifested.” - Nikki Myers

Not a replacement Myers is quick to point out that yoga is not a substitute for traditional 12-step support, but rather an additional measure that some people may find helpful. She says some people have pushed back against the practice, but others have been enthusiastic about its power, with classes spreading across the country and even internationally. Myers says she hopes that one day 12-step yoga will be as common as other treatment programs. But she says as long as people are maintaining sobriety and finding wholeness within themselves, she’ll be proud of the difference her system has made. “We’ll tell people, ‘Notice this in your body, what it really feels like,’” Myers says. “Healing only happens in safe space.”

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If you or someone you care about is struggling with a mental health disorder or an alcohol or drug addiction problem, there is hope. Let us help.

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