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COVID-19 Pandemic Increasing Substance Use Among Veterans with PTSD

Nine months into the pandemic, everyone has been affected by COVID-19 in some way. However, one group that needs special attention and support is U.S. veterans who were already struggling with symptoms of posttraumatic stress disorder (PTSD). A recently conducted survey by Jordan Davis, assistant professor at the USC Suzanne Dworak-Peck School of Social Work, and Eric Pedersen, associate professor at Keck School of Medicine of USC, found evidence that veterans with PTSD prior to the pandemic were now managing their symptoms with more frequent alcohol and cannabis use. “The pandemic has not been easy on folks, especially for those that have PTSD or an alcohol use disorder (AUD),” said Davis, who also is associate director of the USC Center for Artificial Intelligence in Society (CAIS). “Some of the stories I’ve heard [from study participants] have been heart-wrenching.” An extraordinary resource of veterans not affiliated with VA services Davis and Pedersen lead several efforts examining substance use among veterans. They have assembled a survey group of about 1,200 military veterans, a percentage of whom struggle with PTSD symptoms but have not yet sought professional help via the Department of Veterans Affairs (VA) to improve their wellbeing. “We’ve decided to focus on the population of veterans who, for one reason or another, say they don’t need mental health care,” Davis said. Attitudes about care, transportation barriers or perceived stigma from others may deter them from seeking care for PTSD symptoms, and some self-medicate with alcohol, cannabis, cigarettes, or more rarely, methamphetamine or cocaine. Davis cited larger studies 1,2 that found only about half of the veterans who need some sort of mental health care receive it. Many studies of veterans recruit subjects from the VA who are likely already receiving care. The unique sample group that Davis and Pedersen have created may offer fresh insights into how to motivate these veterans outside the VA system to seek care and how best to deliver it. Tracking pandemic effects on mental health It all began with a one-time survey of young adult veterans to measure drinking habits and willingness to seek help. Pedersen and others had developed a brief intervention that had yielded some success reducing drinking in the short-term, but he knew that sustaining those reductions would be difficult unless the veterans agreed to more formal care. The one-off survey, conducted in February 2020, would set a baseline that could be used to inform the brief intervention content. Then COVID-19 cases began multiplying. Affected cities and states began to impose restrictions on public gatherings and more. Pedersen and Davis soon obtained additional funding from the Keck School of Medicine of USC COVID-19 Funding Program and the National Institute of Alcohol and Abuse to follow up with their sample group and see how these veterans were coping with the unprecedented health crisis. “The result is that we can follow up with these veterans from a pre-COVID-19 time period for the next several years, tracking their depression, anxiety and PTSD symptoms and substance use,” Pedersen said. The researchers aim to understand how the veterans are sleeping, what their stress levels are like, and how things have changed as the pandemic wears on. They hope to gain new insights about what motivates some to seek care and how that can be replicated. So far, the results point to some unfortunate, but not unexpected, news. “We’re finding that those veterans who were struggling with PTSD prior to the pandemic are actually doing worse in terms of their substance use behaviors, drinking and cannabis use, as well as their stressful reactions to the pandemic,” Pedersen said. Pedersen and Davis will continue to follow up with these veterans through at least February 2022, surveying them every three months to see how they are progressing. In addition to the survey, they also conduct in-depth qualitative interviews with a subset of the group to enrich their understanding of what their lives are like now and how things have changed for them. The interviews last about an hour, sometimes more. “We talk about the positive and negative things that have happened and what their expectations are for the future,” Davis said. The details are confidential, of course, but it is clear that the pandemic has upended people’s lives and livelihoods across the United States. The toll on those who were already experiencing mental health issues and addiction has been heavy, but Davis and Pedersen are hopeful that their insights and findings will lead to better treatment and outreach in the future. Reducing barriers to care One bright spot over the past nine months has been the quick embrace of telehealth. The VA was already leading the way to telehealth as a way to improve access to its services, and following the stay-at-home orders of the pandemic, telehealth has grown in acceptance and use. Now, online counseling sessions, Alcoholics Anonymous meetings, and medical visits are commonplace. Pedersen and Davis don’t see that changing even when face-to-face gatherings become the norm once again. It has been a promising start to the research, and Pedersen and Davis are even more excited about what the future may hold. They plan on submitting for more grants to continue to track the mental health and substance use of this group of hundreds of veterans with the goal of understanding what factors lead individuals to seek care. Down the road, they hope to use this longitudinal data to help identify profiles of people more or less likely to seek care. “Then we can tailor interventions to increase their willingness to seek care for a problem like a substance use disorder or PTSD,” Davis said. Recognizing patterns in substance use and when to seek care is very important in helping that part of the veteran population that is trying to deal with symptoms of depression, anxiety, PTSD, or substance abuse on their own. “We know that things are bad now and we can expect that there will be lingering effects for years to come,” said Pedersen. “What we hope is that these findings and our future work will help the VA and others create more effective programs and outreach to address the unique needs of veterans.” 1 Veterans Health Administration Office of Patient Care Services, Analysis of VA Health Care Utilization Among Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn Veterans. Washington, DC: U.S. Department of Veterans Affairs, 2017. www.publichealth.va.gov/epidemiology/reports/oefoifond/health-care-utilization/. 2 Tanielian, Terri and Lisa H. Jaycox, eds., Invisible Wounds of War: Psychological and Cognitive Injuries, Their Consequences, and Services to Assist Recovery. Santa Monica, CA: RAND Corporation, 2008. www.rand.org/pubs/monographs/MG720.html.

Find out how GSU is fighting fast fashion and promoting sustainability with students on campus

Sustainability Programs at Georgia Southern University recently teamed up with student organization Fashion Menagerie, a group of fashion merchandising and apparel design students, to fight fast fashion by hosting the first campus thrift store on the Statesboro Campus. Fast fashion is a textile trend where clothes are mass-produced to be quickly sold and thrown away. “Tons of textile waste gets dumped from people throwing away their clothes, even the ones that are lightly used, but more clothing is constantly being produced,” said Geneisa Ragin, president of Fashion Menagerie. “This thrift store can help our campus prevent that increase of waste and give students a sustainable way to donate and shop that can discourage fast fashion production.” Cami Sockow, Sustainability Programs coordinator, said in addition to being wasteful, fast fashion is often characterized by poor work conditions, such as underpayment, child labor, physical and verbal abuse, and working long hours. “The social costs of fast fashion are immensely under discussed,” Sockow said. “We largely leave out the social conversation when we discuss sustainability, but this is a great example of how many social costs ensue with our addiction to consumption. So while we pay a low economic cost, we need to start asking ourselves if it is worth the social and environmental ones.” Clothing donors received shopping credits at the thrift store for each item they donate. The thrift store also gave shopping credits for donations of nonperishable food items, hygiene products and cleaning supplies to the Eagle Essentials Food Pantry. On campus programs like this provide perspective and lived experiences from students and faculty – and if you are a journalist looking to know more about Georgia Southern’s Sustainability Programs – then let us help. Cami Sockow and Geneisa Ragin are available for interviews — simply reach out to Georgia Southern Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to set and time and date.

What Can A Forgotten Piece of Our Opioid Addiction and Treatment History Teach Us?

As the nation struggles with the third wave of a continuing opioid epidemic, a newly republished book co-authored by Nancy Campbell, the head of the Department of Science and Technology Studies at Rensselaer Polytechnic Institute, offers insight into present-day drug addiction and treatment by exploring a complex chapter from the nation’s past. Written with JP Olsen and Luke Walden, The Narcotic Farm: The Rise and Fall of America’s First Prison for Drug Addicts details the history of the United States Narcotic Farm, a federal institution that opened in 1935 outside of Lexington, Kentucky. Jointly operated from 1935 to 1975 by the U.S. Public Health Service and the Federal Bureau of Prisons, the Narcotic Farm was a combination prison, hospital, working farm, rehabilitation center, and research laboratory. “All of our scientific knowledge about human opioid addiction comes from that time, comes from that place,” said Campbell, a leading figure in the social history of drugs, drug policy, and harm reduction, on an episode of the Landmark Recovery Radio podcast. The facility, which was also the subject of a 2009 documentary featuring Campbell, has a complicated legacy. It revolutionized treatment methods commonly accepted today, such as using methadone to medically manage heroin detox and the development of drugs like naloxone and buprenorphine. But it fell under a cloud of suspicion in 1975, when Congress learned that researchers had recruited patients as test subjects for CIA-funded LSD experiments as part of the notorious MK-Ultra project. “With the ongoing opioid epidemic worsening this past year in the midst of the COVID-19 pandemic, the lessons learned in this book continue to be relevant today,” Campbell said. Campbell is also the author of Using Women: Gender, Drug Policy, and Social Justice and Discovering Addiction: The Science and Politics of Substance Abuse Research, as well as the co-author of Gendering Addiction: The Politics of Drug Treatment in a Neurochemical World. Her most recent book, OD: Naloxone and the Politics of Overdose, was published in 2020. “Nobody should die of overdose. A high overdose death rate signals that we have not cared for the people who have been hurt most by the war on drugs, first pursued by President Dwight D. Eisenhower in 1954,” Campbell said in a recent “Academic Minute” segment. Campbell is available to discuss a wide range of topics relating to drug policy and history, including the Narcotic Farm.

Overshadowed by COVID – The opioid pandemic is still taking its toll across America

For more than two decades opioids have been ravaging American cities, towns, and communities. It prompted national attentions and official commissions advising the President.   But lately, as the world has turned almost all its focus on COVID-19, the opioid issue has been sitting in the shadows. Not necessarily idle or waiting, but just no longer the topic of a national conversation to find a cure.   Before COVID-19 turned our nation upside-down, policymakers were taking steps to help patients access evidence-based treatment for opioid use disorder. This included focusing on removing health insurers’ barriers to medication and requiring insurers to provide parity for mental illness and substance use disorders — and holding them accountable for violations of the law in Massachusetts, Pennsylvania and New Hampshire, to name a few recent examples. While we continue to take steps to address COVID-19 to help keep the public safe, the American Medical Association has seen reports from more than 30 states concerning increases in opioid-related mortality, mental health crises, suicide and addiction-related relapse. Reports are from every region in the nation. This includes a 20 percent increase in calls to the Jacksonville, Fla., fire department concerning overdoses; an “unusual spike” in overdoses in DuPage County, Ill.; increased emergency department visits in coastal North Carolina and spikes in fentanyl-related overdoses in Seattle. Georgia, too, has not been spared, causing increased concern for many. - Dr. Patrice A. Harris is the immediate past president of the American Medical Association and chair of the AMA Opioid Task Force. So – at what cost or how far back have efforts been set by COVID-19? And how much harder will it be for America to regroup and take on its addiction to opioids? There are a lot of questions to be asked – and if you are a journalist covering this topic or looking to learn more about the state of the opioid epidemic in America – then let our experts help. Justin Cole is an expert in clinical pharmacy, Pharmacogenomics, and the pharmacy industry.  Justin has been following this issue closely and is available to speak with media. Simply click on his icon to arrange an interview today.

The forgotten crisis – are opioids and overdoses being overlooked during the COVID-19 outbreak?

As one crisis overcomes another in the spectrum of news coverage and public health messaging, there’s a serious concern that drug users are particularly vulnerable and potentially being forgotten in the wake of COVID-19. With millions of Americans forced into weeks of extended isolation, several communities have reported a spike in drug overdose deaths, prompting health officials to raise concerns about the safety of those suffering from substance use disorders amid the COVID-19 pandemic. In Jacksonville, Florida, the fire and rescue department reported a 20% increase in overdose emergency calls in March. In Columbus, Ohio, the county coroner’s office saw a surge in overdose deaths, including 12 in a 24-hour period the first week of April. And in New York State, at least four counties have acknowledged an increase in reported overdoses, including Erie County, where officials saw at least 110 drug overdoses, including 36 deaths, reported since the beginning of March. “The opposite of addiction is not sobriety but connectedness,” said Dr. Joseph Hernandez, an associate professor in the Department of Psychiatry and Health Behavior at the Medical College of Georgia at Augusta University. “As we practice social distancing to control the spread of COVID-19, many addicts have lost their traditional in-person meetups, which may explain the jump in overdose deaths.” Despite these challenges, Hernandez says the addiction recovery community is working to maintain connections by switching to online or virtual formats. Additionally, most rehabilitation centers for substance abuse have remained open and are screening their residents to prevent the spread of COVID-19. It’s unclear whether the reports from local officials reflects a broader trend nationwide. The Centers for Disease Control was unable to provide national data on overdose deaths during the coronavirus crisis, but a spokesperson says its officials are “aware of the concerns involving COVID-19 and drug overdoses and that it could affect some populations with substance use disorders.” If you are a journalist covering topics like overdoses and how drug abusers are being cared for or potentially forgotten during this crisis, then let our experts help. Hernandez is a leading expert in addiction medicine and is available to speak with media regarding this topic — simply click on his name to arrange an interview. Also, check out the Augusta University Expert Center to view a complete list of our experts and get the latest on COVID-19 on our dedicated resource page.

Don’t Neglect Spiritual, Mental Health During this Time of Health Crisis, Baylor Expert Says

In a difficult and ever-changing time of crisis surrounding the spread of coronavirus, the basic needs of health and safety come first. But as these basic physiological needs are met, the more advanced care for spiritual and mental health can remain overlooked or ignored altogether. Baylor University’s Holly Oxhandler, Ph.D., LMSW., associate dean for research and faculty development and assistant professor the Diana R. Garland School of Social Work, is an expert on mental health, primarily anxiety and depression, as well as religion and spirituality in clinical practice. In this Q&A, she shares tips and resources to help unhook from the baser instincts of fear and anxiety, even momentarily, to monitor and care for spiritual and mental health needs. Q: During a crisis, why do spiritual and mental health needs tend to be overlooked or ignored? A: In the midst of a crisis, our natural reaction is to go into a fight-or-flight response to the situation. Our most basic needs must be met, such as finding a sense of safety, and our bodies are doing what they were designed to do: to protect us. For example, if we were to encounter a bear on a hiking trail, our sympathetic nervous system would be activated to meet the basic need of keeping us safe. Our spiritual and mental health are not primary needs in that moment of crisis. If we were to run from that bear and reach safety, our emotions would eventually become regulated, our breathing would become normal, and we could return to a generally balanced way of being that allows for attention to our spiritual and mental health. However, we are in a prolonged moment of crisis surrounded by uncertainty, constantly evolving news updates and daily threats to our and loved ones’ safety regarding our health, finances and sense of normalcy. In this state of constant stress, it can be really hard to unhook from the fight-or-flight response and remember to tend to our spiritual and mental health. Q: How can people tend to their spiritual health during this time of crisis? A: In this moment, most of us are being forced to be still and/or surrender the illusion of control in ways we have never faced before. In this stillness, our spiritual practices can help remind us of a divine Love that is with us through each moment, but we must intentionally set time aside to practice them. Plus, many research studies have shown healthy, positive spiritual practices have the potential to support our mental and physical health. One thing that’s very important, especially in the midst of this crisis, is that we do not spiritually bypass what’s happening. It may be tempting to want to jump to hope and ignore the pain, but to the best of our ability, our faith traditions teach us we must sit with and feel the grief rooted in the overwhelming change and loss we and our neighbors are facing. As Fr. Richard Rohr says, “If we do not transform the pain, we will most assuredly transmit it – usually to those closest to us.” We must be with the fear and uncertainty, grieve the loss of life as we knew it a few weeks ago, pray the psalms of lament, and feel the freedom to wrestle with and/or cry out to God in ways we read about others doing so in our sacred texts. The important thing is that each of us engages in something tied to our faith, regardless of what we believe in, and to be consistent in the practice, continually learning to surrender that sense of control we’re all finding ourselves learning to do right now. Spiritual Health Tips Prayer Reading our sacred text Meditation Centering prayer (my personal favorite, which teaches us silence, solitude and stillness) Breath prayers (here are some examples) Engaging in creativity (music, dance, art) as an act of worship Practicing gratitude Seeking beauty in the mundane Yoga Journaling Especially in this time of increased isolation, I would recommend inviting others into these practices for a sense of solidarity and community, including those within our home or via social media, video conferencing or by phone. Q: How can people tend to their mental health needs? A: The first practice I would recommend is to pause and breathe deep for 4-5 seconds, noticing your belly rise instead of your chest, and breathe out for 6-7 seconds. The second would be grounding. When our brain is flooded with information and emotion, it is hard to stay present. In grounding, we take a deep breath and ask ourselves five questions to return to the present moment: What do I smell right now? What do I taste? What do I see in front of me? What can I touch and feel the surface of? What do I hear? A third recommendation would be to get outside as often as you can and, ideally, into some sunlight. I would also recommend the practice of tuning into our bodies. For many of us, it can be difficult to pay attention to what our bodies are trying to tell us, in the same way our thoughts and emotions communicate with us. Especially now, pay attention to the tension in your neck, the overall exhaustion, the pain in your arm muscles, the tightness in your chest, or any other experiences you notice by tuning in. Your body may be trying to tell you to spend less time watching the news (maybe cut back to 1-2 times a day), to take a nap or to move it and exercise. Last, and perhaps most importantly, do not hesitate to reach out for help if you are noticing changes in your appetite, sleep, mood, thoughts or feelings. Stay in communication with loved ones but just as you would seek a medical doctor for a broken arm, seek a therapist when you notice changes in your mental health. Many therapists are quickly adapting to telehealth services in this moment to meet growing demands and social distancing expectations. Some sites for finding a therapist include Psychology Today or HelpPRO, and if you or a loved one are deeply struggling, please reach out to the National Suicide Hotline or call 800-273-TALK (8255). Reaching out for help with your mental health is a sign of courage, not weakness. Q: During this time of crisis, what populations do you feel are most vulnerable to mental or spiritual health decline? A: Honestly, I think every single one of us are vulnerable to mental and spiritual health decline during this moment for varying reasons. As mentioned before, these parts of us are easily brushed aside when we’re most focused on ensuring our basic needs of safety and security are met. Still, there are a few groups I’m especially sensitive to. The first are the helpers on the front line facing far more need than resources, time or energy to meet those needs. These include our health care providers, social workers, therapists, grocery and restaurant employees, teachers, parents, nonprofit organizations, faith leaders, volunteers, community leaders, pharmacists, lab technicians, scientists and more. These helpers are at such high risk of burnout and my hope is that, to the best of their ability, they are caring for themselves holistically in order to care for others well. I’m also sensitive to a few other groups who are vulnerable to mental and spiritual health decline. First, older adults are the most religious cohort and are already at risk for depression and isolation even without a crisis, so I worry for them in light of the necessary social distancing. Second, in light of added pressures, those with various mental illnesses must continue to care for themselves via the medication or therapy they need. Third, I’m sensitive to those who are recovering from a substance or behavioral addiction and are now surrounded by overwhelming stressors that put them at a higher risk of relapse. Thankfully, recovery groups are now moving online and I would encourage those in recovery or remain plugged into a group. Q: Many people are unable to access a doctor or professional therapist to get help. What are some resources for those that may need free or low-cost options? A: There are a number of websites that can help individuals find a professional mental health care provider, such as a licensed clinical social worker, psychologist, counselor or marriage and family therapist. I mentioned Psychology Today, HelpPRO, and the Suicide Prevention Hotline above, but there are others. Better Help and Talk Space are two growing online therapy sites and Low Cost Help elevates providers with affordable rates. I also host a weekly podcast, CXMH: Christianity and Mental Health, which has a ton of episodes on various topics related to this intersection, including a recent one specifically on COVID-19. You can also contact your insurance provider to see who is in network or, if you do have a primary care provider, see if they have any recommendations. Your local faith communities may also have a list of mental health care providers to consider. There are also many organizations committed to providing resources, including the Substance Abuse & Mental Health Services Administration, National Alliance on Mental Illness, and the National Institute on Mental Health. Q: How can neighbors help neighbors and individuals help individuals outside of the professional or therapy setting? A: I really want to emphasize that, especially in this moment, we must practice extending grace, being still and holistically caring for ourselves so that we can care for others well. We can do our part to serve those who are serving others, even if that means practicing social distancing and stillness, while tending to our spiritual and mental health. Discerning what is ours to do in this moment to offer help, healing, hope and love to our neighbors as well as ourselves, and to help protect our helpers from burning out, will be critical in the days and weeks ahead. As Chris and Phileena Heuertz shared in their prayer, A Call to Solidarity During COVID-19: “You’re not alone. We’re in this together. We’ll do everything we can to help.”   ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 18,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT THE DIANA R. GARLAND SCHOOL OF SOCIAL WORK AT BAYLOR UNIVERSITY Baylor University’s Diana R. Garland School of Social Work is home to one of the leading graduate social work programs in the nation with a research agenda focused on the integration of faith and practice. Upholding its mission of preparing social workers in a Christian context for worldwide service and leadership, the School offers a baccalaureate degree (B.S.W.); a Master of Social Work (M.S.W.) degree available on the Waco or Houston campuses or online; three joint-degree options, M.S.W./M.B.A., M.S.W./M.Div. and M.S.W./M.T.S., through a partnership with Baylor’s Hankamer School of Business and George W. Truett Theological Seminary; and an online Ph.D. program. Visit www.baylor.edu/social_work to learn more.

Social Media Spaces Can Be Instruments of God’s Unconditional Love, Theologian Says

Being 'always on' can be a source of anxiety or sorrow, but it also can be a way to strengthen faith, Baylor author says Many of us are “always on” — scrolling through social media, checking email or searching the web, says author Angela Gorrell, Ph.D., assistant professor of practical theology at Baylor University’s George W. Truett Theological Seminary. In her book “Always On,” she writes about how social media spaces can be instruments of God’s unconditional love — but also sources of anxiety, jealousy and depression. With the arrival of 2020 — and its potential for change for the better — she discusses in this Q&A some tools for understanding social media and enabling Christian communities to address its use in constructive ways. Q: From your perspective as a practical theologian, are the social media strategies you recommend aimed solely at people of faith? Dr. Gorrell: Practical theology takes different forms. Ultimately, I aim to write about issues — like social media — that matter to people and shine the light of the Gospel on them. I also research and write about theology and faith in practice, how people express and perform their values, hopes and beliefs through practices, rituals, disciplines, activities, relationships, work—through their way of life. While I write about social media from a Christian perspective, much of what I have written about using social media mindfully and having “interested conversation” about media is applicable to people from a variety of religious and philosophical perspectives. Q: There is much talk about how people spend too much time on social media, to the point of ignoring family and friends when in their presence. How much is too much? And what problems can this create for people? Dr. Gorrell: The most important thing for people to realize is that how you spend time online is more important than how much time you spend online. There are a variety of issues that “passive,” unintentional, unregulated, time online can extend and nurture. I say extend because all of these issues can also be in-person issues. For example, empathy burnout, depression, anxiety and jealousy. We often encounter an enormous amount of suffering online. The amount of suffering and the velocity of these encounters — and rapidly seeing multiple examples back to back in articles or our newsfeeds — can nurture empathy burnout. We can become numb to the suffering we see online and take in but do nothing about it or think very little of it. Likewise, being on social media and passively scrolling through people’s status updates, tweets and stories for unbounded sets of time and looking at copious amounts of content but never replying, messaging, posting or sharing has been linked to depression and anxiety. Similarly, passive following, which is following people closely that we do not know (e.g., celebrities) or people we do not see regularly in person (e.g., high school friends) has been linked to jealousy, which can negatively impact how we perceive ourselves and our lives . . . When we see someone a lot in person or talk to them regularly by phone, we know that their lives have a lot more going on than what they are sharing online. Q: What strategies do you suggest help people use social media wisely? Dr. Gorrell: The goal is meaningful participation. I encourage people to limit passive scrolling and following as much as possible. Create something and share it online. Join conversations. Reply to people’s statuses rather than just clicking emojis. When you see that someone is celebrating, share their joy in a significant way. Share it as your status with a note of congratulations or text them or call them. When you notice someone is mourning, message them. When you encounter suffering online, stop scrolling and do something in response. Get offline, take a walk and pray about this suffering. Give money to an organization that is relieving this suffering. Find other articles and educate yourself on the issue. Learn more about how to help or how to invite other people to care. Q: Any suggestions as to how and where people might create a space to ask and answer questions about social media use? Dr. Gorrell: Asking powerful questions about people’s online experiences that encourage storytelling and helping each other think about new media can happen around the dinner table, in a church small group or on a road trip in the car. When family and friends ask each other about one another’s lives, we can include asking questions about and discussing social media experiences. We can ask curious, open-ended questions without simple yes or no answers like: 1. How do you make decisions about what to respond to online? 2. Have you ever been frustrated or sad about new forms of technology? What causes frustration or sadness for you? 3. When have you had a joyful experience online? Could you describe a time when you felt heard, affirmed or understood online? 4. How does social media help you love God and others and/or prevent you from loving God and others? 5. When have you had a painful experience online? Could you describe a time when you felt unheard, bullied, left out or misunderstood online? 6. What are the top two feelings you experience when using social media, and why do you think this is so? Q: How can we do a better job of using social media? Dr. Gorrell: Develop a rhythm for life with your friends or family that specifically addresses technology — when you will use it and for what purposes, when you will not use it, what boundaries you will have. Using social media constructively requires intentionality. I encourage people to find times in their week or month or year to not use devices and social media and to write down their plan on a calendar. A college student told me that he and his friends put all their phones in the center of the table at restaurants and say that the first person to pick up their phone during dinner pays the entire bill. Since they started this ritual, no one has picked up a phone during dinner. Practices like these help people to be present to people they are with in person. It is a great idea to put all devices away at night one to two hours before bed so minds and bodies can get prepared for sleep. I know families that have a basket for this purpose in their homes. I especially encourage parents to make sure children under 18 do not have a device in their room during sleeping hours so they can get adequate rest. I invite people to consider turning off notifications from all social media platforms and email and only check apps and email at a certain time each day. It is also important to have a plan for difficult moments and conversations online. What will you do when you get angry, disagree with someone else or feel depressed about your life or feel left out? What will you do next? It is equally important to think about what you will use social media for. How can you use social media to love people well, truly stay connected to people, expand your thinking on certain subjects, remain humble and open to being corrected, and nurture your creativity and increase your compassion? How might meaningful participation online support goals like these? ABOUT ANGELA GORRELL Angela Gorrell, Ph.D., assistant professor of practical theology at Baylor’s Truett Seminary, is the author of “Always On: Practicing Faith in a New Media Landscape,” which addresses the perils and possibilities of Christian faith in an era of massive technological change. She also is writing a book that addresses America’s crisis of despair, illuminated by its suicide rates and opioid addiction, and describes joy as the counteragent to despair. Gorrell earned a bachelor’s degree in youth ministry from Azusa Pacific University and an M.Div. and Ph.D. from Fuller Theological Seminary. She came to Baylor from the Yale Center for Faith and Culture at Yale Divinity School, where she developed relationships with more than 250 scholars from roughly 150 institutions on four continents while managing metrics and evaluation for the project. She has more than 14 years of experience in congregational and parachurch ministry, including serving as a chaplain at a women’s maximum-security prison. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT GEORGE W. TRUETT THEOLOGICAL SEMINARY AT BAYLOR UNIVERSITY Baylor University’s George W. Truett Theological Seminary is an orthodox, evangelical school in the historic Baptist tradition that equips God-called people for gospel ministry in and alongside Christ’s Church by the power of the Holy Spirit. Accredited by the Association of Theological Schools, Truett Seminary provides theological education leading to the Master of Divinity, Master of Arts in Christian Ministry, Master of Theological Studies, Doctor of Ministry and Ph.D. in Preaching. The MACM and MTS degrees also can be completed at the seminary’s Houston campus. In addition, Truett Seminary offers joint degrees: M.Div./M.S.W. and M.T.S./M.S.W. with the Diana R. Garland School of Social Work, M.Div./M.B.A. with the Hankamer School of Business, M.Div./J.D. with Baylor Law School, M.Div./M.M. with the School of Music and M.Div./M.S.Ed. or M.Div./M.A. with the School of Education. Visit www.baylor.edu/truett to learn more.

Is there a link between economic stress and opioid abuse? Let our experts help if you are covering

Recent media coverage is pulling back the curtain to reveal another angle on opioid abuse. The facts are startling, and it seems there is a direct relation between those facing economic stress and hardship and abusing opioids. “In 2015, Jennifer Silva, a professor of sociology and anthropology at Bucknell University, began interviewing people in the coal region of northeastern Pennsylvania. She was working on a project, which would become the book We’re Still Here, about how poor and working-class Americans were affected by the collapse of the coal industry—the major job provider in the region. She was curious how the regional decline might have shaped her subjects’ politics. But she quickly noticed a startling trend alongside the growing unemployment: Her subjects and their families were struggling with opioid abuse. At community meetings, doctors and coroners would debate solutions to the problem. Should they be arresting people? Should they be creating support groups? She describes one desperate parent who asked whether Donald Trump’s proposed border wall would keep black tar heroin from getting to Pennsylvania. Silva’s interviewees might have been representative of an awful connection between job loss and opioid abuse, a connection that continues to be bolstered by research. A study published on Monday in the journal JAMA found that counties with automotive assembly plants that closed had, five years after the closure, 85 percent higher rates of opioid-overdose mortality, relative to counties where automotive assembly plants remained open.” January 02 – The Atlantic The opioid epidemic has seen approximately 700,000 Americans dies since 1999. And there are many people who have become victims – rich and poor. However, this recent finding may show a link that public health officials, law makers and addiction experts can further focus on, especially in areas of America facing current or impending economic strife. There are a still lot of questions and that’s where we can help. Dr. Marc Sweeney is the Founding Dean of the School of Pharmacy at Cedarville University and is an expert in the fields of drug abuse, prescription drug abuse and Opioid addiction. Marc is available to speak with media regarding this growing issue. Simply click on his icon to arrange an interview.

Will e-cigarettes and vaping be the next addictions epidemic to sweep across America?

In a recent op-ed, David T. Courtwright, Ph.D., an author and addiction specialist opined that there’s a market to getting people hooked on substances and that e-cigarettes are the next big problem facing America. "I had just finished a new book on addiction when the vaping crisis erupted. The gist of the book is that that globalization, industrialization, mass marketing, digitization, and social media have turned the ancient human preoccupation with disreputable, potentially addictive pleasures into lucrative, commercially normal enterprises. Bad habits have been McDonaldized. Vaping couldn’t have been a more perfect example of this. I call those who help make bad habits routine “limbic capitalists,” a reference to their products’ neural common denominator. Whether they sell junk food, porn, slots, computer games, alcohol, or drugs, they target the limbic system, the brain networks responsible for pleasure, motivation, long-term memory, and other survival functions linked to emotions. Biological evolution shaped the limbic system, which is indispensable for life and reproduction. But cultural evolution and technological change created a trapdoor. The same neural pathways can be exploited — lethally — by entrepreneurs of brain-rewarding products that foster excessive consumption and addictive behavior."  October 28, 2019 – STAT There has been growing concern, awareness and news coverage about e-cigarettes and the dangers they present. As well, industry spin-doctors and public health advocates have been in overdrive trying to convince politicians about the pros and cons of legislation and regulation for these products. Are you a journalist covering this emerging issue? Then let the experts from Cedarville help with your coverage. Dr. Marc Sweeney is an expert specializing in drug abuse, prescription drug abuse, Opioid addiction, medical marijuana & related issues. Justin Cole is an expert in clinical pharmacy, Pharmacogenomics, and the pharmacy industry.  Both experts are available to speak to media regarding this issue – simply click on either gentlemen’s icon to arrange an interview.

Teaching kids about addiction and the opioid epidemic

If there is one thing we all know, it is that children are resilient, aware and often impacted by the actions and environments that surround them. And as America is still in the grips of the opioid epidemic, it was only a matter of time before a traditional and respected outlet like Sesame Street took the lead on making sure children could relate. According to Sesame Workshop, 5.7 million children under the age of 11 in the U.S. live with a parent battling a substance abuse disorder. That's one in eight kids and doesn't include children who have been separated from a parent due to circumstances like divorce, incarceration or death related to their addiction.  "Addiction is often seen as a 'grown-up' issue, but it impacts children in ways that aren't always visible," said Sherrie Westin, President of Social Impact and Philanthropy at Sesame Workshop. "Having a parent battling addiction can be one of the most isolating and stressful situations young children and their families face." "'Sesame Street' has always been a source of comfort to children during the toughest of times, and our new resources are designed to break down the stigma of parental addiction and help families build hope for the future." CBS NEWS, October 10 Are you a journalist covering the opioid epidemic or addiction issues in America?  If so, let our expert help with your questions and coverage. There are a lot of questions and that’s where we can help. Dr. Marc Sweeney is the Founding Dean of the School of Pharmacy at Cedarville University and is an expert in the fields of drug abuse, prescription drug abuse and Opioid addiction. Marc is available to speak with media regarding this growing issue. Simply click on his icon to arrange an interview.