Prescription Pill Abuse and Lawsuits

It had to happen. Lawsuits are cropping up as a result of the prescription pill abuse epidemic, and a lot of people are clapping. And watching and waiting for more.

First, in a follow up to a post I wrote about a New York pharmacy robbed in June, in whiThumbnail image for Argue with judge.jpgch several people died – a victim’s husband is suing, well, pretty much everybody: “David Laffer victim's family files $20M suit.”  The husband is suing the pharmacy owner for not protecting customers, the county police department, the pharmacist who sold Laffer’s wife (the driver) pills, drug manufacturer Abbott Laboratories, and even his father-in–law for spending the money he supposedly collected for a foundation for the dead woman’s children. (The father-in-law maintained he used it for his daughter’s funeral costs. I saw that on the TV news.)

"I think all this could have been prevented if people did their jobs," Miranda Malone [the daughter of the woman who died] said. "Everyone who is a part of this should suffer the consequences."

The family’s lawyer said this is the first lawsuit of its kind. He recalled that someone tried a legal theory like this one to sue gun manufacturers, which wasn’t successful, but he sounded hopeful about this family’s “because of the nature of drug addiction, which drives some people to do whatever is necessary to get more drugs, including commit crimes.” Other attorneys were pro and con on whether or not the family would win the lawsuit.

Laffer, by the way, is serving five life terms for the murders, with no possibility of parole. His wife is serving 25 years. The last time I saw him on TV, he was finally remorseful. Of course, all the drugs were out of his system and he’d had time to think while sober for the first time in probably a long time.

The Drug Enforcement Agency is also starting lawsuits over this epidemic. The Partnership at Drugfree.org, a well-known “drug abuse prevention, intervention, treatment and recovery resource site,” recently posted from an article in the Wall Street Journal about the DEA charging four pharmacies and a health care company “with violating their licenses to sell controlled drugs.”

Who knows where actions like this will lead and if they will really make any difference?  When doctors see that their colleagues who are prescribing pills illegally are paying a stiff price, will they think twice about doing it themselves? Of course, there’s an unfortunate side to all this, too. I’ve read comments from more than one professional who are concerned about what it will mean for people who really need the pain control these pills provide.

Prescription Pill Abuse -- Still More Pharmacy Robberies and Dirty Doctors

Sometimes an issue’s impact doesn’t hit people until it lands in their back yard. I’m not one of those people. Likepolice cars and pharmacy.jpg many in the addiction and recovery field, I get the big issues, especially when it comes to abuse. But now that a drug store around the corner from me has been robbed by someone wanting drugs, pharmacy robberies ARE in my back yard.

It’s one thing to see the aftermath of a robbery on the news, when the camera focuses on the front of the pharmacy. It’s another to read “Middletown drugstore robbed of oxycodone by armed man” and realize you’ve been in that pharmacy.

The DEA reports that these armed robberies increased 81% from 2006 to 2010, and if current news reports are any indication, they seem to have increased even more in 2011 and so far in 2012. No pharmacy is safe. The industry publication Pharmacy Times advised hiring armed guards, or at least removing ads from front windows so police had a clear view of any danger inside.

Recently Joan posted about doctors who add to the prescription abuse problem by knowingly overprescribing pain pills to addicts: Doctors Who Fuel Addiction and Relapse. The robbery near my house came shortly after I saw the result of an accident on a New York state highway caused by a driver who was high on pain pills. A family died in the crash. A doctor had recently prescribed hundreds of pills for the driver. At the end of the news segment, another doctor was asked about this supposed professional, and his answer was telling. “He’s not a doctor, he’s a drug dealer,” he said.

And there’s an update on pill mills, which I posted about a year ago, that is not good news. You may remember that Florida authorities were shutting them down right and left. It seems many of the undesirables that start these storefront operations are simply moving to Georgia. “The people come completely out of left field without any pharmacy background and open a pharmacy in a sleazy strip mall right down the street from a pain clinic,” [the director of the Georgia Drugs and Narcotics Agency] said. “You do a cursory background on them, and they’re living in a doublewide in Pembroke Pines, Fla.”

The USA Today article points out that drug dealers adapt. It seems safe to say that people who work in drug enforcement will never be out of a job.

 

Drinking and Sexual Assault

upset woman.jpgEveryone knows that alcohol and other drugs can loosen people’s inhibitions, impair their judgment and lead to semi-consciousness and worse. Drugs cloud so many situations, and one of the worst parts about this for women is that they can be taken advantage of – sexually assaulted -- when they’re not in control of their faculties.

Last spring a court case that appeared frequently in the New York area papers involved a 29-year-old woman charging a policeman with sexual assault. The gist of the case was that two police officers reported that they escorted an inebriated woman out of a taxi and up to her apartment. Afterward, the woman said that the officer named Kenneth Moreno raped her while the other stood guard. The men, who returned to the woman’s apartment additional times that night, told quite a different story. Like so much of court testimony, there was a ton of “He said, She said.” 

Here’s a portion of an article that  appeared on the Huffington Post:

"I couldn't believe that two officers who had been called to help me had, instead, raped me," said the woman, who has sued the city seeking $57 million over the incident.

After consulting prosecutors, she secretly recorded a conversation with Moreno a few days later. He alternately denied they had sex and seemed to admit it, particularly by saying twice that he'd used a condom when she asked him:

Woman: Did you use a condom?

Moreno: Ma'am --

Woman: I'm sorry but I'm completely freaked out --

Moreno: Ok.

Woman: -- about getting pregnant or anything.

Moreno: Ok ma'am, you're not going to get pregnant because nothing happ...yes Ma'am I used a condom. You don't have to worry about being pregnant. You don't have to worry about getting any diseases. Ok? Alright. Alright.

Moreno told jurors he was just "telling her what she wanted to hear" because she had suggested she'd go into the stationhouse where he worked and make a scene.

No DNA evidence was collected in the case, and experts debated whether an internal mark found during an examination of the woman could be interpreted as a sign of rape.

Moreno said he was only trying to console and counsel the woman about drinking during his series of visits, as he shared his own struggle with alcoholism some years before, killed a cockroach in her bathroom, made plans to have breakfast with her and sang to her a verse of Bon Jovi's "Livin' on a Prayer."

On the last visit, Moreno said, he suddenly found himself fending off drunken advances from the woman.

"I told her, `There's another time for this. Not tonight.' ... I kind of had her by the shoulders, and I said, 'We're not doing this,'" he told jurors.

But, he said, he wound up in her bed after she fell and got stuck between her bed and a wall and needed to be freed. He said he stayed there with his arms around her for a time, out of sympathy, but kept his uniform on and didn't have sex with her.

In August Moreno’s partner received a two-month jail sentence for misconduct and Moreno was sentenced to a year. Both appealed. In October – the last news I found – Moreno was still out on appeal. 

In mid-December, Jane Brody, a health columnist for The New York Times, wrote that “fewer than 40 percent of rapes and sexual assaults are reported to the police.” And unfortunately, in some cases, a woman reporting being raped after drinking has one difficult road to hoe to get satisfaction.

Substance Abuse and Pharmacy Robberies

We know that drugs beget violence, from the murderous drug cartels south of the border to the shoot-outs in U.S. neighborhoods. But the news in the last few weeks is mind-blowing. As if pill mills (which I wrote about in February) cropping up isn’t bad enough, now there’s a wave of pharmacy robberies across the U.S.

In Oakland, CA, the thieves took the store’s supply of narcotic cough medicine.cough medicine.jpg On Long Island (New York), one man addicted to oxycodone allegedly shot two employees and two customers in a neighborhood drugstore in June, according to the Associated Press. His wife was arrested as well for driving the getaway car. She, too, is reportedly an addict. I’ve written that prescription pill abuse is on the rise. One statistic in the article was that the number of patients treated for pill overdoses in emergency rooms more than doubled from 2004 to 2008.

The AP article said that part of the problem is because it’s getting harder for addicts to get enough pills. Between the shuttering of Internet pharmacies and the advent of computer systems to prevent addicts from “doctor-shopping”, addicts are taking more drastic steps.  Not long ago I heard someone suggest that pharmacies hire security to protect their customers and employees. It’s a shame that it has come to this.

A NY news station reported that the shooter’s wife made a deal with the authorities – for a lighter sentence if she testifies against her husband – and that the shooter has shown no remorse for his actions.  I wonder if the shooter will feel sorry in a couple of weeks. This is a married couple in trouble. But as always, after thinking about the victims, my mind wandered to the substance abusers’ families --the mothers, fathers, brothers, sisters, and others. Addiction never hurts just the addicted individual.

 

 

Getting Sober Isn't Enough - Resolve Your Legal Issues

One of our alumni, we'll call her Cynthia, was doing really well.  She had finished our 90 day program and gone to live in a local sober living.  When she was ready for another, I called Friendly House.  Founded in 1951, Friendly House is the oldest women’s recovery living home in the US, providing a safe harbor for women suffering from the destruction of alcoholism and drug abuse, and has earned a world renowned reputation as the model for sober living.  Every year Hollywood celebrities, in recovery and not, turn out to help raise money for this amazing non profit organization.friendly house.jpg  

I told Friendly House Cynthia’s story and asked them to accept her.  They agreed, pending an interview.  The day before the interview Cynthia went to apply for government relief.  The case worker offered her a free hotel room in South Central Los Angeles for the night.

And then, as Jeffrey Miles, our in-house legal counselor writes below, the nightmare began.  Kudos to Mr. Miles who worked really hard on this case.

By Jeffrey Miles, Esq.

 

Rehab is a difficult and daunting process for those who wish to get their lives back on track.  Which is why those who achieve success have every right to be relieved and proud of their achievement -- but nothing spoils that success like an unfulfilled obligation to the legal system that comes rolling out of the lifted fog of addiction and tries to pull you back into the abyss.

Take the case in point of Cynthia, a 22-year-old formerly homeless heroin addict.    While on probation in the East Coast, she failed to complete drug ordered rehab, fell off the wagon and finally came to California to treatment.   Meanwhile the East Coast probation department became aware that Cynthia had failed to comply with her original court ordered rehab, notified the Court that Cynthia was in violation and issued a nation-wide bench warrant for her arrest.  Violation of probation is a serious matter.

While transitioning from one sober living to another, Cynthia was temporarily housed in a hotel which was subject of a police raid.  Cynthia has done nothing wrong but when the police checked the ID’s of the hotel’s occupants, the bench warrant showed up and Cynthia was arrested, held without bail and subject to extradition.

It took an extraordinary and unusual combined effort of public defender’s on both coasts to manage to avoid extradition and get the court to allow Cynthia to complete the recovery process in California instead of being extradited back east to spend possibly years in jail for violating probation.   But while that was going on, Cynthia spent 10 days in jail.  Not the best place for someone recently out of rehab.  You can imagine the effect of all this had on Cynthia who is still fragile and only a short while sober. 

The lesson, though, should not be missed.  If there are “loose ends” that need attention, don’t let them get overlooked while all the hard work is being done to get sober.   All of the above could likely have been avoided by proactive contact with the legal system back east while Cynthia was in rehab and before Cynthia got  arrested on the warrant.   An outstanding warrant can result in arrest, jail without bail and even extradition resulting from any contact with law enforcement, even a simple traffic stop.

Innovative L.A. court program helps women get off drugs and turn their lives around

This week I want to introduce a new blogger:  Taylor Armstrong, star of the hit reality show “The Real Housewives of Beverly Hills” and one of the co-owners of the Malibu Beach Recovery Center.  Taylor has worked for a leading pharmaceutical company and has a B.S. in Biology so she understands the neuroscience behind the disease of addiction.  Thumbnail image for Thumbnail image for Taylor approved.jpg 

Taylor also works closely with victims of domestic violence and runaway youth through her volunteer efforts for the 1736 Family Crisis Center. She has seen the devastation that occurs in families where addiction is present and hopes her connection to Malibu Beach Recovery will prompt addicts to seek treatment and stop the cycle of addiction and abuse. 

Taylor has witnessed addiction up close and personal.  Last year, she and her husband, Russell Armstrong, sent one of their family members through the Malibu Beach Recovery Center’s 90-day treatment program.     

Taylor will be writing regularly about addiction-related subjects of interest.  She chose to begin with a salute to a Los Angeles Superior Court judge and his successful program for women addicts.  

-Joan Borsten 

 

Innovative L.A. court program helps women get off drugs and turn their lives around

By Taylor Armstrong 

Once in awhile you read a story that makes you say, “Y-e-s-s!  Way to go.”  Recently Victoria Kim, a reporter at the Los Angeles Times, wrote an article about a meth addict who call herself “Orange” and the court program that saved her.

Judge Michael Tynan, who presides over the Los Angeles Superior Court, used to be a public defender. The 73 year old Army veteran takes on “populations that others have given up on,” the article says, including women parolees like Orange who have been in trouble due to alcohol and drug abuse.

Tynan runs a program called the “Second Chance Women's Re-entry Court Program” that allows women to plead guilty for their crimes and enter rehab rather than return to prison. That’s not to say he’s a softie; if a woman fails rehab, she’s jailed. What he gives the women is hope and a chance to turn their lives around by eliminating the addiction that fuels their criminal behavior.

Orange’s story is both heart-breaking and uplifting. She had a very difficult childhood, started drinking and smoking marijuana early, graduated to other drugs and then took on meth. Petty crimes and jail followed and she was incarcerated time and time again. In attempting to escape after her latest crime--burglarizing a Hollywood Hills home--she jumped off a cliff, broke her back and shattered her foot.

When she landed in Tynan’s court, she was sure he was going to send her back to jail immediately, but instead he gave her a chance. She entered rehab but acted out, went to jail for 30 days and was assigned a motivational essay project.  Then, a light bulb went on over her head. You can guess the ending—she turned her life around.  I love stories like this.  It’s worth reading in full so you can truly appreciate Judge Tynan’s innovative approach to women who need a second chance.Thumbnail image for gavel.jpg

Orange is only one of the many women helped by this program and this inspirational judge.  By rehabilitating mothers, Judge Tynan is paving the way for their children to succeed and avoid the tragic consequences of addiction and subsequent criminal behavior. We need more programs like this around the country. Bravo Judge Tynan and way to go, Orange!

 

Helping Defense Attorneys Creatively Extricate Addicts from Harm's Way

With criminal lawyers like Michael Nasatir, Mary Masi, and Gilbert Geilim on his Board of Advisors, not to mention former Citibank CEO Michael S. Knapp, it’s clear John Tarasi came up with a winning concept when he created “Sober Guard.”   The new company provides services to clients facing legal issues because of substance abuse.John Tarasi.jpg

“We exist to make the job of the attorney easier, not to replace him or her” says John, a tall, lanky crew-cut Pittsburg native. “My goal is to fill a gap, to do what no lawyer has time to do.   I can help by appearing with the attorney and defendant in court and saying: ‘Your Honor, I vouch for the defendant.  This person is serious about changing his/her life and taking the steps to do it.’   It makes a very powerful impression on the judge.”  

John has been working in recovery for ten years.  He attributes the beginning of his own sobriety to an enlightened Santa Monica judge who sentenced him to drug court instead of jail.   John spent eight months at the non-profit Clare Foundation; while still a patient he began running the Clare Men’s Center.  After completing treatment, he worked as group facilitator for the City of Santa Monica’s inpatient program at Clare, and did individual counseling for both of Clare’s primary care programs.

One day while speaking at St. John’s Hospital he met David Milch, creator of the TV series NYPD Blue and segued to TV production for three years.  While working for Milch’s Red Board Productions, he co-wrote (uncredited) with Milch the pilot for the acclaimed HBO series “Deadwood.” 

He left the entertainment world to start Soba Sober Living in Malibu with Greg Hannley, which they eventually expanded to include a licensed treatment center.

“I saw people coming in with legal issues,” said John.  “Because of my personal experience with the law, I realized I could help them. “   

Sober Guard was officially launched several months ago.  One of the first clients was a well-known actor who had recently completed treatment at the Malibu Beach Recovery Center.  Once he graduated from our residential program, John kept him out of jail by making sure he attended all of the anger management classes and domestic violence counseling sessions the judge had mandated.  Additionally he convinced the judge to sentence the actor to a “creative” type of community service that John believes was a true service to Los Angeles – teaching acting to youngsters in the inner city.

 “I try to match talents of my client to community needs.  Judges like that and the communities benefit.   Picking up trash is more humbling but does not make someone feel he is ‘giving back.’”

John works all over the country, advocating for clients because he believes that treatment is better than jail and jail better than prison.

“I had a client with seven cases before the same judge,” he recalled.  “He came to California, I got him into treatment and 1-2 months later I flew back to New Jersey with him.  The judge with impressed.  He asked me:  ‘You came 3,000 miles to vouch for him and tell me the letter from this rehab is accurate?’  When I assured him this was indeed the case; the judge dismissed all seven misdemeanors and fined my client a mere $250.

“It happens frequently.  In fact, it happens all the time.  Every time we accompany a client and his or her lawyer to court, the sentencing goes better.  Judges tend to put more faith in the defendant because a Sober Guard representative is at their side.  Our clients get easier deals, less time, and stay out of jail.  Sometimes I can get judges to reduce a client’s probation time by half.”

Lawyers like him, he believes, because under John’s care their clients don’t re-offend.  Bondsmen like him because he makes sure the defendant shows up in court.  Judges like him because John gives them confidence that they won’t dismiss charges only to read in the newspaper the following day that the freed defendant blacked out while driving and killed an innocent party.