ACA methadone piece slammed


A Channel Nine investigation into methadone patients and road use has been met with outrage from health professionals

In December 2017, Ulladulla man Craig Anthony Whitall, 51, was driving home from a NSW methadone clinic when his car veered onto the wrong side of the Princes Highway and collided with a car carrying the Falkholt family.

Mr Whitall was killed instantly, as was Lars Falkholt, 69 and his wife Vivian, 60.

Daughters Annabelle, 21, and Jessica Falkholt, 28, died in the weeks to follow.

The incident has sparked a nationwide debate about whether people should be allowed to drive after attending a methadone clinic.

In late January, drug testing service provider Drug-Safe Communities WA called for changes, stating there were flaws in current legislation allowing methadone patients to drive.

“Methadone is a powerful drug and by no means ‘safe’. Methadone is a depressant and dramatically slows down the messages between your brain and your body,” said the organisation.

“If a person has received methadone, it is affecting them. The synthetic substance has entered the blood stream which is then present in every part of the body.”

Continuing the debate, a recent segment by A Current Affair explored the topic – and their take on the issue has left health professionals furious.

The segment entitled “Methadone madness” involved reporters staking out a methadone clinic and filming patients leaving the centre using a hidden camera (the footage screened with their faces blurred out).

It refers to methadone patients as “users” getting a “fix” at the clinic.

“Drugged up, now watch as he gets into a car and drives off … and, he’s not alone,” says the ACA presenter.

“So why is it methadone users are allowed to drive?”

At one point, the segment also refers to methadone as “meth” (which is a common reference to methamphetamine, rather than methadone).

Outrage from the health sector

Many viewers were outraged at the use of language in the segment.

“This is a terrible piece of apparent journalism. To stigmatise and prey a group of people in society for a ‘story’ is appalling behaviour,” said PSA national president Dr Shane Jackson on Twitter in response to the piece after airing.

“Patients receiving methadone are receiving treatment, not a fix, and can drive when they are stabilised on treatment.

“Pharmacists are frustrated by the negative external perception towards people who are seeking help and treatment for drug dependency,” Dr Jackson told the AJP.

“The high absolute numbers of people who misuse or who are dependent on prescription opioids and even other drugs such as benzodiazepines highlights that we need to have better identification and management processes for people who are at risk and who are dependent on opioids and other high risk drugs.”

Victorian pharmacist and vice-president of the PSA Victorian branch Jarrod McMaugh said the segment was a “disingenuous article that exploits a family’s tragedy for advertising ratings.”

“This video has an appalling amount of misinformation, breaches the privacy of the people it films, and intentionally uses divisive language,” said Mr McMaugh.

Melbourne GP Dr Paul Grinzi, an educator in drug and alcohol addiction medicine, responded to the ACA segment on Twitter, saying: “As opposed to alcohol and benzodiazepines, there is little direct evidence that pharmacotherapy treatment such as methadone has direct adverse effects on driving behaviour. This means that patients on a stable dose of methadone may not have a higher risk of a crash.

“A dose of methadone doesn’t start being active for at least an hour. There’s no ‘hit’ [and] ‘meth’ is amphetamines not methadone – this article is complete rubbish.”

Under the influence?

In Australia, it is not illegal for a motorist to drive with methadone in their system.

However drivers can be charged if they used any substance that impaired their ability to drive.

The NSW Police Force says in its guidelines on opioid treatment programs that: “Methadone and buprenorphine are legal opioids used in the treatment of opioid dependence.

“Opioid treatments such as methadone and buprenorphine give people the opportunity to rebuild their lives. In assisting people to reduce or stop their illegal drug use, these treatments improve health and social functioning.

“Methadone or buprenorphine has minimal effect on driving skills in most individuals where the individual is on a stable dose,” says NSW Police.

“However, a person’s driving may be impaired if they have just commenced opioid treatment, have had a change in dose, or have used alcohol or other drugs in addition to their opioid treatment.

“As with all drugs including alcohol, it is the individual’s responsibility to gauge their ability to drive.

“Health professionals are advised to inform an individual of the potential effect of a drug on driving-related skills.

“The use or attempted use of a vehicle while under the influence of methadone or buprenorphine to the extent that the person’s driving is impaired is an offence prosecuted under the Road Transport (Safety and Traffic Management Act) 1999.”

Drug-Safe Communities WA Principal Brian Lloyd argues that people who have been treated with methadone are unable to properly self-diagnose whether their driving skills are impaired.

He said that while nobody can prevent methadone patients from driving, pharmacists who provide methadone services should counsel them about the side-effects of the medicine, “and counsel them towards behaviours and actions that could potentially save their life, and more important the life of other innocent road users”.

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3 Comments

  1. Anthony Tassone
    01/03/2018

    This was an appalling piece trying desperately to parade as journalism which could only go downhill with an opening like;

    “Another methadone user leaves the clinic after getting their fix”, “drugged up now watch as he gets into a car and drives off. And, he’s not alone.”

    After being contacted by a number of Guild members, employee pharmacists and even speaking with members of the public alarmed at the misinformation and aspersions cast in this story, I have written to the editorial team of “A Current Affair” and to ABCs Media Watch expressing the deep concerns of this piece.

    The piece ignores the advice contained in the AustRoads and National Roads Commission ‘Fitness for driving test 2016” guidelines where in section 9.2.3 “Opioid dependence” which reads:

    “Opioid dependency includes patients taking opioid medication for chronic pain. People on stable doses of opioid analgesics for chronic pain management and people taking buprenorphine or methadone for their opioid dpenedency may not have a higher risk of a crash than the general population, providing the dose has been stabilised over some weeks and they are not abusing other impairing drugs.”

    More information on this guide is available via;

    http://www.austroads.com.au/drivers-vehicles/assessing-fitness-to-drive

    This disgraceful piece ignores official guidance, veers away from interviewing any health or medical expert and alarmingly and possibly deliberately uses the term ‘meth’ for convenience and further shock effect.

    The potential consequences of such a story could be patients reluctant to seek treatment and further misinformation being peddled in the community for what has been proven to be an effective treatment for drug addiction and harm minimisation.

    Any fatality is tragic and causes unexplainable grief to family and friends of those involved.

    However, further stigmatising an already margianlised group of people in the community trying to seek treatment for a drug addiction concern and re-establish a normal life in society is not part of the solution.

    If any response is received I will provide further update.

    Anthony Tassone
    President, Pharmacy Guild of Australia (Victoria Branch)

  2. Diane De Rivera Gargya
    01/03/2018

    ACA never ceases to do disgusting and counterproductive work just to get ratings. Their conscience is none existent and have deluded themselves that they are doing public service – in reality they are exploiting the story and the people for ratings. They are on a prime time slot and should have the decency to
    ALWAYS present a story in different angles.

  3. pana79
    02/03/2018

    Pathetic. Here you have people who are trying to do the right thing – fix their lives up and they are being demonised by ACA (who are known for their stellar journalistic integrity) for that.

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