Pubdate: Fri, 29 Jan 2016 Source: New York Times (NY) Copyright: 2016 The New York Times Company Contact: http://www.nytimes.com/ref/membercenter/help/lettertoeditor.html Website: http://www.nytimes.com/ Details: http://www.mapinc.org/media/298 Author: Alexa Eggleston Referenced: http://www.mapinc.org/drugnews/v16/n032/a07.html THE HEAVY TOLL OF DRUG OVERDOSES To the Editor: Your compelling article "Drug Overdoses Propel Rise in Mortality Rates of Whites" (front page, Jan. 17) ends with this quote: "There are people whose lives are so hard they break." But we know that lives don't break overnight. Most people with substance use disorders started using alcohol or other drugs before the age of 18, when the brain is still developing and teenagers are vulnerable. Sadly, we need to consider more "upstream" approaches to address the opiate epidemic. We should focus more effort on those who begin to use in their early teens and engage young people in honest conversations about why they are using alcohol and drugs. Then we can help them deal with issues like stress, anxiety or trauma that contribute to their use. A combination of screening and early intervention in health care, school and other community settings will create an early warning system that can help reduce the number of lives broken and lost. ALEXA EGGLESTON Agoura Hills, Calif. The writer is senior program officer, domestic programs, for the Conrad N. Hilton Foundation. - --- MAP posted-by: Jay Bergstrom