Michael Botticelli: Addiction is a disease. We should treat it like one
Michael Botticelli: Bağımlılık bir hastalıktır. Bir hastalık olarak tedavi etmeliyiz
As Director of National Drug Control Policy, Michael Botticelli led the Obama Administration’s drug policy efforts to diminish the consequences of substance use through evidence-based prevention, treatment and recovery support services. Full bio
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I was a broken man.
muhtemelen bu durumumu fark edemezdiniz.
to tell that if you met me.
academic institution.
kurumda iyi bir işim vardı.
riddled with addiction,
with my own sexuality.
uzlaşma mücadelesi verdim.
of isolation and insecurities.
sorunlarımı yoğunlaştırdı.
tüm bunları yok etti.
erken yaşta içmeye başladım.
my way through college.
in the early 1980s,
ortaya çıktığımda,
to meet other gay people,
olmak ve diğer eşcinsel insanlarla
my disease progressed undiagnosed.
hastalığıma da tanı konulamadı.
and places and things
an intersection with the law
has been filled with love and with joy,
sevgi ve mutlulukla doluydu
friends and family to this disease.
çoğu arkadaşımı ve ailemi kaybettim.
heartbreaking stories
sevdiklerini kaybeden
loved ones to addiction.
üzücü hikâye duydum.
countless friends to HIV and AIDS.
HIV ve AIDS yüzünden kaybettim.
and the AIDS epidemic
AIDS salgınının
of the greatest health crises of our time.
krizlerinden birinin ortasındayız.
with prescription drugs and heroin.
bağlantılı aşırı dozdan öldü.
were dying from HIV and AIDS.
yüzünden çok sayıda insan ölüyordu.
with our current epidemic.
pek çok paralel durum var.
the innocent victims from the rest of us.
ayrı tutmak istediler.
blaming us for being sick.
hasta olmakla suçluyordu.
by stigma and fear,
esaretindeydi,
research, recovery and treatment.
esir tutulmaktaydı.
geçmemizi sağladı.
the LGBT movement.
itekleyen güç oldu.
olduğumuzun farkındaydık
in a battle for our lives
and we made things happen.
bunu değiştirmeyi başardık.
süresince HIV/AIDS'in
in our lifetime.
imkanına sahibiz.
kararlarıyla,
to their friends, to their families
arkadaşları için
for the Names Project.
için gönüllüydüm.
by Cleve Jones in San Francisco
San Fransisco'da AIDS'li
yüzü, aileleri ve
göstermek için
the AIDS memorial quilt
on a brilliant day in October, 1988.
AIDS anıtının açılışını hâlâ hatırlıyorum.
down the ban on same-sex marriage.
evliliği yasağının düşürme kararı.
to the steps of the Supreme Court
bu kararı kutlamak için
with so many other people,
how far we came around LGBT rights
aldığımızı farketmeden edemedim
around issues of addiction.
kadar ilerlemeye ihtiyacımız olduğunu.
by President Obama
aday gösterildiğimde
and about the fact that I was a gay man.
eşcinselliğimle alakalı oldukça açıktım.
my confirmation process --
come to bear on my candidacy
adaylık sürecimde veya bu işe uygunluğum
said that there was no way
yirmi yılı aşkın bir süredir temiz
by the United States Senate
bağımlılık konusunda
in recovery for over 20 years,
of knowledge around addiction.
yolu olmadığını söyledi.
her madde kullanımı hastasının
substance use disorders
zorundayım
coming out as a gay man
olarak görünmektense
with a history of addiction.
is affected by addiction.
bağımlılıktan etkileniyor.
it's not talked about openly and honestly.
açıkça ve dürüstçe konuşulmuyor.
time and time again, on TV, online,
bu hikâyeleri duyuyoruz,
and we hear it from family and friends.
arkadaşlardan duyuyoruz.
we hear those voices,
bunları duyuyoruz
less deserving of care and treatment.
hakettiğimize inanıyoruz.
only one in nine people
sadece dokuz kişiden biri
tedavi ve bakıma ulaşıyor.
get care and treatment.
tedavi ve bakım görüyor.
and you get referred to care.
yararlanıyorsunuz.
tedavi için beklemek zorunda
have to wait for treatment
tedavi olamıyorlar.
has significant, dire consequences.
kötü sonuçları oluyor.
that means death or incarceration.
veya hapsedilmek demek.
out of this problem.
gösterdi ki
aldığı ve geliştirdiği
and that people develop.
has taken a different tack on drug policy.
farklı bir önlem aldı.
a comprehensive plan
erken müdahale ve iyileşme
treatment services,
to give people second chances.
engelleri yıktık.
officials working hand in hand
çalışanlarını toplum seviyesinde
hapsetmek veya tutsak etmek
guiding people to treatment
gösterdiğini gördük.
and other first responders
insanlara tedavi için
to give people a second chance for care.
dozaşımını geri çevirdiğini gördük.
rahatsızlığı tedavisinin
is the biggest expansion
treatment in a generation,
tedavi servislerinin
of treatment services within primary care.
gerektirmektedir.
all of this work is not enough.
yeterli değil.
that we view people with addiction
bakış açımızı
understood that I had a problem
olduğunu anladım
I was stupid, that I was weak-willed,
olduğumu, ahlâken kusurlu
çünkü bir değişiklik yapmak istiyorum.
because I want to make change.
and candid about who we are
hakkında samimi ve açık olmamız
to change public opinion,
kamu görüşünü değiştirmek
değiştirmek
and empower the millions of Americans
Amerikalıyı kim oldukları hakkında
about who they are.
to change public opinion
ve kamuoyu düzenini
who has an addiction,
yaşayan birisi tanıyoruz,
with addiction in the United States.
kendi görevimizi yapabiliriz.
someone with an addiction,
yaşan bir insan gördüğünüzde
or an addict or an abuser --
olarak düşünmeyin --
bağımlılığa
in the United States
people with addiction.
değiştirebiliriz.
get care when they need it,
olduğu gibi ihtiyaç duydukları
unstoppable movement
enter recovery,
verilmesi için büyümekte olan,
parçası olabiliriz.
ABOUT THE SPEAKER
Michael Botticelli - Drug policy expertAs Director of National Drug Control Policy, Michael Botticelli led the Obama Administration’s drug policy efforts to diminish the consequences of substance use through evidence-based prevention, treatment and recovery support services.
Why you should listen
Michael Botticelli was sworn in as Director of National Drug Control Policy at the White House on February 11, 2015, after being unanimously confirmed by the Senate. He joined the White House Office of National Drug Control Policy (ONDCP) as Deputy Director in November 2012 and later served as Acting Director. He is currently the Executive Director of the Grayken Center for Addiction Medicine at Boston Medical Center and also a Distinguished Policy Scholar at the Johns Hopkins Bloomberg School of Public Health in Baltimore.
As Director of National Drug Control Policy, Botticelli led the Obama Administration's drug policy efforts, which are based on a balanced public health and public safety approach. The Administration advanced historic drug policy reforms and innovations in prevention, criminal justice, treatment and recovery.
In response to the national opioid epidemic, Botticelli coordinated actions across the Federal government to reduce prescription drug abuse, heroin use and related overdoses. These include supporting community-based prevention efforts; educating prescribers and the public about preventing prescription drug abuse; expanding use of the life-saving overdose-reversal drug naloxone by law enforcement and other first responders; and increasing access to medication-assisted treatment and recovery support services to help individuals sustain their recovery from opioid use disorders.
Botticelli has more than two decades of experience supporting Americans affected by substance use disorders. Prior to joining ONDCP, he served as Director of the Bureau of Substance Abuse Services at the Massachusetts Department of Public Health, where he successfully expanded innovative and nationally recognized prevention, intervention, treatment and recovery services for the Commonwealth of Massachusetts. He also forged strong partnerships with local, state and Federal law enforcement agencies; state and local health and human service agencies; and stakeholder groups to guide and implement evidence-based programs.
Botticelli has served in a variety of leadership roles for the National Association of State Alcohol and Drug Abuse Directors. He was a member of the Advisory Committee for the Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Prevention and the National Action Alliance for Suicide Prevention. He has also co-authored many peer-reviewed articles that have significantly contributed to the field.
Born in Upstate New York, Botticelli holds a Bachelor of Arts degree from Siena College and a Master of Education degree from St. Lawrence University. He is also in long-term recovery from a substance use disorder, celebrating more than 28 years of recovery.
Michael Botticelli | Speaker | TED.com