Michael Botticelli: Addiction is a disease. We should treat it like one
مایکل بوتیکلی: اعتیاد یک بیماری است. ما باید مثل یک بیماری آن را درمان کنیم.
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
Double-click the English transcript below to play the video.
I was a broken man.
من یک فرد ور شکسته شده بودم.
to tell that if you met me.
همچین چیزی نمیگفتید .
academic institution.
آموزشی داشتم .
riddled with addiction,
بزرگ شدم.
with my own sexuality.
با امیال جسنی ام داشتم در تقلا بودم,
هنجنسگرا
of isolation and insecurities.
ترکیب کرد.
از سن کم شروع کردم.
تا اتمام دانشگاه ادامه دادم.
my way through college.
in the early 1980s,
تقریبا در سال ۱۹۸۲ بود ,
to meet other gay people,
میکردند ,
my disease progressed undiagnosed.
تشخیص موند و پیشرفت کرد.
کشوند
and places and things
an intersection with the law
has been filled with love and with joy,
friends and family to this disease.
این بیماری از دست دادم
heartbreaking stories
loved ones to addiction.
countless friends to HIV and AIDS.
and the AIDS epidemic
(اپیدمی=بیماری مسری)
of the greatest health crises of our time.
سلامت در زمان خود هستیم.
with prescription drugs and heroin.
با داروهای نسخه ای و هروئین مردند.
were dying from HIV and AIDS.
به ویروس HIV و ایدز در حال مرگ بودند.
with our current epidemic.
همه گیر کنونی ما وجود داره.
همجنسگراها
the innocent victims from the rest of us.
باقی ما جدا کنن.
blaming us for being sick.
مریض بودن سرزنش میکردن.
by stigma and fear,
جمع میکردند,
research, recovery and treatment.
the LGBT movement.
(LGBT=Lesbian,Gay,Bisexual,Transgender)
in a battle for our lives
بودیم.
and we made things happen.
و موجب شدیم اتفاقاتی بیوقته.
in our lifetime.
طول عمرمون مشاهده کنیم.
to their friends, to their families
for the Names Project.
اسمها شدم.
by Cleve Jones in San Francisco
Cleve Jones در سان فرانسیسکو بود
the AIDS memorial quilt
on a brilliant day in October, 1988.
اکتبر, ۱۹۸۸ به خاطر دارم
down the ban on same-sex marriage.
منع ازدواج افراد همجنسگرا را پایان دهد.
to the steps of the Supreme Court
را پیاده بالا رفتیم.
with so many other people,
تصمیم جشن بگیریم,
how far we came around LGBT rights
فکرکنم ما تا چه حد به حقوق LGBT نزدیک شدیم
around issues of addiction.
مربوط به اعتیاد برویم.
by President Obama
اوباما نامزد شدم
and about the fact that I was a gay man.
و همجنین درباره این حقیقت که گی هستم,
my confirmation process --
come to bear on my candidacy
روی نامزدی من نداشت.
said that there was no way
گفت هیچ راهی برای من وجود نداره
by the United States Senate
تأیید بشم
in recovery for over 20 years,
۲۰ سال در بهبودی بودم,
of knowledge around addiction.
اعتیاد نیاز داره
substance use disorders
اختلالات مصرف مواد
coming out as a gay man
که بگم من یک مرد گی هستم
with a history of addiction.
با سابقه اعتیاد هستم.
is affected by addiction.
تحت تأثیر اعتیاد هستش
it's not talked about openly and honestly.
در مورد آن باز و صادقانه صحبت نمیشه.
time and time again, on TV, online,
بارها و بارها, در تلویزیون, اینترنت,میشنویم
and we hear it from family and friends.
در جمع دوستان و خانواده میشنویم
we hear those voices,
ما اون صدا هارو میشنویم,
less deserving of care and treatment.
کمتر لایق درمان و مراقبت هستیم.
only one in nine people
فقط یک نفر از هر ۹ نفر
دریافت میکند.
درمان و مراقبت را دارن.
get care and treatment.
and you get referred to care.
به مراقبت لازم ارجاع میشید.
have to wait for treatment
باید برای درمان صبر کنند
has significant, dire consequences.
قابل توجه است, عواقب وخیمی دارد.
that means death or incarceration.
این به معنای مرگ یا حبس است.
out of this problem.
این مشکل جدا کنیم.
and that people develop.
و جامعه را پرورش میدهد.
در سیاست مواد مخدر قرار داد.
has taken a different tack on drug policy.
a comprehensive plan
و اجرا کردیم
treatment services,
خدمات درمانی،
to give people second chances.
یک شانس دوباره بدیم.
officials working hand in hand
دولتی را دست در دست هم دیدیم
guiding people to treatment
در حال هدایت مردم به سوی درمان دیدیم
and other first responders
و دیگر پاسخ دهندگان اولیه
to give people a second chance for care.
تا به اونا شانس دوباره برای زندگی بدهند.
is the biggest expansion
بزرگترین دستآورد است
treatment in a generation,
سوء مصرف مواد مخدر در این نسل
of treatment services within primary care.
با مراقبت های اولیه فراخواندند,
all of this work is not enough.
همه ی این کار ها کافی نیست.
that we view people with addiction
افرادی که اعتیاد دارن رو تغییر بدیم
understood that I had a problem
متوجه شدم که یک مشکل دارم
I was stupid, that I was weak-willed,
فکر کنن که من احمق و سست اراده هستم,
because I want to make change.
چون میخوام تحولی بوجود بیارم.
and candid about who we are
و صادق باشیم در مورد کسی که هستیم
to change public opinion,
تا بتونم افکار عمومی رو تغییر بدم,
and empower the millions of Americans
و توانمند سازی میلیون ها آمریکایی
about who they are.
در مورد اینکه کی هستند.
to change public opinion
تا افکار عمومی را تغییر بدیم
who has an addiction,
اعتیاد داشتند,
with addiction in the United States.
اعتیاد دارن رو تغییر بدیم در آمریکا.
someone with an addiction,
با یک اعتیاد دیدید,
or an addict or an abuser --
یا یک آزار دهنده بهش فکر نکن --
in the United States
در آمریکا
people with addiction.
افراد معتاد را عوض کنیم.
get care when they need it,
مراقبت لازم رو در وقت نیاز دریافت میکنن
unstoppable movement
enter recovery,
بهبودی کنیم.
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