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CAMINOS Brings New Hope for Treating Addiction in New Mexico Hospitals

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CAMINOS Brings New Hope for Treating Addiction in New Mexico Hospitals


When patients are admitted to The University of New Mexico Hospital, they are usually there for something like an infection, a surgery or another medical emergency. But many of those same patients also live with substance use disorders. Until recently, that aspect of their health often went untreated during their hospital stay. 

Now, a program called CAMINOS is changing that. 

“We are an addiction medicine consult service,” said Sergio Huerta, MD, medical director of CAMINOS. “Anybody with an addiction in the hospital, we can see, even if it hasn’t been diagnosed yet. The whole concept is to meet people where they’re at when they’re most vulnerable and most in need.” 

CAMINOS, which stands for Coordinating Addiction Medicine with Inpatient and Outpatient Services, connects patients with treatment during their hospital stay and helps them transition into ongoing care once they leave. 

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Huerta, who is board-certified in both addiction medicine and internal medicine, explained how the program works. 

“We go talk to the patient, offer them treatment services, including medications, and refer them to treatment,” he said. “We also have a peer on our team with lived experience in recovery. Patients who are seen by peers tend to do better. They’re more adherent to their medications and treatments when they leave the hospital.” 

It’s a reachable moment when patients are here. By offering treatment, we help them feel more comfortable, we help them stay and complete their care, and we give them a better chance at recovery. That’s what makes this work so meaningful.

– Sergio Huerta, MD, Medical Director, CAMINOS

For Chris Smith, MD, director of operations for CAMINOS and section chief of Hospital Medicine, the impact is evident. 

“Almost every patient we see is not here primarily for their substance use disorder,” Smith said. “They’re admitted for something else. Before our service, these problems weren’t always addressed. Now, the primary team can call us to see the patient, and we can start them on treatment during their stay.”

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Before CAMINOS, patients with addictions often left the hospital with little more than a referral sheet. 

“There wasn’t really much help for patients with substance use disorders,” Huerta said. “We treated the admitting diagnosis, like pneumonia, and then gave them a list of resources for when they left. That really wasn’t the best way to do things.” 

The stakes in New Mexico are especially high. The state has the highest alcohol-related death rate in the country and is consistently ranked among the worst for drug overdose deaths. Huerta estimates that about one in 10 New Mexicans lives with a substance use disorder. 

At UNM Hospital, that means a large share of inpatients also need addiction treatment. In its first year, CAMINOS logged more than 1,200 consults, making it one of the busiest consult services at the hospital. Of those patients, more than 450 were newly started on proven medications like buprenorphine or methadone for opioid use disorder. 

Smith_Christopher

 

Substance use disorders are everywhere. No matter what you end up doing as a physician, you’re going to see patients with this. Having that background makes you a better provider.

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 – Chris Smith, MD, Director of Operations, CAMINOS & Section Chief, Hospital Medicine, UNM Hospital

“Even if only half of those patients continue treatment after discharge, that’s a huge success for a population that can be very difficult to engage,” Smith said. 

The program’s impact is visible every day, Huerta said. 

“These patients are always the most appreciative and the most thankful,” he said. “Just showing them that there’s somebody here who cares goes a really long way.” 

Smith noted that patients who start treatment for addiction are less likely to leave the hospital against medical advice. They are also more likely to follow through with other treatments for conditions like diabetes, infections or chronic disease. 

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“It has a dramatic change on their whole hospital stay,” Smith said. 

The program is also shifting how hospital staff think about addiction. Huerta shared how some clinical teams that were once hesitant to start addiction medications are now more comfortable doing so thanks to CAMINOS. 

“Our goal is that the primary teams feel more comfortable identifying and treating substance use disorders,” Huerta said. “We’re beginning to change the culture.” 

CAMINOS is also an educational hub. Medical students, resident physicians, and trainees in their fellowship now rotate through the service, learning to treat substance use disorders alongside experienced providers and peer support specialists. 

“Substance use disorders are everywhere,” Smith said. “No matter what you end up doing as a physician, you’re going to see patients with this. Having that background makes you a better provider.” 

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Huerta and Smith see CAMINOS as a model for the future. They hope to expand the program to serve more patients, strengthen outpatient connections and eventually help people across the state through call-in support lines and partnerships with other hospitals. 

“It’s a reachable moment when patients are here,” Huerta said. “By offering treatment, we help them feel more comfortable, we help them stay and complete their care, and we give them a better chance at recovery. That’s what makes this work so meaningful.” 



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New Mexico

New Mexico legislation focusing on K-3 math education aims to improve stubbornly low scores

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New Mexico legislation focusing on K-3 math education aims to improve stubbornly low scores


Aaron Jawson regularly spends time reteaching the basics to his sixth grade math students.

They often have a bit of a complex around math, said Jawson, who teaches at Ortiz Middle School. They often have a lot going on at home, or a lot of stress about societal problems.

And in many cases they have been behind for years.

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The problem

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Why K-3?

Teacher preparation







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Jesus Dominguez ponders the next step in an equation during Aaron Jawson’s sixth grade math class Monday at Ortiz Middle School.

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Family involvement

Other changes







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Jesus Dominguez ponders the next step in an equation during Aaron Jawson’s sixth grade math class Monday at Ortiz Middle School.


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What more could be done?

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New Mexico

Retired Wright-Patterson general mentioned in UFO report missing in NM

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Retired Wright-Patterson general mentioned in UFO report missing in NM


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  • A retired U.S. Air Force general, Maj. Gen. William Neil McCasland, has been reported missing in New Mexico.
  • McCasland formerly commanded the Air Force Research Laboratory at Wright-Patterson Air Force Base in Ohio.
  • His name was mentioned in a 2016 WikiLeaks email release in connection to UFO research.

A retired U.S. Air Force general who once commanded a research division at Wright-Patterson Air Force Base near Dayton, Ohio, has gone missing in New Mexico.

This is what we know.

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McCasland commanded Air Force Research Laboratory at Wright-Patterson Air Force Base

The Bernalillo County Sheriff’s Office has issued a Silver Alert for Maj. Gen. William Neil McCasland, 68, who has been missing since last week, Newsweek reports. He was last seen on Feb. 27 in Albuquerque. McCasland is 5 feet 11 inches tall and weighs about 160 pounds. He has white hair and blue eyes, and he has unspecified medical issues, per the sheriff’s office, which is worried about his safety.

McCasland was the commander of the Air Force Research Laboratory at Wright-Patterson Air Force Base near Dayton, according to his Air Force biography. He managed a $2.2 billion science and technology program as well as $2.2 billion in additional customer-funded research and development. He joined Wright-Patterson in 2011 and retired in 2013.

He was commissioned in 1979 after graduating from the U.S. Air Force Academy with a Bachelor of Science degree in astronautical engineering. He has served in a wide variety of space research, acquisition and operations roles within the Air Force and the National Reconnaissance Office.

McCasland mentioned in WikiLeaks release in connection to UFOs

McCasland was described as a key adviser on UFO-related projects by Tom DeLonge, UFO researcher and guitarist for Blink-182, Newsweek reports. The general’s name appears in the 2016 WikiLeaks email release from John Podesta, then Hillary Clinton’s campaign manager.

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In emails to Podesta, DeLonge said he’s been working with McCasland for months and that the general was aware of the materials DeLonge was probing because McCasland has been “in charge of the laboratory at Wright‑Patterson Air Force Base where the Roswell wreckage was shipped,” per Newsweek.

However, there is no official record of DeLonge’s claims, and McCasland has neither confirmed nor denied it.

Wright-Patterson Air Force Base home to UFO project

The Dayton Air Force base was home to Project Blue Book in the 1950s and 60s, according to “The Air Force Investigation into UFOs” published by Ohio State University.

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During that time, it logged some 12,618 UFO sightings, with 701 of those remaining “unidentified.” The U.S. government created the project because of Cold War-era security concerns and Americans’ obsession with aliens.



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New Mexico

Jeffrey Epstein’s New Mexico ranch is finally being scrutinized like his island

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Jeffrey Epstein’s New Mexico ranch is finally being scrutinized like his island


Though the alleged sex trafficking on Jeffrey Epstein’s Caribbean island, Little Saint James, has dominated the national discourse recently, another Epstein property has largely stayed out of the news — but perhaps not for long. A ranch outside Santa Fe, New Mexico, that belonged to the disgraced financier has been the subject of on-and-off investigations, and many are now reexamining what role the ranch may have played in Epstein’s crimes.

What is the ranch in question?



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