Signs and Symptoms of Substance Abuse/Overdose Assistance
General: General and specific guides to detection of alcohol and drug use, and definition of addiction.
Contents:
I. General Guide to Detection
II. Definition of Addiction
III. Pupil Dilation
IV. Signs and Symptoms
V. Paraphernalia a) S/S Chart Version
VI. Drug Facts
VII. Articles and Other Resources
VIII. Drug Pictures/Resources
IX. NI-COR Topics
X. Additional Articles (Alcoholism, Drugs, Teenage Addiction, Interventions)
XI. Overdose and Emergency Intervention Techniques
I. Specific: General Guide to Detection
Abrupt changes in work or school attendance, quality of work, work output, grades, discipline.
Unusual flare-ups or outbreaks of temper. Withdrawal from responsibility. General changes in overall attitude. Deterioration of physical appearance and grooming.
Wearing of sunglasses at inappropriate times. Continual wearing of long-sleeved garments particularly in
...wearer? It's not often that a whole new piece of clothing appears, which is what happened with the t-shirt 40 years ago. When James Dean and Marlon Brando sported T-shirts as outerwear, it was a faux par and seen as ...
appropriate. Association with known substance abusers. Unusual borrowing of money from friends, co-workers or parents. Stealing small items from employer, home or
school. Secretive behavior regarding actions and possessions; poorly concealed attempts to avoid attention and suspicion such as frequent trips to storage rooms, restroom, basement, etc.
II. Specific: DSM-IV Definition of Addiction
A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by three (or more) of the following, occurring at any time in the same 12-month period:
(1) Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of the substance to achieve intoxication or desired effect.
b. Markedly diminished
...help manage the sometimes severe withdrawal symptoms that can accompany sudden stopping of pain killers or drugs. A person exhibits compulsive behavior to satisfy their craving for a pain killer or pain medication even when there are negative consequences associated ...
(2) Withdrawal, as manifested by either of the following:
a. The characteristic withdrawal syndrome for the substance
b. The same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms. (
3) The substance is often taken in larger amounts or over
a longer period than was intended (loss of control).
(4) There is a
persistent desire or unsuccessful efforts to cut down or control
substance use (loss of control). (
5) A great deal of time is spent
in activities necessary to obtain the substance, use the substance,
or recover from its effects (preoccupation).
(6) Important social,
occupational, or recreational activities are given up or reduced
because of substance use (continuation despite
...alter a person s behavior and lifestyle almost immediately. An addict may show sudden shifts in general behavior, outlook on life, diet and sleep habits. Eventually, the effects of drug addiction manifest physically. The cheeks and eyes become hollow and ...
consequences).
(7) The substance use is continued despite
knowledge of having a persistent or recurrent physical or
psychological problem that is likely to have been caused or
exacerbated by the substance (adverse consequences).
III. Specific: Pupil Dilation
Before you do anything, consider
this. There are two trains of thought prior to detection and
intervention. One thought is to catch and punish, and the
other is to identify and help- remember why you are doing
this, and the intervention will turn out much better.
Note: A 6mm, 7mm, or 8mm pupil size could indicate that a person is
under the influence of cocaine, crack, meth., hallucinogens, crystal,
ecstasy, or other stimulant. A 1mm or 2mm pupil size could
indicate a person under the influence of heroin, opiates, or other
depressant. A pupil
...the two, the flow of vital energy or natural energy is blocked and it is believed that disease and all other ailments come about as a result of this imbalance. This imbalance can occur when a person is depressed, due ...
A pupil completely dilated could indicate use.
Blown out wide pupils are indicative of crack, methamphetamine, cocaine, stimulant use. Pinpoint pupils are indicative of heroin, opiate, depressant use. http://www.nicd.us/signsandsymptomsofuse.html (Click this link for pictures)
Other causes of pupil dilation
IV. Specific: Signs and Symptoms
Alcohol: Odor on the breath. Intoxication. Difficulty focusing: glazed
appearance of the eyes. Uncharacteristically passive behavior; or combative
and argumentative behavior. Gradual (or sudden in adolescents) deterioration
in personal appearance and hygiene. Gradual development of dysfunction,
especially in job performance or school work. Absenteeism (particularly on
Monday). Unexplained bruises and accidents. Irritability. Flushed skin.
Loss of memory (blackouts). Availability and consumption of alcohol
becomes the focus of social or professional activities. Changes in
peer-group associations and friendships. Impaired interpersonal
relationships (troubled
...quantities or long enough period of time to have developed a dependency on them, meaning that someone addicted can t permanently discontinue their use without help. Alcohol and drugs are not the problems; they are what people use to numb ...
deep relationships, alienation from close family members).
Marijuana/Pot: Rapid, loud talking and bursts of laughter in
early stages of intoxication. Sleepy or stuporous in the later stages.
Forgetfulness in conversation. Inflammation in whites of eyes; pupils
unlikely to be dilated. Odor similar to burnt rope on clothing or breath.
Tendency to drive slowly - below speed limit. Distorted sense of time passage - tendency to overestimate time intervals. Use or possession of paraphernalia including roach clip, packs of rolling papers,pipes or bongs. Marijuana users are difficult to recognize unless they are
under the influence of the drug at the time of observation. Casual users
may show none of the general symptoms. Marijuana does have a distinct
odor and may be the same color or
...Red Brigades left its mark on the Italian political scene of the 1970s and 1980s, rising from the student protest movement of the late 1960s advocated violence in the service of class warfare and revolution and the group's attacks targeted ...
Cocaine/Crack/Methamphetamines/Stimulants: Extremely dilated
pupils. Dry mouth and nose, bad breath, frequent lip licking. Excessive
activity, difficulty sitting still, lack of interest in food or sleep. Irritable,
argumentative, nervous. Talkative, but conversation often lacks
continuity; changes subjects rapidly. Runny nose, cold or chronic
sinus/nasal problems, nose bleeds. Use or possession of
paraphernalia including small spoons, razor blades, mirror,
little bottles of white powder and plastic, glass or metal straws.
Depressants: Symptoms of alcohol intoxication with no alcohol
odor on breath (remember that depressants are frequently used
with alcohol). Lack of facial expression or animation. Flat affect.
Flaccid appearance. Slurred speech. Note: There are few readily
apparent symptoms. Abuse may be indicated by activities such as
frequent visits to different physicians for prescriptions to treat
“nervousness”, “anxiety”,” stress”, etc.
Narcotics/Prescription
...shoes are built to support and cushion your feet as they pound the ground. 2. Warm up before your start your run. You don't want to pull a muscle. 3. See a doctor first before you start your running regime, ...
Oxycontin: Lethargy, drowsiness. Constricted pupils fail to respond
to light. Redness and raw nostrils from inhaling heroin in power form.
Scars (tracks) on inner arms or other parts of body, from needle injections.
Use or possession of paraphernalia, including syringes, bent spoons,
bottle caps, eye droppers, rubber tubing, cotton and needles. Slurred
speech. While there may be no readily apparent symptoms of analgesic
abuse, it may be indicated by frequent visits to different physicians or
dentists for prescriptions to treat pain of non-specific origin. In cases
where patient has chronic pain and abuse of medication is suspected,
it may be indicated by amounts and frequency taken.
Inhalants: Substance odor on breath and clothes. Runny nose.
Watering eyes. Drowsiness or unconsciousness. Poor muscle control.
Prefers group activity to being alone. Presence of
...with high-risk sexual behavior that leads to HIV transmission. The crisis is particularly acute among the nation's young people. Individuals aged 15 to 24 have the highest rate of binge and heavy drinking and are at the highest risk for ...
containing dry plastic cement or other solvent at home, in locker
at school or at work. Discarded whipped cream, spray paint or
similar chargers (users of nitrous oxide). Small bottles labeled
“incense” (users of butyl nitrite).
Solvents, Aerosols, Glue, Petrol: Nitrous Oxide - laughing gas, whippits, nitrous.
Amyl Nitrate - snappers, poppers, pearlers, rushamies.
Butyl Nitrate - locker room, bolt, bullet, rush, climax, red gold. Slurred speech,
impaired coordination, nausea, vomiting, slowed breathing. Brain damage,
pains in the chest, muscles, joints, heart trouble, severe depression, fatigue,
loss of appetite, bronchial spasm, sores on nose or mouth, nosebleeds,
diarrhea, bizarre or reckless behavior, sudden death, suffocation.
LSD/Hallucinogens: Extremely dilated pupils, (see note below). Warm
skin, excessive perspiration and body odor. Distorted sense of sight, hearing,
touch; distorted image of self
...short article all the pain and suffering I put my mother through when I was a teenage drinker, or the anguish I put my husband through, but I can tell you this, I have been completely freed and forgiven through ...
the extent depending on emotional state of the user and environmental conditions
Unpredictable flashback episodes even long after withdrawal
(although these are rare). Hallucinogenic drugs, which occur both
naturally and in synthetic form, distort or disturb sensory input,
sometimes to a great degree. Hallucinogens occur naturally in
primarily two forms, (peyote) cactus and psilocybin mushrooms.
Several chemical varieties have been synthesized, most notably
LSD, MDA , STP, and PCP. Hallucinogen usage reached a peak
in the United States in the late 1960’s, but declined shortly
thereafter due to a broader awareness of the detrimental effects
of usage. However, a disturbing trend indicating a resurgence in
hallucinogen usage by high-school and college age persons
nationwide has been acknowledged by law enforcement. With the
exception of PCP, all hallucinogens
...nervous, circulatory and lymphatic systems. Acupuncture can also be used to speed up recovery rates from injury and manage pain. Allergies also respond well to acupuncture therapy. Harmless substances can cause the immune system to overreact, leading to an allergic ...
of use. Any portion of sensory perceptions may be altered to varying
degrees. Synesthesia, or the “seeing” of sounds, and the “hearing” of
colors, is a common side effect of hallucinogen use. Depersonalization,
acute anxiety, and acute depression resulting in suicide have also been
noted as a result of hallucinogen use. Note: there are some forms of
hallucinogens that are considered downers and constrict pupil diameters.
PCP: Unpredictable behavior; mood may swing from passiveness to
violence for no apparent reason. Symptoms of intoxication. Disorientation;
agitation and violence if exposed to excessive sensory stimulation. Fear,
terror. Rigid muscles. Strange gait. Deadened sensory perception
(may experience severe injuries while appearing not to notice).
Pupils may appear dilated. Mask like facial appearance. Floating
pupils, appear to follow a moving object.
...failures in life, dejected love affairs, depression, or sometimes for fun or adventure. Thank the Lord, there s a ray of hope! Doctors and researchers have been able to invent some treatments for drug addiction. Standard drug addiction treatment may ...
if large amount consumed. Eyes may be open or closed.
Ecstasy: Confusion, depression, headaches, dizziness (from
hangover/after effects), muscle tension, panic attacks, paranoia,
possession of pacifiers (used to stop jaw clenching), lollipops,
candy necklaces, mentholated vapor rub, severe anxiety, sore
jaw (from clenching teeth after effects), vomiting or nausea
(from hangover/after effects)
Signs that your teen could be high on Ecstasy: Blurred vision,
rapid eye movement, pupil dilation, chills or sweating, high body
temperature, sweating profusely, dehydrated, confusion, faintness,
paranoia or severe anxiety, trance-like state, transfixed on sites and
sounds, unconscious clenching of the jaw, grinding teeth, very
affectionate.
V. Specific: Paraphernalia
Click Here
When I started using this One Proven Method, I began to experience tremendous growth and positive changes in my own recovery. Rev. Stephen J. Murray,
...is both a biological and psychological condition. There are many side effects and adverse reactions that can occur with the use of opioids as pain killers. There are a number of effective treatment options to treat pain killer addiction to ...
V. a) Chart Version of Signs and Symptoms of Use
DRUG SIGNS & SYMPTOMS
Stimulants (Cocaine, Ecstasy, Meth., Crystal)
Depressants (Heroin, Marijuana, Downers)
Hallucinogens (LSD)
Narcotics (Rx. Medications)
Inhalants (Paint, Gasoline, White Out)
PCP
Alcohol
Note: Paraphernalia- Keep in mind, that you may not find drugs, if you are searching for them, but you can usually find the paraphernalia associated with use.
VI. Specific: Drug Facts
Includes identifiers, definitions, language of users and dealers.
Drug Terms
Slang and Street Terms
VII. Specific: Articles and Other Resources http://www.nicd.us/thediseaseconceptandbrainchemistry.html (This is the link for brain chemistry and the drug user) http://www.nicd.us/signsandsymptomsofuse.html (This link is
...depression, there is also a physical component. Mind and body are very much connected. The risk of heart disease is doubled in people with depression, and a previous depression is often the greatest risk factor for heart disease and other ...
VIII. Specific: Drug Pictures/Resources from the DEA
CHEMICAL CONTROL
INTRODUCTION TO DRUG CLASSES
NARCOTICSNarcotics of Natural Origin
OpiumMorphineCodeineThebaine
Semi-Synthetic Narcotics
HeroinHydromorphoneOxycodoneHydrododone
Synthetic Narcotics
Meperidine
Narcotics Treatment Drugs
MethadoneDextroproxypheneFentanylPentazocineButorphanol
DEPRESSANTSBarbiturates
Controlled Substances Uses and Effects (Chart)BenzodiazepinesGamma
Hydroxybutric AcidParaldehydeChloral HydrateGlutethimide 7
MethaqualoneMeprobamate
Newly Marketed Drugs
STIMULANTSCocaineAmphetamines
MethcathinoneMethylphenidate
ANORECTIC DRUGSKhat
CANNABISMarijuanaHashishHashish Oil
HALLUCINOGENSLSDPsilocybin & Psiocyn and Other TryptaminesPeyote & MescalineMDMA (Ecstasy) & Other PhenethylaminesPhencyclidine (PCP) & Related DrugsKetamine
STEROIDS
INHALANTS
IX. Specific: NICD Topics
Do you have questions relating to addiction /
addictions / substance abuse? Contact Us…
Health Info and Videos Medical issues updated weekly.
Family Resources for the family, intervention
...pain medication than to pay for the therapies or surgeries which would eliminate the sources of the pain. Prescription drug addiction statistics revealing drug abuse among the elderly does not speak well for the US health system. Drug Abuse Among ...
support, and counseling.
Medical Medical information, doctor and specialists directory,
terminology and dictionary of terms.
Treatment Treatment center locator.
Halfway Houses National halfway house/sober living homes locator.
Research A great resource for students, professionals, family,
and others.
Keywords Locate information on any subject relating to
addiction/addictions.
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NICD ABM Articles- This link will take you to articles and
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...treatment, and the amount of time they stay will depend on how hard they work on confronting their addictions and learning healthier patterns of behavior. Inpatient drug addiction rehabilitation will first include detoxification, with or without the use of sedatives ...
article- Submit Click here to advertise on our
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The Villa at Scottsdale- Providing a full continuum
of care for the treatment of alcoholism and drug addiction.
NI-COR Recovery Link Our sister site includes information
on: signs and symptoms of use, pupil dilation chart,
exploring benefits and entitlements, discharge from
treatment, housing and aftercare planning, inmate
transition assistance, medications, employment,
and much more.
Welcome to NICD- Looking for a treatment center? Are you looking for halfway houses?
Alcoholism and the Family This medical video is brought to
you by NI-COR / Healthology. Wait for the video screen to
pop up after redirection. Please visit the links at the top of
this page for more medical and addiction videos. This video
requires
...depression, there is also a physical component. Mind and body are very much connected. The risk of heart disease is doubled in people with depression, and a previous depression is often the greatest risk factor for heart disease and other ...
Alcohol and Drug Addiction Survival Kit
General: A series, for the individual, family, friends, employers, educators, professionals, etc. on prevention, intervention, treatment, recovery, relapse prevention, support, and other issues relating to alcoholism and drug addiction.
1. Prevention- Includes tips on how to talk to your kids about alcohol, tobacco, and drugs.
2. Detection of Signs and Symptoms- A guide to detection of alcohol and various drug usage.
3. Definition of Addiction- A DSM-IV definition of exactly what constitutes alcoholism and drug addiction.
4. Intervention- Interventions can and do work. We will show you how to do it effectively.
5. Treatment & Housing- A treatment center and halfway house locator.
6. Support- Some guides to how
...unlike them, it is a partial agonist--a drug that has mechanisms of action that are similar to pure agonists, such as heroin, but with less potency. Even when it occupies almost all of the brain's mu-opioid receptors, buprenorphine has only ...
7. After Care- What to do prior to and after release from treatment.
8. Recovery / Relapse Prevention- Addiction can surface again, in the form of relapse.
9. Other Issues- Issues to think about regarding those affected by substance abuse, as well as those around them.
10. References- A list of those who contributed to this series of articles.
First time visitor/how to navigate this site and find what you are looking for: Click Navigate
NICD Articles
Medical Today Dr. William Gallagher takes us through his use of DNFT with his patients.
Psychotherapy Today Psychologist Jim Maclaine keeps us up to date with his articles of insight, therapy, and healing.
Counseling Today Therapist Thom Rutledge gives
...when the addict had future cravings. It may also be necessary for those addicts whose systems have been so ravaged by their substance abuse that they simply cannot tolerate further chemical intervention of any kind. Other [http://www.drugtreatmentinfo.org/Drug_Addiction_Recovery/]drug addiction programs will ...
Big Book Bytes Author Shelly Marshall shares via the Big Book on issues
of concern to those in recovery. All pages are set-up to copy, for use by
counselors, professionals, sponsors, and others.
Recovery Today Interviews of people in recovery, about alcoholism,
drug abuse, addictions, recovery, sobriety, spirituality, wisdom, experience,
strength, and hope. Tune in monthly for new articles!!!
A.A. History Author Dick B. will take you back to a time when the recovery
rates were as high as 93%.
Journaling Today A series of informative articles by Author Doreene Clement
on how, why, and what to write about.
Spirituality Today Author Carol Tuttle takes us to new heights on our spiritual
journey.
...on end, and then able to sleep for extremely long periods after several days. 3. Stealing. Drugs cost a lot of money. If you notice him to be stealing or lying a lot, be alarmed. Before you know it, he ...
spirituality, and more.
Life Today Everyday life experiences from people all over the world. Life,
Addictions, Recovery, Hope, Inspiration, Wisdom, Advice, and so much
more. Tune in on a regular basis to see what others have and are going
through. Find hope from the experiences of others.
Steps Today Recovery Peer and Advisory Board Member Dean G. gives
a creative approach to dealing with life on life’s terms via his unique
recovery sessions.
Step Work / Relapse Prevention This service is designed to assist with
step work, with quotes and pages from the Big Book, with forms ready
to copy and utilize. There is a section devoted to relapse prevention as well.
NI-COR Captions Today
...involved in drug-free environments, steer them away from those people and situations in which drug use is considered a social necessity. Because friends are less likely to have difficult emotional memories regarding the addicts, the drug addiction support they offer ...
The Steps and Action Pages This is an overview of Steps 1-12, and the
action taking pages for each.
X. Specific: Additional Articles
Health and Medical News News, videos, text from the world of medicine,
health, and medical.
Ecstasy information.
How Do I Talk With My Kids About Alcohol?
How Do I talk to my kids about drugs?
How Do I talk with my teenager about drugs and alcohol?
What does a crack pipe look like?
Family assistance for substance abuse.
Addiction treatment for my teenager.
Overdose or OD Information
XI. Specific: Overdose & Emergency Intervention Techniques
Drug Overdose- Drug overdoses can be accidental or on purpose. The amount of a drug needed to cause
...use damages the heart, liver and circulatory system and increases the risk of pulmonary issues such as pneumonia. Heroin abusers generally use injections, with associated infection risk including HIV. Additionally, the drug is often mixed with other chemicals to allow ...
Physical symptoms of a drug overdose vary with the type of drug(s) taken. They include: Abnormal breathing Slurred speech Lack of coordination Slow or rapid pulse Low or elevated body temperature Enlarged or small eye pupils Reddish face Heavy sweating Drowsiness Violent outbursts Delusions and/or hallucinations Unconsciousness which may lead to coma(Note: A diabetic who takes insulin may show some of the above symptoms if he or she is having an insulin reaction.)
Parents need to watch for signs
...be the most difficult part of the treatment. Withdrawal symptoms can be so severe that medical intervention is needed. At the very least, detox is time consuming and uncomfortable. Another aspect of prescription drug addiction treatment is psychological counseling. This ...
Prevention- Accidental prescription and over-the-counter medication overdoses may be prevented by asking your doctor or pharmacist: What is the medication and why is it being prescribed? How and when should the medication be taken and for how long? (Follow the instructions exactly as given.)
...a searchable directory of drug and alcohol treatment programs shows the location of facilities around the country that treat alcoholism, alcohol abuse, and drug abuse problems. The locator includes more than 11,000 addiction treatment programs including residential treatment centers, outpatient ...
To avoid medication overdoses: Never take a medicine prescribed for someone else. Never give or take medication in the dark. Before each dose, always read the label on the bottle to be certain it is the correct medication. Always tell the doctor of any previous side effects or adverse reactions
...cure depression. Why? Because they are the easiest to access. Most pharmacies carry them, and many psychiatrists are quick to give prescriptions. Even children can buy these drugs online because of websites that do not require prescriptions. Narcotic analgesics (also ...
...is in denial, this is going to be difficult for him to do. The addict is usually a selfish and arrogant individual who hasn t come to grips with who he or she is and so how can they know, ...
Questions to Ask:
Is the person not breathing and has no pulse?FIRST AIDPerform CPR
AND
Is the person not breathing, but has a pulse?FIRST AIDPerform Rescue Breathing
AND
Is the person unconscious?FIRST AIDLay the victim down on his or her left side and check airway, breathing and pulse often before emergency care. Do CPR or Rescue Breathing as needed.
AND
Does the person have any of these signs? Hallucinations Confusion Convulsions Breathing slow and shallow and/or slurring their words
Do you suspect the person has taken an overdose of drugs?FIRST AIDCall Poison Control Center. Follow
...an individual has a history of bankruptcy, then providing the corporate credit card to that individual might not prove to be a very safe decision. A background check also includes a previous employer check and verification of the referrals and ...
AND
Is the person’s personality suddenly hostile, violent and aggressive?FIRST AIDUse caution. Protect yourself. Do not turn your back to the victim or move suddenly in front of him or her. If you can, see that the victim does not harm you, himself or herself. Remember, the victim is under the influence of a drug. Call the police to assist you if you cannot handle the situation. Leave and find a safe place to stay until the police arrive.
AND
Have you
...room" has created a life threatening drug addiction. To be a teen is to be a master of the "cover up". Cause Of Drug Addiction - Contributing Factors Peer pressure, stress, struggling self-esteem and identity issues, feeling of worthlessness, inability ...
DO NOT perform any technique unless it is a matter of life and death! If you are unsure of what you are doing, please follow the instructions given by a 911 operator. (Note: If doctor is not available, call Poison Control Center. Follow instructions given.)
Stephen J. Murray, MCRC is the Director of NICD, (National Institute on Chemical Dependency.)
Introduction On Drug Addiction|
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There was this guy see.
He wasn’t very bright and he reached his adult life without ever having learned “the facts”.
Somehow, it gets to be his wedding day.
While he is walking down the isle, his father tugs his sleeve and says,
“Son, when you get to the hotel room…Call me”
Hours later he gets to the hotel room with his beautiful blushing bride and he calls his father,
“Dad, we are the hotel, what do I do?”
“O.K. Son, listen up, take off your clothes and get in the bed, then she should take off her clothes and get in the bed, if not help her. Then either way, ah, call me”
A few moments later…
“Dad we took off our clothes and we are in the bed, what do I do?”
O.K. Son, listen up. Move real close to her and she should move real close to you, and then… Ah, call me.”
A few moments later…
“DAD! WE TOOK OFF OUR CLOTHES, GOT IN THE BED AND MOVED REAL CLOSE, WHAT DO I DO???”
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A few moments later…
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J.P. Morgan Chase & Co. says it will modify the terms of $70 billion in troubled, mostly adjustable-rate mortgages it holds.
The New York bank inherited many of the loans as part of its September purchase of a failed competitor, Washington Mutual Inc. (NYSE:WM), and its move will cover as many as 400,000 borrowers. J.P. Morgan said Friday the borrowers will be moved into loans carrying lower interest rates, smaller principal amounts or other more-affordable terms, The Wall Street Journal reported.
The move came shortly after the bank received a $25 billion capital infusion from the U.S. Treasury’s program to strengthen financial institutions and get credit flowing.
“Our goal in doing this was to come up with something that we think will lead the industry in helping as much as possible on this issue,” said J.P. Morgan executive Charles Scharf.
John Taylor, chief executive of the National Community Reinvestment Coalition, said the action was “a gutsy move on their part. They are bending over backward to try to reach out to these people.”
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