I’ve been watching a really interesting twitter discussion about the conceptual boundaries of recovery. One branch of the discussion got into recovery as a process and as an outcome. It reminded me of this post from 2019. Yesterday, we began to revisit the concept of recovery-oriented harm reduction. Why recovery-oriented harm reduction and not just … Continue reading Revisiting recovery-oriented harm reduction (part 2)
Yesterday, we began to revisit the concept of recovery-oriented harm reduction. Why recovery-oriented harm reduction and not just recovery? 13 years ago, recovery-oriented harm reduction was thought of as a bridge between harm reduction and treatment or recovery. Today, in some circles, it might invite questions about why one would want to maintain a distinction … Continue reading Revisiting recovery-oriented harm reduction (part 2)
So . . . we’ve dusted off and reviewed my history with recovery-oriented harm reduction. We’ve also explored why I believe recovery and harm reduction should remain distinct constructs. This sets the stage to revisit and update the concept. What is recovery-oriented harm reduction? Recovery-oriented harm reduction (ROHR) seeks to address the historical failings of … Continue reading Revisiting recovery-oriented harm reduction (part 3)
The is a post was initially published in 2018. Please note that abstinence can mean abstinence from illicit drugs, or abstinence from all drugs that produce euphoria or are commonly misused (including agonist medications, benzodiazepines, etc.). For the purposes of this post, this distinction is irrelevant because the arguments in the second article really apply … Continue reading Should addiction treatment prefer abstinence (however we define it)?
I was perusing past year’s articles in Alcoholism Treatment Quarterly and came across these two: Achieving a 15% Relapse Rate: A Review of Collegiate Recovery and Physician Health Programs A Perspective from the Field: The Disconnect between Abstinence-Based Programs and the Use of Motivational Interviewing in Treating Substance Use Disorders Achieving a 15% relapse rate … Continue reading Should addiction treatment prefer abstinence?
There is MUCH less tension these days between harm reduction (HR) advocates and treatment providers. HR advocates confronted treatment providers with legitimate questions about their thresholds for accessing and staying in care. More recently, the opioid overdose crisis pretty dramatically changed the calculus. As a result, most treatment providers are using harm reduction approaches and … Continue reading Drug-free recovery as fantasy?
Bill White has a new paper on Recovery and Harm Reduction in Philadelphia. Here’s a quote he offered in a blog post introducing the paper: Traditional harm reduction programs have pioneered low threshold services, but they have often also been characterized by low expectations. Our vision is to expand low threshold services that at the same … Continue reading Recovery and Harm Reduction
Addiction Professional shines a light on Scott Kellogg and his Gradualism model. I’ve mentioned him several times in this blog and he has been kind enough to link to me on his website. Two months ago Kellogg established a website (http://gradualismandaddiction.org) that he hopes will serve as a vehicle for discussion around a more nuanced … Continue reading Gradualism
Responses to this will be interesting to watch. I’m certain that people who object will be accused of moral panic or something like it. I’m open to non-judgmental outreach harm reduction for the purpose of building relationships and gradually engaging people into recovery. I’d like to know how these materials are being used. Are they … Continue reading Heroin for dummies
I saw a Facebook comment today referencing “freedom to” and “freedom from”. It got me thinking about positive and negative liberty and harm reduction. Negative liberty is the absence of obstacles, barriers or constraints. One has negative liberty to the extent that actions are available to one in this negative sense. Positive liberty is the … Continue reading Positive liberty and addiction