This piece, entitled “Britain has to overhaul its attitude to drug use – moralising isn’t the solution,” popped up in my email and more than once in my twitter feed. Various versions of this argument are very common in drug policy circles, and I’d suggest (again) that it’s the wrong direction to try to take … Continue reading Moralizing has no place in drug policy?
It doesn’t come up much here, but I am a social worker. Both of my degrees are in social work, I’ve taught social work for the last 17 years, I’ve served on NASW’s Alcohol, Tobacco, and Other Drug Section, as well as NASW-Michigan’s Legislative and Social Policy Committee and Ethics Committee. This blog focuses on … Continue reading In Praise of Service
I really enjoyed Bill White’s post today. It’s a collection of quick takes on several issues. His willingness to address the moral dimensions of recovery are sure to provoke thought: Recovery must be as morally redemptive as addiction is morally corrupting, as connective as addiction is alienating. . . On being a fellow traveler: What … Continue reading Quick and worth your time
Ethics involves the application of moral principles to promote good and prevent harm. Ethical decision-making within our service and advocacy activities is an assessment of the ratio of potential benefits to potential harms in any course of action—with a particular emphasis on “first do no harm.” Such decision-making involves asking ourselves three questions. First, what … Continue reading THE ETHICS OF PUBLIC RECOVERY SELF-DISCLOSURE (BILL WHITE, BILL STAUFFER, AND DANIELLE TARINO)
There’s a bit of attention being given to residential rehabilitation in Scotland at the moment – something that’s good to see. A working group that I was part of has made recommendations to the Scottish Government which have been broadly welcomed. It’s good to hear that the Public Health Minister, Joe Fitzpatrick, has pledged £90,000 … Continue reading Residential treatment: making things better
A version of this post was originally published in June 2020. I’ve been thinking a lot about the convergence of several cultural trends: historically unprecedented access to information; the atomization of media and information sources; the tribalization of media and information sources; scientism as a cultural force that: lacks epistemic humility; is often dismissive of … Continue reading Follow the science . . .
A version of this post was originally published in November 2019. In recent years it’s become more and more common to see advocates criticize treatment and mutual aid groups. These critics question the alleged orthodoxy and motives of treatment providers, but they do not engage in criticism of medication-assisted treatment (MAT). It appears that this … Continue reading Seeking more, not less, from MAT
I stumbled upon this interesting study that’s based on a thought experiment. Researchers asked smokers the following question, “Imagine that a new ’clean’ nicotine product has been developed. This new product is as satisfying to use as smoking cigarettes. It is also as addictive as cigarettes, but it is far less harmful than cigarettes. It … Continue reading harm-free addiction?
Evidence-based practice (EBP). What is it? Take a look at the graphic above. According to American Psychological Association and the Institute of Medicine, there are three components: (1) the best evidence; in combination with (2) individual clinical expertise; and consistent with (3) patient values and expectations. Said another way, EBP is a verb. Why then … Continue reading Sentences to ponder
I haven’t posted for some time. The hospital I work at was hit very hard by COVID-19 and I’m still working on getting recharged for activities like blogging, but the pandemic did play a role in inspiring this post. I’ve been thinking a lot about the convergence of several cultural trends: historically unprecedented access to … Continue reading Follow the science . . .