Preaddiction as a Missing Concept in Articulating the Dynamics of Healing & Recovery

Earlier this month, Dr. Thomas McLellan, Dr George Koob, and Dr Nora Volkow published a viewpoint article at JAMA titled Preaddiction—A Missing Concept for Treating Substance Use Disorders.  It is an important piece. The concept of preaddiction could dramatically expand our intervention strategies and better help us address the horrific consequences of harmful substance use … Continue reading Preaddiction as a Missing Concept in Articulating the Dynamics of Healing & Recovery

Are We Serving as Good Stewards in Our Collective Responsibility to the Recovery Community?

“Therein is the tragedy. Each man is locked into a system that compels him to increase his herd without limit -- in a world that is limited. Ruin is the destination toward which all men rush, each pursuing his own best interest in a society that believes in the freedom of the commons. Freedom in … Continue reading Are We Serving as Good Stewards in Our Collective Responsibility to the Recovery Community?

Loss of Institutional Knowledge – a Critical Tipping Point in the SUD Workforce Crisis

Our substance use care system workforce has long faced very high turnover rates. One of the studies from years ago that always stuck with me as framing out the challenges and value of working in our field, was from 2003, the toughest job you'll ever love: A Pacific Northwest Treatment Workforce Survey. It identified turnover … Continue reading Loss of Institutional Knowledge – a Critical Tipping Point in the SUD Workforce Crisis

Towards More Compassionate Care for Not Just Another Medical Disorder

If effectively addressing addiction was easy and straightforward, we would have done so already. In reality, it is a multifaceted condition that defies narrow solutions. There are complex genetic and environmental factors that lend themselves more to a continuum of use, problematic use and addiction that is not consistent with either / or check box … Continue reading Towards More Compassionate Care for Not Just Another Medical Disorder

Tom Hill – Interview on Recovery Values & Government Service February – 2022

Forward – I recently learned that Tom Hill was retiring from government work and concentrating on his art, another one of his many talents. My first reaction was a feeling of abandonment. We tend to see some people and the roles that they serve almost as permanent fixtures. Tom Hill has been that kind of … Continue reading Tom Hill – Interview on Recovery Values & Government Service February – 2022