The 1981 “Alcoholism – You Can Beat It!” USPS Stamp Debacle: Lessons Moving Forward

In 1981 US Postal Service has a stamp campaign intended to reduce stigma and improve access to care titled “Alcoholism – You Can Beat It.” It was issued at a time when national advocacy groups were relatively strong, and headway was being made in respect to developing services and improving public perceptions about alcohol and … Continue reading The 1981 “Alcoholism – You Can Beat It!” USPS Stamp Debacle: Lessons Moving Forward

Parallel Processes – Walking Our Talk Across the Behavioral Health Service System

Light at the end of the tunnel Parallel process as a term generally refers to dynamics of transference and counter transference in the therapeutic process. It also has supervision applications. Supervisory interaction often replays, or is parallel with, the direct healing relationship. It also has implications beyond the healing relationships in SUD care. A major … Continue reading Parallel Processes – Walking Our Talk Across the Behavioral Health Service System

Antidiscrimination Language and the Hughes Act of 1970

The passage of the Hughes Act of 1970 was easily the most significant advancement in substance use care in the last 100 years. People in our era may not realize it, but passage was dependent on people in recovery who worked hard to ensure there was help available for future generations. The Bill, formally titled … Continue reading Antidiscrimination Language and the Hughes Act of 1970

Social Movements End – So How Will Ours End?

Six years ago, I had the opportunity to spend time with David Mactas, the first Director of the Center for Substance Abuse Treatment. He got the ball rolling on establishing the funding for recovery community organizations nationwide, including the Recovery Community Support Program (RCSP) grants from SAMHSA. I was talking with him about what had … Continue reading Social Movements End – So How Will Ours End?

Seeking Common Ground in Our Understanding of Addiction

“Our agreement or disagreement is at times based on a misunderstanding.” - Mokokoma Mokhonoana There are many current models conceptualizing substance misuse and addiction. Many generally agree on what happens in the brain yet offer various schools of thought to explain why it occurs. Despite a lot of common ground, the proponents of each school … Continue reading Seeking Common Ground in Our Understanding of Addiction

The Perfect Storm is Foundering Our SUD Interventional Infrastructure

“A story only matters, I suspect, to the extent that the people in the story change.” ― Neil Gaiman Exactly twenty years ago, key SUD field leaders examined our SUD service infrastructure and published can the national addiction treatment infrastructure support the public’s demand for quality care?  It noted extreme instability across our entire workforce. … Continue reading The Perfect Storm is Foundering Our SUD Interventional Infrastructure

Portraying Abstinence Recovery as Puritanical Is in the Interest of Those Who Sell Addictive Drugs

“I never trust a man who doesn't drink.” – John Wayne People do not trust people who moderate or abstain from substances, particularly alcohol. There is a sense that those of us who do so are looking at everyone else and judging them. I suppose some do, but I don’t think most of us do. … Continue reading Portraying Abstinence Recovery as Puritanical Is in the Interest of Those Who Sell Addictive Drugs

AI, Substance Misuse, Addiction, and the Tragedy of the Commons

Substance misuse and addiction is perhaps our most significant domestic challenge. In 2022, the U.S. Congress Joint Economic Committee (JEC) found that the opioid epidemic alone cost the United States nearly $1.5 trillion in 2020, or 7 percent of gross domestic product (GDP), an increase of about one-third since the cost was last measured in … Continue reading AI, Substance Misuse, Addiction, and the Tragedy of the Commons