Houston, we have a problem – narrowly focused care is not the bridge to recovery we need

Reflecting on articles on addiction and recovery that has come my way over the last week. Some encouraging, some more than a bit worrisome. In this post, I will try to weave them together in the context of long-term recovery. History shows us that framing addiction in narrow, single drug strategies sets us up time … Continue reading Houston, we have a problem – narrowly focused care is not the bridge to recovery we need

The neurology of addiction – never enough and no easy pathway of quick fixes

I wanted to post this February 2019 NPR interview with Neuroscientist Dr Judith Grisel. She is a scientist studying addiction and also a person in long term recovery. She confesses that after she got into recovery that she pursued studying the neuroscience of addiction in the hopes she could figure it all out and use … Continue reading The neurology of addiction – never enough and no easy pathway of quick fixes

Low expectation treatment for OUDs will yield poor outcomes over the long term

photo - Death Valley in bloom  Currently, there is a lot of discussion about treatment for opioid use disorders. Here in Pennsylvania part of our policy discourse is on the prescribing of MAT such as suboxone and whether there should be some requirement to include treatment with the prescribing of the medication. Missing in most … Continue reading Low expectation treatment for OUDs will yield poor outcomes over the long term

Social Movements end – so how will the “new recovery advocacy movement” end?

Last Fall, I had the opportunity to spend time with David Mactas, he was the first Director of the Center for Substance Abuse Treatment, and was instrumental in establishing the funding for recovery community organizations nationwide through the Recovery Community Service Provider – State Network (RCSP-SN) grants from SAMHSA.  I was talking with him about … Continue reading Social Movements end – so how will the “new recovery advocacy movement” end?