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?

The blurring of distinction between addiction and abuse in the DSM – 5

The Diagnostic and Statistical Manual (DSM) – 5 describes substance use disorders (SUD) as “a problematic pattern of using alcohol or another substance that results in impairment in daily life or noticeable distress.”  Published in 2013, it made major changes to the categorization of what had in the DSM-IV, been broken into two separate diagnoses … Continue reading The blurring of distinction between addiction and abuse in the DSM – 5