Choice in addiction treatment: A little more. Recovery-Oriented Methadone Maintenance?

A few days ago David McCartney posted an interesting piece titled "Choice in addiction treatment." That post got me recollecting about clinical practices in our outpatient methadone maintenance program that I thought I would briefly share - in case this historical information is somehow helpful or interesting to someone. Our methadone maintenance program began operation … Continue reading Choice in addiction treatment: A little more. Recovery-Oriented Methadone Maintenance?

We All Need to Learn “Prevention”

Prevention of substance use is probably more important than ever.  And the relevance of prevention across the lifespan (including among those who have already initiated use) has probably never been more important.  Why would I say that?  The purity and potency of substances have increased so much that preventing even a one-time use of certain … Continue reading We All Need to Learn “Prevention”

What should be the gold standard for addiction treatment: A little more.

Earlier today Jason Schwartz posted about the active ingredients and basic framework of a multi-year clinical and recovery support model.  The information he shared included elements from Robert DuPont, MD and William White, MA.  Jason included a statement Dr. DuPont made about the short length of even our longest treatments (such as outpatient methadone or … Continue reading What should be the gold standard for addiction treatment: A little more.

Continuing “Very Heavy Drinking” and Also Meeting An Improved Definition of Recovery?

In their 2020 Commentary published in The Journal of Addiction Medicine (a journal of the American Society of Addiction Medicine aka ASAM), Kelly and Bergman state that: “Individuals with regular and increasing very heavy alcohol consumption cannot be considered as maintaining ‘recovery’ due to toxicity and intoxication-related risks”.  Why did they publish a commentary about … Continue reading Continuing “Very Heavy Drinking” and Also Meeting An Improved Definition of Recovery?

The Four Pests: recovery, sobriety/abstinence, addiction illness, and treatment

It seems that during recent years, within the substance use disorder arena, there has been a trend toward changing views about: substance use, sobriety, abstinence, the harms of use, harm reduction, recovery, pathways of personal improvement, problematic use, and addiction illness itself.  While advancements, improvements, and innovations are welcome, what should be preserved?  And how … Continue reading The Four Pests: recovery, sobriety/abstinence, addiction illness, and treatment