Disclaimer:  nothing in this post should be taken or held as clinical instruction, clinical supervision, or advisory concerning patient care.  A few years later in that same organization I was picked to be on a steering committee that would form and lead a new program.  The new program was going to be a buprenorphine-specific Intensive Outpatient … Continue reading Contingency Management Example 4 of 4: Forming a Buprenorphine-Specific IOP

Disclaimer:  nothing in this post should be taken or held as clinical instruction, clinical supervision, or advisory concerning patient care.  At my workplace in the early 2000's we were early adopters in various kinds of technology and clinical practices that were beyond "evidence-based". We aimed for best practice, promising practices, and those that were really … Continue reading Contingency Management Example 3 of 4: Mobile Device with Live Recovery Coaching

Disclaimer:  nothing in this post should be taken or held as clinical instruction, clinical supervision, or advisory concerning patient care.  In that same organization during those same years, we had a central screening and intake office for our various residential and outpatient chemical dependency programs.  These were publicly funded programs, and the vast majority of the … Continue reading Contingency Management Example 2 of 4: “Start Now” in Outpatient and Reduce the Wait for Residential

Disclaimer:  nothing in this post should be taken or held as clinical instruction, clinical supervision, or advisory concerning patient care.  At a previous workplace, in the early 2000's, we contracted a person who was a national leading expert in contingency management (CM) for substance use disorders (SUDs).  We contracted with them to write a practice guideline on … Continue reading Contingency Management Example 1 of 4: Prize Tickets to Increase Group Attendance

Disclaimer:  nothing in this post should be taken or held as clinical instruction, clinical supervision, or advisory concerning patient care.  A colleague in the field asked me to make some comments on Recovery Review about the use of contingency management (CM) within clinical services for substance use disorders (SUDs). This colleague expressed the concern to me that contingency management: … Continue reading Comments on the Practical Use of Contingency Management

A colleague in the field (a professional addiction counselor of 30+ years) sent me an email and suggested I respond here on Recovery Review. It's a great topic with good questions. I'll place the questions in quotation marks as they were written and reply to each. The field of Substance Use Disorders and becoming a … Continue reading Question from the field: What makes an addiction counselor a “Master Craftsman”?

I assume the reader has heard the term “Recovery Oriented Systems of Care” and of the related clinical practices organized around what is called “Recovery Management.” Regardless, by way of review:  ROSC was a specific macro-system inter-agency networking concept.  RM was a micro-focused set of concepts and practices for services seated within and beneath ROSC.  … Continue reading “Recovery Oriented Systems of Care” and “Recovery Management” are slowly becoming “Using-Oriented Systems of Care” and “Using Management”

After screening for harmful alcohol use, researchers in a 2022 study1 examined differences based on age - with some interesting results.  The study examined… …data from 17,399 respondents who reported any alcohol consumption in the last year and were aged 18 and over from the 2016 National Drug Strategy Household Survey…” The authors said the … Continue reading The Impacts of Drinking: Quantity Versus Frequency by Age of Drinker

Very recent original research has found initial evidence that the paternal use of alcohol prior to conception produces physical defects and abnormalities that resemble those caused by maternal drinking during pregnancy.1  What kinds of abnormalities were found to be associated with paternal drinking prior to conception?  The study found alcohol-related fetal abnormalities of the brain … Continue reading The Effects of Paternal Alcohol Use Prior to Conception

Today is the 10 year anniversary of my organizational workplace making the switch to a tobacco-free campus. Prior to the change I was involved in organizing and leading our attempts to address tobacco smoking. After we made the switch to a tobacco-free campus, I looked back and realized those earlier efforts were like our organization … Continue reading Tobacco-free campus: 10 year anniversay and retrospective of the change