As a GP in inner-city Glasgow in the 1990s, I looked after patients with heroin addiction. I got to know many of them well, I knew their families, I immunised their children and, distressingly, I saw some of them die. Because of the nature of general practice, I saw the dreadful impact of those deaths … Continue reading Choice in addiction treatment
Author: Dr David McCartney
What effect does harm reduction have on recovery culture? Guest blog by Dylan Lundgren
It seems to be human nature to go to extremes; especially when something shows promising results. Harm reduction has been shown to save lives and therefore should be celebrated and implemented. However, it seems that harm reduction has become the entire conversation about recovery; specifically, the support of Medication-Assisted Treatment (MAT). Alex Pentland, a professor studying human behaviour at … Continue reading What effect does harm reduction have on recovery culture? Guest blog by Dylan Lundgren
Hope and change for addiction
A while back, David Best and Dan Lubman published an article called ‘The Recovery Paradigm: A Model of Hope and Change for Alcohol and Drug Addiction’. I had reason to read it again this week and found much to encourage me in it. Here are some key messages from the piece with my comments in … Continue reading Hope and change for addiction
Tackling drug deaths: let’s add this in
Healthy social networks (the people we connect with) are protective. Improving social networks brings gains in physical and mental health. In 2010, Julianne Holt-Lunstad and her colleagues undertook an impressive meta-analysis (massive review of the evidence available) to see how social relationships influenced mortality. They found a protective effect for those with stronger social relationships. In fact, for this group there was a 50% increased likelihood of survival.
Drug deaths in Scotland: hope on the horizon?
Harm reduction interventions need to be widely available, accessible, delivered efficiently and proactively and evaluated and improved. Harm reduction services also need to have porous borders with treatment and recovery services and have hope embedded in the form of peers in recovery working within teams. A recovery-oriented system of care sees interventions not in silos, but in a continuum with the individual’s needs at the centre and the person on a journey. The person's goals, not the professional's goals (which can be at odds) should be paramount.
Scotland’s drug deaths
I’ve been waiting for today with a degree of anxiety throughout the whole of July. Even with the Mediterranean temperatures we’ve basked in this month, my thoughts have regularly turned in dark anticipation to today. Now it is here. Today the new drug-related death statistics for Scotland have been published. 1339 deaths. Up 5% on … Continue reading Scotland’s drug deaths
Doctors, Nurses and Recovery
Last week a book I had ordered dropped through the letterbox. It’s Adam Hill’s ‘Long Walk Out of the Woods’. He’s a doctor who developed an alcohol use disorder and recovered from it. The book about his journey is next on my reading list. The arrival of Adam’s book triggered thoughts of my own story and then … Continue reading Doctors, Nurses and Recovery
Drug policy – who calls the shots?
Last week, the highlight of my week was not presenting at a conference or completing my part of a hard-worked funding bid, though both of these were satisfying. By far the loveliest thing to happen was a short conversation with an ex-patient who came back to say thank you. She particularly stressed the part that … Continue reading Drug policy – who calls the shots?
Women: drinking and recovery
Recovery: a lived experience of improved life quality and a sense of empowermentBest & Laudet When it comes to drinking problems, men and women have differences. Women tend to binge, have higher pre-existing trauma levels and can suffer more (or different) kinds of stigma and discrimination. They are also more vulnerable to physical complications and … Continue reading Women: drinking and recovery
Some things worth knowing
Credit: istockphoto/GlobalIP, under license Here are some things/experiences that came onto my radar in the last week. I don’t think there’s much linking them, but some bits and pieces may be of interest to others. On mutual aid ‘Analyses reveal that membership of mutual aid groups is strongly associated with more participation and (self-reported) changes … Continue reading Some things worth knowing
