Does naloxone prescribing result in discrimination?

I keep hearing anecdotal reports of people being prescribed naloxone, filling the prescription, and later experiencing discrimination (refusing to write a policy) from an insurance company, typically a life insurance company. I have not been able to have direct contact with anyone who experienced this or get the name of an insurance company engaging in … Continue reading Does naloxone prescribing result in discrimination?

What do medical students learn about addiction?

I decided to try something a little different and record an interview with Derek Wolfe, a new medical school graduate and future psychiatrist with a special interest in addiction. (Maybe interviews will be a recurring thing.) One of the outcomes of the opioid crisis is that physicians have been centered in addiction treatment and drug … Continue reading What do medical students learn about addiction?

Is addiction caused by genetic or environmental factors?

I've been involved in some recent discussions about addiction as a disease and the role of experiences like trauma. A few years ago I had the pleasure of seeing Dr. Jehannine Austin discuss how she approaches genetic counseling around psychiatric disorders and addiction. She doesn't answer all the questions around the etiology of addiction (who … Continue reading Is addiction caused by genetic or environmental factors?

Revisiting recovery-oriented harm reduction (part 2)

I've been watching a really interesting twitter discussion about the conceptual boundaries of recovery. One branch of the discussion got into recovery as a process and as an outcome. It reminded me of this post from 2019. Yesterday, we began to revisit the concept of recovery-oriented harm reduction. Why recovery-oriented harm reduction and not just … Continue reading Revisiting recovery-oriented harm reduction (part 2)

Residential rehabilitation: powering up in 2021

Our contributor David McCartney has a post over at the Scottish Health Action on Alcohol Problems blog. It's worth your time. “Rehab? What’s the point of it? There’s no evidence that it works. I don’t refer anyone to rehab. Do you?”The addiction worker was talking to a colleague – another practitioner working in the field. … Continue reading Residential rehabilitation: powering up in 2021

Meaning and purpose in the context of opioid overdose deaths

Austin Brown recently tweeted a link to an editorial from Drug and Alcohol Dependence which is, unfortunately, behind a paywall. The editorial was written by Eric Strain, the outgoing Editor in Chief, reflecting on the research he's observed in his 15 years as an editor. Coincidentally, it articulates the core message of my blogging over … Continue reading Meaning and purpose in the context of opioid overdose deaths