(Credit: Fred Murphy) A friend shared this interview with Susan Stellin and Graham MacIndoe with me yesterday. Susan and Graham do a lot of public education about addiction and drug problems, including their traveling exhibition Reframing Recovery. It's rare to hear a lengthy discussion that communicates such sincere respect for both recovery and harm reduction. … Continue reading The Politicization of Harm Reduction
Author: Jason Schwartz
Beyond the Drinker: Alcohol’s Hidden Costs
This considers only the economic burden to others associated with the legal, regulated drug -- alcohol: Our cost estimates suggest that the burden to others from drinking is of the same general magnitude as the burden that drinkers impose on themselves and on response agencies serving them. This distinguishes alcohol from tobacco, where the burden … Continue reading Beyond the Drinker: Alcohol’s Hidden Costs
Jekyll or Hyde? What’s the nature of the person with addiction?
The following describes the divergent approaches of Dr. J. Edward Turner and Dr. Albert Day, both one-time leaders of the New York State Inebriate Asylum that operated from 1864 to 1879. The fundamental point at issue between Turner and Day was whether the inebriate was at his core Dr. Jekyll or Mr. Hyde. Although both … Continue reading Jekyll or Hyde? What’s the nature of the person with addiction?
In search of synthesis for positive and negative liberty and addiction
In a recent post, I highlighted a schism in advocacy efforts related to addiction. On one end we see advocacy focused on non-interference in drug use, and various levels of facilitation of less risky drug use. These efforts largely emphasize negative liberty, or "freedom from" interference in living one's life as one chooses. On the … Continue reading In search of synthesis for positive and negative liberty and addiction
More on differing compensation and expectations in the peer recovery workforce.
Yesterday, Austin shared a post about inequities in compensation for peer recovery specialists. He closed with this thought. If we agree that, at least in this sphere of recovery, such inherent exploitation is contradictory to the overarching aim of recovery systems, then each of us must make a specific and deliberate stand to prevent the … Continue reading More on differing compensation and expectations in the peer recovery workforce.
Substance use disorder is too inclusive to be useful
Source: Substance Abuse and Mental Health Services Administration. (2023). Results from the 2022 National Survey on Drug Use and Health: A companion infographic (SAMHSA Publication No. PEP23-07-01-007). Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/data/report/2022-nsduh-infographic The 2022 National Survey on Drug Use and Health was recently released and … Continue reading Substance use disorder is too inclusive to be useful
Protecting autonomy by denying it? Undermining autonomy by asserting it?
I started working as an addiction counselor in 1994 and I cannot recall any time since then that has been characterized by such polarization in the responses being proposed and implemented. At one pole, multiple states are proposing and passing legislation to allow for involuntary treatment. We've long had mandated treatment in criminal courts, but … Continue reading Protecting autonomy by denying it? Undermining autonomy by asserting it?
Sentences to ponder
"For patients presenting to initiate treatment, the on-ramping/off-ramping process with MOUD mattered more than the impact of treatment choice on mortality or side effects." Muthulingam, D., Hassett, T. C., Madden, L. M., Bromberg, D. J., Fraenkel, L., & Altice, F. L. (2023). Preferences in medications for patients seeking treatment for opioid use disorder: A conjoint … Continue reading Sentences to ponder
Overdose, housing, and homelessness
I read an article this morning that led me to this article on overdose, housing, and homelessness. A common assumption is that there is a unidirectional causal pathway between drug use and homelessness; that is, people become homeless because of their drug use. This misconception places the blame on the individuals and away from the … Continue reading Overdose, housing, and homelessness
Every response is incomplete
Over the last decade, as faith in the effectiveness of drug policy, addiction treatment, and drug enforcement diminished, interest and hope in harm reduction grew. Harm reduction was once a last resort response to drug problems and in recent years has become the first line response to drug problems. Harm reduction is now receiving the … Continue reading Every response is incomplete
