Author: Jason Schwartz

I have been an addiction professional and social worker since 1994. I started blogging in 2005 as the Clinical Director at Dawn Farm. I currently serve as the Director of Social Work and Spiritual Care for a healthcare system. I've also served as the Director of Behavioral Health at another hospital. I'm also a lecturer at Eastern Michigan University’s School of Social Work. Views expressed here are my own. Keep in mind that the field, the contexts in which the field operates, and my views have changed over time.

What good is religion?

~ Jason Schwartz

Sigfried Gold on what religion and 12 step fellowships get right: The work of self-transformation can be done through psychotherapy, religious practice, reading self-help books, independent resolutions and intentions, consulting coaches, gurus, psychics, body healers, mind healers and faith healers of all stripes. People come to the work of self-transformation in moments of despair, moments … Continue reading What good is religion?

Methadone with and without counseling

~ Jason Schwartz

Drug and Alcohol Findings reviews research on the impact of counseling for methadone patients. While across the board there was significant improvement, being assigned to standard/enhanced versus interim (no counseling) programmes did not further improve retention, illicit drug use and related problems, or make much difference to criminal activity. There was no evidence that interim … Continue reading Methadone with and without counseling

Hazelden and Betty Ford have merged

~ Jason Schwartz

From USA Today: The Betty Ford Center and the Hazelden Foundation have formally merged to become the nation's largest nonprofit addiction treatment provider. ... Officials have openly discussed their struggle to compete with a boom in boutique centers, whose spa-like programs also treat gambling and sex addictions. Instead of a waiting list at the Betty Ford Center, … Continue reading Hazelden and Betty Ford have merged

As the ACA expands coverage for addiction, can the system deliver?

~ Jason Schwartz ~ 1 Comment

The AP recently ran an article looking at the horizon for addition treatment under the Affordable Care Act expansion in insurance coverage: The surge in patients is expected to push a marginal part of the health care system out of church basements and into the mainstream of medical care. Already, the prospect of more paying patients … Continue reading As the ACA expands coverage for addiction, can the system deliver?

NIMH acknowledges that antipsychotics worsen prospects for long term recovery

~ Jason Schwartz

Thomas Insel, the Director of the National Institute on Mental Health comments on a recent study of the long term effects of antipsychotic maintenance for schizophrenics. The study looked at patients who discontinued antipsychotics compared to those who were maintained on antipsychotics. ...by seven years, the discontinuation group had achieved twice the functional recovery rate: … Continue reading NIMH acknowledges that antipsychotics worsen prospects for long term recovery

6 sessions of chronic care management for addiction is not effective

~ Jason Schwartz ~ 2 Comments

JAMA published a study of a primary-care based chronic care management model (CCM) for addiction. The test group did no better than the control group. The headline is a big bummer for any of us who want to see chronic disease models developed and implemented for addiction. What should we make of it? Many headlines … Continue reading 6 sessions of chronic care management for addiction is not effective

What should we think about e-cigarettes?

~ Jason Schwartz ~ 4 Comments

Motherlode notes a trend in e-cigarettes and is concerned: I was standing outside our neighborhood ice cream shop one recent evening when I noticed a plume of smoke rise above a gaggle of teenagers waiting in line ahead of me. “Wow,” I thought, “that takes some serious chutzpah.” These kids were smoking in public without … Continue reading What should we think about e-cigarettes?