David Foster Wallace: Life, Writing, Addiction, and Recovery

An interesting interview with DFW's biographer about his recovery. Check it out. On the influence of 12 step recovery on his life and writing: I think over time its core message—the need for human interaction, being modest about your self and your powers, humility before your situation—become his core literary positions as well. In the … Continue reading David Foster Wallace: Life, Writing, Addiction, and Recovery

The benefits of harm reduction are not as obvious as they seem

Theodore Dalrymple points out the inconsistency in the British Medical Journal's vigorous advocacy for harm reduction where heroin is concerned and its squeamishness with harm reduction for nicotine. He pulls a passage from BMJ and inserts comments: What, then, does the BMJ, so much in favour of harm reduction for heroin addicts, say about harm reduction … Continue reading The benefits of harm reduction are not as obvious as they seem

$2.2 billion invested in addiction treatment and behavioral health companies

  Businessweek has a damning investigation of for-profit methadone treatment. And, who knew that Bain Capital is such a player? Since Jan. 1, 2009, CRC’s clinics haven’t met staffing standards more than 50 times, regulatory records from 15 states show. Clinics were cited 80 times for failing to document that they gave patients enough counseling. … Continue reading $2.2 billion invested in addiction treatment and behavioral health companies

Methadonia

When Methadonia was first released, there was quite a bit of hand wringing over whether the film inaccurately presented methadone maintenance treatment in a negative light. Cassie Rodenberg, at The White Noise, who has been spending time with and blogging about homeless addicts in the Bronx says [emphasis mine]: Some on the streets find methadone worse than an original heroin addiction, while … Continue reading Methadonia

Dead addicts don’t recover, but…

This has gotten a lot of press. There's naloxone distribution doubt this will reduce overdose deaths. However, some pretty important questions remain: What happens after the overdose? What services/interventions might have prevented the overdose in the first place? The article references placing defibrillators in public places. What happens after someone is saved by one of those defibrillators? … Continue reading Dead addicts don’t recover, but…

Balancing pain management and public health

I blogged before about the availability of opiates for pain management and the need to try to limit their diversion. While others have complained about draconian limitations on the prescribing of opiates and being too afraid to treat pain, I pointed out the explosion in opiate prescriptions and overdoses. It's a complex problem that demands a solution that balances the … Continue reading Balancing pain management and public health