The last few months have been pretty distressing for those of us who care about people with addiction, their access to treatment, as well as the welfare of their families and communities. There are credible threats to cut Medicaid funding, which is estimated to fund 30-40% of all substance use disorder treatment in the US. … Continue reading Addiction care system under threat and more vulnerable due to low institutional trust
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.
Follow the science . . .
I'm reposting this to supplement Monday's post on retiring the concept of "deaths of despair." Zeynep Tufecki's analysis of the damage to public trust from misleading public health messaging during the pandemic reminded me of this post. She describes problems of omission, misrepresentation of confidence levels in information, a desire to be a counterforce to … Continue reading Follow the science . . .
The opioid crisis as a disease of despair?
I'm sharing this to supplement yesterday's post on retiring the concept of deaths of despair. A version of this post was originally published in 2018 and is part of an ongoing review of past posts about the conceptual boundaries of addiction, the disease model, and recovery. Photo by Daniel Reche on Pexels.com The narrative that … Continue reading The opioid crisis as a disease of despair?
Time to retire “deaths of despair”?
Source: Data Behind Americans’ Waning Trust in Institutions. The Pew Charitable Trusts. Addiction recently posted an editorial suggesting that professionals and media stop using the term "deaths of despair" because it's inaccurate, it conflates different problems, and it contributes to misunderstandings about the causes and solutions. The term ‘deaths of despair’ collates deaths caused by substance poisoning, suicide … Continue reading Time to retire “deaths of despair”?
“these things take courage, and they encourage each other”
Read Spotted Newt book shop, Hazard, KY Brian's post yesterday on Bill White's article The Road Not Taken: The Lost Roots of Addiction Counseling brought this previous post to mind, with the shared emphasis on connection to community and community organization as central to addiction counseling. Enjoy! When Bill White called for an overhaul of … Continue reading “these things take courage, and they encourage each other”
Medicaid: The Backbone of Behavioral Health—And What Happens If We Break It
If you care about access to substance use disorder (SUD) and mental health treatment in America, you care about Medicaid—even if you don’t know it yet. Medicaid is the largest single payer for behavioral health services in the country, covering about 24% of all mental health and SUD treatment costs. It’s a lifeline for people … Continue reading Medicaid: The Backbone of Behavioral Health—And What Happens If We Break It
More on “The Historical Essence of Addiction Counseling”
Yesterday, Bill Stauffer revisited William White's article, The Historical Essence of Addiction Counseling. I won't re-summarize the article, but I want to focus on one particular theme If AOD problems could be solved by physically unraveling the person-drug relationship, only physicians and nurses trained in the mechanics of detoxification would be needed to address these … Continue reading More on “The Historical Essence of Addiction Counseling”
What does SAMHSA do?
What does SAMHSA do, and should I care if their staff are fired in significant numbers? It's my impression that most probationary SAMHSA employees have been fired. Terminations started there because terminating probationary employees is easy procedurally. Permanent employees require a process to justify Reductions in Force (RIF) to move ahead with termination. Some people … Continue reading What does SAMHSA do?
Abolish SAMHSA? On advocacy and criticism
I've seen this article shared several times recently. Here's the premise: The incoming Trump administration wants to improve public safety, push back on progressive cultural politics, and cut wasteful federal spending. One way to do all three? Abolish the Substance Abuse and Mental Health Services Administration, the federal mental-health agency. Trump Should Abolish the Federal … Continue reading Abolish SAMHSA? On advocacy and criticism
Relapse and burnout among recovering addiction professionals
Some of us intend to do occasional reviews of some of William White's papers. Many of his most important papers are 25 years old, meaning a whole new generation of addiction professionals have entered the workforce since they were published. Further, the volume of his work makes it overwhelming to approach. We will curate and … Continue reading Relapse and burnout among recovering addiction professionals
Recovery Review 