I recently stumbled on this article about methadone treatment in Oregon. The above graphic caught my attention. I found the original study, here are some of the highlights from it's conclusions. (MMT = methadone maintenance treatment; MR = medication free) Overall differences: The results of this study revealed that all in all, MMT patients suffered more … Continue reading Ten Years of Abstinence in Former Opiate Addicts
Author: Jason Schwartz
Mortality for methadone vs. buprenorphine
I recently stumbled on this article about methadone treatment in Oregon. I'd say the article is positive about maintenance drugs, but these sentences lept out at me. Opiate addicts who entered methadone programs were nearly five times more likely to die from drug overdoses within the first four weeks of treatment than those who entered … Continue reading Mortality for methadone vs. buprenorphine
Update on 911 Good Samaritan Legislation in Michigan
Baby Steps This summer, Michigan Rep. Al Pscholka (R-Stevensville) introduced House Bill 4843, a bipartisan measure, that would create Good Samaritan protections for individuals under the age of 21 who seek medical attention for themselves or another person believed to have overdosed. However, the Good Samaritan protections are limited to the illegal possession of prescription drugs (in … Continue reading Update on 911 Good Samaritan Legislation in Michigan
Sentences to ponder
From a meta-analysis on retention in medication assisted treatment: Notably, only a single study examined retention for longer than one year, even though the National Institute on Drug Abuse (NIDA) recommends a minimum of one year in methadone maintenance treatment for best outcomes.73 Indeed, despite extensive and prolonged use of methadone to treat heroin addiction … Continue reading Sentences to ponder
Buprenorphine Outpatient Outcomes Project
I recently came across this 2014 study of 220 buprenorphine patients. I mentioned it in another post and noted this sentence from the conclusion as underwhelming, "The number of legal charges for drug possession decreased from 70 to 62." Turns out that this sentence casts their outcomes in a misleadingly positive light. In the year … Continue reading Buprenorphine Outpatient Outcomes Project
Opiate-addicted Parents in Methadone Treatment: Long-term Recovery, Health and Family Relationships
I recently came across this 10 year follow-up of parents in methadone treatment and their children from 2011. Here's a review of their outcomes. First, here's their definition of recovery: Recovery status was based on recent drug use, history of drug problems, and history of incarceration. Long-term recovery was defined as no recent drug use (self-report … Continue reading Opiate-addicted Parents in Methadone Treatment: Long-term Recovery, Health and Family Relationships
Excessive certitude abound
UPDATE 2 (12:15 on 11/8/15) - A few hours ago, I posted about a pulled Huffington Post article that questioned parental rights for people on opioid replacement medication. In the original post, I failed to explicitly say that I strongly disagree with this position. It's an awful thing to say. I should have made this very … Continue reading Excessive certitude abound
Evidence for community
Let us hope that the frequent framing of pharmacological treatments as the only evidence-based approach doesn't eclipse the evidence for behavioral and social interventions like sober housing: Following substance abuse treatment, individuals who live in a collaborative housing setting with community rules and responsibilities have their substance abuse treated more effectively than those not provided supportive housing, according … Continue reading Evidence for community
Gut check
Bill White has a great post on anonymity and advocacy. He examines the changing cultural context for anonymity and the different functions of anonymity. On anonymity as a spiritual principle: When AA literature speaks of anonymity as a “spiritual principle,” it does so out of a profound understanding of the importance of self-transcendence as the … Continue reading Gut check
Blog love
Kind words from After Party Magazine. I made their list of top blogs. Nice! Addiction & Recovery News The brainchild of Jason Schwartz, Clinical Director of Dawn Farm—a non-profit treatment program in Ann Arbor, Michigan—Addiction and Recovery News started out as a list of news links sent to his staff so they could stay on … Continue reading Blog love
