The treatment system is failing opiate addicts

Stories like this are getting a lot of attention lately: State Sen. Chris Eaton is planning to introduce legislation to encourage opiate treatment providers and doctors to break with an abstinence-based model and embrace evidence-based practices for treating addiction, the Minnesota Democrat told The Huffington Post. I want to make it clear that I know nothing … Continue reading The treatment system is failing opiate addicts

“unintentionally comical” – Johann Hari’s Chasing the Scream

Seth Mnookin reviews Chasing the Scream and finds its review of the science troubling. (Previous post on Hari here.) The first tip-off that Hari might be in over his head comes when he describes how “a small band of dissident scientists” had uncovered the answers he was looking for after working “almost unnoticed, for several decades.” Hari … Continue reading “unintentionally comical” – Johann Hari’s Chasing the Scream

Drug courts and the “wonder drug”

Anyone who reads this blog regularly knows that the evidence for Suboxone has been oversold and that it often does not address the real-world goals of most addicts or families. They want recovery--a restoration to wholeness and full participation in all spheres of life over the rest of their lifespan. The evidence base for maintenance … Continue reading Drug courts and the “wonder drug”

Addiction, recovery and problem ownership

I had a brief but good conversation with a colleague today that reminded me of what's at stake in the way we define addiction. How we define addiction determines which helpers and which systems own the problem. Addiction is most frequently being rolled into mental health, but also into criminal justice, public health, traditional medicine, … Continue reading Addiction, recovery and problem ownership