Pat Deegan bites her nails at the prospect of integrated care for mental health care (The same thing is happening with addiction treatment): Is recovery going the way of the dinosaur? Is recovery-transformation an old idea that should give way to more enlightened policies of integrated, co-located behavioral and physical healthcare services? These days, I … Continue reading Integrated care?
Category: Policy
Residential?
From the United States Senate Caucus on International Narcotics Control: 11. Finding: Traditionally, U.S. Presidents – through ONDCP – have divided drug demand reduction into two main categories: prevention and treatment. However, the Obama Administration has added a third area: recovery. For the first time ever, in its 2010 National Drug Control Strategy, ONDCP focused on the need to invest in … Continue reading Residential?
Marijuana penalty reduction proposals in New York
New York Governor Andrew Cuomo has proposed big changes in marijuana policy in his state: "There's a blatant inconsistency. If you possess marijuana privately, it's a violation. If you show it in public, it's a crime," Cuomo said. "It's incongruous. It's inconsistent the way it's been enforced. There have been additional complications in relation to the stop-and-frisk … Continue reading Marijuana penalty reduction proposals in New York
What we spend on health
This infographic is from a report on obesity and it's set off a debate its accuracy. But it gets at a point I've made before. And, the more I learn, the clearer it becomes that this general principle applies to medical problems, mental health problems and addiction. To me, this doesn't make a case for … Continue reading What we spend on health
K2, Spice and legalization
I do not consider myself a drug warrior. (Though, few people do these days. It can be a little like racism. People attribute it to others, but never themselves.) I oppose incarcerating people for possession of quantities consistent with personal use. I favor policies that target demand rather than supply. I'm also skeptical of hype … Continue reading K2, Spice and legalization
Road traffic crashes and prescribed methadone and buprenorphine
Last year, a study questioned whether buprenorphine patients should be allowed to drive because 60% tested positive for other drugs. Now, another study reaches similar findings: Background Opioids have been shown to impair psychomotor and cognitive functioning in healthy volunteers with no history of opioid abuse. Few or no significant effects have been found in opioid-dependant … Continue reading Road traffic crashes and prescribed methadone and buprenorphine
Hard to kill
Nature has a new article on the troubling shelf life of bad psychology research: Positive results in psychology can behave like rumours: easy to release but hard to dispel. They dominate most journals, which strive to present new, exciting research. Meanwhile, attempts to replicate those studies, especially when the findings are negative, go unpublished, languishing in … Continue reading Hard to kill
Addiction diagnoses to rise
I've posted before about problems with the proposed approach to addiction in the DSM-5. These changes were intended to clear up language problems, specifically the conflation of dependence and addiction leading to "false positives" for addiction. Looks like the DSM-5 is causing its own language problems before it's even adopted. [emphasis mine] Many scholars believe … Continue reading Addiction diagnoses to rise
More than two options
Mark Kleiman is making sense: "For every complex problem," H.L. Mencken wrote, "there is an answer that is clear, simple and wrong." That is especially true of drug abuse and addiction. Indeed, the problem is so complex that it has produced not just one clear, simple, wrong solution but two: the "drug war" (prohibition plus … Continue reading More than two options
Human rights and coerced treatment
A recent article looks at the ethics and effectiveness of coerced treatment: It has been argued that quasi-compulsory treatment (QCT) may be considered ethical (under some specific conditions) for drug dependent offenders who have committed criminal offences for whom the usual penal sanction would be more restrictive of liberty than the forms of treatment … Continue reading Human rights and coerced treatment
Recovery Review 