This has gotten a lot of attention [emphasis mine]: ...for the first time, Hazelden will begin providing medication-assisted treatment for people hooked on heroin or opioid painkillers, starting at its Center City, Minnesota facility and expanding across its treatment network in five states in 2013. This so-called maintenance therapy differs from simply detoxifying addicts until … Continue reading Hazelden to start opioid maintenance
Category: Treatment
Addiction 101
From the Dawn Farm Education Series: Addiction 101 from Dawn Farm on Vimeo.
Sentences to ponder
From the ASAM blog: ...is there any evidence that the general public requires less treatment than do healthcare professionals and pilots? I would further ask, given the excellent outcomes generally obtained by PHPs and pilot recovery programs, why there have been no studies in which members of the lay public go through identical programs to … Continue reading Sentences to ponder
50% of the equation
Forbes (?!?!) covers Pat Deegan's efforts to empower mental health patients by guiding them into playing a larger role in their care decisions and participating in their health care records. ...I realized that we are at an important point in the history of medicine. Paper medical records are being replaced by digitized information organized into Electronic Health Records (EHRs). … Continue reading 50% of the equation
Beware of misleading headlines
A new article discussing the expanding use of medications in addiction treatment has the following sub heading: Experts are pushing for a truly medical approach to treating addiction as a disease rather than relying solely on longtime unproven therapies like 12-step programs. Unproven? Twelve Step Facilitation (TSF) is the treatment of choice for addicted physicians and they … Continue reading Beware of misleading headlines
They’ve got hope for something. But, what?
Stimulant maintenance therapy did not work 😦 This study did not find a significant main effect of modafinil on the rate or duration of cocaine use among cocaine-dependent patients. Now they decide to polish the turd: Although these results are disappointing, we did find that modafinil-treated patients had nonsignificantly higher odds of attaining abstinence across … Continue reading They’ve got hope for something. But, what?
Methadone and employment
These findings were characterized as "counterintuitive". Findings from multivariate analyses initially showed no association between treatment enrollment and employment transitions. However, when a distinction was made between MMT and other addiction treatment modalities, it became clear that the relationship between addiction treatment and employment outcomes for IDU in this setting was contingent upon the type … Continue reading Methadone and employment
A brain disease AND (fill in the blank)
Not addiction related, but a very interesting look at new directions for treating and understanding schizophrenia. The article opens by reflecting on where we stand with our attempts to understand the causes: ...the outcome of two decades of serious psychiatric science is that schizophrenia now appears to be a complex outcome … Continue reading A brain disease AND (fill in the blank)
Non-medical treatments are essential
Love First linked to this article on the role of non-medical interventions in treating addiction. I'm more and more convinced that the key to managing costs and improving outcomes for all chronic diseases are behavioral or lifestyle strategies. We've got a lot to learn about helping people make important changes in their lives that … Continue reading Non-medical treatments are essential
More on methadone
Points is publishing a series on methadone and offers a case for methadone without resorting to describing it as "the most effective treatment for opiate addiction." It's a pretty fair piece. I had only one quibble with the facts of the story. This is unusual and very welcome. However, the author and I disagree starkly … Continue reading More on methadone
Recovery Review 