Thinking about “disease” as complex and multi-dimensional

The risk of transmission is complex and multi-dimensional. It depends on many factors: contact pattern (duration, proximity, activity), individual factors, environment (i.e. outdoor, indoor) & socioeconomic factors (i.e. crowded housing, job insecurity).Tweeted by Muge Cevik on September 21, 2020 One argument against the disease model of addiction is that it advances a narrow medical model … Continue reading Thinking about “disease” as complex and multi-dimensional

What we miss when we focus on opioid treatment and recovery

A version of this post was originally published in September 2019. It speaks to some questions about yesterday's post. This NPR headline demonstrates the problem with the concept of "opioid recovery" rather than "addiction recovery." Fortunately, there's been growing concern that advocates, policymakers, and media have too narrowly focused on the opioid crisis. Up to … Continue reading What we miss when we focus on opioid treatment and recovery

The historical essence of addiction counseling

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 problems. If AOD problems were simply a symptom of untreated psychiatric illness, more psychiatrists, not addiction counselors would be needed. If these problems were only a reflection … Continue reading The historical essence of addiction counseling

Tom Hill – Interview on Recovery Values & Government Service February – 2022

Forward – I recently learned that Tom Hill was retiring from government work and concentrating on his art, another one of his many talents. My first reaction was a feeling of abandonment. We tend to see some people and the roles that they serve almost as permanent fixtures. Tom Hill has been that kind of … Continue reading Tom Hill – Interview on Recovery Values & Government Service February – 2022

Rehab works!

When it comes to trying to improve access to residential rehabilitation in Scotland, one thing I’ve heard too often from doubters is: ‘there’s no evidence that rehab works’. Ten years ago I was hearing the same thing about mutual aid, which was recently (at least in terms of Alcoholics Anonymous) found to be as effective, if … Continue reading Rehab works!

The First Step in Healing – Robin Spencer Horston of Message Carriers of Western PA

Forward – Robin Horston Spencer, MHS, MS, MBA, OWDS, RCAT is in long term recovery since 1991. She has done so very much for her community. She is well known for her collaborative efforts with churches, agencies, 12 Step communities and even ballroom dancing! Presently, she sits on several advisory boards locally, statewide, and nationally. … Continue reading The First Step in Healing – Robin Spencer Horston of Message Carriers of Western PA

Three things about recovery that are really worth knowing

1. Hope matters in recovery I’ve been musing a bit recently on the place of hope in addiction treatment and in recovery journeys. Researchers from the USA[1] identified that hope, although recognised as essential for recovery, was not well researched in terms of how it helps recovery progress. They used validated tools (questionnaires) to assess hope … Continue reading Three things about recovery that are really worth knowing