photo credit: hobvias sudoneighm From Reconsidering the Usefulness of Adding Naloxone to Buprenorphine: If information circulating in the recreational drug-using community is in reality more accurate than the information coming from the medical community, it can only be a matter of time before that hard-won trust is eroded.Blazes, C.K., & Morrow, J. (2020). Reconsidering the … Continue reading Sentences to ponder

I have been a student of the field for well over three decades. I have operated an outpatient and a residential program treatment program and in recent years ran our statewide recovery community organization here in Pennsylvania. My work has led me to be very engaged with policy matters, with care system workforce being a … Continue reading Substance Use Care System On a Precipice

This article, Many Residential Addiction Tx Centers Don’t Offer MAT, at a Deadly Cost, has some serious flaws but it addresses an important and common gap in systems of care. What it gets wrong The flaws relate to it being a mish mash of criticism of non-agonist treatments. First, the article seems to be muddying … Continue reading Many [blank] treatment programs don’t offer [blank], at a deadly cost

We often expect those we serve to: be willing to make significant changes, sustain effort while making difficult changes that take time, and be willing to endure and benefit from practical lessons while making change. But what about changes our organizations can make?  Could some peer support of the organizational change process be helpful?  Could … Continue reading Coaching Tips for System Change and Recovery Orientation