"There is no greater tyranny against the minds of men that to allow the minds of their children to be destroyed by addiction disease because of our lack of courage and commitment at the time it is needed most. This is the time. If we fail now, we will have failed our future. This is … Continue reading Revisiting Support for Long term Recovery and the Reversed Tragedy of the Commons
Tag: addiction
Medications for Opioid Use Disorder: Enhancing Retention to Achieve Longterm Remission and Recovery
A newly published monograph "addresses the challenges of achieving long-term stable (OUD) remission and recovery, and, more specifically, the related challenges involved in adherence and retention within the pharmacotherapeutic treatment of OUD." This document is a critical step toward understanding what medication can and cannot achieve for which patients under what circumstances. This right-sizing of … Continue reading Medications for Opioid Use Disorder: Enhancing Retention to Achieve Longterm Remission and Recovery
Revisiting William White: A History of Contempt: Countertransference and the Dangers of Service Integration
“The look which the doctor gave me simply set me back on my heels. My hand remained untaken...Then I realized with a shock that this was not a meeting of two gentlemen on a plane of equality. In the eyes of the man before me, I was just another insane patient” - Marle Woodson 1933 … Continue reading Revisiting William White: A History of Contempt: Countertransference and the Dangers of Service Integration
SDOH and Recovery Capital: Of Course Everything Isn’t Healthcare
The Wall Street Journal recently ran a commentary arguing that "Not Everything is Healthcare." Health insurers like UnitedHealthcare, Centene and Humana have devoted billions of dollars in the past decade to building new “affordable housing.” They’re also spending heavily on nutrition programs and local community resources. No, the insurance industry hasn’t suddenly begun emphasizing philanthropy over profit. Rather, it … Continue reading SDOH and Recovery Capital: Of Course Everything Isn’t Healthcare
Revisiting the Work of William White: Sick Systems in Treatment Interview with John DuCane 1989
“I was recruited by the field to address a shadow side of the organizational life of addiction treatment programs. As I responded to these calls, it became quickly apparent that something far more universal was afoot than the aberration of organizational life of addiction programs” – William White, Recovery Rising pg. 233 In 1989, John … Continue reading Revisiting the Work of William White: Sick Systems in Treatment Interview with John DuCane 1989
Addiction care system under threat and more vulnerable due to low institutional trust
The last few months have been pretty distressing for those of us who care about people with addiction, their access to treatment, as well as the welfare of their families and communities. There are credible threats to cut Medicaid funding, which is estimated to fund 30-40% of all substance use disorder treatment in the US. … Continue reading Addiction care system under threat and more vulnerable due to low institutional trust
Follow the science . . .
I'm reposting this to supplement Monday's post on retiring the concept of "deaths of despair." Zeynep Tufecki's analysis of the damage to public trust from misleading public health messaging during the pandemic reminded me of this post. She describes problems of omission, misrepresentation of confidence levels in information, a desire to be a counterforce to … Continue reading Follow the science . . .
Time to retire “deaths of despair”?
Source: Data Behind Americans’ Waning Trust in Institutions. The Pew Charitable Trusts. Addiction recently posted an editorial suggesting that professionals and media stop using the term "deaths of despair" because it's inaccurate, it conflates different problems, and it contributes to misunderstandings about the causes and solutions. The term ‘deaths of despair’ collates deaths caused by substance poisoning, suicide … Continue reading Time to retire “deaths of despair”?
Recovery Languaging: Moving from Normalizing Healing to Normalizing Use & Pathology
For well over a decade, significant focus of effort within the recovery community and across our service space has focused on changing how we talk about substance use conditions and those who experience them. As noted in the 2014 paper Language, Substance Use Disorders, and Policy: The Need to Reach Consensus on an “Addiction-ary” our … Continue reading Recovery Languaging: Moving from Normalizing Healing to Normalizing Use & Pathology
More on “The Historical Essence of Addiction Counseling”
Yesterday, Bill Stauffer revisited William White's article, The Historical Essence of Addiction Counseling. I won't re-summarize the article, but I want to focus on one particular theme 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 … Continue reading More on “The Historical Essence of Addiction Counseling”
Recovery Review 