Harm reduction interventions need to be widely available, accessible, delivered efficiently and proactively and evaluated and improved. Harm reduction services also need to have porous borders with treatment and recovery services and have hope embedded in the form of peers in recovery working within teams. A recovery-oriented system of care sees interventions not in silos, but in a continuum with the individual’s needs at the centre and the person on a journey. The person's goals, not the professional's goals (which can be at odds) should be paramount.
Although the signs are good that journeys to residential rehabilitation in Scotland are about to get a lot easier, there are still some challenges to face. We could quadruple capacity, but if the pathways are not there or blocks exist, more places will make little difference. Not everyone is a fan of rehab and in … Continue reading Need rehab? How can we hinder you?
This week in Scotland we’ve been reeling from the impact of the publication of the 2019 drug-related death statistics. The awful graphs are everywhere, their bright colours standing in sharp contrast to the horror they relate. Our feelings clamour for attention, a powerful mixture of anger, grief, bewilderment and shame. The newspapers are full of … Continue reading Drug deaths in Scotland: hope on the horizon?
For a significant number of people in recovery, rehab has been part of their journey, yet the truth is that we know very little about residential rehabilitation in Scotland. In the summer of 2020, the Scottish Government public health minister, Joe Fitzpatrick, set up a working group to explore the subject. I was asked to … Continue reading Residential rehabilitation in Scotland: what’s going on?
The last couple of days' posts, a recent conversation and some recent news (I'll let you guess which story.) reminded me of this post. It's from a couple of years ago and has a couple of minor updates. "If you have come here to help me, then you are wasting your time… But if … Continue reading …let us work together
Bill White explaining why inadequate treatment may be worse than no treatment: What we know from primary medicine is that ineffective treatments (via placebo effects) or an inadequate dose of a potentially effective treatment (e.g., as in antibiotic treatment of bacterial infections) may temporarily suppress symptoms. Such treatments create the illusion of resumed health, but … Continue reading Personal Failure or System Failure?
"If you have come here to help me, then you are wasting your time… But if you have come because your liberation is bound up with mine, then let us work together." - Lila Watson Obviously, I've been thinking a lot about the buprenorphine maintenance, the NY Times series and the reactions since it was published. … Continue reading …let us work together
This will be my post in response to the NY Times' series on Suboxone. This post originally ran on 7/19/13 and addressed a lot of our concerns. * * * I've been catching a lot of heat recently for posts about Suboxone and methadone. (For the sake of this post, lets refer to … Continue reading What makes treatment effective?
David Best recently wrote a piece on addiction and quality of life. On the role of community in recovery: At the heart of the recovery movement is a shift of emphasis away from “treatment” as a model reliant on professionally delivered interventions. Rather, the movement sees the recovery journey an intrinsically social process and … Continue reading Addiction and quality of life
From USA Today: The Betty Ford Center and the Hazelden Foundation have formally merged to become the nation's largest nonprofit addiction treatment provider. ... Officials have openly discussed their struggle to compete with a boom in boutique centers, whose spa-like programs also treat gambling and sex addictions. Instead of a waiting list at the Betty Ford Center, … Continue reading Hazelden and Betty Ford have merged