The AP recently ran an article looking at the horizon for addition treatment under the Affordable Care Act expansion in insurance coverage: The surge in patients is expected to push a marginal part of the health care system out of church basements and into the mainstream of medical care. Already, the prospect of more paying patients … Continue reading As the ACA expands coverage for addiction, can the system deliver?
Tag: Drug rehabilitation
Inside the Shady World of Sober Homes
Pacific Standard has a horrifying article about a sober home in NYC. It sounds like a perfect storm of greed, corruption and incompetence. Its not quite that bad here, but there are a lot of really bad sober housing programs and I really don't know how a client could sort out the decent programs from … Continue reading Inside the Shady World of Sober Homes
Happy Labor Day!
The video's got nothing to do with recovery, but it's a great song and is apropos for Labor Day. While we're on the subject of labor, Bill White had a post a while back on the subject: In 2011, Dieter Henkel of the Institute for Addiction Research at the University of Applied Sciences in Frankfurt, … Continue reading Happy Labor Day!
Recovery for life?
Our friend Bill White has been blogging. This is great news! To my mind, he's been the most important voice in addiction treatment, recovery and research of both. His writing is very accessible and he bridges experiential knowledge and empirical knowledge. He's also been amazingly prolific. The downside of this is that his body of work … Continue reading Recovery for life?
What makes treatment effective?
I've been catching a lot of heat recently for posts about Suboxone and methadone. (For the sake of this post, lets refer to them as opioid replacement therapy, or ORT, for the rest of this post. One commenter who blogs for an ORT provider challenged my arguments that we should offer everyone the same kind … Continue reading What makes treatment effective?
How would we react to a CURE?
Howard Wetsman has been part of a workgroup challenging the dominance of pharmacological treatments and promoting psychosocial treatments. He's had some unsettling feelings and engaged in a thought experiment about what might happen if a real cure was developed. What we’re imagining is a complete cure. This is not a method for, let’s say, alcoholics … Continue reading How would we react to a CURE?
Seeking Safety + 12 Step Facilitation = good outcomes
The Journal of Substance Abuse Treatment looks at Seeking Safety plus twelve step facilitation. Good news: Objective The Recovery Management paradigm provides a conceptual framework for the examination of joint impact of a focal treatment and post-treatment service utilization on substance abuse treatment outcomes. We test this framework by examining the interactive effects of a treatment for … Continue reading Seeking Safety + 12 Step Facilitation = good outcomes
So much for the frequently asserted but bogus argument that 90%+ of treatment providers in the US are one-true-way 12 steppers: The researchers surveyed 913 members of the National Association of Alcoholism and Drug Addiction Counselors from across the United States. About 50 percent of the respondents said it would be acceptable if some of … Continue reading One way?
Treating depression and substance use: no significant difference from control
Another study finds treatment as usual to be just as effective as specialized CBT: Few integrated substance use and depression treatments have been developed for delivery in outpatient substance abuse treatment settings. To meet the call for more “transportable” interventions, we conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and … Continue reading Treating depression and substance use: no significant difference from control
A New Paradigm for Substance Use Disorder Treatment
From Robert DuPont, MD: Substance abuse treatment is committed to abstinence from nonmedical drug use. Yet, continued nonmedical drug and alcohol use and relapse are so common that they are often defined as part of the disease itself. A “new paradigm” for care management has been pioneered over the past four decades by the state … Continue reading A New Paradigm for Substance Use Disorder Treatment