Reducing overdoses

A new leader in the Open Society Institute shares a sensible perspective on reducing overdoses: Looking ahead, reducing drug overdoses will require major shifts in how we approach substance use. First, and possibly most importantly, Maryland needs to connect individuals struggling with addiction to high-quality addiction treatment that is integrated with their primary care. Primary care providers … Continue reading Reducing overdoses

Personal Failure or System Failure?

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?

The Unintended Consequences Of Medical “Maximalism”

The Health Affairs blog questions the American Heart Association's maximalist approach with the use of statins. The issues sound familiar. The policy implications of these guidelines are staggering. Estimates show that if these recommendations are fully implemented, close to a third of all Americans will be placed on a statin. But these developments beg the … Continue reading The Unintended Consequences Of Medical “Maximalism”

Pediatric use of buprenorphine

Drugfree.org has a piece advocating more use of buprenorphine with children. Medication-Assisted Treatment (MAT) for opioid dependence is a science-based and proven-effective option for teens and young adults. It should be administered with age appropriate psychosocial therapy and drug testing. Unfortunately, it has been subject to controversy and stigma. Yet the neuroscience of addiction and … Continue reading Pediatric use of buprenorphine

Precovery

Bill White introduces a new concept, precovery: Precovery involves several simultaneous processes:  physical depletion of the drug's once esteemed value, cognitive disillusionment with the using lifestyle (a "crystallization of discontent" resulting from a pro/con analysis of "the life"), growing emotional distress and self-repugnance, spiritual hunger for greater meaning and purpose in life, breakthroughs in perception … Continue reading Precovery