Recently, I posted about a study finding significant declines in the duration of treatment for MOUD patients in Ontario, Canada. The post focused on the persistence of the acute care paradigm, now appearing in MOUD. The post prompted some discussion on LinkedIn, during which I was struck by how this is really just a cycle … Continue reading Why won’t the acute care paradigm die?
Tag: Healthcare
Medicaid: The Backbone of Behavioral Health—And What Happens If We Break It
If you care about access to substance use disorder (SUD) and mental health treatment in America, you care about Medicaid—even if you don’t know it yet. Medicaid is the largest single payer for behavioral health services in the country, covering about 24% of all mental health and SUD treatment costs. It’s a lifeline for people … Continue reading Medicaid: The Backbone of Behavioral Health—And What Happens If We Break It
Eliminating Inequities for Black Mothers With Substance Use Disorder
Between 2010 and 2017, the U.S. saw a 131% increase in maternal opioid use disorder at delivery. There also was an 83% rise in cases of neonatal abstinence syndrome due to prenatal opioid exposure. Additionally, between 2016 and 2020, there was a 3.6% increase in prenatal substance exposure, including alcohol, with significant variation across states. The rising rates of … Continue reading Eliminating Inequities for Black Mothers With Substance Use Disorder
Macro Level Moral Injury Within the SUD Care System – Our Unaddressed Imperative
Authors note - I first wrote on this topic in Recovery Review in 2021. It was also picked up by Treatment Magazine. Since then, overall overdose mortality rates have decreased slightly which is being reported quite broadly despite the fact that they are dramatically increasing in African American communities. Alcohol death rates have increased at … Continue reading Macro Level Moral Injury Within the SUD Care System – Our Unaddressed Imperative
What we spend on health
This infographic is from a report on obesity and it's set off a debate its accuracy. But it gets at a point I've made before. And, the more I learn, the clearer it becomes that this general principle applies to medical problems, mental health problems and addiction. To me, this doesn't make a case for … Continue reading What we spend on health

