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

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

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”

Opioid settlement funds will be “a really nice tailwind”

The NYT recently published an article on allegations of ethics violations and fraud in Acadia Healthcare's methadone clinics. It's a big deal because Acadia is big, really big. "The for-profit chain of 165 methadone clinics — the country’s largest — has generated more than $1.3 billion in revenue since 2022." The allegations include not providing … Continue reading Opioid settlement funds will be “a really nice tailwind”

As federal government supports recovery, it should encourage expungements of substance use disorder-related arrests and convictions

by guest contributor Mitchell Berger, MPH In recent years, federal agencies have increasingly emphasized supporting those in recovery from substance use disorders (SUDs). The Substance Abuse and Mental Health Services Administration (SAMHSA), for instance, formed  in 2021 an Office of Recovery to “forge partnerships to support all people, families and communities impacted by mental health and/or substance use conditions … Continue reading As federal government supports recovery, it should encourage expungements of substance use disorder-related arrests and convictions

Drug “poisoning” or “overdose”?

The NY Times has an article on the debate between characterizing drug deaths, fentanyl deaths in particular, as poisonings or overdoses. Much of the argument focuses on destigmatizing drug-related deaths. “If I tell someone that my child overdosed, they assume he was a junkie strung out on drugs,” said Stefanie Turner, a co-founder of Texas Against … Continue reading Drug “poisoning” or “overdose”?

Drug apartheid, pro-drug cultures, wellness boosters, and sober drug use

This week produced an interesting collection of articles about drugs, their place in society, and drug policy. I thought they were worth sharing because they paint a picture of the contradictions of the moment we're living in. Drug Apartheid On Tuesday, TalkingDrugs, an international drug policy advocacy news platform, published an article proposing apartheid as … Continue reading Drug apartheid, pro-drug cultures, wellness boosters, and sober drug use