Top ten of 2021 #2 – Wiping out stigma

Reducing the stigma associated with addiction – the word itself now tagged with a degree of stigma – is a priority in drugs policy. Stigmatising attitudes contribute to drug harms and deaths through delaying access to treatment, leaving treatment early and increased risk-taking behaviour.  Brea Perry and her colleagues at Indiana University took a look[1] at … Continue reading Top ten of 2021 #2 – Wiping out stigma

Is it okay to drink if you are in recovery from opiate dependence?

In times past, for those with opiate use disorder who were in treatment in therapeutic community settings, as progress was made and days abstinent from opiates grew, a beer might be allowed by staff, say on a Saturday night, in a supervised and supported fashion.  Not in any service I have worked in, but nevertheless true … Continue reading Is it okay to drink if you are in recovery from opiate dependence?

Suboxone diversion?

A recent study looking at diversion of buprenorphine finds that: While 9% reported recent street-obtained buprenorphine use, only a small minority reported using buprenorphine to get high, with the majority reporting use to manage withdrawal symptoms. The use of street-obtained buprenorphine primarily to avoid withdrawal fits with Dawn Farm's experience, though the percentage would be … Continue reading Suboxone diversion?

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?


When Methadonia was first released, there was quite a bit of hand wringing over whether the film inaccurately presented methadone maintenance treatment in a negative light. Cassie Rodenberg, at The White Noise, who has been spending time with and blogging about homeless addicts in the Bronx says [emphasis mine]: Some on the streets find methadone worse than an original heroin addiction, while … Continue reading Methadonia