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 at … Continue reading 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 at … Continue reading Wiping out stigma
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?
Opioid addicted brains recover and residential more effective than medication for young opioid addicts Several years back, Bill White pointed out that we've learned an enormous amount about the neurobiology of addiction but know nothing about the neurobiology of recovery. This week, a small study focused on just that: The researchers performed several tests to … Continue reading 2014’s top posts: #8
I thought I was done, but here are a couple more smart takes. Both support maintenance but appreciate the article raising awareness of important problems. From The Institute Blog: And as the articles (and the comment section) demonstrate, the use of buprenorphine to treat addiction and prevent substance use-related harms is messy. Interlacing text and video, … Continue reading NY Times / Suboxone redux
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?
The following abstract popped up today. The purpose of the study was to look at factors associated with completion of the 6 month, primary care based program. What struck me was the completion rate--35.7%. For all the crowing about ORT, this seems really low. (And, they said this completion rate is consistent with prior studies.) … Continue reading Buprenorphine compliance rates
A new study of buprenorphine implants find that implants work as well as oral dosing and outperform placebo. What does that mean? If I'm reading it correctly, it means that the average subject receiving the implant tested positive for opioids 68.8% of the time compared to 86.6% for the placebo subjects. (If I'm misreading it, … Continue reading “It works!”, Ctd
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