A few things related to recovery have caught my eye recently, things that I think are worth knowing and that ought to shape our practice.. Abstinence goals more reliable In a study[1] from Swiss researchers involving more than 200 patients going through residential treatment, those who set clear goals for abstinence were much less likely to … Continue reading Three more things worth knowing about recovery from addiction
Tag: Recovery
When rehab is not right
I saw an exchange on Twitter the other day that on first reading raised my eyebrows and created empathetic frustration. An individual was apparently being refused rehab because “he continued to use drugs”. Surely that’s the best reason for going to rehab. We don’t refuse treatment to diabetics because their diets are problematic, or because … Continue reading When rehab is not right
Is rehab effective? The results are in.
This summary of the research evidence provides verification that “that residential rehabilitation is associated with improvements across a variety of outcomes relating to substance use, health and quality of life”. Rehab is linked to improvements in mental health, offending, social engagement, employment, reduction in substance use and abstinence. There is little research that compares rehab with other treatments delivered in the community, but where there is, the evidence suggests that “residential treatment produces more positive outcomes in relation to substance use than other treatment modalities.” The review also suggests that rehab can be more cost-effective over time than other treatments
Polarisation, tension and hostility: just another day in the field of addictions.
Someone relatively new to the substance use disorder area asked me recently why I thought there was so much division and hostility in the addiction and recovery field, compared to other parts of health and social care. Do we really have more conflict than in some other healthcare areas? There are strongly held positions which … Continue reading Polarisation, tension and hostility: just another day in the field of addictions.
Three things about recovery that are really worth knowing
1. Hope matters in recovery I’ve been musing a bit recently on the place of hope in addiction treatment and in recovery journeys. Researchers from the USA[1] identified that hope, although recognised as essential for recovery, was not well researched in terms of how it helps recovery progress. They used validated tools (questionnaires) to assess hope … Continue reading Three things about recovery that are really worth knowing
Sober living houses – life worth living
Recovery journeys can be long and involve several attempts in order for people to resolve their problems. Treatment can be part of this for many, but there are multiple factors outside of treatment that also influence outcomes. One of these is housing. Homeless people with substance use disorders have higher risks, exacerbated further if there … Continue reading Sober living houses – life worth living
“None of them will ever get better”
Therapeutic nihilism “None of them will ever get better”, the addiction doctor said to me of her patients, “As soon as you accept that, this job gets easier.” This caution was given to me in a packed MAT (medication assisted treatment) clinic during my visit to a different city from the one I work in … Continue reading “None of them will ever get better”
Top ten of 2021 #3 – The genesis of hope: a recovery story
Switching from doctor to patient was not an easy transition for me. My first attempt at recovery was medically assisted, but only got me so far. What I needed was something more profound: hope, healing and connection to other recovering people. In this podcast for the National Wellbeing Hub, Dr Claire Fyvie interviews me about … Continue reading Top ten of 2021 #3 – The genesis of hope: a recovery story
Did a recovery strategy cause drug deaths?
There’s a narrative that’s been around for a while, but it’s been gaining ground in the last few months. This last couple of months alone, it’s been in the ether, permeating social media conversations and even appeared in an academic paper. The issue relates to recovery-oriented drug policies and the tone is negative. The thrust … Continue reading Did a recovery strategy cause drug deaths?
Spirituality – steer away or steer towards?
We can no more do without spirituality than we can do without food, shelter or clothing – Bruce Lipton Despite the fact that there are plenty of us about, we don’t have as much information as we would like on people in long term recovery. In one study[1], Mark Galanter and colleagues took the opportunity … Continue reading Spirituality – steer away or steer towards?
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