The majority of treatment for drug and alcohol problems is outpatient. Trying to achieve abstinence can be tough and some evidence suggests it is more likely to be the goal of clients than the aspiration of professionals for their clients. How well do clients do? This study by Gerald Cochrane and colleagues from New York looked at … Continue reading Add in mutual aid for better outcomes
Addiction is an equal opportunity condition. Families get to suffer alongside the person with the problem. But as Alex Copello and Jim Orford noted in a past Addiction editorial, there’s a paradox here that needs attention. Firstly, evidence suggests that when families are involved by treatment services, retention in treatment is better. Retention in treatment is … Continue reading Families: forgotten in addiction treatment?
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?
I've been listening to a BBC podcast on my way to work this last couple of weeks which I've really enjoyed. Called Hooked, it’s about 'all things addiction and recovery' and is frank, funny, well-informed, upsetting, entertaining, resonant, authentic and powerful. Melissa and Jade share their lived experience but also interview experts and others who … Continue reading Hooked: The Unexpected Addicts
Stephanie Brown on object attachment in addiction and recovery: RW: Is this what people refer to as hitting bottom, or surrendering somehow? SB: That's the first experience - to hit bottom, to surrender, and to reach outside the self. So people seek help, they go to 12-steps. They then shift their object attachment from alcohol … Continue reading Stephanie Brown Interview on Addictions and Psychotherapy
Maybe this is a better way to address pediatric addiction? Called The Bridge Way School, the specialized high school in the Roxborough section of Philadelphia focuses on getting teenagers back on track with their education and lives after exiting rehab. It is the only school of its kind in the region – one of only … Continue reading “Recovery High” a Respite for Young Addicts
All right, last one. This time, Sally Satel makes the case that recovery comes down to choice and "grit and conviction." It's not just American Enterprise Institute fellows who make these arguments. I've heard people in recovery say to other AA members in relapse, "You need to make a decision!" Of course, the relapser has … Continue reading If it wasn’t rational, cont’d