Establishing residence in hell

Saving lives is good an important, but something about this feels like building an addition on a house in hell. Naloxone is a medication administered usually by injection which rapidly reverses the effects of opiate-type drugs such as heroin, including the respiratory depression which can cause what are normally referred to as 'overdose' deaths. ... The … Continue reading Establishing residence in hell

Treating depression and substance use: no significant difference from control

Another study finds treatment as usual to be just as effective as specialized CBT: Few integrated substance use and depression treatments have been developed for delivery in outpatient substance abuse treatment settings. To meet the call for more “transportable” interventions, we conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and … Continue reading Treating depression and substance use: no significant difference from control

A New Paradigm for Substance Use Disorder Treatment

From Robert DuPont, MD: Substance abuse treatment is committed to abstinence from nonmedical drug use. Yet, continued nonmedical drug and alcohol use and relapse are so common that they are often defined as part of the disease itself. A “new paradigm” for care management has been pioneered over the past four decades by the state … Continue reading A New Paradigm for Substance Use Disorder Treatment

Primary care is good for recovery

Primary care visits are associated with better recovery outcomes: A yearly primary care visit was also positively associated with remission (OR, 1.39), as was continuing care (OR, 2.34), defined as: having at least 1 yearly primary care visit, completing substance abuse treatment or receiving further treatment, receiving alcohol or drug treatment when the alcohol or … Continue reading Primary care is good for recovery

effective…as long as it is maintained

This summarythat recent buprenorphine study suggests that the muddy waters are settling [emphasis mine]: This study shows, yet again, that buprenorphine / naloxone is an effective treatment for opioid dependence as long as it is maintained, and that a tapering detoxification strategy, regardless of duration, fails the majority of patients. The summary then goes on … Continue reading effective…as long as it is maintained