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The opioid crisis as a disease of despair?

[Note: This is a repost from 1/19/18. This narrative has continued to gather steam over the past year. It’s not that this narrative contains no truth, it’s that it’s incomplete and misleading.] The narrative that the opioid and overdose crisis … Continue reading

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More on “alternative endpoints”

I’ve posted before on “alternative endpoints” for treating opioid use disorders, which is the idea that research on treatments should not just focus on abstinence as an outcome. There is now a push for alternative endpoints for alcohol use disorders: … Continue reading

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“Everyone should get that kind of care”

Marie Claire has a well done article about a doctor with addiction and highlights the gold standard care that addicted physicians receive. The PHP model has shown remarkable results. The first national study of state PHPs, which was published in … Continue reading

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“shaming,” “stigmatizing,” and call-outs

Something is amiss in recovery advocacy. Earlier this week, the Surgeon General’s office tweeted the following paraphrase of a speech given by the Surgeon General. (Later clarified to be incorrectly transcribed.) Addiction is not a moral failing and that it … Continue reading

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“the sale of opioids and the treatment of opioid addiction are ‘naturally linked'”

Of interest to me is their interest in entering the addiction treatment market. ProPublica has a new report that review’s documents from a lawsuit filed against Purdue Pharma. The suit alleges that Purdue misled doctors and the public in ways … Continue reading

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Survival, stabilization, AND flourishing

A great tweet from Brandon Bergman: There are multiple targets for people with SUD. One – survival. Two – stabilization (job, housing, health). Three – flourishing (living to one's "potential" given all these resources). Field is having 3 conversations at … Continue reading

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Free markets and opioids

This makes zero sense in an opioid crisis. Who wants this? Are doctors and patients saying that the array opioid medications is incomplete? What’s driving this? Public health? Ideology? Market forces? Why are only 4 legislators speaking up? You fill … Continue reading

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Should addiction treatment prefer abstinence?

I was perusing past year’s articles in Alcoholism Treatment Quarterly and came across these two: Achieving a 15% Relapse Rate: A Review of Collegiate Recovery and Physician Health Programs A Perspective from the Field: The Disconnect between Abstinence-Based Programs and … Continue reading

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Policy change requires a good story

From Addiction: . . . whether it is truly an accurate model of human addictive behaviour is more questionable. It is certainly true that numerous studies since Rat Park have shown the importance of environment in influencing human drug use, … Continue reading

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praying, rooting, empathy, support, compassion and respect

A friend shared this obituary with me today. I don’t know anything about Maddie beyond what’s shared in her obituary, but it’s has to be the most beautifully written obituary I’ve ever seen. Addiction afflicts beautiful, good people and it … Continue reading

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