Search Results for: gradualism


Addiction Professional shines a light on Scott Kellogg and his Gradualism model. I’ve mentioned him several times in this blog and he has been kind enough to link to me on his website. Two months ago Kellogg established a website … 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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What would things look like if we believed they could recover?

Over the last week, there have been two noteworthy stories on supervised injection sites. NYC planning supervised injection sites The first story was in the New York Times and reported on NYC considering supervised injection sites and looking to Toronto … Continue reading

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Drug-free recovery as fantasy?

There is MUCH less tension these days between harm reduction (HR) advocates and treatment providers. HR advocates confronted treatment providers with legitimate questions about their thresholds for accessing and staying in care. More recently, the opioid overdose crisis pretty dramatically … Continue reading

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Recovery and Harm Reduction

Bill White has a new paper on Recovery and Harm Reduction in Philadelphia. Here’s a quote he offered in a blog post introducing the paper: Traditional harm reduction programs have pioneered low threshold services, but they have often also been characterized … Continue reading

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Missing the point

The American Journal of Public Heath (behind a paywall) has a new study looking at 2 year trajectories of residents in a “wet shelter”.  The found that the residents reduced their drinking by 40%. Reducing drinking in these cases is … Continue reading

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Filed under Controversies, Policy, Research, Treatment

Heroin for dummies

Responses to this will be interesting to watch. I’m certain that people who object will be accused of moral panic or something like it. I’m open to non-judgmental outreach harm reduction for the purpose of building relationships and gradually engaging … Continue reading


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Positive liberty and addiction

I saw a Facebook comment today referencing “freedom to” and “freedom from”. It got me thinking about positive and negative liberty and harm reduction. Negative liberty is the absence of obstacles, barriers or constraints. One has negative liberty to the … Continue reading

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Mayor Sullivan Wimps out on Drug Treatment

Finally. Someone calls Vancouver’s mayor out on his apparent indifference to recovery. Here’s the mayor’s attitude toward addiction recovery: Now, addicts are like me. [Note: The mayor is quadrapalegic due to a skiing accident when he was 19.] They have … Continue reading

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The Top 10 Things I Know About Drugs

Here’s a provocative anti drug war manifesto from the Drug Policy Alliance, the most prominent harm reduction advocacy and drug decriminalization group in the U.S. There’s a lot to agree with. Unfortunately, they resort to an advesarial with us/against us … Continue reading

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