A new book, The American Health Care Paradox: Why Spending More Is Getting Us Less, offers an interesting take on why the United States’ huge investments in health care doesn’t translate into better health. Vox did an interview with the book’s authors. The paradox that we outline is one that a lot of readers will be … Continue reading Over-medicalization of health?
“If the only tool you have is a hammer, you tend to see every problem as a nail.” — Abraham Maslow An addiction physician says: Over the past two years, I’ve witnessed a worrisome trend: the medicalization of addictions. Some of this makes no sense to me. Let me explain. He describes the emerging norm of discharging patients … Continue reading Doctors against medicalization
This is interesting. A physician posted a message to an ASAM discussion board about his dissonance related to working in a treatment facility that does not use opioid maintenance treatments. Specifically, buprenorphine. ASAM turned the message board post into a magazine article and summarizes responses to the message. There’s a lot that one could respond to. However, … Continue reading Most popular posts of 2015 – #5 – We should re-examine policies for opioid addicted physicians?
The Affordable Care Act brought with it increased attention to reducing patient readmission rates. A new finding will surprise many in the medical community and affirm many in other helping professions, like counseling and social work–good communication between caregivers and patients improves readmission rates. . . . findings from our research using six years of data from … Continue reading Good communication equals better outcomes
Bill White reacts to a special addiction-focused supplement in the journal Nature with hope and caution: We should not forget the untoward effects of earlier biological models of addiction. Such a view rose within the early twentieth century eugenics movement on the heels of the American temperance movement’s proclamation “Drunkards beget drunkards.” The eugenics movement … Continue reading The risks of the biological model
This is interesting. A physician posted a message to an ASAM discussion board about his dissonance related to working in a treatment facility that does not use opioid maintenance treatments. Specifically, buprenorphine. ASAM turned the message board post into a magazine article and summarizes responses to the message. There’s a lot that one could respond to. However, … Continue reading We should re-examine policies for opioid addicted physicians?
This week’s Throwback Sunday is Bill White’s description of radical recovery. ================== For MLK day, here’s an article by Bill White on “radical recovery.” He describes a convergence of social activism and addiction recovery. The article offers a model that goes well beyond the the interests of recovering people themselves and encourages advocacy in larger … Continue reading Radical Recovery
Health care reform is bringing much discussion of the tri-directional integration of addiction treatment, mental health and primary health care. It is time we added to that discussion the need for services that help people in recovery build a life in the community. For that we need to move beyond services that “fix” illnesses to … Continue reading Sentences to ponder
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
More evidence that women (Young women, in this case.) affiliate with and benefit from AA at rates at least as high as men. (More here.) It has been assumed that young women often don’t engage in 12-Step meeting environments, because they see them as a male-dominated atmosphere. Yet that notion has rarely been subjected to critical analysis, … Continue reading Surprisingly high 12-Step attendance?