Search Results for: recovery oriented methadone

Recovery-oriented Methadone Maintenance, part 5

Bill cites a methadone advocate making an important distinction–treating dependence vs. treating addiction. The stigma attached to methadone is also shaped by the expectations of methadone treatment as a system of care. Methadone advocate Walter Ginter comments on such expectations: Patients, former patients, … Continue reading

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Recovery-oriented Methadone Maintenance, part 4

Bill summarizes criticism of MM as follows: Critics of medication-assisted treatment, many of whom were competing for cultural and economic ownership of the problem of heroin addiction, alleged that MM: 1) substitutes one drug/addiction for another; 2) conveys a societal attitude of permissiveness … Continue reading

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Recovery-oriented Methadone Maintenance, part 3

Bill White on efforts to broaden the definition of recovery: Consistent with Newman’s and Dole’s views are definitions of recovery that focus on health and functionality without reference to cessation of medical use of methadone. The examples below illustrate such definitions: Recovery is … Continue reading

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Recovery-oriented Methadone Maintenance, part 2

Here Bill describes the devolution that troubled early advocates of MM: The regulation and mass diffusion of MM in the 1970s and 1980s was accompanied by changes in treatment philosophy and clinical protocols. The most significant of these changes in terms … Continue reading

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Recovery-oriented Methadone Maintenance

Bill White has a new monograph out on recovery oriented methadone maintenance (MM). There’s something in it please everyone and something in it to anger everyone. He takes the position that MM is an essential part of the treatment continuum … Continue reading

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Comments on SAMHSA recovery housing guidelines

Below are my comments for SAMHSA in response to their request for comments on your proposed recovery housing guidelines. The deadline is 5pm today. Send your comments, whatever they are. To whom it may concern: I am writing in response … 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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NA and Recovery from Opioid Addiction

The opioid crisis has generated extensive media coverage, attention from public health officials and new policy agendas. Bill White, Marc Galanter, Keith Humphreys and John Kelly have noticed some trends in the coverage and public health responses. Public health responses have focused … Continue reading

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Shame, methadone and recovery

The Boston Globe has an article on the shame that successful methadone patients carry. It makes me sad to hear of anyone doing the deal feeling shame about being a recovering addict. People with opioid addiction ought to have access to … Continue reading

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Harm reduction is the goal – not a step along the road to recovery

Drug and Alcohol Findings asks the big question about harm reduction and exposes the fault lines. What is a harm reduction service for? Just one issue for you to ponder, but a (the?) big one, because surely the first thing … Continue reading

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