Blogs

As the old chief says in the movie Little Big Man: “Sometimes the magic works, sometimes it doesn’t.”

We don’t have the option of simply forgoing the use of opioids in medicine because, frankly, we don’t have a viable alternative.

An important step that programs often skip: the collection of baseline data. Improvements are often incremental, and if you don’t know exactly where you started, it’s easy to miss them.

So where does that leave us? Without a standard.

In his review of long-term outcome studies involving both alcohol and heroin users, Vaillant noted the inspirational aspects of such participation.

A Federal judge once concluded in a famous lawsuit: It was clear that psychiatrists get together to define various disorders, and then every so often, get back together to redefine them.

Our goal is to reframe the discussion in a way that supports rather than undermines change.

Battling an epidemic requires considerable cross-state cooperation and coordination– something that’s never easy, even with strong Federal support.

“You don’t see much motivation or insight. But I guess that’s why they have to be compelled in the first place, right?”

Substance Use Disorders don’t appear overnight. People who develop them may use for months or years or even decades before they seek help.