ThinkingAcross the Spectrum of Policy, Practice, Research & Reality

A blog about anything related to addiction, treatment, or recovery, all the way from prevention to building recovery-friendly communities. We also welcome guest bloggers here!


Another Turn of the Cycle

July 24, 2017 by C. Scott McMillin

Of course, we still lose several hundred thousand people annually. But that’s actually progress.

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In the News: Spit in the Ocean

July 17, 2017 by C. Scott McMillin

But it quickly becomes clear that the powers that be within the land are far more interested in fighting and squabbling among themselves over political power and riches, than in addressing this existential horror. 

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In the News: The Fentanyl Factor

July 10, 2017 by C. Scott McMillin

That’s the thing about illicit drug use– no quality control, or truth in advertising.

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Heroin Assisted Treatment

July 6, 2017 by C. Scott McMillin

The benefits of the program are framed mostly in terms of harm reduction– what doesn’t happen.

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In the News: Painkiller Control

July 3, 2017 by C. Scott McMillin

We were warned about such risks, but went ahead anyway.

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Pharmacology to the Rescue?

June 26, 2017 by C. Scott McMillin

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

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Birth of an Epidemic

June 19, 2017 by C. Scott McMillin

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

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In the News: Stoned Driving

June 12, 2017 by C. Scott McMillin

So where does that leave us? Without a standard.

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In the News: Sex Addiction Again…

June 5, 2017 by C. Scott McMillin

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.

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In the News: Border Walls?

May 29, 2017 by C. Scott McMillin

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

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