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!


Stigma in the Bigger Picture

July 28, 2014 by C. Scott McMillin

This is the sort of reasoning that leads unthinking legislators to chop funds for substance abuse services whenever there’s a budget shortfall on the horizon. It’s not based on return on investment from treatment, which research demonstrates is phenomenal.

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Outpatient Follies

July 21, 2014 by C. Scott McMillin

The experience of addicts and alcoholics, particularly at the lower end of the socioeconomic scale, makes it clear that we could use more inpatient resources, not fewer.

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Medical Cannabis

July 17, 2014 by C. Scott McMillin

They don’t advertise themselves as PTSD docs; they’re pot docs. Little or no mention of treatment associated with the prescription.

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Hospital Follies

July 10, 2014 by C. Scott McMillin

The notorious revolving door wasn’t entirely due to the patient’s desire to avoid change– the hospital couldn’t get them out the front door fast enough.

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Disease Arguments: The Sequel, Remake, etc.

June 30, 2014 by C. Scott McMillin

Alcoholism has been around for nine or ten thousand years, but most of what science understands of brain function is less than eighty years old.

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Compulsion Versus Control

June 19, 2014 by C. Scott McMillin

Few of us are ever as dedicated to a goal as the addict is to seeking an alternative to abstinence.

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Why We Can’t Trust the Healthcare System to Regulate Itself

June 9, 2014 by C. Scott McMillin

Big investors are… interested in buying low and selling high, in driving up the share price so they can turn around and place bets on how fast it will go down once the bad publicity hits.

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New Approaches for Chronic Pain

May 19, 2014 by C. Scott McMillin

Mood and motivation are, of course, a big part of the discomfort associated with having chronic pain.

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Methadone for Chronic Pain?

May 12, 2014 by C. Scott McMillin

Diversion to abuse has been significant. Currently methadone represents only some two percent of all opioid prescriptions, but it’s been implicated in an astounding one-third of all opioid fatalities.

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Are 12-Step Fellowships Religious?

April 14, 2014 by C. Scott McMillin

Both sides present arguments, and for the most part, those arguments depend on the separation of spirituality from religion.

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