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!

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The “Party School” Problem

February 29, 2012 by C. Scott McMillin

"Well, they’re afraid the college will get a rep as anti- drinking,"

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Celebrity Addiction

February 16, 2012 by C. Scott McMillin

Doesn’t seem to matter much whether fame is rooted in music, film, TV, sports, politics — there’s this sense of unreality to all of it.

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Prescription Drug Abuse Epidemic pt 1

February 15, 2012 by C. Scott McMillin

What we’re seeing now is an unintended consequence of a change in prescribing. Which doesn’t mean that the medical professions weren’t warned about the possibility, however — they were.

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Deterring Drunk Driving: Thoughts on Designing a System

February 9, 2012 by C. Scott McMillin

If estimates are correct that a typical offender has driven under the influence between 60 and 100 times prior to first arrest, it’s clear the actual problem is far, far greater than arrests alone can document.

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Deterring Drunk Driving: The Role of Treatment

February 8, 2012 by C. Scott McMillin

It seems to me that a successful approach to DWI must be based on the assumption that drunk drivers are a diverse population.

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Deterring Drunk Driving: Do Sanctions Work?

February 2, 2012 by C. Scott McMillin

One state estimates around a fifth of offenders are rearrested within three years of the prior conviction. Expand that window to five or ten years and the rate is likely substantially higher.

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Deterring Drunk Driving: Who’s Likely to Reoffend?

February 1, 2012 by C. Scott McMillin

One or two (risk factors) is not as suggestive of repeat offending as four or five. But it does allow a clinician to apply a rough risk profile to a particular offender.

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The Challenge of the Repeat Offense Drunk Driver

January 28, 2012 by C. Scott McMillin

It’s difficult to squeeze a lot of motivational work into the course of outpatient counseling. Clinicians are anxious to get to the behavior change part.

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Tragic and Costly: DUI/DWI

January 27, 2012 by C. Scott McMillin

Public perceptions of how we should and shouldn’t treat offenders often result in less than optimal solutions both for the addict/alcoholic and for the victims and the larger society that must pay.

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