Rehab Shopping: Who Gets What?
One valid issue in the admission process for all three tiers is who makes the decision. If it's the consumer, then are they under the influence? In the grip of withdrawal? In crisis, emotionally disturbed?
Category: Treatment
What works? For who? What doesn’t? Why? A complicated disease makes for complexities in treatment.
Treatment
Latest
Opioid Tapering
Of more than 9000 Veterans Administration patients, only one-quarter rated their pain control with opioids as excellent or very good.
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Elder and Addicted
For many people, however, including helping professionals, it’s tempting to just give up
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Groups That Work: Values
Effective working groups can continue their traditions through surprising changes in location, membership, etc.
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Life Without Opioids
We shouldn’t ignore the emotional factors involved in chronic pain– such as anxiety and depression.
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Proposing a Plan
This is in part a course correction from the trend of several decades ago, when the emphasis was on cutting expenses in the naive belief all addicts could be successfully treated on an outpatient basis.
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Coercion in Massachusetts
I compare it to finding someone lying on the sidewalk, helping them up, brushing them off, and pushing them down again.
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Treatment and Coercion
Those of us who work in treatment quickly sense a problem: people with addictions aren’t likely to respond to this approach.
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Medical Cannabis in Addiction Treatment
The field is getting accustomed to patients arriving in addiction treatment complaining of problems with prescription opioids, stimulants, sedatives, etc, while actively enrolled in medical cannabis programs.
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Why No Opioid Taper?
Not everybody wants to remain dependent on pain medication. But at present, we offer few if any alternatives to doing it on your own.
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Pain Psychology
Perhaps more important, the patient could begin to resume a normal life.
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Conflict of Interest Case Study
Obviously, being able to give your own business a five star rating on a supposedly independent consumer website could be construed as an unfair advantage.
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Tossing the Playbook
We’ve come a long way in treating addictions, but we’re still not very successful at convincing a patient to stick to a treatment regimen.
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