Change, at Ground Level
...real progress has been made -- especially with the most challenging population, the very chronic, relapsing, “street" drug user.
Category: Treatment
What works? For who? What doesn’t? Why? A complicated disease makes for complexities in treatment.
Treatment
Latest
Limits of Harm Reduction
We either do what works, as challenging as that may be, or we accept the consequences of failure.
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Seven Trips to Rehab pt 2
I remember the late James Milam PhD suggesting that the ability to vividly recall one’s first use of a substance might actually be an indicator of future problems.
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7 Trips to Rehab, Part One
These are issues that users seldom take into consideration, in the rush to get the drug. But healthcare professionals, and their attorneys, have to consider them.
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At last a treatment for meth?
I’m curious as to whether the reductions in meth use could be expected to lead to eventual abstinence where meth was concerned. That’s been the hope for other maintenance treatments, for the most part unrealized.
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The FDA & MDMA
…we still haven’t made much progress in terms of agreeing on what qualifies as legitimate psychotherapy. Or perhaps more importantly, what doesn’t.
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Update on Teletherapy
Clinicians …reported feeling under pressure to meet the expectations of clients who had been attracted to the services initially by an aggressive marketing campaign on social media.
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Is there a role for cannabis in OUD Treatment?
They found no clear correlation between cannabis use and a lessening of opioid dependence.
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Rehab for Pain Patients
Simply bringing up the possibility of ‘doing without’ could be immensely threatening.
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Safe Injection in the Big Apple
Do you want them here with us, in range of immediate help? Or lying dead in the bathroom of your local fast-food joint?
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Tapering off opioids
There appears to be good evidence for relying on an extended taper off opioids versus a more rapid process. Instead of fast cessation of use, the opioid is deliberately reduced on a preset schedule.
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In the Wilderness
I doubt ‘tough love’ was ever meant to be that tough. It’s all in how the programs interpret it.
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Getting Treatment: Who Decides?
On the other side of the equation, many in the insurance industry were unimpressed. Who’s supposed to pay for all that? they wanted to know. It won’t be us.
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