“Invisible” Hand? Or “Absent” Hand?

June 11, 2018 by C. Scott McMillin

In their eagerness to reduce the size of government, states  have stripped away staff who would otherwise make onsite visits to ensure compliance.

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Compliance via Incentives

June 15, 2017 by C. Scott McMillin

An important step that programs often skip: the collection of baseline data. Improvements are often incremental, and if you don’t know exactly where you started, it’s easy to miss them.

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Compliance via Fellowship

June 8, 2017 by C. Scott McMillin

In his review of long-term outcome studies involving both alcohol and heroin users, Vaillant noted the inspirational aspects of such participation.

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Compliance via Coercion

May 25, 2017 by C. Scott McMillin

“You don’t see much motivation or insight. But I guess that’s why they have to be compelled in the first place, right?”

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Pot in Rehab

November 10, 2016 by C. Scott McMillin

I’ve never had much success explaining to a patient in the first 30 days of recovery that when Bobby smokes dope, it’s medicine, but when Liz lights up, it’s drug abuse.

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Drug Testing

October 27, 2016 by C. Scott McMillin

If you’re not careful, the whole thing turns into an endless game of cat-and-mouse, that leads nowhere.

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Opioid Medication Therapy and Continued Use

December 7, 2015 by C. Scott McMillin

Everyone acknowledges the problem but accurate tracking seems to be a challenge.

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Going to Pot

October 26, 2015 by C. Scott McMillin

Clients who struggle to stay drug-free can resent the presence in group of others who openly use substances.

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Practice versus Knowledge

August 31, 2015 by C. Scott McMillin

Most people in stable recovery got there the hard way, through major alterations in the way they live.

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The Monitoring Model

May 28, 2015 by C. Scott McMillin

We spend a great deal of time in treatment seeking to increase patient motivation, but these programs do not rely on a motivated patient.

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