In the News: Do Safe Injection Sites Work?

October 1, 2018 by C. Scott McMillin

That’s not a large percent of the user population, but it’s among the sickest. That along might be enough to justify the investment; I’m sure a number of lives have been saved along the way.

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Needle Exchange Backlash

May 24, 2018 by C. Scott McMillin

Nonetheless, in most instances it’s an a priori resistance rooted in fear, rather than legitimate objections.

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Naltrexone versus Opioids

November 27, 2017 by C. Scott McMillin

Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.

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In the News: Harm Reduction in West Virginia

October 9, 2017 by C. Scott McMillin

He compares the patients he treats, who are often homeless, to “outcasts” and ‘lepers”, who have been “derided, despised, and marginalized.”

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Methadone Maintenance and Crime

August 8, 2016 by C. Scott McMillin

So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.

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Medication Assisted Treatment

March 24, 2016 by C. Scott McMillin

In terms of a comfortable detox, Suboxone was a success. In terms of a return to opiate use, it was a failure.

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HIV Mini-Epidemic

August 24, 2015 by C. Scott McMillin

It makes perfect sense to do something that’s been shown to be effective at limiting one very important adverse consequence to the individual and society

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Reducing Harm vs… Well, Reducing Harm

August 17, 2015 by C. Scott McMillin

My longstanding rule is to design your program to treat your population, not some idealized group of subjects who did well in a research setting with a significantly different structure.

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