It does seem ironic that the industry most responsible for the creation and continuation of our current opioid epidemic could also be the main beneficiary of this next wave of treatment funding.
I’d feel better if I knew some in our brilliant science community were working hard on ways to taper patients, if just the most highly motivated, off the medications with a reduced risk of return to heroin.
Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.
It’s the basic unit of most drug-free approaches. What would happen if it could be incorporated into the OTP curriculum?
That’s why I’d welcome more research into the tapering process, with an eye to improving success rates.
Of course with additional treatment responsibilities, a counselor couldn’t be expected to manage a caseload of up to 75.
Would you respond to this information with a concerted effort at self-examination and profound behavior change?
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.
The flaw in this very late-stage view of addiction… is the suggestion that somehow, addiction is the patient’s fault. Avoidable if the patient simply followed directions.