The Angry DWI Client
I realized it wasn't really me he was angry with. It was himself. For getting caught.
Tag: program development
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Pressure Points
This is amazing to people from other countries, where the vote is precious.
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“S/he Did it AGAIN?” Repeat DUI Offenders
A criminal defense attorney complained to me that his clients didn’t begin to take things seriously until the second or even third offense.
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Affordable
As a rule, the more services that are provided through the program itself, rather than by referral out, the better the quality of case management, and the higher the rate of retention in treatment.
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Going to Pot
Clients who struggle to stay drug-free can resent the presence in group of others who openly use substances.
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Corporate Blues 2
Some schedule periodic onsite visits that one wag compared to a pterodactyl circling overhead screaming at the ground before flying off again.
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You Too Can Be a Lobbyist
Most people who enact laws aren’t healthcare experts or even for that matter particularly interested in the subject of addiction and treatment.
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About Government
In some communities, where resources are few, the only way to access residential services is by getting arrested and sent by the Court.
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Reducing Harm vs… Well, Reducing Harm
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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A System That Could Be One
To make the CMHC system a reality, we’d need— hold your breath, this can be scary— a national plan that requires stable funding.
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The Power of Loss Aversion
Mike Golic, a former pro football player, was asked to recall his five best-ever performances. He couldn’t. “Ask me about my five worst games,” he countered.
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Cynical? Or Realistic?
The system here isn’t designed to help a sick addict get off (and stay off) alcohol and drugs. It’s designed to process people in accordance with the expectations of society.
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Outcome vs. Impact
Correlation is not, I repeat not, causation, but it has some value in itself.
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