Heroin Assisted Treatment

July 6, 2017 by C. Scott McMillin

The benefits of the program are framed mostly in terms of harm reduction– what doesn’t happen.

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Twenty-Eight Days

October 10, 2016 by C. Scott McMillin

As any case manager knows, making a referral can be a challenge, since many fall by the wayside during transition to another provider, different therapist, etc.

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Focus on Demand

October 3, 2016 by C. Scott McMillin

Many new programs are started in the hopeful expectation that they’ll become self-supporting within a few years.

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Pharmaceutical “Cures”

September 22, 2016 by C. Scott McMillin

From a patient’s viewpoint, physicians can be somewhat blase’ about risks associated with a medication.

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The Last Dose

February 25, 2016 by C. Scott McMillin

Reliable stats on relapse can be hard to come by, but return-to-heroin rates appear to run above 80% (and in some cases, higher).

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Attorneys, Physicians, and Alcohol

February 8, 2016 by C. Scott McMillin

I never saw much difference between a lawyer or a doctor bitching about his job in group, and the same behavior from a CPA or a techie or a long-distance trucker.

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Treating Young Opioid Users: Residential vs. Outpatient?

November 5, 2015 by C. Scott McMillin

In that respect, you could say that our ally in change is addiction itself.

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The Exact Wrong Thing

October 22, 2015 by C. Scott McMillin

The system that was supposed to help them was unwittingly undermining their recovery.

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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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Opioids and the Assumption of Failure

May 21, 2015 by C. Scott McMillin

It also suggests that the ‘return to heroin’ rate among former maintenance clients may be even higher.

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