ThinkingAcross the Spectrum of Policy, Practice, Research & Reality

A blog about anything related to addiction, treatment, or recovery, all the way from prevention to building recovery-friendly communities. We also welcome guest bloggers here!


Politics, Money, and Addiction Treatment

February 19, 2015 by C. Scott McMillin

$85 million, or 64%, of the new money would go some place other than addiction treatment.


Another Debate, Same Subject

February 9, 2015 by C. Scott McMillin

The coffee is just not that tasty. Yet they were getting something out of it that was important to them.

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To Maintain or Not to Maintain?

November 24, 2014 by C. Scott McMillin

You know what would help put an end to the debate? A protocol and procedures for a successful transition off maintenance for those patients who would prefer not to remain dependent.

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The Five Percent Meme

November 3, 2014 by C. Scott McMillin

People attend AA for a variety of reasons, in different stages of readiness, and with diverse objectives in mind.

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Spontaneous Remission?

October 27, 2014 by C. Scott McMillin

The experience of addiction routinely includes periods of reduced substance use, or abstinence.

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Heroin in Vietnam

October 20, 2014 by C. Scott McMillin

Heroin is certainly an addictive substance, so why didn’t all the subjects continue using it?

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Language and Labeling

October 16, 2014 by C. Scott McMillin

It’s the stigma that creates the distinction, not the distinction that creates the stigma.

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The New Moralists

October 13, 2014 by C. Scott McMillin

“If you can’t measure something, you can’t do science with it, and in addictions, we just can’t measure things as well as we need to.”

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Heavy Users

October 2, 2014 by C. Scott McMillin

Some observers have criticized us for orienting treatment methods to more severe cases, but that’s predominantly who we see in many forms of treatment.

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Drug Epidemics, Part 2

September 22, 2014 by C. Scott McMillin

We might have been making things more difficult for the patients we wanted to help. This is not unknown in healthcare.

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