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!


Medicalizing Cannabis

September 18, 2014 by C. Scott McMillin

We’re already a society at risk of drowning in sciencey-sounding flapdoodle.

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Drug Epidemics, Part 1

September 15, 2014 by C. Scott McMillin

Drug epidemics, like other epidemics, follow a reasonably predictable pattern.

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The Labels We Use

September 11, 2014 by C. Scott McMillin

Having that particular label implies– the need to make a number of important changes in lifestyle that the patient frankly doesn’t feel like making.

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DUI: Graduating Sanctions

September 8, 2014 by C. Scott McMillin

A first offense can actually represent the product of a longstanding, well-established pattern of behavior.

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Polypharmacy Overdose

September 1, 2014 by C. Scott McMillin

No question that combining or ‘stacking’ these substances, illegal and/or prescription, increases the risk for unintended OD.

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Genetic Marker for Alcoholism

August 28, 2014 by C. Scott McMillin

There would presumably be a real advantage to a genetic profile that pinpointed those at special risk for alcoholism

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The Cannabis Debate

August 25, 2014 by C. Scott McMillin

If you managed to turn 18 without at least some experimentation, people will assume there’s something wrong with you.


Addiction Treatment via US Healthcare System: The Downside

August 4, 2014 by C. Scott McMillin

The reality is that if we’d had to rely solely on the healthcare system, a lot of people who are in recovery today would simply never have made it.

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Stigma in the Bigger Picture

July 28, 2014 by C. Scott McMillin

This is the sort of reasoning that leads unthinking legislators to chop funds for substance abuse services whenever there’s a budget shortfall on the horizon. It’s not based on return on investment from treatment, which research demonstrates is phenomenal.

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Outpatient Follies

July 21, 2014 by C. Scott McMillin

The experience of addicts and alcoholics, particularly at the lower end of the socioeconomic scale, makes it clear that we could use more inpatient resources, not fewer.

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