Acing the Continued Stay Review

June 10, 2013 by C. Scott McMillin

Your goal is always to use the extra time to measurably increase the chances of a good outcome for that patient.

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Complex Case: The Devil We Know

January 4, 2013 by C. Scott McMillin

There’s this big group we lump under the heading ‘precontemplation’. But in practice, there are precontemplators, and pre-pre-contemplators, and pre-pre-pre-pre-pre-contemplators.

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Evolution of a Disease Concept

December 31, 2012 by C. Scott McMillin

A model generally supersedes other models not because it is perfect in every respect, but because it seems to explain certain aspects better than its predecessors.

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Patient Education: Powerful Tool for Program Success

December 25, 2012 by C. Scott McMillin

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A key breakthrough for recovering clients: The realization that, while they cannot control their disease, they can do a lot about their own recovery.

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Lowering Your Residential ASA Rate: A Practical Guide

October 22, 2012 by C. Scott McMillin

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A patient who leaves ASA can’t be considered a treatment success, and a high ASA rate is sure to damage a program’s reputation. Analysis and preventive action can lower your rate of ASA discharges. Here are a few simple suggestions.

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Waiting (and Waiting…) for Inpatient Beds

April 30, 2012 by C. Scott McMillin

If your inpatient provider determines eligibility using ASAM patient placement criteria, don’t forget to describe the patient’s need in those terms. Makes your case a little stronger by making their job a little easier.

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Inpatient Management: Dealing with the Tempests in the Teapot

April 15, 2012 by C. Scott McMillin

I like to say that most of the conflicts are a tempest in a teapot — the problem being that you are in the teapot along with the tempest.

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Helping Staff Manage Boundaries

April 7, 2012 by C. Scott McMillin

Countertransference issues can be a genuine hazard in our field. If allowed to continue, it can lead to some pretty spectacular incidents.

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My Counselors are Being Manipulated!

March 31, 2012 by C. Scott McMillin

Counselors and therapists are — and I’m generalizing shamelessly here, so forgive me — warm, empathetic, even sympathetic by nature.

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Lowering “First Week” ASA Rates

March 28, 2012 by C. Scott McMillin

Crisis motivates addicts to seek treatment. But the addict’s motivation to remain in treatment decreases as he feels better.

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