Topic: clinical management

No patient can benefit from a session he or she didn’t attend (at least, we hope not.)

The previous director is suddenly… nowhere to be found.

If the clinicians view the PO as an outsider with the potential to interfere with treatment, there will be inevitable conflict.

Some clients need more frequent reinforcement than others – those with poor impulse control, for instance, or who struggle with cravings, or are less motivated for other reasons.

The key question involves which part of the COD population you’re going to serve. It’s not really a homogeneous group.

I recall one professor airily informing his class that recovering counselors had an ‘agenda’.

In most cases, our only pre-admission contact with prospective patients and families is by telephone.

A patient said he’d visited a local family clinic three times in the past year for drinking-related problems and the physician never once mentioned that he needed treatment.

We keep running into situations where ASAM criteria don’t seem to apply.

Picture a boat with two holes in its bottom. Fix one and not the other and the second leaks a little worse than before.