Maintenance Dilemma

December 22, 2016 by C. Scott McMillin

Weary looking young man lies on sofa extending a remote control.

Would you respond to this information with a concerted effort at self-examination and profound behavior change?

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In Again, Out Again

October 31, 2016 by C. Scott McMillin

I’ve come to view it more as a tool for harm reduction than a path to long term recovery, with some notable exceptions.

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In the News: Kaos Around Kratom

September 19, 2016 by C. Scott McMillin

It may be that kratom is a drug that some can use without much difficulty, while for others, it becomes pathological.

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Methadone Maintenance and Crime

August 8, 2016 by C. Scott McMillin

So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.

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Expert Nonsense

July 21, 2016 by C. Scott McMillin

The flaw in this very late-stage view of addiction… is the suggestion that somehow, addiction is the patient’s fault. Avoidable if the patient simply followed directions.

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July 7, 2016 by C. Scott McMillin

I’m sure some is used to suppress withdrawal, but if it’s possible to get high, then you have to figure people are doing that, too.

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In the News: Bupe Implants

June 2, 2016 by C. Scott McMillin

A substantial number of patients will wind up taking these meds on a more or less permanent basis, so lifetime costs should be considered.

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Box Wars

May 30, 2016 by C. Scott McMillin

We routinely received assurances from experts that abuse and addiction were not going to be a big problem once access to opioids had been greatly expanded.

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Putting Off Reality

May 16, 2016 by C. Scott McMillin

Suboxone isn’t detectable on many drug screens, and that means it brings a higher price in the correctional facility.

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In the News: Drug Epidemics and Confusing the Issues

April 28, 2016 by C. Scott McMillin

Epidemics do tend to end at some point, but they leave considerable destruction in their wake.

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