Open the Buprenorphine Tap?

March 31, 2016 by C. Scott McMillin

Many physicians don’t want to offer opioid maintenance. They’re happy to refer out, to an addictionologist or psychiatrist with training.

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Medication Assisted Treatment

March 24, 2016 by C. Scott McMillin

In terms of a comfortable detox, Suboxone was a success. In terms of a return to opiate use, it was a failure.

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A Heroin-ish Solution to Heroin Addiction?

February 29, 2016 by C. Scott McMillin

We should remember the proposal isn’t actually about a way to get addicts off drugs; it’s a way to facilitate use.

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The Last Dose

February 25, 2016 by C. Scott McMillin

Reliable stats on relapse can be hard to come by, but return-to-heroin rates appear to run above 80% (and in some cases, higher).

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Opioid Medication Therapy and Continued Use

December 7, 2015 by C. Scott McMillin

Everyone acknowledges the problem but accurate tracking seems to be a challenge.

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Treating Young Opioid Users: Residential vs. Outpatient?

November 5, 2015 by C. Scott McMillin

In that respect, you could say that our ally in change is addiction itself.

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The Maintenance Biz

October 1, 2015 by C. Scott McMillin

The fewer services you provide, the fewer staff you need, and the more likely you are to have a healthy profit margin.

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Opioids and the Assumption of Failure

May 21, 2015 by C. Scott McMillin

It also suggests that the ‘return to heroin’ rate among former maintenance clients may be even higher.

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Where Goals and Effectiveness Meet

April 30, 2015 by Cecile

Experience tells us that almost all of the wide variety of treatment strategies and models are around because they work well for someone.

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Both Chronic, But Different: Addiction and Diabetes

March 9, 2015 by C. Scott McMillin

We haven’t corrected any identified physical deficiency. We’ve simply substituted a medical opioid for an illicit one.

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