To Maintain or Not to Maintain?

November 24, 2014 by C. Scott McMillin

You know what would help put an end to the debate? A protocol and procedures for a successful transition off maintenance for those patients who would prefer not to remain dependent.

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September 4, 2014 by C. Scott McMillin

Patients are often afraid to ask, but when they do, they seem to want the truth.

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Yes, I’m Annoyed, and You Should Be, Too

November 18, 2013 by C. Scott McMillin

We’re in a drug epidemic with no South American cartels or Afghan drug lords to vilify.

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Easier, Softer Way

September 3, 2013 by C. Scott McMillin

One thing’s for sure: it’ll be popular, because your typical alcoholic would rather not quit if he could think of an alternative.

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Addiction Treatment: The Double Standard

July 22, 2013 by C. Scott McMillin

Addiction has been described as a chronic problem that we’ve attempted to treat as an acute illness –a big reason for the revolving door of relapse.

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The Rumor Mill: “Killer Rehab”?

July 18, 2013 by C. Scott McMillin

Either way, it’s the drugs and alcohol that wind up killing the addict — not abstinence.

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What KIND of Disease is Addiction?

February 27, 2013 by C. Scott McMillin

Most communities provide both options for opioid patients, and lacking a methadone for alcohol or cocaine, use a more traditional abstinence-based approach for those addictions.

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Opioid Maintenance: Life Sentence?

February 20, 2013 by C. Scott McMillin

Informed client choice means accurate information about the likely outcome of decisions made early in treatment.

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Is This “Recovery?”

February 18, 2013 by C. Scott McMillin

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

Instead of becoming inspired to turn his life around, he seems to have figured, “OK, crisis averted. Let’s go get a beer.”

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Finding the Right Opioid Treatment Program

April 2, 2012 by C. Scott McMillin

Some of what patients hear is gossip and folklore, something for which the addict community is famous. But there is a wide variation in quality among OTPs.

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