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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Tips on Improving Addictions Education

February 4, 2013 by C. Scott McMillin

Faded drawing of man's head in profile, on old-looking, stained paper. The "brain area" is filled with gears.

Psychological theories that may be of great interest to professionals can seem like messages from Pluto to a rehab patient.

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Big Room, Many Doors

January 23, 2013 by C. Scott McMillin

I realized something: though in her mind we’d played a principal role in her recovery, she’d actually followed none of the directions we’d given her.

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Complex Trauma: A Practical Approach

December 21, 2012 by C. Scott McMillin

We can’t always predict which problem will require attention first — or indeed, when opening a door in therapy will introduce a whole new set of emotional needs and issues.

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Alexithymia: What’s That Feeling?

May 27, 2012 by C. Scott McMillin

It’s as if the addict is so accustomed to just acting on impulse that he/she has lost touch with the source of the impulse — ordinarily a negative emotional state such as anxiety, anger, sadness, etc.

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Finding Evidence-Based Practices

May 15, 2012 by C. Scott McMillin

Seeking evidence, and applying practices based on evidence to your clinical interventions, can help making decisions that increase the chances of a desired outcome

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Music Hath Charms

April 9, 2012 by C. Scott McMillin

You’re aware that music therapy is used in mental health settings. Playing music is great, but for most of us, it’s enough just to listen and be affected.

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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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Material Clients Can’t (or Won’t) Read Doesn’t Help Them

March 17, 2012 by C. Scott McMillin

It’s not so much that the client is unable to grasp the info as he or she is easily discouraged based on a fund of previous negative experiences in school.

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Do Incentives Work?

October 29, 2011 by C. Scott McMillin

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.

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